H.R. 6111

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6111 Introduced in House (IH)]

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119th CONGRESS
1st Session
H. R. 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.

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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.''.
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