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Medicaid Long-Term Care Reform Act of 2012
Legislative Progress
Introduced
August 2, 2012
Latest Action
August 6, 2012
Primary Sponsor
Charles W. Boustany Jr.Republican(LA)
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
28pct
4d open
vs 6,662 other HR bills in the 112th — cohort avg 39d
No CRS summary is available for this bill yet. The source title, actions, sponsors, and text versions below come from Congress.gov.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (6)
2012 · fourth_quarter · Medicare/Medicaid
Bills with similar content found using semantic analysis.
Sources: Congress.gov
H.R. 8, American Taxpayer Relief Act - Medicare issues, budget offsets, H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger), H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) - Medicare Part D changes, H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) - Medicare secondary payer rules, H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi), H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) - Medicare Advantage enrollment periods, H.R. 2190, Medicare Drug Savings Act (Waxman) - rebates for dual eligibles, H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) - Part D price negotiation, H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) - extension of Medicare cost plans, H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney), H.R. 3519 (Towns) - exempting Medicare from sequestration, H.R. 3691, Senior Medicare Fairness Act (Paulsen) - frailty adjuster for certain MA SNPs, H.R. 4254, Medicare Advantage Program Integrity Act (Stark) - MA payment changes, H.R. 5872, Sequestration Transparency Act (Hensarling), H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs, H.R. 6232, Medicare Better Health Rewards Program Act (Paulsen) - incentives for wellness and prevention, H.R. 6300, Medicaid Long-Term Care Reform Act (Boustany) - LTC and Medicaid issues, S. 31, Prescription Drug and Health Improvement Act (Franken) - Part D price negotiation, S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) - Part D price negotiation, S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) - Medicare Part D changes, S. 1206, Medicare Drug Savings Act (Rockefeller) - rebates for dual eligibles, S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper), S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) - Medicare Advantage enrollment periods, S. 1497, Medicare Cost Contract Extension Act (Klobuchar) - extension of Medicare cost plans, S. 1999, Senior Medicare Fairness Act (Klobuchar) - frailty adjuster for certain MA SNPs , S. 2196, Congressional Health Care for Seniors Act (Paul) - reforms affecting Medicare and Medigap, S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) - incentives for wellness and prevention, S. 3673, Dollar for Dollar Act (Corker) - Medicare, Medigap, Medicaid reforms.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Medicare/Medicaid
H.R. 8, American Taxpayer Relief Act Medicare issues, budget offsets 16. Specific Lobbying Issues (continued): H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger) H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) Medicare Part D changes H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) Medicare secondary payer rules H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi) H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) Medicare Advantage enrollment periods H.R. 2190, Medicare Drug Savings Act (Waxman) rebates for dual eligibles H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) Part D price negotiation H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) extension of Medicare cost plans H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney) H.R. 3519 (Towns) exempting Medicare from sequestration H.R. 3691, Senior Medicare Fairness Act (Paulsen) frailty adjuster for certain MA SNPs H.R. 4254, Medicare Advantage Program Integrity Act (Stark) MA payment changes H.R. 5872, Sequestration Transparency Act (Hensarling) H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs H.R. 6232, Medicare Better Health Rewards Program Act (Paulsen) incentives for wellness and prevention H.R. 6300, Medicaid Long-Term Care Reform Act (Boustany) LTC and Medicaid issues S. 31, Prescription Drug and Health Improvement Act (Franken) Part D price negotiation S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) Part D price negotiation S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) Medicare Part D changes S. 1206, Medicare Drug Savings Act (Rockefeller) rebates for dual eligibles S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper) S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) extension of Medicare cost plans S. 1999, Senior Medicare Fairness Act (Klobuchar) frailty adjuster for certain MA SNPs S. 2196, Congressional Health Care for Seniors Act (Paul) reforms affecting Medicare and Medigap S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) incentives for wellness and prevention S. 3673, Dollar for Dollar Act (Corker) Medicare, Medigap, Medicaid reforms Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, encounter data and other data-related issues, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, and audits); Medicare Medical Loss Ratio issues raised by initial implementation in 2014; implications of sequestration in 2013 for Medicare Advantage and Part D plans; implications of the new health insurance plan tax (aka insurer fee) for MA plans starting in 2014; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, SSA and CMS premium withhold processing issues, enrollment rules, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible Special Needs Plans (SNPs); Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; implementation of MA and Part D changes made in the Accountable Care Act (ACA), including application of the MA Star Rating system for payment purposes starting 2012 and changes to the Part D coverage gap; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Regulatory Issues (con't): Medicare/Medicaid integration for dual eligibles, including the Capitated Financial Alignment Demonstration; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the new health insurance plan tax (aka insurer fee) on Medicaid health plans starting in 2014; issues related to Medigap coverage; issues relating to "meaningful use" requirements for health information technology; and other issues relating to health care reform implementation.
