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Save Rural Communities Act of 2020
Legislative Progress
Introduced
February 7, 2020
Latest Action
February 7, 2020
Primary Sponsor
Jodey C. ArringtonRepublican(TX)
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
0pct
0d open
vs 9,062 other HR bills in the 116th — cohort avg 39d
Save Rural Communities Act of 2020 This bill establishes several requirements under Medicare regarding certified rural emergency access centers, including payment, certification, and participation requirements.
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Filing registrants (6)
2020 · fourth_quarter · Medicare/Medicaid
Referred to the Subcommittee on Health.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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
Bills with similar content found using semantic analysis.
Sources: Congress.gov
H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 - DelBene - prior authorization in Medicare Advantage H.R. 3925 - Reducing Barriers to Substance Use Treatment Act - Tonko - Opioids H.R. 3935 - Protecting Patients Transportation to Care Act - Carter - Medicaid coverage for transportation H.R. 4453 - Protecting Seniors from Health Care Fraud Act of 2019 - Ruiz -Distributing information to Medicare beneficiaries to prevent fraud H.R. 4529 - Promoting Access to Broadband Act of 2019 - Maloney - Medicaid H.R. 4583 - Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019 - Schneider - prescription drug affordability H.R. 4620 - More Help for Seniors Act of 2019 - Rose - expand eligibility for low-income subsidies under part D of the Medicare program H.R. 4621 - Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2019 - Blunt Rochester - best practices re social determinants of health H.R. 4629 - Star Rating for Biosimilars Act - Tonko - biosimilars H.R. 4632 - Better Transparency in Information for Medicare Beneficiaries Act of 2019 - Kind - provides consumers information regarding premiums under LIS benchmark plans H.R. 4671 - Helping Seniors Afford Health Care Act - Kim - Medicare affordability and low income beneficiaries H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2020 - Kelly - extend Medicaid coverage post-partum H.R. 5006 - Expanding Access to Inpatient Mental Health Act - Emmer - Medicaid coverage for SUD/mental health for institutionalized H.R. 5201 - Telemental Health Expansion Act of 2019 - Matsui - Medicare coverage of mental telehealth H.R. 5232 - Road to Recovery Act - Fitzpatrick - Medicaid and CHIP SUD treatment H.R. 5693 - Primary Health Services Enhancement Act - Kind - Medicare rural health H.R. 5808 - Save Rural Communities Act of 2020 - Arrington - rural emergency medical access services under Medicare H.R. 5833 - To amend title XVIII of the Social Security Act to permit the use of certain psychological evaluation via telehealth for Medicare coverage of neurostimulation services for the treatment of chronic pain - Latta - Medicare coverage in telehealth H.R. 5882 - GENE Therapy Payment Act - Schrader - value based care H.R. 6098 - To amend title XXI of the Social Security Act to allow States to expand income eligibility standards under the Children's Health Insurance Program -Barragan - CHIP eligibility H.R. 6151 - CARING for Kids Act - Fineknauer - CHIP H.R. 6179 - Increasing Access to Biosimilars Act of 2020 - Cardenas - payments to providers of biosimilars under Medicare H.R. 6209 - Reducing Unnecessary Senior Hospitalizations Act of 2020 or the RUSH Act of 2020 -Kuster - Medicare coverage for certain services in hospital emergency departments H.R. 6244 - To amend titles XVIII and XIX to provide for coverage at no cost sharing of COVID-19 testing under the Medicaid program and Children's Health Insurance Program - Kelly - Medicaid coverage of COVID-19 related visits and testing H.R. 6263 - To amend title XVIII of the Social Security Act to waive cost sharing under the Medicare program for certain visits relating to testing for COVID-19 -Sarbanes - Medicare coverage of COVID-19 