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HR 6110
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To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.

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

Introduced Nov 18, 2025

Latest action (Nov 18, 2025) 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.

Policy area
Issues
Healthcare

Summary

  • Requires Medicare Advantage plans to automatically reconsider coverage denials without requiring an enrollee to submit a reconsideration request.
  • Applies automatic reconsideration to all coverage denial determinations made by Medicare Advantage plans.
  • Establishes that the automatic reconsideration process must begin on the date the original denial determination is made.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Money behind the sponsor

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

  • Employer not reported $12,950
  • MARQUIS MANAGEMENT $7,900
  • ARENBERG HOLDINGS $5,800
  • PETER ANGELOS LAW $4,500
  • UW-MADISON $4,030

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

Actions (2)

  1. Nov 18, 2025 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. Nov 18, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

Text versions (1)

  • Introduced in House · Nov 18, 2025

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

Full text

IN THE HOUSE OF REPRESENTATIVES

November 18, 2025

Mr. Pocan (for himself, Mr. Carson, Mr. Cohen, Ms. DeLauro, Mr. Doggett, Ms. Jayapal, Mr. Khanna, Ms. Norton, Ms. Ocasio-Cortez, Ms. Schakowsky, Mr. Takano, Mr. Thanedar, Ms. Tlaib, Mr. Bell, and Ms. Omar) 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 require Medicare Advantage plans to automatically reconsider determinations denying coverage.

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

SECTION 1. REQUIRING MEDICARE ADVANTAGE PLANS TO AUTOMATICALLY RECONSIDER OF DETERMINATIONS DENYING COVERAGE.

Section 1852(g)(2)(A) of the Social Security Act (42 U.S.C. 1395- 22(g)(2)(A)) is amended—

(1) by striking “a determination” and inserting “each determination”;

(2) by striking “upon request by the enrollee involved”; and

(3) by striking “of the receipt of the request for reconsideration” and inserting “on which the determination described in paragraph (1)(B) is made”. <all>

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