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H.R. 3514 · 119th Congress

Improving Seniors’ Timely Access to Care Act of 2025

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IntroducedPassed one chamberPassed both chambersBecame law (gold)Resolution agreed to (full, dark)Failed or vetoed (gray)

Under the number: the Yea · Nay count of its final (or latest) recorded vote. On a member's page, the small badge is how that member voted: Y Yea / Aye, N Nay / No, P Present, – Not voting.

Gold and violet are only for Yea and Nay; they never mean a party. A member's party is the letter on their photo.

Not yet voted on. This bill is still a proposal: it hasn't reached a floor vote, and its text can change in committee or on the floor before any vote.

MKR KellySponsor
311 cosponsors · 173 D, 138 R
SBD Bonamici JBD Brownley ABD Bera DBD Beyer DBR Bacon NBD Barragán TBR Balderson SBD Brown NND (Nikki) Budzinski BBD Balint ECD Case JCD Costa YCD Clarke JCD Chu ACD Craig DCR Crenshaw JCD Crow MCR Carey JCR Ciscomani HCD Conaway DDD Davis CDD Deluzio SDD DelBene SDD Davids DED Evans CFD Fields BFD Foster BFR Fitzpatrick BFR Finstad VGD Gonzalez DGD Goldman MGD Goodlander CHD Houlahan DHR Harshbarger JJR Joyce JJD Johnson WKD Keating JKR Kiggans JLD Larson DLR LaHood MLD Levin NMR Malliotakis TMR Mann GMD Moore SMD Moulton DMR Meuser CMR Miller GMR Murphy FMD Mrvan MMR Miller-Meeks MMD McGarvey SMD McBride END Norton MPD Pocan APD Pressley MQD Quigley DRD Ross PRD Ryan MSR Salazar TSD Sewell LSR Smucker GSD Stanton HSD Stevens KSD Schrier ESD Sorensen JSR Shreve GTR Thompson CTR Tenney RTD Torres JTD Tokuda BVR Van Duyne DWD Wasserman Schultz RYR Yakym YKR Kim JND Nadler SPD Peters JPD Panetta JAD Auchincloss JAR Arrington SCD Cohen RFR Feenstra MGD Gluesenkamp Perez JHD Harder SLD Lynch TLD Lieu DMD Matsui BMR Moore JMD McClellan ASD Smith WSR Steube SCD Carbajal RKD Krishnamoorthi JMD Mannion GAD Amo KCD Castor MFR Flood JMR Moolenaar AMD McClain Delaney ROR Onder LSD Sánchez RWR Wittman MBR Bost GGR Grothman JGD Gomez JRR Rutherford DSD Scott ASR Smith RAR Aderholt BMD McCollum MSD Strickland GMD Meng DRR Rouzer GGD (Gabe) Vasquez PAD Aguilar BTD Thompson STD Thanedar DDD Dingell MFR Fischbach EVD Vindman MBR Baumgartner JHD Himes MKR Kennedy MSD Stansbury SSD Subramanyam MDD Dexter JGD Gottheimer RKD Kelly CPD Pappas BBD Boyle LFD Frankel ERD Randall MMR Messmer JCD Castro JCD Correa DND Norcross AAD Adams BCR Carter JHD Hayes NPD Pou MVD Veasey APR Pfluger BSD Schneider MSD Scanlon GBR Bilirakis LGD Gillen TCR Cole CFR Fleischmann VFD Foushee JMD Morelle JCD Courtney GLD Latimer MMR Miller JBD Beatty SCD Cherfilus-McCormick GLD Landsman RRD Ruiz RAR Allen NDR Dunn CGR Goldman JJD Jackson DNR Newhouse TSD Suozzi MDD Dean KMD Mullin RMR Mackenzie JOR Obernolte JSD Schakowsky DSD Soto JGD Garamendi BSD Sherman LTD Trahan JVR Van Drew TWR Walberg GCD Cisneros MLR Lawler JRD Raskin ASD Salinas LFD Fletcher RLR Latta MTD Thompson MFD Frost MGR Guest ESD Sykes JBD Bynum BLR Loudermilk TMR Moore BOR Owens AHR Hinson DJR Joyce KMD McDonald Rivet MRR Rulli RTD Tlaib JND Neguse DJR Johnson TKD Kennedy RLD Larsen KMD Morrison PSR Sessions JWR Wilson RZR Zinke LLR Lee SMD Magaziner TCD Carter EHR Houchin VHD Hoyle GID Ivey IOD Omar RBR Bresnahan SHD Horsford VED Escobar TKR Kean SWR Womack KCR Cammack PTD Tonko JWD Walkinshaw DDD Davis PJD José Hernández Rivera CSR Smith SBR Bice JBR Baird AHR Harris PHR Harrigan HSD Scholten DSR Schmidt ABR Barr MDD DeSaulnier SGR Graves RJR Jackson ZZR (Zach) Nunn CPD Pingree JRD Riley LSD Simon DTR Taylor SBD Bishop KMD Mfume CBR Bentz DTD Titus DVR Valadao JLR Letlow LUD Underwood DVR Van Orden RMD Menendez JMR McGuire SFD Figures LMD McBath ECD Cleaver BCR Cline RER Estes AED Espaillat NLR Langworthy JRR Rose BHR Huizenga JCD Crockett FWD Wilson AGD Green RKD Khanna JMD Moskowitz DSR Schweikert NLR LaLota TGR Gonzales KHR Hern TLD Leger Fernandez PSR Stauber ABR Bean LGR Gooden JMD McGovern ZLD Lofgren JOD Olszewski BSR Steil MAR Amodei CCR (Chuck) Edwards RWR Weber MAR Alford KCR Calvert AGD Grijalva JHR Hill AWR Wagner JBR Bergman RHR Hudson LMD McIver MSR Simpson BBR Babin SBR Biggs TBR Barrett GER Evans NMR Moran MDR Diaz-Balart JER Ellzey NMR Mace GWD Whitesides JCR Crank MDR De La Cruz ALR Luna CMR Mills MTR Turner VFR Foxx AGD Gray SFR Fitzgerald HCD Cuellar RMR McCormick WTR Timmons CFR Franklin JPR Patronis BKR Knott AMR McDowell WBD Bell RFR Fry JJR (Jim) Moylan AMD Mejia NTD Torres NWD Williams

73 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans.

What it does: CRS summary · Introduced in House · May 20, 2025

Improving 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.

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.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Improving Seniors’ Timely Access to Care Act of 2025

Latest action (Jul 15, 2026): Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.

Policy area: Health · Origin: House · Introduced: May 20, 2025

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.