Plans must tell enrollees about the cost sharing protection three ways
Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6220, Sec. 6220.
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Plans must tell enrollees about the cost sharing protection three ways
The document says “shall”Who acts: Medicare Advantage organizationsHow: statuteSec. 6220 in the PDF
What the document says
“notify enrollees of their cost-sharing protections under this paragraph and make such notifications, to the extent practicable, by not later than the first day of an annual, coordinated election period under section 1851(e)(3) with respect to a year;”
For plan year 2028 and later, an organization offering a specified MA plan must notify enrollees of the cost sharing protection, so far as practicable by the first day of the annual coordinated election period, include information about it in the plan's provider directory, and notify enrollees of it in the first explanation of benefits issued in a plan year.
What the document actually says
“notify enrollees of their cost-sharing protections under this paragraph and make such notifications, to the extent practicable, by not later than the first day of an annual, coordinated election period under section 1851(e)(3) with respect to a year;”
That sentence, in plain words
The plan must tell people signed up about this protection. It should do so by the first day of the yearly sign-up window.
What this is about
The plan must also put it on the doctor list. And it must put it in the first benefits notice of the year. That makes three places.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6220, 140 Stat. 656 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“Plans must tell enrollees about the cost sharing protection three ways,” Consolidated Appropriations Act, 2026, section 6220, Sec. 6220. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6220-notification/ (retrieved August 26, 2026).
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