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LEGISLATION/H.R. 3514

Improving Seniors’ Timely Access to Care Act of 2025

119-HR-3514119th CongressIntroduced May 20, 2025Health
Market Probability
No market
Status
Introduced
Committee
Floor Vote
Other Chamber
Signed
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.

Sponsor

Rep. Kelly, Mike [R-PA-16](R-PA-16)
306 cosponsors

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. 

Subjects

Administrative law and regulatory proceduresComputers and information technologyCongressional oversightDepartment of Health and Human ServicesGovernment information and archivesHealth care coverage and accessInternet, web applications, social mediaMedicare

Actions (9)

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
Jul 15, 2026House committee actions
Committee Consideration and Mark-up Session Held
Jul 15, 2026House committee actions
Forwarded by Subcommittee to Full Committee by Voice Vote.
Jun 25, 2026House committee actions
Subcommittee Consideration and Mark-up Session Held
Jun 25, 2026House committee actions
Referred to the Subcommittee on Health.
May 20, 2025House committee actions
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.
May 20, 2025House floor actions
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.
May 20, 2025House floor actions
Introduced in House
May 20, 2025Library of Congress
Introduced in House
May 20, 2025Library of Congress
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