A Democratic bill with 1 Republican cosponsor · See the cosponsor
Last activity — Forwarded by Subcommittee to Full Committee by Voice Vote.
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, known as the Medicare Advantage Cost Transparency Act, proposes to amend title XVIII of the Social Security Act. It focuses on updating the encounter data submitted by Medicare Advantage plans. For plan years beginning on or after January 1, 2027, the Secretary would require specific new information to be included in this data. This includes details regarding allowed amounts and cost sharing for items or services. Additionally, it requires indicators regarding at-home health risk assessments.
Yes· 3 of 7
- Scored +5
Does this make what the government does easier for the public to see?
The bill increases transparency by requiring Medicare Advantage plans to report specific cost-sharing and allowed amount data.
- Scored +3
Would people over 65 be better off under this?
The bill provides better clarity on costs and health risk assessments for seniors enrolled in Medicare Advantage.
- Scored +3
Would retired people be better off under this?
The bill improves the data regarding costs and health assessments for retirees using Medicare Advantage plans.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Increased Transparency regarding costs: The bill requires Medicare Advantage plans to include the allowed amount for an item or service, as well as the amount of cost sharing such as deductibles, copayments, and coinsurance, in their encounter data (Section 2, subsection (j)(1)(A) and (B)).
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Tracking of health assessments: The bill requires the inclusion of indicators if an individual was furnished an at-home health risk assessment from a specified assessment entity or another assessment entity before the item or service was provided (Section 2, subsection (j)(1)(C) and (D)).
Potential Negative Impacts for People
- No negative impacts or burdens are explicitly stated 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? — The bill improves the data regarding costs and health assessments for retirees using Medicare Advantage plans. Would people over 65 be better off under this? — The bill provides better clarity on costs and health risk assessments for seniors enrolled in Medicare Advantage. Would households on low incomes be better off under this? — Increased cost transparency can help low-income individuals better understand their out-of-pocket medical expenses.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill increases transparency by requiring Medicare Advantage plans to report specific cost-sharing and allowed amount data.
- Healthcare
- Does this make health care easier to get in general? — The bill's focus on at-home health risk assessments may facilitate better integration of home-based care and clinical services. Does this strengthen the Affordable Care Act? — By improving cost transparency in Medicare Advantage, the bill supports the broader goals of health insurance accountability. Does this put more money into Medicare, the health coverage for people over 65? — The bill enhances the data used for Medicare Advantage oversight, which supports better administration of the program.
- 6/25/2026
- Subcommittee Consideration and Mark-up Session Held
- Forwarded by Subcommittee to Full Committee by Voice Vote.
- 6/23/2026
- Referred to the Subcommittee on Health.
- 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.
- 1 Cosponsor added.
- Introduced in House
John JoyceRepublican · Pennsylvania