Congress blocks automatic Medicare Advantage enrollment without consent
H.R. 6114 — To prohibit funds made available to the Department of Health and Human Services by previous Appropriations Acts from being used for any activity that makes Medicare Advantage the default under the Medicare program. · Filed by Mark Pocan (D-WI) · 16 cosponsors · Introduced Nov 18, 2025 · Referred to committee
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What it does
This bill prohibits the Department of Health and Human Services from using appropriated funds to automatically enroll Medicare beneficiaries into Medicare Advantage plans if they do not actively choose a plan themselves. It blocks any HHS activity that would make Medicare Advantage the default option for people entitled to traditional Medicare (Parts A and B) who fail to make an election.
Why we flagged it
The bill's core function is to prevent automatic enrollment of Medicare beneficiaries into private Medicare Advantage plans, protecting beneficiary choice and preserving traditional Medicare as the default option for those who do not actively elect otherwise.
What the text implies
- The bill does not prohibit HHS from promoting or educating beneficiaries about MA plans; it only blocks automatic enrollment of non-electors, leaving room for continued outreach.
- By preserving traditional Medicare as the default, the bill may reduce MA enrollment growth and affect the revenue streams of private insurers offering MA plans.
The full analysis lists 3 implications of this text.
Who it affects
The bill protects Medicare beneficiaries from automatic enrollment into private Medicare Advantage plans without their explicit choice, preserving access to traditional Medicare and maintaining individual agency in plan selection. Beneficiaries retain the right to choose MA if they wish, but are not defaulted into it.