Medicare Advantage plans could lose their federal contract if they deny too many care requests that later get approved. The rule would apply to plans that require prior approval before covering some care.
Modern Action explains what the legislation does, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.
To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans. is a House bill in committee. The latest recorded action: 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.
Latest action on H.R. 6109: 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.
Who this affects: This bill mainly affects people in Medicare Advantage plans, the insurers that run those plans, and doctors or other providers who request approval for care. Patients could face fewer wrongly denied requests if plans improve first decisions. Insurers would face a clear limit and the risk of losing a plan contract. Doctors and providers could spend less time fighting denials if the rule works as intended.
Why this matters: This matters because a wrong first denial can delay care and create extra work for patients and doctors. The bill tries to push Medicare Advantage plans to make better decisions the first time. It uses a strong penalty: loss of the plan’s federal contract. The real effect would depend on how plans respond and how the Secretary applies the rule.
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Officially: To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans.
Medicare Advantage plans could lose their federal contract if they deny too many care requests that later get approved. The rule would apply to plans that require prior approval before covering some care.
Use this page to support, oppose, or ask Congress to amend HR6109. Modern Action explains what the bill does, helps identify the right senators or representative, and drafts a bill-specific message you can edit and send.
Where it stands
Sitting in Ways and Means
No vote scheduled. Constituent contact is what moves bills out of committee.
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This bill is sitting in committee with no scheduled vote — which means a small number of constituent messages can decide whether it moves forward or quietly dies.
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Where this bill is in the process
Introduced
Introduced in House
House Committee
Under House committee consideration
Latest: 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. (11/18/2025)
House Floor Vote
Voted on by House
Passed House
Approved by House
Senate Review
Sent to Senate for consideration
Passed Both Chambers
Approved by both House and Senate
Signed into Law
Signed by the President
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This page gives you an opportunity to support, oppose, or ask for changes to To amend title XVIII of the Social Security Act to establish certain requirements with respect to rates of reversed prior authorization coverage determinations under Medicare Advantage plans., then contact the elected officials who can act. Modern Action drafts the message from your position and the reasons you select.
Modern Action keeps the action tied to the bill itself: what it does, where it is in the process (committee), which office can still act, and what ask belongs in the message.
You are not starting from a blank form. Modern Action drafts the message around HR6109, your stance, and the reasons you choose, then lets you edit and send when ready.
