This bipartisan legislation will work to ensure patients receive timely coverage decisions and improve access to quality care.
I will work to ensure Medicare patients receive timely coverage decisions and better access to needed care.
Occurrences
Congressman Neal Dunn (FL-02) and Congresswoman Nanette Barragán (CA-44) introduced H.R. 8500, the Ensuring Timely Access to Coverage Decisions Act, bipartisan legislation aimed at improving Medicare patients’ access to timely and appropriate care.
Congressman Neal Dunn (FL-02) and Congresswoman Nanette Barragán (CA-44) introduced H.R. 8500, the Ensuring Timely Access to Coverage Decisions Act, bipartisan legislation aimed at improving Medicare patients’ access to timely and appropriate care.
Evidence
April 28, 2026 | Posted in Press Releases WASHINGTON, D.C.–Yesterday, Congressman Neal Dunn (FL-02) and Congresswoman Nanette Barragán (CA-44) introduced H.R. 8500, the Ensuring Timely Access to Coverage Decisions Act, bipartisan legislation aimed at improving Medicare patients’ access to timely and appropriate care.
March 20, 2026 | Posted in Press Releases Tags: Health WASHINGTON, DC–Congressman Neal Dunn, M.D.(FL-02) and Congressman Darren Soto (FL-09) have introduced the Facilitating Access to Innovation in Cancer Care Act (FAIC Act) to ensure cancer patients on Medicare can access the most effective treatments available.
The press release archive shows recent health-related activity but no posted release in the lookback window showing enactment or agency implementation of the promised Medicare coverage-decision timeliness reforms.
CMS said the proposed rule would require state Medicaid and CHIP fee-for-service programs, Medicaid managed care plans, CHIP managed care entities, and QHP issuers to make prior authorization decisions for all drugs within a timeframe aligned with existing decision requirements: no later than 24 hours for expedited requests or 7 days for standard requests.
CMS announced an Electronic Prior Authorization Acceleration initiative and said the effort is intended to address key challenges and drive solutions ahead of 2027 requirements, including defined timeframes for prior authorization decisions.
CMS stated that as of January 1, 2026, impacted payers across Medicare Advantage, Medicaid, CHIP and Marketplace plans are required to send prior authorization decisions for medical items and services within 72 hours for expedited requests and 7 calendar days for standard requests.
The Medicare Advantage Improvement Act was described as a step to rein in excessive prior authorization abuse and ensure timely access to care, indicating the issue remained active in Congress during the lookback period.
CMS finalized a rule to make federal dispute resolution more efficient and transparent, and to reduce administrative bottlenecks in health care decision-making. The page also says a new IDR Gateway will launch in phases beginning in 2026 to help users track status and manage disputes.
CMS proposed a permanent Medicare drug-price negotiation framework that it says will be more transparent and sustainable, while maintaining access for beneficiaries. The release describes continued Medicare process reform during the same term.
Assessments
Dunn took direct, serious same-term action on this promise by introducing H.R. 8500, the Ensuring Timely Access to Coverage Decisions Act, specifically aimed at improving timely Medicare coverage decisions. Related CMS rules and initiatives on prior authorization and decision timelines show movement in the broader policy area, but the evidence does not show that Dunn's promised outcome was actually enacted or fully delivered for Medicare patients. Because he materially pursued the goal but there is no evidence of completed delivery, this rates as a failed delivery with documented effort rather than full or partial fulfillment.
Dunn has taken clear, direct action toward the promise by introducing H.R. 8500, the Ensuring Timely Access to Coverage Decisions Act, specifically aimed at improving timely Medicare coverage decisions and access to care. That is strong evidence of meaningful effort in the same term. However, the record provided does not show enactment of Dunn's bill or a completed policy change attributable to him. CMS actions on prior authorization timeliness show the federal system moved somewhat in the promised direction, but those agency steps do not establish that Dunn himself fully delivered the promised outcome. Because there is concrete legislative advancement by Dunn plus some contemporaneous policy movement, but no proof of full fulfillment, the best judgment is partial rather than delivered or unresolved.