Improving Seniors’ Timely Access to Care Act of 2022

Bill: 117-hr-8487
Sponsor: Rep. DelBene, Suzan K. [D-WA-1]
Introduced: 2022-07-26 in the House
Policy area: Health
Subjects: Administrative law and regulatory procedures
Congressional oversight
Department of Health and Human Services
Government information and archives
Government studies and investigations
Government trust funds
Health care coverage and access
Medicare
Performance measurement

Summary:
action_date: 2022-07-26
text: 

Improving Seniors' Timely Access to Care Act of 

2022

 
This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans. 

Specifically, MA plans must (1) establish an electronic prior authorization program that meets specified standards, including the ability to provide real-time decisions in response to requests for items and services that are routinely approved; (2) annually publish specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services, relating to the quality and timeliness of prior authorization determinations. 

action_date: 2022-12-30
text: 

Improving Seniors' Timely Access to Care Act of 

2022

 
This bill establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans. 

Specifically, MA plans must (1) establish an electronic prior authorization program that meets specified standards, including the ability to provide real-time decisions in response to requests for items and services that are routinely approved; (2) annually publish specified prior authorization information, including the percentage of requests approved and the average response time; and (3) meet other standards, as set by the Centers for Medicare & Medicaid Services, relating to the quality and timeliness of prior authorization determinations. 


Legislative actions:
action_date: 2022-12-30
text: Placed on the Union Calendar, Calendar No. 512.
action_date: 2022-12-30
text: Committee on Energy and Commerce discharged.
action_date: 2022-12-30
text: Committee on Energy and Commerce discharged.
action_date: 2022-12-30
text: Reported (Amended) by the Committee on Ways and Means. H. Rept. 117-696, Part I.
action_date: 2022-12-30
text: Reported (Amended) by the Committee on Ways and Means. H. Rept. 117-696, Part I.
action_date: 2022-07-27
text: Ordered to be Reported in the Nature of a Substitute (Amended) by Voice Vote.
action_date: 2022-07-27
text: Committee Consideration and Mark-up Session Held.
action_date: 2022-07-26
text: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
action_date: 2022-07-26
text: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
action_date: 2022-07-26
text: Introduced in House
action_date: 2022-07-26
text: Introduced in House