Reducing Medically Unnecessary Delays in Care Act of 2023

This bill aims to streamline the "prior authorization" process for patients enrolled in Medicare, Medicare Advantage, and Medicare Part D plans. Currently, insurance companies often require healthcare providers to get approval before a patient can receive certain treatments or medications, a process that can sometimes be handled by non-physician staff or automated systems.

If passed, this legislation would require that any decision to deny or approve medical care be made by a licensed physician who is board-certified in the specific medical specialty related to the request. Additionally, the bill would mandate that insurance plans base their coverage rules on medical necessity and publicize their approval and denial rates to increase transparency for both doctors and patients.