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H.R. 3514119th CongressIn markupLatest action Jul 15, 2026Decoded by AI · checked against the record
Official title: Improving Seniors’ Timely Access to Care Act of 2025
Introduced:
Read the official bill on Congress.govThe plain-language version leads. The official text is always the reference.
Starting in 2027, Medicare Advantage plans must report prior authorization data publicly; by 2028, use electronic systems and new patient protections.
50-second read · 4 questions answered below
This bill sets new rules for Medicare Advantage plans around prior authorization, which is when a plan must approve a treatment, test, or medication before a patient can get it. Beginning in 2027, plans must report yearly data to the federal government — such as approval and denial rates, decision times, and how often AI was used — and that data must be posted online. Starting in 2028, plans must use secure electronic systems for these requests, regularly review which services still need prior authorization, and allow high-performing doctors to skip some requirements.
Seniors and people with disabilities enrolled in Medicare Advantage plans are most directly affected. Doctors, hospitals, and other health care providers who treat those patients are also affected.
More detailed public data could make it easier to see patterns in how plans approve or deny care. Faster electronic systems and tighter response time limits could change how quickly patients and doctors get decisions on care requests.
AI-drafted summary. Verify it against the official text before you act on it. Read the official bill on Congress.gov
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the President.
Latest action: — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.