Sponsor
Alexandria Ocasio-Cortez
Representative · D-NY
The bill increases transparency and regulator oversight of Medicare Advantage marketing and broker pay to hold plans accountable, but it also creates reporting costs, privacy risks, and the potential for reduced in-person assistance that may affect seniors and plan costs.
Medicare beneficiaries will get clearer, public information about who enrolled them and how much agents/brokers are paid.
Regulators (and the public) gain improved oversight of Medicare Advantage plan marketing and agent incentives, making it easier to detect abuses or high marketing costs.
Public posting of total agent/broker compensation increases market accountability and may pressure MA organizations to limit excessive broker payments, potentially saving money for beneficiaries and taxpayers over time.
Medicare Advantage organizations will incur higher administrative and reporting costs, which could be passed on to enrollees through higher premiums or reduced plan features.
MA organizations and brokers may scale back in-person outreach or alter sales practices to avoid disclosure, reducing assistance for seniors who rely on face-to-face help to enroll or understand plans.
Publicly posting compensation and agent data could raise beneficiary privacy concerns if the information is not adequately de-identified or protected.
Based on analysis of 2 sections of legislative text.
MA plans must report whether enrollees were enrolled by agents/brokers and disclose total compensation; CMS will add a CCDW indicator and publish the data.
Representative · D-NY
Requires Medicare Advantage (MA) plans to report annually whether each enrollee was signed up by an agent, broker, or other third party and to disclose total compensation paid to such agents/brokers for enrollments. Reporting to the Secretary begins for plan years starting January 1, 2028; CMS must add an enrollment-by-agent indicator to its Chronic Condition Data Warehouse and publish compensation and required data online starting with plan years beginning January 1, 2030.
Official title: To amend title XVIII of the Social Security Act to require certain reporting with respect to agents and brokers of Medicare Advantage organizations.
Introduced June 23, 2026 by Alexandria Ocasio-Cortez · Last progress June 23, 2026