A Democratic bill with 1 Republican cosponsor · See all 3 cosponsors
Last activity — 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.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill is called the Puerto Rico Medicare Advantage Fairness Act of 2026. It was introduced in the House of Representatives on October 5, 2026. The bill amends title XVIII of the Social Security Act. Its goal is to make sure there are appropriate geographic adjustments made to Medicare Advantage benchmarks in Puerto Rico. It changes how the average geographic adjustment is determined for payment areas in Puerto Rico starting on or after January 1, 2027. Specifically, it makes the average geographic adjustment for Puerto Rico equal to the adjustment applied to the United States Virgin Islands.
Yes· 3 of 5
- Scored +7
Would people over 65 be better off under this?
Seniors in Puerto Rico who rely on Medicare Advantage may see better benchmark payments and improved health plan stability due to the adjusted geographic calculation.
- Scored +7
Would retired people be better off under this?
Retirees living in Puerto Rico stand to benefit from more equitable Medicare Advantage benchmarks matching those of the U.S. Virgin Islands.
- Scored +7
Does this put more money into Medicare, the health coverage for people over 65?
The bill ensures appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico, aligning them with the U.S. Virgin Islands to potentially increase funding flow.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
- Section 2: This provision ensures that the average geographic adjustment applied to a Medicare Advantage payment area in Puerto Rico will be equal to the adjustment applied to the United States Virgin Islands starting on or after January 1, 2027. This could be considered positive because it aims to ensure appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico by aligning them with the Virgin Islands.
Potential Negative Impacts for People
- The provided text does not contain any specific sections or provisions that outline negative consequences or burdens for individuals or groups of people.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would retired people be better off under this? — Retirees living in Puerto Rico stand to benefit from more equitable Medicare Advantage benchmarks matching those of the U.S. Virgin Islands. Would people over 65 be better off under this? — Seniors in Puerto Rico who rely on Medicare Advantage may see better benchmark payments and improved health plan stability due to the adjusted geographic calculation. Would Hispanic Americans be better off under this? — As the population of Puerto Rico is predominantly Hispanic, adjustments improving Medicare Advantage benchmarks will benefit this demographic group.
- Healthcare
- Does this put more money into Medicare, the health coverage for people over 65? — The bill ensures appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico, aligning them with the U.S. Virgin Islands to potentially increase funding flow. Does this make health care easier to get in general? — By adjusting Medicare Advantage benchmarks in Puerto Rico, the bill aims to improve the adequacy and access of healthcare coverage for beneficiaries in the territory.
- 10/5/2026
- 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.
- 3 Cosponsors added.
- Introduced in House
Gus BilirakisRepublican · Florida
Pablo HernándezDemocrat · Puerto Rico
Darren SotoDemocrat · Florida