H.R. 3514 · 119th Congress

Improving Seniors’ Timely Access to Care Act of 2025

Introduced on May 20, 2025 by Mike Kelly (R-PA-16). 306 cosponsors, 170 of them from another party. Latest action (Jul 15, 2026): Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.

Stage
Introduced
Introduced
May 20, 2025
Cosponsors
306
170 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

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

Subjects

  • Administrative law and regulatory procedures
  • Computers and information technology
  • Congressional oversight
  • Department of Health and Human Services
  • Government information and archives
  • Health care coverage and access
  • Internet, web applications, social media
  • Medicare

Summary

By the Congressional Research Service (Introduced in House, May 20, 2025). Public domain.

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.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Mike KellyR-PA-16Sponsor

Democrats · 170

Republicans · 136

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. May 20, 2025Introduced in House
  2. May 20, 2025Introduced in House
  3. May 20, 2025 · HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  4. May 20, 2025 · HouseReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  5. May 20, 2025 · HouseReferred to the Subcommittee on Health.
  6. Jun 25, 2026 · HouseSubcommittee Consideration and Mark-up Session Held
  7. Jun 25, 2026 · HouseForwarded by Subcommittee to Full Committee by Voice Vote.
  8. Jul 15, 2026 · HouseCommittee Consideration and Mark-up Session Held
  9. Jul 15, 2026 · HouseOrdered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. ASSOCIATION FOR CLINICAL ONCOLOGY6 reports
    $1.6M reported (all issues)
  2. Society for Cardiovascular Angiography and Interventions6 reports
    $138K reported (all issues)
  3. AMERICAN ACADEMY OF OPHTHALMOLOGY5 reports
    $1.4M reported (all issues)
  4. AMERICAN ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY5 reports
    $1.4M reported (all issues)
  5. AMERICAN COLLEGE OF CARDIOLOGY5 reports
    $2.8M reported (all issues)
  6. AMERICAN COLLEGE OF EMERGENCY PHYSICIANS5 reports
    $2.3M reported (all issues)Federal contractor: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS$92K in contracts, FY2026AI match · 100%
  7. AMERICAN COLLEGE OF RHEUMATOLOGY5 reports
    $480K reported (all issues)
  8. AMERICAN HOSPITAL ASSOCIATION5 reports
    $29M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  9. AMERICAN PHYSICAL THERAPY ASSOCIATION5 reports
    $1.6M reported (all issues)
  10. AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION5 reports
    $1.7M reported (all issues)
  11. American Academy of Physical Medicine and Rehabilitation5 reports
    $150K reported (all issues)
  12. American Clinical Neurophysiology Society5 reports
    $100K reported (all issues)
  13. American Medical Association5 reports
    $28.2M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  14. American Society of Hand Therapists5 reports
    $90K reported (all issues)
  15. COLLEGE OF AMERICAN PATHOLOGISTS5 reports
    $914.7K reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  16. California Hospital Association5 reports
    $2.7M reported (all issues)
  17. California Medical Association Inc.5 reports
    $432.6K reported (all issues)
  18. Epilepsy Foundation5 reports
    $420K reported (all issues)
  19. GLAUKOS5 reports
    $680K reported (all issues)
  20. Greater New York Hospital Association5 reports
    $2.8M reported (all issues)
  21. HUMANA INC.5 reports
    $5M reported (all issues)Federal contractor: HUMANA GOVERNMENT BUSINESS INC$5.6B in contracts, FY2026AI match · 100%
  22. MEDICAL GROUP MANAGEMENT ASSN5 reports
    $1.5M reported (all issues)
  23. McKesson Corporation & affiliates U.S. Oncology and Rx Savings Solutions5 reports
    $3.6M reported (all issues)
  24. McKesson Corporation & affiliates U.S. Oncology and Rx Savings Solutions (Former5 reports
    $150K reported (all issues)
  25. NATIONAL MULTIPLE SCLEROSIS SOCIETY5 reports
    $354.5K reported (all issues)
  26. PREMIER INC.5 reports
    $970K reported (all issues)
  27. QUEST DIAGNOSTICS INCORPORATED5 reports
    $2.2M reported (all issues)Federal contractor: QUEST DIAGNOSTICS INCORPORATED$67.1M in contracts, FY2026AI match · 100%
  28. SOCIETY FOR VASCULAR SURGERY5 reports
    $450K reported (all issues)
  29. Society of Hospital Medicine5 reports
    $200K reported (all issues)
  30. THE ALS ASSOCIATION5 reports
    $150K reported (all issues)
  31. Tourette Association of America5 reports
    $260K reported (all issues)
  32. AMERICAN ASSOCIATION OF ORTHOPAEDIC SURGEONS4 reports
    $1.7M reported (all issues)
  33. AMERICAN COLLEGE OF GASTROENTEROLOGY4 reports
  34. AMERICAN COLLEGE OF SURGEONS PROFESSIONAL ASSOCIATION4 reports
    $120K reported (all issues)
  35. AMERICAN HEALTH INFORMATION MANAGEMENT ASSN4 reports
    $80K reported (all issues)
  36. ASSOCIATION OF CANCER CARE CENTERS (FKA ASSOCIATION OF COMMUNITY CANCER CENTERS)4 reports
    $40K reported (all issues)
  37. American College of Obstetricians and Gynecologists4 reports
    $686K reported (all issues)
  38. American College of Surgeons4 reports
    $880K reported (all issues)Federal contractor: AMERICAN COLLEGE OF SURGEONS$2.1M in contracts, FY2026AI match · 100%
  39. BETTER MEDICARE ALLIANCE, INC.4 reports
    $2.3M reported (all issues)
  40. HEALTHCARE BUSINESS & MANAGEMENT ASSOC (FKA HEALTHCARE BILLING & MGMT)4 reports
    $80K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.