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119th Congress · H.R. 4093 · Introduced

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.

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SubjectsGovernment information and archivesGovernment trust fundsHealth care costs and insuranceMedicare

XML scalars

congress
119
type
HR
number
4093
originChamber
House
originChamberCode
H
introducedDate
2025-06-24
updateDate
2026-10-23T21:05:09Z
updateDateIncludingText
2026-10-23T21:05:09Z
title
Apples to Apples Comparison Act of 2025
legislationUrl
https://www.congress.gov/bill/119th-congress/house-bill/4093

Constitutional authority statement (CDATA)

[Congressional Record Volume 171, Number 108 (Tuesday, June 24, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. BEAN of Florida:H.R. 4093.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8, Clause 18 of the U.S. Constitution[The Congress shall have Power . . . ] To make all Lawswhich shall be necessary and proper for carrying intoExecution the foregoing Powers, and all other Powers vestedby this Constitution in the Government of the United States,or in any Department or Officer thereof.[Page H2923]

Pipeline

Track
federal_presidential
Stage
Introduced
Stage rank
3

Sponsor

  • Rep. Bean, Aaron [R-FL-4] · [R-FL-4] · B001314
    Rep-FL-4 current · 2 terms · @RepAaronBean · 3 district offices

Sponsor record (congress_legislators)

Bio (legislators)

bioguide
B001314
status
current
official_full
Aaron Bean
first
Aaron
middle
Paul
last
Bean
suffix
null
nickname
null
birthday
1967-01-25
gender
M

Current term (2 total)

type
rep
state
FL
district
4
class
null
party
Republican
caucus
null
start
2025-01-03
end
2027-01-03
end_type
null
how
null
url
https://bean.house.gov
address
2459 Rayburn House Office Building Washington DC 20515-0904
office
2459 Rayburn House Office Building
phone
202-225-0123
fax
null
contact_form
null
rss_url
null

Leadership roles (0)

none

Committee memberships (4)

  • House Committee on Ways and Means (house) · house · rank 25 · site
  • Oversight (house) · house · rank 7
  • Social Security (house) · house · rank 4
  • Work and Welfare (house) · house · rank 5

Social media

District offices (3)

  • 4465-6 US Highway 17, Fleming Island, FL, 32003 · 904-830-3933 · 30.1160949,-81.7040293
  • 501 Centre Street, Suite 107, Fernandina Beach, FL, 32034 · 904-557-9550 · 30.6713072,-81.46098470000001
  • 117 W Duval St., Suite 230, Jacksonville, FL, 32202 · 904-319-9433 · 30.3301047,-81.6592551

Other names (0)

none

Sponsor FEC record (fec_live)

Candidate record (candidates) · cycle 2026

candidate_id
H2FL04211
cycle
2026
name
BEAN, AARON P.
party
REPUBLICAN PARTY
office
House
state
FL
district
04
incumbent_challenge
Incumbent
candidate_status
C
active_through
2026
election_year
null
first_file_date
2022-06-02
last_file_date
2026-06-22
last_f2_date
2026-06-22
address
null

Candidate summary (candidate_summaries) · cycle 2026

cycle
2026
total_receipts
$2,163,375.80
total_disbursements
$1,005,546.53
cash_on_hand_end_period
$1,632,550.26
debts_owed_by_committee
$14,411.14
coverage_start_date
2025-01-01
coverage_end_date
2026-07-29

Connected committees (0)

none

Cosponsors (25)

