To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
Latest action (6 Dec 2023): Ordered to be Reported (Amended) by the Yeas and Nays: 43 - 0.
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.
Official summary
This bill was introduced on December 6, 2023, in a previous session of Congress, but it did not receive a vote.
Timeline
6 Dec 2023
Ordered to be Reported (Amended) by the Yeas and Nays: 43 - 0.
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?
- Not yet. As of 6 Dec 2023, H.R. 5380 is ordered reported.
- Who sponsored H.R. 5380?
- H.R. 5380 was sponsored by Rep. John Sarbanes [D-MD3, 2007-2024] (Democrat-MD), with 1 cosponsor.
- What's the latest action on H.R. 5380?
- Ordered to be Reported (Amended) by the Yeas and Nays: 43 - 0. (6 Dec 2023).
Related bills in Health
Expressing support for the designation of September 22, 2026, as “National Hispanic Nurses Day” and recognizing the National Association of Hispanic Nurses as the leading organization representing and advocating for Hispanic nurses.
Recognizing the importance of protecting continuous Medicaid coverage for individuals undergoing active cancer treatment.
Community Health Worker Access Act
A resolution supporting the designation of October 2026 as “Substance Use & Misuse Prevention Month” to raise awareness of substance use and misuse in the United States.
Bill100 mirrors the public U.S. legislative record from Congress.gov and GovTrack and adds plain-English AI summaries. It is an information tool, not legal, compliance or lobbying advice, and it is not affiliated with the U.S. Congress or any government agency. AI summaries can simplify or omit detail — every bill links to the official source; verify there before you rely on it.