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H.R. 3173

Improving Seniors’ Timely Access to Care Act of 2021

Improving Seniors' Timely Access to Care Act of 2022

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, 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.

Received in the Senate.

Rep. DelBene, Suzan K. [D-WA-1](D-WA)Sponsor
326 cosponsors191 D135 R
326cosponsors2committees17actions2related bills9subjects
  1. IntroReferral

    Received in the Senate.

  2. FloorH38310

    Motion to reconsider laid on the table Agreed to without objection.

  3. FloorH37300

    On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H7796-7798)

  4. Floor8000

    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.

  5. FloorH8D000

    DEBATE - The House proceeded with forty minutes of debate on H.R. 3173.

  6. FloorH30000

    Considered under suspension of the rules. (consideration: CR H7796-7804)

  7. FloorH30300

    Ms. DelBene moved to suspend the rules and pass the bill, as amended.

  8. FloorH8D000

    The Chair announced the Speaker's designation, pursuant to clause 7(a)(1) of rule XV, of H. R. 3173 as the measure on the Consensus Calendar to be considered this week.

  9. Committee

    Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .

    Health Subcommittee
  10. Committee

    Subcommittee Consideration and Mark-up Session Held.

    Health Subcommittee
  11. CalendarsH12440

    Assigned to the Consensus Calendar, Calendar No. 2.

    Ways and Means Committee
  12. CalendarsH12440

    Motion to place bill on Consensus Calendar filed by Ms. DelBene.

    Ways and Means Committee
  13. Committee

    Referred to the Subcommittee on Health.

    Health Subcommittee
  14. IntroReferralH11100

    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
  15. IntroReferralH11100

    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
  16. IntroReferralIntro-H

    Introduced in House

  17. IntroReferral1000

    Introduced in House

Sep 14, 202253

Improving Seniors' Timely Access to Care Act of 2022

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, 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.

May 13, 2021

Improving Seniors' Timely Access to Care Act of 2021

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, 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.

Improving Seniors’ Timely Access to Care Act of 2021 — Informed