Client expense: $2,020,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office
2012 · fourth_quarter · Health Issues
HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act HR6300 Medicaid Long Term Care Reform Act of 2012
Client expense: $1,020,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of
2012 · fourth_quarter · Retirement
HR 677/S 267: LIFETIME INCOME DISCLOSURE ACT; PROVISIONS RELATED TO ANNUITY ILLUSTRATION H.R. 3656 - the Retirement Savings Security Act. Issue: 401(k) plan loans H.R. 4049, AUTOMATIC IRA ACT OF 2012; ALL PROVISIONS. S. 3230, Long Term Care Insurance Integrity Act of 2012, Issue: Consumer protections for Long-term Care. HR 1534: SMALL BUSINESSES ADD VALUE FOR EMPLOYEES (SAVE) ACT OF 2011; PROVISIONS RELATED TO VOLUNTARY AUTO-INDIVIDUAL RETIREMENT ACCOUNTS (IRA) HR 5025: TO AMEND THE PUBLIC HEALTH SERVICE ACT AND THE SOCIAL SECURITY ACT TO EXTEND HEALTH INFORMATION TECHNOLOGY ASSISTANCE ELIGIBILITY TO BEHAVIORAL HEALTH, MENTAL HEALTH, AND SUBSTANCE ABUSE PROFESSIONALS AND FACILITIES, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO THE EXTENSION OF HEALTH INFORMATION TECHNOLOGY ACCOUNTING REQUIREMENTS TO LONG-TERM CARE INSURERS S 1121: SAVINGS ENHANCEMENT BY ALLEVIATING LEAKAGE IN 401(K) SAVINGS ACT OF 2011; PROVISIONS RELATED TO LIMITS BORROWING FROM 401(K) PLANS S 1557: AUTOMATIC IRA ACT OF 2011; Provisions related to voluntary IRAs and multi-employer plans P.L. 110-233 (111th CONGRESS): GENETIC INFORMATION NONDISCRIMINATION ACT OF 2008; PROVISIONS RELATED TO UNDERWRITING RESTRICTIONS ON LONG-TERM CARE INSURANCE H. CON.RES. 101: EXPRESSING THE SENSE OF THE CONGRESS IN SUPPORT OF THE CURRENT SYSTEM OF RETIREMENT SAVINGS TAX INCENTIVES; ALL PROVISIONS. H.R. 4050, RETIREMENT PLAN SIMPLIFICATION AND ENHANCEMENT ACT OF 2012; PROVISIONS RELATED TO MULTIPLE EMPLOYER PLANES, E-DELIVERY, AND ANNUITY REFORMS. H.R. 5025 - the HITECH Extension for Behavioral Health Services Act of 2010Issue: extends health information technology accounting requirements to long-term care insurers. S. 1534 and H.R. 3215 Identity Theft and Tax Fraud Prevention Act: Issue: restriction to DMF data. H.R. 3475 Keeping IDs Safe Act. Issue: restriction to DMF data. H.R. 3482 Tax Crimes and Identity Theft Prevention Act. Issue: restriction to DMF data. H.R. 2309, the Postal Reform Act of 2011, Issue: USPS sale of financial products. S.1789, the 21st Century Postal Service Act of 2012. Issue: USPS sale of financial services products H.R. 5, the HEALTH Act of 2011. Issue: McCarran Ferguson H.R. 6005, The Long Term Care and Retirement Security Act of 2012, Issue: Long-term care insurance allowed to be offered as part of cafeteria plans H.R. 493- Genetic Information Non-Discrimination Act of 2008. Underwriting restrictions on long-term care insurance. H.R. 677/S. 267- The Lifetime Income Disclosures Acts. Issue: Annuity Illustration. H.R. 3656- the Retirement Savings Security Act. Issue: 401(k) plan loans. S. 3226- Americans Giving Care to Elders Act of 2012. Issue: Caregivers Credit. S. 3229- Long-Term Care Insurance Consumer Right to Know Act for 2012. Issue: Third party review of long-term care insurance claims. S. 3230- Long Term Care Insurance Integrity Act of 2012. Consumer protections for Long-term Care. S. 3432 Identity Theft and Tax Fraud Prevention Act. Creation of Death master file. H.R. 6300: Medicaid Long-Term Care Reform Act of 2012. Provisiosn related to Long-term care. HR 8, the Affordable Taxpayers Relief Act of 2012 provisions related to Roth conversion.
