Ban AI Denials in Medicare Act
The source supplies the latest action, but no lifecycle stage.
Latest action (2 Dec 2025): Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
What this bill does
H.R. 6361, the "Ban AI Denials in Medicare Act," would prohibit the Secretary of Health and Human Services from implementing the WISeR model — a pilot announced in a July 2025 federal notice that would test prior authorization requirements for certain services under traditional Medicare — or any substantially similar model. The bill also amends the Social Security Act to bar the Centers for Medicare & Medicaid Innovation (CMI) from selecting any future test model that would impose prior authorization, including through the use of artificial intelligence, on items or services covered under Medicare Part A or Part B.
The bill primarily affects Medicare beneficiaries enrolled in traditional (fee-for-service) Medicare, who would not be subject to prior authorization requirements tested through this or similar CMI demonstration models. It also affects HHS and CMS, which would lose authority to pursue such pilots, and health care providers who bill Medicare for affected services.
The bill was introduced on December 2, 2025, by Rep. Greg Landsman, with Rep. Watson Coleman as a cosponsor, and was referred to the House Committee on Ways and Means and the Committee on Energy and Commerce for consideration. As an introduced bill, it must be reviewed and potentially amended by these committees before any further action, such as a floor vote, could occur.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Timeline
2 Dec 2025
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Common questions
- What does H.R. 6361 do?
- H.R. 6361, the "Ban AI Denials in Medicare Act," would prohibit the Secretary of Health and Human Services from implementing the WISeR model — a pilot announced in a July 2025 federal notice that would test prior authorization requirements for certain services under traditional Medicare — or any substantially similar model. The bill also amends the Social Security Act to bar the Centers for Medicare & Medicaid Innovation (CMI) from selecting any future test model that would impose prior authorization, including through the use of artificial intelligence, on items or services covered under Medicare Part A or Part B. The bill primarily affects Medicare beneficiaries enrolled in traditional (fee-for-service) Medicare, who would not be subject to prior authorization requirements tested through this or similar CMI demonstration models. It also affects HHS and CMS, which would lose authority to pursue such pilots, and health care providers who bill Medicare for affected services. The bill was introduced on December 2, 2025, by Rep. Greg Landsman, with Rep. Watson Coleman as a cosponsor, and was referred to the House Committee on Ways and Means and the Committee on Energy and Commerce for consideration. As an introduced bill, it must be reviewed and potentially amended by these committees before any further action, such as a floor vote, could occur.
- Has H.R. 6361 become law?
- The source does not supply a confirmed lifecycle stage for H.R. 6361. Check the latest action and official source below.
- Who sponsored H.R. 6361?
- H.R. 6361 was sponsored by Rep. Landsman, Greg [D-OH-1] (D-OH), with 4 cosponsors.
- What's the latest action on H.R. 6361?
- Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. (2 Dec 2025).
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Expressing the sense of the House of Representatives that the Centers for Medicare & Medicaid Services should halt the pilot program and should not jeopardize seniors' access to critical health care by utilizing artificial intelligence to determine Medicare coverage.
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