Apples to Apples Comparison Act of 2025
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The Apples to Apples Comparison Act of 2025 aims to increase transparency in Medicare spending by requiring the Department of Health and Human Services to publish detailed expenditure data. Specifically, the bill mandates the Centers for Medicare & Medicaid Services to release monthly data broken down by various categories of beneficiaries, including those enrolled in traditional Medicare, Medicare Advantage plans, and those with prescription drug coverage. It also directs the Medicare Payment Advisory Commission (MedPAC) to analyze and report on the cost differences between Medicare Advantage and traditional fee-for-service plans. Finally, the Boards of Trustees will include expenditure information for different beneficiary categories in their annual reports.
Key provisions
- Requires the Centers for Medicare & Medicaid Services to publish monthly Medicare expenditure data broken down by beneficiary categories.
- Mandates the inclusion of enrollment information in the published data, categorized by county and Metropolitan Statistical Area.
- Directs MedPAC to analyze and report on cost differences between Medicare Advantage and traditional fee-for-service plans.
- Requires the Boards of Trustees to include expenditure information for different beneficiary categories in their annual reports.
- Establishes a timeframe for the initial publication of data, beginning with 2025.
- Includes a provision for data to be published in machine-readable files.
- Requires the publication of historical and projected expenditure data.
- Specifies the categories of individuals for which expenditure data must be reported.
Bill text
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