Medicare Advantage Cost Transparency Act

Sponsor: Diana DeGette (Democratic-CO)June 23, 2026

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Introduced

In Committee

Passed One Chamber

Passed Both Chambers

Signed into Law

Forwarded by Subcommittee to Full Committee by Voice Vote.

Medicare Advantage plans would need to share more cost details and info on home health checks.

This bill would make Medicare Advantage plans share more details about how much medical care costs and what patients pay. It would also require them to report if a patient had an at-home health risk assessment. This change would start for plans beginning in 2027, giving people on Medicare Advantage more transparency about their healthcare.

What Would Change

Today, Medicare Advantage plans submit data, but it doesn't always include specific details like the full allowed cost of a service or the exact amount a patient paid out-of-pocket. It also doesn't specifically track if a patient had an at-home health risk assessment. If this bill becomes law, starting in 2027, plans would be required to include all these specific cost details and distinct indicators for at-home health risk assessments, making the data more transparent.

Key Provisions

Requires Medicare Advantage plans to include the total allowed cost for each medical service in their data.
Requires Medicare Advantage plans to include the exact amount patients pay in deductibles, copayments, and coinsurance for each service.
Requires Medicare Advantage plans to report if a patient received an at-home health risk assessment from a company connected to the plan.
Requires Medicare Advantage plans to report if a patient received an at-home health risk assessment from an independent company.
Gives the Secretary of Health and Human Services the power to define what counts as an 'assessment entity' for at-home health risk assessments.

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HR 9392 · 119th Congress · June 23, 2026 · AI Summary by gemini-2.5-flash · 9/10

Medicare Advantage Cost Transparency Act

What Would Change

Key Provisions

Lobbying Activity