This bill requires the Department of Health and Human Services to publish detailed Medicare spending data in a publicly accessible format beginning in 2027. Specifically, the bill mandates that the agency release information on total and average Medicare expenditures broken down by county and metropolitan area, covering different categories of Medicare beneficiaries (such as those in traditional Medicare versus Medicare Advantage plans, with and without supplemental coverage). The data must be published in machine-readable files within 30 days of each year-end, and the 2027 report must include historical enrollment information going back to 2015. Additionally, the bill requires the Medicare Payment Advisory Commission to include comparative analysis of Medicare Advantage spending versus traditional fee-for-service spending in its annual reports, with methodology made public 60 days in advance to allow for public comment. The Boards of Trustees overseeing Medicare's trust funds must also report aggregate and average expenditure information by beneficiary category in their annual reports beginning in 2027.
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