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Expanding Medicare Advantage Supplemental Benefits for More Enrollees

This act aims to broaden access to supplemental benefits within Medicare Advantage plans for a wider range of individuals. This means more citizens, including those with complex medical conditions, high hospitalization risk, or low income, may access a broader array of health services to support their daily lives and improve overall health. The changes will take effect starting January 1, 2025.
Key points
More individuals will be eligible for supplemental benefits in Medicare Advantage, not just the chronically ill.
New eligibility criteria include those with complex medical conditions, high hospitalization risk, needing intensive care coordination, low-income enrollees, and those meeting other criteria determined by the Secretary, such as social and socioeconomic risk.
The changes aim to improve access to healthcare and support for those most in need.
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Additional Information
Print number: 118_HR_5746
Sponsor: Rep. Bilirakis, Gus M. [R-FL-12]
Process start date: 2023-09-27
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Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Addressing Whole Health in Medicare Advantage Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_5746.

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 2023-09-27.

What are the main provisions?

Key points include:

  • More individuals will be eligible for supplemental benefits in Medicare Advantage, not just the chronically ill.
  • New eligibility criteria include those with complex medical conditions, high hospitalization risk, needing intensive care coordination, low-income enrollees, and those meeting other criteria determined by the Secretary, such as social and socioeconomic risk.
  • The changes aim to improve access to healthcare and support for those most in need.
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 2025-12-25.

CATEGORIES

Benefits Health