Medicare Common Ownership Transparency Act of 2023

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

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.

Who is mentioned in the record

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

Medicare Advantage organizations

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

Prescription drug plan sponsors

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

Medicare Payment Advisory Commission

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

What changed

Current stage: IN_COMMITTEE.

What's next

Floor Vote.

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

Summary

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.

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.

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.

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.

News Coverage

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

Related Legislation

Federal Bill85% related

Proposed Review Process for Medicare Drug Coverage Denials

This bill creates a formal process for the federal government to review and potentially reverse Medicare coverage denials for specific drugs and biolo

Discoveries

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.

Medicare Advantage Pharmacy Benefit Manager

Connected Entities

organizationSecretary“The Secretary of Health and Human Services”Map →

organizationMedicare Advantage Organizations“MA plans subject to disclosure requirements”Map →

organizationMedPAC“Medicare Payment Advisory Commission”Map →

organizationEnergy and Commerce Committee“Committee responsible for consideration of the bill”Map →

organizationWays and Means 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 →

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