H.R. 3514 · 119th Congress — Improving Seniors’ Timely Access to Care Act of 2025
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…
- Congress
- 119
- Bill
- HR 3514
- Status
- In Progress
- Introduced
- 2025-05-20
- Latest action date
- 2026-07-15
Record overview
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.
Latest action
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
Sponsors
- Rep. Kelly, Mike [R-PA-16]
Pennsylvania · House District 16 · Republican
Record provenance
Stored record updated: 2026-09-15. This is separate from the action date and does not establish enactment.