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Bills/119th Congress · House

H.R. 6110

Introduced

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

Sponsor
DMark Pocan· Wisconsin
Introduced
November 18, 2025
Policy area
Health
Latest action
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.November 18, 2025
[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6110 Introduced in House (IH)]

<DOC>

119th CONGRESS
1st Session
H. R. 6110

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

_______________________________________________________________________

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>

Plain-language analysis

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