Improving Seniors’ Timely Access to Care Act of 2025
Sponsored By: Representative Kelly (PA)
Introduced
Summary
Standardize prior authorization in Medicare Advantage plans to make approvals faster and more transparent for beneficiaries and providers. The bill would require plans that use prior authorization to adopt a secure electronic PA program, publish plan-level PA data, and follow federal timeframes and enrollee protections.
Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Faster prior authorization in Medicare Advantage
If you are in a Medicare Advantage plan that uses prior authorization, these rules would affect you. Starting with plan years on or after January 1, 2027, plans would have to report yearly data on approvals, denials, appeals results, response times, use of AI tools, and related grievances; CMS would post plan-level results. Starting with plan years on or after January 1, 2028, plans would need a secure electronic system for requests and responses and follow new enrollee protections, like yearly reviews and options to ease PA for high‑performing providers. Plans would have to share the list of services needing prior authorization and the criteria with providers, and give you the criteria on request. These rules would not apply to Part D drugs and would only apply to plans that use prior authorization; the Secretary could also set deadlines for plan response times.
Sponsors & CoSponsors
Sponsor
Kelly (PA)
PA • R
Cosponsors
DelBene
WA • D
Sponsored 5/20/2025
Joyce (PA)
PA • R
Sponsored 5/20/2025
Bera
CA • D
Sponsored 5/20/2025
Van Duyne
TX • R
Sponsored 5/20/2025
Chu
CA • D
Sponsored 5/20/2025
Crenshaw
TX • R
Sponsored 5/20/2025
Clarke (NY)
NY • D
Sponsored 5/20/2025
Murphy
NC • R
Sponsored 5/20/2025
Moore (WI)
WI • D
Sponsored 5/20/2025
Balderson
OH • R
Sponsored 5/20/2025
Schrier
WA • D
Sponsored 5/20/2025
Yakym
IN • R
Sponsored 5/20/2025
Sewell
AL • D
Sponsored 5/20/2025
Harshbarger
TN • R
Sponsored 5/20/2025
Larson (CT)
CT • D
Sponsored 5/20/2025
Carey
OH • R
Sponsored 5/20/2025
Evans (PA)
PA • D
Sponsored 5/20/2025
Malliotakis
NY • R
Sponsored 5/20/2025
Beyer
VA • D
Sponsored 5/20/2025
Tenney
NY • R
Sponsored 5/20/2025
Tokuda
HI • D
Sponsored 5/20/2025
Miller (WV)
WV • R
Sponsored 5/20/2025
Stevens
MI • D
Sponsored 5/20/2025
Fitzpatrick
PA • R
Sponsored 5/20/2025
Costa
CA • D
Sponsored 5/20/2025
Smucker
PA • R
Sponsored 5/20/2025
Pressley
MA • D
Sponsored 5/20/2025
LaHood
IL • R
Sponsored 5/20/2025
Davis (NC)
NC • D
Sponsored 5/20/2025
Meuser
PA • R
Sponsored 5/20/2025
Pocan
WI • D
Sponsored 5/20/2025
Salazar
FL • R
Sponsored 5/20/2025
Fields
LA • D
Sponsored 5/20/2025
Bacon
NE • R
Sponsored 5/20/2025
Foster
IL • D
Sponsored 5/20/2025
Mann
KS • R
Sponsored 5/20/2025
Brownley
CA • D
Sponsored 5/20/2025
Ciscomani
AZ • R
Sponsored 5/20/2025
Conaway
NJ • D
Sponsored 5/20/2025
Finstad
MN • R
Sponsored 5/20/2025
Bonamici
OR • D
Sponsored 5/20/2025
Shreve
IN • R
Sponsored 5/20/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 5/20/2025
Kiggans (VA)
VA • R
Sponsored 5/20/2025
Deluzio
PA • D
Sponsored 5/20/2025
Thompson (PA)
PA • R
Sponsored 5/20/2025
Mrvan
IN • D
Sponsored 5/20/2025
Moulton
MA • D
Sponsored 5/20/2025
Case
HI • D
Sponsored 5/20/2025
McBride
DE • D
Sponsored 5/20/2025
Ross
NC • D
Sponsored 5/20/2025
Budzinski
IL • D
Sponsored 5/20/2025
Quigley
IL • D
Sponsored 5/20/2025
Sorensen
IL • D
Sponsored 5/20/2025
McGarvey
KY • D
Sponsored 5/20/2025
Davids (KS)
KS • D
Sponsored 5/20/2025
Brown
OH • D
Sponsored 5/20/2025
Crow
CO • D
Sponsored 5/20/2025
Torres (NY)
NY • D
Sponsored 5/20/2025
Wasserman Schultz
FL • D
Sponsored 5/20/2025
Stanton
AZ • D
Sponsored 5/20/2025
Levin
CA • D
Sponsored 5/20/2025
Keating
MA • D
Sponsored 5/20/2025
Johnson (TX)
TX • D
Sponsored 5/20/2025
Gonzalez, V.
