Medicare Advantage Faces Potential Overhaul with New Congressional Bill
A new bill, the Medicare Advantage Improvement Act of 2026, has been introduced in the U.S. House of Representatives, aiming to reform the Medicare Advantage program. This bipartisan legislation, supported by both Democratic and Republican lawmakers, seeks to increase oversight of private plans and address issues related to prior authorization delays and coverage denials. The bill proposes aligning Medicare Advantage more closely with traditional Medicare by prohibiting more restrictive coverage criteria and setting deadlines for prior authorization decisions. It also aims to limit the use of prior authorization and create a compliance scoring system for plans.