H.R. 6361

Summary

H.R. 6361, the Ban AI Denials in Medicare Act, was introduced in the House on Dec 2, 2025 by Rep. Greg Landsman (D) with 3 co-sponsors. It was referred to Ways And Means, and last saw action on Dec 2, 2025: 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.

Record

Text

H.R. 6361 has 3 co-sponsors.

119 HR 6361 IH: Ban AI Denials in Medicare Act
 U.S. House of Representatives
 2025-12-02
 text/xml
 EN
 Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
 I  119th CONGRESS  1st Session  H. R. 6361  IN THE HOUSE OF REPRESENTATIVES   December 2, 2025   Mr. Landsman  (for himself and  Mrs. Watson Coleman ) 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 prohibit the Secretary of Health and Human Services from testing the WISeR model, and to amend title XI of the Social Security Act to prohibit the implementation of payment models testing prior authorization under traditional Medicare.
1.
Short title
This Act may be cited as the   Ban AI Denials in Medicare Act  .
2.
Prohibiting 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)
Prohibiting implementation of future CMI models testing prior authorization (including through the use of AI) 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 would provide for the implementation of prior authorization (including through the use of artificial intelligence) with respect to items or services for which payment may be made under part A or part B of title XVIII.
 .

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

To prohibit the Secretary of Health and Human Services from testing the WISeR model, and to amend title XI of the Social Security Act to prohibit the implementation of payment models testing prior authorization under traditional Medicare.

Sponsors

Rep. Greg Landsman (D) sponsors H.R. 6361, and 3 members have co-sponsored it, 1 of them from the day it was introduced.

Greg Landsman

Rep. · D–OH-1 · Sponsor

Introduced Dec 2, 2025

Bonnie Coleman

Rep. · D–NJ-12 · Co-sponsor

Joined Dec 2, 2025 · Original

Jim Costa

Rep. · D–CA-21 · Co-sponsor

Joined Jan 7, 2026

Adelita Grijalva

Rep. · D–AZ-7 · Co-sponsor

Joined Jan 7, 2026

Show 4 of 4 rows

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Committees

H.R. 6361 went before 2 committees: Energy and Commerce and Ways and Means.

Energy and Commerce

Energy and Commerce

Referred To · Dec 2, 2025 · 1,636 Bills

Ways and Means

Ways and Means

Referred To · Dec 2, 2025 · 1,160 Bills

Actions

H.R. 6361 has taken 2 actions since Dec 2, 2025.

Votes

H.R. 6361 has not gone to a roll call.

Titles

H.R. 6361 goes by 3 titles, 1 of them short titles.

• Ban AI Denials in Medicare Act — Display Title
• Ban AI Denials in Medicare Act — Short Title(s) as Introduced
• To prohibit the Secretary of Health and Human Services from testing the WISeR model, and to amend title XI of the Social Security Act to prohibit the implementation of payment models testing prior authorization under traditional Medicare. — Official Title as Introduced

Lobbying

6 clients hired 5 firms and 35 registered lobbyists who named H.R. 6361 in 12 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Health Issues, Taxation/Internal Revenue Code, Medicare/Medicaid, Budget/Appropriations, Government Issues, Labor Issues/Antitrust/Workplace, Pharmacy, Retirement.

Clients

Who paid to be heard, by how many filings named the bill.

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 35.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

Classification

The Congressional Research Service files H.R. 6361 under Health, one of its 31 policy areas.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 6361’s is Health.

Source: congress.gov · legiscan.com