Bill · H.R. 6031· House(119-HR-6031)
Medicare Advantage Integrity Act of 2025
- Introduced
- 11/12/2025
- Last activity
- 11/12/2025 — 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.
- Sponsored by
- Pablo Hernández
- Cosponsors
- - 1 - 1
- Introduced
- In Committee
What this bill would do
The "Medicare Advantage Integrity Act of 2025" amends the Social Security Act to change how Medicare Advantage benchmark rates are calculated. It creates a floor for average geographic adjustments so they cannot fall below 0.70 for any area starting in 2026. Additionally, the bill requires that at least 50 percent of any payment increase resulting from this floor be used for basic benefits.
Yes· 3 of 14
Would people over 65 be better off under this?+6
Seniors in low-penetration areas will benefit from stabilized benchmark rates and a mandate that funds flow to basic benefits.
Would retired people be better off under this?+6
Retirees utilizing Medicare Advantage plans in specified areas will see improved funding for basic benefits.
Does this put more money into Medicare, the health coverage for people over 65?+5
The bill increases benchmark payments for Medicare Advantage plans in low-penetration regions.
The opposite
Does this reduce what the federal government owes?-2
Establishing a floor for benchmark rates likely increases government spending on Medicare Advantage payments.
Does this reduce what the federal government spends?-2
The bill increases the minimum payment levels for Medicare Advantage benchmarks in certain areas.
Does this make the government pay for what it commits to?-2
The mandate for a payment floor increases federal expenditures.
Who it would affect, and how
Potential Positive Impacts for People
-
Support for Care: Section 2(b) requires that no less than 50 percent of the increase in blended benchmark amounts from the geographic adjustment floor must be used for payment for basic benefits.
-
Benchmark Stability: Section 2(a)(2) establishes that the average geographic adjustment shall not be less than 0.70 for any area for 2026 and subsequent years.
Potential Negative Impacts for People
- No negative impacts for individuals or groups are explicitly mentioned in the provided text.
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+6Good For Seniors+6Good For Urban Residents+4Good For African Americans+3Good For Hispanic Americans+3Good For Low Income Households+3Good For Asian Americans+2Good For Middle Class Households+2Good For Native Americans+2Good For White Americans+2
- Healthcare
- Increases Medicare Funding+5Improves Healthcare Access+4
- Economy And Finance
- Improves Fiscal Responsibility-2Reduces Government Spending-2Reduces National Debt-2
- Social Issues And Justice
- Improves Racial Equity+2
- Governance And Ideology
- Increases Federal Power+1
- 11/12/2025
- 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.
- 2 Cosponsors 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.
Maria SalazarRepublican · Florida
Darren SotoDemocrat · Florida