To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes.
This bill requires Medicare Advantage (MA) plans to maintain accurate, publicly accessible provider directories containing essential details like provider names, specialties, contact information, and accessibility features. MA organizations must verify directory accuracy quarterly (or annually for hospitals), remove outdated providers within 5 business days, and clearly flag outdated information. If a beneficiary relies on an incorrect directory listing for a non-participating provider, the MA plan must cover the same cost-sharing as if the provider were in-network. These requirements apply to all network-based MA plans starting in 2026, with annual accuracy reports and public score disclosures beginning in 2027.
Bill status
in committee
1 of 4 stages cleared
Introduction
Mar 2024
Committee Review
Floor Vote
President
Introduced Mar 15, 2024
Last action Dec 17, 2024
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
4
Key actions
0
Committee
3
Dec 17, 2024
Committee
Referred to the Subcommittee on Health.
lower
Mar 22, 2024
Committee
Referred to the Subcommittee on Health.
lower
Mar 15, 2024
Committee
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.
lower
Mar 15, 2024
Introduced
Introduced in House
lower
1 primary · 5 co-sponsors
Sponsors
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