Client expense: $570,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Retirement
See attachment. RET Fourth Quarter Report 2012 H.R. 5, the HEALTH Act of 2011. Issue: McCarran Ferguson H.R. 493 Genetic Information Non-Discrimination Act of 2008. Issue: Underwriting restrictions on long-term care insurance. H.R. 677/S. 267 The Lifetime Income Disclosure Acts. Issue: Annuity Illustration. H.R. 1534 Small Business Add Value for Employees Act of 2011. Issue: voluntary auto-IRAs. H.R. 2309, the Postal Reform Act of 2011, Issue: USPS sale of financial products. H.R. 3475 Keeping IDs Safe Act. Issue: restriction to DMF data. H.R. 3482 Tax Crimes and Identity Theft Prevention Act. Issue: restriction to DMF data. H.R. 3656 - the Retirement Savings Security Act. Issue: 401(k) plan loans H.R. 4049 Automatic IRA Act. Issue: mandatory auto-IRAs H.R. 4050 Retirement Plan Simplification and Enhancement Act. Issue: strengthen multiple employer plans, improve the administration of J&S annuity rules, and other annuity improvements. H.R. 6005, The Long Term Care and Retirement Security Act of 2012, Issue: Long-term care insurance allowed to be offered as part of cafeteria plans H.R. 6300: Medicaid Long-Term Care Reform Act of 2012. Issue: Long-term care. S. 1121 Savings Enhancement by Alleviating Leakage in 401(k) Savings Act. Issue: Limits borrowing from 401(k) plans. S. 1557, the Automatic IRA Act of 2011. Issue: voluntary IRAs and Multiple Employer Plans. S. 1534 and H.R. 3215 Identity Theft and Tax Fraud Prevention Act: Issue: restriction to DMF data. S. Con. Res. 62/ H.Con.Res.101: Resolution on Retirement Savings Incentives. S. 1789, the 21st Century Postal Service Act of 2012. Issue: USPS sale of financial services products S. 3432 Identity Theft and Tax Fraud Prevention Act. Issue: Death master file.
