HR 8375

This bill, the Medicare Advantage Improvement Act of 2026, aims to improve access to timely care for Medicare Advantage enrollees by setting stricter deadlines for Medicare Advantage organizations to respond to authorization requests. It also reduces expedited timeframes for certain authorizations and enhances transparency by requiring Medicare Advantage organizations to report more detailed prior authorization data. Furthermore, the bill establishes a compliance scoring program to hold Medicare Advantage organizations accountable for meeting quality standards and expands the Medicare star ratings system to include a new domain focused on program compliance and coverage protection.