HR 3514 · In committee · last action July 15, 2026
<p><strong>Improving Seniors' Timely Access to Care Act of </strong><strong>2025</strong></p><p>This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.</p><p>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.</p><p>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. </p>
Mike Kelly (R-PA)
No votes recorded against this bill yet — vote coverage is a work in progress.
<p><strong>Improving Seniors' Timely Access to Care Act of </strong><strong>2025</strong></p><p>This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.</p><p>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.</p><p>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. </p>