Requiring the Secretary of Health and Human Services to publish information on expenditures under the Medicare program

Section 1874 of the Social Security Act (42 U.S.C. 1395kk) is amended— (1) in subsection (g)— (A) in paragraph (1)— (i) in the matter preceding subparagraph (A), by inserting (and, beginning with 2027, publish on the public website of the Centers for Medicare & Medicaid Services in machine-readable files information on) after a report on; (ii) in subparagraph (A), by inserting (and, beginning with 2027, by county and Metropolitan Statistical Area) after State; and (iii) in subparagraph (B)— (I) in clause (ii), by striking and at the end; (II) in clause (iii), by striking the period and inserting; and; and (III) by adding at the end the following new clause: (iv) beginning with 2027, each category of individuals described in subsection (h)(1).; and (B) by adding at the end the following new paragraph: (3) Special rule for 2027 report and publication of information As part of the report and publication of information required under paragraph (1) for 2027, the Secretary shall include enrollment information submitted under this subsection for each preceding year (beginning with 2015), broken down by county and Metropolitan Statistical Area and provided for each category of individuals described in subsection (h)(1).; and (2) by adding at the end the following new subsection: (h) Information on expenditures (1) In general Not later than 30 days after the last day of each year (beginning with 2027), the Secretary shall, for each county and each Metropolitan Statistical Area, publish on the public website of the Centers for Medicare & Medicaid Services in machine-readable files the total and average expenditures under this title for items and services furnished to individuals entitled to benefits under part A or enrolled under part B residing in such county or Metropolitan Statistical Area for each month occurring in the specified historical period and for each month occurring in the specified projected period with respect to such year, broken down by the following categories of individuals: (A) Individuals entitled to benefits under part A and not enrolled under part B. (B) Individuals who are— (i) not entitled to benefits under part A; (ii) enrolled under part B; and (iii) not enrolled under a Medicare Advantage plan under part C. (C) Individuals who are— (i) entitled to benefits under part A and enrolled under part B; and (ii) not enrolled under a Medicare Advantage plan under part C. (D) Individuals described in subparagraph (A) who are enrolled in a prescription drug plan under part D. (E) Individuals described in subparagraph (B) who are enrolled in a prescription drug plan under part D. (F) Individuals described in subparagraph (C) who are enrolled in a prescription drug plan under part D. (G) Individuals described in subparagraph (A) who are not enrolled in a prescription drug plan under part D. (H) Individuals described in subparagraph (B) who are not enrolled in a prescription drug plan under part D. (I) Individuals described in subparagraph (C) who are not enrolled in a prescription drug plan under part D. (J) Individuals described in subparagraph (A) who are enrolled in a Federal health care program (as defined in section 1128B) or a health plan under chapter 89 of title 5, United States Code. (K) Individuals described in subparagraph (B) who are enrolled in such a program or plan. (L) Individuals described in subparagraph (C) who are enrolled in such a program or plan. (M) Individuals described in subparagraph (A) who are not enrolled in such a program or plan. (N) Individuals described in subparagraph (B) who are not enrolled in such a program or plan. (O) Individuals described in subparagraph (C) who are not enrolled in such a program or plan. (P) Individuals described in subparagraph (A) who are enrolled in a group health plan (as defined in section 2791 of the Public Health Service Act) or a medicare supplemental policy under section 1882. (Q) Individuals described in subparagraph (B) who are enrolled in such a plan or policy. (R) Individuals described in subparagraph (C) who are enrolled in such a plan or policy. (S) Individuals described in subparagraph (A) who are not enrolled in such a plan or policy. (T) Individuals described in subparagraph (B) who are not enrolled in such a plan or policy. (U) Individuals described in subparagraph (C) who are not enrolled in such a plan or policy. (V) Individuals enrolled in a specialized MA plan for special needs individuals, broken down by each type of plan. (W) Individuals enrolled in an MA plan other than a plan described in subparagraph (V). (X) Individuals enrolled in an MA plan. (Y) Individuals described in subparagraph (X) who are enrolled in a Federal health care program (as defined in section 1128B) or a health plan under chapter 89 of title 5, United States Code. (Z) Individuals described in subparagraph (X) who are not enrolled in such a program or plan. (AA) Individuals described in subparagraph (X) who are enrolled in a group health plan (as defined in section 2791 of the Public Health Service Act) or a medicare supplemental policy under section 1882. (BB) Individuals described in subparagraph (X) who are not enrolled in such a plan or policy. (CC) Individuals described in subparagraph (X) who are enrolled in a prescription drug plan under part D. (DD) Individuals described in subparagraph (X) who are not enrolled in such a plan. (EE) Individuals described in subparagraph (X) who are enrolled in an MA–PD plan. (FF) Individuals described in subparagraph (X) who are not enrolled in such a plan. (GG) Individuals described in subparagraph (CC) or (EE) who are enrolled in a Federal health care program (as defined in section 1128B) or a health plan under chapter 89 of title 5, United States Code. (HH) Individuals described in subparagraph (CC) or (EE) who are not enrolled in such a program or plan. (II) Individuals enrolled in an employer group waiver plan. (2) Definitions For purposes of this subsection: (A) Specified historical period The term specified historical period means, with respect to a year, the 10-year period ending on the last day of such year. (B) Specified projected period The term specified projected period means, with respect to a year, the period beginning on the first day of the subsequent year of a duration specified by the Secretary (but in no case to exceed a duration of 5 years)..