S. 1816: Improving Seniors’ Timely Access to Care Act of 2025

119th Congress · introduced 2025-05-20 · Health · Latest: Read twice and referred to the Committee on Finance.

AI-relatedfederal

Official title

Improving Seniors’ Timely Access to Care Act of 2025

Plain 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.

Congressional Research Service summary (Introduced in Senate), quoted unchanged (nonpartisan). Read the source.

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Official text

Improving Seniors’ Timely Access to Care Act of 2025

Source: Congressional Research Service summary (Introduced in Senate)

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Officials and money

Sponsor: Sen. Marshall, Roger [R-KS] · 71 cosponsors

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Sources

Congressional Research Service summary (Introduced in Senate)
Congress.gov
Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-119s1816.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/119/s>

Record fed-us-cong119-s1816 · catalog fed-us-congress-bills-cong119 · updated 2026-11-03 by psicol fed-bills