US HB3107 | 2019-2020 | 116th Congress

Status

Spectrum: Bipartisan Bill
Status: Introduced on June 5 2019 - 25% progression, died in committee
Action: 2019-06-06 - Referred to the Subcommittee on Health.
Pending: House Subcommittee on Health Committee
Text: Latest bill text (Introduced) [PDF]

Summary

Establishes several prohibitions, requirements, and standards relating to prior authorization processes under Medicare Advantage (MA) plans. Specifically, the bill prohibits MA plans from instituting additional prior authorization requirements for surgeries (including related items) that are furnished to a patient during other surgeries for which prior authorization was not required or was already received. Additionally, 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.

Tracking Information

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Title

Improving Seniors’ Timely Access to Care Act of 2019

Sponsors

Rep. Suzan DelBene [D-WA]Rep. Mike Kelly [R-PA]Sen. Roger Marshall [R-KS]Rep. Ami Bera [D-CA]
Rep. Larry Bucshon [R-IN]Rep. Bobby Rush [D-IL]Rep. George Holding [R-NC]Rep. Terri Sewell [D-AL]
Rep. Kenny Marchant [R-TX]Rep. Raul Ruiz [D-CA]Rep. Kurt Schrader [D-OR]Rep. Tom O'Halleran [D-AZ]
Rep. Thomas Suozzi [D-NY]Rep. Andy Harris [R-MD]Rep. John Joyce [R-PA]Rep. Kim Schrier [D-WA]
Rep. David Roe [R-TN]Rep. Neal Dunn [R-FL]Rep. Eleanor Norton [D-DC]Rep. Zoe Lofgren [D-CA]
Rep. Jeff Fortenberry [R-NE]Rep. Jamie Raskin [D-MD]Sen. Ted Budd [R-NC]Rep. Jeff Van Drew [R-NJ]
Rep. Glenn Grothman [R-WI]Rep. Gil Cisneros [D-CA]Rep. Andy Biggs [R-AZ]Rep. TJ Cox [D-CA]
Rep. Mike Gallagher [R-WI]Rep. Josh Harder [D-CA]Rep. Bill Posey [R-FL]Rep. Trent Kelly [R-MS]
Rep. Derek Kilmer [D-WA]Rep. Lucille Roybal-Allard [D-CA]Rep. Jackie Walorski [R-IN]Rep. Ann Wagner [R-MO]
Rep. Steve Chabot [R-OH]Rep. Guy Reschenthaler [R-PA]Rep. Josh Gottheimer [D-NJ]Rep. Brad Wenstrup [R-OH]
Rep. Brian Fitzpatrick [R-PA]Rep. Joseph Morelle [D-NY]Rep. Bill Pascrell [D-NJ]Rep. Blaine Luetkemeyer [R-MO]
Rep. Jared Huffman [D-CA]Rep. Nydia Velazquez [D-NY]Rep. Max Rose [D-NY]Rep. Mark Pocan [D-WI]
Rep. Chellie Pingree [D-ME]Rep. Raul Grijalva [D-AZ]Rep. Steve Watkins [R-KS]Rep. Scott Tipton [R-CO]
Rep. Mark Meadows [R-NC]Rep. Vicky Hartzler [R-MO]Rep. David McKinley [R-WV]Rep. Michael Waltz [R-FL]
Rep. Brendan Boyle [D-PA]Rep. Ruben Gallego [D-AZ]Rep. Susan Wild [D-PA]Rep. Vicente Gonzalez [D-TX]
Rep. Elise Stefanik [R-NY]Rep. David Loebsack [D-IA]Rep. Mary Gay Scanlon [D-PA]Rep. David Joyce [R-OH]
Rep. Dusty Johnson [R-SD]Rep. Grace Meng [D-NY]Rep. Lance Gooden [R-TX]Rep. Peter DeFazio [D-OR]
Rep. James Hagedorn [R-MN]Rep. Austin Scott [R-GA]Rep. Ross Spano [R-FL]Rep. Betty McCollum [D-MN]
Rep. Jimmy Panetta [D-CA]Rep. Katie Hill [D-CA]Rep. Gwen Moore [D-WI]Rep. Danny Davis [D-IL]
