Health Insurance Transparency for Patients Act

This bill would require health insurance companies and Medicare Advantage plans to report information about coverage requests each year. Within one year after each plan year ends, they would have to send the information to the federal health department and post it on their websites. The reports would show the number and percentage of claims and prior authorization requests that were approved or denied, and how many denials were appealed and reversed. The data would be broken down by factors such as the reason for denial, the type of service, how long decisions took, and whether a denial came from an automated process like artificial intelligence or from a person. Insurers would also have to post a list of all services that require prior authorization, and the federal health department would publish the reports on its own website.

Full text and official record on Congress.gov

Sponsors

• Ashley Hinson Republican sponsor
• 2 cosponsors