To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.

# Summary of HR 6110 **What the Bill Would Do** This bill would require Medicare Advantage plans—private insurance plans that serve Medicare beneficiaries—to automatically review their own coverage denials without requiring patients to request an appeal. Currently, when a Medicare Advantage plan denies coverage for a medical service or treatment, patients must actively file an appeal to have the decision reconsidered. This bill would make reconsideration automatic, potentially helping patients access denied treatments without taking additional steps. **Who It Affects** The primary groups affected would be Medicare beneficiaries enrolled in Medicare Advantage plans (roughly 28 million people) and the private insurers offering these plans.

Patients who receive coverage denials would benefit from automatic reviews, while insurers would face new administrative requirements to reconsider these decisions on their own. **Current Status** HR 6110 was introduced in the 119th Congress by Representative Mark Pocan (D-Wisconsin) and is currently in committee, meaning it has not yet been debated or voted on by the full House. The bill has not advanced beyond the committee stage.