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HR 6111
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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.

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 requires Medicare Advantage plans to include information about prior authorization denials in their advertisements beginning one year after enactment. Advertisements must disclose the number of prior authorization requests denied during the most recent plan year, as well as how many of those denied requests were later reconsidered and approved. The bill also requires disclosure of the average number of days between the initial denial and approval for requests that were eventually approved. These disclosures must be presented in both verbal and visual formats where possible.

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 79%
  • HR 6110 — To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage. · Introduced Nov 18, 2025 · Cong. 119 77%
  • S 3762 — Prior Authorization Relief Act · Introduced Feb 3, 2026 · Cong. 119 73%
  • HR 9396 — Prior Authorization Accountability Act · Introduced Jun 25, 2026 · Cong. 119 73%
  • HR 8375 — Medicare Advantage Improvement Act of 2026 · Introduced Apr 27, 2026 · Cong. 119 71%
  • HR 5243 — To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. · Introduced Jun 25, 2026 · Cong. 119 71%

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, Ms. McBride, 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 any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.

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

SECTION 1. REQUIRING MA PLAN ADVERTISEMENTS TO INCLUDE INFORMATION ON PRIOR AUTHORIZATION.

Section 1852(c) of the Social Security Act (42 U.S.C. 1395w-22(c)) is amended by adding at the end the following new paragraph:

“(3) Advertisement requirements.—Beginning on the date that is 1 year after the date of the enactment of this paragraph, any advertisement of an MA plan shall include, with respect to the most recent plan year ending before such advertisement is disseminated, a verbal and visual disclosure (to the extent possible) of—

“(A) the number of requests for prior authorization that were denied under such plan during such plan year, including requests for prior authorization that were reconsidered and approved after being denied;

“(B) the number of requests for prior authorization described in subparagraph (A) that were reconsidered and approved after being denied; and

“(C) with respect to the requests for prior authorization described in subparagraph (B), the average number of days between the date on which such a request was initially denied and the date on which such request was approved.”. <all>

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