{
  "legislationId": "119_HR_8377",
  "lastUpdate": "2026-04-23T11:28:19.905Z",
  "history": [
    {
      "timestamp": "2026-04-23T11:28:19.905Z",
      "source_url": "https://www.congress.gov/119/bills/hr8377/BILLS-119hr8377ih.htm",
      "model": "gemini-flash-lite-latest",
      "prompt_sent": "\nROLE: Fact Checker.\nZADANIE: Porównaj SOURCE (oryginał) i SUMMARY (streszczenie przygotowane przez inne AI).\n\nTwoim celem jest wykrycie \"ZMYŚLONYCH KONKRETÓW\" (Fabricated Entities) w SUMMARY.\n\nSOURCE:\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8377 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8377 To amend title XVIII of the Social Security Act to prohibit the use of prior authorization under Medicare Advantage plans, to amend title XI of the Social Security Act to limit the implementation of payment models testing prior authorization under traditional Medicare, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES April 20, 2026 Mr. Khanna (for himself, Ms. Jayapal, Mr. Cohen, Mrs. Dingell, Mr. Jackson of Illinois, Ms. Norton, and Mr. Pocan) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to prohibit the use of prior authorization under Medicare Advantage plans, to amend title XI of the Social Security Act to limit the implementation of payment models testing prior authorization under traditional Medicare, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Stop Deadly Denials Act of 2026''. SEC. 2. PROHIBITING PRIOR AUTHORIZATION REQUIREMENTS IN MEDICARE ADVANTAGE. (a) In General.--Section 1852 of the Social Security Act (42 U.S.C. 1395w-22) is amended by adding at the end the following new subsection: ``(o) Limitation on Prior Authorization.-- ``(1) In general.--Subject to paragraph (2), for plan years beginning on or after January 1, 2027, a Medicare Advantage plan may not impose any prior authorization requirement with respect to any specified item or service. ``(2) Exception.--Paragraph (1) shall not apply with respect to a specified item or service for a plan year in the case that, during such year, such item or service is subject to prior authorization pursuant to subsection (t)(2)(F) or (aa) of section 1833, subsection (a)(15), (l)(16), (q)(6), or (u)(4) of section 1834, or any other provision of part A or part B of this title. ``(3) Specified item or service defined.--For purposes of this subsection, the term `specified item or service' means, with respect to a Medicare Advantage plan, any item or service for which benefits are available under such plan that is not-- ``(A) a covered part D drug; or ``(B) a supplemental health care benefit (as described in subsection (a)(3)).''. (b) Permitting Intermediate Sanctions in the Case of Noncompliance.--Section 1857(g)(1) of the Social Security Act (42 U.S.C. 1395w-27(g)(1)) is amended-- (1) in subparagraph (J), by striking ``or'' at the end; (2) in subparagraph (K), by striking ``subparagraphs (A) through (J)'' and inserting ``subparagraphs (A) through (K)''; (3) by redesignating subparagraph (K) as subparagraph (L); and (4) by inserting after subparagraph (J) the following new subparagraph: ``(K) imposes a prior authorization requirement with respect to an item or service in violation of section 1852(o); or''. (c) Conforming Change.--Section 1852(c)(1)(G) of the Social Security Act (42 U.S.C. 1395w-22(c)(1)(G)) is amended-- (1) in the subparagraph heading, by striking ``Prior authorization'' and inserting ``Review''; and (2) by inserting ``for plan years ending before January 1, 2027,'' after ``Rules regarding prior authorization''. SEC. 3. LIMITING IMPLEMENTATION OF CENTER FOR MEDICARE AND MEDICAID INNOVATION MODELS TESTING PRIOR AUTHORIZATION UNDER TRADITIONAL MEDICARE. (a) Prohibiting Implementation of WISeR Model.