Becker's Healthcare July 25, 2025
Medicare Advantage legislation in Congress: 7 bills to know
Federal lawmakers have introduced a handful of bills aimed at speeding up prior authorization and cracking down on upcoding in Medicare Advantage.
None of the introduced bills have been heard in committee.
Here are seven proposals introduced in 2025 to know:
- Reps. Lloyd Doggett, D-Texas, and Greg Murphy, MD, R-N.C., introduced the Prompt and Fair Pay Act, which would require MA plans to reimburse services covered by traditional Medicare at the same rate as the Medicare fee schedule. The legislation also establishes requirements for MA plans to reimburse providers within 14 days for claims submitted electronically.
The legislation is backed by America’s Essential Hospitals and other hospital associations.
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