Rep. Henry Johnson [D-GA]Rep. Glenn Thompson [R-PA]Rep. Steven Horsford [D-NV]Rep. Drew Ferguson [R-GA]
Rep. James Comer [R-KY]Rep. Debbie Lesko [R-AZ]Rep. Ted Lieu [D-CA]Rep. Jason Crow [D-CO]
Rep. Christopher Pappas [D-NH]Rep. Elijah Cummings [D-MD]Rep. Mike Thompson [D-CA]Rep. Jody Hice [R-GA]
Rep. Kelly Armstrong [R-ND]Rep. Brian Babin [R-TX]Rep. Ron Kind [D-WI]Rep. Peter King [R-NY]
Rep. John Shimkus [R-IL]Rep. Michael Turner [R-OH]Rep. John Rutherford [R-FL]Rep. David Schweikert [R-AZ]
Rep. Abby Finkenauer [D-IA]Rep. Steven Palazzo [R-MS]Rep. Billy Long [R-MO]Rep. Abigail Spanberger [D-VA]
Rep. Denny Heck [D-WA]Rep. Kevin Hern [R-OK]Rep. Rodney Davis [R-IL]Rep. Susan Davis [D-CA]
Rep. Andre Carson [D-IN]Rep. Michael Guest [R-MS]Rep. Kendra Horn [D-OK]Rep. Sharice Davids [D-KS]
Rep. Mark Amodei [R-NV]Rep. Greg Murphy [R-NC]Rep. Doris Matsui [D-CA]Rep. Paul Cook [R-CA]
Rep. C.A. Ruppersberger [D-MD]Rep. Steve Stivers [R-OH]Rep. David Scott [D-GA]Rep. Bob Gibbs [R-OH]
Rep. Harley Rouda [D-CA]Sen. Markwayne Mullin [R-OK]Rep. Greg Stanton [D-AZ]Rep. David Price [D-NC]
Rep. Colin Allred [D-TX]Rep. Val Demings [D-FL]Rep. Susan Brooks [R-IN]Rep. Angela Craig [D-MN]
Rep. Gregory Pence [R-IN]Rep. Elizabeth Fletcher [D-TX]Rep. Robert Wittman [R-VA]Rep. Adrian Smith [R-NE]
Rep. Paul Gosar [R-AZ]Rep. David Trone [D-MD]Rep. Ed Perlmutter [D-CO]Rep. John Sarbanes [D-MD]
Rep. Darin LaHood [R-IL]Rep. Lucy McBath [D-GA]Rep. Francis Rooney [R-FL]Rep. Ann Kirkpatrick [D-AZ]
Rep. Pete Olson [R-TX]Rep. Henry Cuellar [D-TX]Rep. Dan Bishop [R-NC]Rep. Joyce Beatty [D-OH]
Rep. Chrissy Houlahan [D-PA]Rep. Fred Keller [R-PA]Rep. Greg Steube [R-FL]Rep. Rick Larsen [D-WA]
Rep. Lloyd Smucker [R-PA]Rep. Jesus Garcia [D-IL]Rep. David Rouzer [R-NC]Rep. Roger Williams [R-TX]
Rep. Sean Maloney [D-NY]Rep. Andy Kim [D-NJ]Rep. Jimmy Gomez [D-CA]Rep. Ron Estes [R-KS]
Rep. Collin Peterson [D-MN]Rep. Adam Kinzinger [R-IL]Rep. Haley Stevens [D-MI]Rep. Don Young [R-AK]
Rep. Jody Arrington [R-TX]Rep. Adam Schiff [D-CA]Rep. Mark Green [R-TN]Rep. William Keating [D-MA]
Rep. James Baird [R-IN]Rep. Al Lawson [D-FL]Rep. Alexander Mooney [R-WV]Rep. Dan Crenshaw [R-TX]
Rep. Carol Miller [R-WV]Rep. Jason Smith [R-MO]Rep. Frederica Wilson [D-FL]Rep. James Himes [D-CT]
Rep. Raja Krishnamoorthi [D-IL]Rep. Dean Phillips [D-MN]Rep. Steve Womack [R-AR]Rep. Michael Doyle [D-PA]
Rep. Tom Cole [R-OK]Rep. Katie Porter [D-CA]Rep. Will Hurd [R-TX]Rep. Dan Meuser [R-PA]
Rep. Kathleen Rice [D-NY]Rep. Anthony Brown [D-MD]Rep. Cindy Axne [D-IA]Rep. Darren Soto [D-FL]
Rep. Ralph Norman [R-SC]Rep. Cathy McMorris Rodgers [R-WA]Rep. Cheri Bustos [D-IL]Rep. Gerald Connolly [D-VA]
Rep. Louie Gohmert [R-TX]Rep. Joaquin Castro [D-TX]Rep. Don Beyer [D-VA]Rep. Randy Weber [R-TX]
