# 119-s-4384: Medicare Advantage Improvement Act of 2026

119-s-4384, Medicare Advantage Improvement Act of 2026, is a 119th Congress bill sponsored by Sen. Marshall, Roger [R-KS] (R-KS); status introduced; PRIA reads it as touching household money (as of 2026-07-25).

- Canonical: https://policyrisk.com/legislation/119-s-4384
- As of: 2026-07-25
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-4384
- Congress: 119
- Title: Medicare Advantage Improvement Act of 2026
- Status: introduced
- Introduced: 2026-04-27
- Sponsor: Sen. Marshall, Roger [R-KS] (R-KS)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-25

## Summary

**Faster, real-time prior authorizations and stronger plan oversight.** This bill would require Medicare Advantage organizations to issue standardized, expedited decisions for certain authorization requests and build automated real-time approvals for routine, low-risk services beginning January 1, 2028. - Patients and providers: Determinations for specified authorizations would be required within 72 hours in most cases, and providers would get immediate automated approvals for services on a Secretary-defined list. - Providers and post-acute care facilities: The bill would extend prompt-payment rules to in-network services and require automated processing and payment for authorized claims. Networks must also ensure access to long-term care hospitals and inpatient rehabilitation facilities starting in 2028. - Plans and regulators: CMS would score plans on a 0–100 compliance scale, publish results, add a higher-weighted compliance domain to star ratings, and impose payment reductions or other penalties for low compliance.

## Cosponsors (3)

- Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2026-04-27T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2026-06-15T00:00:00.000Z
- Sen. Lankford, James [R-OK] (R-OK), 2026-06-15T00:00:00.000Z

## Provisions PRIA read

- New compliance scores and star ratings: benefit, high. If enacted, CMS would score each Medicare Advantage organization on a 0–100 compliance scale and place plans into four tiers. Scores would cover timely authorizations, coverage protections, prompt payment, improper retroactive denials, marketing, and other Part C rules. CMS would add a Compliance a…
- Better access to post‑acute hospitals: benefit, medium. If enacted, Medicare Advantage plans would have to meet network adequacy standards that ensure in‑network access to long‑term acute care hospitals and inpatient rehabilitation facilities. This requirement would apply for plan years starting Jan 1, 2028. The Secretary would set the specific network…
- Faster prior authorizations for Medicare: benefit, medium. If enacted, Medicare Advantage plans would have to decide on most prior authorization and preservice requests within 72 hours. For urgent requests, plans would have to decide within 24 hours. Plans could extend the 72-hour deadline up to 7 calendar days only in narrow cases (you ask, records are ne…
- Faster, protected payments for MA claims: benefit, medium. If enacted, Medicare Advantage plans would have to follow fee‑for‑service prompt payment rules and could not later reclassify a clean claim as not clean except under rules set by the Secretary. For plan years starting Jan 1, 2028, plans would also have to automatically process and pay certain routi…

## Related bills

- 119-s-1748: Kids Online Safety Act
- 119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025
- 119-s-1261: CONNECT for Health Act of 2025
- 119-sres-525: A resolution condemning the Government of Iran's state-sponsored persecution of the Baha'i minority and its continued violation of the International Covenants…
- 119-s-1289: 25th Anniversary of 9/11 Commemorative Coin Act
- 119-s-315: AM Radio for Every Vehicle Act of 2025

## Sources
- [119-s-4384 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/4384)

## Related
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-s-1816)
- [119-s-1261: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-s-1261)
- [119-sres-525: A resolution condemning the Government of Iran's state-sponsored persecution of…](https://policyrisk.com/legislation/119-sres-525)
- [119-s-1289: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-s-1289)
- [119-s-315: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-s-315)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-4384 (as of 2026-07-25).