To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.
To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.
Plain Language Summary
# Summary of HR 6111 **What the Bill Would Do** This bill would require Medicare Advantage insurance plans to disclose their prior authorization denial rates in all advertisements. Prior authorization is when an insurance company must approve a treatment before a patient receives it. The bill aims to make consumers aware of how often these plans deny such requests so people can make more informed choices when selecting coverage. **Who It Affects** The requirement would primarily affect Medicare Advantage plans (private insurance alternatives to traditional Medicare) and seniors choosing between health coverage options.
It could also impact how insurance companies market their plans. **Current Status** HR 6111 was introduced by Representative Mark Pocan (D-Wisconsin) in the 119th Congress and is currently in committee, meaning it has not yet been voted on by the full House. The bill has not advanced to a vote as of the last update.
Latest Action
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.