Ways and Means Committee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
This bill establishes a minimum average geographic adjustment of 0.70 for Medicare Advantage benchmark rates, effective for 2026 and subsequent years. This provision aims to address payment disparities in regions characterized by low Medicare fee-for-service penetration, ensuring a baseline funding level for plans. The legislation further mandates that at least 50 percent of any increase in the blended benchmark amount, directly attributable to this new floor, must be allocated towards payment for basic benefits . This ensures that additional funds are specifically directed to support essential care and services for Medicare Advantage beneficiaries. The Secretary is authorized to define the term "average geographic adjustment" for implementation.
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.
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.
Health
Medicare Advantage Integrity Act of 2025
USA119th CongressHR-6031| House
| Updated: 11/12/2025
This bill establishes a minimum average geographic adjustment of 0.70 for Medicare Advantage benchmark rates, effective for 2026 and subsequent years. This provision aims to address payment disparities in regions characterized by low Medicare fee-for-service penetration, ensuring a baseline funding level for plans. The legislation further mandates that at least 50 percent of any increase in the blended benchmark amount, directly attributable to this new floor, must be allocated towards payment for basic benefits . This ensures that additional funds are specifically directed to support essential care and services for Medicare Advantage beneficiaries. The Secretary is authorized to define the term "average geographic adjustment" for implementation.
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.
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.