HR10747Referred to Committee

Puerto Rico Medicare Advantage Fairness Act of 2026

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Introduced
In Committee
3
Passed One Chamber
4
Passed Both
5
Signed into Law
119th
Congress
2026-10-05
Introduced
3
Cosponsors
HR
ⓘ
Type

Sponsor

Raul Ruiz
Raul Ruiz
Democrat · CA · Representative
Votes with party: 97.1% (665 recorded votes)

Full profile: /officials/R000599

Source: Congress.gov · FEC

Latest Action

The most recent step in the bill's legislative path. Committee Activity below shows referrals and reports; the full action-by-action history including floor proceedings lives at Congress.gov →

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.

2026-10-05

Source: Congress.gov

Committee Activity

Currently in

Plain-English Summary

Plain-English summary pending. Introduced on 2026-10-05. Check back soon — summaries are generated as bills progress through Congress.

Subjects

Health

Full Bill Text

Verbatim text published on Congress.gov via GovInfo. Use Cmd+F / Ctrl+F to search within this excerpt.

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

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