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The Prior Authorization Relief Act amends the Medicare Advantage program to require the Secretary of Health and Human Services to audit prior authorization requirements for high-cost items, services, and drugs by January 1, 2026, and to standardize those requirements across all Medicare Advantage plans by October 1, 2026. The bill exempts certain accountable care organization professionals who meet savings targets from applying standardized prior authorization requirements, though MA organizations may request to continue their own requirements.
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