Improving Seniors’ Timely Access to Care Act of 2025
- Last Action
- 5/20/2025
Actions
- 2025-05-20Read twice and referred to the Committee on Finance.
- 2025-05-20Introduced in Senate
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)
- Mark Warner (D-VA)
- Maggie Hassan (D-NH)
- John Fetterman (D-PA)
- Amy Klobuchar (D-MN)
- Bill Cassidy (R-LA)
- Shelley Capito (R-WV)
- John Hickenlooper (D-CO)
- James Lankford (R-OK)
- Jeff Merkley (D-OR)
- Marsha Blackburn (R-TN)
- Cynthia Lummis (R-WY)
- Cindy Hyde-Smith (R-MS)
- Timothy Kaine (D-VA)
- Jeanne Shaheen (D-NH)
- Mike Rounds (R-SD)
- Alex Padilla (D-CA)
- Bill Hagerty (R-TN)
- Andy Kim (D-NJ)
- John Boozman (R-AR)
- Richard Durbin (D-IL)
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.