RRC Endorsed Legislation

No Fees for EFTs Act

The No Fees for EFTs Act would prohibit health plans from imposing fees on health care providers for electronic funds transfers (EFTs) and health care payments and remittance advice transactions. Under the Affordable Care Act, insurance carriers must offer providers the ability to receive reimbursements electronically. However, many insurers partner with third-party vendors that charge between two to five percent per EFT. According to the Medical Group Management Association (MGMA), nearly 60 percent of medical groups report being charged fees they did not agree to by insurers to receive electronic payments. RRC is pleased to support the No Fees for EFTs Act.

Reducing Medically Unnecessary Delays in Care Act of 2023

The Reducing Medically Unnecessary Delays in Care Act of 2023 would reform prior authorization in Medicare, Medicare Advantage, and Part D by requiring that all prior authorizations and adverse determinations must be made by a licensed physician who is board certified in the specialty relevant to the health care item or service requested. It would also require plans to create policies based on medical necessity and written clinical criteria. RRC applauds Representative Mark Green for introducing this legislation.

The GOLD CARD Act

The GOLD CARD Act will increase efficiency for physicians and enable patients to receive timely and high-quality care. The bill would allow physicians with high approval rates to bypass prior authorization requirements imposed by Medicare Advantage plans. RRC is please that the GOLD CARD Act aligns with the Improving Seniors' Timely Access to Care Act, which would allow Medicare Advantage plans to waive or modify prior authorization requirements when clinicians demonstrate compliance with a plan's procedures.