H.R. 3514, the Improving Seniors’ Timely Access to Care Act of 2025, advanced out of committee on July 15, 2026.
H.R. 3514 — Improving Seniors’ Timely Access to Care Act of 2025
What it does
This bill requires Medicare Advantage plans to establish electronic systems for prior authorization requests (doctor requests for approval before providing care) and to publicly report detailed data on approval rates, denial rates, appeal outcomes, and decision timelines. Plans must meet transparency and enrollee protection standards, with electronic systems required by 2028 and transparency reporting by 2027. The bill aims to speed up care decisions and make the approval process more visible to patients, doctors, and regulators.
Quorum's transparency scan gave Improving Seniors’ Timely Access to Care Act of 2025 a moderate transparency flag.
What happens next
H.R. 3514 advanced out of committee. Next stop: a floor vote.
Who is behind it
Filed by Mike Kelly. Cosponsored by Aaron Bean, Adam Gray, Adam Smith and Adelita Grijalva.