Medicare Advantage Prompt Pay Act

This bill would require Medicare Advantage plans to pay at least 95 percent of complete ("clean") claims from health care providers and suppliers 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 clean claims 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 payment rules. Plans would also have to report information on how many claims they paid on time and how much interest they paid. The payment rules would apply to services provided on or after January 1, 2027.

Full text and official record on Congress.gov

Sponsors

• Catherine Cortez Masto Democrat sponsor
• 2 cosponsors