Bill · H.R. 3514· House(119-HR-3514)
Improving Seniors’ Timely Access to Care Act of 2025
- Introduced
- 5/20/2025
- Last activity
- 7/15/2026 — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
- Sponsored by
- Mike Kelly
- Cosponsors
- - 136 - 170
- Introduced
What this bill would do
This bill is called the Improving Seniors' Timely Access to Care Act of 2025. It amends the Social Security Act to place new rules on Medicare Advantage plans regarding prior authorization requirements. The bill requires these plans to set up an electronic prior authorization program starting in 2028. It also orders plans to meet transparency rules starting in 2027 by reporting data on approvals, denials, and appeals. Additionally, the legislation establishes enrollee protection standards and gives the government authority to enforce timely responses for prior authorization requests.
Yes· 3 of 20
Would people over 65 be better off under this?+8
Directly improves access to care for seniors using Medicare Advantage plans.
Would retired people be better off under this?+8
Primary beneficiaries are retirees on Medicare Advantage plans.
Does this make health care easier to get in general?+7
Streamlines prior authorizations and mandates faster response times to reduce delays in care.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Section 2(a), adding Section 1852(o)(2): Requires Medicare Advantage plans to establish an electronic prior authorization program for secure electronic transmission of requests and supporting documentation, which explicitly excludes slow methods like faxes. This could speed up healthcare approvals for patients by modernizing the system.
-
Section 2(a), adding Section 1852(o)(3)(A): Mandates strict transparency requirements where plans must annually report data on approval and denial rates, appeal outcomes, and processing times to the government. This allows the public and officials to hold insurance plans accountable for how they handle medical requests.
-
Section 2(a), adding Section 1852(o)(4)(B): Allows for the waiver or modification of prior authorization requirements for medical providers and suppliers who demonstrate good compliance with evidence-based guidelines. This could reduce unnecessary bureaucratic delays for trusted doctors and their patients.
-
Section 2(b): Gives the Secretary the authority to establish strict timeframes, such as 24 hours, for plans to respond to certain prior authorization requests. This ensures patients do not have to wait unreasonable amounts of time for necessary medical care decisions.
Potential Negative Impacts for People
- Section 2(a), adding Section 1852(o)(3)(A)(i): Imposes heavy administrative and reporting burdens on Medicare Advantage plans by requiring them to compile massive amounts of detailed data regarding every single prior authorization, denial, appeal, and technology usage. This extra paperwork could potentially raise administrative costs for the healthcare system.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Retirees+8Good For Seniors+8Good For Rural Residents+6Good For Low Income Households+5Good For African Americans+3Good For Asian Americans+3Good For High Income Households+3Good For Hispanic Americans+3Good For Middle Class Households+3Good For Native Americans+3Good For White Americans+3Good For Business Owners+2
- Governance And Ideology
- Improves Government Transparency+6Improves Due Process+4Increases Federal Power+3
- Economy And Finance
- Improves Consumer Protection+5Improves Small Business Support+2
- Healthcare
- Improves Healthcare Access+7
- Social Issues And Justice
- Improves Social Security+4Improves Racial Equity+3
- 10/1/2026
- 1 Cosponsor added.
- 9/21/2026
- 1 Cosponsor added.
- 9/16/2026
- 1 Cosponsor added.
- 9/14/2026
- 1 Cosponsor added.
- 8/31/2026
- 1 Cosponsor added.
- 8/20/2026
- 3 Cosponsors added.
- 7/22/2026
- 1 Cosponsor added.
- 7/15/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
- 7/14/2026
- 1 Cosponsor added.
- 6/29/2026
- 1 Cosponsor added.
- 6/25/2026
- Subcommittee Consideration and Mark-up Session Held
- Forwarded by Subcommittee to Full Committee by Voice Vote.
- 6/23/2026
- 5 Cosponsors added.
- 6/8/2026
- 2 Cosponsors added.
- 6/2/2026
- 2 Cosponsors added.
- 5/22/2026
- 2 Cosponsors added.
- 5/20/2026
- 1 Cosponsor added.
- 5/13/2026
- 2 Cosponsors added.
- 5/7/2026
- 1 Cosponsor added.
- 4/30/2026
- 1 Cosponsor added.
- 4/29/2026
- 2 Cosponsors added.
- 4/23/2026
- 1 Cosponsor added.
