Senate bill · S. 1105 (119th Congress)
No UPCODE Act
U.S. Senate
Sponsor: Bill Cassidy (U.S. Senator for Louisiana, Republican)
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From Congress.gov and official rosters. This record was last updated Aug 1, 2026. About our data
Summary
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.
Summary from the Congressional Research Service. How we handle summaries
Where it stands
Assigned to a committee for review.
- Introduced
- In committee
- Up for a vote
- Passed one chamber
- Passed
- Enacted
Committee
Senate Committee on Finance · U.S. Senate
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Cosponsors
1
Cosponsors listed on Congress.gov, shown A to Z.
- Democratic1
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Related bills
As identified by Congress.gov.
Full history
- Mar 25, 2025
Introduced
Introduced in U.S. Senate
U.S. Senate
- Mar 25, 2025
Referred to committee
Read twice and referred to the Committee on Finance.
- Mar 25, 2025
Referred to committee
Read twice and referred to the Committee on Finance.
- Mar 25, 2025
Referred to committee
Read twice and referred to the Committee on Finance.
Read the record
- Read on Congress.gov (opens in a new tab) The official record on Congress.gov.