Rep. Tim Walberg [R-MI]Rep. Tom Rice [R-SC]Rep. Sam Graves [R-MO]Rep. Tulsi Gabbard [D-HI]
Rep. Alan Lowenthal [D-CA]Rep. James Sensenbrenner [R-WI]Rep. Troy Balderson [R-OH]Rep. Lisa Rochester [D-DE]
Sen. Peter Welch [D-VT]Rep. Luis Correa [D-CA]Rep. Garland Barr [R-KY]Rep. Matt Gaetz [R-FL]
Rep. Rick Allen [R-GA]Rep. Jack Bergman [R-MI]Rep. Tim Burchett [R-TN]Rep. Madeleine Dean [D-PA]
Rep. Daniel Kildee [D-MI]Rep. Charlie Crist [D-FL]Rep. Frank Lucas [R-OK]Rep. Donald Payne [D-NJ]
Rep. Nanette Barragan [D-CA]Rep. Diana DeGette [D-CO]Rep. Adriano Espaillat [D-NY]Rep. James Langevin [D-RI]
Rep. Bill Johnson [R-OH]Rep. Robert Latta [R-OH]Rep. Anthony Gonzalez [R-OH]Rep. Fred Upton [R-MI]
Rep. Emanuel Cleaver [D-MO]Rep. Doug Lamborn [R-CO]Rep. Dwight Evans [D-PA]Rep. Stephen Lynch [D-MA]
Rep. Conor Lamb [D-PA]Rep. Doug LaMalfa [R-CA]Rep. John Katko [R-NY]Rep. Anthony Brindisi [D-NY]
Rep. Don Bacon [R-NE]Rep. Paul Tonko [D-NY]Rep. Matthew Cartwright [D-PA]Rep. Alcee Hastings [D-FL]
Rep. Julia Brownley [D-CA]Rep. Tim Ryan [D-OH]Rep. Robin Kelly [D-IL]Rep. Eliot Engel [D-NY]
Rep. Bruce Westerman [R-AR]Rep. Clay Higgins [R-LA]Rep. Jim Banks [R-IN]Rep. Daniel Webster [R-FL]
Rep. Morgan Griffith [R-VA]Rep. Ed Case [D-HI]Rep. Bennie Thompson [D-MS]Rep. Salud Carbajal [D-CA]
Rep. Jahana Hayes [D-CT]Rep. Mark DeSaulnier [D-CA]Rep. Grace Napolitano [D-CA]Rep. John Garamendi [D-CA]
Rep. Xochitl Torres Small [D-NM]Rep. Lacy Clay [D-MO]Rep. Pete Aguilar [D-CA]Rep. Barry Loudermilk [R-GA]
Rep. French Hill [R-AR]Rep. Lee Zeldin [R-NY]Rep. Ted Yoho [R-FL]Rep. Joseph Kennedy [D-MA]
Rep. Al Green [D-TX]Rep. Mike Levin [D-CA]Rep. Jerry McNerney [D-CA]Rep. Bill Foster [D-IL]
Rep. William Timmons [R-SC]Rep. Robert Aderholt [R-AL]Rep. Denver Riggleman [R-VA]Rep. Scott Perry [R-PA]
Rep. Michael Burgess [R-TX]Rep. Barbara Lee [D-CA]Rep. Rebecca Sherrill [D-NJ]Rep. Jeff Duncan [R-SC]
Rep. Michael Conaway [R-TX]Rep. Bill Flores [R-TX]Rep. Ann Kuster [D-NH]Rep. Mike Quigley [D-IL]
Rep. Earl Carter [R-GA]Rep. Michael McCaul [R-TX]Rep. Christopher Smith [R-NJ]Rep. Mark Walker [R-NC]
Rep. John Moolenaar [R-MI]Rep. Jaime Herrera Beutler [R-WA]Rep. Brett Guthrie [R-KY]Rep. Steve King [R-IA]
Rep. John Curtis [R-UT]Rep. Jerrold Nadler [D-NY]Rep. Charles Fleischmann [R-TN]Rep. Linda Sanchez [D-CA]
Rep. Kathy Castor [D-FL]

History

DateChamberAction
2019-06-06HouseReferred to the Subcommittee on Health.
2019-06-05HouseReferred 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.
2019-06-05HouseReferred 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.
2019-06-05HouseIntroduced in House

Subjects


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Bill Comments

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