Improving Seniors’ Timely Access to Care Act of 2025
Official title: A bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
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| Date | Chamber | What was voted on | Result | Yes–No | |
|---|---|---|---|---|---|
| Nov 2, 1989 | Senate · vote #282 | On Passage of the Bill S. 1816 | Passed | 78–17 | See who voted → |
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Read twice and referred to the Committee on Finance.
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.
- Introduced in Senate Formatted Text PDF Formatted XML
- MASON CONSULTING, LLC
- EPILEPSY FOUNDATION
- SIMS STRATEGIES, LLC
- CONGRESS OF NEUROLOGICAL SURGEONS
- AMERICAN ASSOCIATION OF NEUROLOGICAL SURGEONS
- MCKESSON CORPORATION & ITS AFFILIATE U.S. ONCOLOGY
Bodies those filers lobbied
- HOUSE OF REPRESENTATIVES
- SENATE
- Centers For Medicare and Medicaid Services (CMS)
- Health & Human Services, Dept of (HHS)
- Natl Institutes of Health (NIH)
- Veterans Affairs, Dept of (VA)
- White House Office
- Food & Drug Administration (FDA)
Cite this page
U.S. Congress. (2026). S. 1816: Improving Seniors’ Timely Access to Care Act of 2025. 119th Congress. Open America. https://openamerica.io/bill/119-S-1816/
"S. 1816: Improving Seniors’ Timely Access to Care Act of 2025." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-1816/.
S. 1816, 119th Cong. (2026), https://openamerica.io/bill/119-S-1816/.
[S. 1816: Improving Seniors’ Timely Access to Care Act of 2025](https://openamerica.io/bill/119-S-1816/)