S3473-119

In Committee

MAP for Care Act

119th Congress Introduced Dec 15, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill directs HHS to create a Medicare Advance Directive Certification Program that accredits advance-directive vendors, links beneficiaries to State-compliant forms, and supports near real-time access to certified advance directives.

Who Benefits and How

Medicare beneficiaries would get a federal pathway to create, store, update, and share advance directives more reliably, and providers and legally designated decision-makers could gain faster access when care decisions are needed.

Who Bears the Burden and How

HHS and accredited advance-directive vendors would have to build and maintain enrollment, access, privacy, interoperability, quality-review, and survey systems.

Key Provisions

  • Creates a voluntary Medicare Advance Directive Certification Program.
  • Requires HHS to accredit advance-directive vendors or use an accreditation organization.
  • Requires online and near real-time access, privacy protections, annual quality review, beneficiary surveys, and State-law compliance.
  • Requires CMS to publish links to statutory and alternative advance-directive forms and a State-by-State index.

Evidence Chain:

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

At a Glance

What This Bill Does

This bill directs HHS to create a Medicare Advance Directive Certification Program that accredits advance-directive vendors, links beneficiaries to State-compliant forms, and supports near real-time access to certified advance directives.

Key Policy Areas

Healthcare

Primary Purpose

This bill directs HHS to create a Medicare Advance Directive Certification Program that accredits advance-directive vendors, links beneficiaries to State-compliant forms, and supports near real-time access to certified advance directives.

Policy Domains

Healthcare

Main Provisions

Identified Gains
Contextual inference, no direct clause citation
  • Medicare beneficiaries seeking reliable advance-directive storage and access
  • Providers and legal decision-makers needing timely access to beneficiary directives
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • HHS and accredited advance-directive vendors implementing the program
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Legislative Progress

In Committee
Introduced Committee Passed
Dec 15, 2025

Mr. Cassidy (for himself and Mr. Coons) introduced the following …

Dec 15, 2025

Read twice and referred to the Committee on Finance.

Dec 15, 2025

Introduced in Senate

Stakeholder Effects

cui bono?

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

Healthcare
4 mentions across 2 clauses
+2 positive -2 negative

Advance-directive vendors and other entities seeking accreditation under the program, Medicare beneficiaries using certified advance directives

Positive-direction: Medicare beneficiaries using certified advance directives

Negative-direction: Advance-directive vendors and other entities seeking accreditation under the program

Government
1 mention across 1 clause
-1 negative

Department of Health and Human Services and Centers for Medicare & Medicaid Services

2/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services

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