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No Surprises Act This bill expands restrictions on charging health care plan holders out-of-network rates for certain services. First, the bill requires insurers offering plans that cover emergency services to bill plan holders no more than the median in-network rate for a particular emergency service, even if the service provider is out of network. The bill further prohibits insurers from billing plan holders more than the median in-network rate for nonemergency services provided by out-of-network providers at in-network facilities. Out-of-network providers may not bill plan holders for the difference between the in-network and out-of-network rates for emergency services. The bill further prohibits out-of-network providers from billing plan holders for the difference in rates for nonemergency services provided at an in-network facility unless the provider complies with specified notice and consent requirements. Even when complying with these requirements, an out-of-network provider may not charge plan holders for the difference in rates for such nonemergency services if the provider is based at the in-network facility and is the only provider available to deliver the particular treatment or service at the facility. The Department of Health and Human Services must provide grants to states to establish or maintain All Payer Claims Databases, which publish claims and payment information from insurers. The bill also requires insurers to publish provider directories and requires the Government Accountability Office and the Department of Labor to report on certain issues related to the commercial health care market.
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Forwarded by Subcommittee to Full Committee by Voice Vote .
Subcommittee Consideration and Mark-up Session Held.
Referred to the Subcommittee on Health.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Hearings Held by the Subcommittee on Health Prior to Introduction and Referral.
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2024 · fourth_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Braun, Mike [R-IN] H.R. 4818, Treat and Reduce Obesity Act To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.2407 - Treat and Reduce Obesity Act of 2023 To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 4093, Remote Opioid Monitoring Act (House only) To provide for a study on the effects of remote monitoring on individuals who are prescribed opioids. Sponsor: Rep. Balderson, Troy [R-OH-12] H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.1606 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Sen. Capito, Shelley Moore [R-WV] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] S. 3430, Better Mental Health Care, Lower Cost Drugs, and Extenders Act To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] H.R. 5066, Tech to Save Moms Act To amend the Public Health Service Act to authorize grants to evaluate, develop, and expand the use of technology-enabled collaborative learning and capacity building models to improve maternal health outcomes, and for other purposes. Sponsor: Rep. Williams, Nikema [D-GA-5] S. 1384 - Living Donor Protection Act of 2023 To promote and protect from discrimination living organ donors. Sponsor: Sen. Gillibrand, Kirsten E. [D-NY] H.R. 2923 - Living Donor Protection Act of 2023 To promote and protect from discrimination living organ donors. Sponsor: Rep. Nadler, Jerrold [D-NY-12] H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. Sponsor: Rep. Cole, Tom [R-OK-4] H.R. 5163 TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Trone, David J. [D-MD-6] S.3193 - TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Sen. Whitehouse, Sheldon [D-RI] H.R. 4366, Consolidated Appropriations Act of 2024 This act provides FY2024 appropriations for several federal departments and agencies. It also extends several expiring programs and authorities, including various public health programs. Sponsor: Rep. Carter, John R. [R-TX-31]
Client expense: $269,075 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · fourth_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement H.R. 7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Rep. Wild, Susan [D-PA-7] S.3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Sen. Kaine, Tim [D-VA] S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Steel, Michelle [R-CA-45] S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Braun, Mike [R-IN] H.R. 4818, Treat and Reduce Obesity Act To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.2407 - Treat and Reduce Obesity Act of 2023 To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 4093, Remote Opioid Monitoring Act (House only) To provide for a study on the effects of remote monitoring on individuals who are prescribed opioids. Sponsor: Rep. Balderson, Troy [R-OH-12] H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.1606 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Sen. Capito, Shelley Moore [R-WV] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R. 5012, SHINE for Autumn Act To improve research and data collection on stillbirths, and for other purposes. Sponsor: Rep. Kim, Young [R-CA-40] S.2647 - SHINE for Autumn Act of 2023 To improve research and data collection on stillbirths, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 4581, Maternal and Child Health Stillbirth Prevention Act To amend title V of the Social Security Act to support stillbirth prevention and research, and for other purposes. Sponsor: Rep. Hinson, Ashley [R-IA-2] S. 3430, Better Mental Health Care, Lower Cost Drugs, and Extenders Act To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] H.R. 