- 4/21/2026
- 1 Cosponsor added.
- 4/20/2026
- 1 Cosponsor added.
- 4/16/2026
- 1 Cosponsor added.
- 4/15/2026
- 1 Cosponsor added.
- 4/9/2026
- 3 Cosponsors added.
- 3/27/2026
- 3 Cosponsors added.
- 3/24/2026
- 3 Cosponsors added.
- 3/18/2026
- 3 Cosponsors added.
- 3/4/2026
- 1 Cosponsor added.
- 3/3/2026
- 1 Cosponsor added.
- 2/25/2026
- 1 Cosponsor added.
- 2/24/2026
- 3 Cosponsors added.
- 2/9/2026
- 2 Cosponsors added.
- 2/4/2026
- 1 Cosponsor added.
- 2/3/2026
- 3 Cosponsors added.
- 1/22/2026
- 3 Cosponsors added.
- 1/21/2026
- 2 Cosponsors added.
- 1/7/2026
- 1 Cosponsor added.
- 12/16/2025
- 1 Cosponsor added.
- 12/10/2025
- 3 Cosponsors added.
- 12/1/2025
- 3 Cosponsors added.
- 11/17/2025
- 2 Cosponsors added.
- 11/10/2025
- 9 Cosponsors added.
- 10/24/2025
- 6 Cosponsors added.
- 10/10/2025
- 3 Cosponsors added.
- 10/8/2025
- 3 Cosponsors added.
- 10/6/2025
- 3 Cosponsors added.
- 9/30/2025
- 2 Cosponsors added.
- 9/26/2025
- 5 Cosponsors added.
- 9/18/2025
- 2 Cosponsors added.
- 9/17/2025
- 7 Cosponsors added.
- 9/16/2025
- 1 Cosponsor added.
- 9/15/2025
- 4 Cosponsors added.
- 9/10/2025
- 1 Cosponsor added.
- 9/9/2025
- 4 Cosponsors added.
- 9/8/2025
- 3 Cosponsors added.
- 9/4/2025
- 2 Cosponsors added.
- 9/3/2025
- 1 Cosponsor added.
- 9/2/2025
- 1 Cosponsor added.
- 8/29/2025
- 3 Cosponsors added.
- 8/26/2025
- 5 Cosponsors added.
- 8/19/2025
- 6 Cosponsors added.
- 8/15/2025
- 6 Cosponsors added.
- 8/12/2025
- 4 Cosponsors added.
- 7/23/2025
- 3 Cosponsors added.
- 7/22/2025
- 4 Cosponsors added.
- 7/21/2025
- 1 Cosponsor added.
- 7/17/2025
- 1 Cosponsor added.
- 7/16/2025
- 1 Cosponsor added.
- 7/15/2025
- 2 Cosponsors added.
- 7/14/2025
- 5 Cosponsors added.
- 7/10/2025
- 3 Cosponsors added.
- 7/2/2025
- 1 Cosponsor added.
- 6/30/2025
- 1 Cosponsor added.
- 6/27/2025
- 1 Cosponsor added.
- 6/24/2025
- 1 Cosponsor added.
- 6/23/2025
- 4 Cosponsors added.
- 6/17/2025
- 5 Cosponsors added.
- 6/11/2025
- 1 Cosponsor added.
- 6/10/2025
- 2 Cosponsors added.
- 6/9/2025
- 3 Cosponsors added.
- 6/6/2025
- 3 Cosponsors added.
- 6/5/2025
- 3 Cosponsors added.
- 6/4/2025
- 6 Cosponsors added.
- 6/3/2025
- 8 Cosponsors added.
- 6/2/2025
- 3 Cosponsors added.
- 5/29/2025
- 13 Cosponsors added.
- 5/21/2025
- 4 Cosponsors added.
- 5/20/2025
- 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.
- Referred to the Subcommittee on Health.