related visits and testing H.R. 6273 - Protecting Vulnerable Americans in Times of Crisis Act of 2020 - Butterfield - FMAP H.R. 6311 - Care for COVID-19 Act - Ruiz - COVID-19 cost sharing H.R. 6336 - Increasing Hospital Capacity to Fight the Coronavirus Act of 2020 - Bishop - Medicare and Medicaid payments during COVID-19 emergency H.R. 6462 - Emergency Medicaid for Coronavirus Treatment Act - Gallego - Medicaid coverage H.R. 6511 - Ensuring Vaccination and Treatment Affordability Act - Pappas - COVID H.R. 6521 - To prohibit the Secretary of Health and Human Services from taking certain actions with respect to Medicaid supplemental payments reporting requirements, and for other purposes - Diaz Barragan - Medicaid, delays implementation of MFAR H.R. 6538 - Modernized Medicine Act - Kennedy - Medicaid, Telehealth H.R. 6539 - Coronavirus Medicaid Response Act - Lee - FMAP H.R. 6572 - To direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, to carry out a national campaign to increase awareness and knowledge of COVID-19. -Bilirakis - COVID H.R. 6583 - To amend title XVIII of the Social Security Act to establish a risk corridor program for Medicare Advantage plans during the COVID-19 emergency, and for other purposes. - Houlahan - COVID H.R. 6616 - Stronger Medicaid Response to the COVID-19 Pandemic Act -Cardenas - COVID H.R. 6640 - Medicare Advantage COVID Treatment Act - Mucarsel-Powell - COVID H.R. 6658 - Insular Area Medicaid Coronavirus Recovery Act - Sablan - FMAP H.R. 6727 - To hold Medicare beneficiaries harmless for specified COVID-19 treatment services furnished under part A or part B of the Medicare program - Schrier - COVID H.R. 6744 - Computer and Internet Equity Act - Davis - internet access for Lifeline program H.R. 6753 - Save Rural Hospitals Act of 2020 - Finkenauer - Medicare hospital payments H.R. 6792 - Improving Telehealth for Underserved Communities Act of 2020 - Smith - telehealth H.R. 6797 - CHIPPER Act - Wild - CHIP, COVID H.R. 6837 - Medicare Accelerated and Advance Payments Improvement Act of 2020 -Schneider - COVID H.R. 7154 - Outpatient Therapy Modernization and Stabilization Act -Boyle - outpatient therapy services H.R. 7187 - HEALTH Act of 2020 -Thompson -Smith - telehealth H.R. 7292 - To amend title XVIII of the Social Security Act to provide for forgiveness of certain accelerated and advance payments under parts A and B of the Medicare program. - Kaptur - advance payments H.R. 7338 - To amend title XVIII of the Social Security Act to permit the Secretary of Health and Human Services to waive requirements relating to the furnishing of telehealth services under the Medicare program, and for other purposes. - Cheney - Telehealth H.R. 7391 - To amend title XVIII of the Social Security Act to remove certain geographic and originating site restrictions on the furnishing of telehealth services under the Medicare program - Sherrill- Telehealth H.R. 7606 - MFAR Transparency Act - Williams - report on impact of MFAR to Congress H.R. 7627 - MORE Savings Act - Dean - Medicare access to opioid treatment and MAT H.R. 7663 - Protecting Access to Post-COVID-19 Telehealth Act of 2020 - Thompson - waive or modify application of Medicare requirements with respect to telehealth during PHE H.R. 7791 - Value in Health Care Act of 2020 - Welch - Medicare shared savings program and alternative payment arrangements H.R. 7877 - Lowering Drug Costs for Seniors Act of 2020 - Katko - Medicare Part D costs H.R. 7892 - Medicaid Expansion During Crisis Act - Coleman - extend eligibility period for Medicaid enrollment application H.R. 8177 - Renal Anemia Innovation Support and Expansion Act - OHalleran - Medicare prescription drug coverage for chronic kidney disease H.R. 8218 - Rural Ambulance Reimbursement Fairness Act - Gianforte - Medicare payment for rural ambulance services H.R. 8254 - Bringing Enhanced Treatments and Therapies to ESRD Recipients Kidney Care Act - Blumenauer - integrated care for Medicare beneficiaries with ESRD H.R. 8427 - To provide for certain reports on enrollment