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Medicare Advantage Integrity Act of 2023

12/20/2024, 9:06 AM

Summary of Bill HR 4411

Bill 118 HR 4411, also known as the Medicare Advantage Integrity Act of 2023, aims to address issues related to fraud and abuse within the Medicare Advantage program. The bill was introduced in the House of Representatives in the year 2023.

The main purpose of this legislation is to strengthen oversight and enforcement mechanisms to prevent fraudulent activities within the Medicare Advantage program. This includes increasing penalties for individuals or entities found to be engaging in fraudulent behavior, as well as providing additional resources to the Centers for Medicare and Medicaid Services (CMS) to investigate and prosecute cases of fraud.

Additionally, the bill seeks to improve transparency and accountability within the Medicare Advantage program by requiring participating insurance companies to report data on their quality of care and financial performance. This information will be made available to the public in order to ensure that beneficiaries are receiving high-quality care and that taxpayer dollars are being spent efficiently. Overall, the Medicare Advantage Integrity Act of 2023 aims to protect the integrity of the Medicare Advantage program and ensure that beneficiaries are receiving the care and services they deserve. It is an important piece of legislation that seeks to safeguard taxpayer dollars and hold bad actors accountable for their actions.

Congressional Summary of HR 4411

Medicare Advantage Integrity Act of 2023

This bill temporarily establishes geographic adjustments for certain Medicare Advantage payment formulations, and specifies that a certain percentage of corresponding payment increases must be directed toward payments for basic benefits.

Current Status of Bill HR 4411

Bill HR 4411 is currently in the status of Bill Introduced since June 30, 2023. Bill HR 4411 was introduced during Congress 118 and was introduced to the House on June 30, 2023.  Bill HR 4411's most recent activity was Referred to the Subcommittee on Health. as of December 17, 2024

Bipartisan Support of Bill HR 4411

Total Number of Sponsors
2
Democrat Sponsors
0
Republican Sponsors
2
Unaffiliated Sponsors
0
Total Number of Cosponsors
6
Democrat Cosponsors
3
Republican Cosponsors
3
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill HR 4411

Primary Policy Focus

Health

Potential Impact Areas

- Geography and mapping
- Medicare

Alternate Title(s) of Bill HR 4411

Medicare Advantage Integrity Act of 2023
Medicare Advantage Integrity Act of 2023
To amend title XVIII of the Social Security Act to establish a floor in Medicare Advantage benchmark rates for regions with low Medicare fee-for-service penetration.

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