SCAI strongly supports the Improving Seniors' Timely Access to Care Act, (H.R. 3107) introduced on June 5, 2019, by Representatives Suzan DelBene (D-Wash.), Mike Kelly (R-Penn.), Roger Marshall, MD (R-Kan.), and Ami Bera, MD (D-Calif.). A companion bill has yet to be introduced in the Senate.

SCAI has joined the Regulatory Relief Coalition (RCC), a group of national physician specialty organizations advocating for regulatory burden reduction in Medicare so that physicians can spend more time treating patients. More information on this important coalition can be found at www.regrelief.org.

The prior authorization of services by a Medicare Advantage plan requires physicians to obtain pre-approval for medical treatments or tests before rendering care to their patients. Unfortunately, this process often leads to lengthy inquires that burden physician staff and delays in-patient care. To increase transparency and accountability, and to reduce the burdens of prior authorization in connection with Medicare Advantage plans, the Improving Seniors’ Timely Access to Care Act, would:

  • Establish an electronic prior authorization process;

  • Minimize the use of prior authorization for services that are routinely approved;

  • Prohibit additional prior authorization for medically-necessary services performed during a surgical or invasive procedure that already received, or did not initially require prior authorization;

  • Require plans to report on the extent of their use of prior authorization and the rate of delays and denials;

  • Ensure prior authorization requests are reviewed by qualified medical personnel; and

  • Ensure that plans adhere to evidence-based medicine guidelines.

 

Contact

To support H.R. 3107, please contact Curtis Rooney at crooney@scai.org