Bills/H.R. 5454

Medicare Advantage Prompt Pay Act

Medicare Advantage Prompt Pay Act

In CommitteeHealthcareHouseHouse Bill · 119th Congress
Bill Progress · House
Introduced
Committee
Passed House
Passed Senate
Passed Both
Signed

Plain Language Summary

# Medicare Advantage Prompt Pay Act Summary **What the Bill Would Do** The Medicare Advantage Prompt Pay Act aims to require health insurance companies offering Medicare Advantage plans to pay healthcare providers (doctors, hospitals, etc.) more quickly. Currently, these insurers may take a significant amount of time to process and pay claims submitted by medical providers, which can create cash flow problems for healthcare facilities. This bill would establish faster payment deadlines to ensure providers receive reimbursement in a more timely manner. **Who It Affects** The bill would primarily impact healthcare providers (such as hospitals, clinics, and individual doctors) who treat Medicare Advantage patients, as well as the insurance companies that manage these plans.

Medicare Advantage is a private insurance alternative that serves millions of Medicare beneficiaries, so the changes could indirectly affect seniors enrolled in these plans if payment delays influence provider participation or service availability. **Current Status** As of now, the bill remains in committee and has not been voted on by the full House of Representatives. This means it is still in the early stages of the legislative process and has not yet advanced to a floor vote.

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Latest Action

September 18, 2025

Referred 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.

Sponsor

6 cosponsors

Key Dates

Introduced
September 18, 2025
Last Updated
September 18, 2025
Read Full Text on Congress.gov →
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