# 119-hr-6031: Medicare Advantage Integrity Act of 2025

119-hr-6031, Medicare Advantage Integrity Act of 2025, is a 119th Congress bill sponsored by Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR); status introduced; PRIA reads it as touching household money (as of 2026-10-10).

- Canonical: https://policyrisk.com/legislation/119-hr-6031
- As of: 2026-10-10
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6031
- Congress: 119
- Title: Medicare Advantage Integrity Act of 2025
- Status: introduced
- Introduced: 2025-11-12
- Sponsor: Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR)
- Cosponsors: 2
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-10

## Summary

**Sets a 70% floor for the geographic adjustment used to set Medicare Advantage benchmarks.** It would also require that at least 50% of any increase in a plan’s blended benchmark tied to that floor go to basic Medicare Advantage benefits starting in 2026. - Seniors and Medicare Advantage enrollees: Beneficiaries in low-penetration areas would see more of any benchmark increase flow into core benefits rather than extras or admin costs. - Medicare Advantage plans and insurers: Plans in areas where the geographic adjustment would otherwise be low would get higher base-payment calculations when the floor applies. - Communities with low MA penetration: Creates a policy push for geographic equity by raising minimum adjustments for benchmarks beginning in 2026. - CMS and regulators: The Secretary may define the "average geographic adjustment" by instruction, giving CMS discretion over how the floor is calculated and applied.

## Cosponsors (2)

- Rep. Salazar, Maria Elvira [R-FL-27] (R-FL), 2025-11-12T00:00:00.000Z
- Rep. Soto, Darren [D-FL-9] (D-FL), 2025-11-12T00:00:00.000Z

## Provisions PRIA read

- More core benefits in Medicare Advantage: benefit, low. If enacted, this would change how Medicare pays Medicare Advantage plans starting in 2026. The geographic adjustment used to set plan payments would have a floor of 0.70 in every area. At least 50% of any increase from this floor would have to pay for basic benefits. HHS could define how the “avera…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-6644: 21st Century ROAD to Housing Act
- 119-hr-7973: Momnibus Act
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-5168: Puerto Rico Nutrition Assistance Fairness Act
- 119-hr-4206: CONNECT for Health Act of 2025

## Sources
- [119-hr-6031 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6031)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-6644: 21st Century ROAD to Housing Act](https://policyrisk.com/legislation/119-hr-6644)
- [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-5168: Puerto Rico Nutrition Assistance Fairness Act](https://policyrisk.com/legislation/119-hr-5168)
- [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-6031 (as of 2026-10-10).