Improving Seniors’ Timely Access to Care Act of 2025
Sponsored By: Senator Roger Marshall
Introduced
Summary
This bill would force Medicare Advantage plans to adopt a standardized, electronic prior authorization system and publish detailed approval and denial data to speed patient access and enable oversight. It sets deadlines for transparency and electronic processing and creates reporting and real-time decision rules to shrink delays and reveal how plans use automation.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Electronic prior authorization for Medicare
If enacted, Medicare Advantage plans that use prior authorization would need an electronic prior authorization system starting with plan years that begin on or after January 1, 2028. Plans would have to send requests, responses, and supporting documents electronically and follow technical standards. The bill would also require yearly plan-level reports starting with plan years that begin on or after January 1, 2027. Reports would list items that need authorization, approval and denial rates, appeal outcomes, timing data, and what technologies (for example, AI) were used. CMS would publish these data by plan. The rule would not cover Part D drugs and faxes or noncompliant portals would not count as the required electronic transmission.
Faster prior authorization rules for Medicare
If enacted, the bill would require Medicare Advantage plans to meet new prior authorization protection standards starting with plan years that begin on or after January 1, 2028. Plans would need to design transparent programs with enrollee and provider input, allow waivers or changes for trusted high-performing providers, and review authorization lists each year. The Secretary could set firm deadlines for plan responses, including shorter timeframes (for example, 24 hours) for some requests. A modified 72-hour expedited rule would apply to requests filed on or after the first day of the third plan year after enactment.
Sponsors & CoSponsors
Sponsor
Roger Marshall
KS • R
Cosponsors
Mazie Hirono
HI • D
Sponsored 5/20/2025
Mark Warner
VA • D
Sponsored 5/20/2025
Maggie Hassan
NH • D
Sponsored 5/20/2025
John Fetterman
PA • D
Sponsored 5/20/2025
Amy Klobuchar
MN • D
Sponsored 5/20/2025
Bill Cassidy
LA • R
Sponsored 5/20/2025
Shelley Capito
WV • R
Sponsored 5/20/2025
John Hickenlooper
CO • D
Sponsored 5/20/2025
James Lankford
OK • R
Sponsored 5/20/2025
Jeff Merkley
OR • D
Sponsored 5/20/2025
Marsha Blackburn
TN • R
Sponsored 5/20/2025
Cynthia Lummis
WY • R
Sponsored 5/20/2025
Cindy Hyde-Smith
MS • R
Sponsored 5/20/2025
Timothy Kaine
VA • D
Sponsored 5/20/2025
Jeanne Shaheen
NH • D
Sponsored 5/20/2025
Mike Rounds
SD • R
Sponsored 5/20/2025
Alex Padilla
CA • D
Sponsored 5/20/2025
Bill Hagerty
TN • R
Sponsored 5/20/2025
Andy Kim
NJ • D
Sponsored 5/20/2025
John Boozman
AR • R
Sponsored 5/20/2025
Richard Durbin
IL • D
Sponsored 5/20/2025
John Cornyn
TX • R
Sponsored 5/20/2025
Patty Murray
WA • D
Sponsored 5/20/2025
Jerry Moran
KS • R
Sponsored 5/20/2025
Kirsten Gillibrand
NY • D
Sponsored 5/20/2025
Maria Cantwell
WA • D
Sponsored 5/20/2025
Thomas Tillis
NC • R
Sponsored 5/20/2025
Cory Booker
NJ • D
Sponsored 5/20/2025
Tina Smith
MN • D
Sponsored 5/20/2025
Peter Welch
VT • D
Sponsored 5/20/2025
Sheldon Whitehouse
RI • D
Sponsored 5/20/2025
Ted Budd
NC • R
Sponsored 5/20/2025
Catherine Cortez Masto
NV • D
Sponsored 5/20/2025
Tim Sheehy
MT • R
Sponsored 5/20/2025
Tammy Baldwin
WI • D
Sponsored 5/20/2025
Pete Ricketts
NE • R
Sponsored 5/20/2025
Richard Blumenthal
CT • D
Sponsored 5/20/2025
Elizabeth Warren
MA • D
Sponsored 5/20/2025
Tammy Duckworth
IL • D
Sponsored 5/20/2025
John Hoeven
ND • R
Sponsored 5/20/2025
Rick Scott
FL • R
Sponsored 5/20/2025
Mark Kelly
AZ • D
Sponsored 5/20/2025
Jacky Rosen
NV • D
Sponsored 5/20/2025
Martin Heinrich
NM • D
Sponsored 5/20/2025
Deb Fischer
NE • R
Sponsored 5/20/2025
Christopher Coons
DE • D
Sponsored 5/20/2025
Josh Hawley
MO • R
Sponsored 5/20/2025
Susan Collins
ME • R
Sponsored 6/3/2025
Raphael Warnock
GA • D
Sponsored 6/3/2025
Ruben Gallego
AZ • D
Sponsored 6/3/2025
Markwayne Mullin
OK • R
Sponsored 6/9/2025
Jim Banks
IN • R
Sponsored 7/14/2025
Gary Peters
MI • D
Sponsored 7/21/2025
Kevin Cramer
ND • R
Sponsored 9/2/2025
Adam Schiff
CA • D
Sponsored 9/2/2025
Michael Bennet
CO • D
Sponsored 9/3/2025
Eric Schmitt
MO • R
Sponsored 9/17/2025
Bernie Moreno
OH • R
Sponsored 9/18/2025
James Justice
WV • R
Sponsored 9/18/2025
Sen. Luján, Ben Ray [D-NM]
NM • D
Sponsored 9/30/2025
Joni Ernst
IA • R
Sponsored 10/7/2025
John Kennedy
LA • R
Sponsored 10/21/2025
Jon Husted
OH • R
Sponsored 10/21/2025
Elissa Slotkin
MI • D
Sponsored 12/17/2025
Chris Van Hollen
MD • D
Sponsored 2/10/2026
Roll Call Votes
No roll call votes available for this bill.
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