Bill · H.R. 6112· House(119-HR-6112)

To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans.

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: - 15 - 0

Health

Introduced
In Committee

What this bill would do

This bill proposes an amendment to title XVIII of the Social Security Act regarding Medicare Advantage plans. It focuses on establishing requirements related to the average monthly cost of providing coverage to enrollees. If the average monthly payment for a Medicare Advantage plan exceeds the average monthly cost of the original Medicare fee-for-service program, the Secretary must intervene. In such cases, the Secretary would prohibit individuals from enrolling or reenrolling in that specific plan for the following year. However, there is an exception for specialized Medicare Advantage plans intended for individuals with special needs.

Yes· 3 of 4

Would people over 65 be better off under this?+4
The bill provides a mechanism to ensure Medicare Advantage plans do not become more expensive than original Medicare for seniors.
Would retired people be better off under this?+4
By capping the costs of Medicare Advantage plans relative to original Medicare, the bill aims to prevent excessive plan spending.
Does this put more money into Medicare, the health coverage for people over 65?+3
The bill limits the average monthly cost of Medicare Advantage plans relative to original Medicare, which could control spending within the Medicare program.