# 119-s-3848: Apples to Apples Comparison Act of 2026

119-s-3848, Apples to Apples Comparison Act of 2026, is a 119th Congress bill sponsored by Sen. Scott, Tim [R-SC] (R-SC); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3848
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3848
- Congress: 119
- Title: Apples to Apples Comparison Act of 2026
- Status: introduced
- Introduced: 2026-02-11
- Sponsor: Sen. Scott, Tim [R-SC] (R-SC)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

This bill would require CMS to publish **county- and MSA-level, month-by-month Medicare expenditure data** in machine-readable files. It would also direct the Medicare Payment Advisory Commission to compare Medicare Advantage and fee-for-service spending and require the Medicare Trustees to include disaggregated Part A and Part B expenditure figures in their annual reports. - Families and local advocates would get public, local spending data by enrollment type and month. The first expanded dataset must begin in 2027 and include historical data back to 2015. - Researchers, policymakers, and insurers would access a nationwide, machine-readable dataset broken down by an extensive matrix of enrollment and coverage categories, including Part A, Part B, Part C (Medicare Advantage), Part D, MA-PD, specialized MA plans, group health plans, and Federal programs. The dataset must include month-by-month historical figures and projected figures for a window up to 5 years. - The Medicare Payment Advisory Commission would be required to publish retrospective annual comparisons of Medicare Advantage versus fee-for-service spending for each year starting in 2027, with public methodology and a comment period. The Medicare Trustees must add aggregate and average Part A and Part B expenditure data for three specified enrollment categories to their annual reports starting in 2027.

## Provisions PRIA read

- Compare Medicare Advantage and fee-for-service: benefit, high. The bill would require MedPAC to publish an annual, retrospective comparison (starting with the 2027 report) of average spending for Medicare Advantage versus fee-for-service Medicare. MedPAC would use data from the Chief Actuary and Trustees and adjust for differences in out-of-pocket caps, supple…
- Monthly Medicare spending by county and metro: benefit, high. This bill would require HHS (through CMS) to publish machine-readable files each year starting in 2027. Files would show monthly total and average Medicare spending for every county and metro area for a 10-year historical period and projected months up to 5 years as set by the Secretary. The 2027 r…
- Trustees must report new Medicare spending breakdowns: benefit, high. The bill would require the Boards of Trustees for the Hospital Insurance and Supplementary Medical Insurance Trust Funds to add new spending details starting with reports for 2027. Trustees would report aggregate and average Part A and Part B expenditures for three groups: Part A only, Part B only,…

## Related bills

- 119-s-1541: SHIPS for America Act of 2025
- 119-s-2651: ROAD to Housing Act of 2025
- 119-s-2142: GOLDEN DOME Act of 2025
- 119-s-5616: ADAPT Act
- 119-s-5252: BLADE Act
- 119-s-292: Educational Choice for Children Act of 2025

## Sources
- [119-s-3848 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3848)

## Related
- [119-s-1541: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-s-1541)
- [119-s-2651: ROAD to Housing Act of 2025](https://policyrisk.com/legislation/119-s-2651)
- [119-s-2142: GOLDEN DOME Act of 2025](https://policyrisk.com/legislation/119-s-2142)
- [119-s-5616: ADAPT Act](https://policyrisk.com/legislation/119-s-5616)
- [119-s-5252: BLADE Act](https://policyrisk.com/legislation/119-s-5252)
- [119-s-292: Educational Choice for Children Act of 2025](https://policyrisk.com/legislation/119-s-292)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3848 (as of 2026-04-21).