Reducing Medically Unnecessary Delays in Care Act of 2025

This bill requires Medicare plans (including Medicare Advantage and prescription drug plans) to base coverage decisions on medical necessity and evidence-based standards. It mandates that plans seek input from practicing physicians when creating or changing coverage rules, post all preauthorization requirements online in plain language, and publicly share statistics on approvals and denials. The bill also requires that adverse coverage decisions be made by licensed, board-certified physicians and prohibits denying coverage solely due to lack of evidence-based standards when none exist for a service. These changes aim to reduce unnecessary delays in care for Medicare beneficiaries by increasing transparency and clinical input in coverage decisions.