--The Secretary of Health and Human Services may not implement the innovative payment and service delivery model described in the notice titled ``Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model'' (90 Fed. Reg. 28749 (July 1, 2025)), or any substantially similar model. (b) Limiting Implementation of Future CMI Models Testing Prior Authorization Under Traditional Medicare.--Section 1115A(b)(2) of the Social Security Act (42 U.S.C. 1315a(b)(2)) is amended-- (1) in subparagraph (A), by striking ``The Secretary shall select'' and inserting ``Subject to the limitation under subparagraph (D), the Secretary shall select''; and (2) by adding at the end the following new subparagraph: ``(D) Limitation on models to be tested.--Beginning on the date of the enactment of this subparagraph, the Secretary may not select a model to be tested under subparagraph (A) if such model-- ``(i) would provide for the implementation of prior authorization with respect to items or services for which payment may be made under part A or part B of title XVIII; and ``(ii) would provide for-- ``(I) issuing any denial of coverage or payment that-- ``(aa) is based on a decision made through the use of artificial intelligence, machine learning, algorithmic- derived decision logic, or any other similar technological process, without review and approval of such denial; and ``(bb) has not been individually reviewed and approved by a physician on the basis of the physician's independent medical judgment, taking into account relevant documentation provided by the individual receiving such items or services or the provider furnishing such items or services; or ``(II) the processing of requests for prior authorization by any entity other than a medicare administrative contractor with a contract under section 1874A.''. (c) Requiring Notice and Comment for All Future CMI Models.-- Section 1115A(b)(2)(A) of the Social Security Act (42 U.S.C. 1315a(b)(2)(A)), as amended by subsection (b), is further amended by adding at the end the following new sentence: ``Beginning January 1, 2027, a model may only be selected under this subparagraph after notice and opportunity for public comment.''. <all>\n\nSUMMARY TO EVALUATE:\nTitle: Stop Deadly Denials: Ending Prior Authorization in Medicare Advantage Plans\nSummary: This bill removes the requirement for insurance approval before receiving medical care under Medicare Advantage plans starting in 2027. It ensures patients get faster access to treatment and requires that medical decisions be made by doctors rather than AI algorithms.\nKey Points: Bans prior authorization requirements for most medical services in Medicare Advantage starting January 1, 2027., Prohibits AI or algorithms from denying coverage without a personal review and approval by a human physician., Imposes penalties and sanctions on insurance plans that fail to comply with the new rules., Requires public notice and a comment period before any new Medicare payment models can be implemented.\n\nZASADY OCENY:\n1. Sprawdź wszystkie LICZBY, DATY i KWOTY w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n2. Sprawdź wszystkie NAZWISKA, ORGANIZACJE i MIEJSCA w SUMMARY. Jeśli którejś brakuje w SOURCE -> is_valid: false.\n3. Sprawdź wszystkie konkretne DZIAŁANIA PRAWNE . Jeśli tego mechanizmu nie ma w SOURCE -> is_valid: false.\n\nWAŻNE: Abstrakcyjne pojęcia (np. \"transparentność\", \"zaufanie\") są dozwolone jako wnioski.\n\nOUTPUT (JSON):\n{\n  \"is_valid\": true/false,\n  \"issue\": \"fabricated_entity\" / \"contradiction\" / \"none\"\n}\n\nWYMAGANIA FORMATOWANIA:\n1. Odpowiedz WYŁĄCZNIE surowym obiektem JSON.\n2. NIE używaj bloków kodu Markdown.\n3. NIE dodawaj żadnych wstępów ani wyjaśnień przed ani po JSONie.\n4. JSON musi być poprawny i gotowy do parsowania.\n\n",
      "ai_response_raw": "{\n  \"is_valid\": true,\n  \"issue\": \"none\"\n}"
    },
    {
      "timestamp": "2026-04-23T11:15:57.399Z",
      "source_url": "https://www.congress.gov/119/bills/hr8377/BILLS-119hr8377ih.htm",
      "model": "gemini-flash-latest",
