# 119-hr-5243: To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.

119-hr-5243, To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage., is a 119th Congress bill sponsored by Rep. McClellan, Jennifer L. [D-VA-4] (D-VA); status in_committee; PRIA reads it as touching household money (as of 2026-07-18).

- Canonical: https://policyrisk.com/legislation/119-hr-5243
- As of: 2026-07-18
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5243
- Congress: 119
- Title: To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
- Status: in_committee
- Introduced: 2025-09-10
- Sponsor: Rep. McClellan, Jennifer L. [D-VA-4] (D-VA)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-18

## Summary

This bill would require **enrollee-level reporting of Medicare Advantage supplemental benefits** so policymakers and the public can see who gets extra services and what plans spend. It sets phased start dates, requires public-use files, and demands privacy protections. - Families and enrollees: Data would show which supplemental benefits each enrollee is eligible for and uses, plus the total plan spending and the out-of-pocket cost per use. - Medicare Advantage plans: Plans would have to submit enrollee-level records by item or category, including national provider identifiers, utilization counts, and payment amounts, beginning with plan years starting January 1, 2029. - Researchers and policymakers: CMS would make submitted data available for evaluation and other research and publish a public-use file by October 1, 2030, while implementing confidentiality procedures to protect identifiable information.

## Cosponsors (1)

- Rep. Wittman, Robert J. [R-VA-1] (R-VA), 2026-07-16T00:00:00.000Z

## Provisions PRIA read

- More Medicare Advantage benefit data: benefit, medium. If enacted, the bill would require each Medicare Advantage plan to submit person-level data on supplemental benefits starting with plan years beginning on January 1, 2029. The data would include items or service categories (as the Secretary requires), provider national provider identifier, eligibil…

## Related bills

- 119-hr-6900: American Affordability Act of 2025
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-7481: Department of Homeland Security Appropriations Act, 2026
- 119-hr-7973: Momnibus Act
- 119-hr-4206: CONNECT for Health Act of 2025

## Sources
- [119-hr-5243 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5243)

## Related
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-7481: Department of Homeland Security Appropriations Act, 2026](https://policyrisk.com/legislation/119-hr-7481)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5243 (as of 2026-07-18).