The House Energy and Commerce Health Subcommittee on June 25, 2026, marked up several healthcare bills aimed at increasing price transparency in healthcare and improving how Medicare Advantage (MA) plans operate. A subcommittee markup gives lawmakers their first opportunity to formally debate and revise legislation. Most of the bills considered in the markup advanced with little debate or change, though lawmakers signaled they may continue refining the drafts before the full committee takes them up in the coming weeks.

HR 3514, the Improving Seniors’ Timely Access to Care Act, would streamline prior authorization in MA by requiring plans to establish electronic prior authorization programs, standardize response times, and meet certain reporting requirements on the plan’s use of prior authorization.

HR 9392, the Medicare Advantage Cost Transparency Act, would require MA plans to provide clearer information on payment rates, cost sharing for beneficiaries. The bill would also require more transparent reporting on the use of at-home health risk assessments.

HR 9396, the Prior Authorization Accountability Act, is also focused on prior authorization in commercial health plans, requiring the plans to publish a list of all items and services that require prior authorization, along with data on denial rates, appeals, and delays in care.

All three of these bills were reported to the full committee without any amendments. The subcommittee also advanced HR 5243 with some minor technical changes. This bill would require more transparent reporting on the supplemental benefits offered by Medicare Advantage plans and the extent to which enrollees are actually utilizing these services. Better data on these benefits could improve understanding of how plans support social needs and how those offerings vary across plans.

Overall, the markup underscores sustained bipartisan interest in improving Medicare Advantage transparency and reducing administrative barriers to care. The next step is consideration by the full Energy and Commerce Committee before any of these bills can move to the House floor for a vote. LeadingAge has been monitoring this legislation and will continue working with Congressional staff on solutions to concerns about the Medicare Advantage program.