I'm Just a Bill: Medicare Advantage Transparency Act
👀 I’m Just a Bill — Medicare Advantage Transparency Act A Liana Banyan “I’m Just a Bill” Bounty Poster What is this bill? Medicare Advantage (MA) transparency legislation in the 119th Congress, addressing documented patterns of denial-of-care, prior-authorization friction, and provider-network adequacy gaps in MA plans. What does it actually do? Prior authorization: Caps prior-auth response times; requires denial reasons in plain language. Network adequacy: Strengthens enforcement of provider-network requirements. Marketing transparency: Limits misleading marketing practices for MA plans. Star ratings: Modifies the CMS Star Ratings methodology to weight beneficiary-experience metrics more heavily. Risk adjustment: Addresses upcoding documented in OIG investigations. Who votes when? Senate Finance + House Ways & Means + Energy & Commerce active consideration. How does this affect cooperative-class families? The cooperative does not endorse positions on Medicare structural reform. The Council exists to provide accurate plain-language explanation of what bills do. ...