Apples to Apples Comparison Act of 2025
Sponsored By: Representative Bean (FL)
Introduced
Summary
Medicare spending and enrollment transparency at the county and MSA level. This bill would require the Centers for Medicare & Medicaid Services to publish monthly, machine-readable Medicare spending and enrollment data by county and Metropolitan Statistical Area starting in 2025, with a 10-year historical window and up to 5-year projections.
Show full summary
- Families and beneficiaries would see average and total Medicare spending in their county or MSA broken down by enrollment status and plan type, making local cost and plan differences easier to compare.
- Researchers and state and local policymakers would get machine-readable files and a 2025 special dataset that includes enrollment back to 2015, plus standardized historical and projected spending for easier analysis.
- Oversight bodies would get new, repeatable comparisons and disclosures. The Medicare Payment Advisory Commission would publish a retrospective analysis comparing Medicare Advantage to traditional Parts A and B starting in 2026, and the Trustees would include disaggregated aggregate and average expenditures in their reports.
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Local Medicare spending posted online
This bill would require HHS to post county and metro-area Medicare spending on a public CMS site. Files would show total and average spending for Part A and Part B items and services each month. They would cover the last 10 years and include projections for up to 5 years starting the next year. Starting in 2025, HHS would post the data by 30 days after each year-end. For 2025, it would also include enrollment for each prior year back to 2015. Results would be broken out by enrollment groups, such as Part A only, Part B only, Medicare Advantage, and Part D.
Public comparison: Medicare Advantage vs Original Medicare
This bill would require MedPAC to compare average costs for people in Medicare Advantage with those in Original Medicare. The first analysis would be in the 2026 report. MedPAC would use data from the CMS Chief Actuary and the Medicare Trustees. It would count plan features like out-of-pocket caps, extra benefits, and integrated drug coverage. It would adjust for demographics and HCC risk scores, but not for favorable selection. MedPAC would publish methods at least 60 days before the report, allow 30 days for public comment, and post data and responses so others can replicate the work.
Trustees split Medicare spending by group
This bill would require the Medicare Trustees to show aggregate and average spending by enrollment group, starting with the 2026 reports. The groups would include Part A only, Part B only, and people in both Part A and Part B who are not in Medicare Advantage. For that last group, spending would be split into Part A and Part B. The Trustees would also break out public data tables by these groups when practical.
Sponsors & CoSponsors
Sponsor
Bean (FL)
FL • R
Cosponsors
Hern (OK)
OK • R
Sponsored 6/24/2025
Yakym
IN • R
Sponsored 7/21/2025
Miller (WV)
WV • R
Sponsored 7/23/2025
Van Duyne
TX • R
Sponsored 7/25/2025
Tenney
NY • R
Sponsored 9/10/2025
Steube
FL • R
Sponsored 10/3/2025
Fischbach
MN • R
Sponsored 10/17/2025
Carey
OH • R
Sponsored 10/17/2025
Shreve
IN • R
Sponsored 10/21/2025
Cammack
FL • R
Sponsored 10/24/2025
Langworthy
NY • R
Sponsored 10/24/2025
Moore (UT)
UT • R
Sponsored 10/28/2025
Fedorchak
ND • R
Sponsored 10/31/2025
Kelly (PA)
PA • R
Sponsored 10/31/2025
Lee (FL)
FL • R
Sponsored 11/4/2025
Miller (OH)
OH • R
Sponsored 11/25/2025
Malliotakis
NY • R
Sponsored 12/12/2025
Feenstra
IA • R
Sponsored 1/9/2026
Pfluger
TX • R
Sponsored 1/13/2026
Roll Call Votes
No roll call votes available for this bill.
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