Ways and Means Committee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
This bill proposes to amend Title XVIII of the Social Security Act, specifically targeting the process for denied coverage determinations within Medicare Advantage plans . Its primary purpose is to eliminate the current requirement that enrollees must actively request a reconsideration of a denied claim, thereby making the process automatic. The legislation mandates that Medicare Advantage plans automatically reconsider each determination denying coverage , rather than only upon an enrollee's request. This change aims to streamline the appeals process for beneficiaries by initiating reconsideration immediately after an adverse determination is made, removing a procedural hurdle for individuals seeking review of denied services or items.
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Timeline
Introduced in House
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.
Introduced in House
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
To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.
USA119th CongressHR-6110| House
| Updated: 11/18/2025
This bill proposes to amend Title XVIII of the Social Security Act, specifically targeting the process for denied coverage determinations within Medicare Advantage plans . Its primary purpose is to eliminate the current requirement that enrollees must actively request a reconsideration of a denied claim, thereby making the process automatic. The legislation mandates that Medicare Advantage plans automatically reconsider each determination denying coverage , rather than only upon an enrollee's request. This change aims to streamline the appeals process for beneficiaries by initiating reconsideration immediately after an adverse determination is made, removing a procedural hurdle for individuals seeking review of denied services or items.
Get AI-generated questions to help you understand this bill better
Timeline
Introduced in House
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.
Introduced in House
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.