TX • D
Sponsored 5/20/2025
Goodlander
NH • D
Sponsored 5/20/2025
Craig
MN • D
Sponsored 5/20/2025
Goldman (NY)
NY • D
Sponsored 5/20/2025
Barragan
CA • D
Sponsored 5/20/2025
Balint
VT • D
Sponsored 5/20/2025
Ryan
NY • D
Sponsored 5/20/2025
Houlahan
PA • D
Sponsored 5/20/2025
Miller-Meeks
IA • R
Sponsored 5/20/2025
Peters
CA • D
Sponsored 5/21/2025
Kim
CA • R
Sponsored 5/21/2025
Panetta
CA • D
Sponsored 5/21/2025
Nadler
NY • D
Sponsored 5/21/2025
Feenstra
IA • R
Sponsored 5/29/2025
Perez
WA • D
Sponsored 5/29/2025
Moore (UT)
UT • R
Sponsored 5/29/2025
Matsui
CA • D
Sponsored 5/29/2025
Steube
FL • R
Sponsored 5/29/2025
Harder (CA)
CA • D
Sponsored 5/29/2025
Arrington
TX • R
Sponsored 5/29/2025
McClellan
VA • D
Sponsored 5/29/2025
Lieu
CA • D
Sponsored 5/29/2025
Auchincloss
MA • D
Sponsored 5/29/2025
Cohen
TN • D
Sponsored 5/29/2025
Lynch
MA • D
Sponsored 5/29/2025
Smith (WA)
WA • D
Sponsored 5/29/2025
Krishnamoorthi
IL • D
Sponsored 6/2/2025
Mannion
NY • D
Sponsored 6/2/2025
Carbajal
CA • D
Sponsored 6/2/2025
Amo
RI • D
Sponsored 6/3/2025
Moolenaar
MI • R
Sponsored 6/3/2025
Onder
MO • R
Sponsored 6/3/2025
McClain Delaney
MD • D
Sponsored 6/3/2025
Sanchez
CA • D
Sponsored 6/3/2025
Wittman
VA • R
Sponsored 6/3/2025
Castor (FL)
FL • D
Sponsored 6/3/2025
Flood
NE • R
Sponsored 6/3/2025
Grothman
WI • R
Sponsored 6/4/2025
Bost
IL • R
Sponsored 6/4/2025
Scott, David
GA • D
Sponsored 6/4/2025
Gomez
CA • D
Sponsored 6/4/2025
Rutherford
FL • R
Sponsored 6/4/2025
Smith (NE)
NE • R
Sponsored 6/4/2025
Aderholt
AL • R
Sponsored 6/5/2025
Strickland
WA • D
Sponsored 6/5/2025
McCollum
MN • D
Sponsored 6/5/2025
Vasquez
NM • D
Sponsored 6/6/2025
Meng
NY • D
Sponsored 6/6/2025
Rouzer
NC • R
Sponsored 6/6/2025
Aguilar
CA • D
Sponsored 6/9/2025
Thanedar
MI • D
Sponsored 6/9/2025
Thompson (MS)
MS • D
Sponsored 6/9/2025
Fischbach
MN • R
Sponsored 6/10/2025
Dingell
MI • D
Sponsored 6/10/2025
Vindman
VA • D
Sponsored 6/11/2025
Baumgartner
WA • R
Sponsored 6/17/2025
Stansbury
NM • D
Sponsored 6/17/2025
Himes
CT • D
Sponsored 6/17/2025
Subramanyam
VA • D
Sponsored 6/17/2025
Kennedy (UT)
UT • R
Sponsored 6/17/2025
Kelly (IL)
IL • D
Sponsored 6/23/2025
Pappas
NH • D
Sponsored 6/23/2025
Dexter
OR • D
Sponsored 6/23/2025
Gottheimer
NJ • D
Sponsored 6/23/2025
Boyle (PA)
PA • D
Sponsored 6/24/2025
Frankel, Lois
FL • D
Sponsored 6/27/2025
Randall
WA • D
Sponsored 6/30/2025
Messmer
IN • R
Sponsored 7/2/2025
Castro (TX)
TX • D
Sponsored 7/10/2025
