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Doctor Knows Best Act of 2025

HR 639 · In committee · last action January 22, 2025

<p><strong>Doctor Knows Best Act of 2025</strong></p><p>This bill prohibits health insurance plans (including federal health care programs) from imposing a prior authorization requirement, utilization management technique (e.g., step therapy or fail-first protocol), or medical necessity review for any item or service for which benefits are available under the plan.</p><p>The prohibition is effective for plan years beginning on or after January 1, 2026.</p>

Sponsor

Jefferson Van Drew (R-NJ)

Associated votes

No votes recorded against this bill yet — vote coverage is a work in progress.

Official summary

<p><strong>Doctor Knows Best Act of 2025</strong></p><p>This bill prohibits health insurance plans (including federal health care programs) from imposing a prior authorization requirement, utilization management technique (e.g., step therapy or fail-first protocol), or medical necessity review for any item or service for which benefits are available under the plan.</p><p>The prohibition is effective for plan years beginning on or after January 1, 2026.</p>