To amend title XVIII of the Social Security Act to provide a review process for adverse national coverage determinations with respect to drug coverage under the Medicare program.

Nanette Diaz Barragán

Democrat · CA · Representative

Source: Congress.gov · FEC

• John Joyce (R-PA-13)Original· 2026-06-24

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

2026-06-24

Source: Congress.gov

Medicare patients and drug manufacturers would gain a formal review process to challenge decisions by Medicare that deny coverage for certain medications nationwide. Currently, when Medicare decides not to cover a drug, there is limited opportunity to appeal that decision; this change would create a structured way to request reconsideration and present new evidence. The review process would apply specifically to these national coverage denials, giving patients and companies a clearer path to contest decisions they believe are unfair.

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