To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 5243 Introduced in House (IH)] <DOC> 119th CONGRESS 1st Session H. R. 5243 To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES September 10, 2025 Ms. McClellan 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 increase data transparency for supplemental benefits under Medicare Advantage. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. INCREASING DATA TRANSPARENCY FOR SUPPLEMENTAL BENEFITS UNDER MEDICARE ADVANTAGE. (a) In General.--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: ``(6) Reporting of enrollee-level data on supplemental benefits.-- ``(A) In general.--Beginning with plan years beginning on or after January 1, 2029, a contract under this section with an MA organization shall require the organization to submit to the Secretary, for each MA plan offered by the organization, enrollee-level data on supplemental benefits (by item or service, or category of item or service, as determined appropriate by the Secretary, and national provider identifier), including eligibility for such benefits, the types of benefit categories offered, data on utilization of and payments for such benefits (including the total amount spent by the plan for each enrollee who utilized s