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H.R. 5243 (119th Congress)Committee
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To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.

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Summary

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This bill amends the Social Security Act to require Medicare Advantage organizations to submit detailed, enrollee-level data on supplemental benefits to the Centers for Medicare & Medicaid Services beginning in 2029. The Secretary would make this data publicly available starting in October 2030, including information on benefit eligibility, utilization, payments, and out-of-pocket costs, while maintaining privacy protections for individual enrollee information. The data would be used to support program evaluation, analysis, and health care research.

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