Bill > HR4093

This bill, called the "Apples to Apples Comparison Act of 2025", requires the Secretary of Health and Human Services to enhance transparency and reporting of Medicare expenditures by mandating detailed, comprehensive publications of financial information. Starting in 2025, the Centers for Medicare & Medicaid Services (CMS) must publish machine-readable files that break down Medicare expenditures by county and Metropolitan Statistical Area, covering multiple specific categories of beneficiaries. These categories include individuals with different Medicare part enrollments (A, B, C, D), those with supplemental insurance, those in specialized plans, and those enrolled in federal health care programs. The bill also requires the Medicare Payment Advisory Commission (MedPAC) to conduct an annual retrospective analysis comparing expenditures for Medicare Advantage plan enrollees versus eligible non-enrollees, taking into account factors like plan benefits, demographic differences, and risk scores. Additionally, the bill mandates that the Medicare Trust Fund Boards include more granular expenditure information in their annual reports, disaggregating data by different beneficiary categories. The goal is to provide more transparent, detailed insights into Medicare spending across various beneficiary groups and geographic regions.

Budget and Finance

https://www.congress.gov/bill/119th-congress/house-bill/4093/all-info