Prior Authorization Process Reform in Medicare Advantage Gaining Traction in Congress

Prior Authorization Process Reform in Medicare Advantage Gaining Traction in Congress

The Improving Seniors’ Timely Access to Care Act (S.1816/H.R.3514) is gaining significant bipartisan support in both chambers of Congress.

The bill aims to simplify the prior authorization process in Medicare Advantage, streamlining the process by codifying and strengthening the Centers for Medicare & Medicaid Services electronic prior authorization rule from 2024. It received bipartisan support in previous sessions of Congress and achieved unanimous passage in the House in 2022.

As of May 26, the bill has 286 cosponsors in the House and 70 cosponsors in the Senate. The bill is short by four cosponsors in the House to achieve the two-thirds support required for overriding a presidential veto.

Sources:

https://www.cap.org/advocacy/latest-news-and-practice-data/may-19-2026

https://www.congress.gov/bill/119th-congress/senate-bill/1816/cosponsors

Congressional Problem Solvers Caucus Endorses RESULTS Act

Congressional Problem Solvers Caucus Endorses RESULTS Act

A bipartisan congressional caucus recently announced its endorsement of the Reforming and Enhancing Sustainable Updates to Laboratory Testing...

Read More
Senate HELP Committee Votes to Advance Price Transparency Legislation

Senate HELP Committee Votes to Advance Price Transparency Legislation

On July 22, the Senate Health, Education, Labor, and Pensions (HELP) Committee voted to advance the Patients Deserve Price Tags Act (S.2355) by a...

Read More
The Rise of CLIA-Related Rejections: What Labs Should Review

The Rise of CLIA-Related Rejections: What Labs Should Review

Since CMS transitioned CLIA certification to a paperless system in March, TELCOR has noticed an increase in CLIA-related rejections and denials from...

Read More