Bills · HR 6111
IN COMMITTEE· 119TH CONGRESS
House BillHR 6111Health
To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.
INTRO NOV 18· LAST ACTION NOV 18
READING
2MIN
COSPONSORS
17
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-writtenChoosing the right Medicare Advantage plan is a critical decision that impacts access to healthcare for millions of Americans. Currently, advertisements for these plans often highlight benefits without providing clear insights into potential barriers to care, such as prior authorization practices. This bill matters because prior authorization can lead to delays or denials of essential medical services, and consumers often don't know a plan's track record on this until they've already enrolled.
If this bill becomes law, voters would have concrete data about how often a plan denies care and how efficient its appeals process is, right in its advertisements. This transparency could empower people to choose plans that align with their healthcare needs and preferences, potentially reducing unexpected hurdles to getting necessary treatment. If it doesn't pass, advertisements would continue without this specific disclosure, leaving consumers with less comparative information about a plan's prior authorization practices when making enrollment choices.
KEY PROVISIONS
4AI-extractedPROVISION 01
Requires Medicare Advantage plan advertisements to disclose the total number of prior authorization requests denied in the most recent plan year.
This gives consumers a direct measure of how often a plan initially denies requested care, which is vital for understanding potential access issues.
PROVISION 02
Mandates advertisements also include the number of those initially denied prior authorization requests that were later approved after a reconsideration process.
This shows how effective a plan's internal appeals process is and if initial denials are frequently overturned, providing a fuller picture of access to care.
PROVISION 03
Demands advertisements display the average number of days it took for initially denied prior authorization requests to be approved after reconsideration.
This provides insight into potential delays beneficiaries might face even if a denial is eventually overturned, affecting timely access to care.
PROVISION 04
Specifies that these disclosures must be presented both verbally and visually in advertisements, to the extent possible.
Ensures the information is clearly and prominently communicated across various advertising formats, making it accessible to a wider audience.
SPONSORSHIP
1 + 17
D· Wisconsin
YRS IN OFFICE
13
BILLS LED
25
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 17 REP 0 IND 0
ACTION TIMELINE
2 EVENTSNOV 18
Introduced in House
NOV 18
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 6111
Congress119th
StatusIn Committee
IntroducedNov 18, 2025
Last actionNov 18, 2025
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED NOV 18, 2025
House BillHR 6111Health
To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.
INTRODUCED NOV 18, 2025· LAST ACTION NOV 18, 2025
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
17
COMPLEXITY
Moderate
