This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy.
Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements.
MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes.
The Government Accountability Office must report on the bill's implementation.
| Action Date | Type | Text | Source |
|---|---|---|---|
| 2024-12-17 | Committee | Referred to the Subcommittee on Health. | House committee actions |
| 2024-03-22 | Committee | Referred to the Subcommittee on Health. | House committee actions |
| 2024-03-15 | IntroReferral | 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. | House floor actions |
| 2024-03-15 | IntroReferral | 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. | House floor actions |
| 2024-03-15 | IntroReferral | Introduced in House | Library of Congress |