To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
Rep. McClellan Introduces Bill to Reveal Spending on Medicare Advantage Extra Benefits
This bill is currently being reviewed by a House committee after a subcommittee approved it for further consideration. It is actively moving through the early stages of the legislative process. There are no companion bills currently linked to this proposal.
Legislative Progress
While transparency is popular, the bill is in the very early stages of the process and faces a long road through multiple committees before it could become law.
Key Points
Impact Analysis
Personal Impact
This bill targets Medicare Advantage supplemental benefits, which are extras like dental, vision, hearing, and fitness that MA plans use to attract enrollees. By requiring detailed reporting on how these benefits are used and how much plans actually spend on them, the bill could eventually lead to better oversight, more competitive offerings, and greater accountability. The roughly 33 million seniors enrolled in MA plans would benefit indirectly as policymakers and researchers gain tools to identify plans that underspend on promised benefits.
“enrollee-level data on supplemental benefits (by item or service, or category of item or service, as determined appropriate by the Secretary, and national provider identifier), including eligibility for such benefits, the types of benefit categories offered, data on utilization of and payments for such benefits”
Milestones
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
Subcommittee Consideration and Mark-up Session Held
Referred to the Subcommittee on Health.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
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.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
Votes
No votes have been recorded for this legislation yet.
Related News
4 articles
CMS Delays Medicare Advantage Rule Requiring Reminders Of Unused Perks
On September 10, 2025, CMS announced a delay in implementing a rule that would have required Medicare Advantage plans to notify enrollees of unused supplemental benefits. The agency cited the need to address logistical concerns and reevaluate data requirements for these extra perks.
'Fundamental lack of transparency' plagues $86B Medicare Advantage expense
A MedPAC report to Congress highlights a 'fundamental lack of transparency' regarding how Medicare Advantage enrollees use supplemental benefits like dental and vision. The commission noted that while the government spends $86 billion on these perks, it lacks data on actual utilization and cost.
CMS pauses MA supplemental benefit notification rule
CMS has issued a temporary pause on a policy requiring Medicare Advantage organizations to send mid-year notifications to enrollees about unused supplemental benefits. The delay follows industry concerns about the technical infrastructure needed to track and report such benefit data accurately.
Source Information
Document Type
Congressional Bill
Official Title
To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
Data Sources
Sponsor
Analysis generated by AI. Always verify with official sources.