To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program. | ChamberLight
Bills · HR 6113
IN COMMITTEE· 119TH CONGRESS
House BillHR 6113Health
To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program.
INTRO NOV 18· LAST ACTION NOV 18
READING
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COSPONSORS
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Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8
Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-written
This bill matters because it addresses a common problem many seniors face: being overwhelmed by too many similar Medicare Advantage plan choices. When companies offer numerous plans that only vary slightly, it can be confusing and make it difficult to compare options effectively and choose the best fit for individual health and financial needs.
If this bill becomes law, it could lead to a streamlined marketplace where plans from the same company are more distinct, making the decision-making process easier for beneficiaries. If it doesn't pass, the current system of potentially numerous, overlapping plan options from individual providers would continue, which many argue contributes to consumer confusion and could lead to people picking plans that aren't truly optimal for them.
KEY PROVISIONS
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PROVISION 01
Limits Medicare Advantage (MA) organizations to offering no more than three MA plans for a plan year.
This aims to reduce the sheer number of options presented by a single insurance provider, potentially simplifying choices for consumers.
PROVISION 02
Requires that if an MA organization offers more than one MA plan, each plan must be significantly different in terms of premiums, benefits, or cost-sharing structure.
This ensures that multiple plans from the same provider aren't just marginally different, but offer distinct choices for beneficiaries.
PROVISION 03
These limitations apply to contracts entered into or renewed one year after the bill's enactment.
This sets a clear timeframe for when the new rules would begin affecting insurance companies and beneficiaries.
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.
IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED NOV 18, 2025
House BillHR 6113Health
To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program.
This bill matters because it addresses a common problem many seniors face: being overwhelmed by too many similar Medicare Advantage plan choices. When companies offer numerous plans that only vary slightly, it can be confusing and make it difficult to compare options effectively and choose the best fit for individual health and financial needs.
If this bill becomes law, it could lead to a streamlined marketplace where plans from the same company are more distinct, making the decision-making process easier for beneficiaries. If it doesn't pass, the current system of potentially numerous, overlapping plan options from individual providers would continue, which many argue contributes to consumer confusion and could lead to people picking plans that aren't truly optimal for them.
KEY PROVISIONS
AI-extracted
high
Limits Medicare Advantage (MA) organizations to offering no more than three MA plans for a plan year.
This aims to reduce the sheer number of options presented by a single insurance provider, potentially simplifying choices for consumers.
high
Requires that if an MA organization offers more than one MA plan, each plan must be significantly different in terms of premiums, benefits, or cost-sharing structure.
This ensures that multiple plans from the same provider aren't just marginally different, but offer distinct choices for beneficiaries.
med
These limitations apply to contracts entered into or renewed one year after the bill's enactment.
This sets a clear timeframe for when the new rules would begin affecting insurance companies and beneficiaries.
1 year after the date of the enactment of this subsection
Limitations on contracts apply to those entered into or renewed.
GLOSSARY
AI-written
Medicare Advantage (MA)
A type of private health insurance plan that contracts with Medicare to provide all your Part A and Part B benefits. It often includes prescription drug coverage and may offer extra benefits like vision, hearing, or dental.
MA Organization
A private insurance company that offers Medicare Advantage plans.
Secretary
In this context, the Secretary of the U.S. Department of Health and Human Services, who oversees Medicare.
Social Security Act
A landmark law enacted in 1935 that created Social Security and has since been amended to include Medicare, Medicaid, and other welfare programs.
Plan year
The 12-month period for which an insurance plan provides coverage, typically from January 1 to December 31.
Cost-sharing structure
How a healthcare plan requires beneficiaries to pay for services, including things like deductibles, co-payments, and co-insurance.
ACTION TIMELINE
2 EVENTS
NOV 18, 25
Introduced in House
INTROREFERRAL
NOV 18, 25
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.