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H.R. 3514119th CongressHealth
Improving Seniors’ Timely Access to Care Act of 2025
Sponsored by Rep. Mike Kelly (R-PA) · 306 active : 136 Republicans, 170 Democrats
Latest action: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
Where it standsBefore the House6 representatives score as swing votes
Hasn’t passed either chamber
- House: next
- Senate: not yet
- President: not yet
Summary
, via Congress.govImproving Seniors' Timely Access to Care Act of
2025
This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.
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Specifically, MA plans must (1) establish an electronic prior authorization program that meets specified standards; (2) annually submit to the CMS for publication specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services (CMS), relating to the quality and timeliness of prior authorization determinations.
The CMS and the Office of the National Coordinator for Health Information Technology must publish on the CMS' website a report that analyzes the information received from MA plans, the feasibility of implementing real-time decision making with respect to prior authorization requests, and the impact of decisions that are made using artificial intelligence on patient access.
Committees and subjects
Committees
- House Committee on Energy and Commerce · HouseReferred to
- Health · HouseReported by · Markup by · Referred to
- House Committee on Ways and Means · HouseMarkup by · Referred to
Subjects
- Administrative law and regulatory procedures
- Computers and information technology
- Congressional oversight
- Department of Health and Human Services
- Government information and archives
- Health care coverage and access
- Internet, web applications, social media
- Medicare
How the Senate breaks down
- 7Swing 70–100
- 65Middle 30–70
- 28Entrenched 0–30
Members fall into . All 100 senators have enough data to score. The bill is not before the Senate right now; these scores show where members would stand.
Key players in the Senate
Ranked by swing score, 0–100 · swing-v2Bars show each input from 0 to 100: ideology gap, scorecard gap, . is the seat’s partisan lean, and shows how much of the input data a score has.
Similar past votes, Senate
Earlier behind swing-v3’s inputLoading similar votes
Cosponsors
306 activeShow all 306 cosponsors
- Ami Bera (D-CA-6)
- Angie Craig (D-MN-2)
- Ayanna Pressley (D-MA-7)
- Becca Balint (D-VT-AL)
- Beth Van Duyne (R-TX-24)
- Bill Foster (D-IL-11)
- Brad Finstad (R-MN-1)
- Brian K. Fitzpatrick (R-PA-1)
- Carol D. Miller (R-WV-1)
- Chrissy Houlahan (D-PA-6)
- Christopher R. Deluzio (D-PA-17)
- Claudia Tenney (R-NY-24)
- Cleo Fields (D-LA-6)
- Dan Crenshaw (R-TX-2)
- Daniel Meuser (R-PA-9)
- Daniel S. Goldman (D-NY-10)
- Darin LaHood (R-IL-16)
- Debbie Wasserman Schultz (D-FL-25)
- Deborah K. Ross (D-NC-2)
How the swing score works
Ideology gapHow far a member’s DW-NOMINATE voting score sits from their party’s median in the same chamber.
Scorecard gapHow far their Heritage Action and LCV ratings stray from their party’s average, using the groups’ votes on similar bills where available.
Cross-pressureHow strongly their district or state leans toward the other party, from our own computed partisan lean.
Similar votesHow often they voted against their own party on earlier roll calls about this bill or similar ones.
Committee bonusMembers of the committees handling the bill decide whether it moves, so they get a boost.
Cosponsor checkThe sponsor and active cosponsors have already committed, so they drop toward entrenched.
