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Proposed

Bill · 119th Congress · HR 3514

Improving Seniors’ Timely Access to Care Act of 2025

Refreshed 1 h ago

Introduced 2025-05-20Topic: health care

Summary

Summary by the Congressional Research Service

Improving Seniors' Timely Access to Care Act of 2025 This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans. Specifically, MA plans must (1) establish an electronic prior authorization program that meets specified standards; (2) annually submit to the CMS for publication specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services (CMS), relating to the quality and timeliness of prior authorization determinations. The CMS and the Office of the National Coordinator for Health Information Technology must publish on the CMS' website a report that analyzes the information received from MA plans, the feasibility of implementing real-time decision making with respect to prior authorization requests, and the impact of decisions that are made using artificial intelligence on patient access.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-07-15HouseOrdered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.refer
2026-07-15HouseCommittee Consideration and Mark-up Session Heldrefer
2026-06-25HouseForwarded by Subcommittee to Full Committee by Voice Vote.refer
2026-06-25HouseSubcommittee Consideration and Mark-up Session Heldrefer
2025-05-20HouseReferred to the Subcommittee on Health.refer
2025-05-20HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.refer
2025-05-20HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.refer
2025-05-20Introduced in Houseintroduce
2025-05-20Introduced in Houseintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-10-20. Provisions and opinion polling arrive in a later release.