REAL Health Providers Act

This bill would require Medicare Advantage plans that use provider networks to keep an accurate online directory of their doctors and facilities starting in plan year 2028. Plans would have to check each listing at least every 90 days, mark listings they cannot verify, and remove providers who leave the network within 5 business days. If an enrollee sees a provider who is listed in the directory but is actually out of network, the enrollee would pay no more than the in-network cost. Plans would also have to study and report the accuracy of their directories each year, and federal officials would post accuracy scores online starting in 2029. The bill provides $4 million for this work and directs a federal study and guidance on keeping directories accurate.

Full text and official record on Congress.gov

Sponsors

• Jimmy Panetta Democrat sponsor
• 8 cosponsors