Improving Seniors’ Timely Access to Care Act of 2025
Current understanding
Legislation that would require Medicare Advantage plans to implement electronic prior authorization systems, meet CMS-set standards for timeliness and quality of PA decisions, and publicly report metrics such as approval rates and response times. The bill also directs analysis of how AI-based utilization management affects patient access. Status: introduced in the 119th Congress; incremental refinement of existing MA coverage-review processes rather than a new mechanism.
Evidence log
- 2026-07-15 — Improving Seniors’ Timely Access to Care Act of 2025: cross-connection with wiser-model-prior-authorization: Both address prior authorization in Medicare — this bill sets electronic PA and transparency standards for Medicare Advantage, while the WISeR Model applies AI-assisted PA to fee-for-service Medicare, complementary policy tracks on utilization management. (novelty: 2)