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H.R. 8487

Improving Seniors’ Timely Access to Care Act of 2022

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.

Placed on the Union Calendar, Calendar No. 512.

Rep. DelBene, Suzan K. [D-WA-1](D-WA)Sponsor
3 cosponsors1 D2 R
3cosponsors2committees11actions1related bills9subjects
  1. CalendarsH12410

    Placed on the Union Calendar, Calendar No. 512.

  2. DischargeH12300

    Committee on Energy and Commerce discharged.

    Energy and Commerce Committee
  3. Committee5500

    Committee on Energy and Commerce discharged.

    Energy and Commerce Committee
  4. CommitteeH12200

    Reported (Amended) by the Committee on Ways and Means. H. Rept. 117-696, Part I.

    Ways and Means Committee
  5. Committee5000

    Reported (Amended) by the Committee on Ways and Means. H. Rept. 117-696, Part I.

    Ways and Means Committee
  6. Committee

    Ordered to be Reported in the Nature of a Substitute (Amended) by Voice Vote.

    Ways and Means Committee
  7. Committee

    Committee Consideration and Mark-up Session Held.

    Ways and Means Committee
  8. 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
  9. 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
  10. IntroReferralIntro-H

    Introduced in House

  11. IntroReferral1000

    Introduced in House

Dec 30, 20228

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.

Jul 26, 2022

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.

Improving Seniors’ Timely Access to Care Act of 2022 — Informed