November 18, 2025
Mr. Pocan (for himself, Mr. Carson, Mr. Cohen, Ms. DeLauro, Mr. Doggett, Ms. Jayapal, Mr. Khanna, Ms. Norton, Ms. Ocasio-Cortez, Ms. Schakowsky, Mr. Takano, Mr. Thanedar, Ms. Tlaib, Mr. Bell, and Ms. Omar) introduced the following bill; which was 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
To amend title XVIII of the Social Security Act to require Medicare Advantage plans to automatically reconsider determinations denying coverage.
Section 1. Requiring Medicare Advantage plans to automatically reconsider of determinations denying coverage
Section 1852(g)(2)(A) of the Social Security Act (42 U.S.C. 1395–22(g)(2)(A)) is amended—
(1)
by striking a determination
and inserting each determination
;
(2)
by striking upon request by the enrollee involved
; and
(3)
by striking of the receipt of the request for reconsideration
and inserting on which the determination described in paragraph (1)(B) is made
.