Sponsors (21)
This is not an official government website.
Copyright © 2026 PLEJ LC. All rights reserved.
Requires Medicare agencies to publish detailed, machine-readable local (county and MSA) Medicare spending and enrollment data and to produce public, comparable analyses of spending in Medicare Advantage versus traditional fee-for-service Medicare. Data publication starts in 2025 and MedPAC/Trustees reporting and comparative analyses begin with 2026 reports. The law requires CMS to post annual files with 10 years of historical spending by county/MSA plus up to five years of projections, disaggregated by many beneficiary and enrollment categories, and requires MedPAC and the Medicare Trustees to produce reproducible, risk‑adjusted comparisons and public datasets while protecting individual privacy.
The bill greatly improves public, local, and technical transparency of Medicare spending—supporting better oversight and targeted policy—at the trade-off of increased privacy re-identification risk, added administrative/taxpayer costs, and potential for misleading conclusions if methodologies or disaggregation practices are imperfect.
Researchers, policymakers, state and local officials, and the public will receive county- and MSA-level (and category-level) Medicare spending data beginning in 2025–2026, enabling local and targeted analysis of costs and resource use.
Medicare beneficiaries and consumers will gain clearer, more comparable information about spending in Medicare Advantage versus traditional Medicare and about local spending differences, improving transparency for patients and informing consumer- and policy-level decisions.
Taxpayers and policymakers will get better fiscal oversight from transparent, replicable analyses (including CMS actuary and trustees' data) that can inform Medicare funding decisions and possible reforms to improve program sustainability.
Medicare beneficiaries — especially those in small counties or narrow subgroups — face increased risk of re-identification and loss of privacy if confidentiality protections for detailed local and disaggregated data are insufficient.
CMS, MedPAC, the Chief Actuary, trustees, and other federal staff will face additional reporting and data-processing workload and IT/validation needs that impose administrative costs, could divert staff resources, and will require taxpayer funding.
State and local officials, beneficiaries, and taxpayers may be misled if allocation methodologies or analytic choices (including not adjusting for favorable selection into Medicare Advantage) produce inaccurate or biased local spending comparisons, leading to flawed policy responses.
Introduced June 24, 2025 by Aaron Bean · Last progress June 24, 2025