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 share detailed information annually with the government about their prior authorization decisions, including approval rates and processing times, starting in 2027.
• Requires Medicare Advantage plans to give doctors and enrollees access to the rules they use for prior authorization decisions.
• Requires Medicare Advantage plans to follow new patient protection standards, like allowing waivers for high-performing doctors and reviewing prior authorization requirements annually, starting in 2028.
• Lets the Secretary of Health and Human Services set specific deadlines for Medicare Advantage plans to respond to all prior authorization requests, including potentially 24-hour responses for urgent or routinely approved services.