Ways and Means Committee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
The Medicare Advantage Cost Transparency Act seeks to enhance transparency within the Medicare Advantage program by amending the Social Security Act. This legislation mandates that, for plan years beginning on or after January 1, 2027, Medicare Advantage plans must include additional detailed information in their encounter data submissions for items and services provided to beneficiaries. Specifically, the required data includes the allowed amount for each item or service and the associated cost sharing , such as deductibles, copayments, and coinsurance. Additionally, plans must indicate whether the individual received an at-home health risk assessment during the plan year, differentiating between assessments furnished by entities with an ownership or control interest by the MA organization (specified assessment entities) and those without such a relationship.
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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.
Medicare Advantage Cost Transparency Act
USA119th CongressHR-9392| House
| Updated: 6/23/2026
The Medicare Advantage Cost Transparency Act seeks to enhance transparency within the Medicare Advantage program by amending the Social Security Act. This legislation mandates that, for plan years beginning on or after January 1, 2027, Medicare Advantage plans must include additional detailed information in their encounter data submissions for items and services provided to beneficiaries. Specifically, the required data includes the allowed amount for each item or service and the associated cost sharing , such as deductibles, copayments, and coinsurance. Additionally, plans must indicate whether the individual received an at-home health risk assessment during the plan year, differentiating between assessments furnished by entities with an ownership or control interest by the MA organization (specified assessment entities) and those without such a relationship.
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.