On Tuesday, the House Appropriations Committee voted to block CMS’ use of funds on the Wasteful and Inappropriate Services Reduction (WISeR) model. Originally created in June 2025, WISeR’s goal is to streamline prior authorization in Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington by leveraging artificial intelligence. However, the modeldoesn’t offer providers an appeals process—gaps the American Hospital Association said were “extremely concerning.” CMS will now need to provide details in its FY 2028 congressional justification on WISeR’s potential impact and CMS’ rationale in selecting states to participate.