- 73 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Robert AderholtRepublican · Alabama
Jake AuchinclossDemocrat · Massachusetts
Mark AmodeiRepublican · Nevada
Alma AdamsDemocrat · North Carolina
Pete AguilarDemocrat · California
Rick AllenRepublican · Georgia
Jodey ArringtonRepublican · Texas
Mark AlfordRepublican · Missouri
Gabe AmoDemocrat · Rhode Island
Sanford BishopDemocrat · Georgia
Cliff BentzRepublican · Oregon
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Gus BilirakisRepublican · Florida
Suzanne BonamiciDemocrat · Oregon
Joyce BeattyDemocrat · Ohio
Andy BarrRepublican · Kentucky
Julia BrownleyDemocrat · California
Ami BeraDemocrat · California
Brian BabinRepublican · Texas
Donald BeyerDemocrat · Virginia
Mike BostRepublican · Illinois
Brendan BoyleDemocrat · Pennsylvania
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Nanette BarragánDemocrat · California
Jack BergmanRepublican · Michigan
Troy BaldersonRepublican · Ohio
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Shontel BrownDemocrat · Ohio
Aaron BeanRepublican · Florida
Nikki BudzinskiDemocrat · Illinois
Becca BalintDemocrat · Vermont
Tom BarrettRepublican · Michigan
Michael BaumgartnerRepublican · Washington
Wesley BellDemocrat · Missouri
Sheri BiggsRepublican · South Carolina
Janelle BynumDemocrat · Oregon
Robert BresnahanRepublican · Pennsylvania
Ken CalvertRepublican · California
Kat CammackRepublican · Florida
Tom ColeRepublican · Oklahoma
Ed CaseDemocrat · Hawaii
Jim CostaDemocrat · California
Emanuel CleaverDemocrat · Missouri
Henry CuellarDemocrat · Texas
Kathy CastorDemocrat · Florida
Yvette ClarkeDemocrat · New York
Steve CohenDemocrat · Tennessee
Joe CourtneyDemocrat · Connecticut
Judy ChuDemocrat · California
Joaquin CastroDemocrat · Texas
Earl CarterRepublican · Georgia
J. CorreaDemocrat · California
Salud CarbajalDemocrat · California
Ben ClineRepublican · Virginia
Angie CraigDemocrat · Minnesota
Dan CrenshawRepublican · Texas
Jason CrowDemocrat · Colorado
Gilbert CisnerosDemocrat · California
Troy CarterDemocrat · Louisiana
Mike CareyRepublican · Ohio
Sheila Cherfilus-McCormickDemocrat · Florida
Jasmine CrockettDemocrat · Texas
Juan CiscomaniRepublican · Arizona
Herbert ConawayDemocrat · New Jersey
Jeff CrankRepublican · Colorado
Danny DavisDemocrat · Illinois
Donald DavisDemocrat · North Carolina
Christopher DeluzioDemocrat · Pennsylvania
Monica De La CruzRepublican · Texas
Mario Diaz-BalartRepublican · Florida
Suzan DelBeneDemocrat · Washington
Mark DeSaulnierDemocrat · California
Debbie DingellDemocrat · Michigan
Neal DunnRepublican · Florida
Sharice DavidsDemocrat · Kansas
Madeleine DeanDemocrat · Pennsylvania
Maxine DexterDemocrat · Oregon
Jake EllzeyRepublican · Texas
Chuck EdwardsRepublican · North Carolina
Dwight EvansDemocrat · Pennsylvania
Adriano EspaillatDemocrat · New York
Ron EstesRepublican · Kansas
Veronica EscobarDemocrat · Texas
Gabe EvansRepublican · Colorado
Cleo FieldsDemocrat · Louisiana
Randy FeenstraRepublican · Iowa
Virginia FoxxRepublican · North Carolina
Bill FosterDemocrat · Illinois
Charles FleischmannRepublican · Tennessee
Lois FrankelDemocrat · Florida
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Lizzie FletcherDemocrat · Texas
Michelle FischbachRepublican · Minnesota
Scott FitzgeraldRepublican · Wisconsin
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Mike FloodRepublican · Nebraska
Brad FinstadRepublican · Minnesota
Maxwell FrostDemocrat · Florida
Valerie FousheeDemocrat · North Carolina
Shomari FiguresDemocrat · Alabama
Sam GravesRepublican · Missouri
