A Democratic bill with 1 Republican cosponsor · See all 2 cosponsors
Last activity — Read twice and referred to the Committee on Finance.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The Medicare Advantage Prompt Pay Act seeks to amend the Social Security Act to require Medicare Advantage organizations to pay clean claims more quickly. Under this bill, organizations must provide prompt payment for at least 95 percent of clean claims submitted to them. Payment deadlines are set at 14 days for electronic claims submitted under a contract and 30 days for other claims. If an organization fails to meet these deadlines, they are required to pay interest to the provider. Additionally, the Secretary can impose civil money penalties of up to $25,000 for non-compliance. These changes are intended to apply to items and services furnished on or after January 1, 2027.
Yes· 3 of 8
- Scored +5
Would business owners be better off under this?
Medical practice owners will benefit from guaranteed prompt payment timelines and interest on late payments.
- Scored +5
Does this make what the government does easier for the public to see?
The bill mandates the collection of data regarding claim payment percentages and interest paid to increase oversight.
- Scored +4
Does this make it easier to run a small business?
By requiring faster payments and interest on delays, the bill helps medical providers maintain better cash flow.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Faster Payments for Providers: Medicare Advantage organizations would be required to pay at least 95 percent of clean claims within specific timeframes, which are 14 days for certain electronic claims and 30 days for others (Section 2(a)(1)(A)).
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Financial Compensation for Delays: If a clean claim is not paid by the required deadline, the Medicare Advantage organization must pay the provider interest at a specific rate (Section 2(a)(1)(A)(D)).
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Accountability Through Penalties: The Secretary is authorized to impose civil money penalties of up to $25,000 if it is determined that a Medicare Advantage organization is not complying with the prompt payment requirements (Section 2(a)(1)(B)).
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Increased Transparency: The bill requires the collection of information regarding how many claims were paid on time and the total amount of interest paid by the plan, which helps in monitoring compliance (Section 2(b)).
Potential Negative Impacts for People
- No negative impacts are explicitly stated in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would business owners be better off under this? — Medical practice owners will benefit from guaranteed prompt payment timelines and interest on late payments. Would retired people be better off under this? — The bill supports the administrative infrastructure that services retired populations through Medicare Advantage. Would people over 65 be better off under this? — A more stable financial environment for Medicare Advantage providers may help ensure continuity of care for seniors.
- Economy And Finance
- Does this make it easier to run a small business? — By requiring faster payments and interest on delays, the bill helps medical providers maintain better cash flow. Does this make the government pay for what it commits to? — The bill implements penalties and interest requirements to ensure Medicare Advantage organizations fulfill their financial obligations to providers promptly.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill mandates the collection of data regarding claim payment percentages and interest paid to increase oversight.
- Healthcare
- Does this make health care easier to get in general? — Ensuring providers are paid promptly can help maintain the stability of the healthcare provider network. Does this put more money into Medicare, the health coverage for people over 65? — The bill increases the efficiency of fund distribution to providers within the Medicare Advantage system via mandated payment deadlines.
- 3/18/2026
- 1 Cosponsor added.
- 9/18/2025
- Read twice and referred to the Committee on Finance.
- 1 Cosponsor added.
- Introduced in Senate
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Marsha BlackburnRepublican · Tennessee
Adam SchiffDemocrat · California