      "prompt_sent": "\nJesteś ekspertem od prawa Stanów Zjednoczonych, który ma za zadanie analizować dokumenty ustaw, uchwał oraz innych dokumentów legislacyjnych, a następnie przygotowywać z nich informacje w przystępny sposób dla obywateli. Twoim celem jest przedstawienie informacji tak, aby obywatele mogli sami ocenić wpływ legislacji na ich życie, nawet bez posiadania specjalistycznej wiedzy legislacyjnej. Skup się na faktach i obiektywnych skutkach wprowadzanych zmian, unikając wartościowania i osobistych opinii. Wszelki żargon prawny jest zabroniony. Prezentuj informacje w jasny, zwięzły i angażujący sposób, tak aby były zrozumiałe dla osoby bez wykształcenia prawniczego. Unikaj długich, złożonych zdań. Zamiast pisać \"projekt ma na celu nowelizację kodeksu podatkowego...\", napisz \"Zmiany w podatkach: nowe ulgi i obowiązki dla...\". Kontynuuj swoją pracę, dopóki nie rozwiążesz swojego zadania. Jeśli nie masz pewności co do generowanej treści, przeanalizuj dokument ponownie – nie zgaduj. Rozplanuj dobrze swoje zadanie przed przystąpieniem do niego. W podsumowaniu i kluczowych punktach, jeśli to możliwe i uzasadnione, podkreśl, jakie konkretne korzyści lub skutki (pozytywne lub negatywne) wprowadza ustawa dla życia codziennego obywateli, ich praw i obowiązków, finansów osobistych, bezpieczeństwa i innych ważnych kwestii (np. kategorycznych zakazów i nakazów czy najważniejszych konkretnych alokacji finansowych i terytorialnych).\n\nTwoja odpowiedź MUSI być w formacie JSON - i zawierać następujące klucze.\nZanim zwrócisz odpowiedź, dokładnie zweryfikuj, czy cała struktura JSON jest w 100% poprawna, włącznie ze wszystkimi przecinkami, nawiasami klamrowymi, kwadratowymi oraz cudzysłowami. Błędny JSON jest nieakceptowalny i uniemożliwi przetworzenie Twojej pracy.\n\nPrzeanalizuj dokładnie poniższy tekst dokumentu prawnego. To jest treść, na podstawie której masz wygenerować podsumowanie i kluczowe punkty:\n--- POCZĄTEK DOKUMENTU ---\n[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 8377 Introduced in House (IH)] <DOC> 119th CONGRESS 2d Session H. R. 8377 To amend title XVIII of the Social Security Act to prohibit the use of prior authorization under Medicare Advantage plans, to amend title XI of the Social Security Act to limit the implementation of payment models testing prior authorization under traditional Medicare, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES April 20, 2026 Mr. Khanna (for himself, Ms. Jayapal, Mr. Cohen, Mrs. Dingell, Mr. Jackson of Illinois, Ms. Norton, and Mr. Pocan) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To amend title XVIII of the Social Security Act to prohibit the use of prior authorization under Medicare Advantage plans, to amend title XI of the Social Security Act to limit the implementation of payment models testing prior authorization under traditional Medicare, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Stop Deadly Denials Act of 2026''. SEC. 2. PROHIBITING PRIOR AUTHORIZATION REQUIREMENTS IN MEDICARE ADVANTAGE. (a) In General.--Section 1852 of the Social Security Act (42 U.S.C. 1395w-22) is amended by adding at the end the following new subsection: ``(o) Limitation on Prior Authorization.-- ``(1) In general.--Subject to paragraph (2), for plan years beginning on or after January 1, 2027, a Medicare Advantage plan may not impose any prior authorization requirement with respect to any specified item or service. ``(2) Exception.--Paragraph (1) shall not apply with respect to a specified item or service for a plan year in the case that, during such year, such item or service is subject to prior authorization pursuant to subsection (t)(2)(F) or (aa) of section 1833, subsection (a)(15), (l)(16), (q)(6), or (u)(4) of section 1834, or any other provision of part A or part B of this title. ``(3) Specified item or service defined.