Medicare Advantage Integrity Act of 2025
This bill modifies how Medicare Advantage plans are paid to address regional payment disparities and ensure funds reach patient care. It sets a minimum 70% floor for geographic adjustments in payment calculations starting in 2026, preventing some areas from receiving disproportionately low payments. Additionally, it requires that at least 50% of any payment increase tied to this new rule must be directed toward basic healthcare benefits for enrollees. The bill directly affects Medicare Advantage plans, their providers, and seniors enrolled in these plans who receive care through these programs.
Bill status
in committee
1 of 4 stages cleared
Introduction
Nov 2025
Committee Review
Floor Vote
President
Introduced Nov 12, 2025
Last action Nov 12, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Nov 12, 2025
Committee
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.
lower
Nov 12, 2025
Introduced
Introduced in House
lower
1 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Pablo José Hernández
DDemocratic
Co
Darren Soto
DDemocratic
Co
Maria Elvira Salazar
RRepublican
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