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S. 1105 119th Congress Senate

No UPCODE Act

Official title: A bill to amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.

Introduced: March 25, 2025 Introduced by: Bill Cassidy Republican · Louisiana See on congress.gov
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 Everywhere this bill has been 2 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Mar 25, 2025
Read twice and referred to the Committee on Finance.
Mar 25, 2025
Introduced in Senate
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What's happening now March 25, 2025

Read twice and referred to the Committee on Finance.

 Plain-English summary Congressional Research Service

No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act or the No UPCODE Act

This bill modifies certain factors that are used to determine Medicare Advantage (MA) payments, particularly relating to health status and related data.

Specifically, the bill requires the Centers for Medicare & Medicaid Services (CMS) to use two years of diagnostic data in its risk adjustment methodology for MA payments. It also prohibits the CMS from using diagnoses that are collected from chart reviews or health risk assessments when adjusting payments based on health status. The CMS must also take into account any differences in coding patterns between MA and traditional Medicare when determining MA payment adjustments.

 Related & companion bills 1
  • HR 6010 To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes.
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 1
 Lobbying activity 219

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

Bodies those filers lobbied

A filing lists the bills it worked on and the parts of government it contacted in separate sections, so these are the bodies those filers named anywhere in the filing, not a per-bill breakdown.

See all 219 filings →
 Cosponsors 1
All 1 Democratic 1
D
Merkley, Jeff
Oregon · Mar 25, 2025
Cite this page click to expand
APA
U.S. Congress. (2026). S. 1105: No UPCODE Act. 119th Congress. Open America. https://openamerica.io/bill/119-S-1105/
MLA
"S. 1105: No UPCODE Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-1105/.
Bluebook (legal)
S. 1105, 119th Cong. (2026), https://openamerica.io/bill/119-S-1105/.
Markdown link
[S. 1105: No UPCODE Act](https://openamerica.io/bill/119-S-1105/)
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