[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6110 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 6110

  To amend title XVIII of the Social Security Act to require Medicare 
  Advantage plans to automatically reconsider determinations denying 
                               coverage.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           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

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to require Medicare 
  Advantage plans to automatically reconsider determinations denying 
                               coverage.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

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''.
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