Contact Congress about H.R. 4559: Prompt and Fair Pay Act

Doctors and hospitals would get stronger payment rules when treating Medicare Advantage patients. Plans would have to pay at least regular Medicare rates and pay clean claims within 14 or 30 days, depending on how the claim is sent.

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Prompt and Fair Pay Act is a House bill in committee. The latest recorded action: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Latest action on H.R. 4559: Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Who this affects: This bill mainly affects doctors, hospitals, and other providers who treat Medicare Advantage patients. It could make their payments faster and more predictable. Medicare Advantage plans would have to change how they set rates, process claims, handle denials, and plan for costs. People enrolled in Medicare Advantage could see effects too, but the bill does not say whether premiums, benefits, provider networks, or plan choices would change.

Why this matters: This bill matters because slow or low payments can affect whether providers keep treating Medicare Advantage patients. Faster and more predictable payment could help providers manage cash flow. Requiring regular Medicare rates could also raise costs for plans. The bill does not say how those costs might affect premiums, benefits, provider networks, or plan choices.

Key provisions in H.R. 4559

• Starting with plan years on or after January 1, 2027, Medicare Advantage contracts with providers must pay at least regular Medicare rates. That means the amount paid under Medicare Parts A and B for the same care.
• Plans must pay clean claims from in-network providers on a national schedule. They get 14 days for electronic claims and 30 days for claims sent another way.
• The bill says when a plan has received a claim and when a claim counts as clean. A clean claim must meet the same basic standards used in original Medicare.
• If a claim is not clean, the plan must tell the provider every problem. It has 10 days for electronic claims and 15 days for other claims, and it must explain how to fix and resend the claim.
• If a plan does not pay or challenge a claim by the deadline, the claim automatically counts as clean. The plan must then pay it.

How Modern Action helps you take action on H.R. 4559

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about H.R. 4559

What is H.R. 4559?

Doctors and hospitals would get stronger payment rules when treating Medicare Advantage patients. Plans would have to pay at least regular Medicare rates and pay clean claims within 14 or 30 days, depending on how the claim is sent.

How do I support or oppose H.R. 4559?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about H.R. 4559?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

How does Modern Action help me act on H.R. 4559?

Modern Action gives you bill-specific context, lets you choose support, opposition, or changes, and drafts a message from your position and reasons.