Bill · H.R. 6113· House(119-HR-6113)
To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program.
- 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
- Introduced
- In Committee
What this bill would do
This bill proposes to amend title XVIII of the Social Security Act. It seeks to impose new limitations on contracts with Medicare Advantage (MA) organizations. These limitations would apply to contracts entered into or renewed after one year from the date of enactment. Under the bill, the Secretary would be restricted from entering into or renewing contracts for more than three MA plans per organization for a single plan year. Additionally, an organization could only offer more than one plan if each plan is significantly different in its premiums, benefits, or cost-sharing structure.
Yes
No question was scored yes.
The opposite
Would people over 65 be better off under this?-3
Limiting the number of plans an organization can offer may reduce the diversity of choices available to senior citizens.
Would retired people be better off under this?-3
The bill may reduce the variety of Medicare Advantage options available to retirees by capping the number of plans one organization can offer.
Does this put more money into Medicare, the health coverage for people over 65?-2
The restriction on plan variety could lead to reduced competition and administrative overhead for Medicare Advantage programs.
Who it would affect, and how
Potential Positive Impacts for People
-
Limits on plan variety per organization: The bill restricts an MA organization to no more than 3 MA plans offered for a plan year (Section 1, subsection j, 1). This could impact how many different plan options are available from a single provider.
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Requirement for significant differences: The bill states that if an organization offers more than one plan, each plan must be significantly different regarding premiums, benefits, or cost-sharing structure (Section 1, subsection j, 2). This ensures that multiple plans offered by the same organization provide distinct value to the consumer.
Potential Negative Impacts for People
-
Restrictions on plan availability: The Secretary may be prohibited from entering into or renewing contracts for more than 3 MA plans from a single organization for a plan year (Section 1, subsection j, 1). This could limit the total number of plan options available to people in the Medicare program.
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Increased criteria for multiple plans: An organization may be unable to offer more than one plan unless the Secretary determines that the plans are significantly different in terms of premiums, benefits, or cost-sharing structure (Section 1, subsection j, 2). This could prevent the offering of multiple similar plans by the same organization.
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-3Good For Seniors-3
- Healthcare
- Increases Medicare Funding-2
- 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.
- 13 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
Eleanor NortonDemocrat · District of Columbia
Alexandria Ocasio-CortezDemocrat · New York
Ilhan OmarDemocrat · Minnesota
Janice SchakowskyDemocrat · Illinois
Mark TakanoDemocrat · California
Rashida TlaibDemocrat · Michigan
Shri ThanedarDemocrat · Michigan