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Wednesday, Jun 10 2026 UPDATED 12:10 PM

Full Issue

House Panel Targets Funds From Medicare's Controversial Prior Authorization Pilot

The House Appropriations Committee unanimously approved an amendment that could bar the Centers for Medicare & Medicaid Services from using funds on WISeR, a pilot program that uses AI to create a "streamlined" prior authorization process for Medicare, Fierce Healthcare reported.

A key legislative panel voted Tuesday to bar the Centers for Medicare & Medicaid Services from spending funds on a controversial prior authorization pilot. In an amendment added to the broader appropriations bill for the Department of Health and Human Services after a unanimous vote, the House Appropriations Committee determined that "none of the funds made available in this Act or any other Act" should be used to implement the Wasteful and Inappropriate Services Reduction (WISeR) model, or another model that would add prior auth to traditional Medicare. (Minemyer, 6/9)

More about healthcare costs and coverage —

The Trump administration has warned more than 500 hospitals that they are failing to provide the public with basic pricing information — arguing that the lack of disclosure is keeping healthcare costs higher than they should be. The Associated Press obtained exclusively the list of hospitals that since April have either received letters of warning or, in more severe cases, requests to submit plans to provide transparent pricing. Failing to comply with the warnings comes with penalties as high as $2 million annually for each recipient that doesn’t create a plan to post clear pricing data. (Boak, 6/9)

The financial health of Social Security and Medicare has worsened over the past year, with the programs’ trust funds expected to run dry three months sooner than anticipated, according to reports issued Tuesday by the programs’ trustees. (Krawzak, 6/9)

More than 92,000 Illinois consumers lost or dropped their Affordable Care Act health insurance in recent months — an unusually large number — following the expiration of generous tax credits that had helped to curb the plans’ costs. (Schencker, 6/9)

Â鶹ŮÓÅ Health News: Looming Medicaid Cuts Supercharge California’s Latest Labor-Industry Fight

The looming impact of federal Medicaid cuts has reignited a long-simmering, costly battle between California’s medical industry and one of its largest health worker unions. SEIU-United Healthcare Workers West, with approximately 120,000 members, has put forward two ballot initiatives to cap the pay of medical executives and require community clinics to spend the vast bulk of their revenues on patient care. (Wolfson, 6/10)

A specialized psychiatric treatment program helped this 24-year-old with her complex OCD. Now, her family owes the facility more than $1 million. (Bendix, Kane and Snow, 6/9)

On the high cost of prescriptions —

The Trump administration is launching a full-scale charm offensive across Europe to persuade governments to follow Britain’s lead to pay more for medicines. U.S. embassies across the continent are being mobilized to deliver a message to European capitals: American patients are paying too much for medicines — around three times more than Germany for new drugs — and Europe better chip in.  If not, the bloc risks losing out on pharmaceutical investment and access to new drugs, two industry figures with knowledge of negotiations told POLITICO.  (Hug and Von Der Burchard, 6/9)

In Europe, two divergent paths are emerging as countries grapple with what to do about drug prices, affecting pharma companies and patients across the continent — and testing the influence of the U.S. (Joseph, 6/10)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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