119th Congress · introduced in the Senate · Apr 27, 2026
Medicare Advantage Improvement Act of 2026
Official title from Congress.gov
Latest action (Apr 27, 2026): Read twice and referred to the Committee on Finance.
View on Congress.govPolicy area: Health
No official summary has been published for this bill.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Read twice and referred to the Committee on Finance.
Introduced in Senate
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
46 citations; showing the 25 most recently posted.
THE METROHEALTH SYSTEM · lobbying firm or registrant: THE METROHEALTH SYSTEM
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$230,000
Spent on own lobbying
…odernization Act; H.R. 267, the Health Care Price Transparency Act; H.R. 2590/S. 1264, the Mental and Physical Health Care Comorbidities Act of 2025; H.R. 8375/S. 4384, Medicare Advantage Improvement Act of 2026.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
BLUE CROSS AND BLUE SHIELD OF KANSAS INC · lobbying firm or registrant: BLUE CROSS AND BLUE SHIELD OF KANSAS, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
…III of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage progra…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…Sen. Scott, Tim - Medicare and Medicare Advantage spending reports S. 3886 - Nurses Belong in Nursing Homes Act - Sen. Wyden, Ron - Nursing home staffing hours S. 4384 - Medicare Advantage Improvement Act - Sen. Marshall, Roger - MA programmatic reforms S. 5034 - Medicare Advantage Supplemental Benefits Transparency Act - Sen…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
FEDERATION OF AMERICAN HOSPITALS · lobbying firm or registrant: FEDERATION OF AMERICAN HOSPITALS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$760,000
Spent on own lobbying
…al access to care Physician Fee Schedule re: Medicare physician payment 340B re: drug payment Medicare Advantage re: Medical Loss Ratio transparency; H.R. 8375/S. 4384, Medicare Advantage Improvement Act (MAIA) re: Medicare Advantage transparency
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN HOSPITAL ASSOCIATION · lobbying firm or registrant: AMERICAN HOSPITAL ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$3,840,000
Spent on own lobbying
…ons; H.R. 5454/S. 2879, the Medicare Advantage Prompt Pay Act, all provisions; H.R. 6240, Rural Hospital Closure Relief Act of 2025, all provisions; H.R. 8375/ S. 4384, Medicare Advantage Improvement Act, all provisions; H.R. 8967 / S. 4460, Rural Community Hospital Demonstration Program Reauthorization, all provisions; H.R.…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ALLIANCE FOR CARE AT HOME · lobbying firm or registrant: AVENUE SOLUTIONS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
…trolled substances via telemedicine without a prior in-person evaluation under the Ryan Haight Act; Medicare Advantage Home Health Network Adequacy; H.R. 8375, S. 4384, Medicare Advantage Improvement Act of 2026
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
BLUE CROSS AND BLUE SHIELD OF FLORIDA INC · lobbying firm or registrant: BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$100,000
Spent on own lobbying
…III of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage progra…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
BLUE CROSS AND BLUE SHIELD ASSOCIATION · lobbying firm or registrant: BLUE CROSS AND BLUE SHIELD ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$1,240,000
Spent on own lobbying
…III of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage progra…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
BLUE CROSS BLUE SHIELD OF MICHIGAN · lobbying firm or registrant: BLUE CROSS BLUE SHIELD OF MICHIGAN
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$276,347
Spent on own lobbying
…III of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage progra…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
GUIDEWELL MUTUAL HOLDING CORPORATION · lobbying firm or registrant: GUIDEWELL MUTUAL HOLDING CORPORATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
Amount not reported
…III of the Social Security Act to provide for certain reforms under the Medicare Advantage program, and for other purposes. Sponsor: Rep. Joyce, John [R-PA-13] S.4384 - Medicare Advantage Improvement Act of 2026 To amend title XVIII of the Social Security Act to provide for certain reforms under the Medicare Advantage progra…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. View filing
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION · lobbying firm or registrant: THE SMITH-FREE GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$60,000
Paid to lobbying firm
S. 4384 / H.R. 8375, the Medicare Advantage Improvement Act of 2026 Monitoring site-neutral policy
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION · lobbying firm or registrant: THE SMITH-FREE GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Insurance
$60,000
Paid to lobbying firm
S. 4384 / H.R. 8375, the Medicare Advantage Improvement Act of 2026 Monitoring site-neutral policy
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ASCENSION HEALTH ALLIANCE D/B/A ASCENSION · lobbying firm or registrant: THE SMITH-FREE GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
S. 4384 / H.R. 8375, the Medicare Advantage Improvement Act of 2026 Monitoring site-neutral policy
