To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans.

This bill would change Medicare Advantage rules starting with plan years that begin at least one year after the bill becomes law. Each plan year, the Secretary of Health and Human Services would compare the average monthly payment made to a Medicare Advantage plan per enrollee with the average monthly cost of covering a person in original Medicare (Parts A and B). If the plan's payment is higher, no one could enroll or reenroll in that plan for the next plan year. This rule would not apply to special needs plans.

Full text and official record on Congress.gov

Sponsors

• Mark Pocan Democrat sponsor
• 15 cosponsors