Client expense: $920,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2012 · fourth_quarter · Retirement
H.R. 493 - Genetic Information Non-Discrimination Act of 2008. Issue: Underwriting restrictions on long-term care insurance. H.R. 677/S. 267 - The Lifetime Income Disclosure Acts. Issue: Annuity Illustration. H.R. 1534 Small Business Add Value for Employees Act of 2011. Issue: voluntary auto-IRAs. S. 1121 Savings Enhancement by Alleviating Leakage in 401(k) Savings Act. Issue: Limits borrowing from 401(k) plans. S. 1557, the Automatic IRA Act of 2011. Issue: voluntary IRAs and Multiple Employer Plans. S. 1534 and H.R. 3215 Identity Theft and Tax Fraud Prevention Act: Issue: restriction to DMF data. H.R. 3475 Keeping IDs Safe Act. Issue: restriction to DMF data. H.R. 3482 Tax Crimes and Identity Theft Prevention Act. Issue: restriction to DMF data. H.R. 4049 Automatic IRA Act. Issue: mandatory auto-IRAs H.R. 4050 Retirement Plan Simplification and Enhancement Act. Issue: strengthen multiple employer plans, improve the administration of J&S annuity rules, and other annuity improvements. S. Con. Res. 62/ H.Con.Res.101: Resolution on Retirement Savings Incentives. H.R. 3656 - the Retirement Savings Security Act. Issue: 401(k) plan loans H.R. 2309, the Postal Reform Act of 2011, Issue: USPS sale of financial products. S.1789, the 21st Century Postal Service Act of 2012. Issue: USPS sale of financial services products H.R. 5, the HEALTH Act of 2011. Issue: McCarran Ferguson H.R. 6005, The Long Term Care and Retirement Security Act of 2012, Issue: Long-term care insurance allowed to be offered as part of cafeteria plans S. 3432 Identity Theft and Tax Fraud Prevention Act. Issue: Death master file. H.R.6300: Medicaid Long-Term Care Reform Act of 2012. Issue: Long-term care.
Client expense: $1,063,984 · Firm income: Not reported
2012 · third_quarter · Medicare/Medicaid
H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger). H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) - Medicare Part D changes. H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) - Medicare secondary payer rules. H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi). H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) - Medicare Advantage enrollment periods. H.R. 2190, Medicare Drug Savings Act (Waxman) - rebates for dual eligibles. H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) - Part D price negotiation. H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) - extension of Medicare cost plans. H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney). H.R. 3519 (Towns) - exempting Medicare from sequestration. H.R. 3691, Senior Medicare Fairness Act (Paulsen) - frailty adjuster for certain MA SNPs. H.R. 4254, Medicare Advantage Program Integrity Act (Stark) - MA payment changes. H.R. 5872, Sequestration Transparency Act (Hensarling). H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs. H.R. 6232, Medicare Better Health Rewards Program Act (Paulsen) - incentives for wellness and prevention. H.R. 6300, Medicaid Long-Term Care Reform Act (Boustany) - LTC and Medicaid issues. S. 31, Prescription Drug and Health Improvement Act (Franken) - Part D price negotiation. S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) - Part D price negotiation. S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) - Medicare Part D changes. S. 1206, Medicare Drug Savings Act (Rockefeller) - rebates for dual eligibles. S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper). S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) - Medicare Advantage enrollment periods. S. 1497, Medicare Cost Contract Extension Act (Klobuchar) - extension of Medicare cost plans. S. 1999, Senior Medicare Fairness Act (Klobuchar) - frailty adjuster for certain MA SNPs. S. 2196, Congressional Health Care for Seniors Act (Paul) - reforms affecting Medicare and Medigap. S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) - incentives for wellness and prevention.
