119th Congress Health
S. 1816: Improving Seniors’ Timely Access to Care Act of 2025
Introduced
- Introduced (completed)
- Passed Senate (not reached)
- Passed House (not reached)
- To the President (not reached)
- Became law (not reached)
Summary
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 the Congressional Research Service, Library of Congress.
Roll calls
No roll call votes have been held on this bill.
Amendments
No amendments were offered to this bill.
Cosponsors
- Tammy Baldwin D-WIOriginal
- John Boozman R-AROriginal
- Marsha Blackburn R-TNOriginal
- Richard Blumenthal D-CTOriginal
- Cory Booker D-NJOriginal
- Ted Budd R-NCOriginal
- Maria Cantwell D-WAOriginal
- Shelley Capito R-WVOriginal
- John Cornyn R-TXOriginal
- Bill Cassidy R-LAOriginal
- Christopher Coons D-DEOriginal
- Catherine Cortez Masto D-NVOriginal
- Richard Durbin D-ILOriginal
- Tammy Duckworth D-ILOriginal
- Deb Fischer R-NEOriginal
- John Fetterman D-PAOriginal
- Kirsten Gillibrand D-NYOriginal
- John Hickenlooper D-COOriginal
- Bill Hagerty R-TNOriginal
- Mazie Hirono D-HIOriginal
- Martin Heinrich D-NMOriginal
- John Hoeven R-NDOriginal
- Margaret Hassan D-NHOriginal
- Cindy Hyde-Smith R-MSOriginal
- Joshua Hawley R-MOOriginal
- Amy Klobuchar D-MNOriginal
- Mark Kelly D-AZOriginal
- Timothy Kaine D-VAOriginal
- Andy Kim D-NJOriginal
- Cynthia Lummis R-WYOriginal
- James Lankford R-OKOriginal
- Jerry Moran R-KSOriginal
- Patty Murray D-WAOriginal
- Jeff Merkley D-OROriginal
- Alejandro Padilla D-CAOriginal
- Mike Rounds R-SDOriginal
- Jacky Rosen D-NVOriginal
- Pete Ricketts R-NEOriginal
- Jeanne Shaheen D-NHOriginal
- Tina Smith D-MNOriginal
- Rick Scott R-FLOriginal
- Tim Sheehy R-MTOriginal
- Thom Tillis R-NCOriginal
- Peter Welch D-VTOriginal
- Sheldon Whitehouse D-RIOriginal
- Mark Warner D-VAOriginal
- Elizabeth Warren D-MAOriginal
- Susan Collins R-ME
- Ruben Gallego D-AZ
- Raphael Warnock D-GA
- Markwayne Mullin R-OK
- Jim Banks R-IN
- Gary Peters D-MI
- Kevin Cramer R-ND
- Adam Schiff D-CA
- Michael Bennet D-CO
- Eric Schmitt R-MO
- Jim Justice R-WV
- Bernie Moreno R-OH
- Ben Luján D-NM
- Joni Ernst R-IA
- Jon Husted R-OH
- John Kennedy R-LA
- Elissa Slotkin D-MI
- Chris Van Hollen D-MD
- Ashley Moody R-FL
- Dave McCormick R-PA
- Tommy Tuberville R-AL
- Angus King I-ME
- Lisa Blunt Rochester D-DE
- Angela Alsobrooks D-MD
Who scored on this bill
- 1Roger Marshall SponsorDrew cross-party cosponsors, reached a cosponsor milestone, introduced4 events+18
See all scorers and every scoring event
Introductions and cosponsorships count toward weekly caps and show no points.
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History
- Introduced in the Senate by Roger Marshall.
Show the full action history (2 actions)
- Introduced in Senate
- Read twice and referred to the Committee on Finance.