Read twice and referred to the Committee on Finance.
Summary
The REAL Health Providers Act amends the Social Security Act to force Medicare Advantage (MA) organizations to maintain up‑to‑date, publicly‑available provider directories and to verify the information at least every 90 days. If an enrollee receives care from a provider listed in the directory but not actually in the plan’s network, the plan must limit the enrollee’s cost‑sharing to the lower of the network rate or the usual amount. The bill also mandates annual accuracy testing and reporting of these directories.
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