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
D-NYDaniel S. GoldmanOriginalMay 20, 2025
R-ILDarin LaHoodOriginalMay 20, 2025
D-FLDebbie Wasserman SchultzOriginalMay 20, 2025
D-NCDeborah K. RossOriginalMay 20, 2025
R-TNDiana HarshbargerOriginalMay 20, 2025
R-NEDon BaconOriginalMay 20, 2025
D-NCDonald G. DavisOriginalMay 20, 2025
D-VADonald S. Beyer, Jr.OriginalMay 20, 2025
D-PADwight EvansOriginalMay 20, 2025
D-HIEd CaseOriginalMay 20, 2025
D-DCEleanor Holmes NortonOriginalMay 20, 2025
D-ILEric SorensenOriginalMay 20, 2025
D-INFrank J. MrvanOriginalMay 20, 2025
R-PAGlenn ThompsonOriginalMay 20, 2025
D-AZGreg StantonOriginalMay 20, 2025
R-NCGregory F. MurphyOriginalMay 20, 2025
D-WIGwen MooreOriginalMay 20, 2025
D-MIHaley M. StevensOriginalMay 20, 2025
D-NJHerbert C. Conaway, Jr.OriginalMay 20, 2025
D-COJason CrowOriginalMay 20, 2025
R-INJefferson ShreveOriginalMay 20, 2025
R-VAJennifer A. KiggansOriginalMay 20, 2025
D-HIJill N. TokudaOriginalMay 20, 2025
D-CAJim CostaOriginalMay 20, 2025
D-CTJohn B. LarsonOriginalMay 20, 2025
R-PAJohn JoyceOriginalMay 20, 2025
R-AZJuan CiscomaniOriginalMay 20, 2025
D-CAJudy ChuOriginalMay 20, 2025
D-CAJulia BrownleyOriginalMay 20, 2025
D-TXJulie JohnsonOriginalMay 20, 2025
D-WAKim SchrierOriginalMay 20, 2025
R-PALloyd SmuckerOriginalMay 20, 2025
D-NHMaggie GoodlanderOriginalMay 20, 2025
R-FLMaria Elvira SalazarOriginalMay 20, 2025
R-IAMariannette Miller-MeeksOriginalMay 20, 2025
D-WIMark PocanOriginalMay 20, 2025
R-OHMike CareyOriginalMay 20, 2025
D-CAMike LevinOriginalMay 20, 2025
D-ILMike QuigleyOriginalMay 20, 2025
D-KYMorgan McGarveyOriginalMay 20, 2025
D-CANanette Diaz BarragánOriginalMay 20, 2025
R-NYNicole MalliotakisOriginalMay 20, 2025
D-ILNikki BudzinskiOriginalMay 20, 2025
D-NYPatrick RyanOriginalMay 20, 2025
D-NYRitchie TorresOriginalMay 20, 2025
R-INRudy Yakym IIIOriginalMay 20, 2025
D-DESarah McBrideOriginalMay 20, 2025
D-MASeth MoultonOriginalMay 20, 2025
D-KSSharice DavidsOriginalMay 20, 2025
D-OHShontel M. BrownOriginalMay 20, 2025
D-WASuzan K. DelBeneOriginalMay 20, 2025
D-ORSuzanne BonamiciOriginalMay 20, 2025
D-ALTerri A. SewellOriginalMay 20, 2025
R-KSTracey MannOriginalMay 20, 2025
R-OHTroy BaldersonOriginalMay 20, 2025
D-TXVicente GonzalezOriginalMay 20, 2025
D-MAWilliam R. KeatingOriginalMay 20, 2025
D-NYYvette D. ClarkeOriginalMay 20, 2025
D-NYJerrold NadlerMay 21, 2025
D-CAJimmy PanettaMay 21, 2025
D-CAScott H. PetersMay 21, 2025
R-CAYoung KimMay 21, 2025
D-WAAdam SmithMay 29, 2025
R-UTBlake D. MooreMay 29, 2025
