Transparency in Medicare Advantage Steering Act

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9395 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 9395

  To amend title XVIII of the Social Security Act to require certain
  reporting with respect to agents and brokers of Medicare Advantage
                             organizations.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                             June 23, 2026

Ms. Ocasio-Cortez 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 require certain
  reporting with respect to agents and brokers of Medicare Advantage
                             organizations.

    Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Transparency in Medicare Advantage
Steering Act''.

SEC. 2. REQUIRING REPORTING ON CERTAIN AGENT AND BROKER INFORMATION.

    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:
            ``(7) Requirement to report certain agent and broker
        information.--
                    ``(A) In general.--Beginning with plan years
                beginning on or after January 1, 2028, a contract under
                this section with an MA organization shall require the
                organization to annually report to the Secretary--
                            ``(i) with respect to each individual
                        enrolled in an MA plan offered by such
                        organization for such year--
                                    ``(I) whether such individual was
                                so enrolled by an agent, broker, or
                                other third party representing the
                                organization; and
                                    ``(II) in the case that such
                                individual was so enrolled by such an
                                agent, broker, or third party--
                                            ``(aa) the amount of
                                        compensation, if any, paid to
                                        such agent, broker, or third
                                        party in connection with
                                        enrolling such individual; and
                                            ``(bb) the form of such
                                        compensation;
                            ``(ii) the total amount of compensation
                        paid to all such agents, brokers, and third
                        parties representing the organization in
                        connection with enrolling individuals in all MA
                        plans offered by such organization for such
                        year; and
                            ``(iii) such other information relating to
                        such agents, brokers, and third parties
                        representing the organization as the Secretary
                        may require.
                    ``(B) Transparency.--Beginning with plan years
                beginning on or after January 1, 2030, the Secretary
                shall--
                            ``(i) include in the Chronic Condition Data
                        Warehouse maintained by the Centers for
                        Medicare & Medicaid Services pursuant to
                        section 723 of the Medicare Prescription Drug,
                        Improvement, and Modernization Act of 2003 an
                        indicator to identify whether an individual was
                        enrolled in an MA plan by an agent, broker, or
                        other third party representing the organization
                        offering such plan (as determined based on the
                        information reported under subparagraph
                        (A)(i)); and
                            ``(ii) make publicly available on the
                        internet website of the Centers for Medicare &
                        Medicaid services the information reported by
                        an MA organization under clauses (ii) and (iii)
                        of subparagraph (A).''.
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