POSITIVE Healthcare 119th Congress

H.R.6109 Medicare Advantage Reform Package (Prior Authorization & Accountability)

Medicare Advantage reform package — curbs prior authorization abuse and increases insurer accountability for denied claims (119th Congress)

View on Congress.gov

Legal & Constitutional Grounding

MedPAC finds $83B in MA overpayments; OIG documents systematic inappropriate care denials.

MedPAC March 2024: MA payments $83B over fee-for-service

HHS OIG OEI-09-18-00260 (2022)
AMA: 80.7% of denials overturned

Who Lobbied on This Bill

$40K combined quarterly activity

1 lobbying firm

2 clients represented

2025-fourth_quarter filing period

Policy Areas Covered

Medicare/Medicaid

Government Entities Lobbied

HOUSE OF REPRESENTATIVES
SENATE

Who Hired the Lobbyists

SOCIAL SECURITY WORKS Mission to protect and improve Social Security.
CENTER FOR HEALTH AND DEMOCRACY Center for Health and Democracy works to transform Americas system of health coverage.

Source: Senate LDA filings · Dollar figures are combined quarterly totals for all lobbying by each firm, not bill-specific spend.

Medicare Advantage reform — transparency and accountability. Documented MA overpayments cost taxpayers an estimated $83 billion annually (MedPAC data).