Correa
CA • D
Sponsored 7/10/2025
Norcross
NJ • D
Sponsored 7/10/2025
Veasey
TX • D
Sponsored 7/14/2025
Adams
NC • D
Sponsored 7/14/2025
Hayes
CT • D
Sponsored 7/14/2025
Carter (GA)
GA • R
Sponsored 7/14/2025
Pou
NJ • D
Sponsored 7/14/2025
Pfluger
TX • R
Sponsored 7/15/2025
Schneider
IL • D
Sponsored 7/15/2025
Scanlon
PA • D
Sponsored 7/16/2025
Bilirakis
FL • R
Sponsored 7/17/2025
Gillen
NY • D
Sponsored 7/21/2025
Cole
OK • R
Sponsored 7/22/2025
Foushee
NC • D
Sponsored 7/22/2025
Fleischmann
TN • R
Sponsored 7/22/2025
Morelle
NY • D
Sponsored 7/22/2025
Courtney
CT • D
Sponsored 7/23/2025
Miller (OH)
OH • R
Sponsored 7/23/2025
Latimer
NY • D
Sponsored 7/23/2025
Ruiz
CA • D
Sponsored 8/12/2025
Cherfilus-McCormick
FL • D
Sponsored 8/12/2025
Landsman
OH • D
Sponsored 8/12/2025
Beatty
OH • D
Sponsored 8/12/2025
Newhouse
WA • R
Sponsored 8/15/2025
Allen
GA • R
Sponsored 8/15/2025
Jackson (IL)
IL • D
Sponsored 8/15/2025
Goldman (TX)
TX • R
Sponsored 8/15/2025
Suozzi
NY • D
Sponsored 8/15/2025
Dunn (FL)
FL • R
Sponsored 8/15/2025
Obernolte
CA • R
Sponsored 8/19/2025
Mullin
CA • D
Sponsored 8/19/2025
Soto
FL • D
Sponsored 8/19/2025
Dean (PA)
PA • D
Sponsored 8/19/2025
Schakowsky
IL • D
Sponsored 8/19/2025
Mackenzie
PA • R
Sponsored 8/19/2025
Garamendi
CA • D
Sponsored 8/26/2025
Van Drew
NJ • R
Sponsored 8/26/2025
Sherman
CA • D
Sponsored 8/26/2025
Trahan
MA • D
Sponsored 8/26/2025
Walberg
MI • R
Sponsored 8/26/2025
Lawler
NY • R
Sponsored 8/29/2025
Raskin
MD • D
Sponsored 8/29/2025
Cisneros
CA • D
Sponsored 8/29/2025
Salinas
OR • D
Sponsored 9/2/2025
Fletcher
TX • D
Sponsored 9/3/2025
Latta
OH • R
Sponsored 9/4/2025
Thompson (CA)
CA • D
Sponsored 9/4/2025
Sykes
OH • D
Sponsored 9/8/2025
Guest
MS • R
Sponsored 9/8/2025
Frost
FL • D
Sponsored 9/8/2025
Bynum
OR • D
Sponsored 9/9/2025
Loudermilk
GA • R
Sponsored 9/9/2025
Owens
UT • R
Sponsored 9/9/2025
Moore (NC)
NC • R
Sponsored 9/9/2025
Hinson
IA • R
Sponsored 9/10/2025
McDonald Rivet
MI • D
Sponsored 9/15/2025
Rulli
OH • R
Sponsored 9/15/2025
Tlaib
MI • D
Sponsored 9/15/2025
Joyce (OH)
OH • R
Sponsored 9/15/2025
Neguse
CO • D
Sponsored 9/16/2025
Kennedy (NY)
NY • D
Sponsored 9/17/2025
Johnson (SD)
SD • R
Sponsored 9/17/2025
Sessions
TX • R
Sponsored 9/17/2025
Wilson (SC)
SC • R
Sponsored 9/17/2025
Morrison
MN • D
Sponsored 9/17/2025
Zinke
MT • R
Sponsored 9/17/2025
Larsen (WA)
WA • D
Sponsored 9/17/2025
Magaziner
RI • D
Sponsored 9/18/2025
Lee (FL)
FL • R
