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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

Bill activity

Introduced Nov 18, 2025 by Mark Pocan (D-WI) with 15 original cosponsors. 18 cosponsors as of Dec 16, 2025.

Rep. Pat Ryan (D-NY-18) is not listed among the cosponsors of this bill.
  1. IntroducedNov 18, 2025
  2. Passed House 
  3. Passed Senate 
  4. To President 
  5. Became Law 

Latest action Nov 18, 2025: Referred to the House 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.

Cosponsors during the cosponsorship window

119th Congress (Jan 2025 to Jan 2027)

Jan 2026FebMarAprMayJunJulAugSepOctNov 18, 2025Oct 16, 2026 (still open)15 originalAlexandria Ocasio-Cortez (D-NY-14). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.André Carson (D-IN-7). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Eleanor Holmes Norton (D-DC). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Ilhan Omar (D-MN-5). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Janice D. Schakowsky (D-IL-9). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Julie Johnson (D-TX-32). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Lloyd Doggett (D-TX-37). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Mark Takano (D-CA-39). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Pramila Jayapal (D-WA-7). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Rashida Tlaib (D-MI-12). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Ro Khanna (D-CA-17). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Rosa L. DeLauro (D-CT-3). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Sarah McBride (D-DE). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Shri Thanedar (D-MI-13). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Steve Cohen (D-TN-9). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Debbie Dingell (D-MI-6). Cosponsored Nov 20, 2025, 2 days after introduction.Greg Casar (D-TX-35). Cosponsored Dec 1, 2025, 13 days after introduction.Chellie Pingree (D-ME-1). Cosponsored Dec 16, 2025, 28 days after introduction. Mar 2026MayJunJulAugSepOctNov 18, 2025Oct 16, 2026 (still open)15 originalAlexandria Ocasio-Cortez (D-NY-14). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.André Carson (D-IN-7). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Eleanor Holmes Norton (D-DC). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Ilhan Omar (D-MN-5). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Janice D. Schakowsky (D-IL-9). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Julie Johnson (D-TX-32). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Lloyd Doggett (D-TX-37). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Mark Takano (D-CA-39). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Pramila Jayapal (D-WA-7). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Rashida Tlaib (D-MI-12). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Ro Khanna (D-CA-17). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Rosa L. DeLauro (D-CT-3). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Sarah McBride (D-DE). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Shri Thanedar (D-MI-13). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Steve Cohen (D-TN-9). Cosponsored Nov 18, 2025, on the day of introduction. Original cosponsor.Debbie Dingell (D-MI-6). Cosponsored Nov 20, 2025, 2 days after introduction.Greg Casar (D-TX-35). Cosponsored Dec 1, 2025, 13 days after introduction.Chellie Pingree (D-ME-1). Cosponsored Dec 16, 2025, 28 days after introduction.
Democratic 18

Each dot is one cosponsor. Dots stack by sign-on day, or by week when the window is long. The block at the left holds the original cosponsors.

Still open as of Oct 16, 2026 (119th Congress): not yet reported by the House Ways and Means Committee and the House Energy and Commerce Committee.

Activity log

Source: Congress.gov actions
  1. Introduced in House
  2. Referred to the House 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...
  3. 15 original cosponsors on the day of introduction
  4. Debbie Dingell cosponsored (D-MI)
  5. Greg Casar cosponsored (D-TX)
  6. Chellie Pingree cosponsored (D-ME)

Votes on this bill

No recorded votes yet on this measure.

Cosponsors

18 cosponsored

Sponsor Introduced by Mark Pocan (D-WI) on Nov 18, 2025

MemberParty/StateDateDays after introductionOriginalGrade
Alexandria Ocasio-CortezD-NYNov 18, 20250OriginalA-
André CarsonD-INNov 18, 20250OriginalB
Eleanor Holmes NortonD-DCNov 18, 20250Original—
Ilhan OmarD-MNNov 18, 20250OriginalA+
Janice D. SchakowskyD-ILNov 18, 20250OriginalA+
Julie JohnsonD-TXNov 18, 20250OriginalB
Lloyd DoggettD-TXNov 18, 20250OriginalA
Mark TakanoD-CANov 18, 20250OriginalB+
Pramila JayapalD-WANov 18, 20250OriginalA+
Rashida TlaibD-MINov 18, 20250OriginalA+
Ro KhannaD-CANov 18, 20250OriginalA
Rosa L. DeLauroD-CTNov 18, 20250OriginalC
Sarah McBrideD-DENov 18, 20250OriginalB+
Shri ThanedarD-MINov 18, 20250OriginalA
Steve CohenD-TNNov 18, 20250OriginalA
Debbie DingellD-MINov 20, 20252B+
Greg CasarD-TXDec 1, 202513B
Chellie PingreeD-MEDec 16, 202528A-

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).