Apples to Apples Comparison Act of 2025
Sponsor
Aaron Bean
Republican · FL-4
Latest Action · Jun 24, 2025
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.
Bill Progress
Bill Forces Public View of Local Medicare Spending Gaps
Why it matters
Revealing detailed, county-level Medicare costs—and comparing Medicare Advantage to traditional plans—could reshape payment policy, expose regional inequities and influence where billions in federal health dollars flow.
Requires the Secretary of Health and Human Services to publish detailed Medicare expenditure data in machine-readable format on the CMS website, broken down by county and Metropolitan Statistical Area. Mandates comparative analysis of Medicare Advantage versus traditional fee-for-service expenditures.
What This Bill Does
Medicare Expenditure Data Publication
Requires publishing total and average Medicare expenditures within 30 days after each year-end, organized by county and Metropolitan Statistical Area
10-Year Historical Data
Must include 10 years of historical data and up to 5 years of projected data across 35 distinct beneficiary categories
MedPAC Comparative Analysis
Requires comparative analysis of Medicare Advantage vs traditional fee-for-service starting 2026, accounting for demographics and risk scores
Public Methodology Disclosure
Mandates public methodology disclosure with 30-day comment period for transparency
Who Benefits
Medicare Beneficiaries
Better access to cost comparison data to make informed healthcare decisions
Healthcare Researchers
Machine-readable data enables comprehensive Medicare spending analysis
Policymakers
Data-driven insights for Medicare reform and budget decisions
Taxpayers
Greater transparency in how Medicare funds are spent
Who's Affected
Centers for Medicare & Medicaid Services
New data publication and reporting requirements
Medicare Advantage Plans
Subject to comparative analysis against traditional Medicare
Hospital Insurance Trust Fund
Must include disaggregated expenditure data in trustees' reports
Cosponsors (16)
Kevin Hern
Republican · OK
Rudy Yakym
Republican · IN
Carol Miller
Republican · WV
Beth Van Duyne
Republican · TX
Claudia Tenney
Republican · NY
W. Steube
Republican · FL
Michelle Fischbach
Republican · MN
Mike Carey
Republican · OH
Jefferson Shreve
Republican · IN
Kat Cammack
Republican · FL
Nicholas Langworthy
Republican · NY
Blake Moore
Republican · UT
Recent Actions
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.
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.
Introduced in House
Introduced in House
What Changes in the Law
1 changes
Sections Amended
Section 1805(b) of Social Security Act (42 U.S.C. 1395b-6(b))
adding at the end the following new paragraph: ``(12) Analysis of medicare advantage and fee-for-service expenditures
Committees (2)
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View the complete legislative text on Congress.gov
Source: Congress.gov
