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Medicare Common Ownership Transparency Act of 2023

Record date · December 17, 2024

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

This bill requires Medicare Advantage plans and prescription drug plans to disclose ownership information for their affiliated health care providers and pharmacies. It also mandates that the Medicare Payment Advisory Commission (MedPAC) produce regular reports analyzing how this corporate ownership affects health care access, pricing, and patient outcomes.

Why it matters

The bill aims to increase transparency regarding ''—where insurance plans, pharmacy benefit managers, and health care providers are owned by the same parent company—which may influence the costs and quality of care for millions of Medicare beneficiaries.

Background
  • Mr. Murphy is a member of the U.S. House of Representatives. context
  • The Medicare Payment Advisory Commission (MedPAC) is an independent congressional agency that advises the U.S. Congress on issues affecting the Medicare program. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Medicare Advantage organizations

Must submit new ownership and financial data to the Secretary of Health and Human Services every three years.

Directly affected

Prescription drug plan sponsors

Must disclose ownership information for affiliated pharmacies and pharmacy benefit managers.

Directly affected

Medicare Payment Advisory Commission

Required to conduct new, periodic research and report findings to Congress.

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 is 'vertical integration' in this context?
It refers to situations where a single parent company owns multiple parts of the health care supply chain, such as an insurance plan, a pharmacy benefit manager, and the pharmacies or doctors providing the care.
How often will these reports be required?
MA organizations and PDP sponsors must report ownership data every three years starting in 2025. MedPAC is required to submit its broader analysis to Congress every three years starting in 2029.

What else do you want to know?

News Coverage

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

Where This Stands

Currently filed. The next step in the legislative lifecycle is Committee.

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 →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

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

policy shift90% confidence

Focus on Vertical Integration

The bill signals a legislative shift toward investigating the financial relationships between insurers, PBMs, and providers, rather than just focusing on drug prices alone.

Connected Entities

Secretary, MedPAC, House Ways and Means Committee and 4 more
OrganizationSecretary“The Secretary of Health and Human Services”Map →
OrganizationMedPAC“Medicare Payment Advisory Commission”Map →
OrganizationHouse Ways and Means Committee“Committee responsible for consideration of the bill”Map →
OrganizationMedicare Advantage organizations“MA plans subject to disclosure requirements”Map →
OrganizationHouse Energy and Commerce Committee“Committee responsible for consideration of the bill”Map →
OrganizationPDP Sponsors“PDP sponsors subject to disclosure requirements”Map →
PersonMurphy“Introduced the bill in the House of Representatives”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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