Prior Authorization Relief Act

This bill requires the Medicare program to audit prior authorization rules for high-cost items and drugs by 2027, identifying those needing excessive paperwork steps. By 2028, it mandates standardized prior authorization rules across all Medicare Advantage plans for these specific items and drugs. The law exempts providers in certain risk-based care models (like accountable care organizations) from these standardized requirements. It directly affects Medicare Advantage enrollees and plans by simplifying paperwork for certain treatments and medications. The bill aims to reduce administrative burdens for providers and patients without changing coverage decisions.