One of the things that comes to me that could definitely improve the situation from a transparency standpoint and also from a consistency standpoint would be to have, instead of pharmacy benefit managers deciding on how best to administer prior authorizations, have the physicians who are at the point of the spear weigh in.
Rogers emphasizes the need for physician involvement in prior authorization decisions.
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Mr. Speaker, I yield 4 minutes to the gentlewoman from Texas (Ms. Granger), the ranking member of the Appropriations Committee.
Mr. Speaker, I rise in support of this bill, but I want to first congratulate our committee's chair and ranking member for their great work on putting together this enormous and enormously important bill. First, I want to say how rare this…
I look forward working with my colleagues on a package that mitigates socio-economic disparities, advances racial equity, and promotes affordable access to opportunity.
Unfortunately, there is little or no transparency in how the prior authorizations are judged, nor the guidelines by which the reviewers look at the clinical information provided.
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