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Sen. Ron Wyden is seen in the Senate

US Sen. Ron Wyden (D-Ore.) speaks during an April 15, 2026 hearing in the US Capitol in Washington, DC.

(Photo by Anna Moneymaker/Getty Images)

Senate Urged to Reject Trump Plot to Unleash AI for Medicare Service Denials

"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," said one campaigner.

Advocates for seniors on Wednesday urged US senators to vote for a resolution that, if passed, would block a new Trump administration pilot program under which claims by patients seeking certain healthcare services through traditional Medicare would be reviewed by private companies using artificial intelligence to deny care.

Upper chamber lawmakers are set to vote Thursday on a resolution introduced by Sen. Ron Wyden (D-Ore.) and supported by 20 Democratic colleagues and Sen. Bernie Sanders (I-Vt.) to stop the US Centers for Medicare and Medicaid Services' so-called Wasteful and Inappropriate Service Reduction (WISeR) Model.

CMS claims WISeR "helps protect American taxpayers by leveraging enhanced technologies, such as artificial intelligence (AI) and machine learning, along with human clinical review, to ensure timely and appropriate Medicare payment for select items and services."

What CMS doesn't mention—and what alarms a growing number of physicians and advocates—about the voluntary model is that AI-assisted reviews could contribute to inappropriate care denials, despite the required human review. Private Medicare Advantage healthcare profiteers have been using AI to deny care for years.

Critics argue that, even if a human must sign off, AI will effectively drive many of the recommendations, making it easier and faster to deny or delay care. They also warn of inevitable financial incentives tied to reducing Medicare spending, raising concerns that AI would likely be used as a cost-cutting tool.

"WISeR is not wise at all. It is a dangerous, profit-motivated experiment that allows private third parties to use artificial intelligence to delay and deny seniors’ medical care," Social Security Works executive director Alex Lawson said Wednesday. "Under the WISeR pilot program, which went live in January 2026, reports already show Medicare beneficiaries are waiting 2 to 4 times longer to access certain care."

"This is just one more example of the harm that Republicans’ disastrous healthcare agenda has already waged on American patients," he continued. "Last year, Republicans slashed $1 trillion in Medicaid and Affordable Care Act spending to line their cronies’ pockets. Now, they are importing the worst parts of Medicare Advantage—automated care denials—into traditional Medicare."

"The bottom line is this: Seniors who choose traditional Medicare should not have their care blocked by AI," Lawson added.

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