  • Rep. Hern, Kevin [R-OK-1] · [R-OK-1] · H001082 · Co-sponsored 2025-06-24 · original
    Rep-OK-1 current · 5 terms · @repkevinhern · 1 district office
  • Rep. Yakym, Rudy [R-IN-2] · [R-IN-2] · Y000067 · Co-sponsored 2025-07-21
    Rep-IN-2 current · 3 terms · @RepRudyYakym · 2 district offices
  • Rep. Miller, Carol D. [R-WV-1] · [R-WV-1] · M001205 · Co-sponsored 2025-07-23
    Rep-WV-1 current · 4 terms · @RepCarolMiller · 3 district offices
  • Rep. Van Duyne, Beth [R-TX-24] · [R-TX-24] · V000134 · Co-sponsored 2025-07-25
    Rep-TX-24 current · 3 terms · @RepBethVanDuyne · 2 district offices
  • Rep. Tenney, Claudia [R-NY-24] · [R-NY-24] · T000478 · Co-sponsored 2025-09-10
    Rep-NY-24 current · 4 terms · @RepTenney · 4 district offices
  • Rep. Steube, W. Gregory [R-FL-17] · [R-FL-17] · S001214 · Co-sponsored 2025-10-03
    Rep-FL-17 current · 4 terms · @RepGregSteube · 3 district offices
  • Rep. Fischbach, Michelle [R-MN-7] · [R-MN-7] · F000470 · Co-sponsored 2025-10-17
    Rep-MN-7 current · 3 terms · @RepFischbach · 2 district offices
  • Rep. Carey, Mike [R-OH-15] · [R-OH-15] · C001126 · Co-sponsored 2025-10-17
    Rep-OH-15 current · 3 terms · @RepMikeCarey · 1 district office
  • Rep. Shreve, Jefferson [R-IN-6] · [R-IN-6] · S001229 · Co-sponsored 2025-10-21
    Rep-IN-6 current · 1 term · @repshreve · 3 district offices
  • Rep. Cammack, Kat [R-FL-3] · [R-FL-3] · C001039 · Co-sponsored 2025-10-24
    Rep-FL-3 current · 3 terms · @RepKatCammack · 1 district office
  • Rep. Langworthy, Nicholas A. [R-NY-23] · [R-NY-23] · L000600 · Co-sponsored 2025-10-24
    Rep-NY-23 current · 2 terms · @RepLangworthy · 4 district offices
  • Rep. Moore, Blake D. [R-UT-1] · [R-UT-1] · M001213 · Co-sponsored 2025-10-28
    Rep-UT-1 current · 3 terms · @RepBlakeMoore · 1 district office
  • Rep. Fedorchak, Julie [R-ND-At Large] · [R-ND-0] · F000482 · Co-sponsored 2025-10-31
    Rep-ND current · 1 term · @RepFedorchak · 2 district offices
  • Rep. Kelly, Mike [R-PA-16] · [R-PA-16] · K000376 · Co-sponsored 2025-10-31
    Rep-PA-16 current · 8 terms · @MikeKellyPA · 3 district offices
  • Rep. Lee, Laurel M. [R-FL-15] · [R-FL-15] · L000597 · Co-sponsored 2025-11-04
    Rep-FL-15 current · 2 terms · @RepLaurelLee · 1 district office
  • Rep. Miller, Max L. [R-OH-7] · [R-OH-7] · M001222 · Co-sponsored 2025-11-25
    Rep-OH-7 current · 2 terms · @repmaxmiller · 2 district offices
  • Rep. Malliotakis, Nicole [R-NY-11] · [R-NY-11] · M000317 · Co-sponsored 2025-12-12
    Rep-NY-11 current · 3 terms · @RepMalliotakis · 2 district offices
  • Rep. Feenstra, Randy [R-IA-4] · [R-IA-4] · F000446 · Co-sponsored 2026-01-09
    Rep-IA-4 current · 3 terms · @RepFeenstra · 3 district offices
  • Rep. Pfluger, August [R-TX-11] · [R-TX-11] · P000048 · Co-sponsored 2026-01-13
    Rep-TX-11 current · 3 terms · @RepPfluger · 6 district offices
  • Rep. Smucker, Lloyd [R-PA-11] · [R-PA-11] · S001199 · Co-sponsored 2026-03-05
    Rep-PA-11 current · 5 terms · @RepSmucker · 3 district offices
  • Rep. LaHood, Darin [R-IL-16] · [R-IL-16] · L000585 · Co-sponsored 2026-04-30
    Rep-IL-16 current · 6 terms · @RepLaHood · 3 district offices
  • Rep. Smith, Adrian [R-NE-3] · [R-NE-3] · S001172 · Co-sponsored 2026-05-13
    Rep-NE-3 current · 10 terms · @RepAdrianSmith · 3 district offices
  • Rep. Moran, Nathaniel [R-TX-1] · [R-TX-1] · M001224 · Co-sponsored 2026-06-03
    Rep-TX-1 current · 2 terms · @RepNateMoran · 4 district offices
  • Rep. Kustoff, David [R-TN-8] · [R-TN-8] · K000392 · Co-sponsored 2026-06-18
    Rep-TN-8 current · 5 terms · @RepDavidKustoff · 3 district offices
  • Rep. Fong, Vince [R-CA-20] · [R-CA-20] · F000480 · Co-sponsored 2026-09-08
    Rep-CA-20 current · 2 terms · @RepVinceFong · 2 district offices

