Prior Authorization Accountability Act

Sponsor: Craig A. Goldman (Republican-TX)June 23, 2026

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Forwarded by Subcommittee to Full Committee by Voice Vote.

Requires health insurers to publicly share how often they deny medical requests.

This bill would require health insurance companies and group health plans to publicly share detailed information about their prior authorization decisions. This means people could see how often requests for medical services are denied, approved, or appealed, and how long it takes. Currently, this information is not publicly available, making it hard for individuals to compare plans.

What Would Change

Today, health insurance companies and group health plans are not required to publicly share how often they deny requests for medical services that need prior authorization, how long decisions take, or if they use AI. If this bill passes, starting with plan years on or after January 1, 2027, these plans would have to publicly post detailed information about their prior authorization decisions, including approval and denial rates, appeal outcomes, and processing times, on their websites.

Key Provisions

Requires health plans and insurers to publicly list all items and services needing prior authorization.
Requires health plans and insurers to publicly share the percentage and number of prior authorization requests approved and denied.
Requires health plans and insurers to publicly report how many denied prior authorization requests were appealed and how many appeals were approved.
Requires health plans and insurers to publicly disclose the average and median time it takes to get a prior authorization decision.
Requires health plans and insurers to publicly reveal if they use artificial intelligence or other technology for prior authorization and report approval/denial rates for those cases.

View on Congress.gov

HR 9396 · 119th Congress · June 23, 2026 · AI Summary by gemini-2.5-flash · 8/10

Prior Authorization Accountability Act

What Would Change

Key Provisions

Lobbying Activity