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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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Status:
Expired
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Additional Information
Addressing Social Determinants in Medicare Advantage Act of 2021
Print number: HR 4074
Sponsor: Rep. Bilirakis, Gus M. [R-FL-12]
Process start date: 2021-06-23
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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Summary & Status

Key Questions about Expanding Medicare Advantage Supplemental Benefits for Vulnerable Enrollees

A structured overview of the legislative process, official sources, status and civic context.

What is the official ID of this bill?

The official print number for this legislation is 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.

Analysis and Potential Impact of HR 4074

We don't know, that is up to you to decide. Summarizing raw data with AI is fundamentally different from predicting socio-economic outcomes. As of 2026, we believe impact assessment strictly requires a human in the loop to verify and judge. Review our public AI processing logs for full transparency, and use Lustra to track active legislation for instant status push notifications.

CATEGORIES

Benefits Health