Apples to Apples Comparison Act of 2025

The Apples to Apples Comparison Act of 2025 requires the Centers for Medicare & Medicaid Services (CMS) to publish detailed Medicare spending data starting in 2025. It mandates that CMS release machine-readable, county- and Metropolitan Statistical Area-level expenditure information for over 30 distinct beneficiary categories (e.g., Part A-only enrollees, Medicare Advantage members, and those with supplemental coverage) on its public website. The law also requires the Medicare Payment Advisory Commission (MedPAC) to analyze Medicare Advantage vs. traditional Medicare spending patterns beginning in 2026, with public methodology and data transparency. Additionally, the Medicare Trustees must include disaggregated expenditure data in their annual reports starting in 2026. This bill directly affects how CMS and federal agencies collect and share Medicare spending data, not beneficiaries' coverage or costs.