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To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program.
To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program.
Summary
This bill would prohibit the Department of Health and Human Services from using previously appropriated funds in the current fiscal year to automatically enroll Medicare beneficiaries into Medicare Advantage (MA) plans as their default coverage option. The prohibition applies to individuals who are entitled to Medicare Part A and enrolled in Part B but have not actively selected a Medicare Advantage plan. The bill includes an exception for automatic enrollment provisions already established in existing Medicare law. In effect, the bill prevents HHS from implementing policies that would make Medicare Advantage the default plan for Medicare beneficiaries who have not actively chosen it.
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)
- Rep. Pocan, Mark [D-WI-2] (D-WI)
16 cosponsors
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC)
- Rep. Carson, André [D-IN-7] (D-IN)
- Rep. Casar, Greg [D-TX-35] (D-TX)
- Rep. Cohen, Steve [D-TN-9] (D-TN)
- Rep. DeLauro, Rosa L. [D-CT-3] (D-CT)
- Rep. Dingell, Debbie [D-MI-6] (D-MI)
- Rep. Doggett, Lloyd [D-TX-37] (D-TX)
- Rep. Jayapal, Pramila [D-WA-7] (D-WA)
- Rep. Khanna, Ro [D-CA-17] (D-CA)
- Rep. McBride, Sarah [D-DE-At Large] (D-DE)
- Rep. Ocasio-Cortez, Alexandria [D-NY-14] (D-NY)
- Rep. Omar, Ilhan [D-MN-5] (D-MN)
- Rep. Schakowsky, Janice D. [D-IL-9] (D-IL)
- Rep. Takano, Mark [D-CA-39] (D-CA)
- Rep. Thanedar, Shri [D-MI-13] (D-MI)
- Rep. Tlaib, Rashida [D-MI-12] (D-MI)
Actions (2)
- 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
- Nov 18, 2025 Introduced in House
Similar bills (6)
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Text versions (1)
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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 prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. PROHIBITING USE OF APPROPRIATED FUNDS TO MAKE MEDICARE ADVANTAGE THE DEFAULT UNDER THE MEDICARE PROGRAM.
Notwithstanding any other provision of law, none of the funds made available by previous Appropriations Acts to the Department of Health and Human Services for obligation or expenditure in the current fiscal year may be used for any activity that deems an individual entitled to benefits under part A and enrolled under part B of title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) who fails to make an election under subsection (e)(1) of section 1851 of such title to have elected an MA plan under part C of such title other than as provided in subsection (c)(3) of such section. <all>
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