H.R.5243

To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.

Introduced·9/10/25

Increases data transparency for supplemental benefits under Medicare Advantage by requiring public access to enrollee-level data.

The bill amends title XVIII of the Social Security Act to enhance data transparency for supplemental benefits under Medicare Advantage. It mandates that starting from 2029, Medicare Advantage organizations must submit enrollee-level data on supplemental benefits to the Secretary. Beginning in 2030, the Secretary will make this data available on the Centers for Medicare & Medicaid Services website, ensuring it is accessible for evaluations, analysis, and health care research. The bill emphasizes the need for privacy safeguards to protect individually identifiable enrollee information.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
In committee
Next
Committee decision

Sponsors

1
1
Democratic CaucusRepublican Caucus

History

Jun 25

House

Subcommittee Consideration and Mark-up Session Held

Jun 25

House

Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote.

Sep 10, 2025

House

Introduced in House