HR 3514

Summary

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. 

Bill status

Status

Reported

Sponsor

Rep. Mike Kelly [R-PA-16]

Cosponsors

302

Policy area

Health

Introduced

2025-05-20

Latest action

2026-07-15: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.

Committee referrals

• Ways and Means Committee: House · Markup By · 2026-07-15
• Energy and Commerce Committee: House · Referred To · 2025-05-20
• Ways and Means Committee: House · Referred To · 2025-05-20

Recent actions

• 2026-07-15: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
• 2026-07-15: Committee Consideration and Mark-up Session Held
• 2026-06-25: Forwarded by Subcommittee to Full Committee by Voice Vote.
• 2026-06-25: Subcommittee Consideration and Mark-up Session Held
• 2025-05-20: Referred to the Subcommittee on Health.