A Democratic bill with 1 Republican cosponsor · See all 2 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
The "Medicare Advantage Integrity Act of 2025" amends the Social Security Act to change how Medicare Advantage benchmark rates are calculated. It creates a floor for average geographic adjustments so they cannot fall below 0.70 for any area starting in 2026. Additionally, the bill requires that at least 50 percent of any payment increase resulting from this floor be used for basic benefits.
Yes· 3 of 14
- Scored +6
Would people over 65 be better off under this?
Seniors in low-penetration areas will benefit from stabilized benchmark rates and a mandate that funds flow to basic benefits.
- Scored +6
Would retired people be better off under this?
Retirees utilizing Medicare Advantage plans in specified areas will see improved funding for basic benefits.
- Scored +5
Does this put more money into Medicare, the health coverage for people over 65?
The bill increases benchmark payments for Medicare Advantage plans in low-penetration regions.
The opposite
- Scored -2
Does this reduce what the federal government owes?
Establishing a floor for benchmark rates likely increases government spending on Medicare Advantage payments.
- Scored -2
Does this reduce what the federal government spends?
The bill increases the minimum payment levels for Medicare Advantage benchmarks in certain areas.
- Scored -2
Does this make the government pay for what it commits to?
The mandate for a payment floor increases federal expenditures.
Who it would affect, and how
Potential Positive Impacts for People
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Support for Care: Section 2(b) requires that no less than 50 percent of the increase in blended benchmark amounts from the geographic adjustment floor must be used for payment for basic benefits.
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Benchmark Stability: Section 2(a)(2) establishes that the average geographic adjustment shall not be less than 0.70 for any area for 2026 and subsequent years.
Potential Negative Impacts for People
- No negative impacts for individuals or groups are explicitly mentioned in the provided text.
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 utilizing Medicare Advantage plans in specified areas will see improved funding for basic benefits. Would people over 65 be better off under this? — Seniors in low-penetration areas will benefit from stabilized benchmark rates and a mandate that funds flow to basic benefits. Would people in cities be better off under this? — Low Medicare fee-for-service penetration is more common in urban areas, making them primary beneficiaries. Would Black Americans be better off under this? — Low-penetration regions often overlap with minority populations who will benefit from increased benchmark floors. Would Hispanic Americans be better off under this? — Low-penetration regions often overlap with minority populations who will benefit from increased benchmark floors. Would households on low incomes be better off under this? — Low-income seniors in affected areas may see better coverage through improved basic benefit funding. Would Asian Americans be better off under this? — Minority populations in urban areas are more likely to benefit from benchmark adjustments. Would middle-income households be better off under this? — General improvement in Medicare Advantage stability benefits middle-class seniors. Would Native Americans be better off under this? — Potentially beneficial if their regions are identified as low-penetration areas. Would white Americans be better off under this? — Seniors across all racial groups in low-penetration areas benefit.
- Healthcare
- Does this put more money into Medicare, the health coverage for people over 65? — The bill increases benchmark payments for Medicare Advantage plans in low-penetration regions. Does this make health care easier to get in general? — By ensuring higher benchmark rates and directing funds to basic benefits, it may improve plan availability and care in underserved areas.
- Economy And Finance
- Does this make the government pay for what it commits to? — The mandate for a payment floor increases federal expenditures. Does this reduce what the federal government spends? — The bill increases the minimum payment levels for Medicare Advantage benchmarks in certain areas. Does this reduce what the federal government owes? — Establishing a floor for benchmark rates likely increases government spending on Medicare Advantage payments.
- Social Issues And Justice
- Does this narrow racial gaps in how people are treated? — Addressing disparities in regions with low fee-for-service penetration often benefits minority populations in urban areas.
- Governance And Ideology
- Does this give the federal government more power? — The bill increases federal oversight of how Medicare Advantage plans utilize specific payment increases.
- 11/12/2025
- 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.
- 2 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Maria SalazarRepublican · Florida
Darren SotoDemocrat · Florida