# 119-hr-6112: To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans.

119-hr-6112, To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans., is a 119th Congress bill sponsored by Rep. Pocan, Mark [D-WI-2] (D-WI); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-6112
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6112
- Congress: 119
- Title: To amend title XVIII of the Social Security Act to establish certain requirements with respect to the average monthly cost to provide coverage to an enrollee under Medicare Advantage plans.
- Status: introduced
- Introduced: 2025-11-18
- Sponsor: Rep. Pocan, Mark [D-WI-2] (D-WI)
- Cosponsors: 15
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Would add a cost-based enrollment gate that stops people from joining Medicare Advantage plans when a plan’s per-person payments exceed the comparable fee-for-service cost.** It ties an MA plan’s eligibility to a year-to-year comparison of the plan’s average monthly payment and the Parts A and B fee-for-service monthly cost and would bar enrollment in the subsequent plan year if the plan is higher cost. - Medicare beneficiaries: Would be unable to enroll or reenroll in an MA plan for the plan year after the Secretary determines that the plan’s average monthly payment exceeds the fee-for-service monthly cost. This affects new and returning enrollees for that specific plan year. - Medicare Advantage plans and issuers: Plans with per-enrollee payments above the original Medicare Parts A and B cost would be barred from taking new or returning enrollees for the next plan year. Specialized Medicare Advantage plans for special needs individuals are explicitly exempt. - Medicare program oversight and costs: Creates a cost-parity rule linking enrollment access to per-member cost comparisons and would start with plan years beginning one year after enactment. This is a targeted enrollment control based on payment-to-cost comparisons.

## Cosponsors (15)

- Rep. Carson, André [D-IN-7] (D-IN), 2025-11-18T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-11-18T00:00:00.000Z
- Rep. DeLauro, Rosa L. [D-CT-3] (D-CT), 2025-11-18T00:00:00.000Z
- Rep. Doggett, Lloyd [D-TX-37] (D-TX), 2025-11-18T00:00:00.000Z
- Rep. Jayapal, Pramila [D-WA-7] (D-WA), 2025-11-18T00:00:00.000Z
- Rep. Khanna, Ro [D-CA-17] (D-CA), 2025-11-18T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-11-18T00:00:00.000Z
- Rep. Ocasio-Cortez, Alexandria [D-NY-14] (D-NY), 2025-11-18T00:00:00.000Z
- Rep. Schakowsky, Janice D. [D-IL-9] (D-IL), 2025-11-18T00:00:00.000Z
- Rep. Takano, Mark [D-CA-39] (D-CA), 2025-11-18T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-11-18T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-11-18T00:00:00.000Z
- Rep. Omar, Ilhan [D-MN-5] (D-MN), 2025-11-18T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-11-20T00:00:00.000Z
- Rep. Casar, Greg [D-TX-35] (D-TX), 2025-12-01T00:00:00.000Z

## Provisions PRIA read

- Freeze enrollments in costly Medicare Advantage plans: cost, medium. If enacted, HHS would compare each Medicare Advantage plan’s average monthly payment to the average monthly cost of original Medicare (Parts A and B). If a plan costs more, the Secretary would stop all new enrollments and reenrollments in that plan for the next plan year. This would start for plan…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-7973: Momnibus Act
- 119-hr-3971: Domestic Workers Bill of Rights Act
- 119-hres-1058: Recognizing that it is the duty of the Federal Government to develop and implement a Transgender Bill of Rights to protect and codify the rights of transgender…
- 119-hr-2045: Medicare Dental, Vision, and Hearing Benefit Act of 2025
- 119-hr-51: Washington, D.C. Admission Act

## Sources
- [119-hr-6112 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6112)

## 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-3971: Domestic Workers Bill of Rights Act](https://policyrisk.com/legislation/119-hr-3971)
- [119-hres-1058: Recognizing that it is the duty of the Federal Government to develop and implem…](https://policyrisk.com/legislation/119-hres-1058)
- [119-hr-2045: Medicare Dental, Vision, and Hearing Benefit Act of 2025](https://policyrisk.com/legislation/119-hr-2045)
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6112 (as of 2026-04-21).