Rep. Ro Khanna Introduces Stop Deadly Denials Act to Ban Prior Authorization

Over 30 million seniors enrolled in Medicare Advantage plans would no longer face delays from prior authorization when seeking medical care. Doctors could provide treatments, imaging, surgeries, and other services without needing insurance company approval first, which currently causes significant delays and denials. This would be a major shift in how Medicare Advantage operates, removing one of the biggest complaints patients and providers have about these plans.

People with chronic illnesses on Medicare Advantage are among the most affected by prior authorization because they frequently need ongoing treatments, specialist visits, and procedures that currently require repeated insurance approvals. Eliminating prior authorization would reduce treatment delays and the administrative burden that falls on some of the sickest patients in the healthcare system.

Medicare beneficiaries with physical disabilities often need durable medical equipment, physical therapy, and specialized services that are frequently subject to prior authorization. Removing these barriers would help them access mobility aids, prosthetics, and rehabilitation services more quickly without waiting for insurance company approval.

Mental health services under Medicare Advantage, including therapy sessions and psychiatric care, are often delayed by prior authorization requirements. Banning these requirements would help seniors and people with disabilities access mental health treatment more quickly, which is especially important given how time-sensitive mental health crises can be.

Small medical practices and healthcare providers spend enormous time and money on prior authorization paperwork. Eliminating these requirements for Medicare Advantage patients would reduce administrative costs and free up staff time to focus on patient care rather than fighting with insurance companies over approvals.