--For purposes of this subsection, the term `specified item or service' means, with respect to a Medicare Advantage plan, any item or service for which benefits are available under such plan that is not-- ``(A) a covered part D drug; or ``(B) a supplemental health care benefit (as described in subsection (a)(3)).''. (b) Permitting Intermediate Sanctions in the Case of Noncompliance.--Section 1857(g)(1) of the Social Security Act (42 U.S.C. 1395w-27(g)(1)) is amended-- (1) in subparagraph (J), by striking ``or'' at the end; (2) in subparagraph (K), by striking ``subparagraphs (A) through (J)'' and inserting ``subparagraphs (A) through (K)''; (3) by redesignating subparagraph (K) as subparagraph (L); and (4) by inserting after subparagraph (J) the following new subparagraph: ``(K) imposes a prior authorization requirement with respect to an item or service in violation of section 1852(o); or''. (c) Conforming Change.--Section 1852(c)(1)(G) of the Social Security Act (42 U.S.C. 1395w-22(c)(1)(G)) is amended-- (1) in the subparagraph heading, by striking ``Prior authorization'' and inserting ``Review''; and (2) by inserting ``for plan years ending before January 1, 2027,'' after ``Rules regarding prior authorization''. SEC. 3. LIMITING IMPLEMENTATION OF CENTER FOR MEDICARE AND MEDICAID INNOVATION MODELS TESTING PRIOR AUTHORIZATION UNDER TRADITIONAL MEDICARE. (a) Prohibiting Implementation of WISeR Model.--The Secretary of Health and Human Services may not implement the innovative payment and service delivery model described in the notice titled ``Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model'' (90 Fed. Reg. 28749 (July 1, 2025)), or any substantially similar model. (b) Limiting Implementation of Future CMI Models Testing Prior Authorization Under Traditional Medicare.--Section 1115A(b)(2) of the Social Security Act (42 U.S.C. 1315a(b)(2)) is amended-- (1) in subparagraph (A), by striking ``The Secretary shall select'' and inserting ``Subject to the limitation under subparagraph (D), the Secretary shall select''; and (2) by adding at the end the following new subparagraph: ``(D) Limitation on models to be tested.--Beginning on the date of the enactment of this subparagraph, the Secretary may not select a model to be tested under subparagraph (A) if such model-- ``(i) would provide for the implementation of prior authorization with respect to items or services for which payment may be made under part A or part B of title XVIII; and ``(ii) would provide for-- ``(I) issuing any denial of coverage or payment that-- ``(aa) is based on a decision made through the use of artificial intelligence, machine learning, algorithmic- derived decision logic, or any other similar technological process, without review and approval of such denial; and ``(bb) has not been individually reviewed and approved by a physician on the basis of the physician's independent medical judgment, taking into account relevant documentation provided by the individual receiving such items or services or the provider furnishing such items or services; or ``(II) the processing of requests for prior authorization by any entity other than a medicare administrative contractor with a contract under section 1874A.''. (c) Requiring Notice and Comment for All Future CMI Models.-- Section 1115A(b)(2)(A) of the Social Security Act (42 U.S.C. 1315a(b)(2)(A)), as amended by subsection (b), is further amended by adding at the end the following new sentence: ``Beginning January 1, 2027, a model may only be selected under this subparagraph after notice and opportunity for public comment.''. <all>\n--- KONIEC DOKUMENTU ---\n\nPAMIĘTAJ: Twoja odpowiedź MUSI być wyłącznie poprawnym obiektem JSON. Nie dodawaj żadnych dodatkowych znaków, komentarzy ani tekstu przed znacznikiem '{' ani po znaczniku '}'. Cała odpowiedź musi być parsowalna jako JSON.\nNa podstawie POWYŻSZEGO dokumentu, wypełnij poniższą strukturę JSON:\nOto struktura JSON, której oczekuję (wypełnij ją treścią):\n{\n  \"pl_ai_title\": \"Nowy, krótki tytuł dla aktu prawnego po polsku, oddający sedno wprowadzanych zmian (np. maksymalnie 10-12 słów).