01 — The Text
What.
- Mandates Medicare Advantage insurers publicly report their medical loss ratio (MLR)—the share of premiums spent on actual healthcare vs. overhead and profits.
- Increases transparency so patients and regulators can see how efficiently insurers use taxpayer money and member premiums.
- Applies transparency requirements specifically to Medicare Advantage plans, which cover ~28 million seniors.
02 — The Stakes
So what?
- Seniors benefit: clearer picture of whether their plans spend money on care or corporate costs.
- Taxpayers benefit: Medicare spends $400+ billion annually on Advantage plans; transparency can expose waste.
- Insurers lose competitive cover: currently don't disclose these metrics, giving them pricing and operational privacy.
- Regulators gain oversight tools to enforce value-for-money standards across the Advantage market.
03 — The Path
Now what?
- Bill passed committee 42–0 on July 15, 2026—unanimous bipartisan support signals strong momentum toward floor vote.
- Next: awaits House floor scheduling; if passed, moves to Senate for identical or reconciled version.
- Track progress at Congress.gov or contact your representative to urge scheduling if this matters to you.
Legislative History
Actions.
- Jul 15, 2026 — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 42 - 0.
- Jul 15, 2026 — Committee Consideration and Mark-up Session Held
- Jul 13, 2026 — 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.
- Jul 13, 2026 — 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.
- Jul 13, 2026 — Introduced in House
- Jul 13, 2026 — Introduced in House