Sec. 5. Clarifying beneficiary options on the Medicare plan finder website
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/bill/118/hr/35/ih/section-5A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Section 1804 of the Social Security Act ( 42 U.S.C. 1395b–2 ) is amended by adding at the end the following new subsections: In the case that the Secretary provides for a Medicare plan finder internet website of the Centers for Medicare & Medicaid Services (or a successor website), the Secretary shall, with respect to such website and in accordance with subsection (f)— make available on such website— access to provider networks in order to provide to individuals entitled to benefits under part A or enrolled under part B information to assist such individuals in understanding the restrictions on providers and potential costs entailed by their decisions regarding enrollment under parts A and B, under part C, and in medicare supplemental policies under section 1882; a review of out-of-pocket expenditures, including deductibles, copayments, coinsurance, monthly premiums, and estimated annual out-of-pocket costs, displayed overall and by components, based on the best available information as determined by the Secretary; and during the period prior to January 1, 2024, information regarding the rules that, in each State, pertain to guaranteed issue of medicare supplemental health insurance policies prior to implementation of the provisions of the Close the Medigap Act of 2023 and, in the case that a State has no such rules pertaining to guaranteed issue of such policies, clear language explaining the implications of such lack of rules for individuals with pre-existing conditions; not later than January 1, 2024, and periodically thereafter, perform a review of such website in order to ensure that such website makes available to individuals entitled to benefits under part A or enrolled under part B the information that the Secretary determines is necessary for such individuals to make informed choices regarding their options under the program under this title; and not later than 12 months after the last day of each period for the request for information under subsection (e), update such website, taking into consideration the information collected pursuant to such subsection, to clarify the presentation of consumer options for medicare supplemental health insurance policy options, including by presenting such information in a manner calculated to be understood by the average consumer and in a manner that— improves consumer access to information regarding the applicable premiums under such policy options as of the date on which such website is so updated; facilitates consumers’ ability to compare and sort policy options and premium information across plan offerings in a given location; clarifies and explains differences in policy value; rates and explains the financial stability of issuers of such policies; provides data on the inflation rate of different policies; provides information regarding the guaranteed issue requirements that apply to medicare supplemental health insurance policies under section 1882(s)(3); and includes such general information as is determined by the Secretary to be necessary for individuals entitled to benefits under part A or enrolled under part B to understand costs under MA plans available pursuant to part C and prescription drug plans available pursuant to part D.
Not later than 6 months after the date of the enactment of this subsection and beginning on December 7 of each year thereafter, the Secretary of Health and Human Services shall provide an opportunity for public comment during which the Secretary requests information, including recommendations, from stakeholders regarding potential improvements to the presentation of medicare supplemental health insurance policy options under section 1882 on the Medicare plan finder internet website of the Centers for Medicare & Medicaid Services (or a successor website).
With respect to any information that the Secretary makes available on the Medicare plan finder internet website of the Centers for Medicare & Medicaid Services (or a successor website) pursuant to subsection (d), the Secretary shall, prior to making such information available— provide, in consultation with the National Association of Insurance Commissioners, an opportunity for consumer testing of such information; share the results of such consumer testing of such information with interested stakeholders; and provide a 60-day public comment period with respect to such information. .
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- 42 USC 1395b–2
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Sec. 5
Clarifying beneficiary options on the Medicare plan finder website
Cite42 USC 1395b–2
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