Medicare Advantage Prompt Pay Act
In committee: it can still change before the session ends.
- Stage
- In committee
- Started in
- House
- Sponsors
- 21
- Latest action
- Sep 18, 2025
What it does
The Medicare Advantage Prompt Pay Act would require Medicare Advantage organizations to pay at least 95 percent of clean claims from in-network and out-of-network providers within 14 days for electronic claims and 30 days for non-electronic claims, starting January 1, 2027. Organizations that fail to meet these deadlines would owe interest on late payments and could face civil money penalties of up to $25,000 per violation. The bill also mandates that Medicare Advantage plans report detailed compliance data, including claim payment rates and interest paid, to improve transparency and enforcement of prompt payment standards.
No official summary is available here. This one was written by AI from the bill’s text.
Where it stands
Introduced (Done)
Committee (Current step)
Floor (Not started)
Law (Not started)
What moved
Who is involved
Sponsors
The lawmakers who put their names on it, lead sponsors first.
In the news
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Where it goes next
While a bill can still move, the questions are about people and money.