; and (B) before implementing any additional prior authorization requirement under the plan during such plan year applicable to such items or services, notification of such additional requirement. . (b) Notification to beneficiaries Section 1852(c) of the Social Security Act ( 42 U.S.C. 1395w–22(c) ) is amended by adding at the end the following new paragraph: (3) Prior authorization information (A) In general For each plan year, beginning with plan year 2021, a Medicare Advantage organization offering an MA plan shall provide (such as through a public website, mail, or electronic communication) to each enrollee in such plan, before implementing under the plan any new prior authorization requirement applicable to an item or service (which in the case of an MA–PD plan shall include covered part D drugs) offered under the plan that was utilized by the enrollee during the previous 12-month period (or such other period specified by the Secretary), notification of such additional requirement and information regarding an alternative to such item or service, if appropriate, that is not subject to a prior authorization requirement under the plan and that may have a lower out-of-pocket cost than the item or service subject to the prior authorization requirement. (B) Hotline Beginning with plan year 2021, a Medicare Advantage organization offering an MA plan shall maintain a hotline for enrollees in such plan to inquire about and receive information regarding prior authorization requirements under such plan. .