Medicare Advantage Improvement Act of 2026
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, Medicare Advantage Improvement Act of 2026, changes federal law or congressional policy affecting health care providers and patients. The main policy domain is Healthcare, Technology, Transportation.
Who Benefits and How
health care providers and patients may benefit from new authority, funding, eligibility, regulatory clarity, or reduced risk created by the bill.
Who Bears the Burden and How
federal implementing agencies, health care providers and patients may take on implementation duties, reporting obligations, compliance costs, or oversight responsibilities.
Key Provisions
- Section H02BD050AFC6048ED8814BBBE8B8B816C: 1. Short title This Act may be cited as the Medicare Advantage Improvement Act of 2026.
- Section H17C7C5A2722C442891E887752C1E54D6: 2. Improving access to timely care for enrollees of Medicare Advantage plans Section 1852(g)(1) of the Social Security Act (42 U.S.C. 1395w–22(g)(1)) is...
- Section H81BAA25F46CF4D439F0209BE675501AF: 3. Ensuring appropriate oversight of Medicare Advantage plans Section 1853 of the Social Security Act (42 U.S.C. 1395w–23) is amended by adding at the end the...
- Section H4E5794F3694743F89EF13942FB8407F1: 4. Guardrails on retrospective clawbacks Section 1857(f) of the Social Security Act (42 U.S.C. 1395w–27(f)) is amended— in paragraph (1)— in the header, by...
- Section H15E3A665DBB34682992B4A4734F8E089: 5. Coverage and medical necessity criteria used by Medicare Advantage organizations Section 1852(g)(1) of the Social Security Act (42 U.S.C. 1395w–22(g)(1)),...
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
This bill, Medicare Advantage Improvement Act of 2026, changes federal law or congressional policy affecting health care providers and patients.
Key Policy Areas
Healthcare, Technology, Transportation
Primary Purpose
This bill, Medicare Advantage Improvement Act of 2026, changes federal law or congressional policy affecting health care providers and patients.
Policy Domains
Whole bill
Identified Gains
- health care providers and patients
Identified Costs
- federal implementing agencies
- health care providers and patients
Sponsors
Legislative Progress
In CommitteeRead twice and referred to the Committee on Finance.
Introduced in Senate
Mr. Marshall (for himself and Mr. Whitehouse) introduced the following …
Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "secretary_of_health_and_human_services"
- → Secretary of Health and Human Services
Key Definitions
Terms defined in this bill
an item or service— that is furnished by a provider of service or supplier to an individual enrolled in a Medicare Advantage plan offered by a Medicare Advantage organization
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