[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2410 Introduced in House (IH)]

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117th CONGRESS
  1st Session
                                H. R. 2410

    To amend title XVIII of the Social Security Act to require the 
inclusion of information on prior authorization requirements and other 
 utilization management techniques in the Medicare & You annual notice.


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                    IN THE HOUSE OF REPRESENTATIVES

                             April 8, 2021

 Mr. Kelly of Pennsylvania (for himself and Mr. O'Halleran) 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

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                                 A BILL


 
    To amend title XVIII of the Social Security Act to require the 
inclusion of information on prior authorization requirements and other 
 utilization management techniques in the Medicare & You annual notice.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Medicare & You Handbook Improvement 
Act of 2021''.

SEC. 2. REQUIRING THE INCLUSION OF INFORMATION ON PRIOR AUTHORIZATION 
              REQUIREMENTS AND OTHER UTILIZATION MANAGEMENT TECHNIQUES 
              IN THE MEDICARE & YOU ANNUAL NOTICE.

    (a) In General.--Section 1804(c) of the Social Security Act (42 
U.S.C. 1395b-2(c)) is amended--
            (1) in paragraph (3), by striking ``and'' at the end;
            (2) in paragraph (4), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following new paragraph:
            ``(5) a description of the types of prior authorization 
        requirements and any other utilization management techniques 
        that may apply under this title, including information on how 
        an individual may find out which such requirements and 
        techniques (if any) apply under a Medicare Advantage plan or a 
        prescription drug plan.''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to notices distributed on or after January 1, 2022.
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