H.R. 3514 · 119th Congress

Sets electronic prior-approval and reporting rules for Medicare Advantage plans

Official title: Improving Seniors’ Timely Access to Care Act of 20251

Never got a floor voteMedicare Advantage

§1What it does

Why this matters: A plain-English description of the bill as it was voted on, written by us from the official summary and text.

Drafted by AI from the public sources cited. Each sentence links to its source.

This bill would set new rules for prior authorization, the advance approval that Medicare Advantage plans can require before they cover certain care.2,3 Plans would have to run an electronic prior authorization system that meets set standards, report each year information such as the share of requests they approve and their average response time for public release by the Centers for Medicare & Medicaid Services, and meet federal standards for the quality and timeliness of their decisions.3 Federal health agencies would also have to publish a report analyzing the plans' data, whether real-time decisions on requests are feasible, and how decisions made using artificial intelligence affect patients' access to care.3 This describes the bill as introduced; a House committee approved a revised version in July 2026.3

§2Status

StatusLatest action, July 15, 2026: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.1
IntroducedMay 20, 2025
SponsorRep. Kelly, Mike [R-PA-16]
Cosponsors308 cosponsors (170 Democratic, 138 Republican)
Official recordH.R. 3514 on Congress.gov

§3It never got a vote

Why this matters: This bill had wide support from both parties, but it never reached the House or Senate floor, so no member of Congress was ever recorded voting for or against it.

Latest action, July 15, 2026: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.1 How bills die without a vote.

2026 candidates who sponsored or cosponsored it (263)