US SB3750

Medicare Advantage organizations must maintain accurate, publicly available provider directories starting plan year 2028, with required information including provider name, specialty, contact information, whether accepting new patients, disability accommodations, and telehealth capabilities

Provider directory information must be verified at least every 90 days (or every 12 months for hospitals), with providers who cannot be verified flagged as potentially outdated and removed within 5 business days if no longer in-network

Enrollees who receive care from out-of-network providers listed incorrectly in the directory are protected from higher cost-sharing and will only pay the in-network rate

MA organizations must annually conduct accuracy analyses using random provider samples and submit accuracy scores to HHS, which will publish these scores publicly starting January 1, 2029

$4 million appropriated for fiscal year 2026 for implementation, with a GAO study and report due by January 15, 2033 analyzing cost-sharing protections usage, accuracy score trends, and administrative costs