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No UPCODE Act

S. 1105 Sen. Bill Cassidy (R-LA) In committee
Bill text PDF
  1. Introduced Mar 25
  2. Committee Mar 25
  3. Passed Senate Next
  4. Passed House Not yet
  5. To President Not yet
  6. Law Not yet
Where it stands
In committee, Mar 25, 2025Next: Senate vote
581d ago Mar 25, 2025: Read twice and referred to the Committee on Finance.
Final votes
No roll callsNo recorded vote on this bill yet
Lobbying
6companies, 38 filings
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Member trades
6trades in the last 90 days
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Companies lobbying on this bill

6 companies
Companies by sector
Financials 4Consumer & Retail 1Medical Devices & Healthcare 1
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Summary

No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act or the No UPCODE Act

Full summary2 paragraphs

This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data.

Specifically, the bill requires the Centers for Medicare & Medicaid Services (CMS) to use two years of diagnostic data in its risk adjustment methodology for MA payments. It also prohibits the CMS from using diagnoses that are collected from chart reviews or health risk assessments when adjusting payments based on health status. The CMS must also take into account any differences in coding patterns between MA and traditional Medicare when determining MA payment adjustments.

Library of Congress summary, Mar 25, 2025

Summary versions
  • Introduced in SenateMar 25, 2025

Official record from Congress.gov, the House Clerk and the Senate; lobbying from Lobbying Disclosure Act filings. Updated Oct 27, 2026.