To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.
In Committee
Introduced:Nov 18, 2025
Primary Sponsor
Glenn Thompson
Representative
Republican
PA-15
Cosponsors
6
Quick Stats
Policy Area
Health
Summary
This bill would allow Medicare Advantage plans to automatically reconsider their decisions to deny coverage for certain medical treatments, making it easier for patients to access the care they need. The goal is to improve the process for patients who have been denied coverage by their Medicare Advantage plan.
Latest Action
Referred to the Subcommittee on Health.
AI Summary
Plain-English explanation of this bill
This bill would allow Medicare Advantage plans to automatically reconsider their decisions to deny coverage for certain medical treatments, making it easier for patients to access the care they need. The goal is to improve the process for patients who have been denied coverage by their Medicare Advantage plan.
Last updated: 12/29/2025
Official Summary
Congressional Research Service summary
<p><b>Access to Inpatient Rehabilitation Therapy Act of </b><b>2023</b></p> <p>This bill allows, for purposes of Medicare payment, an intensive rehabilitation therapy program to include other skilled therapeutic modalities besides physical therapy, occupational therapy, speech language pathology services, or orthotic and prosthetic services, as recommended by the treating physician after the patient is admitted. The bill applies after December 31, 2023, or the last day of the COVID-19 public health emergency, whichever is earlier. (The COVID-19 public health emergency ended May 11, 2023.)</p>
Key Points
Main provisions of the bill
Requires Medicare Advantage plans to automatically reconsider decisions to deny coverage for medical treatments.
Applies after December 31, 2023, or the end of the COVID-19 public health emergency, whichever is earlier.
Aims to make it easier for patients to access the care they need by improving the coverage denial review process.
How This Impacts Americans
Potential effects on citizens and communities
If this bill becomes law, it would affect Medicare Advantage plan enrollees who have been denied coverage for medical treatments. This could make it easier for these patients to get the care they need, as plans would be required to automatically re-evaluate their coverage decisions. This could lead to more approvals and better access to important therapies and services for Medicare Advantage patients.
Policy Areas
Primary Policy Area
Health
Scope & Jurisdiction
Jurisdiction Level
federal
Congressional Session
119th Congress
Citation Reference
6110, 119th Congress (2025). "To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.". Source: Voter's Right Platform. https://votersright.org/bills/118-hr-6110
