Medicare must show spending data by county and plan type.
H.R. 4093 — Apples to Apples Comparison Act of 2025 · Filed by Aaron Bean (R-FL) · 25 cosponsors · Introduced Jun 24, 2025 · Reported out
Your members of Congress
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What it does
The bill tells Medicare to publish spending data by county. It breaks down the data by plan type, starting in 2025. It asks a Medicare group to compare two plan types. It asks Social Security to report total spending by type. The data must be in a format computers can read.
Who it affects
People on Medicare, researchers, and leaders can see how much Medicare spends. They can compare spending across areas and plan types.
One thing to notice
The bill includes spending data from 2015 through 2024 in the first report. This gives a 10-year record of costs.
From the analysis of the bill text, linked under Primary records below.
Where it stands
25 cosponsors: 25 Republicans.
- Jun 24, 2025 — Introduced · Congress.gov: “Introduced in House”
- Jun 24, 2025 — Referred to House Committee on Energy and Commerce and House Committee on Ways and Means · Congress.gov: “Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a…”
- Sep 16, 2026 — Markup held in committee · Congress.gov: “Committee Consideration and Mark-up Session Held”
- Sep 16, 2026 — Reported out of committee · Congress.gov: “Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Money around this bill
6 groups reported lobbying about this bill. They filed 8 reports from Dec 2025 to Jun 2026.
Those reports show $9,350,000 in lobbying spending. Each report lists about 16 bills. So that money was not all for this bill.
More groups named this bill than 82% of bills with any report.
Aaron Bean, who sponsored the bill, received $1,194,650 from PACs for the 2026 election.
- Elevance Health, Inc. — $4,010,000 in 2 reports
- CVS Health (and Subsidiaries) — $3,570,000 in 1 report
- Better Medicare Alliance, Inc. — $950,000 in 2 reports
- California Hospital Association — $410,000 in 1 report
- Highmark Inc — $230,000 in 1 report
Lobbying is legal. These reports show who lobbied about this bill, not what changed.
Words to know
- Medicare — A government health insurance program for people age 65 and older.
- lobbying — Trying to influence lawmakers about a bill. Companies and groups pay people to do this.
- PACs — Groups that collect money and give it to candidates for office.
- sponsored — To sponsor a bill is to introduce it in Congress and put your name on it.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (10,127 characters) on Aug 24, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 14,522 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
Money — Senate Lobbying Disclosure Act filings whose specific-issue field names this bill for quarters ending Dec 2025 to Jun 2026. A filing's amount is reported whole beside the median number of bills a filing names; it is never divided across them. PAC receipts are FEC-reported contributions to the sponsor's candidate committee in the 2026 cycle.
As of — lobbying records through Jul 20, 2026 · page rendered 2026-09-21.
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