Requires Medicare to publish county and metro-area spending data broken down by coverage type, and directs the Medicare Payment Advisory Commission to compare Medicare Advantage spending with traditional Medicare spending each year.

• Requires CMS to publish machine-readable Medicare expenditure data for each county and Metropolitan Statistical Area, beginning with 2025.
• Breaks spending down by categories such as Medicare Advantage enrollment, Part D drug plan enrollment, and employer group coverage.
• Directs MedPAC to produce an annual retrospective comparison of Medicare Advantage and traditional fee-for-service spending, beginning with 2026, with public data and a 30-day comment period on its methodology.
• Requires the Medicare Hospital Insurance and Supplementary Medical Insurance Trustees to include aggregate and average expenditure information in their annual reports, beginning with 2026.

• Energy and Commerce Committee (House)
• Ways and Means Committee (House)

Health