# 119-hr-10747: Puerto Rico Medicare Advantage Fairness Act of 2026

119-hr-10747, Puerto Rico Medicare Advantage Fairness Act of 2026, is a 119th Congress bill sponsored by Rep. Ruiz, Raul [D-CA-25] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-10-11).

- Canonical: https://policyrisk.com/legislation/119-hr-10747
- As of: 2026-10-11
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10747
- Congress: 119
- Title: Puerto Rico Medicare Advantage Fairness Act of 2026
- Status: introduced
- Introduced: 2026-10-05
- Sponsor: Rep. Ruiz, Raul [D-CA-25] (D-CA)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-11

## Summary

**Aligns Puerto Rico's Medicare Advantage geographic adjustment with the U.S. Virgin Islands.** This bill would add a sentence to Social Security Act section 1853(c)(1)(D)(i) so that for the years specified in clause (ii) beginning on or after January 1, 2027, the geographic adjustment used to compute the adjusted average per capita cost for Medicare Advantage payment areas in Puerto Rico matches the geographic adjustment applied to a Medicare Advantage payment area in the U.S. Virgin Islands for the same year. The change targets the geographic adjustment component of the MA benchmark calculation for those specified years.

## Cosponsors (3)

- Rep. Soto, Darren [D-FL-9] (D-FL), 2026-10-05T00:00:00.000Z
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL), 2026-10-05T00:00:00.000Z
- Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR), 2026-10-05T00:00:00.000Z

## Provisions PRIA read

- Change Medicare Advantage payments for Puerto Rico: mixed, low. If enacted, this bill would change how Medicare Advantage plan payments are calculated for Puerto Rico. It would apply to years listed in clause (ii) starting on or after January 1, 2027. Puerto Rico's geographic adjustment would equal the U.S. Virgin Islands' adjustment for each such year. The bil…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-7973: Momnibus Act
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3277: Ensuring Lasting Smiles Act

## Sources
- [119-hr-10747 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10747)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3277: Ensuring Lasting Smiles Act](https://policyrisk.com/legislation/119-hr-3277)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10747 (as of 2026-10-11).