US Federal Senate Bill SB3750

US Federal 2025-2026 Regular Session

• Introduced: 1/29/26
• Refer: 1/29/26

Caption

REAL Health Providers Act Requiring Enhanced and Accurate Lists of Health Providers Act

Impact

The legislation represents a critical step in reinforcing the accountability of Medicare Advantage plans regarding provider directory accuracy. It includes provisions for cost-sharing protections when beneficiaries rely on incorrect provider information, ensuring that patients are not financially penalized for relying on outdated or incorrect directories. These measures are expected to significantly enhance the user experience for Medicare beneficiaries seeking healthcare providers, thereby improving access to necessary medical services.

Summary

Senate Bill 3750, also known as the REAL Health Providers Act, aims to enhance the accuracy and accessibility of provider directories for Medicare Advantage plans. The bill mandates that each Medicare Advantage organization must maintain an accurate and publicly accessible provider directory that includes essential provider information. Starting in 2028, these organizations will be required to verify provider information at least every 90 days to ensure its accuracy, which is intended to improve patient access to care and reduce misinformation regarding available healthcare providers.

Contention

While the bill is largely seen as a positive development for patient access, it may face contention regarding its implementation. Specifically, there are concerns about the administrative burdens placed on Medicare Advantage organizations to comply with these new accuracy requirements and whether the resources allocated (approximately $4 million for 2026) will be sufficient. Stakeholders including healthcare providers and insurance companies may have differing views on the potential impact on operational costs and the feasibility of regular updates, which could lead to debates on the balance between ensuring quality directory information and managing administrative overhead.