\",\n  \"pl_summary\": \"2-3 zdania zwięzłego podsumowania treści aktu prawnego po polsku, napisane z perspektywy wpływu na życie codzienne obywateli.\",\n  \"pl_key_points\": [\n    \"Pierwszy krótki punkt po polsku dotyczący najważniejszych wprowadzanych rozwiązań lub zmian.\",\n    \"Drugi krótki punkt po polsku...\"\n  ],\n  \"eng_ai_title\": \"A new, short title for the legal act in English, capturing the essence of the changes (e.g., max 10-12 words).\",\n  \"eng_summary\": \"2-3 sentences summarizing the legal act in English, from the perspective of its impact on citizens' daily lives.\",\n  \"eng_key_points\": [\n    \"First short bullet point in English regarding the most important solutions or changes being introduced.\",\n    \"Second short bullet point in English...\"\n  ],\n  \"de_ai_title\": \"Ein neuer, kurzer Titel für das Rechtsdokument auf Deutsch, der den Kern der Änderungen erfasst (z.B. max. 10-12 Wörter).\",\n  \"de_summary\": \"2-3 Sätze Zusammenfassung des Rechtsdokuments auf Deutsch, aus der Perspektive seiner Auswirkungen auf das tägliche Leben der Bürger.\",\n  \"de_key_points\": [\n    \"Erster kurzer Stichpunkt auf Deutsch zu den wichtigsten eingeführten Lösungen oder Änderungen.\",\n    \"Zweiter kurzer Stichpunkt auf Deutsch...\"\n  ],\n  \"fr_ai_title\": \"Un nouveau titre court pour l'acte juridique en français, saisissant l'essence des changements (par exemple, 10-12 mots maximum).\",\n  \"fr_summary\": \"Résumé de 2-3 phrases de l'acte juridique en français, du point de vue de son impact sur la vie quotidienne des citoyens.\",\n  \"fr_key_points\": [\n    \"Premier court point en français concernant les solutions ou changements les plus importants introduits.\",\n    \"Deuxième court point en français...\"\n  ],\n  \"es_ai_title\": \"Un nuevo título breve para el acto jurídico en español, que recoja la esencia de los cambios (por ejemplo, máximo 10-12 palabras).\",\n  \"es_summary\": \"Resumen de 2-3 frases del acto jurídico en español, desde la perspectiva de su impacto en la vida cotidiana de los ciudadanos.\",\n  \"es_key_points\": [\n    \"Primer punto breve en español sobre las soluciones o cambios más importantes que se introducen.\",\n    \"Segundo punto breve en español...\"\n  ],\n  \"it_ai_title\": \"Un nuovo titolo breve per l'atto giuridico in italiano, che colga l'essenza delle modifiche (ad es. massimo 10-12 parole).\",\n  \"it_summary\": \"Riepilogo di 2-3 frasi dell'atto giuridico in italiano, dal punto di vista del suo impatto sulla vita quotidiana dei cittadini.\",\n  \"it_key_points\": [\n    \"Primo breve punto in italiano riguardante le soluzioni o le modifiche più importanti introdotte.\",\n    \"Secondo breve punto in italiano...\"\n  ],\n  \"nl_ai_title\": \"Een nieuwe, korte titel voor de rechtshandeling in het Nederlands, die de essentie van de wijzigingen weergeeft (bijv. max. 10-12 woorden).\",\n  \"nl_summary\": \"Samenvatting van 2-3 zinnen van de rechtshandeling in het Nederlands, vanuit het perspectief van de impact op het dagelijks leven van burgers.\",\n  \"nl_key_points\": [\n    \"Eerste korte punt in het Nederlands betreffende de belangrijkste geïntroduceerde oplossingen of wijzigingen.\",\n    \"Tweede korte punt in het Nederlands...\"\n  ],\n  \"pt_ai_title\": \"Um novo título curto para o ato jurídico em português, capturando a essência das mudanças (por exemplo, máx. 10-12 palavras).\",\n  \"pt_summary\": \"Resumo de 2-3 frases do ato jurídico em português, na perspetiva do seu impacto na vida quotidiana dos cidadãos.\",\n  \"pt_key_points\": [\n    \"Primeiro ponto curto em português sobre as soluções ou alterações mais importantes introduzidas.\",\n    \"Segundo ponto curto em português...