Bills · HR 6112
IN COMMITTEE· 119TH CONGRESS
House BillHR 6112Health
To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans.
INTRO NOV 18· LAST ACTION NOV 18
READING
2MIN
COSPONSORS
15
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 addresses the ongoing discussion about the financial efficiency of Medicare Advantage plans compared to traditional Medicare. Currently, there's debate over whether the government pays private Medicare Advantage plans more or less than it would cost to cover the same beneficiaries under the traditional program. If this bill passes, it could mean that Medicare Advantage plans face stronger pressure to reduce their costs or risk losing the ability to grow or retain members.
For voters, this could mean potential savings for taxpayers if government payments to private plans are reduced, but it could also mean fewer choices of Medicare Advantage plans in some areas if plans are unable to meet the new cost requirements. If the bill doesn't pass, the current system of government payments to Medicare Advantage plans would continue, maintaining the existing options and cost structures for beneficiaries and taxpayers.
KEY PROVISIONS
3AI-extractedPROVISION 01
Prohibits Medicare Advantage plans from enrolling new or re-enrolling existing members if the government's average monthly payment to the plan exceeds the average monthly cost of coverage under traditional Medicare.
This aims to prevent government overpayments to private plans and could directly impact the availability of certain Medicare Advantage plans.
PROVISION 02
The enrollment prohibition takes effect for plan years starting one year after the bill becomes law.
This provides Medicare Advantage plans with a grace period to adjust their operations and cost structures before the new rule is implemented.
PROVISION 03
The enrollment prohibition does not apply to specialized Medicare Advantage plans designed for special needs individuals.
This ensures that plans serving vulnerable populations with specific healthcare needs are not inadvertently impacted by the cost-control measure.
SPONSORSHIP
1 + 15
D· Wisconsin
YRS IN OFFICE
13
BILLS LED
25
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 15 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 6112
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 6112Health
To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans.
INTRODUCED NOV 18, 2025· LAST ACTION NOV 18, 2025
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
15
COMPLEXITY
Moderate
