S. 1105: No UPCODE Act
A Senate bill (S.) in the 119th U.S. Congress.
Overview
| Congress | 119th U.S. Congress (2025–2026) |
|---|---|
| Type | Senate bill (S.) |
| Originating chamber | Senate |
| Introduced | 2025-03-25 |
| Sponsor | Sen. Cassidy, Bill [R-LA] |
| Policy area | Health |
| Cosponsors | 1 |
| Latest action | 2025-03-25 — Read twice and referred to the Committee on Finance. |
| Last updated | 2025-12-11 |
Summary
Official summary (Introduced in Senate, 2025-03-25):
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.
Cosponsors (1)
| Name | Party / state |
|---|---|
| Jeff Merkley | D OR (original cosponsor) 2025-03-25 |
Full text & official record
The official bill text, section-by-section summary, amendments, committee reports, and the complete legislative timeline for S. 1105 are published by Congress on congress.gov.
View S. 1105 on congress.gov →
Frequently asked questions
What is S. 1105?
S. 1105 is a Senate bill (S.) introduced in the 119th U.S. Congress, originating in the Senate. Official title: No UPCODE Act.
Where can I read the full bill text?
The full text, cosponsors, amendments, and legislative status for S. 1105 are available on congress.gov.
Bill data: congress.gov API (official congressional records).