Proposed
Bill · 119th Congress · HR 5454
Medicare Advantage Prompt Pay Act
Refreshed 1 h ago
Introduced 2025-09-18Topic: health careSummary
AI-generated summary, report an errorThis bill would require Medicare Advantage plans to pay at least 95 percent of complete ("clean") claims from health care providers within set deadlines, whether or not the provider is in the plan's network. The deadline would be 14 days for electronic claims from in-network providers and 30 days for all other claims. Plans that pay late would owe the provider interest, and the federal government could fine plans up to $25,000 for each finding that they did not follow the rules. Plans would also have to report information on how many claims they paid on time and how much interest they paid. The rules would apply starting January 1, 2027.
Sponsors
- Jodey C. Arrington Republican sponsor
- 20 cosponsors
Action history
| Date | Chamber | Action | Status effect |
|---|---|---|---|
| 2025-09-18 | House | Referred 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 |
| 2025-09-18 | House | Referred 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 |
| 2025-09-18 | Introduced in House | introduce | |
| 2025-09-18 | Introduced in House | introduce |