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Dental and Optometric Care Access Act
Legislative Progress
Introduced
July 29, 2015
Latest Action
July 31, 2015
Primary Sponsor
Earl L. "Buddy" CarterRepublican(GA)
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
33pct
2d open
vs 6,526 other HR bills in the 114th — cohort avg 56d
Dental and Optometric Care Access Act or the DOC Access Act This bill amends the Public Health Service Act to prohibit group health plans and individual health insurance coverage from setting rates for items and services provided by a doctor of optometry, of dental surgery, or of dental medicine for which the plan or insurer does not pay a substantial amount. An agreement between a plan or insurer and such a doctor: (1) may only be changed with the doctor's acknowledgement and acceptance, and (2) may not last longer than two years if the agreement is for limited scope dental or vision benefits. Such a doctor must be allowed to participate in a: (1) plan or coverage without accepting terms for ancillary services or procedures, and (2) provider network without participating in a specific limited scope dental or vision benefit plan. Plans and insurers may not: (1) directly communicate with an enrolled individual in a manner that interferes with an existing doctor-patient relationship or a state or federal requirement, or (2) restrict such a doctor's choice of laboratories or suppliers. The bill establishes a private right of action for a person adversely affected by a violation of this Act.
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 (16)
Referred to the Subcommittee on Health.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act; H.R. 1606, DOC Access Act of 2017; H.R. 1628, American Health Care Act of 2017; H.R.3315 Protecting Consumer Access to Vision Care Act of 2017
Client expense: $142,500 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act; H.R. 1606, DOC Access Act of 2017; H.R. 1628, American Health Care Act of 2017; H.R.3315 Protecting Consumer Access to Vision Care Act of 2017
Client expense: $132,500 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act; H.R. 1606, DOC Access Act of 2017; H.R. 1628, American Health Care Act of 2017; H.R.3315 Protecting Consumer Access to Vision Care Act of 2017
Client expense: $102,500 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act; H.R. 1606, DOC Access Act of 2017; H.R. 1628, American Health Care Act of 2017
Client expense: $97,250 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2017 · first_quarter · Health Issues
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act; H.R. 1606, DOC Access Act of 2017; H.R. 1628, American Health Care Act of 2017.
Client expense: Not reported · Firm income: $50,000
| Democratic |
| MS |
| Bill Shuster | Republican | PA |
| Bobby L. Rush | Democratic | IL |
| Brad Ashford | Democratic | NE |
| Brenda L. Lawrence | Democratic | MI |
| Brendan F. Boyle | Democratic | PA |
| Brian Babin | Republican | TX |
| Charles W. Boustany Jr. | Republican | LA |
| Chris Collins | Republican | NY |
| Christopher H. Smith | Republican | NJ |
| Cresent Hardy | Republican | NV |
| Darin LaHood | Republican | IL |
| David Loebsack | Democratic | IA |
| David P. Joyce | Republican | OH |
| David Rouzer | Republican | NC |
| David Scott | Democratic | GA |
| Devin Nunes | Republican | CA |
| Doug Collins | Republican | GA |
| Earl Blumenauer | Democratic | OR |
| Ed Whitfield | Republican | KY |
| F. James Sensenbrenner, Jr. | Republican | WI |
| Frank A. LoBiondo | Republican | NJ |
| Grace Meng | Democratic | NY |
| Jeff Duncan | Republican | SC |
| Jim Bridenstine | Republican | OK |
| Jody B. Hice | Republican | GA |
| Joe Courtney | Democratic | CT |
| Joseph J. Heck | Republican | NV |
| Julia Brownley | Democratic | CA |
| Kevin Cramer | Republican | ND |
| Lamar Smith | Republican | TX |
| Lynn A. Westmoreland | Republican | GA |
| Mark Pocan | Democratic | WI |
| Mark Takai | Democratic | HI |
| Matt Cartwright | Democratic | PA |
| Michael G. Fitzpatrick | Republican | PA |
| Michael K. Simpson | Republican | ID |
| Michelle Lujan Grisham | Democratic | NM |
| Mike Bishop | Republican | MI |
| Mike Coffman | Republican | CO |
