Committee hears preview of bill to bar certain AI-based denials by CMMI
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Summary
The committee previewed HR 6361, which would prohibit CMMI from implementing the WISER model; the opening statement acknowledged concerns about AI and prior authorization while noting CMMI's statutory mission.
Unidentified Speaker introduced HR 6361, the Ban AI Denials in Medicare Act, saying the bill “prohibits the Center for Medicare and Medicaid Innovation, or CMMI, from implementing the wasteful and inappropriate service reduction model, or the WISER model.” The speaker also acknowledged concerns around AI and prior authorization but stated that CMMI’s statutory mission is to lower costs and improve patient outcomes.
The opening statement framed the WISER model as focused on ensuring safe and appropriate care for a set of non-emergency services; the transcript does not record witness testimony or detailed evidence for or against the model in these segments. No formal committee action occurred in the provided remarks; the committee said it will hear witnesses ahead of markup.