in the Lifeline program, and for other purposes - Luria - Lifeline program H.R. 8476 - TIKES Act -Blunt Rochester - telehealth coverage in Medicaid H.R. 8505 - To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule - Burgess - Medicare physician fee schedule H.R. 8525 - Expanded Genetic Screening Act of 2020 - Speier - Medicaid coverage of non-invasive prenatal genetic screening H.R. 8529 - Protecting Access to Affordable Medicines Act of 2020 - Butterfield - rebates under the Medicaid program for certain noninnovator multiple source drugs H.R. 8546 - Fair Drug Prices for Kids Act -Wild - Medicaid drug rebate program in CHIP H.R. 8558 - Comprehensive Breast Reconstruction Act of 2020 - Hastings - extends coverage of certain breast reconstructive services following mastectomy under the Medicare and Medicaid programs H.R. 8561 - Restoring Fairness to Medicaid Reimbursement Act of 2020 - Johnson - FMAP H.R. 8574 - PROTECT Long Term Care Facilities Act -Sherrill - long term care in COVID-19 H.R. 8586 - Medicaid Coverage for Addiction Recovery Expansion Act -Foster - Substance Use Disorder H.R. 8623 - SAVE for Seniors Act - Spanberger - Medicare coverage of COVID-19 vaccines H.R. 8624 - Protecting Access to Innovation During COVID-19 Act - Wenstrup - extension of pass-through status under the Medicare program H.R. 8702 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 -Bera - part B Medicare payments during COVID H.R. 8725 - HAPI Act - Soto - Medicaid Coverage of adult vaccines H.R. 8727 - Telehealth Modernization Act - Carter - Medicare telehealth payments H.R. 8755 - Expanded Telehealth Access Act -Sherrill - Medicare telehealth coverage H.R. 8756 - COVID Health Care Provider Assurance Act of 2020 - Riggleman - Medicare Part B payments during COVID-19 H.R. 8826 - The Resetting the Impact Act (TRIA) of 2020 - Sewell - amends the IMPACT Act of 2014 H.R. 8840 - Medicare Sequester COVID Moratorium Act - Schneider - extend temporary Medicare sequestration H.R. 8871 - COVID HCBS Relief Act of 2020 - Dingell - funding for state Medicaid programs HCBS H.R. 8934 - Community Integration Act of 2020 - Cartwright - Medicaid HCBS H.R. 8958 - Supporting Best Practices for Healthy Moms Act - Kelly - guidance for state Medicaid programs on maternal health H.R. 9002 - To amend title XIX of the Social Security Act to provide States an option to cover a children's program of all-inclusive coordinated care (ChiPACC) under Medicaid program - DeGette - Childrens health under Medicaid H.R. 9006 - To amend title XIX of the Social Security Act to provide for coverage under the Medicaid program under such title of routine patient costs associated with participation in certain clinical trials - Garcia - Medicaid coverage of clinical trials H.R. 9035 - Permanency for Audio-Only Telehealth Act - Smith - Audio only telehealth in Medicare S. 2846 - Protecting Patients Transportation to Care Act - Isakson - Medicaid coverage of transportation S. 2911 - Seniors Prescription Drug Relief Act of 2019 - Cassidy - Part D smoothing S. 3013 - Encouraging Innovative Benefit Design to Lower Costs for Seniors Act - Crapo - offer additional prescription drugs under Part D S. 3220 - Ensuring Access to Direct Support Professionals Act - Portman - Medicaid coverage in acute care hospitals S. 3238 - Preventive Home Visit Act - King - preventative home visits S. 3277 - HCBS Infrastructure Improvement Act - Casey - access to community based services S. 3353 - Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2020 - Cassidy - Medicare coverage of kidney transplant services S. 3384 - Lowering Prescription Drug Prices for America's Seniors and Families Act of 2020 - McSally - Medicare Part D drug pricing negotiation S. 3399 - FCHIP Extension Act - Tester - rural health S. 3442 - Care for COVID-19 Act - Booker - COVID-19 cost sharing S. 3443 - Improving Coverage and Care for Mothers Act - Casey - Medicaid coverage for all pregnant and postpartum women S. 3447 - RUSH Act of 2020 - Thune - Medicare coverage for certain services in hospital emergency departments S. 3466 - ACCESS for Biosimilars Act of 2020 - McSally - eliminates cost sharing for biosimilar biological products furnished under part B of the Medicare program S. 3615 - Rural Community Hospital Demonstration Extension Act of 2020 - Murkowski - rural community hospital demonstration program S. 3665 - Save Rural Hospitals Act of 2020 - Alexander - Medicare hospital payments S. 3750 - Medicare Accelerated and Advance Payments Improvement Act of 2020 - Shaheen - COVID S. 3881 - CHIPPER Act - Casey - CHIP, COVID S. 3998 - HEALTH Act of 2020 - Hyde-Smith - telehealth S. 3999 - Mental and Behavioral Health Connectivity Act - King - Mental Health S. 4108 - A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns - Casey - FMAP S. 4151 - SOS: Sustaining Outpatient Services Act - Hoeven - Medicare OPPS coverage S. 4230 - Telehealth Expansion Act of 2020 - Wyden - Telehealth mental health services in Medicare S. 4274 - Legalizing Drug Discounts for Seniors Act of 2020 - Paul - exclude discounts for covered part D drugs from the anti-kickback prohibition S. 4295 - Public Health Emergency Pass-Through Payment Fairness Act of 2020 - Paul - access to drugs and devices under Medicare S. 4358 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Bennet - Medicaid coverage for vaccines and treatment for COVID-19 for uninsured without cost-sharing S. 4375 - Telehealth Modernization Act - Alexander - make permanent Medicare telehealth flexibilities S. 4423 - COVID-19 Hospice Respite Care Relief Act of 2020 - Brown - Medicare hospice care S. 4448- Fair Drug Prices for Kids Act - Warner - extend Medicaid drug rebate program to CHIP S. 4574 - Bringing Enhanced Treatments and Therapies to ESRD Recipients Kidney Care Act - Young - integrated care for Medicare beneficiaries with ESRD S. 4690 - Maternal Immunization Enhancement Act - Hassan - Medicaid and maternal health S. 4705 - Maternal Immunization Coverage Act - Cassidy - Medicaid coverage S. 4717 - Accelerating Kids Access to Care Act - Grassley - Medicaid enrollment S. 4742 - CLINICAL TREATMENT Act - Burr - Medicaid coverage S. 4825 - Ensuring Access to COVID-19 Vaccines for Seniors Act - Reed - Medicare coverage of COVID-19 vaccines S. 4840 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2020 -Roberts - audio-only risk adjustment in Medicare Advantage S. 4859 - Connected MOM Act - Cassidy - expanded coverage of remote physiologic devices and related services under Medicaid S. 4864 - HAPI Act - Brown - Medicaid coverage of adult vaccines S. 4944 - Equality in Medicare and Medicaid Treatment Act of 2020 - Booker - CMMI models for SDOH in Medicare/Medicaid S. 4949 - Supporting Best Practices for Healthy Moms Act - Toomey - guidance for state Medicaid programs on maternal health S. 4957 - COVID HCBS Relief Act of 2020 - Casey - funding for state Medicaid programs HCBS S. 5007 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 - Boozman - increase in Medicare part B payment S. 5044 - Bill to amend title XVIII of the SSA to establish requirement with respect to the use of prior authorization under the Medicare Advantage plans - Brown - Prior authorization S. 5077 - A bill to amend title XIX of the Social Security Act to adjust the limitations on Medicaid disproportionate share hospital payments - Cornyn - Medicaid DSH payments Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2021 policy and technical regulation for MA and Part D; MA and Part D proposed rule on drug pricing changes for 2020; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in and public option; CMSs price transparency proposal for direct-to-consumer advertisements; issues relating to 2022 Rate Notice; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; issues related to health insurance tax for MA and Part D plans; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's health plan models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; issues relating to prescription drug price blueprint; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.