| Mike Rogers | Republican | AL |
| Patrick T. McHenry | Republican | NC |
| Paul A. Gosar | Republican | AZ |
| Pete Olson | Republican | TX |
| Pete Sessions | Republican | TX |
| Peter A. DeFazio | Democratic | OR |
| Peter Welch | Democratic | VT |
| Randy Neugebauer | Republican | TX |
| Robert A. Brady | Democratic | PA |
| Rodney Davis | Republican | IL |
| Roger Williams | Republican | TX |
| Ryan K. Zinke | Republican | MT |
| Sanford D. Bishop, Jr. | Democratic | GA |
| Scott R. Tipton | Republican | CO |
| Steve King | Republican | IA |
| Steve Stivers | Republican | OH |
| Susan A. Davis | Democratic | CA |
| Ted S. Yoho | Republican | FL |
| Tim Murphy | Republican | PA |
| Timothy J. Walz | Democratic | MN |
| Tom Graves | Republican | GA |
| Zoe Lofgren | Democratic | CA |
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act; H.R. 1606, DOC Access Act of 2017; H.R. 1628, American Health Care Act of 2017
Client expense: $97,250 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Health Issues
H.R. 539 - Action for Dental Health Act 2015 H.R. 953 - Comprehensive Addiction and Recovery Act of 2015 H.R. 1055 - Comprehensive Dental Reform Act of 2015 H.R. 1411 - Expansion of Nutritions Role in Curricula and Healthcare (ENRICH) Act of 2015 H.R. 3323 - Dental and Optometric Care Access Act (DOC Access Act) H.R. 5406 - Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act (IHS reform) H.Res. 416 - Commemorating the 70th Anniversary of Community Water Fluoridation H.Con.Res. 79 - Funding for Community Health Center Program S. 192 - Older Americans Act Reauthorization Act of 2016 S. 524 - Comprehensive Addiction and Recovery Act of 2015 S. 570 - Comprehensive Dental Reform Act of 2015 Reauthorization of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) (National School Lunch Program, WIC program) S. 2953 - IHS Accountability Act of 2016 (IHS reform)
Client expense: $470,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA)
Pub. L. 111-148, the Patient Protection and Affordable Care Act (Section 1311); Pub. L. 111-152, The Heath Care and Education Reconciliation Act of 2010 (Section 1406); H.R. 3323 The Dental and Optometric Care Access Act (the "DOC Access Act")
Client expense: $97,250 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Health Issues
H.R. 539, The Action for Dental Health Act of 2015 relating to improving oral care for low-income individuals. H.R. 3323, The Dental and Optometric Care Access Act.
Client expense: Not reported · Firm income: $63,750
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Insurance
H.R. 30, Save American Workers Act (Young) - definition of full-time employee H.R. 117, Reclaiming Individual Liberty Act (Garrett) - ACA individual mandate H.R. 221, ACA Taxpayer Bailout Prevention Act (Harris) - risk corridors program H.R. 371, Care for All Act (Fortenberry) - catastrophic plans H.R. 494, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 543, Health Care Choice Act (Blackburn) - national marketplace for individual health insurance H.R. 724, Taxpayer Bailout Protection Act (Lance) - risk corridors program H.R. 815, Access to Independent Health Insurance Advisors Act (Long-Schrader) - treatment of broker compensation in MLR calculation H.R. 954, CO-OP Consumer Protection Act (Smith) - exemption from individual mandate H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - data security H.R. 2205, Data Security Act (Neugebauer) - data security H.R. 2739, Cancer Drug Coverage Parity Act (Lance) - coverage of oral anti-cancer drugs H.R. 2868, Small Business Health Fairness Act (Johnson) - association health plans H.R. 3323, Dental and Optometric Care Access Act (Carter) - dental and vision benefits H.R. 3727, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits H.R. 5410, Health Coverage State Flexibility Act (Flores) - grace period for recipients of advanced premium tax credits H.R. 5589, Plan Verification and Fairness Act (Blackburn) - pre-enrollment verification process H.R. 5921, State Age Rating Flexibility Act (Bucshon) - age rating flexibility H.R. 6019, Relief from Obamacare Mandate Act (Young) - exemption from individual mandate H.R. 6049, Protection from Insurance Exchange Monopolies