Medicare Advantage Integrity Act of 2025
Medicare Advantage Integrity Act of 2025
Plain Language Summary
# Medicare Advantage Integrity Act of 2025 - Summary **What the Bill Does:** This bill would temporarily adjust how Medicare pays insurance companies that offer Medicare Advantage plans (private insurance alternatives to traditional Medicare). The bill requires that when payment amounts increase in certain geographic areas, a portion of those increases must be used to cover basic healthcare benefits rather than other purposes. **Who It Affects:** The bill primarily affects Medicare Advantage insurers and the roughly 28 million seniors and people with disabilities enrolled in Medicare Advantage plans. It could also impact beneficiaries depending on how insurers allocate the adjusted payments. **Current Status:** The bill was introduced by Rep.
Pablo José Hernández (D-Puerto Rico) and is currently in committee, meaning it hasn't yet been debated or voted on by the full House. No further action has been taken since its introduction.
CRS Official Summary
Medicare Advantage Integrity Act of 2025This bill temporarily establishes geographic adjustments for certain Medicare Advantage payment formulations, and specifies that a certain percentage of corresponding payment increases must be directed toward payments for basic benefits.
Latest Action
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.