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H.R. 3514 119th Congress House

Improving Seniors’ Timely Access to Care Act of 2025

Official title: To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.

Introduced: May 20, 2025 Introduced by: Mike Kelly Republican · Pennsylvania See on congress.gov
Health Administrative law and regulatory proceduresComputers and information technologyCongressional oversightDepartment of Health and Human Services
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 Everywhere this bill has been 7 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 15, 2026
Committee Consideration and Mark-up Session Held
Jul 15, 2026
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
Jun 25, 2026
Subcommittee Consideration and Mark-up Session Held
Jun 25, 2026
Forwarded by Subcommittee to Full Committee by Voice Vote.
May 20, 2025
Referred to the Subcommittee on Health.
May 20, 2025
Introduced in House
May 20, 2025
Referred 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.
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What's happening now July 15, 2026

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.

 Plain-English summary Congressional Research Service

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. 

 Hearings & markups 2
 Related & companion bills 1
  • S 1816 Identical bill Improving Seniors’ Timely Access to Care Act of 2025
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
 Lobbying activity 389

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

  • VENABLE LLP
    for ASSOCIATION OF BLACK CARDIOLOGISTS · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)
  • WISCONSIN HOSPITAL ASSOCIATION
    for WISCONSIN HOSPITAL ASSOCIATION · Wisconsin · 3rd Quarter 2026 (July 1 - Sep 30)
  • MASON CONSULTING, LLC
    for NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · New Jersey · 3rd Quarter 2026 (July 1 - Sep 30)
  • AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS
    for AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS · Maryland · 3rd Quarter 2026 (July 1 - Sep 30)
  • EPILEPSY FOUNDATION
    for EPILEPSY FOUNDATION · Maryland · 3rd Quarter 2026 (July 1 - Sep 30)
  • SIMS STRATEGIES, LLC
    for ADVION (FORMERLY NATIONAL ASSOCIATION FOR THE SUPPORT OF LONG TERM CARE) · District of Columbia · 3rd Quarter 2026 (July 1 - Sep 30)

Bodies those filers lobbied

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 389 filings →
 Cosponsors 308
All 308 Democratic 168 Republican 138
R
Fry, Russell
South Carolina · Oct 19, 2026
 R
Moylan, James C.
Guam · Oct 19, 2026
 D
Bell, Wesley
Missouri · Oct 1, 2026
 R
McDowell, Addison P.
North Carolina · Sep 21, 2026
 R
Knott, Brad
North Carolina · Sep 16, 2026
 R
Patronis, Jimmy
Florida · Sep 14, 2026
 R
Franklin, Scott
Florida · Aug 31, 2026
 D
Cuellar, Henry
Texas · Aug 20, 2026
 R
McCormick, Richard
Georgia · Aug 20, 2026
 R
Timmons, William R.
South Carolina · Aug 20, 2026
 R
Fitzgerald, Scott
Wisconsin · Jul 22, 2026
 D
Gray, Adam
California · Jul 14, 2026
 R
Foxx, Virginia
North Carolina · Jun 29, 2026
 R
Crank, Jeff
Colorado · Jun 23, 2026
 R
De La Cruz, Monica
Texas · Jun 23, 2026
 R
Luna, Anna Paulina
Florida · Jun 23, 2026
 R
Mills, Cory
Florida · Jun 23, 2026
 R
Turner, Michael R.
Ohio · Jun 23, 2026
 R
Mace, Nancy
South Carolina · Jun 8, 2026
 D
Whitesides, George
California · Jun 8, 2026
 R
Diaz-Balart, Mario
Florida · Jun 2, 2026
 R
Ellzey, Jake
Texas · Jun 2, 2026
 R
Evans, Gabe
Colorado · May 22, 2026
 R
Moran, Nathaniel
Texas · May 22, 2026
 R
Barrett, Tom
Michigan · May 20, 2026
 R
Babin, Brian
Texas · May 13, 2026
 R
Biggs, Sheri
South Carolina · May 13, 2026
 R
Simpson, Michael K.
Idaho · May 7, 2026
 D
McIver, LaMonica
New Jersey · Apr 30, 2026
 R
Bergman, Jack
Michigan · Apr 29, 2026
 R
Hudson, Richard
North Carolina · Apr 29, 2026
 R
Wagner, Ann
Missouri · Apr 23, 2026
 R
Hill, J. French
Arkansas · Apr 21, 2026
 D
Grijalva, Adelita S.
Arizona · Apr 20, 2026
 R
Calvert, Ken
California · Apr 16, 2026
 R
Alford, Mark
Missouri · Apr 15, 2026
 R
Amodei, Mark E.
Nevada · Apr 9, 2026
 R
Edwards, Chuck
North Carolina · Apr 9, 2026
 R
Weber, Randy K. Sr.
Texas · Apr 9, 2026
 D
Lofgren, Zoe
California · Mar 27, 2026
 D
Olszewski, Johnny
Maryland · Mar 27, 2026
 R
Steil, Bryan
Wisconsin · Mar 27, 2026
 R
Bean, Aaron
Florida · Mar 24, 2026
 R
Gooden, Lance
Texas · Mar 24, 2026
 D
McGovern, James P.
Massachusetts · Mar 24, 2026
 R
Hern, Kevin
Oklahoma · Mar 18, 2026
 D
Leger Fernandez, Teresa
New Mexico · Mar 18, 2026
 R
Stauber, Pete
Minnesota · Mar 18, 2026
 R
Gonzales, Tony
Texas · Mar 4, 2026
 R
LaLota, Nick
New York · Mar 3, 2026
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APA
U.S. Congress. (2026). H.R. 3514: Improving Seniors’ Timely Access to Care Act of 2025. 119th Congress. Open America. https://openamerica.io/bill/119-HR-3514/
MLA
"H.R. 3514: Improving Seniors’ Timely Access to Care Act of 2025." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-3514/.
Bluebook (legal)
H.R. 3514, 119th Cong. (2026), https://openamerica.io/bill/119-HR-3514/.
Markdown link
[H.R. 3514: Improving Seniors’ Timely Access to Care Act of 2025](https://openamerica.io/bill/119-HR-3514/)
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