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HR 6031119th CongressIn Committee
Medicare Advantage Integrity Act of 2025
Introduced: Nov 12, 2025
Sponsor: Rescom. Hernández, Pablo [D-PR-At Large] (D-Puerto Rico)
Standard Summary
Comprehensive overview in 1-2 paragraphs
Establishes minimum benchmark rates for Medicare Advantage plans in areas with low fee-for-service penetration.
Key Points
- 1Creates 0.70 floor for geographic adjustment factors in Medicare Advantage
- 2Applies to 2026 and subsequent years
- 3Requires 50% of increased benchmark amounts to go to basic benefits
- 4Addresses payment disparities in low-penetration regions
- 5Amends Social Security Act sections 1853 and 1854
Impact Areas
Medicare Advantage plansHealthcare providersMedicare beneficiariesRural and underserved areas
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