Improving Seniors’ Timely Access to Care Act of 2025

Key Provisions

• Requires Medicare Advantage plans to set up electronic systems for prior authorization requests and responses, starting in 2028.
• Requires Medicare Advantage plans to meet new standards that protect enrollees, including making prior authorization rules clear and reviewing them yearly, starting in 2028.
• Requires Medicare Advantage plans to annually report detailed data on prior authorization requests, approvals, denials, and processing times to the government, starting in 2027.
• Requires Medicare Advantage plans to give doctors and enrollees access to the rules they use for prior authorization decisions, starting in 2027.
• Starting in 2028, lets the Secretary of Health and Human Services set specific deadlines, like 24 hours, for Medicare Advantage plans to respond to prior authorization requests.