Bill Detail
H.R. 3514
Congress: 119
Title
Improving Seniors’ Timely Access to Care Act of 2025
Summary
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.
Sponsor
Rep. Mike Kelly [R-PA-16]
Status
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
Status as of Sep 26, 12:59 AM · synced 5d ago
Introduced
2025-05-20
Data source mode: congress-gov
Bill Engagement
Improving Seniors' Timely Access to Care Act of 2025 This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage…
Lobbyists on the case
- American Hospital Association4 filings · 30 lobs
- Lisa (Kidder) Hrobsky2026 Q1
- Todd Askew2026 Q1
Prepared intelligence brief
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