REAL Health Providers Act

The REAL Health Providers Act (S 3750) requires Medicare Advantage plans to maintain accurate, up-to-date provider directories for beneficiaries, starting in 2028. Plans must verify provider information at least every 90 days (or annually for hospitals), remove outdated listings within 5 business days, and indicate when information may be inaccurate. If a beneficiary is treated by a provider listed in the directory but not in the network, the plan must cover costs as if the provider were in-network. Annual accuracy reports will be submitted by plans and publicly posted by the government starting in 2029.