H.R. 9392, the Medicare Advantage Cost Transparency Act, cleared a committee markup on June 25, 2026.
H.R. 9392 — Medicare Advantage Cost Transparency Act
What it does
This bill requires Medicare Advantage plans to include four new data points in their encounter data reports to Medicare: the allowed amount for each service, patient cost-sharing details (copays, deductibles, coinsurance), and indicators showing whether patients received in-home health risk assessments—with a distinction between assessments from entities the plan owns or controls versus independent entities. The requirement takes effect January 1, 2027.
Quorum's transparency scan gave Medicare Advantage Cost Transparency Act a moderate transparency flag.
What happens next
H.R. 9392 cleared a committee markup. Next step: the committee votes to report it out.
Who is behind it
Filed by Diana DeGette. Cosponsored by John Joyce.
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