MMA Supports Bill to Take on Prior Auth Abuse by Medicare Advantage Plans

June 13, 2024

The MMA has signed on to support federal bipartisan legislation that would tackle the overuse and abuse of prior authorization (PA) by Medicare Advantage (MA) plans.  

Introduced June 12, the Improving Seniors’ Timely Access to Care (Seniors’) Act, is co-sponsored by Sen. Amy Klobuchar and Rep. Betty McCollum and has the support of more than 380 organizations and 42 senators and 130 house members. 

The bill would codify and enhance elements of the Advancing Interoperability and Improving Prior Authorization Processes (e-PA) rule that was finalized by the Centers for Medicare & Medicaid Services (CMS) on January 17, 2024.  

In efforts to promote swift passage in Congress, the bill sponsors made modest adjustments to the legislation to align with CMS’ final e-PA rule and to reduce the Congressional Budget Office score. Changes include a requirement for CMS to issue a report on implementing real-time decisions, an analysis on enrollee impact, and clarifying CMS’s authority to modify the timeframes for making PA determinations.   

Latest News

Physician/Olympian to Give Inspirational Address at Empowering Physicians Event

August 20, 2026

A physician and Olympian will give an inspirational address as part of this year's Empowering Physicians event on Friday, September 25, at the Minneapolis Institute of Art.

Minnesota Vaccination Rates Trending in Wrong Direction

August 20, 2026

Minnesota received some disturbing news this week from the Centers for Disease Control and Prevention (CDC), as data shows that for the 2025-2026 school year, vaccination rates decreased and non-medical exemptions increased.  

Appellate Court Sides with Texas Medical Association in No Suprises Act Lawsuit

August 20, 2026

On August 11, a federal appellate court sided with the Texas Medical Association (TMA) argument that the way the No Surprises Act’s qualifying payment amount (QPA) is calculated has historically favored payers in arbitration.