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Medicare Advantage Cost Transparency Act

USA119th CongressHR-9392| House 
| Updated: 6/23/2026
Diana DeGette

Diana DeGette

Democratic Representative

Colorado

Cosponsors (1)
John Joyce (Republican)

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
Jun 23, 2026
Introduced in House
Jun 23, 2026
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.
  • June 23, 2026
    Introduced in House


  • June 23, 2026
    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.
View Full Text

Suggested Questions

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Timeline
Jun 23, 2026
Introduced in House
Jun 23, 2026
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.
  • June 23, 2026
    Introduced in House


  • June 23, 2026
    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.
Diana DeGette

Diana DeGette

Democratic Representative

Colorado

Cosponsors (1)
John Joyce (Republican)

Ways and Means Committee, Energy and Commerce Committee

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