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Proposed

Bill · 119th Congress · HR 5243

To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.

Refreshed 4 h ago

Introduced 2025-09-10Topic: health care · technology privacy

Summary

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This bill would require Medicare Advantage organizations, starting with plan years beginning on or after January 1, 2029, to report data on supplemental benefits for each enrollee in each plan they offer. The data would include eligibility for these benefits, the types of benefits offered, how often they are used, how much the plan paid, and each enrollee's out-of-pocket costs. Beginning in 2030, the federal government would make this data available each year to researchers and others for program evaluation and health care research, and would post a public use data file on the Centers for Medicare & Medicaid Services website. The government would have to use procedures to protect the privacy of individually identifiable enrollee information.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2026-06-25HouseForwarded by Subcommittee to Full Committee (Amended) by Voice Vote.refer
2026-06-25HouseSubcommittee Consideration and Mark-up Session Heldrefer
2025-09-10HouseReferred to the Subcommittee on Health.refer
2025-09-10HouseReferred 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.refer
2025-09-10HouseReferred 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.refer
2025-09-10Introduced in Houseintroduce
2025-09-10Introduced in Houseintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-11. Provisions and opinion polling arrive in a later release.