H.R. 4093, the Apples to Apples Comparison Act of 2025, advanced out of committee on September 16, 2026.
H.R. 4093 — Apples to Apples Comparison Act of 2025
What it does
This bill requires the Centers for Medicare & Medicaid Services (CMS) to publish detailed, machine-readable data on Medicare spending by county and metropolitan area, broken down by beneficiary type (e.g., those in traditional Medicare vs. Medicare Advantage plans), starting in 2025. It also directs the Medicare Payment Advisory Commission (MedPAC) to analyze spending differences between Medicare Advantage and traditional fee-for-service Medicare, and requires the Social Security Trustees to report aggregate spending by beneficiary category.
Quorum's transparency scan gave Apples to Apples Comparison Act of 2025 a moderate transparency flag.
What happens next
H.R. 4093 advanced out of committee. Next stop: a floor vote.
Who is behind it
Filed by Aaron Bean. Cosponsored by Adrian Smith, August Pfluger, Beth Van Duyne and Blake Moore.
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