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HR 6113

To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program.

119th Congress Introduced by André Carson and 14 co-sponsors

HR 6113: Limiting Medicare Advantage Plan Offerings OverviewBill Number: HR 6113 Title: To amend title XVIII of the Social Security Act to impose limitations on contracts with Med

Introduced in House
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WeVote Research Nonpartisan
Bill Summary · HR 6113

HR 6113: Limiting Medicare Advantage Plan Offerings

Overview

Bill Number: HR 6113
Title: To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program.
Status: Introduced in House
Introduced: November 18, 2025

Purpose and Intent

The primary goal of this bill is to restrict the number of Medicare Advantage plans that can be offered by a single organization within a given service area. The rationale is to increase transparency, simplify plan selection, and prevent potential market consolidation that could limit beneficiary choice.

Key Provisions

  • Limits each Medicare Advantage organization to offering a maximum of two plans per service area
  • Requires Medicare Advantage organizations to differentiate their plan offerings in terms of benefits, cost-sharing, and provider networks
  • Prohibits organizations from offering multiple plans that are substantially similar in coverage
  • Directs the Centers for Medicare & Medicaid Services (CMS) to establish criteria for determining plan differentiation

Affected Parties and Impacts

  • Medicare beneficiaries enrolled in or considering Medicare Advantage plans would have fewer plan options to choose from in a given service area
  • Medicare Advantage organizations would need to restructure their plan portfolios to comply with the new limitations
  • CMS would be responsible for developing and enforcing the new plan differentiation criteria

Procedural and Timeline Considerations

This bill was introduced in the House of Representatives on November 18, 2025. It has been referred to the House Committee on Ways and Means, which will likely hold hearings and mark-up the legislation before sending it to the full House for consideration. If passed by the House, the bill would then move to the Senate for further review and potential amendments before a final vote. If enacted, the new limitations on Medicare Advantage plan offerings would likely take effect within 12-24 months to allow for an orderly transition.

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

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