summary
Introduced
02/27/2019
02/27/2019
In Committee
03/01/2019
03/01/2019
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
116th Congress
Bill Summary
To amend title XVIII of the Social Security Act to provide for certain reforms with respect to medicare supplemental health insurance policies. This bill (1) expands guaranteed issue rights with respect to Medigap policies (Medicare supplemental health insurance policies), (2) eliminates certain limitations on Medigap policies for newly eligible Medicare beneficiaries, and (3) modifies other provisions related to Medigap policies. (Guaranteed issue rights require that a policy be offered to any eligible applicant without regard to health status.)
AI Summary
This bill, the Medigap Consumer Protection Act of 2019, proposes several reforms to Medicare supplemental health insurance (Medigap) policies:
1) It expands guaranteed issue rights, requiring Medigap policies to be offered to all Medicare beneficiaries regardless of health status. This removes current age and enrollment restrictions.
2) It eliminates certain limitations on Medigap policies for newly eligible Medicare beneficiaries, providing a one-time enrollment period for some individuals.
3) It modifies the medical loss ratio requirement for Medigap policies, increasing the minimum amount of premiums that must be spent on medical care.
4) It directs the Secretary of Health and Human Services to develop new standards to prevent pricing discrimination in Medigap policies based on age or eligibility for Medicare.
5) It requires improvements to the Medicare Plan Finder website to better inform consumers about Medigap policy options and costs.
6) It removes a prior restriction on "first-dollar" Medigap coverage, restoring access to such policies.
7) It imposes new transparency requirements for Medigap insurance brokers to report payments and transfers of value to the Secretary.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (30)
Lloyd Doggett (D)*,
Earl Blumenauer (D),
Judy Chu (D),
Peter DeFazio (D),
Debbie Dingell (D),
Dwight Evans (D),
Lizzie Fletcher (D),
Raúl Grijalva (D),
Jahana Hayes (D),
Eddie Johnson (D),
Marcy Kaptur (D),
Barbara Lee (D),
Andy Levin (D),
Mike Levin (D),
John Lewis (D),
Carolyn Maloney (D),
Jerry Nadler (D),
Eleanor Holmes Norton (D),
Ed Perlmutter (D),
Tim Ryan (D),
Jan Schakowsky (D),
José Serrano (D),
Terri Sewell (D),
Jackie Speier (D),
Tom Suozzi (D),
Mike Thompson (D),
Dina Titus (D),
Rashida Tlaib (D),
Paul Tonko (D),
David Trone (D),
Last Action
Referred to the Subcommittee on Health. (on 03/01/2019)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/116th-congress/house-bill/1394/all-info |
| BillText | https://www.congress.gov/116/bills/hr1394/BILLS-116hr1394ih.pdf |
| Bill | https://www.congress.gov/116/bills/hr1394/BILLS-116hr1394ih.pdf.pdf |
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