2012 · third_quarter · Health Issues
HR63 Long Term Care Insurance Reform Act of 2011 S159 Confidence in Long Term Care Insurance Act of 2011 S738 Health Outcomes Planning and Education for Alzheimer's Act HR1386 Health Outcomes Planning and Education for Alzheimer's Act Implementation of: PL111-148 Patient Protection and Affordable Care Act HR 1173 Fiscal Responsibility and Retirement Security Act of 2011 S 720 Repeal the CLASS Entitlement Act HR6300 Medicaid Long Term Care Reform Act of 2012
Client expense: $1,740,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of
2012 · third_quarter · Medicare/Medicaid
H.R. 675, Strengthening Medicare Anti-Fraud Measures Act of 2011 (Herger) 16. Specific Lobbying Issues (continued): H.R. 999, Medicare Prescription Drug Savings and Choice Act (Schakowsky) Medicare Part D changes H.R. 1063, Strengthening Medicare And Repaying Taxpayers Act (Murphy) Medicare secondary payer rules H.R. 1357, Puerto Rico Medicare Part B Equity Act (Pierluisi) H.R. 1580, Medicare Beneficiary Preservation of Choice Act (Gonzalez) Medicare Advantage enrollment periods H.R. 2190, Medicare Drug Savings Act (Waxman) rebates for dual eligibles H.R. 2248, Medicare Prescription Drug Price Negotiation Act (Welch) Part D price negotiation H.R. 2770, Medicare Cost Contract Extension Act (Paulsen) extension of Medicare cost plans H.R. 3399, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Roskam/Carney) H.R. 3519 (Towns) exempting Medicare from sequestration H.R. 3691, Senior Medicare Fairness Act (Paulsen) frailty adjuster for certain MA SNPs H.R. 4254, Medicare Advantage Program Integrity Act (Stark) MA payment changes H.R. 5872, Sequestration Transparency Act (Hensarling) H.R. 5979, Medicaid Accountability and Care Act (Cassidy) -- federal financing of state Medicaid programs H.R. 6232, Medicare Better Health Rewards Program Act (Paulsen) incentives for wellness and prevention H.R. 6300, Medicaid Long-Term Care Reform Act (Boustany) LTC and Medicaid issues S. 31, Prescription Drug and Health Improvement Act (Franken) Part D price negotiation S. 44, Medicare Prescription Drug Price Negotiation Act (Klobuchar) Part D price negotiation S. 560, Medicare Prescription Drug Savings and Choice Act (Durbin) Medicare Part D changes S. 1206, Medicare Drug Savings Act (Rockefeller) rebates for dual eligibles S. 1251, Medicare and Medicaid Fighting Fraud and Abuse to Save Taxpayers' Dollars Act (Coburn/Carper) S. 1479, Medicare Beneficiary Preservation of Choice Act (Casey) Medicare Advantage enrollment periods S. 1497, Medicare Cost Contract Extension Act (Klobuchar) extension of Medicare cost plans S. 1999, Senior Medicare Fairness Act (Klobuchar) frailty adjuster for certain MA SNPs S. 2196, Congressional Health Care for Seniors Act (Paul) reforms affecting Medicare and Medigap S. 2243, Medicare Better Health Rewards Program Act (Wyden-Portman) incentives for wellness and prevention Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, data, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, and audits); Medicare Medical Loss Ratio issues raised by initial implementation in 2014; implications of sequestration in 2013 for Medicare Advantage and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, SSA and CMS premium withhold processing issues, enrollment rules, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible Special Needs Plans (SNPs); Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; implementation of MA and Part D changes made in the Accountable Care Act (ACA), including application of the MA Star Rating system for payment purposes starting 2012 and changes to the Part D coverage gap; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval and other operational issues; Medicare creditable drug coverage reporting requirements; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including the Capitated Financial Alignment Demonstration; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital Regulatory Issues (continued): days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; issues related to Medigap coverage; issues relating to "meaningful use" requirements for health information technology; and other issues relating to health care reform implementation.
