HR6721-119

In Committee

MAP for Care Act

119th Congress Introduced Dec 15, 2025

Summary

What This Bill Does

This bill adds a new Medicare Part B section requiring the Secretary of Health and Human Services to implement an Advance Directive Certification Program within five years. The program would let Medicare beneficiaries register certified electronic advance directives, use accredited vendors or entities, receive annual notification during Medicare Advantage open enrollment, and access statutory and alternative advance directive forms through the Centers for Medicare and Medicaid Services website with a State-by-State index.

Who Benefits and How

Medicare beneficiaries benefit from a more durable way to store, update, terminate, and communicate living wills, durable powers of attorney for health care, proxies, and care preferences before incapacity. Advance directive technology vendors can gain accreditation and a recognized Medicare channel, while providers and suppliers treating Medicare beneficiaries may gain clearer access to authenticated directives when making care decisions.

Who Bears the Burden and How

The Secretary of Health and Human Services, Centers for Medicare and Medicaid Services staff, and any contracted accreditation organization must design the program, accredit vendors, establish privacy and HIPAA-compliant access controls, notify beneficiaries, maintain website links and indexes, and review alternative forms submitted with State-law attorney opinions. Vendors must meet certification criteria, support secure enrollment and updates, and protect directive records.

Key Provisions

  • Establishes a Medicare Advance Directive Certification Program within five years.
  • Requires accreditation criteria for advance directive vendors and entities offering certified directives.
  • Directs CMS to provide statutory forms, alternative forms, and a State-by-State form index on its website.
  • Requires HIPAA-aligned privacy and access controls for program enrollment and directive registration.
  • Protects beneficiary choice by allowing program participants to disenroll or terminate a certified directive at any time.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Create a Medicare Advance Directive Certification Program with accredited advance-directive vendors, beneficiary registration, CMS form access, privacy standards, and provider access rules.

Key Policy Areas

Healthcare, Technology, Aging

Primary Purpose

Create a Medicare Advance Directive Certification Program with accredited advance-directive vendors, beneficiary registration, CMS form access, privacy standards, and provider access rules.

Policy Domains

Healthcare Technology Aging

Substantive provisions

Identified Gains
  • Medicare beneficiaries
  • Advance directive technology vendors
  • Health care providers
  • Legal representatives helping Medicare patients
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Health care providers: ,
Medicare beneficiaries: ,
Advance directive technology vendors: ,
Legal representatives helping Medicare patients: ,
Identified Costs
  • Secretary of Health and Human Services
  • Centers for Medicare and Medicaid Services staff
  • Advance directive vendors
  • Accreditation organizations
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Advance directive vendors: ,
Accreditation organizations: ,
Secretary of Health and Human Services: ,
Centers for Medicare and Medicaid Services staff: ,

Legislative Progress

In Committee
Introduced Committee Passed
Dec 15, 2025

Referred to the Committee on Energy and Commerce, and in …

Dec 15, 2025

Introduced in House

Dec 15, 2025

Mr. Murphy (for himself and Mr. Thompson of California) introduced …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
3 mentions across 2 clauses
+3 positive

Health care providers accessing registered directives, Medicare beneficiaries adopting certified advance directives, Medicare beneficiaries maintaining electronic advance directives

Technology
2 mentions across 2 clauses
+2 positive

Advance directive technology vendors, Advance directive vendors seeking Medicare accreditation

Government
2 mentions across 2 clauses
-2 negative

Centers for Medicare and Medicaid Services program staff, Centers for Medicare and Medicaid Services website administrators

Professional Services
1 mention across 1 clause
+1 positive

Accreditation organizations reviewing advance directive vendors

General Public
1 mention across 1 clause
-1 negative

Individuals submitting alternative advance directive forms

2/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Technology Aging
Actor Mappings
"Vendors"
→ ['Advance directive technology vendors']
"Beneficiaries"
→ ['Medicare beneficiaries', 'Health care providers', 'Legal representatives']
"Federal administrators"
→ ['Secretary of Health and Human Services', 'Centers for Medicare and Medicaid Services staff']

Key Definitions

Terms defined in this bill

1 term
"" §Certified advance directive

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology