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HR 6111119th CongressIn Committee
To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.
Introduced: Nov 18, 2025
Sponsor: Rep. Pocan, Mark [D-WI-2] (D-Wisconsin)
Standard Summary
Comprehensive overview in 1-2 paragraphs
A bill amending Title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to disclose prior‑authorization denial rates and related metrics.
Key Points
- 1Mandatory disclosure of denial rates in MA plan ads
- 2Inclusion of number of denied requests, reversals, and average days
- 3Transparency requirement for consumers
- 4Implementation timeline: one year after enactment
- 5Regulatory oversight by the Secretary
Impact Areas
Medicare Advantage plans and marketing teamsConsumers and beneficiariesAdvertising regulatorsDepartment of Health and Human Services
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