# 119-hr-5454: Medicare Advantage Prompt Pay Act

119-hr-5454, Medicare Advantage Prompt Pay Act, is a 119th Congress bill sponsored by Rep. Arrington, Jodey C. [R-TX-19] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-5454
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5454
- Congress: 119
- Title: Medicare Advantage Prompt Pay Act
- Status: introduced
- Introduced: 2025-09-18
- Sponsor: Rep. Arrington, Jodey C. [R-TX-19] (R-TX)
- Cosponsors: 20
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Require Medicare Advantage organizations to pay most clean claims quickly.** This bill would set a 95% prompt-payment standard and deadlines of 14 days for electronic claims and 30 days for other claims. It would add interest for late payments, civil money penalties, and new reporting on plan payment performance. - Providers and suppliers would get faster, more predictable payments under plan contracts and could collect interest when clean claims miss the deadline. - Medicare Advantage organizations would have to meet a 95% on-time payment target and could face civil money penalties up to $25,000 per determination for noncompliance. - Plans would report 12 months of metrics on claims paid, shares of in-contract versus out-of-contract payments, how many met the deadlines, and the total interest paid.

## Cosponsors (20)

- Rep. Sánchez, Linda T. [D-CA-38] (D-CA), 2025-09-18T00:00:00.000Z
- Rep. Veasey, Marc A. [D-TX-33] (D-TX), 2025-09-19T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2025-09-26T00:00:00.000Z
- Rep. Yakym, Rudy [R-IN-2] (R-IN), 2025-12-04T00:00:00.000Z
- Rep. Moran, Nathaniel [R-TX-1] (R-TX), 2026-02-20T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-02-23T00:00:00.000Z
- Rep. Thompson, Mike [D-CA-4] (D-CA), 2026-03-24T00:00:00.000Z
- Rep. Peters, Scott H. [D-CA-50] (D-CA), 2026-04-06T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2026-04-22T00:00:00.000Z
- Rep. LaLota, Nick [R-NY-1] (R-NY), 2026-04-22T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2026-04-28T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2026-04-30T00:00:00.000Z
- Rep. Ryan, Patrick [D-NY-18] (D-NY), 2026-05-07T00:00:00.000Z
- Rep. Bentz, Cliff [R-OR-2] (R-OR), 2026-05-20T00:00:00.000Z
- Rep. Kennedy, Timothy M. [D-NY-26] (D-NY), 2026-05-21T00:00:00.000Z
- Rep. Castor, Kathy [D-FL-14] (D-FL), 2026-06-23T00:00:00.000Z
- Rep. Obernolte, Jay [R-CA-23] (R-CA), 2026-06-30T00:00:00.000Z
- Rep. Thompson, Glenn [R-PA-15] (R-PA), 2026-07-06T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2026-07-20T00:00:00.000Z
- Rep. Scott, Austin [R-GA-8] (R-GA), 2026-09-15T00:00:00.000Z

## Provisions PRIA read

- Faster pay for Medicare Advantage providers: benefit, medium. If enacted, Medicare Advantage plans would have to pay at least 95% of clean claims on time. Electronic claims would be paid within 14 days; other claims within 30 days. Late payments would include interest from the day after the due date until paid. A claim is clean if it has all required data and…

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-7567: Farm, Food, and National Security Act of 2026
- 119-hr-1: One Big Beautiful Bill Act
- 119-hr-9877: Health Equity and Accountability Act of 2026

## Sources
- [119-hr-5454 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5454)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-7567: Farm, Food, and National Security Act of 2026](https://policyrisk.com/legislation/119-hr-7567)
- [119-hr-1: One Big Beautiful Bill Act](https://policyrisk.com/legislation/119-hr-1)
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5454 (as of 2026-09-21).