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The Alliance of Specialty Medicine wrote a letter of support to Rep. Mark Green (R-TN) and Rep. Kim Schrier (D-WA) in support of H.R. ​ 2433, the Reducing Medically Unnecessary Delays in Care Act. ​ This legislation aims to ensure that prior authorization decisions in Medicare and Medicare Advantage are made by board-certified physicians in the same specialty as the treating physician and that plans adhere to medical necessity and clinical criteria requirements. ​

A 2022 survey of over 800 specialty physicians revealed that prior authorization requirements have increased for procedures (93%), diagnostic tools (83%), and prescription drugs (66%), including generic medications. ​ These requirements create barriers to timely, necessary care and impose administrative burdens on medical practices. ​

The Alliance appreciates the leadership of Representatives Green and Schrier and looks forward to collaborating to improve patient access to care and reduce administrative challenges. ​ The full letter can be accessed by clicking on the link below.

Alliance Support Letter – Reducing Medically Unnecessary Delays in Care Act