To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.
About This Bill
Committee
Latest Action · November 18, 2025
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.
H.R. 6110 would require Medicare Advantage plans to automatically reconsider coverage denials instead of waiting for beneficiaries to request reconsideration. Currently, Medicare Advantage plans only review denied coverage decisions when patients specifically ask for an appeal, but this bill would make such reviews automatic. The legislation affects Medicare Advantage enrollees who are denied coverage for medical treatments or services, potentially improving their access to care without requiring them to navigate the appeals process themselves. The bill does not specify new funding or implementation timelines beyond amending existing Medicare law. This change would shift the burden of initiating reconsideration from patients to insurers, potentially making the appeals process faster and easier for seniors and disabled beneficiaries covered by Medicare Advantage plans.
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