Improving Seniors’ Timely Access to Care Act of 2025

Hozzl · 2025-06-12T13:58:13Z

Explore the details of Senate Bill 1816 Improving Seniors’ Timely Access to Care Act of 2025 currently in Congress. Get insights into its purpose, current status, sponsors, and potential impact on Health. Stay informed on legislative developments.

6/12/2025, 1:58 PM

Summary of Bill S 1816

This bill, designated as S. 1816 in the 119th Congress, aims to amend title XVIII of the Social Security Act concerning the utilization of prior authorization within Medicare Advantage plans. The bill was introduced on May 20, 2025.

Congressional Summary of S 1816

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.

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Current Status of Bill S 1816

Bill S 1816 is currently in the status of Bill Introduced since May 20, 2025. Bill S 1816 was introduced during Congress 119 and was introduced to the Senate on May 20, 2025. Bill S 1816's most recent activity was Read twice and referred to the Committee on Finance. as of May 20, 2025

Bipartisan Support of Bill S 1816

Total Number of Sponsors

Democrat Sponsors

Republican Sponsors

Unaffiliated Sponsors

Total Number of Cosponsors

148

Democrat Cosponsors

Republican Cosponsors

Unaffiliated Cosponsors

Policy Area and Potential Impact of Bill S 1816

Primary Policy Focus

Health

Alternate Title(s) of Bill S 1816

A bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.