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119-s-4384Committee
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Medicare Advantage Improvement Act of 2026

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Summary

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The Medicare Advantage Improvement Act of 2026 amends Medicare Advantage program rules to accelerate authorization decisions and improve transparency. The bill requires Medicare Advantage organizations to respond to standard authorization requests within 72 hours (or 24 hours for expedited requests) starting January 1, 2028, with limited extensions allowed. It also mandates real-time authorization decisions for clinically routine, low-risk services identified by the Secretary, requires enhanced public reporting of prior authorization data at multiple organizational levels, and prohibits certain re-authorization requirements for clinically necessary extensions of approved services.

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Bill details

Congress
119
Bill type
s
Introduced
April 27, 2026
Sponsor
Roger MarshallRKS
Cosponsors
1
Last action
April 27, 2026— Read twice and referred to the Committee on Finance.

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