HR 639
Official Title: To prohibit group health plans, health insurance issuers, and Federal health care programs from applying prior authorization requirements, utilization management techniques, and medical necessity reviews.
Introduced: 2025-01-22
Passed House:
Passed Senate:
To President:
Became Law:
Doctor Knows Best Act of 2025
This bill prohibits health insurance plans (including federal health care programs) from imposing a prior authorization requirement, utilization management technique (e.g., step therapy or fail-first protocol), or medical necessity review for any item or service for which benefits are available under the plan.
The prohibition is effective for plan years beginning on or after January 1, 2026.
Action(s)
- 01/22/2025 - Referred to the Committee on Energy and Commerce, and in addition to the Committee on Oversight and Government Reform, 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.
- 01/22/2025 - Introduced in House
Bill Details
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Doctor Knows Best Act of 2025
Short Title
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House
Type
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119
Congress Number
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HR639-119
Full Number
Sponsor
Rep. Van Drew, Jefferson [R-NJ-2]
Rep.