5066, Tech to Save Moms Act To amend the Public Health Service Act to authorize grants to evaluate, develop, and expand the use of technology-enabled collaborative learning and capacity building models to improve maternal health outcomes, and for other purposes. Sponsor: Rep. Williams, Nikema [D-GA-5] S. 1384 - Living Donor Protection Act of 2023 To promote and protect from discrimination living organ donors. Sponsor: Sen. Gillibrand, Kirsten E. [D-NY] H.R. 2923 - Living Donor Protection Act of 2023 To promote and protect from discrimination living organ donors. Sponsor: Rep. Nadler, Jerrold [D-NY-12] S. 1573 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Sen. Bennet, Michael F. [D-CO] H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. Sponsor: Rep. Cole, Tom [R-OK-4] H.R. 5163 TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Trone, David J. [D-MD-6] S.3193 - TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Sen. Whitehouse, Sheldon [D-RI] H.R. 4366, Consolidated Appropriations Act of 2024 This act provides FY2024 appropriations for several federal departments and agencies. It also extends several expiring programs and authorities, including various public health programs. Sponsor: Rep. Carter, John R. [R-TX-31]
2024 · fourth_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Cyber attack & Cybersecurity; Provider Directories; Artificial Intelligence; Maternal Health; ; 2026 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; No surprises enforcement S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Braun, Mike [R-IN] H.R. 4818, Treat and Reduce Obesity Act To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.2407 - Treat and Reduce Obesity Act of 2023 To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.1606 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Sen. Capito, Shelley Moore [R-WV] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R. 5012, SHINE for Autumn Act To improve research and data collection on stillbirths, and for other purposes. Sponsor: Rep. Kim, Young [R-CA-40] S. 3430, Better Mental Health Care, Lower Cost Drugs, and Extenders Act To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] S. 1573 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Sen. Bennet, Michael F. [D-CO] H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. Sponsor: Rep. Cole, Tom [R-OK-4] H.R. 5163 TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Trone, David J. [D-MD-6] S.3193 - TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Sen. Whitehouse, Sheldon [D-RI] H.R. 4366, Consolidated Appropriations Act of 2024 This act provides FY2024 appropriations for several federal departments and agencies. It also extends several expiring programs and authorities, including various public health programs. Sponsor: Rep. Carter, John R. [R-TX-31]
2024 · fourth_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · fourth_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Steel, Michelle [R-CA-45] S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Braun, Mike [R-IN] H.R. 4818, Treat and Reduce Obesity Act To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.2407 - Treat and Reduce Obesity Act of 2023 To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 4093, Remote Opioid Monitoring Act (House only) To provide for a study on the effects of remote monitoring on individuals who are prescribed opioids. Sponsor: Rep. Balderson, Troy [R-OH-12] H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.1606 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Sen. Capito, Shelley Moore [R-WV] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R. 5012, SHINE for Autumn Act To improve research and data collection on stillbirths, and for other purposes. Sponsor: Rep. Kim, Young [R-CA-40] S.2647 - SHINE for Autumn Act of 2023 To improve research and data collection on stillbirths, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 4581, Maternal and Child Health Stillbirth Prevention Act To amend title V of the Social Security Act to support stillbirth prevention and research, and for other purposes. Sponsor: Rep. Hinson, Ashley [R-IA-2] S. 3430, Better Mental Health Care, Lower Cost Drugs, and Extenders Act To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] H.R. 5066, Tech to Save Moms Act To amend the Public Health Service Act to authorize grants to evaluate, develop, and expand the use of technology-enabled collaborative learning and capacity building models to improve maternal health outcomes, and for other purposes. Sponsor: Rep. Williams, Nikema [D-GA-5] S. 1384 - Living Donor Protection Act of 2023 To promote and protect from discrimination living organ donors. Sponsor: Sen. Gillibrand, Kirsten E. [D-NY] H.R. 2923 - Living Donor Protection Act of 2023 To promote and protect from discrimination living organ donors. Sponsor: Rep. Nadler, Jerrold [D-NY-12] S. 1573 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Sen. Bennet, Michael F. [D-CO] H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. Sponsor: Rep. Cole, Tom [R-OK-4] H.R. 5163 TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Trone, David J. [D-MD-6] S.3193 - TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Sen. Whitehouse, Sheldon [D-RI] H.R. 4366, Consolidated Appropriations Act of 2024 This act provides FY2024 appropriations for several federal departments and agencies. It also extends several expiring programs and authorities, including various public health programs. Sponsor: Rep. Carter, John R. [R-TX-31]
Client expense: $1,760,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
