MGMA voices support for the Reducing Medically Unnecessary Delays in Care Act (March 28, 2025)

March 28, 2025 
 

Subject: Support for Reducing Medically Unnecessary Delays in Care Act (H.R. 2433)

Dear Representatives Green, Murphy, and Schrier:

On behalf of the undersigned members of the Regulatory Relief Coalition (RRC), a coalition of national physician organizations seeking to reduce regulatory burdens that interfere with patient care, we are pleased to support the Reducing Medically Unnecessary Delays in Care Act of 2025 (H.R. 2433). As a leading advocate for reforming prior authorization in the Medicare Advantage (MA) program on behalf of seniors and the physicians who care for them, the RRC applauds your leadership on this legislation to improve the prior authorization process in Medicare, MA, and Medicare Part D plans.

The RRC greatly appreciates your commitment to ensuring that MA policies are not a barrier to timely and equitable access to care for the patients our members serve. We understand that your bill would reform prior authorization in Medicare, MA, and Part D by requiring that all prior authorizations and adverse determinations must be made by a licensed physician who is board certified in the specialty relevant to the health care item or service requested. It would also require plans to create policies based on medical necessity and written clinical criteria.

RRC members agree that only qualified medical personnel — ideally providers of the same medical specialty or subspecialty as the prescribing/ordering physicians — should make these decisions. Furthermore, we agree that prior authorization decisions should reflect evidence-based guidelines consistent with national medical specialty society guidelines where available and applicable. As Congress considers legislation to reform prior authorization, we look forward to working with you to protect patients from unnecessary delays in care by enacting these prior authorization reforms into law.
 

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