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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
Mark Pocan

Mark Pocan

Democratic Representative

Wisconsin

Cosponsors (16)
Ilhan Omar (Democratic)Debbie Dingell (Democratic)Steve Cohen (Democratic)Rosa L. DeLauro (Democratic)Greg Casar (Democratic)Shri Thanedar (Democratic)Ro Khanna (Democratic)André Carson (Democratic)Mark Takano (Democratic)Pramila Jayapal (Democratic)Eleanor Holmes Norton (Democratic)Wesley Bell (Democratic)Janice D. Schakowsky (Democratic)Alexandria Ocasio-Cortez (Democratic)Rashida Tlaib (Democratic)Lloyd Doggett (Democratic)

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
Nov 18, 2025
Introduced in House
Nov 18, 2025
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.
  • November 18, 2025
    Introduced in House


  • November 18, 2025
    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.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Nov 18, 2025
Introduced in House
Nov 18, 2025
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.
  • November 18, 2025
    Introduced in House


  • November 18, 2025
    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.
Mark Pocan

Mark Pocan

Democratic Representative

Wisconsin

Cosponsors (16)
Ilhan Omar (Democratic)Debbie Dingell (Democratic)Steve Cohen (Democratic)Rosa L. DeLauro (Democratic)Greg Casar (Democratic)Shri Thanedar (Democratic)Ro Khanna (Democratic)André Carson (Democratic)Mark Takano (Democratic)Pramila Jayapal (Democratic)Eleanor Holmes Norton (Democratic)Wesley Bell (Democratic)Janice D. Schakowsky (Democratic)Alexandria Ocasio-Cortez (Democratic)Rashida Tlaib (Democratic)Lloyd Doggett (Democratic)

Ways and Means Committee, Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted