,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #fbcj  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #c1 #bjbc,mr4
 ,van ,drew introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,en]gy &   
,comm]ce1 & 9 addition to ! ,committee  
on ,ov]sight & ,acc\ntability1 = a p]iod
 to be subsequ5tly det]m9$ by ! ,speak]1
 9 ea* case = consid]ation ( su*        
provisions z fall )9 ! jurisdiction ( ! 
committee conc]n$  ,a ,,bill  ,to       
prohibit gr\p heal? plans1 heal?        
insurance issu]s1 & ,f$]al heal? c>e    
programs f apply+ prior au?orization    
requirem5ts1 utilization managem5t      
te*niques1 & m$ical necessity reviews4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,doctor ,kn[s ,be/ ,act ( #bjbc4  #b4 
,prohibit+ prior au?orization           
requirem5ts1 utilization managem5t      
te*niques1 & m$ical necessity reviews   
7a7 ,private insur]s ,subp>t ,,ii ( "p  
,a ( title ,,xxvii ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aa 
et seq47 is am5d$ by add+ at ! end !    

foll[+ new section3  #bgcj4 ,prohibition
 on prior au?orization requirem5ts1     
utilization managem5t te*niques1 &      
m$ical necessity reviews ,a gr\p heal?  
plan1 & a heal? insurance issu] (f]+    
gr\p or individual heal? insurance      
cov]age1 may n impose any prior         
au?orization requirem5t1 any utilization
 managem5t te*nique 7includ+ any /ep    
!rapy or fail-fir/ protocol71 or any    
m$ical necessity review on any item or  
s]vice = :i* b5efits are available "u   
su* plan or cov]age4  4  7b7 ,f$]al     
heal? c>e programs ,beg9n+ ,janu>y #a1  
#bjbd1 a ,f$]al heal? c>e program 7z    
def9$ 9 section #aabh;,b ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;a-#g;b7 & ! heal? program e/abli%$
 "u *apt] #hi ( title #e1 ,unit$ ,/ates 
,code1 includ+ a ,/ate or any entity    
c>ry+ out su* ,f$]al heal? c>e program  
or heal? program1 may n impose any prior
 au?orization requirem5t1 any           
utilization managem5t te*nique 7includ+ 
any /ep !rapy or fail-fir/ protocol71 or

 any m$ical necessity review on any item
 or s]vice = :i* b5efits are available  
"u ,f$]al heal? c>e program or heal?    
program 7z applicable74  7c7 ,effective 
date ,! am5dm5t made by subsection 7a7  
%all apply ) respect to plan ye>s beg9n+
 on or aft] ,janu>y #a1 #bjbd4