HR 3514 · 119th Congress 2025–2027

Improving Seniors’ Timely Access to Care Act of 2025

Latest action · Jul 15, 2026 Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedMay 20, 2025
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

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. 

Cosponsors 311

Members who signed on, in the order they did. Signatures ran from May 20, 2025 to Nov 9, 2026; 73 are original cosponsors, there from the day it was introduced.

SeatCosponsorSigned on
D-CAAmi BeraOriginalMay 20, 2025
D-MNAngie CraigOriginalMay 20, 2025
D-MAAyanna PressleyOriginalMay 20, 2025
D-VTBecca BalintOriginalMay 20, 2025
R-TXBeth Van DuyneOriginalMay 20, 2025
D-ILBill FosterOriginalMay 20, 2025
R-MNBrad FinstadOriginalMay 20, 2025
R-PABrian K. FitzpatrickOriginalMay 20, 2025
R-WVCarol D. MillerOriginalMay 20, 2025
D-PAChrissy HoulahanOriginalMay 20, 2025
D-PAChristopher R. DeluzioOriginalMay 20, 2025
R-NYClaudia TenneyOriginalMay 20, 2025
D-LACleo FieldsOriginalMay 20, 2025
R-TXDan CrenshawOriginalMay 20, 2025
R-PADaniel MeuserOriginalMay 20, 2025

Committees 2

Where it was sent and what each committee and subcommittee did with it, in order.

ChamberCommitteeWhat it did
HouseWays and Means Committee
Referred May 20, 2025Markup Jul 15, 2026
HouseEnergy and Commerce Committee
Referred May 20, 2025
Health Subcommittee
Referred May 20, 2025Markup Jun 25, 2026Reported Jun 25, 2026

Actions 7

Everything that happened, newest first.

  1. Jul 15, 2026Committee Consideration and Mark-up Session Held
  2. Jul 15, 2026Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
  3. Jun 25, 2026Subcommittee Consideration and Mark-up Session Held
  4. Jun 25, 2026Forwarded by Subcommittee to Full Committee by Voice Vote.
  5. May 20, 2025Referred to the Subcommittee on Health.
  6. May 20, 2025Introduced in House
  7. May 20, 2025Referred 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.

Research

What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.

Constitutional authority

[Pages H2198-H2199] From the Congressional Record Online through the Government Publishing Office [ www.gpo.gov ] By Mr. KELLY of Pennsylvania: H.R. 3514. Congress has the power to enact this legislation pursuant to the following: Article 1, Section 8 The single subject of this legislation is: To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.

The sponsor’s statement, as printed in the Congressional Record, vol. 171, no. 85, May 20, 2025, pages H2199, H3974.

Related bills 1

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 1816Improving Seniors’ Timely Access to Care Act of 2025Identical billMay 20, 2025

Titles 2

Every title it has carried, official and short, at each stage.

Official Title as Introduced
To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
Short Title(s) as Introduced
Improving Seniors’ Timely Access to Care Act of 2025

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 1

Each version as it was printed, newest first.

  1. May 20, 2025Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.