Representative Raul Ruiz introduces H.R. 10747: Puerto Rico Medicare Advantage Fairness Act of 2026

We have received text from H.R. 10747: Puerto Rico Medicare Advantage Fairness Act of 2026. This bill was received on 2026-10-05, and currently has 3 cosponsors.

Here is a short summary of the bill:

This bill would change how Medicare Advantage payments are calculated for plans in Puerto Rico starting in 2027.

What it does

Under current law, Medicare Advantage benchmark payments can be adjusted based on local geographic factors. This bill would require that, for Puerto Rico, the average geographic adjustment used in those calculations be the same as the adjustment used for Medicare Advantage areas in the U.S. Virgin Islands.

Plain-language effect

In simple terms, the bill would make the payment formula for Medicare Advantage plans in Puerto Rico use a geographic adjustment rule tied to the U.S. Virgin Islands instead of the current Puerto Rico-specific treatment. The purpose is to change how much Medicare pays plan insurers in Puerto Rico when setting benchmark amounts for those plans.

Timing

The change would apply to payment years beginning on or after January 1, 2027.

Who could be affected

The bill would directly affect Medicare Advantage plans operating in Puerto Rico, as well as the federal Medicare program’s payment calculations for those plans. It could also indirectly affect Puerto Rican Medicare beneficiaries if plan offerings, premiums, benefits, or insurer participation change as a result of the revised payment levels.

Relevant Companies

None found

Representative Raul Ruiz Bill Proposals

Here are some bills which have recently been proposed by Representative Raul Ruiz:

• H.R.10747: Puerto Rico Medicare Advantage Fairness Act of 2026
• H.R.9877: Health Equity and Accountability Act of 2026
• H.R.8629: Developing the Community Health Workforce Act of 2026
• H.R.8556: Homegrown Defense Act of 2026
• H.R.8525: To amend the Specialty Crops Competitiveness Act of 2004 to provide for seasonal and perishable programs, and for other purposes.
• H.R.8391: To amend titles XVIII and XIX of the Social Security Act to require coverage of certain food and nutrition services under the Medicare and Medicaid programs.

You can track bills proposed by Representative Raul Ruiz on Investivoq's politician page for Ruiz.

Representative Raul Ruiz Net Worth

Investivoq estimates that Representative Raul Ruiz is worth $1.4M, as of October 8th, 2026. This is the 304th highest net worth in Congress, per our live estimates.

Ruiz has approximately $641.1K invested in publicly traded assets which Investivoq is able to track live.

You can track Representative Raul Ruiz's net worth on Investivoq's politician page for Ruiz.

Representative Raul Ruiz Stock Trading

We have data on up to $780.0K of trades from Representative Raul Ruiz, which we parsed from STOCK Act filings.

You can track Representative Raul Ruiz's stock trading on Investivoq's politician page for Ruiz.

2026 California's 25th Congressional District Election

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