,,iv  #aai? ,,congress  #a/ ,session    
,h4 ,,res4 #gjd  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,septemb] #aa1        
#bjbe,mr4 ,pocan 7= himself1 ,ms4       
,s*ak[sky1 ,mr4 ,doggett1 ,ms4          
,ocasio-,cortez1 ,ms4 ,tlaib1 ,mrs4     
,watson ,coleman1 ,mr4 ,l&sman1 & ,ms4  
,goodl&]7 submitt$ ! foll[+ resolution2 
:i* 0 ref]r$ to ! ,committee on ,ways & 
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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$  ,,resolution  ,express+ ! s5se 
( ! ,h\se ( ,repres5tatives t ! ,wa/eful
 & ,inappropriate ,s]vice ,r$uction     
,model und]m9es b5efici>y access to     
heal? c>e & %\ld n be implem5t$4  ,:]eas
 ! ,c5t] = ,m$ic>e & ,m$icaid           
,innovation propos$ a program call$ !   
,wa/eful & ,inappropriate ,s]vices      
,r$uction 7,w,i,se,r7 ,model to comm5ce 
on ,janu>y #a1 #bjbf2 ,:]eas ! ,w,i,se,r
 ,model proposes to increase ! numb] (  

s]vices t require prior au?orization 9  
traditional ,m$ic>e by #cj p]c5t2 ,:]eas
 ! ,w,i,se,r ,model proposes to contract
 ) private companies t are curr5tly     
adm9i/]+ prior au?orization processes = 
private insurance companies1 includ+    
,m$ic>e ,advantage companies2 ,:]eas !  
,w,i,se,r ,model proposes to use enhanc$
 te*nologies1 includ+ artificial        
intellig5ce & ma*9e le>n+1 to process ! 
exp&$ prior au?orizations 9 traditional 
,m$ic>e2 ,:]eas prior au?orization has  
become an ob/acle to ne$$ m$ical c>e =  
pati5ts2 ,:]eas1 accord+ to ! ,am]ican  
,m$ical ,association1 #hi p]c5t (       
physicians report t prior au?orization  
contributes to physician burn\t2 ,:]eas1
 accord+ to ! ,m$ic>e ,limit$ ,data ,set
 publi%$ by ! ,c5t]s = ,m$ic>e &        
,m$icaid ,s]vices1 private companies    
t>get$ = p>ticipation 9 ?is model h a   
demon/rat$ record ( incorrect decisions 
on prior au?orization reque/s1 are #ha4g
 p]c5t ( d5ials made by ,m$ic>e         
,advantage insur]s ov]turn$ once        

appeal$1 accord+ to ! ,kais] ,family    
,f\ndation2 & ,:]eas1 accord+ to an     
article 9 ,fi]ce ,heal?c>e1 tools us+   
artificial intellig5ce to review cov]age
 decisions develop$ by private heal?    
insurance companies1 l ^? t>get$ =      
p>ticipation 9 ! ,w,i,se,r model1 are   
report$ to h #ij p]c5t error rates3 ,n[1
 !re=e1 be x ,t ! ,h\se (               
,repres5tatives-- 7#a7 expresses        
disapproval ( ! ,wa/eful &              
,inappropriate ,s]vice ,r$uction        
7,w,i,se,r7 ,model2  7#b7 f9ds t exp&+  
prior au?orization processes us$ 9      
,m$ic>e ,advantage into ! publicly      
adm9i/]$ traditional ,m$ic>e ,program   
und]m9es b5efici>y access to timely &   
necess>y m$ical c>e2 &  7#c7 /rongly    
reque/s t ! ,c5t]s = ,m$ic>e & ,m$icaid 
,s]vices t]m9ate ! ,w,i,se,r ,model4