REAL Health Providers Act

The REAL Health Providers Act would require Medicare Advantage plans to maintain accurate, publicly available provider directories and verify provider information at least every 90 days, with specific requirements for network-based and certain private fee-for-service plans starting in 2028. It would protect enrollees from higher cost-sharing if they receive care from a provider listed in the directory but no longer in the plan’s network, limiting their costs to what they would have paid if the provider were in-network. The bill also mandates annual accuracy analyses and reporting by plans, requires the CMS to publish accuracy scores starting in 2029, provides funding for implementation, and…

No official summary is available here. This one was written by AI from the bill’s text.