D-CADoris O. MatsuiMay 29, 2025
D-MAJake AuchinclossMay 29, 2025
D-VAJennifer L. McClellanMay 29, 2025
R-TXJodey C. ArringtonMay 29, 2025
D-CAJosh HarderMay 29, 2025
D-WAMarie Gluesenkamp PerezMay 29, 2025
R-IARandy FeenstraMay 29, 2025
D-MAStephen F. LynchMay 29, 2025
D-TNSteve CohenMay 29, 2025
D-CATed LieuMay 29, 2025
R-FLW. Gregory SteubeMay 29, 2025
D-NYJohn W. MannionJun 2, 2025
D-ILRaja KrishnamoorthiJun 2, 2025
D-CASalud O. CarbajalJun 2, 2025
D-MDApril McClain DelaneyJun 3, 2025
D-RIGabe AmoJun 3, 2025
R-MIJohn R. MoolenaarJun 3, 2025
D-FLKathy CastorJun 3, 2025
D-CALinda T. SánchezJun 3, 2025
R-NEMike FloodJun 3, 2025
R-MORobert F. Onder, Jr.Jun 3, 2025
R-VARobert J. WittmanJun 3, 2025
R-NEAdrian SmithJun 4, 2025
D-GADavid ScottJun 4, 2025
R-WIGlenn GrothmanJun 4, 2025
D-CAJimmy GomezJun 4, 2025
R-FLJohn H. RutherfordJun 4, 2025
R-ILMike BostJun 4, 2025
D-MNBetty McCollumJun 5, 2025
D-WAMarilyn StricklandJun 5, 2025
R-ALRobert B. AderholtJun 5, 2025
R-NCDavid RouzerJun 6, 2025
D-NMGabe VasquezJun 6, 2025
D-NYGrace MengJun 6, 2025
D-MSBennie G. ThompsonJun 9, 2025
D-CAPete AguilarJun 9, 2025
D-MIShri ThanedarJun 9, 2025
D-MIDebbie DingellJun 10, 2025
R-MNMichelle FischbachJun 10, 2025
D-VAEugene Simon VindmanJun 11, 2025
D-CTJames A. HimesJun 17, 2025
D-NMMelanie A. StansburyJun 17, 2025
R-WAMichael BaumgartnerJun 17, 2025
R-UTMike KennedyJun 17, 2025
D-VASuhas SubramanyamJun 17, 2025
D-NHChris PappasJun 23, 2025
D-NJJosh GottheimerJun 23, 2025
D-ORMaxine DexterJun 23, 2025
D-ILRobin L. KellyJun 23, 2025
D-PABrendan F. BoyleJun 24, 2025
D-FLLois FrankelJun 27, 2025
D-WAEmily RandallJun 30, 2025
R-INMark B. MessmerJul 2, 2025
D-NJDonald NorcrossJul 10, 2025
D-CAJ. Luis CorreaJul 10, 2025
D-TXJoaquin CastroJul 10, 2025
D-NCAlma S. AdamsJul 14, 2025
R-GAEarl L. "Buddy" CarterJul 14, 2025
D-CTJahana HayesJul 14, 2025
D-TXMarc A. VeaseyJul 14, 2025
D-NJNellie PouJul 14, 2025
R-TXAugust PflugerJul 15, 2025
D-ILBradley Scott SchneiderJul 15, 2025
D-PAMary Gay ScanlonJul 16, 2025
R-FLGus M. BilirakisJul 17, 2025
D-NYLaura GillenJul 21, 2025
R-TNCharles J. "Chuck" FleischmannJul 22, 2025
D-NYJoseph D. MorelleJul 22, 2025
R-OKTom ColeJul 22, 2025
D-NCValerie P. FousheeJul 22, 2025
D-NYGeorge LatimerJul 23, 2025
D-CTJoe CourtneyJul 23, 2025
R-OHMax L. MillerJul 23, 2025
D-OHGreg LandsmanAug 12, 2025
D-OHJoyce BeattyAug 12, 2025
D-CARaul RuizAug 12, 2025
D-FLSheila Cherfilus-McCormickAug 12, 2025
R-TXCraig A. GoldmanAug 15, 2025
R-WADan NewhouseAug 15, 2025
D-ILJonathan L. JacksonAug 15, 2025
R-FLNeal P. DunnAug 15, 2025
R-GARick W. AllenAug 15, 2025
D-NYThomas R. SuozziAug 15, 2025
D-FLDarren SotoAug 19, 2025
D-ILJanice D. SchakowskyAug 19, 2025
R-CAJay ObernolteAug 19, 2025
D-CAKevin MullinAug 19, 2025
D-PAMadeleine DeanAug 19, 2025
R-PARyan MackenzieAug 19, 2025
D-CABrad ShermanAug 26, 2025
D-NJJefferson Van DrewAug 26, 2025
D-CAJohn GaramendiAug 26, 2025
D-MALori TrahanAug 26, 2025
R-MITim WalbergAug 26, 2025
D-CAGilbert Ray Cisneros, Jr.Aug 29, 2025
D-MDJamie RaskinAug 29, 2025
R-NYMichael LawlerAug 29, 2025
D-ORAndrea SalinasSep 2, 2025
D-TXLizzie FletcherSep 3, 2025
D-CAMike ThompsonSep 4, 2025
R-OHRobert E. LattaSep 4, 2025
D-OHEmilia Strong SykesSep 8, 2025
D-FLMaxwell FrostSep 8, 2025
R-MSMichael GuestSep 8, 2025
R-GABarry LoudermilkSep 9, 2025
R-UTBurgess OwensSep 9, 2025
D-ORJanelle S. BynumSep 9, 2025
R-NCTim MooreSep 9, 2025
R-IAAshley HinsonSep 10, 2025
R-OHDavid P. JoyceSep 15, 2025
D-MIKristen McDonald RivetSep 15, 2025
R-OHMichael A. RulliSep 15, 2025
D-MIRashida TlaibSep 15, 2025
D-COJoe NeguseSep 16, 2025
R-SDDusty JohnsonSep 17, 2025
R-SCJoe WilsonSep 17, 2025
D-MNKelly MorrisonSep 17, 2025
R-TXPete SessionsSep 17, 2025
D-WARick LarsenSep 17, 2025
R-MTRyan K. ZinkeSep 17, 2025
D-NYTimothy M. KennedySep 17, 2025
R-FLLaurel M. LeeSep 18, 2025
D-RISeth MagazinerSep 18, 2025
R-INErin HouchinSep 26, 2025
D-MDGlenn IveySep 26, 2025
D-MNIlhan OmarSep 26, 2025
D-LATroy A. CarterSep 26, 2025
D-ORVal T. HoyleSep 26, 2025
R-PARobert P. Bresnahan, Jr.Sep 30, 2025
D-NVSteven HorsfordSep 30, 2025
R-ARSteve WomackOct 6, 2025
R-NJThomas H. Kean, Jr.Oct 6, 2025
D-TXVeronica EscobarOct 6, 2025
D-VAJames R. WalkinshawOct 8, 2025
R-FLKat CammackOct 8, 2025
D-NYPaul TonkoOct 8, 2025
R-NJChristopher H. SmithOct 10, 2025
D-ILDanny K. DavisOct 10, 2025
D-PRPablo José HernándezOct 10, 2025
R-MDAndy HarrisOct 24, 2025
R-KSDerek SchmidtOct 24, 2025
D-MIHillary J. ScholtenOct 24, 2025
R-INJames R. BairdOct 24, 2025
R-NCPat HarriganOct 24, 2025
R-OKStephanie I. BiceOct 24, 2025
R-KYAndy BarrNov 10, 2025
D-MEChellie PingreeNov 10, 2025
R-OHDavid J. TaylorNov 10, 2025
D-NYJosh RileyNov 10, 2025
D-CALateefah SimonNov 10, 2025
D-CAMark DeSaulnierNov 10, 2025
R-TXRonny JacksonNov 10, 2025
R-MOSam GravesNov 10, 2025
R-IAZachary NunnNov 10, 2025
D-MDKweisi MfumeNov 17, 2025
D-GASanford D. Bishop, Jr.Nov 17, 2025
R-ORCliff BentzDec 1, 2025
R-CADavid G. ValadaoDec 1, 2025
D-NVDina TitusDec 1, 2025
R-WIDerrick Van OrdenDec 10, 2025
R-LAJulia LetlowDec 10, 2025
D-ILLauren UnderwoodDec 10, 2025
D-NJRobert MenendezDec 16, 2025
R-VAJohn J. McGuire IIIJan 7, 2026
D-GALucy McBathJan 21, 2026
D-ALShomari FiguresJan 21, 2026
R-VABen ClineJan 22, 2026
D-MOEmanuel CleaverJan 22, 2026
R-KSRon EstesJan 22, 2026
D-NYAdriano EspaillatFeb 3, 2026
R-TNJohn W. RoseFeb 3, 2026
R-NYNicholas A. LangworthyFeb 3, 2026
R-MIBill HuizengaFeb 4, 2026
D-FLFrederica S. WilsonFeb 9, 2026
D-TXJasmine CrockettFeb 9, 2026
D-TXAl GreenFeb 24, 2026
D-FLJared MoskowitzFeb 24, 2026
D-CARo KhannaFeb 24, 2026
R-AZDavid SchweikertFeb 25, 2026
R-NYNick LaLotaMar 3, 2026
R-TXTony GonzalesMar 4, 2026
R-OKKevin HernMar 18, 2026
R-MNPete StauberMar 18, 2026
D-NMTeresa Leger FernandezMar 18, 2026
R-FLAaron BeanMar 24, 2026
D-MAJames P. McGovernMar 24, 2026
R-TXLance GoodenMar 24, 2026
R-WIBryan SteilMar 27, 2026
D-MDJohnny Olszewski, Jr.Mar 27, 2026
D-CAZoe LofgrenMar 27, 2026
R-NCChuck EdwardsApr 9, 2026
R-NVMark E. AmodeiApr 9, 2026
R-TXRandy K. Weber, Sr.Apr 9, 2026
R-MOMark AlfordApr 15, 2026
R-CAKen CalvertApr 16, 2026
D-AZAdelita S. GrijalvaApr 20, 2026
R-ARJ. French HillApr 21, 2026
R-MOAnn WagnerApr 23, 2026
R-MIJack BergmanApr 29, 2026
R-NCRichard HudsonApr 29, 2026
D-NJLaMonica McIverApr 30, 2026
R-IDMichael K. SimpsonMay 7, 2026
R-TXBrian BabinMay 13, 2026
R-SCSheri BiggsMay 13, 2026
R-MITom BarrettMay 20, 2026
R-COGabe EvansMay 22, 2026
R-TXNathaniel MoranMay 22, 2026
R-TXJake EllzeyJun 2, 2026
R-FLMario Diaz-BalartJun 2, 2026
D-CAGeorge WhitesidesJun 8, 2026
R-SCNancy MaceJun 8, 2026
R-FLAnna Paulina LunaJun 23, 2026
R-FLCory MillsJun 23, 2026
R-COJeff CrankJun 23, 2026
R-OHMichael R. TurnerJun 23, 2026
R-TXMonica De La CruzJun 23, 2026
R-NCVirginia FoxxJun 29, 2026
D-CAAdam GrayJul 14, 2026
R-WIScott FitzgeraldJul 22, 2026
D-TXHenry CuellarAug 20, 2026
R-GARichard McCormickAug 20, 2026
R-SCWilliam R. Timmons IVAug 20, 2026
R-FLScott FranklinAug 31, 2026
R-FLJimmy PatronisSep 14, 2026
R-NCBrad KnottSep 16, 2026
R-NCAddison P. McDowellSep 21, 2026
D-MOWesley BellOct 1, 2026
R-GUJames C. MoylanOct 19, 2026
R-SCRussell FryOct 19, 2026
D-NJAnalilia MejiaNov 9, 2026
D-GANikema WilliamsNov 9, 2026
D-CANorma J. TorresNov 9, 2026

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.

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

Support LegiList

This page is free, carries no paywall, and is built and maintained by one person. If the record here is useful to you, a few dollars keeps it going.

Processed by Stripe in a separate window. LegiList never sees card details.

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.