To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization and claims denial under Medicare Advantage plans.
Latest action (15 Sep 2026): Introduced
What this bill does
H.R. 10394 is a bill that would amend title XVIII of the Social Security Act, the section of federal law governing Medicare, to create new requirements for how Medicare Advantage plans use prior authorization and how they handle claims denials. Based on the title alone, the bill's general purpose is to place limits or standards on these practices, but the specific rules it would establish are not yet available, since the full legislative text has not been published.
The bill would primarily affect people enrolled in Medicare Advantage plans, the private insurance alternative to traditional Medicare, as well as the insurance companies that administer those plans and the health care providers who submit claims and prior authorization requests on behalf of patients. Depending on its eventual provisions, such a bill could affect how quickly or easily patients receive approval for care, or how disputes over denied claims are resolved, though the precise mechanisms are unknown at this stage.
The bill was introduced on September 15, 2026, by Rep. Greg Landsman (D-OH-1) and has not yet moved beyond that initial step. It would need to be considered by the relevant committee, potentially amended, and pass both the House and Senate before being sent to the President. Readers should watch for the release of the full bill text for details on its actual requirements.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Official summary
This bill is in the first stage of the legislative process. It was introduced into Congress on September 15, 2026. It will typically be considered by committee next before it is possibly sent on to the House or Senate as a whole.
Common questions
- What does H.R. 10394 do?
- H.R. 10394 is a bill that would amend title XVIII of the Social Security Act, the section of federal law governing Medicare, to create new requirements for how Medicare Advantage plans use prior authorization and how they handle claims denials. Based on the title alone, the bill's general purpose is to place limits or standards on these practices, but the specific rules it would establish are not yet available, since the full legislative text has not been published. The bill would primarily affect people enrolled in Medicare Advantage plans, the private insurance alternative to traditional Medicare, as well as the insurance companies that administer those plans and the health care providers who submit claims and prior authorization requests on behalf of patients. Depending on its eventual provisions, such a bill could affect how quickly or easily patients receive approval for care, or how disputes over denied claims are resolved, though the precise mechanisms are unknown at this stage. The bill was introduced on September 15, 2026, by Rep. Greg Landsman (D-OH-1) and has not yet moved beyond that initial step. It would need to be considered by the relevant committee, potentially amended, and pass both the House and Senate before being sent to the President. Readers should watch for the release of the full bill text for details on its actual requirements.
- Has H.R. 10394 become law?
- Not yet. As of 15 Sep 2026, H.R. 10394 is introduced.
- Who sponsored H.R. 10394?
- H.R. 10394 was sponsored by Rep. Greg Landsman [D-OH1] (Democrat-OH), with 0 cosponsors.
- What's the latest action on H.R. 10394?
- Introduced (15 Sep 2026).
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