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HR-9644House2026-07-13Health

Medicare Advantage MLR Transparency Act

YourVoice.Now Summary

Transparency & AccountabilityCorporate Benefits

Medicare Advantage insurers would post how much of your plan's money pays for care — starting in 2029.

Transparency & Accountability

Public data on Medicare Advantage overhead — insurers post it from 2029

Each Medicare Advantage plan would have to show on its insurer's website how much of its money paid for care and how much went to other costs. Medicare publishes similar figures today, but grouped by contract rather than by each plan.

Easier Medicare plan comparisons — same format private insurers use

Medicare's electronic plan listings would use the same uniform layout private health plans already use for their benefit summaries. The rule would apply, as far as practical, to the comparison information Medicare gives people before they choose a plan.

Corporate Benefits

Insurers' privacy on each plan's finances — public posting required from 2029

Medicare Advantage insurers would take on new work: figuring these numbers for each separate plan, not just for each contract, and posting them in a format the government sets. The bill attaches no penalty to what the numbers show.

More about this bill

If you have a Medicare Advantage plan, you would be able to see where its money goes. More than half of people on Medicare are in one of these plans today. Starting with 2029 plan years, insurers would post each plan's total revenue on their own websites. They would also show what share of that paid for medical care. The rest covers overhead and profit. The share spent on care is called the medical loss ratio, or MLR. Your premium, benefits, and out-of-pocket costs would not change. The bill deals with information, not with what you pay. Medicare's online plan listings would also follow one standard layout where possible. That is the same layout private health plans use for their benefit summaries. That part would start with the first plan year beginning at least a year after it became law.

Congressional Summary

Medicare Advantage MLR Transparency ActThis bill requires Medicare Advantage (MA) organizations to publish certain information regarding revenue and expenses and to present information about benefits in a certain manner.Specifically, MA organizations must submit to the Centers for Medicare & Medicaid Services and publish on their websites information about the revenue received under each offered plan and a breakdown of related expenses, including for items other than claims. MA organizations must also, to the extent practicable, present electronic information about plan benefits to beneficiaries in a manner that is similar to how such information is presented by private insurers.

Legislative Subjects

Health care costs and insuranceMedicare

Details

Congress
119th
Chamber
House
Status
summarized
Action
Introduced in House
Action Date
2026-07-13
Date Added
2026-09-03
Source
Congress.gov →

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