Client expense: $2,400,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Council of Economic Advisers (CEA), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE, Treasury, Dept of, White House Office
2020 · fourth_quarter · Health Issues
Public health funding Funding for hospitals for COVID-19 related costs Vaccine affordability COVID-19 testing and tracing Funding for school safety related to COVID-19 State and local funding related to COVID-19 Behavioral health Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing SNAP and nutrition services Prescription Drug Pricing H.R. 3436 - Chronic Care Management Act H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 S. 2871 - Indian Health Service Health Professions Tax Fairness Act of 2019 S. 286 and H.R. 945 - Mental Health Access Improvement Act of 2019 S. 1895, The Lower Health Care Costs Act of 2019 S. 2074 and H.R. 2482 - Mainstreaming Addiction Treatment Act S. 2648 - Rural ACO Improvement Act H.R. 5212 - Accountable Care in Rural America Act S. 2157 and H.R. 6962 - Rural Hospital Sustainability Act S. 2373 and H.R. 4232 - Rural MOMS Act H.R. 6496 - The Insular Area Medicaid Parity Act S. 4740 - Public Health Infrastructure Saves Lives Act S. 4666 - National Coronavirus Commission Act of 2020 HR. 1865
Client expense: $580,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Public health funding Funding for hospitals for COVID-19 related costs Vaccine affordability COVID-19 testing and tracing Funding for school safety related to COVID-19 State and local funding related to COVID-19 Behavioral health Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing SNAP and nutrition services Prescription Drug Pricing H.R. 3436 - Chronic Care Management Act H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 S. 2871 - Indian Health Service Health Professions Tax Fairness Act of 2019 S. 286 and H.R. 945 - Mental Health Access Improvement Act of 2019 S. 1895, The Lower Health Care Costs Act of 2019 S. 2074 and H.R. 2482 - Mainstreaming Addiction Treatment Act S. 2648 - Rural ACO Improvement Act H.R. 5212 - Accountable Care in Rural America Act S. 2157 and H.R. 6962 - Rural Hospital Sustainability Act S. 2373 and H.R. 4232 - Rural MOMS Act H.R. 6496 - The Insular Area Medicaid Parity Act S. 4740 - Public Health Infrastructure Saves Lives Act S. 4666 - National Coronavirus Commission Act of 2020 HR. 1865
Client expense: $580,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Medicare/Medicaid
H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 - DelBene - prior authorization in Medicare Advantage H.R. 3925 - Reducing Barriers to Substance Use Treatment Act - Tonko - Opioids H.R. 3935 - Protecting Patients Transportation to Care Act - Carter - Medicaid coverage for transportation H.R. 4453 - Protecting Seniors from Health Care Fraud Act of 2019 - Ruiz -Distributing information to Medicare beneficiaries to prevent fraud H.R. 4529 - Promoting Access to Broadband Act of 2019 - Maloney - Medicaid H.R. 4583 - Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019 - Schneider - prescription drug affordability H.R. 4620 - More Help for Seniors Act of 2019 - Rose - expand eligibility for low-income subsidies under part D of the Medicare program H.R. 4621 - Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2019 - Blunt Rochester - best practices re social determinants of health H.R. 4629 - Star Rating for Biosimilars Act - Tonko - biosimilars H.R. 4632 - Better Transparency in Information for Medicare Beneficiaries Act of 2019 - Kind - provides consumers information regarding premiums under LIS benchmark plans H.R. 4671 - Helping Seniors Afford Health Care Act - Kim - Medicare affordability and low income beneficiaries H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2020 - Kelly - extend Medicaid coverage post-partum H.R. 5006 - Expanding Access to Inpatient Mental Health Act - Emmer - Medicaid coverage for SUD/mental health for institutionalized H.R. 5201 - Telemental Health