Rep. Ocasio-Cortez Introduces Bill to Reveal How Much Medicare Advantage Plans Pay Insurance Brokers
This bill is in the early stages of the legislative process and is currently being reviewed by a House committee. It moved forward on June 24, 2026, when a subcommittee sent it to the full committee for further consideration. The bill is actively moving through the committee phase, which is the next step required before it can reach the full House for a vote.
While there is growing interest in Medicare oversight, this bill currently lacks broad bipartisan support and faces likely opposition from the insurance industry.
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Independent insurance agents and brokers who sell Medicare Advantage plans would face new reporting requirements that track their compensation on a per-enrollee basis. While this does not directly cut their income, public disclosure of commission amounts could create downward pressure on broker pay over time and increase administrative burden.
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.

Beginning in 2028, the bill would require Medicare Advantage organizations to report certain agent and broker information, including whether an enrollee was signed up through an agent or broker and the type and amount of compensation paid in connection with enrollment.
Rep. Alexandria Ocasio-Cortez's bill would cap compensation for agents and brokers representing for-profit Medicare Advantage organizations. The bill seeks to redefine what constitutes compensation, targeting financial incentives that she said may skew agents' advice toward specific plans.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
Transparency in Medicare Advantage Steering Act
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