Client expense: $5,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $140,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2024 · third_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; Healthcare fraud; Food as Medicine; Mental Health Parity S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Braun, Mike [R-IN] H.R. 4818, Treat and Reduce Obesity Act To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.2407 - Treat and Reduce Obesity Act of 2023 To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.2630 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 6487 - No Fees for EFTs Act To amend title XI of the Social Security Act to prohibit health plans from imposing fees on health care providers for electronic funds transfers and health care payment and remittance advice transactions, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 4093, Remote Opioid Monitoring Act (House only) To provide for a study on the effects of remote monitoring on individuals who are prescribed opioids. Sponsor: Rep. Balderson, Troy [R-OH-12] H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.2556 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] HR 6465 PLASMA Act To amend title XVIII of the Social Security Act to provide a phase-in for plasma-derived products under the manufacturer discount program. Sponsor: Rep. Hudson, Richard [R-NC-9] H.R. 5012, SHINE for Autumn Act To improve research and data collection on stillbirths, and for other purposes. Sponsor: Rep. Kim, Young [R-CA-40] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 4581, Maternal and Child Health Stillbirth Prevention Act To amend title V of the Social Security Act to support stillbirth prevention and research, and for other purposes. Sponsor: Rep. Hinson, Ashley [R-IA-2] S. 3430, Better Mental Health Care, Lower Cost Drugs, and Extenders Act To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] H.R. 5066, Tech to Save Moms Act To amend the Public Health Service Act to authorize grants to evaluate, develop, and expand the use of technology-enabled collaborative learning and capacity building models to improve maternal health outcomes, and for other purposes. Sponsor: Rep. Williams, Nikema [D-GA-5]
Client expense: $1,910,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2024 · third_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · third_quarter · Health Issues
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act.
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2024 · third_quarter · Medicare/Medicaid
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act.
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2024 · second_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; CMS Transforming Maternal Health (TMaH) model; Birthing-Friendly Designation; Preventive Services; Data Equity; Hospital Billing S.2556 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S. 3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] S.1606 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. The Lorn Breen Act established grants and required other activities to improve mental and behavioral health among health care providers. Sponsor: Rep. Wild, Susan [D-PA-7] H.R.2923 - Living Donor Protection Act of 2023 To promote and protect from discrimination living organ donors. Sponsor: Rep. Nadler, Jerrold [D-NY-12] HR 6465 PLASMA Act To amend title XVIII of the Social Security Act to provide a phase-in for plasma-derived products under the manufacturer discount program. Sponsor: Rep. Hudson, Richard [R-NC-9] S.1573 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. "Sponsor: Sen. Bennet, Michael F. [D-CO]" S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Sen. Capito, Shelley Moore [R-WV] S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Braun, Mike [R-IN] H.R. 5012, SHINE for Autumn Act To improve research and data collection on stillbirths, and for other purposes. Sponsor: Rep. Kim, Young [R-CA-40] H.R. 6033, SPEAK Act To require the Secretary of Health and Human Services to establish a task force to improve access to health care information technology for non-English speakers. Sponsor: Rep. Steel, Michelle [R-CA-45] H.R. 4581, Maternal and Child Health Stillbirth Prevention Act To amend title V of the Social Security Act to support stillbirth prevention and research, and for other purposes. Sponsor: Rep. Hinson, Ashley [R-IA-2] S. 3430, Better Mental Health Care, Lower Cost Drugs, and Extenders Act To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] H.R. 5066, Tech to Save Moms Act To amend the Public Health Service Act to authorize grants to evaluate, develop, and expand the use of technology-enabled collaborative learning and capacity building models to improve maternal health outcomes, and for other purposes. Sponsor: Rep. Williams, Nikema [D-GA-5] H.R. 4818, Treat and Reduce Obesity Act To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2] S.3679 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. Sponsor: Sen. Kaine, Tim [D-VA]
Client expense: $1,430,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2024 · second_quarter · Health Issues
Issues Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; CMS Transforming Maternal Health (TMaH) model; Preventive Services; Data Equity; Hospital Billing Bills S.2556 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S. 3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] S.1606 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Sen. Capito, Shelley Moore [R-WV] S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Braun, Mike [R-IN] H.R. 4581, Maternal and Child Health Stillbirth Prevention Act To amend title V of the Social Security Act to support stillbirth prevention and research, and for other purposes. Sponsor: Rep. Hinson, Ashley [R-IA-2] S. 3430, Better Mental Health Care, Lower Cost Drugs, and Extenders Act To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] H.R. 5066, Tech to Save Moms Act To amend the Public Health Service Act to authorize grants to evaluate, develop, and expand the use of technology-enabled collaborative learning and capacity building models to improve maternal health outcomes, and for other purposes. Sponsor: Rep. Williams, Nikema [D-GA-5] H.R. 4818, Treat and Reduce Obesity Act To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. Sponsor: Rep. Wenstrup, Brad R. [R-OH-2]