Sponsored 9/18/2025
Houchin
IN • R
Sponsored 9/26/2025
Omar
MN • D
Sponsored 9/26/2025
Ivey
MD • D
Sponsored 9/26/2025
Carter (LA)
LA • D
Sponsored 9/26/2025
Hoyle (OR)
OR • D
Sponsored 9/26/2025
Horsford
NV • D
Sponsored 9/30/2025
Bresnahan
PA • R
Sponsored 9/30/2025
Kean
NJ • R
Sponsored 10/6/2025
Escobar
TX • D
Sponsored 10/6/2025
Womack
AR • R
Sponsored 10/6/2025
Tonko
NY • D
Sponsored 10/8/2025
Walkinshaw
VA • D
Sponsored 10/8/2025
Cammack
FL • R
Sponsored 10/8/2025
Smith (NJ)
NJ • R
Sponsored 10/10/2025
Davis (IL)
IL • D
Sponsored 10/10/2025
Rescom. Hernández, Pablo Jose [D-PR-At Large]
PR • D
Sponsored 10/10/2025
Harris (MD)
MD • R
Sponsored 10/24/2025
Bice
OK • R
Sponsored 10/24/2025
Harrigan
NC • R
Sponsored 10/24/2025
Baird
IN • R
Sponsored 10/24/2025
Schmidt
KS • R
Sponsored 10/24/2025
Scholten
MI • D
Sponsored 10/24/2025
Riley (NY)
NY • D
Sponsored 11/10/2025
Barr
KY • R
Sponsored 11/10/2025
DeSaulnier
CA • D
Sponsored 11/10/2025
Taylor
OH • R
Sponsored 11/10/2025
Graves
MO • R
Sponsored 11/10/2025
Pingree
ME • D
Sponsored 11/10/2025
Nunn (IA)
IA • R
Sponsored 11/10/2025
Jackson (TX)
TX • R
Sponsored 11/10/2025
Simon
CA • D
Sponsored 11/10/2025
Bishop
GA • D
Sponsored 11/17/2025
Mfume
MD • D
Sponsored 11/17/2025
Valadao
CA • R
Sponsored 12/1/2025
Titus
NV • D
Sponsored 12/1/2025
Bentz
OR • R
Sponsored 12/1/2025
Letlow
LA • R
Sponsored 12/10/2025
Underwood
IL • D
Sponsored 12/10/2025
Van Orden
WI • R
Sponsored 12/10/2025
Menendez
NJ • D
Sponsored 12/16/2025
McGuire
VA • R
Sponsored 1/7/2026
McBath
GA • D
Sponsored 1/21/2026
Figures
AL • D
Sponsored 1/21/2026
Estes
KS • R
Sponsored 1/22/2026
Cleaver
MO • D
Sponsored 1/22/2026
Cline
VA • R
Sponsored 1/22/2026
Rose
TN • R
Sponsored 2/3/2026
Espaillat
NY • D
Sponsored 2/3/2026
Langworthy
NY • R
Sponsored 2/3/2026
Huizenga
MI • R
Sponsored 2/4/2026
Crockett
TX • D
Sponsored 2/9/2026
Wilson (FL)
FL • D
Sponsored 2/9/2026
Khanna
CA • D
Sponsored 2/24/2026
Moskowitz
FL • D
Sponsored 2/24/2026
Green, Al (TX)
TX • D
Sponsored 2/24/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.govRelated Bills
HR842 — Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
Would expand Medicare to cover multi-cancer early detection screening tests. It defines eligible tests as certain FDA-cleared or approved genomic blood tests or comparable biological-sample tests and directs the Secretary to use the national coverage determinations process to decide when they are covered.
