Bills · HR 3467
IN COMMITTEE· 119TH CONGRESS
House BillHR 3467Health
To amend title XVIII to reform the Medicare Advantage program.
INTRO MAY 15· LAST ACTION JUN 3
READING
5MIN
COSPONSORS
0
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenVoters should care about this bill because it would fundamentally reshape how a significant portion of Medicare operates, impacting healthcare costs, choices, and access for seniors. If this bill becomes law, seniors new to Medicare would be automatically enrolled in a private plan, which could simplify the process for some but remove the need for an active choice, potentially leading to less informed decisions. The three-year lock-in period means seniors would have much less flexibility to change plans if they are unhappy with their coverage, provider network, or costs, which could leave them feeling stuck.
For the government, these changes are likely aimed at controlling the costs of the Medicare Advantage program. Reducing payments to plans and altering risk adjustments could lead to lower federal spending, but it might also pressure plans to offer fewer benefits or narrower networks. Requiring Medicare Advantage plans to cover hospice care directly could streamline care coordination for beneficiaries, but it also shifts significant financial responsibility to private plans. If the bill doesn't pass, the Medicare Advantage program would continue under its current rules regarding payments, enrollment, and plan switching, maintaining the existing balance of choice, cost, and provider incentives.
KEY PROVISIONS
4AI-extractedPROVISION 01
Requires most Medicare Advantage (MA) plans to use capitated payments, meaning they pay healthcare providers a fixed amount per patient, rather than for each service.
This changes how doctors and hospitals are paid, potentially encouraging more preventative care and cost efficiency, but also shifting financial risk to providers.
PROVISION 02
Introduces automatic enrollment for new Medicare beneficiaries into the lowest-premium MA plan and restricts MA enrollees from switching plans or returning to traditional Medicare for three years.
This significantly impacts patient choice and flexibility, making it harder for seniors to change plans if their needs or satisfaction changes.
PROVISION 03
Modifies how the government pays MA plans by reducing a key payment benchmark, changing how patient health is used to adjust payments, and eliminating quality bonus increases.
These changes could reduce federal spending on MA plans and pressure plans to operate more efficiently, but might also affect the benefits or networks plans can offer.
PROVISION 04
Requires MA plans, starting in 2028, to directly cover hospice care, which is currently largely covered by traditional Medicare even for MA enrollees.
This integrates hospice care more directly into MA plans, potentially improving care coordination for seriously ill patients but also shifting financial responsibility to private plans.
SPONSORSHIP
1 + 0
R· Arizona
YRS IN OFFICE
15
BILLS LED
35
ACTION TIMELINE
3 EVENTSJUN 3
Sponsor introductory remarks on measure. (CR H2408-2410)
MAY 15
Introduced in House
MAY 15
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.
BILL INFO
TypeHouse Bill
NumberHR 3467
Congress119th
StatusIn Committee
IntroducedMay 15, 2025
Last actionJun 3, 2025
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED MAY 15, 2025
House BillHR 3467Health
To amend title XVIII to reform the Medicare Advantage program.
INTRODUCED MAY 15, 2025· LAST ACTION JUN 3, 2025
PASSAGE CHANCES
—%
READING
5 min
COSPONSORS
0
COMPLEXITY
Moderate