2012 · third_quarter · Retirement
See attachment. RET Third Quarter Report 2012 H.Con.Res.101: Resolution on Retirement Savings Incentives. H.R. 5, the HEALTH Act of 2011. Issue: McCarran Ferguson H.R. 493 Genetic Information Non-Discrimination Act of 2008. Issue: Underwriting restrictions on long-term care insurance. H.R. 677/S. 267 The Lifetime Income Disclosure Acts. Issue: Annuity Illustration. H.R. 1534 Small Business Add Value for Employees Act of 2011. Issue: voluntary auto-IRAs. H.R. 2309, the Postal Reform Act of 2011, Issue: USPS sale of financial products. H.R. 3475 Keeping IDs Safe Act. Issue: restriction to DMF data. H.R. 3482 Tax Crimes and Identity Theft Prevention Act. Issue: restriction to DMF data. H.R. 3656 - the Retirement Savings Security Act. Issue: 401(k) plan loans H.R. 4049 Automatic IRA Act. Issue: mandatory auto-IRAs H.R. 4050 Retirement Plan Simplification and Enhancement Act. Issue: strengthen multiple employer plans, improve the administration of J&S annuity rules, and other annuity improvements. H.R. 5025 - the HITECH Extension for Behavioral Health Services Act of 2010Issue: extends health information technology accounting requirements to long-term care insurers. H.R. 6005, The Long Term Care and Retirement Security Act of 2012, Issue: Long-term care insurance allowed to be offered as part of cafeteria plans H.R.6300: Medicaid Long-Term Care Reform Act of 2012. Issue: Long-term care. S. 1121 Savings Enhancement by Alleviating Leakage in 401(k) Savings Act. Issue: Limits borrowing from 401(k) plans. S. 1534 and H.R. 3215 Identity Theft and Tax Fraud Prevention Act: Issue: restriction to DMF data. S. 1557, the Automatic IRA Act of 2011. Issue: voluntary IRAs and Multiple Employer Plans. S. 1789, the 21st Century Postal Service Act of 2012. Issue: USPS sale of financial services products S. 3226, Americans Giving Care to Elders Act of 2012, Issue: Caregivers Credit S. 3229, Long-term care Insurance Consumer Right to Know Act of 2012, Issue: third party review of long-term care insurance claims S. 3230, Long Term Care Insurance Integrity Act of 2012, Issue: Consumer protections for Long-term Care. S. 3432 Identity Theft and Tax Fraud Prevention Act. Issue: Death master file.
2012 · third_quarter · Retirement
HR 677/S 267: LIFETIME INCOME DISCLOSURE ACT; PROVISIONS RELATED TO ANNUITY ILLUSTRATION H.R. 3656 - the Retirement Savings Security Act. Issue: 401(k) plan loans H.R. 4049, AUTOMATIC IRA ACT OF 2012; ALL PROVISIONS. S. 3230, Long Term Care Insurance Integrity Act of 2012, Issue: Consumer protections for Long-term Care. HR 1534: SMALL BUSINESSES ADD VALUE FOR EMPLOYEES (SAVE) ACT OF 2011; PROVISIONS RELATED TO VOLUNTARY AUTO-INDIVIDUAL RETIREMENT ACCOUNTS (IRA) HR 5025: TO AMEND THE PUBLIC HEALTH SERVICE ACT AND THE SOCIAL SECURITY ACT TO EXTEND HEALTH INFORMATION TECHNOLOGY ASSISTANCE ELIGIBILITY TO BEHAVIORAL HEALTH, MENTAL HEALTH, AND SUBSTANCE ABUSE PROFESSIONALS AND FACILITIES, AND FOR OTHER PURPOSES; PROVISIONS RELATED TO THE EXTENSION OF HEALTH INFORMATION TECHNOLOGY ACCOUNTING REQUIREMENTS TO LONG-TERM CARE INSURERS S 1121: SAVINGS ENHANCEMENT BY ALLEVIATING LEAKAGE IN 401(K) SAVINGS ACT OF 2011; PROVISIONS RELATED TO LIMITS BORROWING FROM 401(K) PLANS S 1557: AUTOMATIC IRA ACT OF 2011; Provisions related to voluntary IRAs and multi-employer plans P.L. 110-233 (111th CONGRESS): GENETIC INFORMATION NONDISCRIMINATION ACT OF 2008; PROVISIONS RELATED TO UNDERWRITING RESTRICTIONS ON LONG-TERM CARE INSURANCE H. CON.RES. 101: EXPRESSING THE SENSE OF THE CONGRESS IN SUPPORT OF THE CURRENT SYSTEM OF RETIREMENT SAVINGS TAX INCENTIVES; ALL PROVISIONS. H.R. 4050, RETIREMENT PLAN SIMPLIFICATION AND ENHANCEMENT ACT OF 2012; PROVISIONS RELATED TO MULTIPLE EMPLOYER PLANES, E-DELIVERY, AND ANNUITY REFORMS. H.R. 5025 - the HITECH Extension for Behavioral Health Services Act of 2010Issue: extends health information technology accounting requirements to long-term