Act (Heck) - exemption from individual mandate H.R. 5926, FY 2017 Labor-HHS-Education Appropriations Bill (Cole) - ACA risk corridors provision, HHS appropriations H. Res. 887, Public Option (DeFazio) S. 30, Forty Hours Is Full Time Act (Collins) - definition of full-time employee S. 123, ACA Taxpayer Bailout Prevention Act (Rubio) - risk corridors program S. 158, Employee Health Care Protection Act (Cassidy) - grandfathering of health coverage S. 359, Taxpayer Bailout Protection Act (Cassidy) - risk corridors program S. 1099, Protecting Affordable Coverage for Employees Act (Scott-Shaheen) - ACA definition of small employer S. 1532, Affordability is Access Act (Murray) - coverage of OTC birth control S. 1566, Cancer Drug Coverage Parity Act (Kirk) - coverage of oral anti-cancer drugs S. 1661, Access to Independent Health Insurance Advisors Act (Isakson-Coons) - treatment of broker compensation in MLR calculation S. 2172, Health Insurance Rate Review Act (Feinstein) - rate review S. 2803, Taxpayers Before Insurers Act (Sasse) - ACA reinsurance program S. 3296, Protection from ObamaCare Monopolies Act (McCain) - exemption from individual mandate S. 3297, Relief from Obamacare Mandate Act (Cotton) - exemption from individual mandate S. 3326, State Flexibility to Provide Affordable Health Options Act (Alexander) - ACA subsidies, exemption from individual mandate S. Res. 561, Public Option (Merkley) Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues related to implementation of the Telephone Consumer Protection Act; issues relating to third party payment of premiums; and other issues relating to health care reform implementation.
Client expense: $1,330,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office
2016 · fourth_quarter · Health Issues
Advanced premium tax credit and stand alone dental plans; Affordable Care Act implementation of pediatric dental benefit; H.R. 539, Action for Dental Health Act of 2015; H.R. 3323, Dental and Optometric Care Access Act; H.R. 3463 / S. 3244, Aligning Children's Dental Coverage Act
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Health Issues
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act.
Client expense: Not reported · Firm income: $50,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Health Issues
HR 1185, RAISE Health Benefits Act HR 1196, Health Savings Act HR 3323, Dental and Optometric Care Access Act or the DOC Access Act HR 649, Student Loan Refinancing Act S. 524: Comprehensive Addiction and Recovery Act of 2016 H.R. 494, The Competitive Health Insurance Reform Act of 2015
Client expense: Not reported · Firm income: $30,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Health Issues
H.R. 3463, The Aligning Children's Dental Care Act H.R. 3323, The Dental and Optometric Care Access Act of 2015
Client expense: $160,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Insurance
HR 494, Competitive Health Insurance Reform Act of 2015. HR 2029, Consolidated Appropriations Act, 2016. HR 3323, Dental and Optometric Care Access Act.
Client expense: $340,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Insurance
Dental coverage issues related to the Affordable Care Act, including provider directory requirements as well as S. 3244 & HR 3463, the Aligning Children's Dental Coverage Act. Also, monitor issues related to HR 3323, the Dental and Optometric Care Access Act.
Client expense: Not reported · Firm income: $18,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Health Issues
H.R. 3463 The Aligning Children's Dental Coverage Act: would amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act. H.R.3323: To amend title XXVII of the Public Health Service Act to improve health care coverage under vision and dental plans. HR 3463: To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act.
Client expense: $504,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Health Issues
H.R. 3463 The Aligning Children's Dental Coverage Act: would amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act. H.R.3323: To amend title XXVII of the Public Health Service Act to improve health care coverage under vision and dental plans. HR 3463: To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act.
