December 3, 2025
|
The Honorable Mike Johnson |
The Honorable John Thune Senate Majority Leader S-230, The Capitol Washington, DC 20515 |
| The Honorable Hakeem Jeffries House Minority Leader H-204, The Capitol Washington, DC 20515 |
The Honorable Chuck Schumer Senate Minority Leader S-221, The Capitol Washington, DC 20515 |
RE: National Rural Organizations Urge Passage of the Improving Seniors’ Timely Access to Care Act (S. 1816/H.R. 3514).
Dear Speaker Johnson, Leaders Thune, Jeffries, and Schumer,
On behalf of the undersigned national organizations committed to improving the health and well-being of rural communities, we write to express our deep concern about the impact of prior authorization requirements in Medicare Advantage on patients and providers in rural America and to urge swift passage of the Improving Seniors’ Timely Access to Care Act (S. 1816/H.R. 3514).
Over 10 million Medicare beneficiaries live in rural areas, and more than 42% of beneficiaries in the most rural areas are enrolled in Medicare Advantage.1 Rural beneficiaries often experience higher rates of chronic conditions, greater economic challenges, and fewer healthcare resources compared to urban populations. Prior authorization requirements in Medicare Advantage further restrict access to care and exacerbate these disparities.












