Improving Seniors’ Timely Access to Care Act of 2025
Latest action (Jul 15, 2026) — Ordered to be by the Yeas and Nays: 42 - 0.
What it does
Congressional Research Service, May 20, 2025This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.
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.
Face Value
as introducedHow much of this bill its name accounts for.
- Every bill starts at100
- Nothing counted against it: one area of law, and short enough that length doesn't register.
Face Value measures reach, not honesty. A big bill can be accurately named, and a low score is not an accusation — it means the contents reach further than any short title could describe. Count it yourself ↗ How this is worked out
Who lobbied on this
23 organizationsThese organizations told Congress, in their own quarterly disclosures, that they were lobbying on this bill.
- American Hospital Associationwanted it passed
“…S.1816 / H.R.3514, Improving Seniors Timely Access to Care Act, all…” filing ↗
- American Society for Radiation Oncologywanted it passed
“…Case Rate Value Based Program Act of 2025 Support for H.R. 879, to fix Medicare Physician Fee Schedule's physician payment reimbursement cuts Support H.R.3514, S.1816, the Improving Seniors' Timely Access to Care Act Support for H.R. 6160, Strengthening Medicare for Patients and Providers Act” filing ↗
- American Academy of Neurologyno position stated
“…709 Resident Education Deferred Interest Act, H.R. 2028 / S. 942 Safe Step Act, H.R. 5509 / S. 2903 - Improving Seniors Timely Access to Care Act, H.R. 3514 / S. 1816 H-1Bs for the Physicians and Healthcare Workforce Act, H.R. 7961 Urging support for and the bolstering of the neurology workforce…” filing ↗
- American Academy of Ophthalmologyno position stated
“…the Early Detection of Vision Impairments for Children Act of 2024 (EDVI Act) H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 H.R. 3514/S. 1816- The Improving Seniors Timely Access to Care Act H.R. 7520, the Efficiency Adjustment Delay Act H.R. 3277/S. 16776, the Ensuring…” filing ↗
- American Association of Orthopaedic Surgeonsno position stated
“…Act of 1965 to provide for interest-free deferment on student loans for borrowers serving in a medical or dental internship or residency program. H.R. 3514 Improving Seniors' Access to Timely Care Act of 2025: To amend title XVIII of the Social Security Act to establish requirements with respect…” filing ↗
- American College of Cardiologyno position stated
“…prior authorization reform, including the Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816), the Reducing Medically Unnecessary Delays in Care Act (H.R. 2433), and the Safe Step Act (H.R. 5509/S.…” filing ↗
- American College of Emergency Physiciansno position stated
“…Unnecessary Medical Delays in Care Act of 2025, to ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R. 3514-Improving Seniors Timely Access to Care Act of 2025, to improve and streamline prior authorization under Medicare Advantage Plans H.R.…” filing ↗
- American College of Physician Services, Incno position stated
“…and Commerce Committees markup, which includes the Lower Cost, More Transparency Act, H.R. 9393, and the Improving Seniors Timely Access to Care Act, H.R. 3514. The two bills would enhance price transparency across health care entities and streamline unnecessary administrative burden, respectively.…” filing ↗
- American College of Rheumatologyno position stated
“…Act (HR 1585 / S 709) Resident Physician Shortage Reduction Act (HR.3890/S. 2439) Improving Seniors Timely Access to Care Act (S. 1816/HR. 3514) One Big Beautiful Bill Act (HR. 1) Safe Step Act (HR 5509/S. 668) Patient Access to Autoimmune Treatment, PAAT, Act (HR. 5467) Protecting…” filing ↗
- American Medical Associationno position stated
“…S. 665, Fatal Overdose Reduction Act of 2025, all provisions H.R, 4977, Connected MOM Act, all provisions S. 141, Connected MOM Act, all provisions H.R. 3514, Improving Seniors Timely Access to Care Act of 2025, all provisions S. 1816, Improving Seniors Timely Access to Care Act of 2025, all…” filing ↗
- American Nurses Associationno position stated
“…Medicare Mental Health Inpatient Limitations Act (H.R. 7106) Enhancing Skilled Nursing Facilities Act (S. 3350) ACO Assignment Improvement Act (H.R. 3514/S. 1816) Improving Seniors Timely Access to Care Act (S. 3886) Nurses Belong in Nursing Homes Act (H.R. 2172/S. 1058) Preserving Patient…” filing ↗
- American Physical Therapy Associationno position stated
“…payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act S.1816/H.R. 3514 - Improving Seniors Timely Access to Care Act Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee…” filing ↗
Most filings say only that an organization lobbied on a bill, not which side it took — where that's the case we say so rather than guessing. Quotes are verbatim from the filing. How this is built.
Discussion
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