H.R. 6031 · Where this bill is now
In committee
Introduced in the House, sent 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, Nov 12, 2025
What this bill does
In plain words · AI-written from the official summaryAdjusts Medicare Advantage payments by location
This bill makes temporary changes to how Medicare pays Medicare Advantage plans—a private insurance option for Medicare beneficiaries—based on where people live. It requires that a certain portion of any payment increases from these geographic adjustments must go toward covering basic benefits like doctor visits and hospital care.
How it affects you
If you're enrolled in a Medicare Advantage plan, this could affect your coverage and costs, though the exact impact depends on where you live and how your specific plan uses these adjusted payments. The bill aims to ensure that payment changes benefit your basic coverage rather than going elsewhere.
Read the official summary (Introduced in House, Nov 12, 2025)
Medicare Advantage Integrity Act of 2025
This bill temporarily establishes geographic adjustments for certain Medicare Advantage payment formulations, and specifies that a certain percentage of corresponding payment increases must be directed toward payments for basic benefits.
Written by AI (Claude) using only the official summary by the Congressional Research Service, the Library of Congress’s nonpartisan research staff. It can miss nuance, so check the official summary and the bill text for details.
1st SessionH. R. 6031
A BILL
Medicare Advantage Integrity Act of 2025
Sponsor: Rescom. Pablo Jose Hernández (D-PR-At Large) · Introduced Nov 12, 2025 · Health · 1 version of the text
Sources: Congress.gov actions and votes · bill text from GovInfo · latest official action Nov 12, 2025: “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.”