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Transparency in Medicare Advantage Steering Act
To amend title XVIII of the Social Security Act to require certain reporting with respect to agents and brokers of Medicare Advantage organizations.
Summary
- Requires Medicare Advantage organizations to annually report whether each enrolled beneficiary was enrolled by an agent, broker, or third party.
- Requires Medicare Advantage organizations to report the compensation amount and form of compensation paid to agents, brokers, and third parties for enrolling beneficiaries.
- Requires Medicare Advantage organizations to report total compensation paid to all agents, brokers, and third parties for enrolling individuals in MA plans.
- Requires the Centers for Medicare & Medicaid Services to add an indicator to the Chronic Condition Data Warehouse identifying whether beneficiaries were enrolled by agents or brokers.
- Requires the Centers for Medicare & Medicaid Services to publicly disclose on its website the total compensation and other information about agent and broker enrollment activities.
- Reporting requirements begin for plan years starting January 1, 2028, with public transparency requirements beginning for plan years starting January 1, 2030.
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)
Actions (5)
- Jun 25, 2026 Forwarded by Subcommittee to Full Committee by Voice Vote. · house
- Jun 25, 2026 Subcommittee Consideration and Mark-up Session Held · house
- Jun 23, 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
- Jun 23, 2026 Referred to the Subcommittee on Health. · house
- Jun 23, 2026 Introduced in House
Similar bills (6)
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Committee action
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Full text
IN THE HOUSE OF REPRESENTATIVES
June 23, 2026
Ms. Ocasio-Cortez 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 certain reporting with respect to agents and brokers of Medicare Advantage organizations.
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 “Transparency in Medicare Advantage Steering Act”.
SEC. 2. REQUIRING REPORTING ON CERTAIN AGENT AND BROKER INFORMATION.
Section 1857(e) of the Social Security Act (42 U.S.C. 1395w-27(e)) is amended by adding at the end the following new paragraph:
“(7) Requirement to report certain agent and broker information.—
“(A) In general.—Beginning with plan years beginning on or after January 1, 2028, a contract under this section with an MA organization shall require the organization to annually report to the Secretary—
“(i) with respect to each individual enrolled in an MA plan offered by such organization for such year—
“(I) whether such individual was so enrolled by an agent, broker, or other third party representing the organization; and
“(II) in the case that such individual was so enrolled by such an agent, broker, or third party— “(aa) the amount of compensation, if any, paid to such agent, broker, or third party in connection with enrolling such individual; and “(bb) the form of such compensation;
“(ii) the total amount of compensation paid to all such agents, brokers, and third parties representing the organization in connection with enrolling individuals in all MA plans offered by such organization for such year; and
“(iii) such other information relating to such agents, brokers, and third parties representing the organization as the Secretary may require.
“(B) Transparency.—Beginning with plan years beginning on or after January 1, 2030, the Secretary shall—
“(i) include in the Chronic Condition Data Warehouse maintained by the Centers for Medicare & Medicaid Services pursuant to section 723 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 an indicator to identify whether an individual was enrolled in an MA plan by an agent, broker, or other third party representing the organization offering such plan (as determined based on the information reported under subparagraph
(A)(i)); and
“(ii) make publicly available on the internet website of the Centers for Medicare & Medicaid services the information reported by an MA organization under clauses (ii) and (iii) of subparagraph (A).”. <all>
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