Bill · H.R. 5243· House(119-HR-5243)
To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
- Introduced
- 9/10/2025
- Last activity
- 6/25/2026 — Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
- Sponsored by
- Jennifer McClellan
- Cosponsors
- - 0 - 1
- Introduced
- In Committee
What this bill would do
This bill aims to amend the Social Security Act to increase transparency regarding supplemental benefits in Medicare Advantage. It would require Medicare Advantage organizations to submit detailed enrollee-level data to the Secretary. This data includes information on benefit eligibility, types of benefits offered, utilization, and payment amounts. Starting in 2030, the Secretary would make this data available to individuals and entities for evaluations and research. Additionally, a public use data file would be posted on the Centers for Medicare & Medicaid Services website.
Yes· 3 of 6
Does this make what the government does easier for the public to see?+5
The bill requires the publication of a public use data file regarding supplemental benefits under Medicare Advantage.
Would people over 65 be better off under this?+2
Increased data transparency regarding supplemental benefits can lead to better oversight of Medicare Advantage plans used by seniors.
Would retired people be better off under this?+2
Enhanced transparency of benefits may lead to better program administration for retired individuals using Medicare Advantage.
The opposite
Does this protect people from being watched or searched?-2
The bill requires the collection and potential sharing of enrollee-level data, which necessitates privacy safeguards.
Who it would affect, and how
Potential Positive Impacts for People
-
Increased Research and Evaluation Opportunities: The bill allows the Secretary to make submitted data available to individuals and entities to support evaluations, analysis of the program, and other health care related research (Section 1, subsection a, paragraph 6, subparagraph B, clause i).
-
Public Access to Information: The Secretary is required to make a public use data file available on the internet website of the Centers for Medicare & Medicaid Services (Section 1, subsection a, paragraph 6, subparagraph B, clause ii).
Potential Negative Impacts for People
- Privacy Concerns: While the Secretary is required to have procedures in place to safeguard the privacy of any individually identifiable enrollee information, the bill involves the collection and sharing of enrollee-level data (Section 1, subsection a, paragraph 6, subparagraph B, clause iii).
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+5Improves Privacy Rights-2
- Healthcare
- Increases Research Funding+2Increases Medicare Funding+1
- Education And Technology
- Increases Scientific Research Funding+2
- 7/16/2026
- 1 Cosponsor added.
- 6/25/2026
- Subcommittee Consideration and Mark-up Session Held
- Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.
- 9/10/2025
- 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.
- Referred to the Subcommittee on Health.
- Introduced in House
Robert WittmanRepublican · Virginia