Transparency in Medicare Advantage Steering Act

This legislation amends the Social Security Act to require enhanced reporting from Medicare Advantage (MA) organizations regarding their agents, brokers, and other third parties involved in beneficiary enrollment. The aim is to increase transparency surrounding compensation practices within the MA market. Starting with plan years on or after January 1, 2028, MA organizations will be mandated to annually report to the Secretary of Health and Human Services specific details. This includes whether each individual was enrolled by an agent or broker, and if so, the amount and form of compensation paid to that party, along with the total compensation paid to all such entities across all their MA plans. To further promote transparency, beginning in 2030, the Secretary will be required to include an indicator in the Chronic Condition Data Warehouse identifying agent-enrolled individuals. Additionally, the aggregate compensation information reported by MA organizations will be made publicly available on the Centers for Medicare & Medicaid Services website, providing greater insight into MA enrollment incentives.