Expansion Act of 2019 - Matsui - Medicare coverage of mental telehealth H.R. 5232 - Road to Recovery Act - Fitzpatrick - Medicaid and CHIP SUD treatment H.R. 5693 - Primary Health Services Enhancement Act - Kind - Medicare rural health H.R. 5808 - Save Rural Communities Act of 2020 - Arrington - rural emergency medical access services under Medicare H.R. 5833 - To amend title XVIII of the Social Security Act to permit the use of certain psychological evaluation via telehealth for Medicare coverage of neurostimulation services for the treatment of chronic pain - Latta - Medicare coverage in telehealth H.R. 5882 - GENE Therapy Payment Act - Schrader - value based care H.R. 6098 - To amend title XXI of the Social Security Act to allow States to expand income eligibility standards under the Children's Health Insurance Program -Barragan - CHIP eligibility H.R. 6151 - CARING for Kids Act - Fineknauer - CHIP H.R. 6179 - Increasing Access to Biosimilars Act of 2020 - Cardenas - payments to providers of biosimilars under Medicare H.R. 6209 - Reducing Unnecessary Senior Hospitalizations Act of 2020 or the RUSH Act of 2020 -Kuster - Medicare coverage for certain services in hospital emergency departments H.R. 6244 - To amend titles XVIII and XIX to provide for coverage at no cost sharing of COVID-19 testing under the Medicaid program and Children's Health Insurance Program - Kelly - Medicaid coverage of COVID-19 related visits and testing H.R. 6263 - To amend title XVIII of the Social Security Act to waive cost sharing under the Medicare program for certain visits relating to testing for COVID-19 -Sarbanes - Medicare coverage of COVID-19 related visits and testing H.R. 6273 - Protecting Vulnerable Americans in Times of Crisis Act of 2020 - Butterfield - FMAP H.R. 6311 - Care for COVID-19 Act - Ruiz - COVID-19 cost sharing H.R. 6336 - Increasing Hospital Capacity to Fight the Coronavirus Act of 2020 - Bishop - Medicare and Medicaid payments during COVID-19 emergency H.R. 6462 - Emergency Medicaid for Coronavirus Treatment Act - Gallego - Medicaid coverage H.R. 6511 - Ensuring Vaccination and Treatment Affordability Act - Pappas - COVID H.R. 6521 - To prohibit the Secretary of Health and Human Services from taking certain actions with respect to Medicaid supplemental payments reporting requirements, and for other purposes - Diaz Barragan - Medicaid, delays implementation of MFAR H.R. 6538 - Modernized Medicine Act - Kennedy - Medicaid, Telehealth H.R. 6539 - Coronavirus Medicaid Response Act - Lee - FMAP H.R. 6572 - To direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, to carry out a national campaign to increase awareness and knowledge of COVID-19. -Bilirakis - COVID H.R. 6583 - To amend title XVIII of the Social Security Act to establish a risk corridor program for Medicare Advantage plans during the COVID-19 emergency, and for other purposes. - Houlahan - COVID H.R. 6616 - Stronger Medicaid Response to the COVID-19 Pandemic Act -Cardenas - COVID H.R. 6640 - Medicare Advantage COVID Treatment Act - Mucarsel-Powell - COVID H.R. 6658 - Insular Area Medicaid Coronavirus Recovery Act - Sablan - FMAP H.R. 6727 - To hold Medicare beneficiaries harmless for specified COVID-19 treatment services furnished under part A or part B of the Medicare program - Schrier - COVID H.R. 6744 - Computer and Internet Equity Act - Davis - internet access for Lifeline program H.R. 6753 - Save Rural Hospitals Act of 2020 - Finkenauer - Medicare hospital payments H.R. 6792 - Improving Telehealth for Underserved Communities Act of 2020 - Smith - telehealth H.R. 6797 - CHIPPER Act - Wild - CHIP, COVID H.R. 6837 - Medicare Accelerated and Advance Payments Improvement Act of 2020 -Schneider - COVID H.R. 7154 - Outpatient Therapy Modernization and Stabilization Act -Boyle - outpatient therapy services H.R. 7187 - HEALTH Act of 2020 -Thompson -Smith - telehealth H.R. 7292 - To amend title XVIII of the Social Security Act to provide for forgiveness of certain accelerated