Burgess and Gonzalez Work to Streamline Quality Care for American Patients
Washington, July 31, 2023
Washington, D.C. – Congressman Michael C. Burgess, M.D. (R-TX) and Congressman Vicente Gonzalez (D-TX) introduced H.R. 4698, the GOLD Card Act of 2023. This legislation will exempt qualifying providers from prior authorization requirements under Medicare Advantage plans.
What others are saying:
“The more we can remove barriers to our patients’ access to care, the better their care can be. Legislation like this bill to empower physicians and their patients to quickly access the medical treatments they need will cut delays in care and increase quality,” said Rick W. Snyder II, MD, President of the Texas Medical Association (TMA).“We thank Congressman Burgess for recognizing how onerous prior authorization delays can harm patients, and for his leadership in crafting a solution to remove unnecessary bureaucratic burdens to help America’s patients.”
“Prior authorization takes away from the critical time orthopaedic surgeons could be spending with patients and can sometimes delay or deny medically necessary care," said American Association of Orthopaedic Surgeons (AAOS) First Vice President Paul Tornetta III, MD, PhD, FAAOS."We are long-time advocates who strongly support the GOLD CARD Act and look forward to advancing this bipartisan bill.”
“Prior authorization requirements often delay or deter patient access to necessary care,” said Christopher S. Kang, MD, FACEP, president of the American College of Emergency Physicians (ACEP). "Patients should not be constrained by their insurer to postpone medical attention until their condition becomes debilitating, life-threatening, or the emergency department becomes their only option for care. The bipartisan GOLD CARD Act of 2023 takes important steps to remove perfunctory barriers to medical care while improving the prior authorization process for physicians and patients alike.”
“Prior authorization often results in delays in care, which causes needless pain, delays in treatment, and suffering for patients and is a significant problem in today’s delivery of health care,” said Terrence A. Cronin, Jr., MD, FAAD, President of the American Academy of Dermatology Association. “The GOLD Card Act would exempt qualifying providers from prior authorization delays for Medicare Advantage patients. The American Academy of Dermatology Association thanks Congressman Michael Burgess, MD, for leading this critical issue.”
“Our patients cannot afford to wait or jump through unnecessary hoops to get care for painful, debilitating and life-threatening neurologic conditions. The GOLD Card Act is a commonsense approach to addressing the unnecessary burdens and delays caused by the widespread use of prior authorization, and America’s neurosurgeons thank Reps. Burgess and Gonzalez for introducing legislation to expedite this process so our nation’s seniors get timely access to care,” said Russell R. Lonser MD, FAANS, chair of the department of neurosurgery at The Ohio State University and chair of the American Association of Neurological Surgeons/Congress of Neurological Surgeons Washington Committee.
“The GOLD Card Act is a necessary response to the over utilization of prior authorization in Medicare Advantage plans that have created needless barriers between patients and the care they need,” said Michael X. Repka, MD, American Academy of Ophthalmology, Medical Director for Governmental Affairs. “Ophthalmology’s patients come to us to save their sight and preserve their quality of life. In some cases, putting off a procedure will lead to further complications. It is unfair to make those same patients get preapproval for procedures that are widely approved anyway, and further delay that sight saving care. The GOLD Card Act will remove this barrier and allow patients to get the care they need when they need it, not later. The American Academy of Ophthalmology is proud to support this commonsense solution.”
- Require the Secretary of HHS to issue a rule on the use of prior authorization by Medicare Advantage plans to ensure continuity of care for individuals transitioning to, or between, coverage to minimize disruption of ongoing treatments in previous plans.
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