H.R. 3514 · Where this bill is now
In committee
Introduced in the House, sent to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned, May 20, 2025
What this bill does
In plain words · AI-written from the official summaryMedicare Advantage prior authorization rules tighten
Ever wondered why it takes so long to get a doctor's okay for a medical treatment under Medicare Advantage. This bill sets new rules for how insurance plans handle those approval requests, called prior authorizations. Plans would have to use electronic systems to process these requests faster, share data about how many they approve and how long they take to decide, and meet quality standards set by Medicare officials. The government would also study whether AI is being used fairly in these decisions.
How it affects you
If you're a senior on a Medicare Advantage plan, this could mean faster decisions when your doctor requests approval for treatments or procedures. Right now, the process can take time, and this bill aims to speed it up and make it more transparent. It also asks the government to look into whether artificial intelligence is affecting how fairly these decisions are made.
Read the official summary (Introduced in House, May 20, 2025)
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.
Written by AI (Claude) using only the official summary by the Congressional Research Service, the Library of Congress’s nonpartisan research staff. It can miss nuance, so check the official summary and the bill text for details.
1st SessionH. R. 3514
A BILL
Improving Seniors’ Timely Access to Care Act of 2025
Sponsor: Rep. Mike Kelly (R-PA-16) · Introduced May 20, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Jul 15, 2026: “Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.”