Client expense: $530,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Insurance
Dental and Optometric Care Act (HR 3323) - prohibits insurers from capping fees on noncovered dental services
Client expense: $23,473 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2016 · fourth_quarter · Health Issues
General health care issues, including, implementation of the "Affordable Care Act" and payment policies (contact regarding H.R. 5410, the "Health Coverage State Flexibility Act of 2016" and H.R. 3323, the "DOC Access Act"
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Health Issues
HR 1185, RAISE Health Benefits Act HR 1196, Health Savings Act HR 3323, Dental and Optometric Care Access Act or the DOC Access Act HR 649, Student Loan Refinancing Act S. 524: Comprehensive Addiction and Recovery Act of 2016
Client expense: Not reported · Firm income: $30,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · third_quarter · Health Issues
H.R. 3463, The Aligning Children's Dental Care Act H.R. 3323, The Dental and Optometric Care Access Act of 2015
Client expense: $160,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · third_quarter · Insurance
HR 494, Competitive Health Insurance Reform Act of 2015. HR 2029, Consolidated Appropriations Act, 2016. HR 3323, Dental and Optometric Care Access Act.
Client expense: $370,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Health Issues
Advanced premium tax credit and stand alone dental plans; Affordable Care Act implementation of pediatric dental benefit; H.R. 539, Action for Dental Health Act of 2015; H.R. 3323, Dental and Optometric Care Access Act; H.R. 3463 / S. 3244, Aligning Children's Dental Coverage Act
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Insurance
H.R. 30, Save American Workers Act (Young) - definition of full-time employee H.R. 117, Reclaiming Individual Liberty Act (Garrett) - ACA individual mandate H.R. 221, ACA Taxpayer Bailout Prevention Act (Harris) - risk corridors program H.R. 371, Care for All Act (Fortenberry) - catastrophic plans H.R. 494, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 543, Health Care Choice Act (Blackburn) - national marketplace for individual health insurance H.R. 724, Taxpayer Bailout Protection Act (Lance) - risk corridors program H.R. 815, Access to Independent Health Insurance Advisors Act (Long-Schrader) - treatment of broker compensation in MLR calculation H.R. 954, CO-OP Consumer Protection Act (Smith) - exemption from individual mandate H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - data security H.R. 2205, Data Security Act (Neugebauer) - data security H.R. 2739, Cancer Drug Coverage Parity Act (Lance) - coverage of oral anti-cancer drugs H.R. 2868, Small Business Health Fairness Act (Johnson) - association health plans H.R. 3323, Dental and Optometric Care Access Act (Carter) - dental and vision benefits H.R. 3727, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits H.R. 5410, Health Coverage State Flexibility Act (Flores) - grace period for recipients of advanced premium tax credits H.R. 5485, Financial Services and General Government Appropriations Act (Crenshaw) - risk corridors amendment H.R. 5589, Plan Verification and Fairness Act (Blackburn) - pre-enrollment verification process H.R. 5921, State Age Rating Flexibility Act (Bucshon) - age rating flexibility H.R. 6019, Relief from Obamacare Mandate Act (Young) - exemption from individual mandate H.R. 6049, Protection from Insurance Exchange Monopolies Act (Heck) - exemption from individual mandate H.R. 5926, FY 2017 Labor-HHS-Education Appropriations Bill (Cole) - ACA risk corridors provision, HHS appropriations H. Res. 887, Public Option (DeFazio) S. 30, Forty Hours Is Full Time Act (Collins) - definition of full-time employee S. 123, ACA Taxpayer Bailout Prevention Act (Rubio) - risk corridors program S. 158, Employee Health Care Protection Act (Cassidy) - grandfathering of health coverage S. 359, Taxpayer Bailout Protection Act (Cassidy) - risk corridors program S. 1099, Protecting Affordable Coverage for Employees Act (Scott-Shaheen) - ACA definition of small employer S. 1532, Affordability is Access Act (Murray) - coverage of OTC birth control S. 1566, Cancer Drug Coverage Parity Act (Kirk) - coverage of oral anti-cancer drugs S. 1661, Access to Independent Health Insurance Advisors Act (Isakson-Coons) - treatment of broker compensation in MLR calculation S. 2172, Health Insurance Rate Review Act (Feinstein) - rate review S. 2803, Taxpayers Before Insurers Act (Sasse) - ACA reinsurance program S. 3296, Protection from ObamaCare Monopolies Act (McCain) - exemption from individual mandate S. 3297, Relief from Obamacare Mandate Act (Cotton) - exemption from individual mandate S. 3326, State Flexibility to Provide Affordable Health Options Act (Alexander) - ACA subsidies, exemption from individual mandate S. Res. 561, Public Option (Merkley) Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues related to implementation of the Telephone Consumer Protection Act; and other issues relating to health care reform implementation.
