Bill would force more detailed public reporting on Medicare spending
In markupH.R. 4093Latest action
Sponsor: Aaron Bean · Representative · FL
AIDecoded by AI · checked against the recordRead the official text
Official title: Apples to Apples Comparison Act of 2025
119th Congress
Topics: Health care
Introduced:
Read the official bill on Congress.govIn plain words
The plain-language version comes first. The official text is always the reference.
The bill requires HHS, MedPAC, and Medicare Trustees to publish more detailed Medicare spending data by region and beneficiary type.
45-second read · 4 questions answered below
What does this do?
The Apples to Apples Comparison Act of 2025 requires HHS to publish Medicare spending data broken down by county, metro area, and beneficiary category, such as Medicare Advantage versus traditional Medicare. It also requires MedPAC to produce an annual comparison of spending between the two groups, accounting for factors like out-of-pocket caps and health risk scores, and requires similar breakdowns in the Medicare Trustees' annual reports.
Who does it affect?
This affects HHS, CMS, MedPAC, and the Medicare Trustees, who must collect and publish the data. Policymakers, researchers, journalists, and advocacy groups who study Medicare costs would also be affected, as they would gain access to more detailed information.
Why does it matter?
The bill does not change Medicare benefits, eligibility, or costs for individuals, but it increases reporting requirements on federal agencies. This could lead to more scrutiny and comparison of spending between Medicare Advantage and traditional Medicare.
AI-drafted summary. Check it against the official text before you act on it.
Based on the “Introduced in House” text of Jun 24, 2025.
After that text, a committee agreed on Sep 16, 2026 to send the bill to the full chamber with changes. This plain-language version may not reflect them.
Read the official bill on Congress.govMake the call
Where does it stand?
- IntroducedJun 24, 2025
- House committeeYou are here · Sep 16, 2026
- House vote
- Senate
- The president's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.
Latest action: — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.