Bill · H.R. 6110· House(119-HR-6110)

To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.

Age: 62 years

Wisconsin

Introduced: 11/18/2025
Last activity: 11/18/2025 — 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: Mark Pocan
Cosponsors: - 17 - 0

Health

Introduced
In Committee

What this bill would do

This bill proposes an amendment to title XVIII of the Social Security Act. The main goal is to change how Medicare Advantage plans handle coverage denials. Currently, a reconsideration is required upon a request by the enrollee. This bill would change that process to require plans to reconsider each determination that denies coverage.

Yes· 3 of 5

Would people over 65 be better off under this?+5
Seniors enrolled in Medicare Advantage benefit from the removal of the requirement to manually request a reconsideration of denied coverage.
Would retired people be better off under this?+5
Retirees using Medicare Advantage will benefit from a more proactive process for resolving coverage denials.
Does this strengthen Social Security?+3
The bill strengthens the protections of Medicare, which is a component of the Social Security Act, by ensuring coverage denials are reviewed automatically.