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Bill

HCR 5013

Urging Congress to give state insurance regulators authority over Medicare Advantage plans.

2025-2026 Regular Session Introduced by Ron Bryce and 14 co-sponsors

Kansas urges Congress to shift Medicare Advantage regulatory authority from federal CMS to state insurance regulators, potentially fragmenting national oversight of senior healthcare plans.

Died in Senate Committee
#resolutions
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WeVote Research Nonpartisan
Bill Summary · HCR 5013

Legislative bill overview

HCR 5013 is a Kansas concurrent resolution that urges the U.S. Congress to transfer regulatory authority over Medicare Advantage plans from the federal government to state insurance regulators. Currently, Medicare Advantage plans are primarily regulated by the Centers for Medicare & Medicaid Services (CMS) at the federal level, though states retain some limited oversight authority.

Why is this important

Medicare Advantage plans cover millions of seniors nationwide and represent a significant portion of Medicare enrollment. State regulators argue they are better positioned to protect consumers and ensure plan compliance with state insurance laws, while this change would fundamentally reshape the federal-state balance of power in health insurance regulation and could affect plan operations, consumer protections, and market competition.

Potential points of contention

  • Federal vs. state authority: Medicare is a federal program, and shifting oversight could create regulatory fragmentation and conflicting standards across states, potentially complicating operations for national insurers
  • Consumer protection trade-offs: State regulation might strengthen some local protections but could weaken uniform national standards and create inconsistent coverage requirements for seniors moving between states
  • Implementation complexity: Transferring authority would require significant restructuring of existing regulatory infrastructure, potentially creating gaps during transition and raising questions about enforcement capacity and funding

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

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