To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.
This bill requires Medicare Advantage (MA) plan advertisements to disclose specific data about prior authorization denials. Starting one year after enactment, ads must include the number of denied prior authorization requests, how many were later approved after reconsideration, and the average time between denial and approval. These disclosures must cover the most recent plan year before the ad is published, using both verbal and visual methods where possible. The policy directly affects MA plan marketers and beneficiaries who view these advertisements, aiming to provide clearer information about plan coverage experiences.
Bill status
in committee
1 of 4 stages cleared
Introduction
Nov 2025
Committee Review
Floor Vote
President
Introduced Nov 18, 2025
Last action Nov 18, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Nov 18, 2025
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
Nov 18, 2025
Introduced
Introduced in House
lower
1 primary · 17 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Mark Pocan
DDemocratic
Co
Alexandria Ocasio-Cortez
DDemocratic
Co
André Carson
DDemocratic
Co
Chellie Pingree
DDemocratic
Co
Debbie Dingell
DDemocratic
Co
Eleanor Holmes Norton
DDemocratic
Co
Greg Casar
DDemocratic
Co
Ilhan Omar
DDemocratic
Co
Janice D. Schakowsky
DDemocratic
Co
Lloyd Doggett
DDemocratic
Co
Mark Takano
DDemocratic
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