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HR5380FEDERALIN_COMMITTEE

Proposed Law to Increase Medicare Advantage Benefit Data Transparency

Original title: To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.

December 17, 2024

MedicareHealthcareData TransparencyFederal Legislation

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Where This Stands

Introduced
Committee
Floor Vote
Passed
Signed

Currently IN_COMMITTEE. The next step in the legislative lifecycle is Floor Vote.

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

The Frame

What this does

This legislation would change how Medicare Advantage plans report their supplemental benefit spending and usage, potentially allowing researchers and the public to better compare the value and utilization of these benefits across different insurance plans.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Medicare Advantage organizations

These organizations must collect and submit detailed enrollee-level data on supplemental benefits to the Secretary.

Medicare Advantage enrollees

Their benefit usage and spending data will be collected and reported, subject to privacy protections.

Researchers

They will gain access to new data sets for health care research and program evaluation.

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

Summary

This bill requires Medicare Advantage plans to report detailed data on the they provide to enrollees, starting in 2027. The government would then make this information available to researchers and the public annually, beginning in 2028, while protecting individual patient privacy.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What kind of information will be made public?
The public will have access to data on supplemental benefit eligibility, categories of benefits offered, how often they are used, how much the plan spends on them per enrollee, and the out-of-pocket costs for enrollees.
Will my personal health information be shared?
No. The bill explicitly requires the Secretary to have procedures in place to safeguard the privacy of any individually identifiable enrollee information.
When will this data become available?
The first set of data will be made available on the first Monday of October 2028.

Why It Matters

This legislation would change how Medicare Advantage plans report their supplemental benefit spending and usage, potentially allowing researchers and the public to better compare the value and utilization of these benefits across different insurance plans.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Increased Data Granularity

The bill marks a shift toward requiring granular, enrollee-level reporting for supplemental benefits, which are currently less transparent than core Medicare services.

Medicare AdvantageSocial Security Act

Connected Entities

organizationHouse of Representatives“The legislative body introducing the bill.”Map →
organizationEnergy and Commerce Committee“Committee to which the bill was referred.”Map →
personSecretary“The Secretary of Health and Human Services.”Map →
organizationWays and Means Committee“Committee to which the bill was referred.”Map →
personMr. Sarbanes“The bill sponsor.”Map →
organizationSenate“The legislative body enacting the bill.”Map →
organizationCenters for Medicare & Medicaid Services“The agency responsible for administering the data reporting requirements.”Map →
organizationMedicare Advantage“The type of healthcare plan subject to the data reporting requirements.”Map →
bill_numberSocial Security Act“The law being amended.”Map →

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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