Bills · S 2879
IN COMMITTEE· 119TH CONGRESS
Senate BillS 2879Health
Medicare Advantage Prompt Pay Act
INTRO SEP 18· LAST ACTION SEP 18
READING
5MIN
COSPONSORS
2BIPARTISAN
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed Senate
Passed House
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill addresses a long-standing concern among healthcare providers about delays in payment from Medicare Advantage plans, which can cause financial strain and impact their ability to operate. If this bill becomes law, providers would have more predictable cash flow, potentially reducing their administrative overhead related to billing and collections. This could, in turn, help ensure that providers can continue to serve Medicare Advantage enrollees without financial hardship or a decrease in available services.
Without this bill, MA plans would continue to operate under current payment regulations, which providers often argue are insufficient to ensure timely reimbursement. The bill aims to create greater accountability and transparency within the Medicare Advantage system, fostering a more stable environment for both healthcare providers and the millions of Americans enrolled in MA plans.
KEY PROVISIONS
4AI-extractedPROVISION 01
Requires Medicare Advantage (MA) organizations to pay at least 95% of 'clean claims' within specific timeframes: 14 days for electronic in-network claims and 30 days for others.
This provision aims to significantly speed up payments to healthcare providers, improving their financial stability and reducing cash flow problems.
PROVISION 02
Mandates that MA organizations pay interest to providers for any clean claims not paid by the required deadline.
This creates a financial incentive for MA plans to pay on time and compensates providers for payment delays.
PROVISION 03
Authorizes the Secretary of Health and Human Services to impose civil money penalties of up to $25,000 on MA organizations for each instance of non-compliance with the prompt payment rules.
This provision provides a strong enforcement mechanism to ensure MA plans adhere to the new payment requirements.
PROVISION 04
Requires MA organizations to report detailed information on their prompt payment compliance, including the percentage of claims paid on time and the total interest paid for late claims.
This increases transparency and allows for oversight of MA plans' payment performance, informing enforcement actions and public accountability.
SPONSORSHIP
1 + 2
D· Nevada
YRS IN OFFICE
9
BILLS LED
122
COSPONSOR BREAKDOWNBIPARTISAN · 100%
DEM 1 REP 1 IND 0
ACTION TIMELINE
2 EVENTSSEP 18
Introduced in Senate
SEP 18
Read twice and referred to the Committee on Finance.
BILL INFO
TypeSenate Bill
NumberS 2879
Congress119th
StatusIn Committee
IntroducedSep 18, 2025
Last actionSep 18, 2025
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IN COMMITTEE· 119TH CONGRESS · FINANCE COMMITTEE · INTRODUCED SEP 18, 2025
Senate BillS 2879Health
Medicare Advantage Prompt Pay Act
INTRODUCED SEP 18, 2025· LAST ACTION SEP 18, 2025
PASSAGE CHANCES
—%
READING
5 min
COSPONSORS
2
COMPLEXITY
Moderate
