These bipartisan bills would address several longstanding challenges rehabilitation providers face when treating Medicare Advantage beneficiaries, including prior authorization delays, overly restrictive medical necessity criteria, payment uncertainty, and retrospective denials or clawbacks after care has already been authorized.
For rehabilitation providers, these issues are more than administrative burdens. Delays and denials can interrupt medically necessary therapy, slow patient recovery, increase the risk of functional decline and falls, and create additional financial and operational pressure on providers already working to maintain access to care.
H.R. 8375 and S. 4384 would establish stronger timelines for prior authorization decisions, require Medicare Advantage plans to apply coverage standards that are no more restrictive than Traditional Medicare, improve transparency, and strengthen protections for providers when services have already been authorized.
NARA members have an important role to play.
Congress needs to hear directly from rehabilitation providers about how Medicare Advantage policies affect patients, clinicians, and organizations every day. Your real-world experience can help demonstrate why meaningful reform is necessary.
Please contact your U.S. Representative and Senators and ask them to support and co-sponsor H.R. 8375 and S. 4384.
When reaching out, share examples from your organization about delayed authorizations, interrupted therapy, inappropriate denials, administrative burden, or payment recoupments. These stories help lawmakers understand that Medicare Advantage reform is ultimately about protecting patient access to timely, medically necessary care.
Together, NARA members can help advance policies that reduce unnecessary barriers, protect clinical decision-making, and ensure rehabilitation providers can focus their resources where they belong — on helping patients recover, maintain function, and remain independent.
Take action today and ask Congress to support H.R. 8375 and S. 4384.