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Improved Access to Healthcare for Medicare Advantage Members

This new law aims to ensure that Medicare Advantage plans contract with more local healthcare providers, especially those serving low-income individuals or those in rural areas. This means people with these plans will have easier and timelier access to necessary healthcare, including specialists and facilities in their communities. Plans failing to meet these requirements may not be approved.
Key points
Medicare Advantage plans must include more local essential community providers in their networks, including those serving low-income individuals.
The act seeks to improve healthcare access for people in rural areas, low-income individuals, or those in health professional shortage areas.
Plans that do not provide adequate access to these providers must justify their shortcomings or risk not being approved.
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Status:
Introduced
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Additional Information
Ensuring Access to Essential Providers Act of 2025
Print number: S 2793
Sponsor: Sen. Cassidy, Bill [R-LA]
Process start date: 2025-09-11