Bill · H.R. 9644· House(119-HR-9644)
Medicare Advantage MLR Transparency Act
- Introduced
- 7/13/2026
- Last activity
- 7/15/2026 — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
- Sponsored by
- Nathaniel Moran
- Cosponsors
- None
- Introduced
What this bill would do
The Medicare Advantage MLR Transparency Act aims to amend title XVIII of the Social Security Act. The bill focuses on promoting transparency regarding Medicare Advantage plan information. It requires Medicare Advantage organizations to submit and publish specific financial data, including total revenue and expenditures on claims and non-claims costs. This information must be presented in a consumer-friendly format on the organization's website. Additionally, the bill seeks to ensure that benefit information provided electronically follows a more uniform format.
Yes· 3 of 7
Does this make what the government does easier for the public to see?+6
The bill directly increases transparency by requiring public disclosure of financial data for Medicare Advantage plans.
Would people over 65 be better off under this?+5
Seniors benefit from increased transparency and uniform benefit information regarding their Medicare Advantage plans.
Would retired people be better off under this?+5
Retirees relying on Medicare Advantage benefit from increased financial transparency and clearer benefit information.
The opposite
Would business owners be better off under this?-2
Medicare Advantage organizations may face increased administrative burdens due to new reporting requirements.
Who it would affect, and how
Potential Positive Impacts for People
-
Increased Transparency of Financial Data: Under Section 2(a), Medicare Advantage organizations would be required to publish information regarding total revenue, the amount and percentage of revenue spent on incurred claims, and the amount and percentage of revenue spent on non-claims costs. This provides clear data on how much money is being used for actual healthcare versus other costs.
-
Consumer-Friendly Access: Section 2(a)(A) specifies that the financial information must be published on the organization's public website in a "consumer-friendly format" as specified by the Secretary. This makes it easier for individuals to understand the financial workings of their plans.
-
Uniform Benefit Information: Section 2(b) requires that electronic benefit information be presented in a uniform format, to the greatest extent practicable, similar to information provided by group health plans and health insurance issuers. This helps create consistency for people looking at different insurance options.
Potential Negative Impacts for People
- No specific negative impacts are explicitly stated in the text provided.
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+5Good For Business Owners-2
- Governance And Ideology
- Improves Government Transparency+6Increases Federal Power+2
- Economy And Finance
- Improves Consumer Protection+5
- Healthcare
- Improves Healthcare Access+3
- Social Issues And Justice
- Improves Social Security+2
- 7/15/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
- 7/13/2026
- 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.
- Introduced in House