U.S. Congress legislation · 119th Congress
HB3514: Improving Seniors’ Timely Access to Care Act of 2025
Status: In committee, July 15, 2026
To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
What the bill says
To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
From the introduced text, May 20, 2025:
To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. SECTION 1. Short title This Act may be cited as the Improving Seniors' Timely Access to Care Act of 2025 . SECTION 2. Establishing requirements with respect to the use of prior authorization under Medicare Advantage plans (a) In general Section 1852 of the Social Security Act ( 42 U.S.C. 1395w-22 ) is amended by adding at the end the following new subsection: (o) Prior authorization requirements (1) In general In the case of a Medicare Advantage plan that imposes any prior authorization requirement with respect to any applicable item or service (as defined in paragraph (5)) during a plan year, such plan shall-- (A) beginning with plan years beginning on or after January 1, 2028-- (i) establish the electronic prior authorization program described in paragraph (2); and (ii) meet the enrollee protection standards specified pursuant to paragraph (4); and (B) beginning with plan years beginning on or after January 1, 2027, meet the transparency requirements specified in paragraph (3). (2) Electronic prior authorization program (A) In general For purposes of paragraph (1)(A), the electronic prior authorization program described in this paragraph is a program that provides for the secure electronic transmission of-- (i) a prior …
Sponsors
- Mike Kelly (R, HD-PA-16) · primary sponsor
- Suzan DelBene (D, HD-001)
- John Joyce (R, HD-013)
- Ami Bera (D)
- Elizabeth Van Duyne (R, HD-TX-24)
- Judy Chu (D, HD-CA-28)
- Dan Crenshaw (R, HD-002)
- Yvette Clarke (D, HD-009)
- Gregory Murphy (R, HD-003)
- Gwen Moore (D, HD-004)
- Troy Balderson (R, HD-012)
- Kim Schrier (D, HD-008)
Latest actions
- : Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
- : Committee Consideration and Mark-up Session Held
- : Forwarded by Subcommittee to Full Committee by Voice Vote.
- : Subcommittee Consideration and Mark-up Session Held
- : Referred to the Subcommittee on Health.
- : Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- : Introduced in House
Subjects: Health care coverage and access, Computers and information technology, Administrative law and regulatory procedures, Internet, web applications, social media, Government information and archives, Department of Health and Human Services, Health, Medicare
Common questions
- What is HB3514?
- HB3514 is a bill in Congress (119th Congress): Improving Seniors’ Timely Access to Care Act of 2025.
- What does HB3514 do?
- In its own words: To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
- What is the status of HB3514?
- In committee as of July 15, 2026. Latest action: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0. (July 15, 2026).
- Who sponsored HB3514?
- Mike Kelly (R, HD-PA-16), with 11 co-sponsors.
- Where is the official record for HB3514?
- On the Congress website: https://www.congress.gov/bill/119th-congress/house-bill/3514
Source: official Congress record. Tracked by Delilah, AI for legislation across all 50 states and Congress.