To amend title XVIII of the Social Security Act to require any advertisement of a Medicare Advantage plan to include information related to the rates of prior authorization denials under such plan.
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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. 6111 would require Medicare Advantage insurance plans to disclose information about prior authorization denials in all their advertisements. Specifically, any ad for these plans would need to include the number of authorization requests that were denied during the previous year, how many of those denials were later overturned on appeal, and the average time it took to overturn a denial. The requirement would take effect one year after the bill becomes law and applies to all Medicare Advantage advertisements going forward. The bill aims to give seniors more transparent information when choosing their health insurance plans so they can understand how often these plans deny coverage requests. There is no specific funding allocated in the legislation, as it primarily creates an advertising disclosure requirement for private insurance companies.
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