Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
2025 · 2nd Quarter (Apr 1 - June 30)
ESSENTIA HEALTH
Filed by PRIMACY STRATEGY GROUP.
Open official filingSource-reported fields
Filing overview
- Type
- 2nd Quarter - Report
- Posted
- Jul 20, 2025
- Income
- $20,000.00
- Expenses
- Not reported
- Registrant
- PRIMACY STRATEGY GROUP
- Client
- ESSENTIA HEALTH
- Filing UUID
- 655e76be-268f-4b49-8983-e326160241fb
- Termination date
- Not reported
Literal source text
Lobbying issues and bill citations
Prior Authorization Simplification - H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.
FY26 Appropriations
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