H.R. 9395

119 HR 9395 IH: Transparency in Medicare Advantage Steering Act
 U.S. House of Representatives
 2026-06-23
 text/xml
 EN
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 I  119th CONGRESS  2d Session  H. R. 9395  IN THE HOUSE OF REPRESENTATIVES   June 23, 2026   Ms. Ocasio-Cortez  introduced the following bill; which was referred to the  Committee on Ways and Means , and in addition to the Committee on  Energy and Commerce , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned   A BILL
To amend title XVIII of the Social Security Act to require certain reporting with respect to agents and brokers of Medicare Advantage organizations.
1.
Short title
This Act may be cited as the   Transparency in Medicare Advantage Steering Act  .
2.
Requiring reporting on certain agent and broker information
Section 1857(e) of the Social Security Act ( 42 U.S.C. 1395w–27(e) ) is amended by adding at the end the following new paragraph:
(7)
Requirement to report certain agent and broker information
(A)
In general
Beginning with plan years beginning on or after January 1, 2028, a contract under this section with an MA organization shall require the organization to annually report to the Secretary—
(i)
with respect to each individual enrolled in an MA plan offered by such organization for such year—
(I)
whether such individual was so enrolled by an agent, broker, or other third party representing the organization; and
(II)
in the case that such individual was so enrolled by such an agent, broker, or third party—
(aa)
the amount of compensation, if any, paid to such agent, broker, or third party in connection with enrolling such individual; and
(bb)
the form of such compensation;
(ii)
the total amount of compensation paid to all such agents, brokers, and third parties representing the organization in connection with enrolling individuals in all MA plans offered by such organization for such year; and
(iii)
such other information relating to such agents, brokers, and third parties representing the organization as the Secretary may require.
(B)
Transparency
Beginning with plan years beginning on or after January 1, 2030, the Secretary shall—
(i)
include in the Chronic Condition Data Warehouse maintained by the Centers for Medicare & Medicaid Services pursuant to section 723 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 an indicator to identify whether an individual was enrolled in an MA plan by an agent, broker, or other third party representing the organization offering such plan (as determined based on the information reported under  subparagraph (A)(i) ); and
(ii)
make publicly available on the internet website of the Centers for Medicare & Medicaid services the information reported by an MA organization under clauses (ii) and (iii) of  subparagraph (A) .
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