Client expense: $269,075 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · second_quarter · Health Issues
Affordable Care Act (ACA); ACA Subsidies and Tax Credits; Telehealth Flexibilities; Mental Health Care; Youth Mental Health; Site Neutral Payment Reform; Transparency in Coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA Exchanges; Rural Healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index Reward Factor; Employer-provided Health Coverage; Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; CMS Transforming Maternal Health (TMaH) model; Preventive Services; Data Equity; Hospital Billing HR 485, Protecting Health Care for All Patients Act of 2023, by Rep. Cathy McMorris Rodgers (R-WA). Prohibits all federal health care programs, including the Federal Employees Health Benefits Program, and federally funded state health care programs (e.g., Medicaid) from using prices that are based on quality-adjusted life years (i.e., measures that discount the value of a life based on disability) to determine relevant thresholds for coverage, reimbursements, or incentive programs. HR 2708, Latonya Reeves Freedom Act of 2023, by Rep. Steve Cohen (D-TN). To prohibit discrimination against individuals with disabilities who need long-term services and supports. HR 2923, Living Donor Protection Act of 2023, by Rep. Jerrold Nadler (D-NY). To promote and protect living organ donors from discrimination. HR 3226, PREEMIE Reauthorization Act of 2023, by Rep. Anna Eshoo (D-CA). Reauthorizes through FY2028 and otherwise modifies research and education programs for preventing premature births. HR 3417, FAIR Act, by Rep. Kevin Hern (R-OK). To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 3630, No Surprises Act, by Rep. Frank Pallone (D-NJ). To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices. HR 3838, Preventing Maternal Deaths Reauthorization Act of 2023, by Rep. Michael Burgess (R-TX). To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers. HR 4531, Support for Patients and Communities Reauthorization Act, by Rep. Brett Guthrie (R-KY). To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment. HR 4581, Maternal and Child Health Stillbirth Prevention Act, by Rep. Ashley Hinson (R-IA). To amend title V of the Social Security Act to support stillbirth prevention and research, and for other purposes. HR 4818, Treat and Reduce Obesity Act, by Rep. Brad Wenstrup (R-OH). To amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes. HR 5066, Tech to Save Moms Act, by Rep. Nikema Williams (D-GA). To amend the Public Health Service Act to authorize grants to evaluate, develop, and expand the use of technology-enabled collaborative learning and capacity building models to improve maternal health outcomes, and for other purposes. HR 5378, Lower Costs, More Transparency Act, by Rep. Cathy McMorris Rodgers (R-WA). To promote price transparency in the health care sector. HR 6412, Down Syndrome Diagnosis Act, by Rep. Marcus Molinaro (R-NY). To amend title XXVII of the Public Health Service Act to provide certain informational resources related to Down syndrome. HR 7153, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, by Rep. Susan Wild (D-PA). To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, which established grants and required other activities to improve mental and behavioral health among health care providers. S 644, Modernizing Opioid Treatment Access Act, by Sen. Ed Markey (D-MA). To expand the take-home prescribing of methadone through pharmacies. S 652, Safe Step Act, by Sen. Lisa Murkowski (R-AK). To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol. S 1001, Telehealth Expansion Act of 2023, by Sen. Steve Daines (R-MT). To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S 1451, Healthy Competition for Better Care Act, by Sen. Mike Braun (R-IN). To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S 1573, PREEMIE Reauthorization Act of 2023, by Sen. Michael Bennet (D-CO). To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. S 1606, Black Maternal Health Momnibus Act, by Sen. Cory Booker (D-NJ). To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States. S 1869, SITE Act, by Sen. Mike Braun (D-HI). To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs. S 2016, CONNECT for Health Act of 2023, by Sen. Brian Schatz (D-HI). To amend title XVIII of the Social Security Act to expand access to telehealth services. S 2415, Preventing Maternal Deaths Reauthorization Act of 2023, by Sen. Shelley Moore Capito (R-WV). To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S 2556, Improving CARE for Youth Act, by Sen. Thomas Carper (D-DE). To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. S 3393, SUPPORT for Patients and Communities Reauthorization Act, by Sen. Bernie Sanders (I-VT). To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. S 3430, Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023, by Sen. Ron Wyden (D-OR). To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid. S 3548, Health Care PRICE Transparency Act, by Sen. Mike Braun (R-IN). To amend the Public Health Service Act to provide for hospital and insurer price transparency.
