Establishes requirements for prior authorization under Medicare Advantage plans to improve timely access to care.

The bill amends title XVIII of the Social Security Act to establish requirements for the use of prior authorization under Medicare Advantage plans. It mandates that plans submit information to the Secretary of Health and Human Services, including lists of items and services subject to prior authorization, and details on requests, approvals, and denials. The Secretary must publish this information on a public website. The bill also requires plans to adopt transparent prior authorization programs, provide electronic transmission of requests and responses, and meet transparency requirements.

Establishes requirements for prior authorization under Medicare Advantage plans to improve timely access to care.

The bill amends title XVIII of the Social Security Act to establish requirements for the use of prior authorization under Medicare Advantage plans. It mandates that plans submit information to the Secretary of Health and Human Services, including lists of items and services subject to prior authorization, and details on requests, approvals, and denials. The Secretary must publish this information on a public website. The bill also requires plans to adopt transparent prior authorization programs, provide electronic transmission of requests and responses, and meet transparency requirements.