MAP for Care Act
Sponsored By: Senator Cassidy, Bill [R-LA]
Introduced
Summary
This bill would create a Medicare Advance Directive Certification Program to encourage beneficiaries to adopt and maintain certified electronic advance directives. It would set standards for vendor accreditation, privacy protections, and State-law alignment while making forms and outreach available through CMS.
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- Eligible Medicare beneficiaries could voluntarily enroll, register where a certified directive is stored, update or terminate it, and would receive notice during the annual coordinated election period. The Secretary would have up to five years to implement the Program.
- Vendors and other entities that host directives would need accreditation requiring features like near real-time online access for viewing and sharing, annual quality reviews, HIPAA-consistent privacy protections, independent security testing, and a process to ensure State-law compliance.
- Authorized providers and suppliers would have controlled access to a participant's registered directive to guide care. The Program preserves State advance directive laws and directs CMS to post State statutory forms and review alternative forms, with removal possible after a State Attorney General finding of noncompliance.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
New Medicare advance directive program
If enacted, this bill would create a voluntary Medicare Advance Directive Certification Program for people with Medicare. The Secretary would have up to five years to set up the program, and after that Medicare enrollment forms would link to CMS resources to help you make a directive. You would be able to enroll, register, update, or remove a certified advance directive and tell where it is stored. Accredited vendors would have to give fast, secure electronic access to you, your authorized decisionmakers, and your providers, follow HIPAA rules, run annual quality reviews, and pass security and real-time testing. CMS would host state-by-state statutory and alternative forms, require outreach during the annual election period, and set rules for accreditation, access disputes, and special access for certain interested individuals.
Sponsors & CoSponsors
Sponsor
Cassidy, Bill [R-LA]
LA • R
Cosponsors
Sen. Coons, Christopher A. [D-DE]
DE • D
Sponsored 12/15/2025
Sen. Van Hollen, Chris [D-MD]
MD • D
Sponsored 1/27/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov