S.1816

The bill aims to improve timely access to care for seniors by establishing requirements for prior authorization under Medicare Advantage plans.

The Improving Seniors’ Timely Access to Care Act of 2025 amends title XVIII of the Social Security Act to establish requirements for the use of prior authorization under Medicare Advantage plans. It mandates the creation of an electronic prior authorization program, ensuring secure electronic transmission of requests and responses. Medicare Advantage plans must provide access to criteria and documentation requirements to providers, suppliers, and enrollees.