care insurers. S. 1534 and H.R. 3215 Identity Theft and Tax Fraud Prevention Act: Issue: restriction to DMF data. H.R. 3475 Keeping IDs Safe Act. Issue: restriction to DMF data. H.R. 3482 Tax Crimes and Identity Theft Prevention Act. Issue: restriction to DMF data. H.R. 2309, the Postal Reform Act of 2011, Issue: USPS sale of financial products. S.1789, the 21st Century Postal Service Act of 2012. Issue: USPS sale of financial services products H.R. 5, the HEALTH Act of 2011. Issue: McCarran Ferguson H.R. 6005, The Long Term Care and Retirement Security Act of 2012, Issue: Long-term care insurance allowed to be offered as part of cafeteria plans H.R. 493- Genetic Information Non-Discrimination Act of 2008. Underwriting restrictions on long-term care insurance. H.R. 677/S. 267- The Lifetime Income Disclosures Acts. Issue: Annuity Illustration. H.R. 3656- the Retirement Savings Security Act. Issue: 401(k) plan loans. S. 3226- Americans Giving Care to Elders Act of 2012. Issue: Caregivers Credit. S. 3229- Long-Term Care Insurance Consumer Right to Know Act for 2012. Issue: Third party review of long-term care insurance claims. S. 3230- Long Term Care Insurance Integrity Act of 2012. Consumer protections for Long-term Care. S. 3432 Identity Theft and Tax Fraud Prevention Act. Creation of Death master file. H.R. 6300: Medicaid Long-Term Care Reform Act of 2012. Provisiosn related to Long-term care.
2012 · third_quarter · Retirement
H.R. 493 Genetic Information Non-Discrimination Act of 2008. Issue: Underwriting restrictions on long-term care insurance. H.R. 677/S. 267 The Lifetime Income Disclosure Acts. Issue: Annuity Illustration. H.R. 1534 Small Business Add Value for Employees Act of 2011. Issue: voluntary auto-IRAs. S. 1121 Savings Enhancement by Alleviating Leakage in 401(k) Savings Act. Issue: Limits borrowing from 401(k) plans. H.R. 5025 - the HITECH Extension for Behavioral Health Services Act of 2010Issue: extends health information technology accounting requirements to long-term care insurers. S. 1557, the Automatic IRA Act of 2011. Issue: voluntary IRAs and Multiple Employer Plans. S. 1534 and H.R. 3215 Identity Theft and Tax Fraud Prevention Act: Issue: restriction to DMF data. H.R. 3475 Keeping IDs Safe Act. Issue: restriction to DMF data. H.R. 3482 Tax Crimes and Identity Theft Prevention Act. Issue: restriction to DMF data. H.R. 4049 Automatic IRA Act. Issue: mandatory auto-IRAs H.R. 4050 Retirement Plan Simplification and Enhancement Act. Issue: strengthen multiple employer plans, improve the administration of J&S annuity rules, and other annuity improvements. H.Con.Res.101: Resolution on Retirement Savings Incentives. H.R. 3656 - the Retirement Savings Security Act. Issue: 401(k) plan loans H.R. 2309, the Postal Reform Act of 2011, Issue: USPS sale of financial products. S.1789, the 21st Century Postal Service Act of 2012. Issue: USPS sale of financial services products H.R. 5, the HEALTH Act of 2011. Issue: McCarran Ferguson H.R. 6005, The Long Term Care and Retirement Security Act of 2012, Issue: Long-term care insurance allowed to be offered as part of cafeteria plans S. 3226, Americans Giving Care to Elders Act of 2012, Issue: Caregivers Credit S. 3229, Long-term care Insurance Consumer Right to Know Act of 2012, Issue: third party review of long-term care insurance claims S. 3230, Long Term Care Insurance Integrity Act of 2012, Issue: Consumer protections for Long-term Care. S. 3432 Identity Theft and Tax Fraud Prevention Act. Issue: Death master file. H.R.6300: Medicaid Long-Term Care Reform Act of 2012. Issue: Long-term care.
| Republican |
| GA |
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $2,630,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office
Client expense: $1,160,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $960,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $1,680,500 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE