Us Congress 2025-2026 Regular Session

Us Congress House Bill HB3514

Introduced
5/20/25  

Caption

Improving Seniors’ Timely Access to Care Act of 2025

Impact

The legislation introduces significant modifications to how Medicare Advantage plans operate with respect to prior authorizations. Starting January 1, 2028, plans will be required to adopt an electronic system that allows for secure and efficient handling of prior authorization requests. Additionally, transparency measures will be implemented to require plans to report on their approval and denial rates of prior authorization requests, which will help in identifying and addressing disparities in care among Medicare beneficiaries, particularly in rural and low-income communities.

Summary

House Bill 3514, titled the 'Improving Seniors’ Timely Access to Care Act of 2025', focuses on reforming the process of prior authorization in Medicare Advantage plans. The bill mandates certain requirements for the use of prior authorization, particularly emphasizing the establishment of an electronic prior authorization system, which aims to streamline the process and enhance accessibility for seniors. The changes are aimed to prevent delays in care and ensure timely access to necessary medical services for Medicare recipients.

Contention

Discussions surrounding the bill indicate potential contentions regarding the balance of efficiency and patient access. Opponents may argue that transitioning to a mainly automated system could overlook individual patient needs or complexities in care that require human oversight. Proponents believe that these modernized requirements will enhance patient safety and access to care, promoting the idea that technological advancements should complement, rather than obstruct, patient healthcare experiences. The bill also incorporates standards for evaluating prior authorization processes to ensure they are equitable and responsive to the needs of enrollees.

Companion Bills

US SB1816

Same As Improving Seniors’ Timely Access to Care Act of 2025

Previously Filed As

US HB8702

Improving Seniors’ Timely Access to Care Act of 2024

US SB4532

Improving Seniors’ Timely Access to Care Act of 2024

US SB4518

Improving Seniors’ Timely Access to Care Act of 2024

US HB5526

Seniors’ Access to Critical Medications Act of 2024

US HB8075

Improving Access to Home Dialysis Act of 2024

US HB8252

Improving Language Access in Mortgage Servicing Act of 2024

US HB5461

Ensuring Access to Lower-Cost Medicines for Seniors Act of 2023

US HB10080

Improving Access to Higher Education Act

US HB3791

Improving DATA in Public Health Act Improving Data Accessibility Through Advancements in Public Health Act

US HB2713

I CAN Act Improving Care and Access to Nurses Act

Similar Bills

US HB5854

Medicare Advantage Consumer Protection and Transparency Act

US SB5633

A bill to establish Medicare flex fund accounts and for other purposes.

US HB3467

To amend title XVIII to reform the Medicare Advantage program.

US HB8957

PROVE IT Act of 2024 Providing Reliable, Objective, Verifiable Emissions Intensity and Transparency Act of 2024

US HB9832

CONTRACTS Act of 2024 Create Opportunities and Networks for Talented, Ready, and Able Contractors To Succeed Act of 2024

US HB4093

Apples to Apples Comparison Act of 2025

US HB3222

SMART Health Care Act Stopping Medicare Abuses to Restore Trust in Health Care Act

US HB5518

Right to Medicare Act