H.R. 3514 · 119th Congress · Health
Improving Seniors’ Timely Access to Care Act of 2025
Requires Medicare Advantage plans to establish electronic prior authorization programs and report approval rates and response times. AI-read
What it does
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.
Summary by the Congressional Research Service, May 20, 2025 (Introduced in House). CRS summarizes bills impartially; it does not take positions.
Roll call votes
No recorded roll call votes on this bill. Most bills never get one; many pass by voice vote or unanimous consent, or stay in committee.
Latest action
Jul 15, 2026 · Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.