To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.

This bill changes Medicare law so that Medicare Advantage plans must reconsider every decision that denies coverage to an enrollee. Under current law, a plan reconsiders a denial only when the enrollee asks for it. The bill removes the requirement that the enrollee make a request, so reconsideration would happen automatically. It also changes the start of the deadline for reconsideration from the date the plan receives a request to the date the denial decision is made.

Full text and official record on Congress.gov

Sponsors

• Mark Pocan Democrat sponsor
• 17 cosponsors