Bill · H.R. 4093· House(119-HR-4093)
Apples to Apples Comparison Act of 2025
- Introduced
- 6/24/2025
- Last activity
- 9/16/2026 — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
- Sponsored by
- Aaron Bean
- Cosponsors
- - 25 - 0
- Introduced
What this bill would do
This bill requires the Secretary of Health and Human Services to publish detailed information regarding Medicare expenditures on the public website of the Centers for Medicare & Medicaid Services. Beginning in 2025, this data must be provided in machine-readable files and broken down by county, Metropolitan Statistical Area, and specific categories of individuals. It also mandates that the Medicare Payment Advisory Commission include a retrospective analysis comparing average expenditures for Medicare Advantage plans versus traditional fee-for-service Medicare in its annual reports starting in 2026. Additionally, the bill requires the public release of the methodology used for these analyses and allows for a public comment period. Finally, the Boards of Trustees of the trust funds must jointly include specific aggregate and average expenditure information for certain categories of individuals in their annual reports starting in 2026.
Yes· 3 of 7
Does this make what the government does easier for the public to see?+3
The bill mandates the publication of detailed Medicare expenditure data to the public website.
Would people over 65 be better off under this?+2
Enhanced transparency regarding Medicare Advantage and fee-for-service benefits directly impacts seniors.
Would retired people be better off under this?+2
Increased transparency in Medicare comparative analysis is highly relevant to retirees.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Section 2 requires the Secretary of Health and Human Services to publish detailed, machine-readable information on Medicare expenditures by county and Metropolitan Statistical Area, which benefits the public by making government spending data transparent and easily accessible for everyday citizens to review.
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Section 3 requires the Medicare Payment Advisory Commission to analyze and compare average expenditures for individuals in Medicare Advantage plans versus those in traditional Medicare, which helps the public by providing clear insights into how different types of Medicare coverage perform financially.
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Section 3 also mandates that the methodology used for the expenditure analysis be made public at least 60 days prior to submission, giving the public a 30-day window to comment and holding officials accountable for transparency.
Potential Negative Impacts for People
- Based on the provided text, there are no specific sections or provisions identified that create negative consequences, burdens, or adverse outcomes for individuals or groups of people in the United States.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Retirees+2Good For Seniors+2
- Governance And Ideology
- Improves Government Transparency+3
- Economy And Finance
- Improves Consumer Protection+1Improves Fiscal Responsibility+1
- Healthcare
- Improves Healthcare Access+1
- Social Issues And Justice
- Improves Social Security+1
- 9/16/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
- 9/8/2026
- 1 Cosponsor added.
- 6/18/2026
- 1 Cosponsor added.
- 6/3/2026
- 1 Cosponsor added.
- 5/13/2026
- 1 Cosponsor added.
- 4/30/2026
- 1 Cosponsor added.
- 3/5/2026
- 1 Cosponsor added.
- 1/13/2026
- 1 Cosponsor added.
- 1/9/2026
- 1 Cosponsor added.
- 12/12/2025
- 1 Cosponsor added.
- 11/25/2025
- 1 Cosponsor added.
- 11/4/2025
- 1 Cosponsor added.
- 10/31/2025
- 2 Cosponsors added.
- 10/28/2025
- 1 Cosponsor added.
- 10/24/2025
- 2 Cosponsors added.
- 10/21/2025
- 1 Cosponsor added.
- 10/17/2025
- 2 Cosponsors added.
- 10/3/2025
- 1 Cosponsor added.
- 9/10/2025
- 1 Cosponsor added.
- 7/25/2025
- 1 Cosponsor added.
- 7/23/2025
- 1 Cosponsor added.
- 7/21/2025
- 1 Cosponsor added.
- 6/24/2025
- 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.
- 1 Cosponsor added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Kat CammackRepublican · Florida
Mike CareyRepublican · Ohio
Randy FeenstraRepublican · Iowa
Michelle FischbachRepublican · Minnesota
Vince FongRepublican · California
Julie FedorchakRepublican · North Dakota
Kevin HernRepublican · Oklahoma
Mike KellyRepublican · Pennsylvania
David KustoffRepublican · Tennessee
Darin LaHoodRepublican · Illinois
Laurel LeeRepublican · Florida
Nicholas LangworthyRepublican · New York
Nicole MalliotakisRepublican · New York
Carol MillerRepublican · West Virginia
Blake MooreRepublican · Utah
Max MillerRepublican · Ohio
Nathaniel MoranRepublican · Texas
August PflugerRepublican · Texas
Adrian SmithRepublican · Nebraska
Lloyd SmuckerRepublican · Pennsylvania
W. SteubeRepublican · Florida
Jefferson ShreveRepublican · Indiana
Claudia TenneyRepublican · New York
Beth Van DuyneRepublican · Texas
Rudy YakymRepublican · Indiana