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Congress·In Committee·H.R. 4093

Medicare Spending: New Local Reporting Rules

Apples to Apples Comparison Act of 2025

9 months ago·View on Congress.gov
Part of: Congress Moves to Mandate County-Level Medicare Cost Transparency
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Stalled

No legislative action in over 90 days.

Legislative Progress

House
Senate
President
Law

Key Points

  • This bill requires the government to publish detailed reports showing exactly how much Medicare spends on healthcare in every county and major city area in the United States.
  • The goal is to help the public and researchers compare the costs of "traditional" Medicare against private "Medicare Advantage" plans to see which one is a better deal for taxpayers.
  • Starting in 2025, the government would have to post these files online in a format that computers can easily read, covering spending data from as far back as 2015 and looking forward five years.
  • The reports would break down spending into dozens of specific groups, such as people who only have hospital insurance versus those who also have drug coverage or extra private insurance.
  • Experts would be required to analyze this data every year to see if private Medicare plans are more or less expensive than the traditional government-run program after accounting for how sick or healthy the patients are.

Milestones

2 milestones2 actions
Jun 24, 2025House

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.

Jun 24, 2025

Introduced in House

Related Bills

1 bill
S. 3848Related bill

Apples to Apples Comparison Act of 2026

Feb 11 — Read twice and referred to the Committee on Finance.

Source Information

Document Type

Congressional Bill

Official Title

Apples to Apples Comparison Act of 2025

Bill NumberHR 4093
Congress119th Congress
ChamberHouse of Representatives
Latest ActionReferred 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.

Sponsor

Cosponsors

(19)
R: 19

Analysis generated by AI. Always verify with official sources.