Reps. DeGette and Joyce Introduce Bipartisan Bill to Reveal Medicare Advantage Costs
This bill is currently in the early stages of the legislative process after a subcommittee approved it on June 24, 2026. It must now be reviewed by the full House committees on Ways and Means and Energy and Commerce before it can move forward. While it has cleared one small hurdle, most bills do not receive a committee vote and this proposal remains in the early phase of consideration.
This bill has support from both parties and focuses on saving taxpayer money, but it still needs to move through several committees before it can be voted on by the full House.
Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
Companies that specialize in providing at-home health risk assessments for Medicare Advantage plans, particularly those owned by or affiliated with MA organizations, could face increased scrutiny. The new reporting requirements that flag insurer-owned assessment entities may reduce demand for these services if regulators use the data to crack down on assessment-driven upcoding practices.
Forwarded by Subcommittee to Full Committee by Voice Vote.
Subcommittee Consideration and Mark-up Session Held
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.
Referred to the Subcommittee on Health.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
The House Energy and Commerce Subcommittee on Health is set to mark up the Medicare Advantage Cost Transparency Act (H.R. 9392). Sponsored by Reps. Diana DeGette and John Joyce, the bill requires plans to report detailed allowed costs and out-of-pocket spending for beneficiaries starting in 2027.
House Energy and Commerce Chair Brett Guthrie announced a markup of 15 bills, including the Medicare Advantage Cost Transparency Act. The legislative package aims to lower healthcare costs by requiring insurers and hospitals to provide more upfront pricing and spending data to the government.
The Medicare Advantage Cost Transparency Act would require plans to report total allowed costs and patient cost-sharing. It also introduces new oversight for at-home health risk assessments, requiring plans to identify if the assessments were performed by an entity owned by the insurer.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
Medicare Advantage Cost Transparency Act
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