HR4559119th CongressWALLET

Prompt and Fair Pay Act

Sponsored By: Representative Doggett

Introduced

Summary

Establishes payment parity and prompt-pay rules for Medicare Advantage providers. This bill would require Medicare Advantage contracts to ensure in-network providers receive no less than the original Medicare fee-for-service payment for covered items and services starting with plan years on or after January 1, 2027, and would create enforceable timelines and clearer denial transparency for claims.

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Medicare Advantage would match Medicare rates

Starting with plan years on or after January 1, 2027, Medicare Advantage plans would have to pay at least what original Medicare would pay for the same service. The payment floor would follow Parts A and B rates on the date of service, including cost‑based methods. This could raise or protect provider pay and help keep access for Medicare patients.

Faster Medicare Advantage payments and interest

For contract years on or after January 1, 2027, in‑network providers would get faster pay on clean claims. Plans would have 14 days to pay electronic claims and 30 days to pay non‑electronic claims. If a plan does not flag missing info within 10 days (electronic) or 15 days (non‑electronic), the claim would be treated as clean. Late payments would owe interest at the weighted average 3‑month Treasury rate plus 0.1%, and HHS could waive interest in disasters. The Secretary could use enforcement tools if plans do not follow these prompt‑pay rules.

Sponsors & CoSponsors

Sponsor

Doggett

TX • D

Cosponsors

  • Murphy

    NC • R

    Sponsored 7/21/2025

  • Harris (MD)

    MD • R

    Sponsored 10/31/2025

  • Sewell

    AL • D

    Sponsored 10/31/2025

  • Johnson (TX)

    TX • D

    Sponsored 2/23/2026

  • Edwards

    NC • R

    Sponsored 2/23/2026

Roll Call Votes

No roll call votes available for this bill.

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