\"\n  ],\n  \"category\": [\"Categorize the document into one category by default, based on the field it primarily concerns. Choose up to 3 if the document also touches upon SIGNIFICANT issues from other categories. You MUST select categories ONLY from the following list: Health, Education, Family, Taxes, Labor, Security, Environment, Courts and Law, Transport, Benefits, Real Estate, Media and Culture, Local Government, Migration, Agriculture, Public Investments, Informatization, Economy. If the document does not definitively fit any of these, you MUST use \"Other\". If you use \"Other\", it should be the ONLY category selected. Do NOT invent new categories. The response must be an array of strings, e.g., [\"Taxes\", \"Family\"].\"]\n}\n\n",
      "ai_response_raw": "{\n  \"pl_ai_title\": \"Koniec z blokowaniem leczenia: Zakaz wymogu uprzedniej zgody w Medicare Advantage\",\n  \"pl_summary\": \"Ustawa znosi obowiązek uzyskiwania zgody ubezpieczyciela przed rozpoczęciem leczenia w planach Medicare Advantage od 2027 roku. Dzięki temu pacjenci szybciej otrzymają potrzebną pomoc medyczną, a decyzje o leczeniu będą podejmowane przez lekarzy, a nie algorytmy.\",\n  \"pl_key_points\": [\n    \"Zakaz stosowania procedury 'uprzedniej zgody' (prior authorization) dla większości usług medycznych od 1 stycznia 2027 roku.\",\n    \"Całkowity zakaz odmawiania pokrycia kosztów leczenia przez sztuczną inteligencję bez indywidualnej weryfikacji przez lekarza.\",\n    \"Wprowadzenie kar finansowych i sankcji dla ubezpieczycieli, którzy będą bezprawnie blokować dostęp do świadczeń.\",\n    \"Wymóg przeprowadzania konsultacji społecznych przed wprowadzeniem jakichkolwiek nowych modeli płatności w systemie Medicare.\"\n  ],\n  \"eng_ai_title\": \"Stop Deadly Denials: Ending Prior Authorization in Medicare Advantage Plans\",\n  \"eng_summary\": \"This bill removes the requirement for insurance approval before receiving medical care under Medicare Advantage plans starting in 2027. It ensures patients get faster access to treatment and requires that medical decisions be made by doctors rather than AI algorithms.\",\n  \"eng_key_points\": [\n    \"Bans prior authorization requirements for most medical services in Medicare Advantage starting January 1, 2027.\",\n    \"Prohibits AI or algorithms from denying coverage without a personal review and approval by a human physician.\",\n    \"Imposes penalties and sanctions on insurance plans that fail to comply with the new rules.\",\n    \"Requires public notice and a comment period before any new Medicare payment models can be implemented.\"\n  ],\n  \"de_ai_title\": \"Stopp der Behandlungsblockaden: Verbot von Vorabgenehmigungen in Medicare Advantage\",\n  \"de_summary\": \"Dieses Gesetz schafft ab 2027 die Pflicht zur Einholung einer Versicherungsgenehmigung vor Beginn einer medizinischen Behandlung in Medicare Advantage-Plänen ab. Patienten erhalten so schneller Hilfe, und medizinische Entscheidungen werden von Ärzten statt von Algorithmen getroffen.\",\n  \"de_key_points\": [\n    \"Verbot von Vorabgenehmigungsverfahren für die meisten medizinischen Leistungen ab dem 1. Januar 2027.\",\n    \"Verbot von Ablehnungen der Kostenübernahme durch KI ohne individuelle Prüfung durch einen Arzt.\",\n    \"Einführung von Sanktionen für Versicherer, die den Zugang zu Leistungen rechtswidrig blockieren.\",\n    \"Verpflichtung zu öffentlichen Konsultationen vor der Einführung neuer Zahlungsmodelle im Medicare-System.\"\n  ],\n  \"fr_ai_title\": \"Fin des refus de soins : Interdiction de l'autorisation préalable dans Medicare Advantage\",\n  \"fr_summary\": \"Cette loi supprime l'obligation d'obtenir l'accord de l'assureur avant de recevoir des soins dans les plans Medicare Advantage dès 2027. Les patients accéderont plus rapidement aux traitements, et les décisions médicales seront prises par des médecins, non par des algorithmen.\",\n  \"fr_key_points\": [\n    \"Interdiction des exigences d'autorisation préalable pour la plupart des services médicaux dès le 1er janvier 2027.