1. Short title This Act may be cited as the Getting Over Lengthy Delays in Care As Required by Doctors Act of 2023 or the GOLD CARD Act of 2023 . 2. Exemption for qualifying physicians from prior authorization requirements under MA plans (a) In general Section 1852 of the Social Security Act ( 42 U.S.C. 1395w–22 ) is amended by adding at the end the following new subsection: (o) Exemption for qualifying physicians from prior authorization requirements (1) In general (A) Exemption (i) In general In the case of an MA organization which utilizes a prior authorization process (as defined in subparagraph (B)) with respect to a plan year (beginning with the second plan year beginning after the date of the enactment of this subsection), subject to the succeeding provisions of this subsection, a physician shall be exempt from the prior authorization requirements under such process for the period of such plan year with respect to a specific item, service, or group of similar services, if during the preceding plan year at least 90 percent of prior authorization requests submitted to such organization by such physician for such item, service, or group were approved by such organization (including any approval granted after an appeal). Such exemption shall continue to apply with respect to such physician furnishing such item, service, or group of similar services in subsequent plan years until the earlier of— (I) the date on which such exemption is revoked under paragraph (5)