Improving Seniors’ Timely Access to Care Act of 2025
- Last Action
- 6/25/2026
Actions
- 2026-07-15Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
- 2026-07-15Committee Consideration and Mark-up Session Held
- 2026-06-25Forwarded by Subcommittee to Full Committee by Voice Vote.
- 2026-06-25Subcommittee Consideration and Mark-up Session Held
- 2025-05-20Referred to the Subcommittee on Health.
- 2025-05-20Referred 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.
- 2025-05-20Referred 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.
- 2025-05-20Introduced in House
- 2025-05-20Introduced in House
CRS Summary
As of 2025-05-20 (00)
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.
Cosponsors (20)
- Suzan DelBene (D-WA)
- John Joyce (R-PA)
- Ami Bera (D-CA)
- Beth Van Duyne (R-TX)
- Judy Chu (D-CA)
- Dan Crenshaw (R-TX)
- Yvette Clarke (D-NY)
- Gregory Murphy (R-NC)
- Gwen Moore (D-WI)
- Troy Balderson (R-OH)
- Kim Schrier (D-WA)
- Rudy Yakym (R-IN)
- Terri Sewell (D-AL)
- Diana Harshbarger (R-TN)
- John Larson (D-CT)
- Mike Carey (R-OH)
- Dwight Evans (D-PA)
- Nicole Malliotakis (R-NY)
- Donald Beyer (D-VA)
- Claudia Tenney (R-NY)
Subjects
- Administrative law and regulatory procedures
- Computers and information technology
- Congressional oversight
- Department of Health and Human Services
- Government information and archives
- Health care coverage and access
- Internet, web applications, social media
- Medicare
Sourced from Congress.gov (public domain).
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.