H.R.8375

Medicare Advantage Improvement Act of 2026: reforms to Medicare Advantage program

The Medicare Advantage Improvement Act of 2026 amends title XVIII (Medicare) of the Social Security Act to introduce reforms to the Medicare Advantage program. Key provisions include: 1) requiring Medicare Advantage organizations to provide real-time authorization decisions for certain identified services, 2) establishing a Medicare Advantage organization compliance scoring and accountability program, 3) adding an MA Program Compliance and Coverage Protection Domain to the MA star ratings system, 4) improving the reconsiderations process, 5) applying fee-for-service prompt payment.