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
Medicare reimbursement issues. H.R.8375/S.4384, Medicare Advantage Improvement Act of 2026.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN COLLEGE OF GASTROENTEROLOGY · lobbying firm or registrant: ALSTON & BIRD LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
…rovisions regarding Medicare physicians payment increase, reform. H.R.9693, Patients First Act. H.R.8163/S.5180, Provider Reimbursement Stability Act. H.R.8375/S.4384, Medicare Advantage Improvement Act.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATL ASSN FOR HOME CARE & HOSPICE) · lobbying firm or registrant: NATIONAL ALLIANCE FOR CARE AT HOME (FORMERLY NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$620,000
Spent on own lobbying
…rization Act of 2026 H.R. 4425 / S. 2287 - Palliative Care and Hospice Education and Training Act S. 1935 - Expanding Access to Palliative Care Act H.R. 8375 / S. 4384 - Medicare Advantage Improvement Act of 2026 H.R. 8883 - Protecting Seniors and Stopping Fraudsters Act Home Health and Hospice Nationwide Moratoria Hospice Se…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR MEDICARE · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$80,000
Paid to lobbying firm
Lobbying related to Medicare Advantage Reform and prior authorization; H.R. 8375, S. 4384
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR MEDICARE · lobbying firm or registrant: THE PICARD GROUP, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$80,000
Paid to lobbying firm
Lobbying related to Medicare Advantage Reform and prior authorization; H.R.8375 and S.4384
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DIRECT SUPPLY, INC. · lobbying firm or registrant: DIRECT SUPPLY, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$170,000
Spent on own lobbying
…R). Geriatrics Workforce Improvement Act (S. 2699) - training and workforce support for caregivers (USS). Medicare Advantage Improvement Act of 2026 (H.R. 8375/S. 4384) - prior authorization normalization and prompt pay. Improving Access to Medicare Coverage Act (H.R. 3954/S. 4641) - 3 day stay requirement updates.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION · lobbying firm or registrant: AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$200,000
Spent on own lobbying
…), Access to Inpatient Rehabilitation Therapy Act, Improving Seniors' Timely Access to Care Act (H.R.3514/S.1816), Medicare Advantage Improvement Act (H.R.8375/S.4384), WISeR, Medicare Advantage, IRF Review Choice Demonstration
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION · lobbying firm or registrant: AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$200,000
Spent on own lobbying
…), Access to Inpatient Rehabilitation Therapy Act, Improving Seniors' Timely Access to Care Act (H.R.3514/S.1816), Medicare Advantage Improvement Act (H.R.8375/S.4384), WISeR, Medicare Advantage, IRF Review Choice Demonstration
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
PROVIDENCE ST. JOSEPH HEALTH · lobbying firm or registrant: PROVIDENCE ST. JOSEPH HEALTH
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Medicare/Medicaid
$180,000
Spent on own lobbying
…id funding, issues related to implementation of PL 119-21, Medicare Advantage Prompt Pay Act (H.R. 5454/S. 2879), Medicare Advantage Improvement Act (H.R. 8375/S.4384), Improving Seniors Timely Access to Care Act (S.1816/H.R.3514), site-neutral payment policies, Hospital Outpatient Prospective Payment System proposed rule, P…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
KINDRED HEALTHCARE D/B/A SCIONHEALTH (FKA KINDRED HEALTHCARE OPERATING, INC) · lobbying firm or registrant: RUBIN HEALTH POLICY CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 12, 2026 · issue area: Health Issues
$52,000
Paid to lobbying firm
…ding: the "Saving Today's Acute-Care Resources Act (H.R. 9468)", the "Lower Costs, More Transparency Act (H.R. 9393)", the "Medicare Advantage Improvement Act (S. 4384/H.R. 8375)" and the "Continuing Appropriations and Extension Act, 2027 (H.R. 6500)".
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
DISABILITY RIGHTS EDUCATION & DEFENSE INC · lobbying firm or registrant: DISABILITY RIGHTS EDUCATION & DEFENSE, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Sep 2, 2026 · issue area: Medicare/Medicaid
$10,000
Spent on own lobbying
…al benefit programs for immigrants authorized to be in the United States; - Joined a letter led by the Coalition to Preserve Rehabilitation (CPR) that supports S. 4384/H.R. 8375, the Medicare Advantage Improvement Act (MAIA), a bipartisan bill that addresses unjustified prior authorization and other medical necessity-related…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
UNITED SPINAL ASSOCIATION · lobbying firm or registrant: UNITED SPINAL ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Aug 7, 2026 · issue area: Medicare/Medicaid
Amount not reported
…ation services and undermine patient outcomes. United Spinal, along with other members of the Coalition to Preserve Rehabilitation, wrote in strong support for S. 4384, the Medicare Advantage Improvement Act toots bipartisan sponsors. Medicare Advantage (MA) increasingly serves Medicare beneficiaries with complex, disabling c…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. View filing