Client expense: $240,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2024 · second_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · first_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · first_quarter · Health Issues
Affordable Care Act (ACA); ACA subsidies and tax credits; Telehealth & telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber Attack; Birthing-Friendly Designation; Provider Directories; HIPAA Modernization; Artificial Intelligence S.2556 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] H.R.2708 - Latonya Reeves Freedom Act of 2023 To prohibit discrimination against individuals with disabilities who need long-term services and supports, and for other purposes. Sponsor: Rep. Cohen, Steve [D-TN-9] H.R.6412 - Down Syndrome Diagnosis Act To amend title XXVII of the Public Health Service Act to provide certain informational resources related to Down syndrome. Sponsor: Rep. Molinaro, Marcus J. [R-NY-19] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S. 3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] S.1606 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ] H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, and for other purposes. The Lorn Breen Act established grants and required other activities to improve mental and behavioral health among health care providers. Sponsor: Rep. Wild, Susan [D-PA-7] H.R.2923 - Living Donor Protection Act of 2023 To promote and protect from discrimination living organ donors. Sponsor: Rep. Nadler, Jerrold [D-NY-12] HR 6465 PLASMA Act To amend title XVIII of the Social Security Act to provide a phase-in for plasma-derived products under the manufacturer discount program. Sponsor: Rep. Hudson, Richard [R-NC-9]
Client expense: $1,940,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2024 · first_quarter · Health Issues
Affordable Care Act (ACA); ACA subsidies and tax credits; Telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber Attack S.2556 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] S. 3393 - SUPPORT for Patients and Communities Reauthorization Act To reauthorize the SUPPORT for Patients and Communities Act, and for other purposes. Sponsor: Sen. Sanders, Bernard [I-VT] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. Sponsor: Sen. Braun, Mike [R-IN] S.1606 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Sen. Booker, Cory A. [D-NJ]
Client expense: $269,075 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · first_quarter · Health Issues
Affordable Care Act (ACA); ACA Subsidies and Tax Credits; Telehealth Flexibilities; Mental Health Care; Youth Mental Health; Site Neutral Payment Reform; Transparency in Coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA Exchanges; Rural Healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index Reward Factor; Employer-provided Health Coverage; Cyber Attack HR 485 (118th Congress), Protecting Health Care for All Patients Act of 2023, by Rep. Cathy McMorris Rodgers (R-WA). Prohibits all federal health care programs, including the Federal Employees Health Benefits Program, and federally funded state health care programs (e.g., Medicaid) from using prices that are based on quality-adjusted life years (i.e., measures that discount the value of a life based on disability) to determine relevant thresholds for coverage, reimbursements, or incentive programs. HR 2708 (118th Congress), Latonya Reeves Freedom Act of 2023, by Rep. Steve Cohen (D-TN). To prohibit discrimination against individuals with disabilities who need long-term services and supports. HR 2923 (118th Congress), Living Donor Protection Act of 2023, by Rep. Jerrold Nadler (D-NY). To promote and protect living organ donors from discrimination. HR 3226 (118th Congress), PREEMIE Reauthorization Act of 2023, by Rep. Anna Eshoo (D-CA). Reauthorizes through FY2028 and otherwise modifies research and education programs for preventing premature births. HR 3417 (118th Congress), FAIR Act, by Rep. Kevin Hern (R-OK). To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 3630 (116th Congress), No Surprises Act, by Rep. Frank Pallone (D-NJ). To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices. HR 3838 (118th Congress), Preventing Maternal Deaths Reauthorization Act of 2023, by Rep. Michael Burgess (R-TX). To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers. HR 4531 (118th Congress), Support for Patients and Communities Reauthorization Act, by Rep. Brett Guthrie (R-KY). To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment. HR 5378 (118th Congress), Lower Costs, More Transparency Act, by Rep. Cathy McMorris Rodgers (R-WA). To promote price transparency in the health care sector. HR 6412 (118th Congress), Down Syndrome Diagnosis Act, by Rep. Marcus Molinaro (R-NY). To amend title XXVII of the Public Health Service Act to provide certain informational resources related to Down syndrome. HR 7153 (118th Congress), Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, by Rep. Susan Wild (D-PA). To reauthorize the Dr. Lorna Breen Health Care Provider Protection Act, which established grants and required other activities to improve mental and behavioral health among health care providers. S 644 (118th Congress), Modernizing Opioid Treatment Access Act, by Sen. Ed Markey (D-MA). To expand the