Signal of the Day · Regulation & Policy
Bipartisan bill would require physician sign-off and 10-year records for AI-based Medicare Advantage denials
The Protecting Patients from Automated Denials Act (H.R. 9734) would bar Medicare Advantage plans from denying prior authorization on the basis of AI output unless a board-matched physician reviews and attests to independent judgment, discloses AI use and the reviewer's NPI to patient and provider, retains the decision record for 10 years, and reports the underlying algorithm and overturn rates to HHS every 90 days.