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Expanding Medicare Advantage Supplemental Benefits for Vulnerable Enrollees

This bill aims to broaden access to supplemental benefits within Medicare Advantage plans. These changes could help more individuals, including those with serious conditions, high hospitalization risk, or low income, receive support for their daily lives and healthcare. The new rules are set to take effect from January 1, 2023.
Key points
More people will qualify for supplemental benefits in Medicare Advantage plans, not just those with chronic illnesses.
The definition of an eligible enrollee will expand to include individuals with complex chronic conditions, high health risk, low income, or other social/socioeconomic risks.
The changes aim to better tailor care to individual patient needs, also considering social and economic factors.
New rules will apply to plan years beginning on or after January 1, 2023.
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Additional Information
Print number: 117_HR_4074
Sponsor: Rep. Bilirakis, Gus M. [R-FL-12]
Process start date: 2021-06-23
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Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Addressing Social Determinants in Medicare Advantage Act of 2021

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_4074.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2021-06-23.

What are the main provisions?

Key points include:

  • More people will qualify for supplemental benefits in Medicare Advantage plans, not just those with chronic illnesses.
  • The definition of an eligible enrollee will expand to include individuals with complex chronic conditions, high health risk, low income, or other social/socioeconomic risks.
  • The changes aim to better tailor care to individual patient needs, also considering social and economic factors.
  • New rules will apply to plan years beginning on or after January 1, 2023.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Bilirakis, Gus M. [R-FL-12].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

CATEGORIES

Benefits Health