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Improving Seniors’ Timely Access to Care Act of 2024

S. 4532 Sen. Roger Marshall (R-KS) In committee
Bill text PDF
  1. Introduced Jun 13
  2. Committee Jun 13
  3. Passed Senate Next
  4. Passed House Not yet
  5. To President Not yet
  6. Law Not yet
Where it stands
In committee, Jun 13, 2024Next: Senate vote
867d ago Jun 13, 2024: Read twice and referred to the Committee on Finance.
Final votes
No roll callsNo recorded vote on this bill yet
Lobbying
6companies, 8 filings
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Summary

This bill amends the Social Security Act to establish new requirements for how Medicare Advantage plans use prior authorization. It mandates electronic prior authorization, transparency reporting, and enrollee protection standards, and gives the Secretary authority to set response timeframes.

Sec. 2, Prior authorization requirements: Medicare Advantage plans that use prior authorization must, starting in 2027, have an electronic program for secure transmission of requests and responses, excluding faxes, proprietary portals, or electronic forms that don't meet standards. Starting in 2026, plans must annually report to the Secretary a list of items and services subject to prior authorization, approval and denial rates, appeal data, use of decision-support or AI technology, average and median response times, and other information. Plans must also provide criteria and documentation requirements to providers and enrollees. The Secretary will publish this data on a public CMS website. The Medicare Payment Advisory Commission must report to Congress within 3 years of first data submission. Enrollee protection standards require transparent programs developed with enrollees and providers, allowing waiver of prior authorization based on provider performance, and annual reviews of prior authorization items. The term 'applicable item or service' means any benefit under the plan except Part D drugs. The GAO must report by 2032 on implementation, and HHS must report by 2027 defining 'real-time decision' and detailing a process for real-time decisions for routinely approved services.

Sec. 2(b), Secretary authority for timely responses: The Secretary may establish timeframes, such as 24 hours, for responses to prior authorization requests, including expedited requests, real-time decisions for routinely approved items, and any other request.

Summary of the bill text as introduced in Senate (Jun 13, 2024), generated by SecBot from the official bill text; the Library of Congress summary is not yet published.

Official record from Congress.gov, the House Clerk and the Senate; lobbying from Lobbying Disclosure Act filings. Updated Oct 28, 2026.