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HR 10747
Introduced Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.

Puerto Rico Medicare Advantage Fairness Act of 2026

To amend title XVIII of the Social Security Act to ensure appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico.

Introduced Oct 5, 2026

Latest action (Oct 5, 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.

Referred to
Energy and Commerce Committee Ways and Means Committee
Policy area
Health
Issues
Healthcare

Sponsor (1)
3 cosponsors

Money behind the sponsor

Top reported contributors to Raul Ruiz’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.

  • Employer not reported $112,200
  • DAVITA $15,500
  • US ACUTE CARE SOLUTIONS $14,100
  • CHANDI GROUP USA, INC. $13,200
  • ST. GEORGE'S UNIVERSITY $13,200

Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Raul Ruiz → · Outside spending →

Actions (2)
  1. Oct 5, 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. · house
  2. Oct 5, 2026 Introduced in House

Full text

IN THE HOUSE OF REPRESENTATIVES

October 5, 2026

Mr. Ruiz (for himself, Mr. Bilirakis, Mr. Hernandez, and Mr. Soto) introduced the following bill; which was 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

A BILL

To amend title XVIII of the Social Security Act to ensure appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Puerto Rico Medicare Advantage Fairness Act of 2026”.

SEC. 2. ENSURING APPROPRIATE GEOGRAPHIC ADJUSTMENTS TO MEDICARE ADVANTAGE BENCHMARKS IN PUERTO RICO.

Section 1853(c)(1)(D)(i) of the Social Security Act (42 U.S.C. 1395w-23(c)(1)(D)(i)) is amended by adding at the end the following new sentence: “For each year specified in clause (ii) beginning on or after January 1, 2027, in determining the adjusted average per capita cost for such year for an MA payment area in Puerto Rico under the preceding sentence, the average geographic adjustment applied to such area for such year shall be equal to such adjustment applied to an MA payment area in the United States Virgin Islands for such year.”. <all>

Text versions (1)
  • Introduced in House · Oct 5, 2026

Only one text version is on file, so there’s no earlier version to compare against yet.

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