take-home prescribing of methadone through pharmacies. S 652 (118th Congress), Safe Step Act, by Sen. Lisa Murkowski (R-AK). To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol. S 1001 (118th Congress), Telehealth Expansion Act of 2023, by Sen. Steve Daines (R-MT). To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S 1451 (118th Congress), Healthy Competition for Better Care Act, by Sen. Mike Braun (R-IN). To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S 1606 (118th Congress), Black Maternal Health Momnibus Act, by Sen. Cory Booker (D-NJ). To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States. S 1869 (118th Congress), SITE Act, by Sen. Mike Braun (D-HI). To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs. S 2016 (118th Congress), CONNECT for Health Act of 2023, by Sen. Brian Schatz (D-HI). To amend title XVIII of the Social Security Act to expand access to telehealth services. S 3430 (118th Congress), Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023, by Sen. Ron Wyden (D-OR). To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid.
Client expense: $210,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2023 · fourth_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule, Youth Mental Health Access; Site Neutrality/Site neutral payment reform and Fair Hospital Billing; Transparency in coverage; Surprise Billing; Rural healthcare access; Prior Authorization; Provider Workforce Shortages; Telehealth payment parity requirements; Parity; Provider Directory Accuracy S.2556 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] S.3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] H.R.2708 - Latonya Reeves Freedom Act of 2023 To prohibit discrimination against individuals with disabilities who need long-term services and supports, and for other purposes. Sponsor: Rep. Cohen, Steve [D-TN-9] H.R.6412 - Down Syndrome Diagnosis Act To amend title XXVII of the Public Health Service Act to provide certain informational resources related to Down syndrome. Sponsor: Rep. Molinaro, Marcus J. [R-NY-19] S.644 - Modernizing Opioid Treatment Access Act To expand the take-home prescribing of methadone through pharmacies. Sponsor: Sen. Markey, Edward J. [D-MA] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] H.R.7702/S.754 - Ensuring Lasting Smiles Act Sponsor: Rep. Dunn, Neal P. [R-FL-2] - To provide health insurance benefits for outpatient and inpatient items and services related to the diagnosis and treatment of a craniofacial, oral, or maxillofacial congenital anomaly or birth defect. Sponsor: Sen. Baldwin, Tammy [D-WI] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 485 - Protecting Health Care for All Patients Act of 2023 To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs. Sponsor: Rep. Cathy McMorris Rodgers (R-WA-05) H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6]
Client expense: $1,800,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2023 · fourth_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule; Site Neutrality/Site Neutral Payment Reform and Fair Hospital Billing; Transparency in Coverage; Surprise Billing; Rural Healthcare Access; Prior Authorization; Provider Workforce; Provider Directory Accuracy. Prescription drugs; gene therapies; AI technology. S. 1869 - Site Act To amend Title XVIII of the Social Security Act and Title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such Title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3417 FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 5378 Lower Costs, More Transparency Act HR 3630 - No Surprises Act To amend Title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 5568 - the Care For Moms Act
Client expense: $750,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2023 · fourth_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2023 · fourth_quarter · Health Issues
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule, Youth Mental Health Access; Site Neutrality/Site neutral payment reform and Fair Hospital Billing; Transparency in coverage; Surprise Billing; Rural healthcare access; Prior Authorization; Provider Workforce Shortages;; Telehealth payment parity requirements; Parity; Provider Directory Accuracy S.2556 - Improving CARE for Youth Act To amend title XIX of the Social Security Act to ensure Medicaid coverage of mental health services and primary care services furnished on the same day. Sponsor: Sen. Carper, Thomas R. [D-DE] S.3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid, and for other purposes. Sponsor: Sen. Wyden, Ron [D-OR] H.R.3226 - PREEMIE Reauthorization Act of 2023 To reauthorize the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act. Sponsor: Rep. Eshoo, Anna G. [D-CA-16] H.R.2708 - Latonya Reeves Freedom Act of 2023 To prohibit discrimination against individuals with disabilities who need long-term services and supports, and for other purposes. Sponsor: Rep. Cohen, Steve [D-TN-9] S.644 - Modernizing Opioid Treatment Access Act To expand the take-home prescribing of methadone through pharmacies. Sponsor: Sen. Markey, Edward J. [D-MA] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4531 - Support for Patients and Communities Reauthorization Act To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment, and for other purposes. Sponsor: Rep. Guthrie, Brett [R-KY-2] S.652 - Safe Step Act To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol, and for other purposes. Sponsor: Sen. Murkowski, Lisa [R-AK] S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to pennanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 485 - Protecting Health Care for All Patients Act of 2023 To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs. Sponsor: Rep. Cathy McMorris Rodgers (R-WA-05) H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6]
Client expense: $269,075 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2023 · fourth_quarter · Health Issues
Affordable Care Act (ACA); ACA Subsidies; Telehealth; Mental Health; Mental Health Rule; Youth Mental Health Access; Site Neutrality/Site Neutral Payment Reform and Fair Hospital Billing; Transparency in Coverage; Surprise Billing; Rural Healthcare Access; Prior Authorization; Provider Workforce Shortages; Telehealth Payment Parity Requirements; Provider Directory Accuracy HR 485 (118th Congress), Protecting Health Care for All Patients Act of 2023, by Rep. Cathy McMorris Rodgers (R-WA). Prohibits all federal health care programs, including the Federal Employees Health Benefits Program, and federally funded state health care programs (e.g., Medicaid) from using prices that are based on quality-adjusted life years (i.e., measures that discount the value of a life based on disability) to determine relevant thresholds for coverage, reimbursements, or incentive programs. HR 3226 (118th Congress), PREEMIE Reauthorization Act of 2023, by Rep. Anna Eshoo (D-CA). Reauthorizes through FY2028 and otherwise modifies research and education programs for preventing premature births. HR 3417 (118th Congress), FAIR Act, by Rep. Kevin Hern (R-OK). To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 3630 (116th Congress), No Surprises Act, by Rep. Frank Pallone (D-NJ). To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices. HR 3838 (118th Congress), Preventing Maternal Deaths Reauthorization Act of 2023, by Rep. Michael Burgess (R-TX). To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers. HR 4531 (118th Congress), Support for Patients and Communities Reauthorization Act, by Rep. Brett Guthrie (R-KY). To reauthorize certain programs that provide for opioid use disorder prevention, recovery, and treatment. HR 5378 (118th Congress), Lower Costs, More Transparency Act, by Rep. Cathy McMorris Rodgers (R-WA). To promote price transparency in the health care sector. S 644 (118th Congress), Modernizing Opioid Treatment Access Act, by Sen. Ed Markey (D-MA). To expand the take-home prescribing of methadone through pharmacies. S 652 (118th Congress), Safe Step Act, by Sen. Lisa Murkowski (R-AK). To amend the Employee Retirement Income Security Act of 1974 to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol. S 1869 (118th Congress), SITE Act, by Sen. Mike Braun (D-HI). To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs. S 3430 (118th Congress), Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023, by Sen. Ron Wyden (D-OR). To amend titles XVIII and XIX of the Social Security Act to expand the mental health care workforce and services, reduce prescription drug costs, and extend certain expiring provisions under Medicare and Medicaid.
Client expense: $150,000 · 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), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2023 · third_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2023 · second_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2023 · second_quarter · Medicare/Medicaid
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2023 · second_quarter · Health Issues
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2023 · first_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2023 · first_quarter · Medicare/Medicaid
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2023 · first_quarter · Health Issues
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
H.R. 3630 No Surprises Act Pub. L. No 116-260 implementation, Data cost collection for ground ambulance; extending the ground ambulance add-ons and addressing rural ZIP code issues; S. 2037/H.R. 4938 Protecting Access to Ground Ambulance Medical Services Act of 2021; FY 2023 Labor-HHS appropriations; HR 3172/S 2981, the HELPER Act; FY 2023 Omnibus legislation
Client expense: Not reported · Firm income: $51,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT)
2022 · fourth_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
Issues regarding the need for additional funding for Medicare reimbursement for ground ambulance services and coverage for treatment without transport (no specific bills); No Surprises Act (H.R. 3630 in the 116th Congress) specifically related to the formation and scope of authority of the advisory committee for ground ambulance services; Issues related to the upcoming requirement for cost reporting by ground ambulance service (no specific bills; Issues related to workforce shortages for emergency medical service providers and the need to access funding sources to address training, hiring and retention to ensure access to services (no specific bills); Issues related to sequestration, ambulance inflation factor and productivity adjustment (no specific bills).
