Comment on CMS-2026-1255-0001
AHIPSupportAdvocacy
Summary: AHIP, a national association representing health insurance plans, supports the expansion of electronic prior authorization (ePA) APIs to include drugs but requests more flexible implementation timelines and the preservation of integrated care models. They argue for a 24-month compliance window after the final rule's effective date and urge CMS to avoid mandating specific, immature versions of interoperability guides.
AHIP is the national association that represents health insurance plans that provide coverage, services, and solutions for over 205 million Americans through Medicare and Medicaid, employer-sponsored insurance, and the individual insurance market. AHIP appreciates the opportunity to provide comments on the proposed rule “Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability Standards and Prior Authorization for Drugs.”