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H.R. 5940: Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery Care Act of 2025

This bill is known as the "Seniors Deserve Streamlined Medical Approvals for Timely, Efficient Recovery Care Act of 2025" or the "Seniors Deserve SMARTER Care Act of 2025." The main purpose of this legislation is to prohibit the implementation of a specific model under the Medicare program called the WISeR model.

Overview of the WISeR Model

The WISeR model was introduced as a way to use prior authorization processes to reduce what is considered wasteful or inappropriate services in Medicare. This model aimed to streamline approvals for medical services, potentially altering how some services are funded and delivered to seniors. While the intention is to improve efficiency and reduce costs, concerns have been raised about access to care and whether this model might lead to delays in necessary medical services for beneficiaries.

Key Provisions of the Bill

Prohibition on Implementation: The bill specifically states that the Secretary of Health and Human Services cannot implement the WISeR model or any similar model that focuses on prior authorization for services.
Focus on Seniors: The legislation emphasizes the importance of ensuring that seniors have timely access to necessary medical care without additional layers of approval that might hinder their recovery process.

Intended Outcomes

By prohibiting the WISeR model, the bill aims to maintain the current processes that govern medical service approvals in Medicare, thereby minimizing the risk of delayed care for seniors. The goal is to ensure that beneficiaries can receive timely and efficient medical treatment without navigating a potentially cumbersome approval system.

Background Context

This legislative effort reflects ongoing debates about healthcare delivery in the United States, especially regarding how best to manage costs while ensuring quality care for older adults. The bill showcases a legislative avenue to directly influence how Medicare operates and how it might adapt to new models of care while seeking to prioritize patient access.

Relevant Companies

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This is an AI-generated summary of the bill text. There may be mistakes.

Actions

2 actions

Date	Action
Nov. 07, 2025	Introduced in House
Nov. 07, 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.

Corporate Lobbying

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