\",\n    \"Interdiction totale de refuser la couverture des soins par une IA sans l'examen individuel d'un médecin.\",\n    \"Mise en place de sanctions pour les assureurs qui continueraient à bloquer illégalement l'accès aux soins.\",\n    \"Obligation de consultation publique avant toute modification des modèles de paiement dans le système Medicare.\"\n  ],\n  \"es_ai_title\": \"Fin a los bloqueos médicos: Prohibición de autorizaciones previas en Medicare Advantage\",\n  \"es_summary\": \"Esta ley elimina la obligación de obtener el permiso de la aseguradora antes de recibir tratamiento en los planes Medicare Advantage a partir de 2027. Los pacientes recibirán atención más rápido y las decisiones médicas las tomarán médicos, no algoritmos.\",\n  \"es_key_points\": [\n    \"Prohibición de requisitos de autorización previa para la mayoría de los servicios médicos desde el 1 de enero de 2027.\",\n    \"Prohibición de que la inteligencia artificial deniegue coberturas sin la revisión individual de un médico humano.\",\n    \"Sanciones para las aseguradoras que incumplan la norma y bloqueen el acceso a los servicios de salud.\",\n    \"Obligatoriedad de periodos de comentarios públicos antes de implementar nuevos modelos de pago en Medicare.\"\n  ],\n  \"it_ai_title\": \"Stop ai dinieghi sanitari: Divieto di autorizzazione preventiva in Medicare Advantage\",\n  \"it_summary\": \"Questa legge elimina l'obbligo di ottenere il via libera dall'assicurazione prima di curarsi nei piani Medicare Advantage dal 2027. I pazienti avranno cure più rapide e le scelte mediche spetteranno ai dottori, non ai software.\",\n  \"it_key_points\": [\n    \"Divieto di richiedere l'autorizzazione preventiva per la maggior parte delle prestazioni mediche dal 1° gennaio 2027.\",\n    \"Divieto di negare la copertura assicurativa tramite algoritmi o IA senza il controllo di un medico in carne ed ossa.\",\n    \"Introduzione di sanzioni per le compagnie assicurative che violano le nuove regole sul blocco delle cure.\",\n    \"Obbligo di consultazione pubblica per ogni futuro cambiamento nelle modalità di pagamento del sistema Medicare.\"\n  ],\n  \"nl_ai_title\": \"Stop op zorgweigering: Verbod op voorafgaande toestemming in Medicare Advantage\",\n  \"nl_summary\": \"Deze wet schaft vanaf 2027 de verplichting af om eerst toestemming van de verzekeraar te vragen voor medische zorg binnen Medicare Advantage. Patiënten krijgen sneller hulp en medische beslissingen worden door artsen genomen in plaats van door algoritmen.\",\n  \"nl_key_points\": [\n    \"Verbod op de eis voor voorafgaande toestemming voor de meeste medische diensten vanaf 1 januari 2027.\",\n    \"Verbod op het weigeren van dekking door kunstmatige intelligentie zonder beoordeling door een echte arts.\",\n    \"Invoering van sancties voor verzekeraars die de toegang tot zorg onrechtmatig blijven blokkeren.\",\n    \"Verplichte openbare raadpleging voordat er nieuwe betaalmodellen in het Medicare-systeem worden ingevoerd.\"\n  ],\n  \"pt_ai_title\": \"Fim dos bloqueios de saúde: Proibição de autorização prévia no Medicare Advantage\",\n  \"pt_summary\": \"Esta lei elimina a necessidade de aprovação da seguradora antes de iniciar tratamentos nos planos Medicare Advantage a partir de 2027. Os pacientes terão acesso mais rápido aos cuidados e as decisões serão tomadas por médicos, não por algoritmos.\",\n  \"pt_key_points\": [\n    \"Proibição de exigências de autorização prévia para a maioria dos serviços médicos a partir de 1 de janeiro de 2027.\",\n    \"Proibição de recusas de cobertura baseadas em inteligência artificial sem a revisão individual de um médico.\",\n    \"Aplicação de sanções e penalidades para seguradoras que bloquearem ilegalmente o acesso a tratamentos.\",\n    \"Exigência de consulta pública antes da implementação de qualquer novo modelo de pagamento no sistema Medicare.\"\n  ],\n  \"category\": [\"Health\"]\n}"
    }
  ]
}