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Bill

HR 6112

To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans.

119th Congress Introduced by André Carson and 15 co-sponsors

Bill establishes cost requirements for Medicare Advantage plans to regulate average monthly enrollee expenses and increase plan pricing transparency.

Introduced in House
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WeVote Research Nonpartisan
Bill Summary · HR 6112

Legislative bill overview

HR 6112 amends Medicare law to establish new requirements governing the average monthly costs for enrollees in Medicare Advantage plans. The bill, introduced by four Democratic representatives, creates accountability measures around plan pricing. The specific requirements and enforcement mechanisms are not detailed in the public summary available.

Why is this important

Medicare Advantage serves approximately 28 million seniors and represents a major alternative to traditional Medicare. Cost transparency and regulation of plan expenses directly affect what beneficiaries pay out-of-pocket and the overall sustainability of the Medicare program. Any changes to cost calculations could influence plan profitability, enrollment patterns, and senior access to coverage.

Potential points of contention

  • Insurance industry opposition: Medicare Advantage insurers may resist new cost requirements as limiting operational flexibility or reducing plan profitability
  • Beneficiary impact uncertainty: Unclear whether requirements would lower costs for enrollees or simply shift how costs are calculated without actual savings
  • Implementation complexity: New regulatory requirements could increase administrative burden on plans and government agencies, potentially raising overall costs

Compiled from official sources — confirm details with the bill’s official record.

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