Client expense: $1,710,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
2016 · third_quarter · Health Issues
H.R. 539, The Action for Dental Health Act of 2015 relating to improving oral care for low-income individuals. Issues related to McCarran Ferguson. H.R. 3323, The Dental and Optometric Care Access Act.
Client expense: Not reported · Firm income: $63,750
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Health Issues
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act.
Client expense: Not reported · Firm income: $50,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Pub. L. 111-148, the Patient Protection and Affordable Care Act (Section 1311); Pub. L. 111-152, The Heath Care and Education Reconciliation Act of 2010 (Section 1406); H.R. 3323 The Dental and Optometric Care Access Act (the "DOC Access Act")
Client expense: $97,250 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · third_quarter · Insurance
Dental coverage issues related to the Affordable Care Act, including provider directory requirements as well as S. 3244 & HR 3463, the Aligning Children's Dental Coverage Act. Also, monitor issues related to HR 3323, the Dental and Optometric Care Access Act.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Health Issues
H.R. 3463 The Aligning Children's Dental Coverage Act: would amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act. H.R.3323: To amend title XXVII of the Public Health Service Act to improve health care coverage under vision and dental plans. HR 3463: To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act.
Client expense: $426,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Health Issues
H.R. 539 - Action for Dental Health Act 2015 H.R. 953 - Comprehensive Addiction and Recovery Act of 2015 H.R. 1055 - Comprehensive Dental Reform Act of 2015 H.R. 1411 - Expansion of Nutritions Role in Curricula and Healthcare (ENRICH) Act of 2015 H.R. 3323 - Dental and Optometric Care Access Act (DOC Access Act) H.R. 5406 - Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act (IHS reform) H.Res. 416 - Commemorating the 70th Anniversary of Community Water Fluoridation H.Con.Res. 79 - Funding for Community Health Center Program S. 192 - Older Americans Act Reauthorization Act of 2016 S. 524 - Comprehensive Addiction and Recovery Act of 2015 S. 570 - Comprehensive Dental Reform Act of 2015 Reauthorization of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) (National School Lunch Program, WIC program) S. 2953 - IHS Accountability Act of 2016 (IHS reform)
Client expense: $580,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA)
2016 · third_quarter · Health Issues
Discussions pertaining to the cost of dental care in America HR 3323 DOC Access Act (all sections of full text)(support) Monitored PL 114-198 Comprehensive Addiction and Recovery Act of 2016
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Insurance
Dental and Optometric Care Act (HR 3323) - prohibits insurers from capping fees on noncovered dental services
Client expense: $19,929 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Insurance
HR 494, Competitive Health Insurance Reform Act of 2015. HR 3323, Dental and Optometric Case Access Act.
Client expense: $790,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Insurance
H.R. 30, Save American Workers Act (Young) - definition of full-time employee H.R. 117, Reclaiming Individual Liberty Act (Garrett) - ACA individual mandate H.R. 221, ACA Taxpayer Bailout Prevention Act (Harris) - risk corridors program H.R. 371, Care for All Act (Fortenberry) - catastrophic plans H.R. 494, Competitive Health Insurance Reform Act (Gosar) - antitrust policy H.R. 543, Health Care Choice Act (Blackburn) - national marketplace for individual health insurance H.R. 724, Taxpayer Bailout Protection Act (Lance) - risk corridors program H.R. 815, Access to Independent Health Insurance Advisors Act (Long-Schrader) - treatment of broker compensation in MLR calculation H.R. 1770, Data Security and Breach Notification Act (Blackburn-Welch) - data security H.R. 2205, Data Security Act (Neugebauer) - data security H.R. 2739, Cancer Drug Coverage Parity Act (Lance) - coverage of oral anti-cancer drugs H.R. 2868, Small Business Health Fairness Act (Johnson) - association health plans H.R. 3323, Dental and Optometric Care Access Act (Carter) - dental and vision benefits H.R. 3727, Health Insurance Rate Review Act (Schakowsky) - rate review H.R. 4299, Patient Opportunity Protection Act (Blum) - HIPAA excepted benefits H.R. 5410, Health Coverage State Flexibility Act (Flores) - grace period for recipients of advanced premium tax credits H.R. 5485, Financial Services and General