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[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 10747 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                               H. R. 10747

 To amend title XVIII of the Social Security Act to ensure appropriate 
geographic adjustments to Medicare Advantage benchmarks in Puerto Rico.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                            October 5, 2026

  Mr. Ruiz (for himself, Mr. Bilirakis, Mr. Hernandez, and Mr. Soto) 
 introduced the following bill; which was referred to the Committee on 
    Ways and Means, and in addition to the Committee on Energy and 
Commerce, for a period to be subsequently determined by the Speaker, in 
   each case for consideration of such provisions as fall within the 
                jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL

 
 To amend title XVIII of the Social Security Act to ensure appropriate 
geographic adjustments to Medicare Advantage benchmarks in Puerto Rico.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Puerto Rico Medicare Advantage 
Fairness Act of 2026''.

SEC. 2. ENSURING APPROPRIATE GEOGRAPHIC ADJUSTMENTS TO MEDICARE 
              ADVANTAGE BENCHMARKS IN PUERTO RICO.

    Section 1853(c)(1)(D)(i) of the Social Security Act (42 U.S.C. 
1395w-23(c)(1)(D)(i)) is amended by adding at the end the following new 
sentence: ``For each year specified in clause (ii) beginning on or 
after January 1, 2027, in determining the adjusted average per capita 
cost for such year for an MA payment area in Puerto Rico under the 
preceding sentence, the average geographic adjustment applied to such 
area for such year shall be equal to such adjustment applied to an MA 
payment area in the United States Virgin Islands for such year.''.
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Puerto Rico Medicare Advantage Fairness Act of 2026

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