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HR 6110
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.

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.

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

Summary

This bill would amend Medicare Advantage plan rules to require automatic reconsideration of all determinations denying coverage. Currently, Medicare Advantage plans only reconsider coverage denials when enrollees request reconsideration. Under this bill, plans would be required to automatically reconsider all coverage denials without waiting for an enrollee request. The reconsideration process would begin on the date the initial denial determination is made rather than when a request is received.

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)
17 cosponsors

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.

  • HR 6109 — To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans. · Introduced Nov 18, 2025 · Cong. 119 86%
  • HR 6111 — 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. · Introduced Nov 18, 2025 · Cong. 119 77%
  • HR 6112 — To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans. · Introduced Nov 18, 2025 · Cong. 119 72%
  • HR 3665 — Medicare Economic Security Solutions Act · Introduced May 29, 2025 · Cong. 119 71%
  • HR 6113 — To amend title XVIII of the Social Security Act to impose limitations on contracts with Medicare Advantage organizations offering multiple Medicare Advantage plans under the Medicare program. · Introduced Nov 18, 2025 · Cong. 119 70%
  • HR 8478 — RECON Act · Introduced Apr 23, 2026 · Cong. 119 70%

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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