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

H.R. 5243 Rep. Jennifer McClellan (D-VA-4) In committee
Bill text PDF
  1. Introduced Sep 10
  2. Committee Sep 10
  3. Passed House Next
  4. Passed Senate Not yet
  5. To President Not yet
  6. Law Not yet
Where it stands
In committee, Sep 10, 2025Next: House vote
125d ago Jun 25, 2026: Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
Final votes
No roll callsNo recorded vote on this bill yet
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Summary

This bill amends the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. It requires Medicare Advantage organizations to submit enrollee-level data on supplemental benefits to the Secretary of Health and Human Services, starting with plan years beginning on or after January 1, 2029. The data includes eligibility, benefit categories, utilization, payments, and out-of-pocket costs per enrollee. The Secretary must make this data available for evaluations and research starting in 2030, including a public use data file on the CMS website, while safeguarding enrollee privacy. The bill does not affect certain existing information collection activities proposed in a March 14, 2023 Federal Register notice.

Summary of the bill text as introduced in House (Sep 10, 2025), generated by SecBot from the official bill text; the Library of Congress summary is not yet published.

Official record from Congress.gov, the House Clerk and the Senate; lobbying from Lobbying Disclosure Act filings. Updated Oct 28, 2026.