Bills · HR 5243
IN COMMITTEE· 119TH CONGRESS
House BillHR 5243MedicareInternet, web applications, social media
To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
INTRO SEP 10· LAST ACTION JUN 25
READING
2MIN
COSPONSORS
1
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-writtenThis bill matters because it would significantly increase the amount of public information available about Medicare Advantage plans' supplemental benefits. Currently, it can be difficult for seniors and their families to understand how these extra benefits are utilized and what their true value is across different plans. If this bill becomes law, voters would have access to detailed data showing which benefits are most used, how much plans spend on them, and what out-of-pocket costs enrollees face, allowing for more informed decisions when choosing a Medicare Advantage plan.
Without this bill, the data on supplemental benefits would remain less transparent, making it harder for consumers to compare plans effectively and for regulators to oversee the program comprehensively. This increased transparency could lead to better choices for enrollees, potentially encourage more competitive offerings from insurance companies, and provide valuable insights for future policy decisions regarding Medicare Advantage.
KEY PROVISIONS
4AI-extractedPROVISION 01
Requires Medicare Advantage (MA) organizations to submit detailed, individual-level data on supplemental benefits to the Secretary of Health and Human Services.
This ensures comprehensive data collection on what extra benefits are actually used and paid for, providing a clear picture beyond just what is offered.
PROVISION 02
Specifies that the reported data must include eligibility for benefits, types of benefits, utilization rates, and payments by the plan and enrollees' out-of-pocket costs.
This level of detail is crucial for evaluating the real-world impact and value of supplemental benefits for individual enrollees.
PROVISION 03
Mandates that the Secretary make this data available annually to individuals and entities for research and program analysis, and also create a public-use data file online.
This provision ensures that the collected data is accessible for public scrutiny, research, and to inform beneficiaries and policymakers.
PROVISION 04
Requires procedures to safeguard the privacy of individually identifiable enrollee information when data is made available.
This protects sensitive personal health and financial information while still allowing for the broader goals of transparency and research.
SPONSORSHIP
1 + 1
D· Virginia
YRS IN OFFICE
3
BILLS LED
27
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 0 REP 1 IND 0
ACTION TIMELINE
7 EVENTSJUN 25
Subcommittee Consideration and Mark-up Session Held
JUN 25
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
SEP 10
Introduced in House
SEP 10
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 5243
Congress119th
StatusIn Committee
IntroducedSep 10, 2025
Last actionJun 25, 2026
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED SEP 10, 2025
House BillHR 5243MedicareInternet, web applications, social media
To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
INTRODUCED SEP 10, 2025· LAST ACTION JUN 25, 2026
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
1
COMPLEXITY
Moderate
