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H.R. 4093 119th Congress House

Apples to Apples Comparison Act of 2025

Official title: To amend title XVIII of the Social Security Act to require the Secretary of Health and Human Services to publish information on expenditures under the Medicare program, and for other purposes.

Introduced: June 24, 2025 Introduced by: Aaron Bean Republican · Florida See on congress.gov
Health Government information and archivesGovernment trust fundsHealth care costs and insuranceMedicare
 Everywhere this bill has been 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Sep 16, 2026
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
Sep 16, 2026
Committee Consideration and Mark-up Session Held
Jun 24, 2025
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.
Jun 24, 2025
Introduced in House
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What's happening now September 16, 2026

Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.

 Plain-English summary Congressional Research Service

Apples to Apples Comparison Act of 2025

This bill requires additional reporting and disclosures regarding Medicare enrollment and expenditures.

Specifically, the bill requires the Centers for Medicare & Medicaid Services to annually report on and publish information on its website regarding expenditures for Medicare hospital services and medical services, the Medicare prescription drug benefit, and Medicare Advantage (MA), including for those who are enrolled in one program but not others or have supplemental insurance. This information must be broken down by county and metropolitan statistical area for each month over the prior 10-year period and for each month over the next 5-year period. 

In addition, the Medicare Payment Advisory Commission must annually analyze and report on expenditures for Medicare beneficiaries who have an MA plan compared to those who do not have an MA plan. The Boards of Trustees for Medicare must annually report on expenditures for (1) Medicare beneficiaries who have either hospital services or medical services but not both, and (2) Medicare beneficiaries who have both hospital and medical services but do not have an MA plan.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
 Lobbying activity 35

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

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APA
U.S. Congress. (2026). H.R. 4093: Apples to Apples Comparison Act of 2025. 119th Congress. Open America. https://openamerica.io/bill/119-HR-4093/
MLA
"H.R. 4093: Apples to Apples Comparison Act of 2025." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-HR-4093/.
Bluebook (legal)
H.R. 4093, 119th Cong. (2026), https://openamerica.io/bill/119-HR-4093/.
Markdown link
[H.R. 4093: Apples to Apples Comparison Act of 2025](https://openamerica.io/bill/119-HR-4093/)
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