Al GreenDemocrat · Texas
John GaramendiDemocrat · California
Glenn GrothmanRepublican · Wisconsin
Vicente GonzalezDemocrat · Texas
Josh GottheimerDemocrat · New Jersey
Jimmy GomezDemocrat · California
Lance GoodenRepublican · Texas
Michael GuestRepublican · Mississippi
Tony GonzalesRepublican · Texas
Daniel GoldmanDemocrat · New York
Marie PerezDemocrat · Washington
Craig GoldmanRepublican · Texas
Laura GillenDemocrat · New York
Maggie GoodlanderDemocrat · New Hampshire
Adam GrayDemocrat · California
Adelita GrijalvaDemocrat · Arizona
James HimesDemocrat · Connecticut
Andy HarrisRepublican · Maryland
Bill HuizengaRepublican · Michigan
Steven HorsfordDemocrat · Nevada
Richard HudsonRepublican · North Carolina
J. HillRepublican · Arkansas
Jahana HayesDemocrat · Connecticut
Kevin HernRepublican · Oklahoma
Chrissy HoulahanDemocrat · Pennsylvania
Diana HarshbargerRepublican · Tennessee
Josh HarderDemocrat · California
Ashley HinsonRepublican · Iowa
Erin HouchinRepublican · Indiana
Val HoyleDemocrat · Oregon
Pat HarriganRepublican · North Carolina
Pablo HernándezDemocrat · Puerto Rico
Glenn IveyDemocrat · Maryland
David JoyceRepublican · Ohio
Dusty JohnsonRepublican · South Dakota
John JoyceRepublican · Pennsylvania
Ronny JacksonRepublican · Texas
Jonathan JacksonDemocrat · Illinois
Julie JohnsonDemocrat · Texas
William KeatingDemocrat · Massachusetts
Robin KellyDemocrat · Illinois
Ro KhannaDemocrat · California
Raja KrishnamoorthiDemocrat · Illinois
Young KimRepublican · California
Thomas KeanRepublican · New Jersey
Jennifer KiggansRepublican · Virginia
Timothy KennedyDemocrat · New York
Mike KennedyRepublican · Utah
Brad KnottRepublican · North Carolina
Teresa Leger FernandezDemocrat · New Mexico
Zoe LofgrenDemocrat · California
John LarsonDemocrat · Connecticut
Rick LarsenDemocrat · Washington
Stephen LynchDemocrat · Massachusetts
Robert LattaRepublican · Ohio
Ted LieuDemocrat · California
Barry LoudermilkRepublican · Georgia
Darin LaHoodRepublican · Illinois
Mike LevinDemocrat · California
Julia LetlowRepublican · Louisiana
Anna Paulina LunaRepublican · Florida
Laurel LeeRepublican · Florida
Nick LaLotaRepublican · New York
Michael LawlerRepublican · New York
Nicholas LangworthyRepublican · New York
Greg LandsmanDemocrat · Ohio
George LatimerDemocrat · New York
Nancy MaceRepublican · South Carolina
James McGovernDemocrat · Massachusetts
Nicole MalliotakisRepublican · New York
Kweisi MfumeDemocrat · Maryland
Tracey MannRepublican · Kansas
Betty McCollumDemocrat · Minnesota
Gwen MooreDemocrat · Wisconsin
Doris MatsuiDemocrat · California
Grace MengDemocrat · New York
John MoolenaarRepublican · Michigan
Seth MoultonDemocrat · Massachusetts
Daniel MeuserRepublican · Pennsylvania
Carol MillerRepublican · West Virginia
Joseph MorelleDemocrat · New York
Lucy McBathDemocrat · Georgia
Gregory MurphyRepublican · North Carolina
Blake MooreRepublican · Utah
Frank MrvanDemocrat · Indiana
Mariannette Miller-MeeksRepublican · Iowa
Cory MillsRepublican · Florida
Jared MoskowitzDemocrat · Florida
Richard McCormickRepublican · Georgia
Morgan McGarveyDemocrat · Kentucky
Max MillerRepublican · Ohio
Seth MagazinerDemocrat · Rhode Island
Nathaniel MoranRepublican · Texas
Kevin MullinDemocrat · California
Robert MenendezDemocrat · New Jersey
Jennifer McClellanDemocrat · Virginia
LaMonica McIverDemocrat · New Jersey
Ryan MackenzieRepublican · Pennsylvania
John MannionDemocrat · New York
April McClain DelaneyDemocrat · Maryland
Mark MessmerRepublican · Indiana
Kelly MorrisonDemocrat · Minnesota
Tim MooreRepublican · North Carolina
Kristen McDonald RivetDemocrat · Michigan
Sarah McBrideDemocrat · Delaware
John McGuireRepublican · Virginia
Addison McDowellRepublican · North Carolina
Jerrold NadlerDemocrat · New York
Eleanor NortonDemocrat · District of Columbia
Donald NorcrossDemocrat · New Jersey
Dan NewhouseRepublican · Washington
Joe NeguseDemocrat · Colorado
Zachary NunnRepublican · Iowa
Jay ObernolteRepublican · California
Burgess OwensRepublican · Utah
Ilhan OmarDemocrat · Minnesota
Johnny OlszewskiDemocrat · Maryland
Robert OnderRepublican · Missouri
August PflugerRepublican · Texas
Chellie PingreeDemocrat · Maine
Mark PocanDemocrat · Wisconsin
Scott PetersDemocrat · California
Jimmy PanettaDemocrat · California
Chris PappasDemocrat · New Hampshire
Ayanna PressleyDemocrat · Massachusetts
Nellie PouDemocrat · New Jersey
Jimmy PatronisRepublican · Florida
Mike QuigleyDemocrat · Illinois
Deborah RossDemocrat · North Carolina
Patrick RyanDemocrat · New York
Raul RuizDemocrat · California
David RouzerRepublican · North Carolina
Jamie RaskinDemocrat · Maryland
John RutherfordRepublican · Florida
John RoseRepublican · Tennessee
Michael RulliRepublican · Ohio
Emily RandallDemocrat · Washington
Josh RileyDemocrat · New York
Maria SalazarRepublican · Florida
Pete SessionsRepublican · Texas
Brad ShermanDemocrat · California
Adam SmithDemocrat · Washington
Christopher SmithRepublican · New Jersey
Janice SchakowskyDemocrat · Illinois
Michael SimpsonRepublican · Idaho
Linda SánchezDemocrat · California
David ScottDemocrat · Georgia
Marilyn StricklandDemocrat · Washington
Adrian SmithRepublican · Nebraska
David SchweikertRepublican · Arizona
Terri SewellDemocrat · Alabama
Bradley SchneiderDemocrat · Illinois
Lloyd SmuckerRepublican · Pennsylvania
Darren SotoDemocrat · Florida
Thomas SuozziDemocrat · New York
Mary Gay ScanlonDemocrat · Pennsylvania
Greg StantonDemocrat · Arizona
Pete StauberRepublican · Minnesota
Bryan SteilRepublican · Wisconsin
W. SteubeRepublican · Florida
Haley StevensDemocrat · Michigan
Kim SchrierDemocrat · Washington
Melanie StansburyDemocrat · New Mexico
Hillary ScholtenDemocrat · Michigan
Emilia SykesDemocrat · Ohio
Eric SorensenDemocrat · Illinois
Andrea SalinasDemocrat · Oregon
Derek SchmidtRepublican · Kansas
Jefferson ShreveRepublican · Indiana
Suhas SubramanyamDemocrat · Virginia
Lateefah SimonDemocrat · California
Bennie ThompsonDemocrat · Mississippi
Mike ThompsonDemocrat · California
Michael TurnerRepublican · Ohio
Glenn ThompsonRepublican · Pennsylvania
Dina TitusDemocrat · Nevada
Paul TonkoDemocrat · New York
Claudia TenneyRepublican · New York
William TimmonsRepublican · South Carolina
Rashida TlaibDemocrat · Michigan
Lori TrahanDemocrat · Massachusetts
Ritchie TorresDemocrat · New York
Jill TokudaDemocrat · Hawaii
Shri ThanedarDemocrat · Michigan
David TaylorRepublican · Ohio
Lauren UnderwoodDemocrat · Illinois
David ValadaoRepublican · California
Marc VeaseyDemocrat · Texas
Jefferson Van DrewRepublican · New Jersey
Beth Van DuyneRepublican · Texas
Derrick Van OrdenRepublican · Wisconsin
Gabe VasquezDemocrat · New Mexico
Eugene VindmanDemocrat · Virginia
Joe WilsonRepublican · South Carolina
Debbie Wasserman SchultzDemocrat · Florida
Tim WalbergRepublican · Michigan
Robert WittmanRepublican · Virginia
Frederica WilsonDemocrat · Florida
Steve WomackRepublican · Arkansas
Ann WagnerRepublican · Missouri
Randy WeberRepublican · Texas
George WhitesidesDemocrat · California
James WalkinshawDemocrat · Virginia
Rudy YakymRepublican · Indiana
Ryan ZinkeRepublican · Montana