To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
The source supplies the latest action, but no lifecycle stage.
Latest action (17 Dec 2024): Referred to the Subcommittee on Health.
What this bill does
H.R. 5380 would amend Medicare law to require Medicare Advantage (MA) organizations to report detailed, enrollee-level data on the supplemental benefits they offer, such as dental, vision, or other extra services beyond standard Medicare coverage. Beginning with plan years starting in 2027, MA plans would have to submit data to the Secretary of Health and Human Services on eligibility for these benefits, the categories of benefits offered, utilization, and payment information, including amounts spent per enrollee and out-of-pocket costs. Starting in 2028, this data would be made available annually—both to researchers and analysts for program evaluation and health research, and to the public through a data file posted online, with safeguards to protect individually identifiable enrollee information.
The bill primarily affects Medicare Advantage organizations, which would face new reporting obligations, and the Centers for Medicare & Medicaid Services, which would be responsible for collecting, safeguarding, and publishing the data. Researchers, policymakers, and the public would gain greater insight into how supplemental benefits are used and paid for under Medicare Advantage plans, which cover millions of Medicare beneficiaries.
The bill was introduced in September 2023 by Rep. John Sarbanes and referred to the Committees on Ways and Means and Energy and Commerce. On December 6, 2023, it was ordered to be reported, as amended, by a vote of 43-0. It did not receive a further vote before the end of that congressional session, meaning it would need to be reintroduced in a future Congress to be considered again.
Plain-English summary generated by Bill100 AI from the official record. Always verify against the source below.
Timeline
17 Dec 2024
Referred to the Subcommittee on Health.
Common questions
- What does H.R. 5380 do?
- H.R. 5380 would amend Medicare law to require Medicare Advantage (MA) organizations to report detailed, enrollee-level data on the supplemental benefits they offer, such as dental, vision, or other extra services beyond standard Medicare coverage. Beginning with plan years starting in 2027, MA plans would have to submit data to the Secretary of Health and Human Services on eligibility for these benefits, the categories of benefits offered, utilization, and payment information, including amounts spent per enrollee and out-of-pocket costs. Starting in 2028, this data would be made available annually—both to researchers and analysts for program evaluation and health research, and to the public through a data file posted online, with safeguards to protect individually identifiable enrollee information. The bill primarily affects Medicare Advantage organizations, which would face new reporting obligations, and the Centers for Medicare & Medicaid Services, which would be responsible for collecting, safeguarding, and publishing the data. Researchers, policymakers, and the public would gain greater insight into how supplemental benefits are used and paid for under Medicare Advantage plans, which cover millions of Medicare beneficiaries. The bill was introduced in September 2023 by Rep. John Sarbanes and referred to the Committees on Ways and Means and Energy and Commerce. On December 6, 2023, it was ordered to be reported, as amended, by a vote of 43-0. It did not receive a further vote before the end of that congressional session, meaning it would need to be reintroduced in a future Congress to be considered again.
- Has H.R. 5380 become law?
- The source does not supply a confirmed lifecycle stage for H.R. 5380. Check the latest action and official source below.
- Who sponsored H.R. 5380?
- H.R. 5380 was sponsored by Rep. Sarbanes, John P. [D-MD-3] (D-MD), with 1 cosponsor.
- What's the latest action on H.R. 5380?
- Referred to the Subcommittee on Health. (17 Dec 2024).
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