Medicare could not start the WISeR program, which would require advance approval for some services. The bill would also block any very similar model, but it would not create a replacement plan.
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Seniors Deserve SMARTER Care Act of 2025 is a House bill in committee. The latest recorded action: 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.
Latest action on H.R. 5940: 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.
Who this affects: This bill mainly affects people who use Medicare and the health care providers who treat them. Medicare patients could avoid new advance approval steps tied to WISeR. Doctors, hospitals, and other providers would not have to follow that model if the bill became law. Federal health officials would lose the power to test WISeR or a very similar Medicare model.
Why this matters: This matters because approval rules can affect how fast Medicare patients get care. WISeR was meant to reduce wasteful or inappropriate services by requiring advance approval for some care. Blocking it could help avoid delays and extra paperwork. It could also stop a test that might have lowered Medicare spending or reduced unnecessary services. The bill also limits how much room federal health officials have to try this kind of Medicare payment model.
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