United StatesImproving Seniors’ Timely Access to Care Act of 2025
What it does
This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.
More detail
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.
Where do you stand?
Choose your position
Tell your reps
Take a position to see your representatives and ways to contact them.
Where it stands
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Jul 15Committee Consideration and Mark-up Session HeldLatest
- Jul 15Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
- Jun 25Subcommittee Consideration and Mark-up Session Held
- Jun 25Forwarded by Subcommittee to Full Committee by Voice Vote.
- 2025
- May 20Introduced in House
- May 20Referred 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.
- May 20Referred to the Subcommittee on Health.Introduced