Government Appropriations Act (Crenshaw) - risk corridors amendment H.R. 5589, Plan Verification and Fairness Act (Blackburn) - pre-enrollment verification process Draft Bill on Age Variation in Health Insurance Premium Rates (Brooks) S. 30, Forty Hours Is Full Time Act (Collins) - definition of full-time employee S. 123, ACA Taxpayer Bailout Prevention Act (Rubio) - risk corridors program S. 158, Employee Health Care Protection Act (Cassidy) - grandfathering of health coverage S. 359, Taxpayer Bailout Protection Act (Cassidy) - risk corridors program S. 1099, Protecting Affordable Coverage for Employees Act (Scott-Shaheen) - ACA definition of small employer S. 1532, Affordability is Access Act (Murray) - coverage of OTC birth control S. 1566, Cancer Drug Coverage Parity Act (Kirk) - coverage of oral anti-cancer drugs S. 1661, Access to Independent Health Insurance Advisors Act (Isakson-Coons) - treatment of broker compensation in MLR calculation S. 2172, Health Insurance Rate Review Act (Feinstein) - rate review S. 2803, Taxpayers Before Insurers Act (Sasse) - ACA reinsurance program Regulatory Issues: Insurance regulatory reform; issues related to the coordination of private and public disability income benefits; disability risk management; disability income insurance enrollment and awareness; issues related to encouraging impaired workers to stay in/return to the workforce; issues relating to the coordination of benefits between private health insurance plans and Medicaid; Medigap claims processing and crossover fees; Medigap cross-over claim issues, Medigap coverage, implementation of Medigap standardized plan offerings; Medigap carrier recoveries related to CMS fraud and abuse enforcement activities, and issues related to Medigap educational materials, and other Medigap issues; fraud and abuse issues affecting public and private insurance coverage; issues relating to antitrust; implementation of the Mental Health Parity Act requirements; summary of benefits and coverage disclosures; pre-existing condition insurance plans; accountable care organizations; coverage of preventive services; preexisting condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; dependent coverage; treatment of expatriate plans; compliance with the transitional reinsurance program; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, non-discriminatory wellness programs; issues related to supplemental products; issues related to implementation of the Telephone Consumer Protection Act; and other issues relating to health care reform implementation.
Client expense: $1,710,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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), SENATE, Treasury, Dept of, White House Office
2016 · second_quarter · Health Issues
Pub. L. 111-148, the Patient Protection and Affordable Care Act (section 1311); Pub. L. 111-152, the Health Care and Education Reconciliation Act of 2010 (section 1406); H.R. 3323, Dental and Optometric Care Access Act.
Client expense: Not reported · Firm income: $50,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · second_quarter · Health Issues
Affordable Care Act implementation of pediatric dental benefit; H.R. 539, Action for Dental Health Act of 2015; H.R. 3323, Dental and Optometric Care Access Act; H.R. 3463, Aligning Children's Dental Coverage Act
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Health Issues
ACA implementation (exchange operations and functionality, risk mitigation programs, CO-OP solvency, special enrollment periods, reinsurance) ACA Notice of Benefit and Payment Parameters regulations Dental and vision coverage (H.R. 3323) Mental Health and Substance Use (S. 1945 and H.R. 2646) Comprehensive Addiction and Recovery Act (S. 524 and H.R. 953) Center for Medicare & Medicaid Innovation Oncology Program Fraud, waste, and abuse Telehealth (S. 2484 and H.R. 4442) Price of prescription drugs Military health care (S. 2943 and H.R. 4909) Nondiscrimination regulations
Client expense: $1,050,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · second_quarter · Insurance
ACA implementation (exchange operations and functionality, risk mitigation programs, CO-OP solvency, special enrollment periods, reinsurance) ACA Notice of Benefit and Payment Parameters regulations Dental and vision coverage (H.R. 3323) Mental Health and Substance Use (S. 1945 and H.R. 2646) Comprehensive Addiction and Recovery Act (S. 524 and H.R. 953) Center for Medicare & Medicaid Innovation Oncology Program Fraud, waste, and abuse Telehealth (S. 2484 and H.R. 4442) Price of prescription drugs Military health care (S. 2943 and H.R. 4909) Nondiscrimination regulations
