Apples to Apples Comparison Act of 2026
Sponsored By: Senator Scott, Tim [R-SC]
Introduced
Summary
Standardized county- and MSA-level Medicare spending data would require CMS to publish machine-readable monthly files showing total and average Medicare expenditures and enrollment categories, with historical and short-term projected series beginning in 2027. The bill also directs MedPAC and the Medicare trustees to produce new comparative analyses of Medicare Advantage and traditional Part A/B spending to support apples-to-apples comparisons.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More Medicare spending transparency data
If enacted, the bill would require new, detailed Medicare spending reports starting with 2027. The Medicare Trustees would add tables showing totals and averages for Part A only, Part B only, and both parts, and would break out Part A and Part B spending for the group with both. HHS would publish machine-readable county and MSA files within 30 days after each year, with monthly historical data for the prior 10 years and projected data up to five years. The 2027 HHS publication must also include county- and MSA-level enrollment data back to 2015. MedPAC would add a 2027 report comparing Medicare Advantage and similar fee-for-service spending, use CMS and Trustees data, account for plan benefits, demographics, and risk scores, exclude favorable selection, and publish methods, data, and responses to public comments.
Sponsors & CoSponsors
Sponsor
Scott, Tim [R-SC]
SC • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov