HB10747: Puerto Rico Medicare Advantage Fairness Act of 2026

What the bill says

To amend title XVIII of the Social Security Act to ensure appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico.

From the introduced text, October 5, 2026:

A BILL To amend title XVIII of the Social Security Act to ensure appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico. SECTION 1. Short title This Act may be cited as the Puerto Rico Medicare Advantage Fairness Act of 2026 . SECTION 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. .

Read the full official text

Sponsors

• Raul Ruiz (D) · primary sponsor
• Gus Bilirakis (R, HD-FL-12)
• Hernández Rivera, Pablo José (D, HD-000)
• Darren Soto (D, HD-FL-9)

Latest actions

1. October 5, 2026: 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.
2. October 5, 2026: Introduced in House

Common questions

What is HB10747?

HB10747 is a bill in Congress (119th Congress): Puerto Rico Medicare Advantage Fairness Act of 2026.

What does HB10747 do?

In its own words: To amend title XVIII of the Social Security Act to ensure appropriate geographic adjustments to Medicare Advantage benchmarks in Puerto Rico.

What is the status of HB10747?

In committee as of October 5, 2026. Latest 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. (October 5, 2026).

Who sponsored HB10747?

Raul Ruiz (D), with 3 co-sponsors.

Where is the official record for HB10747?

On the Congress website: https://www.congress.gov/bill/119th-congress/house-bill/10747