Committees (2)

  • Ways and Means Committee [House Standing]
    2026-09-16T15:38:00ZMarkup By
    2025-06-24T14:02:15ZReferred To
  • Energy and Commerce Committee [House Standing]
    2025-06-24T14:02:20ZReferred To

Actions — from XML (6)

  • 2026-09-16Committeevia House committee actions
    Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
  • 2026-09-16Committeevia House committee actions
    Committee Consideration and Mark-up Session Held
  • 2025-06-24IntroReferralH11100via House floor actions
    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.
  • 2025-06-24IntroReferralH11100via House floor actions
    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.
  • 2025-06-24IntroReferralIntro-Hvia Library of Congress
    Introduced in House
  • 2025-06-24IntroReferral1000via Library of Congress
    Introduced in House

Actions — from bill_actions table (0)

none

Titles

  • Display Title2026-09-19T23:35:48Z
    Apples to Apples Comparison Act of 2025
  • Short Title(s) as IntroducedIH2025-07-10T13:53:18Z
    Apples to Apples Comparison Act of 2025
  • Official Title as IntroducedIH2025-07-10T13:48:22Z
    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.

Text versions (from XML)

Versions — from bill_versions table (0)

none

Policy area

Health

Summaries

00 · 2025-06-24 · Introduced in House

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 bills

  • S 3848 (119) Apples to Apples Comparison Act of 2026
    Latest: 2026-02-11 — Read twice and referred to the Committee on Finance.
    Relationship: Related bill (via CRS)

Amendments (0)

none

Laws

none

Committee reports

none

Calendar number

null

CBO cost estimates

none

Latest action

Date
2026-09-16
Text
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
Time
null

Dublin Core

format
text/xml
language
EN
rights
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
contributor
Congressional Research Service, Library of Congress
description
This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.

Row fields (debug)

id
3638
congress
119
bill_type
hr
bill_number
4093
bill_slug
hr-4093-119
title
Apples to Apples Comparison Act of 2025
short_title
Apples to Apples Comparison Act of 2025
sponsor_bioguide_id
B001314
sponsor_name
Rep. Bean, Aaron [R-FL-4]
sponsor_party
R
sponsor_state
FL
introduced_date
2025-06-24
latest_action_date
2026-09-16
latest_action_text
Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
status
null
policy_area
Health
subjects_json
[
  "Government information and archives",
  "Government trust funds",
  "Health care costs and insurance",
  "Medicare"
]
govinfo_billstatus_path
BILLSTATUS-119hr4093
raw_billstatus_xml
<?xml version="1.0" encoding="utf-8" standalone="no"?> <billStatus> <version>3.0.0</version> <bill> <number>4093</number> <updateDate>2026-10-23T21:05:09Z</updateDate> <updateDateIncludingText>2026-10-23T21:05:09Z</updateDateIncludingText> <originChamber>House</originChamber> <originChamberCode>H</originChamberCode> <type>HR</type> <introducedDate>2025-06-24</int…
summary_lede
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 …
topic_primary
health
topic_secondary_json
[]
action_family
introduced_only
response_available
0
response_type
null
response_deadline
null
importance_score
null
consequence_score
null
urgency_score
null
overall_score
null
in_canopy
0
canopy_expires_at
null
pipeline_track
federal_presidential
pipeline_stage
introduced
pipeline_stage_rank
3
stable_action_id
hr-4093-119
jurisdiction
federal
lock_status
open
lock_at
null
content_hash
63e583fcc9188e242c79a9470e304ad7862b1cd172c2179ae3dbbf6c6957b714
anchored_at
null
anchor_merkle_root
null
source_kind
api_fill
first_seen_at
2026-04-20T08:15:57.988066+00:00
last_seen_at
2026-10-31T11:30:52.347674+00:00
⎔ Anchored0x0000…0000Epoch 2026-Q4