Bill · 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.
- 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
- Introduced
- 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.
Who it would affect, and how
Potential Positive Impacts for People
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Increased Transparency in Advertising: The bill requires Medicare Advantage plans to include specific information about prior authorization denials in their advertisements (Section 1). This provides people with more data when they are looking at plan options.
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Information on Denied Requests: Advertisements would have to show the number of requests for prior authorization that were denied, including those that were later approved (Section 1, paragraph 3, subparagraph A). This helps people understand how often a plan denies coverage.
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Information on Reconsidered Requests: The bill requires plans to disclose how many denied requests were eventually reconsidered and approved (Section 1, paragraph 3, subparagraph B). This gives insight into how often a denial is overturned.
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Data on Approval Timelines: Plans would have to disclose the average number of days between an initial denial and a subsequent approval (Section 1, paragraph 3, subparagraph C). This allows people to see how long they might have to wait to have a denied request approved.
Potential Negative Impacts for People
- No negative impacts are explicitly stated 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+5Good For Seniors+5
- Economy And Finance
- Improves Consumer Protection+5
- Governance And Ideology
- Improves Government Transparency+4
- Healthcare
- Improves Healthcare Access+3
- Social Issues And Justice
- Improves Social Security+2
- 12/16/2025
- 1 Cosponsor added.
- 12/1/2025
- 1 Cosponsor added.
- 11/20/2025
- 1 Cosponsor added.
- 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.
- 14 Cosponsors added.
- Introduced in House
Steve CohenDemocrat · Tennessee
André CarsonDemocrat · Indiana
Greg CasarDemocrat · Texas
Rosa DeLauroDemocrat · Connecticut
Lloyd DoggettDemocrat · Texas
Debbie DingellDemocrat · Michigan
Pramila JayapalDemocrat · Washington
Ro KhannaDemocrat · California
Sarah McBrideDemocrat · Delaware
Eleanor NortonDemocrat · District of Columbia
Alexandria Ocasio-CortezDemocrat · New York
Ilhan OmarDemocrat · Minnesota
Chellie PingreeDemocrat · Maine
Janice SchakowskyDemocrat · Illinois
Mark TakanoDemocrat · California
Rashida TlaibDemocrat · Michigan
Shri ThanedarDemocrat · Michigan