Protect Medicare Guidance & Beneficiary Choice
Proposed Medicare Advantage Compensation Restrictions Could Impact Broker Support
On June 10, 2026, proposed legislation was discussed that would place new federal limits on Medicare Advantage agent and broker compensation. While consumer protection, transparency, and strong compliance standards are essential, we believe any policy changes should be careful not to reduce beneficiaries’ access to licensed, professional Medicare guidance.
Medicare is already complex, and beneficiaries often rely on licensed agents and brokers to help them compare plan options, check provider networks, review prescription drug coverage, understand benefits, complete enrollment, and receive support after enrollment.
Our position is simple: protect Medicare beneficiaries, preserve access to licensed Medicare guidance, and focus enforcement on bad actors rather than policies that may unintentionally drive experienced, compliant professionals out of the market.
What Happened?
A proposal discussed in the House Energy and Commerce Health Subcommittee would require the Department of Health and Human Services to establish a maximum compensation amount for agents, brokers, and certain third parties connected to for-profit Medicare Advantage organizations.
The proposal would also expand the definition of compensation to include certain incentives, bonuses, trips, and other benefits tied to Medicare Advantage enrollments.
Supporters of the proposal argue that compensation arrangements may influence which plans agents recommend. However, broad restrictions on compensation may have unintended consequences for the beneficiaries who rely on licensed professionals for education, enrollment assistance, and ongoing support.
Why This Matters to Brokers and Beneficiaries
Licensed Medicare agents and brokers play a critical role in helping beneficiaries navigate their options. This includes:
- Comparing Medicare Advantage, PDP, and other plan options
- Checking whether doctors, hospitals, and specialists are in-network
- Reviewing prescription drug formularies and pharmacy options
- Explaining premiums, copays, deductibles, prior authorization, and plan benefits
- Helping beneficiaries understand annual plan changes
- Assisting with enrollment
- Providing year-round service after the sale
Many beneficiaries receive this help at no direct cost to them. If compensation restrictions make it harder for independent agents and smaller agencies to remain in the Medicare market, beneficiaries may have fewer local, trusted resources to turn to when making important healthcare decisions.
Our Position
We support strong consumer protections, ethical sales practices, transparency, and compliance in Medicare sales. We also support efforts to stop misleading advertising, abusive lead generation, and noncompliant sales behavior.
However, we oppose broad policies that may reduce access to ethical, licensed Medicare professionals.
1. Protect Beneficiaries
Beneficiaries should continue to have access to licensed guidance when reviewing Medicare options.
2. Preserve Choice
Seniors deserve education, plan comparisons, enrollment assistance, and year-round support without being left to navigate Medicare alone.
3. Support Compliance
Licensed agents are already subject to CMS marketing rules, state licensing, annual certifications, carrier oversight, disclosures, training requirements, and compliance standards.
4. Focus on Bad Actors
Policymakers should target misleading marketing, abusive lead generation, and noncompliant sales practices rather than reducing access to the professionals who serve beneficiaries ethically.
How You Can Take Action
Sign the Opposition Letter
Add your name, agency, state, and role to show support for preserving beneficiary access to licensed Medicare guidance.
Agents, agencies, providers, caregivers, community partners, and beneficiaries are invited to sign this opposition letter in support of protecting access to licensed Medicare guidance and preserving beneficiary choice.
By signing, you are helping show policymakers that Medicare beneficiaries continue to rely on licensed professionals for education, plan comparisons, enrollment assistance, and year-round support.
Contact Congress
Example Email
Subject: Oppose Proposed Restrictions on Medicare Agent and Broker Compensation
To Whom It May Concern,
I am writing to respectfully oppose proposed legislation that would place additional federal limits on Medicare Advantage agent and broker compensation.
As a licensed Medicare professional, I support strong consumer protections, ethical sales practices, transparency, and compliance. Medicare beneficiaries deserve accurate information, fair treatment, and protection from misleading marketing. However, broad compensation restrictions could create unintended consequences that may reduce access to the very guidance many beneficiaries rely on.
