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Faster Medicare Decisions: Shorter Wait Times for Coverage

New rules aim to speed up Medicare's coverage decision process. This means patients and healthcare providers will learn sooner if a service or medication is covered, potentially reducing wait times for necessary treatment.
Key points
Medicare offices will have 30 days to check if a coverage request is complete.
If incomplete, notification of needed documents will be sent within 60 days.
Decisions for complete requests will be issued within 9 months, following consultations and public comment.
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Additional Information
Print number: 118_HR_5392
Sponsor: Rep. Dunn, Neal P. [R-FL-2]
Process start date: 2023-09-12
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Timely Access to Coverage Decisions Act of 2023

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_5392.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2023-09-12.

What are the main provisions?

Key points include:

  • Medicare offices will have 30 days to check if a coverage request is complete.
  • If incomplete, notification of needed documents will be sent within 60 days.
  • Decisions for complete requests will be issued within 9 months, following consultations and public comment.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Dunn, Neal P. [R-FL-2].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-25.

CATEGORIES

Health Benefits