DemocratBill · H.R. 6111· House(119-HR-6111)

To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.

Rep. Pocan
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
Democrat - 17Republican - 0
Health
  1. Introduced
  2. In Committee

What this bill would do

This bill seeks to amend title XVIII of the Social Security Act. It would change how Medicare Advantage plans are advertised to the public. Specifically, the bill requires these plans to include certain information regarding prior authorization denials. This information must include verbal and visual disclosures. These disclosures would cover the number of denials and any subsequent approvals.

Yes· 3 of 6

  • Would people over 65 be better off under this?+5

    Seniors enrolled in or considering Medicare Advantage will have access to critical data regarding plan denial rates and approval timelines.

  • Would retired people be better off under this?+5

    Retirees can use the required disclosures to better evaluate the quality and reliability of Medicare Advantage plans.

  • Does this give people more protection from unfair business practices?+5

    The bill increases transparency by requiring Medicare Advantage plans to disclose data regarding prior authorization denials in their advertisements.

The opposite

No question was scored the opposite.