As Medicare Advantage oversight evolves, how do CMS’s administrative rules compare to Congress’s pending legislative fixes?
This policy brief breaks down the key differences between the Improving Seniors Timely Access to Care Act of 2025 and recent CMS regulations governing prior authorization. While regulatory rules establish foundational standards for electronic prior authorization and continuity of care, critical gaps remain across AI oversight, provider gold-carding, and plan-level transparency. Read the brief to explore where executive rulemaking ends, why legislative action is required, and what these changing standards mean for enrollees and providers.