Transparency in Medicare Advantage Steering Act (H.R. 9395)

Summary

Makes Medicare Advantage plans tell the government how much they pay agents and brokers for signing people up, and makes that information public.

What problem does this solve?

Brokers might push people into certain Medicare Advantage plans because they get paid more, but this information is not public. This bill makes those payment details public, so everyone can see how much brokers are paid for enrollments.

What does this bill do?

Annual reporting on broker enrollments

Starting in 2028, requires Medicare Advantage (MA) plans to tell the government if a new member was signed up by a broker or agent and how much that broker was paid.

Makes broker payment information public

Starting in 2030, the government will publish the total compensation paid to brokers by each MA plan on the Medicare website.

Adds broker data to health database

Starting in 2030, adds a marker to the Chronic Condition Data Warehouse to show if a person was enrolled in their plan by a broker.

Who does this affect?

Seniors enrolling in Medicare Advantage
Medicare Advantage organizations
Insurance agents and brokers

What is the real world impact?

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Protects seniors from biased advice

Makes it clear if insurance brokers are being paid a lot to push certain Medicare Advantage plans. This helps people choose plans based on their health needs, not on a broker's commission.

When does this start?

The new reporting rules will be phased in, starting with plan years on or after January 1, 2028.

MA plan reporting begins

For plan years starting on or after January 1, 2028, MA plans must start reporting broker enrollment and payment data to the government.

Public data availability

For plan years starting on or after January 1, 2030, the government will make the reported broker payment data publicly available online.