Improving Seniors’ Timely Access to Care Act of 2025
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Summary
This bill amends Medicare Advantage regulations to establish requirements for prior authorization processes used by MA plans. Beginning in 2027, MA plans must meet transparency requirements including annual reporting to the Secretary on prior authorization denials, approval rates, appeal outcomes, and decision timelines. Starting in 2028, MA plans must establish electronic prior authorization systems that meet federal standards and implement enrollee protection standards developed in consultation with providers and beneficiaries.
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