S2879-119

In Committee

Medicare Advantage Prompt Pay Act

119th Congress Introduced Sep 18, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The bill requires Medicare Advantage organizations to pay at least 95% of clean claims within 14 days (electronic in-network) or 30 days (other claims), regardless of in-network/out-of-network status. It relies on compliance mandates, reporting requirements, and product standards. The main policy areas are Healthcare and Finance.

Who Benefits and How

Physician practices and medical groups with MA patients could see lower costs, Hospitals treating Medicare Advantage patients could see lower costs, and Healthcare IT vendors providing claims processing systems could gain revenue opportunities.

Who Bears the Burden and How

Medicare Advantage organizations (private insurers offering MA plans) would take on compliance duties and Medicare Advantage insurers with high claim volumes could face higher costs.

Key Provisions

  • Requires Medicare Advantage organizations to pay at least 95% of clean claims within 14 days (electronic in-network) or 30 days (other claims), regardless of in-network/out-of-network status.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires Medicare Advantage organizations to pay at least 95% of clean claims within 14 days (electronic in-network) or 30 days (other claims), regardless of in-network/out-of-network status.

Key Policy Areas

Healthcare, Finance

Primary Purpose

The bill requires Medicare Advantage organizations to pay at least 95% of clean claims within 14 days (electronic in-network) or 30 days (other claims), regardless of in-network/out-of-network status.

Policy Domains

Healthcare Finance

S.2879-119 (Entire Bill)

Identified Gains
  • Physician practices and medical groups with MA patients
  • Hospitals treating Medicare Advantage patients
  • Healthcare IT vendors providing claims processing systems
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Hospitals treating Medicare Advantage patients:
Physician practices and medical groups with MA patients:
Healthcare IT vendors providing claims processing systems:
Identified Costs
  • Medicare Advantage organizations (private insurers offering MA plans)
  • Medicare Advantage insurers with high claim volumes
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Medicare Advantage insurers with high claim volumes:
Medicare Advantage organizations (private insurers offering MA plans):

Legislative Progress

In Committee
Introduced Committee Passed
Sep 18, 2025

Ms. Cortez Masto (for herself and Mrs. Blackburn) introduced the …

Sep 18, 2025

Read twice and referred to the Committee on Finance.

Sep 18, 2025

Introduced in Senate

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Financial Services
2 mentions across 1 clause
-2 negative

Medicare Advantage insurers with high claim volumes, Medicare Advantage organizations (private insurers offering MA plans)

Healthcare
2 mentions across 1 clause
+2 positive

Healthcare IT vendors providing claims processing systems, Hospitals treating Medicare Advantage patients

Physicians & Health Professionals
1 mention across 1 clause
+1 positive

Physician practices and medical groups with MA patients

Government
1 mention across 1 clause
?1 uncertain

Secretary of Health and Human Services (HHS/CMS)

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Finance
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
"ma_organization"
→ Medicare Advantage organization (private insurer offering Medicare Advantage plans)
"provider_of_services"
→ Healthcare providers and suppliers furnishing services to Medicare Advantage enrollees

Key Definitions

Terms defined in this bill

4 terms
"clean claim" §1857(f)(1)(B)

A claim with a complete UB-04 or CMS 1500 data set for all mandatory entries, and if submitted electronically, completed in accordance with standards adopted under section 1173(a)

"rebuttable presumption of receipt" §1857(f)(1)(C)(i)

Electronic claims: date verified in health care claim status request/response transaction. Non-electronic: fifth business day after postmark or transmission timestamp

"applicable number of calendar days" §1857(f)(1)(A)(ii)

14 days for electronic claims from in-network providers; 30 days for all other claims (electronic out-of-network or non-electronic claims)

"business day" §1857(f)(1)(C)(ii)

Any day other than Saturday, Sunday, or a legal public holiday under 5 USC 6103

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology