Federal SB1816 aims to enhance timely access to care for seniors by setting requirements for prior authorization under Medicare Advantage plans.

Federal SB1816, the "Improving Seniors’ Timely Access to Care Act of 2025," introduces measures to streamline prior authorization processes for Medicare Advantage plans. It mandates these plans to establish electronic prior authorization programs, ensuring secure electronic transmission of requests and responses. The bill also requires transparency in criteria used for prior authorization decisions, providing access to these criteria for providers, suppliers, and enrollees.

Federal SB1816 aims to enhance timely access to care for seniors by setting requirements for prior authorization under Medicare Advantage plans.

Federal SB1816, the "Improving Seniors’ Timely Access to Care Act of 2025," introduces measures to streamline prior authorization processes for Medicare Advantage plans. It mandates these plans to establish electronic prior authorization programs, ensuring secure electronic transmission of requests and responses. The bill also requires transparency in criteria used for prior authorization decisions, providing access to these criteria for providers, suppliers, and enrollees.