Protects Medicare Advantage enrollees from incorrect doctor directories and surprise bills.
This bill would require Medicare Advantage plans to keep their doctor directories accurate and up-to-date. If a plan lists a doctor as in-network but they aren't, enrollees would pay the lower in-network cost. This aims to protect people from surprise bills and make it easier to find care.
Today, Medicare Advantage plans do not have specific rules for how often they must update their doctor directories or how accurate they need to be. This means people can sometimes find outdated or incorrect information, potentially leading to unexpected out-of-network costs. If this bill becomes law, starting in 2028, Medicare Advantage plans would have to keep accurate, publicly available online directories. They would also need to check doctor information at least every 90 days. If an enrollee sees a doctor listed as in-network who is actually out-of-network, they would only pay the lower in-network cost.
HR 5281 · 119th Congress · AI Summary by gemini-2.5-flash · 9/10
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6 filings mentioned this bill
Amounts reflect total quarterly lobbying spend reported to the Senate, not bill-specific spending. Source: Senate LDA filings.