HR1262 — Mikaela Naylon Give Kids a Chance Act
Speeds and strengthens pediatric cancer drug development. It expands which cancer products companies must study in children, reshapes organ transplant network governance and fees, and adds new FDA international and transparency steps. - Children with cancer and researchers: Requires pediatric studies that produce clinically meaningful data on dosing, safety, and early effectiveness and widens the kinds of drug combinations studied. It also sets aside $25 million for pediatric drug studies in each of fiscal years 2026, 2027, and 2028. - Transplant patients and transplant network members: Changes Organ Procurement and Transplantation Network governance and financing by allowing quarterly registration fees, requiring those fees fund OPTN operations, improving electronic health record integration, and calling for a GAO review within two years. - FDA partners and drug makers: Creates an Abraham Accords Office to boost regulatory coordination and technical assistance abroad, and forces more transparency during generic (ANDA) reviews about whether generics are qualitatively and quantitatively the same as listed drugs. It also raises the Medicare Improvement Fund amount from $1.4 billion to $2.6 billion. Increases federal outlays by roughly $1.3 billion, driven by a $1.2 billion boost to the Medicare Improvement Fund and $75 million for pediatric studies, adding to federal spending.
HR909 — Crime Victims Fund Stabilization Act of 2025
Would make the False Claims Act apply to deposits to the Crime Victims Fund through FY2029. It would also require an Inspector General audit that sets the audit's scope, timing, and recipients, and the measure is titled the Crime Victims Fund Stabilization Act of 2025. - Entities that make deposits to the Crime Victims Fund would be subject to the False Claims Act (31 U.S.C. 3729–3731) for deposits from enactment through FY2029. - An Inspector General audit would examine the Crime Victims Fund and the bill would set the audit's scope, timing, and who receives the report.
HR2102 — Major Richard Star Act
Establishes concurrent receipt for retirees with combat-related disabilities. This bill would let eligible retirees receive both military retired pay and veterans' disability compensation for the same months without the offset rules that currently reduce payments. - Families of disabled retirees: Veterans with combat-related disabilities would receive both retired pay and VA disability compensation for the same months, increasing their monthly household income. - Defense and VA payment rules: The bill would amend 10 U.S.C. 1413a and 10 U.S.C. 1414 to exempt retired pay from reductions under 38 U.S.C. 5304 and 5305 and add a clear monthly no-offset rule. - Implementation and technical changes: It renames and updates chapter sections, adjusts cross-references, and applies to payments beginning the first month after enactment.
HR979 — AM Radio for Every Vehicle Act of 2025
This bill would require AM broadcast capability to be installed as standard equipment in passenger motor vehicles. It focuses on driver-accessible AM reception, allows digital AM audio to count for compliance, and links vehicle AM capability to emergency alerting through IPAWS. - Drivers and households: Built-in, driver-accessible AM reception would make it easier for people to get local AM stations and emergency alerts from their vehicles. The bill allows devices that receive digital AM to meet the requirement. - Vehicle manufacturers: The Department of Transportation would need to issue a rule within 1 year, with a general compliance deadline no later than 2 years after the rule is issued. Small manufacturers that produced no more than 40,000 passenger vehicles in 2022 would get at least 4 years to comply. - Oversight and emergency systems: States would be barred from imposing their own AM-access rules. The bill mandates interim labels and pricing protections for cars without AM, authorizes civil penalties and DOJ injunctions for violations, requires a GAO study and a congressional briefing within 1 year, and includes an 8-year sunset for the authority.
HR1422 — Enhanced Iran Sanctions Act of 2025
Targets Iran's energy revenue through global sanctions. This bill would create a broad sanctions framework to punish foreign persons who process, export, or sell Iran-origin oil, condensates, gas, LNG, or petrochemical products. It pairs blocking of assets and visa bans with ownership-based triggers, waivers, humanitarian carve-outs, and new reporting to limit Iran's access to energy markets and finance for weapons and terrorism. - Foreign energy firms and financial institutions would face blocking of property and bans on transactions if they knowingly handle Iran-origin energy or are 50% or more owned by such actors. Associated aliens could become inadmissible and have visas revoked. - Maritime operators, insurers, flag registries, and LNG pipeline facilities would be exposed to sanctions risk when linked to Iran-origin shipments, though safety-of-crew rules and specific exemptions for imports remain. - Humanitarian organizations would keep explicit exemptions for agricultural commodities, food, medicine, medical devices, and humanitarian assistance to avoid disrupting aid. - U.S. agencies and private companies would see new duties: an interagency working group and multilateral contact group would coordinate enforcement, and private-sector reporting would be required to flag evasion and proceeds from intercepted Iran-origin energy sales.
Take It Personal
Get Your Personalized Policy View
Create a free account to save research, track policy impacts, and unlock your personalized versions of these pages.
Already have an account? Sign in