Client expense: $1,050,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · second_quarter · Health Issues
HR 1185, RAISE Health Benefits Act HR 1196, Health Savings Act HR 3323, Dental and Optometric Care Access Act or the DOC Access Act HR 649, Student Loan Refinancing Act
Client expense: Not reported · Firm income: $30,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · second_quarter · Health Issues
H.R. 539 - Action for Dental Health Act 2015 H.R. 953 - Comprehensive Addiction and Recovery Act of 2015 H.R. 1055 - Comprehensive Dental Reform Act of 2015 H.R. 1411 - Expansion of Nutritions Role in Curricula and Healthcare (ENRICH) Act of 2015 H.R. 3323 - Dental and Optometric Care Access Act (DOC Access Act) H.R. 5406 - Helping Ensure Accountability, Leadership, and Trust in Tribal Healthcare Act (IHS reform) H.Res. 416 - Commemorating the 70th Anniversary of Community Water Fluoridation H.Con.Res. 79 - Funding for Community Health Center Program S. 524 - Comprehensive Addiction and Recovery Act of 2015 S. 570 - Comprehensive Dental Reform Act of 2015 Reauthorization of the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) (National School Lunch Program, WIC program) S. 2953 - IHS Accountability Act of 2016 (IHS reform)
Client expense: $720,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Internal Revenue Service (IRS), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA)
2016 · second_quarter · Health Issues
H.R. 3463, The Aligning Children's Dental Care Act H.R. 3323, The Dental and Optometric Care Access Act of 2015
Client expense: $200,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · second_quarter · Health Issues
Discussions pertaining to the cost of dental care in America HR 3323 DOC Access Act (all sections of full text)(support) Monitored S 524 Comprehensive Addiction and Recovery Act of 2016 Monitored HR 953 Comprehensive Addiction and Recovery Act of 2015
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Pub. L. 111-148, the Patient Protection and Affordable Care Act (Section 1311); Pub. L. 111-152, The Heath Care and Education Reconciliation Act of 2010 (Section 1406); H.R. 3323 The Dental and Optometric Care Access Act (the "DOC Access Act")
Client expense: $97,250 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · second_quarter · Insurance
Dental coverage issues related to the Affordable Care Act, including provider directory requirements and HR 3463, the Aligning Children's Dental Coverage Act. Also, monitor issues related to HR 3323, the Dental and Optometric Care Access Act.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Insurance
Dental and Optometric Care Act (HR 3323) - prohibits insurers from capping fees on noncovered dental services
Client expense: $116,687 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
2016 · second_quarter · Health Issues
H.R. 3463 The Aligning Children's Dental Coverage Act: would amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act. H.R.3323: To amend title XXVII of the Public Health Service Act to improve health care coverage under vision and dental plans. HR 3463: To amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act.
Client expense: $370,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Insurance
HR 3323 - Equitable treatment of vision services through health insurance
Client expense: Not reported · Firm income: $12,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · first_quarter · Insurance
ACA implementation (exchange operations and functionality, risk mitigation programs, QHP certification, CO-OP solvency, special enrollment periods, transition health insurance policies) ACA Notice of Benefit and Payment Parameters regulations ACA reform proposals Dental and vision coverage (H.R. 3323) Mental Health and Substance Use (S. 1945 and H.R. 2646) Comprehensive Addiction and Recovery Act (S. 524) Telehealth (S. 2484, H.R. 4442, and S. 2343) Price of prescription drugs 2013 Department of Labor Home Care Rule
Client expense: $1,370,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)
2016 · first_quarter · Health Issues
ACA implementation (exchange operations and functionality, risk mitigation programs, QHP certification, CO-OP solvency, special enrollment periods, transition health insurance policies) ACA Notice of Benefit and Payment Parameters regulations ACA reform proposals Dental and vision coverage (H.R. 3323) Mental Health and Substance Use (S. 1945 and H.R. 2646) Comprehensive Addiction and Recovery Act (S. 524) Telehealth (S. 2484, H.R. 4442, and S. 2343) Price of prescription drugs 2013 Department of Labor Home Care Rule
Client expense: $1,370,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)