Medicare Advantage: Transparency in Spending and Profits
To amend title XVIII of the Social Security Act to promote transparency of Medicare Advantage plan information.
A house committee must act next: committee consideration.
While transparency is often popular, bills introduced by a single member without a large group of supporters often struggle to move through the long committee process.
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
Starting with plan years on or after January 1, 2029, Medicare Advantage insurers would have to publicly post how much of their revenue goes toward paying medical claims versus overhead, administration, and profit. This affects roughly 33 million people, about half of all Medicare beneficiaries, who are enrolled in MA plans, giving them clearer data to judge whether their premium dollars are paying for care or corporate overhead.
“Beginning with plan years beginning on or after January 1, 2029, a contract under this section with an MA organization shall require the organization, with respect to each MA plan offered by such organization during such plan year, to submit to the Secretary and publish on the public website of such organization the following information in a consumer-friendly format specified by the Secretary”
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.
No votes, news coverage, or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
To amend title XVIII of the Social Security Act to promote transparency of Medicare Advantage plan information.
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