PlainBillCongress, translated.Legislation. Context. Public interest.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.
Congressional Research Service
No official summary is available in the imported record yet.
People & committees
Rep. Ruiz, Raul [D-CA-25] · D–CA
Legislative record
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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.
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.
Introduced in House
Introduced in House
Primary sources
Text links open the official source. We also preserved the text version used in the PlainBill explanation below.
No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Oct 9, 2026. Consult Congress.gov for the current record.
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Analyze H.R.10747 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
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PlainBill explanation
Based on the full Introduced in House · 2026-10-05 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.
The proposed Puerto Rico Medicare Advantage Fairness Act of 2026 would change a geographic factor used in a Medicare Advantage payment calculation for Puerto Rico. It would require the average geographic adjustment to match the adjustment for a payment area in the U.S. Virgin Islands for the same year. The requirement would apply to years specified in the referenced statutory clause beginning January 1, 2027, or later.
This Act may be cited as the Puerto Rico Medicare Advantage Fairness Act of 2026.
For each year specified in clause (ii) beginning on or after January 1, 2027, in determining the adjusted average per capita cost for such year for an MA payment area in Puerto Rico under the preceding sentence, the average geographic adjustment applied to such area for such year shall be equal to such adjustment applied to an MA payment area in the United States Virgin Islands for such year.
Section 2 would amend the Social Security Act to require this matching adjustment when determining the adjusted average cost per person for a Medicare Advantage payment area in Puerto Rico. The comparison would use the U.S. Virgin Islands adjustment for the same year. The requirement is mandatory for the years specified in the referenced clause beginning January 1, 2027, or later.
Section 1853(c)(1)(D)(i) of the Social Security Act (42 U.S.C. 1395w–23(c)(1)(D)(i)) is amended by adding at the end the following new sentence:
For each year specified in clause (ii) beginning on or after January 1, 2027, in determining the adjusted average per capita cost for such year for an MA payment area in Puerto Rico under the preceding sentence, the average geographic adjustment applied to such area for such year shall be equal to such adjustment applied to an MA payment area in the United States Virgin Islands for such year.
The supplied official-actions snapshot, updated October 9, 2026, records introduction in the House on October 5, 2026, and referral that day to the Ways and Means and Energy and Commerce committees for consideration within their respective jurisdictions.
Source snapshot updated 2026-10-09T20:38:15Z.
2026-10-05: Introduced in House
2026-10-05: 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.
A closer look
Reviewed version: Introduced in House · 2026-10-05. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.
This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.
Provisions outside the bill’s main subject, or policy changes attached to appropriations.
None identified in the reviewed text
No unrelated provision or policy change attached to appropriations was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials, or establish an amendment's attachment history.
Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.
None identified in the reviewed text
No congressionally directed spending earmark was identified in the complete supplied introduced text. A statutory payment-calculation rule is not automatically an earmark. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials; member requests, disclosures, and committee or conference materials were not supplied.
Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.
Findings to examine
The cited finding identifies narrow geographic treatment within the main policy. This classification does not establish a financial gain or improper purpose.
Medicare Advantage payment areas in Puerto Rico would receive a special geographic-adjustment rule tied to the U.S. Virgin Islands adjustment for the same year. This is narrowly targeted geographic treatment within the bill's main payment policy; the supplied text does not establish whether it would produce higher payments.
For each year specified in clause (ii) beginning on or after January 1, 2027, in determining the adjusted average per capita cost for such year for an MA payment area in Puerto Rico under the preceding sentence, the average geographic adjustment applied to such area for such year shall be equal to such adjustment applied to an MA payment area in the United States Virgin Islands for such year.
Full text preserved for this analysis. Legislative record snapshot: Oct 9, 2026. How PlainBill uses AI