Improving Seniors’ Timely Access to Care Act of 2019
Bill journey · stage 2 of 5
Under committee review
What it doesSummary introduced in house (Jun 5, 2019)
Improving Seniors' Timely Access to Care Act of 2019
This bill establishes several prohibitions, requirements, and standards relating to prior authorization processes under Medicare Advantage (MA) plans.
Specifically, the bill prohibits MA plans from instituting additional prior authorization requirements for surgeries (including related items) that are furnished to a patient during other surgeries for which prior authorization was not required or was already received.
Additionally, MA plans must (1) establish an electronic prior authorization program that meets specified standards, including the ability to provide real-time decisions in response to requests for items and services that are routinely approved; (2) annually publish 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, relating to the quality and timeliness of prior authorization determinations.
What just happenedJun 6, 2019
Referred to the Subcommittee on Health.
Who’s behind it
- Introduced in HouseJun 5, 2019
- Jun 6, 2019Committee
Referred to the Subcommittee on Health.
Health Subcommittee - Jun 5, 2019IntroReferralH11100
Referred 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.
Energy and Commerce Committee - Jun 5, 2019IntroReferralH11100
Referred 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.
Ways and Means Committee - Jun 5, 2019IntroReferralIntro-H
Introduced in House
- Jun 5, 2019IntroReferral1000
Introduced in House