Providers and Payers COMPETE Act
HR 3284, the Providers and Payers COMPETE Act, requires the Health and Human Services Secretary to annually report starting in 2026 on how Medicare regulations (for Parts B, C, and D) affect consolidation among healthcare providers and insurers. It also mandates that beginning in 2025, the Secretary must seek public comment on the potential consolidation impacts of proposed Medicare rules. The bill further modifies Medicare's innovation model testing to require evaluation of how such models affect provider and payer consolidation, including hospital mergers and pharmacy chain integrations. These provisions aim to increase transparency around consolidation trends in Medicare programs without altering existing payment structures.
Bill status
in committee
1 of 4 stages cleared
Introduction
May 2023
Committee Review
Floor Vote
President
Introduced May 15, 2023
Last action Dec 5, 2024
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
13
Key actions
7
Committee
9
Amendments
2
Dec 5, 2024
Lower · Passed
Reported (Amended) by the Committee on Ways and Means. H. Rept. 118-765, Part II.
lower
Nov 22, 2024
Lower · Passed
House Committee on Ways and Means Granted an extension for further consideration ending not later than Dec. 19, 2024.
lower
Nov 22, 2024
Lower · Passed
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 118-765, Part I.
lower
Jul 26, 2023
Introduced
Ordered to be Reported in the Nature of a Substitute (Amended) by the Yeas and Nays: 23 - 17.
lower
Jul 26, 2023
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
May 24, 2023
Introduced
Ordered to be Reported (Amended) by the Yeas and Nays: 49 - 0.
lower
May 24, 2023
Lower · Passed
Committee Consideration and Mark-up Session Held.
lower
May 17, 2023
Lower · Passed
Forwarded by Subcommittee to Full Committee by the Yeas and Nays: 27 - 0 .
lower
May 17, 2023
Lower · Passed
Subcommittee Consideration and Mark-up Session Held.
lower
May 15, 2023
Committee
Referred to the Subcommittee on Health.
lower
May 15, 2023
Committee
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
lower
May 15, 2023
Introduced
Introduced in House
lower
1 primary · 4 co-sponsors
Sponsors
Ask Maddy
·
AI policy assistant
Ask Maddy about HR 3284
Scope: US
Hi! I can help you understand HR 3284. What would you like to know?
Try one of these
i
Maddy answers using official bill text and legislative records. Always verify before sharing.
Sources cited inline