Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
The Apples to Apples Comparison Act of 2025 requires the federal government to publish detailed Medicare spending data in a standardized, machine-readable format starting in 2025. Specifically, the Centers for Medicare & Medicaid Services must publicly report total and average expenditures broken down by county and metropolitan area, covering 10 years of historical data and up to 5 years of projected spending, categorized across dozens of beneficiary groups (such as those in traditional Medicare versus Medicare Advantage plans, with or without prescription drug coverage, and with various supplemental insurance). The bill also requires the Medicare Payment Advisory Commission (MedPAC) beginning in 2026 to analyze and publicly release side-by-side spending comparisons between Medicare Advantage enrollees and comparable fee-for-service beneficiaries, accounting for differences in benefits and demographics, and mandates the Medicare Trustees to include similar expenditure breakdowns in their annual reports. The legislation contains no new funding requirements but aims to enable researchers, policymakers, and the public to better compare costs and value across different Medicare options.
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