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Should Congress Speed Up Medicare Advantage Prior-Authorization Decisions?

The bill would require Medicare Advantage plans to streamline prior authorization. Supporters cite faster care; opponents cite plan costs and utilization. Where do you land?

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The case for

Faster, electronic prior authorization could reduce care delays for seniors in Medicare Advantage.

Source: American Medical Association

The case against

Streamlining rules may increase plan costs and reduce a tool used to manage unnecessary care.

Source: AHIP

My Democracy doesn’t take a side — you choose your position below, and your message carries it. Sources represent one organization on each side; they don’t reflect My Democracy’s position.

This campaign is about this bill

H.R. 3514: Improving Seniors’ Timely Access to Care Act of 2025

What it does

Improving Seniors' Timely Access to Care Act of 2025This 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; (2) annually submit to the CMS for publication 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 (CMS), relating to the quality and timeli

Sponsor: Rep. Kelly, Mike [R-PA-16] (R-PA)Cosponsors: 302

Latest action: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0. (Jul 15, 2026)

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What’s your position?

Both sides are laid out above. Your message will carry your position — My Democracy doesn’t take a side.