Medicare is complex. Beneficiaries often need help comparing plan options, checking whether their doctors and hospitals are in-network, reviewing prescription drug coverage, understanding plan benefits, completing enrollment, and receiving support after enrollment.
Licensed agents and brokers provide this assistance at no direct cost to beneficiaries. Many seniors rely on local agents for personalized service, especially when they do not feel comfortable navigating Medicare options alone or when they need help understanding annual plan changes.
Agents also invest significant time and resources into remaining compliant. This includes maintaining state licensing, completing annual certifications, following CMS marketing rules, participating in carrier training, carrying Errors and Omissions coverage, and meeting documentation and disclosure requirements.
I believe policymakers should focus enforcement efforts on misleading advertising, abusive lead generation, and noncompliant sales practices. Reducing compensation for ethical, licensed professionals may make it harder for independent agents and smaller agencies to continue serving beneficiaries, particularly in rural, underserved, and lower-income communities.
Consumer protection and access to professional guidance should not be treated as competing goals. Medicare beneficiaries deserve both.
I respectfully urge Congress to reconsider this proposal and to pursue reforms that protect beneficiaries while preserving their access to qualified, licensed Medicare guidance.
Thank you for your time and consideration.
Respectfully,
[Name]
[Agency Name]
[City, State]
[Phone or Email]
Share Your Medicare Story
Real stories help explain the value of licensed Medicare guidance. Brokers, beneficiaries, caregivers, providers, and community partners are encouraged to share examples of how licensed support has made a difference.
Your experience can help policymakers understand the real-world impact of licensed Medicare guidance.
Please share a story about how an agent, broker, agency, provider, caregiver, or community partner helped a Medicare beneficiary understand their options, solve a problem, review coverage, avoid confusion, or receive support after enrollment.
Stories may come from beneficiaries, caregivers, licensed agents, agency staff, providers, medical groups, or community organizations.
Join as a Coalition Partner
Agencies, FMOs, medical groups, providers, community organizations, and advocacy groups may join as coalition partners in support of preserving beneficiary access to licensed Medicare guidance.
Organizations that support continued access to licensed Medicare guidance are invited to join as coalition partners.
By joining, your organization can help show policymakers that brokers, agencies, providers, community partners, and beneficiary advocates are united in support of consumer protection, compliance, and continued access to professional Medicare guidance.
Share With Others
Suggested Email Copy
Subject: Help Protect Beneficiary Access to Licensed Medicare Guidance
Hi Brokers,
A recent proposal discussed in Congress could place new federal limits on Medicare Advantage agent and broker compensation.
While we support strong consumer protections, transparency, and compliance, we are concerned that broad compensation restrictions could reduce beneficiary access to licensed Medicare guidance, especially from local agents and independent agencies.
Medicare beneficiaries often rely on brokers to compare plan options, check providers, review prescriptions, explain benefits, complete enrollment, and receive year-round support. Many receive this help at no direct cost to them.
We believe policymakers should focus on misleading marketing, abusive lead generation, and noncompliant sales practices without limiting access to the ethical, licensed professionals who help beneficiaries every day.
Please take a few minutes to support this advocacy effort:
- Sign the opposition letter
- Contact your elected officials
- Share a story about how licensed Medicare guidance helps beneficiaries
- Encourage your agency or organization to join as a coalition partner
Your voice matters. Real broker and beneficiary experiences can help policymakers understand why access to licensed Medicare guidance must be preserved.
Thank you for the work you do to serve Medicare beneficiaries.
Important Compliance Note
This advocacy material is for education and outreach purposes only. It does not provide legal advice, does not represent a government agency, and is not affiliated with Medicare, CMS, HHS, or any federal agency.
Individuals should contact their elected officials directly and may personalize any letter before submission. Participation is voluntary.
Not affiliated with the United States government or federal Medicare program.