Client expense: $290,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2022 · fourth_quarter · Health Issues
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Medicare/Medicaid
H.R. 3630 No Surprises Act Pub. L. No 116-260 implementation, Data cost collection for ground ambulance; extending the ground ambulance add-ons and addressing rural ZIP code issues; S. 2037/H.R. 4938 Protecting Access to Ground Ambulance Medical Services Act of 2021; FY 2023 Labor-HHS appropriations; HR 3172/S 2981, the HELPER Act.
Client expense: Not reported · Firm income: $51,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT)
2022 · third_quarter · Medicare/Medicaid
Issues regarding the need for additional funding for Medicare reimbursement for ground ambulance services and coverage for treatment without transport (no specific bills); No Surprises Act (H.R. 3630 in the 116th Congress) specifically related to the formation and scope of authority of the advisory committee for ground ambulance services; Issues related to the upcoming requirement for cost reporting by ground ambulance service (no specific bills; Issues related to workforce shortages for emergency medical service providers and the need to access funding sources to address training, hiring and retention to ensure access to services (no specific bills); Issues related to sequestration, ambulance inflation factor and productivity adjustment (no specific bills).
Client expense: $260,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2022 · third_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Health Issues
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · second_quarter · Medicare/Medicaid
H.R. 3630 No Surprises Act Pub. L. No 116-260 implementation, Data cost collection for ground ambulance; extending the ground ambulance add-ons and addressing rural ZIP code issues; S. 2037/H.R. 4938 Protecting Access to Ground Ambulance Medical Services Act of 2021; FY 2023 Labor-HHS appropriations; HR 3172/S 2981, the HELPER Act.
Client expense: Not reported · Firm income: $51,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT)
2022 · second_quarter · Medicare/Medicaid
Issues regarding the need for additional funding for Medicare reimbursement for ground ambulance services and coverage for treatment without transport; No Surprises Act (H.R. 3630 in the 116th Congress) specifically related to the formation and scope of authority of the advisory committee for ground ambulance services; Issues related to the upcoming requirement for cost reporting by ground ambulance services; Issues related to workforce shortages for emergency medical service providers and the need to access funding sources to address training, hiring and retention to ensure access to services; Issues related to sequestration, ambulance inflation factor and productivity adjustment.
Client expense: $240,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · second_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act H.R. 3173, Improving Senior Timely Access to Care Act S. 3018, Improving Senior Timely Access to Care Act Issues related to prior authorization processes under Medicare Advantage Plans
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · second_quarter · Medicare/Medicaid
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · second_quarter · Health Issues
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · first_quarter · Medicare/Medicaid
Issues regarding the need for additional funding for Medicare reimbursement for ground ambulance services and coverage for treatment without transport; No Surprises Act (H.R. 3630 in the 116th Congress) specifically related to the formation and scope of authority of the advisory committee for ground ambulance services; Issues related to the upcoming requirement for cost reporting by ground ambulance services; Issues related to workforce shortages for emergency medical service providers and the need to access funding sources to address training, hiring and retention to ensure access to services.
Client expense: $260,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · first_quarter · Medicare/Medicaid
Issues related to the Recovery Audit Contractor Program H.R. 2328, "Reauthorizing and Extending America Community Health Act" Surprise Medical Bills H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" General Monitoring of the CARES Act
Client expense: Not reported · Firm income: $35,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · first_quarter · Medicare/Medicaid
H.R. 3630 No Surprises Act Pub. L. No 116-260 implementation, Data cost collection for ground ambulance; extending the ground ambulance add-ons and addressing rural ZIP code issues; S. 2037/H.R. 4938 Protecting Access to Ground Ambulance Medical Services Act of 2021; FY 2023 Labor-HHS appropriations; HR 3172/S 2981, the HELPER Act.
Client expense: Not reported · Firm income: $51,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Transportation, Dept of (DOT)
2022 · first_quarter · Education
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · first_quarter · Medicare/Medicaid
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · first_quarter · Health Issues
Issues related to Medicare reimbursement, workforce issues and implementation of H.R.3630 - No Surprises Act (Public Law 116-260).
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE