H.R. 9395

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9395 Introduced in House (IH)]

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119th CONGRESS
2d Session
H. R. 9395

To amend title XVIII of the Social Security Act to require certain 
reporting with respect to agents and brokers of Medicare Advantage 
organizations.

_______________________________________________________________________

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

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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).''.
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