H.R. 9644 · In committee · Health

Medicare Advantage MLR Transparency Act

Sponsor: Nathaniel Moran (R-TX)

What it does

• Require Medicare Advantage organizations to submit to CMS and publish on their websites information about revenue received under each offered plan.
• Mandate breakdown of expenses by Medicare Advantage organizations, including costs for items other than claims.
• Direct Medicare Advantage organizations to present electronic benefit information to beneficiaries in a manner similar to private insurers, to the extent practicable.

Official summary

Medicare Advantage MLR Transparency Act This 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.

Latest action

Jul 15, 2026: Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.

Committee: House Ways and Means