The bill would require group health plans and health insurance issuers that impose prior authorization requirements during plan years beginning on or after January 1, 2027, to submit and publicly display data on covered services, approvals, denials, appeals, processing times, and technology-assisted decisions. The requirements would apply under the Public Health Service Act, ERISA, and the Internal Revenue Code, generally at the plan or coverage level, with additional aggregate reporting if specified by the Secretary. Beginning with plan years on or after January 1, 2029, Exchange comparison information would include the most recent prior-authorization data for a qualified health plan that was also offered through that Exchange during a previous plan year.

FactVote-generated overview; it is not an official CRS summary.