and advance payments under parts A and B of the Medicare program. - Kaptur - advance payments H.R. 7338 - To amend title XVIII of the Social Security Act to permit the Secretary of Health and Human Services to waive requirements relating to the furnishing of telehealth services under the Medicare program, and for other purposes. - Cheney - Telehealth H.R. 7391 - To amend title XVIII of the Social Security Act to remove certain geographic and originating site restrictions on the furnishing of telehealth services under the Medicare program - Sherrill- Telehealth H.R. 7606 - MFAR Transparency Act - Williams - report on impact of MFAR to Congress H.R. 7627 - MORE Savings Act - Dean - Medicare access to opioid treatment and MAT H.R. 7663 - Protecting Access to Post-COVID-19 Telehealth Act of 2020 - Thompson - waive or modify application of Medicare requirements with respect to telehealth during PHE H.R. 7791 - Value in Health Care Act of 2020 - Welch - Medicare shared savings program and alternative payment arrangements H.R. 7877 - Lowering Drug Costs for Seniors Act of 2020 - Katko - Medicare Part D costs H.R. 7892 - Medicaid Expansion During Crisis Act - Coleman - extend eligibility period for Medicaid enrollment application H.R. 8177 - Renal Anemia Innovation Support and Expansion Act - OHalleran - Medicare prescription drug coverage for chronic kidney disease H.R. 8218 - Rural Ambulance Reimbursement Fairness Act - Gianforte - Medicare payment for rural ambulance services H.R. 8254 - Bringing Enhanced Treatments and Therapies to ESRD Recipients Kidney Care Act - Blumenauer - integrated care for Medicare beneficiaries with ESRD H.R. 8427 - To provide for certain reports on enrollment in the Lifeline program, and for other purposes - Luria - Lifeline program S. 2846 - Protecting Patients Transportation to Care Act - Isakson - Medicaid coverage of transportation S. 2911 - Seniors Prescription Drug Relief Act of 2019 - Cassidy - Part D smoothing S. 3013 - Encouraging Innovative Benefit Design to Lower Costs for Seniors Act - Crapo - offer additional prescription drugs under Part D S. 3220 - Ensuring Access to Direct Support Professionals Act - Portman - Medicaid coverage in acute care hospitals S. 3238 - Preventive Home Visit Act - King - preventative home visits S. 3277 - HCBS Infrastructure Improvement Act - Casey - access to community based services S. 3353 - Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2020 - Cassidy - Medicare coverage of kidney transplant services S. 3384 - Lowering Prescription Drug Prices for America's Seniors and Families Act of 2020 - McSally - Medicare Part D drug pricing negotiation S. 3399 - FCHIP Extension Act - Tester - rural health S. 3442 - Care for COVID-19 Act - Booker - COVID-19 cost sharing S. 3443 - Improving Coverage and Care for Mothers Act - Casey - Medicaid coverage for all pregnant and postpartum women S. 3447 - RUSH Act of 2020 - Thune - Medicare coverage for certain services in hospital emergency departments S. 3466 - ACCESS for Biosimilars Act of 2020 - McSally - eliminates cost sharing for biosimilar biological products furnished under part B of the Medicare program S. 3615 - Rural Community Hospital Demonstration Extension Act of 2020 - Murkowski - rural community hospital demonstration program S. 3665 - Save Rural Hospitals Act of 2020 - Alexander - Medicare hospital payments S. 3750 - Medicare Accelerated and Advance Payments Improvement Act of 2020 - Shaheen - COVID S. 3881 - CHIPPER Act - Casey - CHIP, COVID S. 3998 - HEALTH Act of 2020 - Hyde-Smith - telehealth S. 3999 - Mental and Behavioral Health Connectivity Act - King - Mental Health S. 4108 - A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns - Casey - FMAP S. 4151 - SOS: Sustaining Outpatient Services Act - Hoeven - Medicare OPPS coverage S. 4230 - Telehealth Expansion Act of 2020 - Wyden - Telehealth mental health services in Medicare S. 4274 - Legalizing Drug Discounts for Seniors Act of 2020 - Paul - exclude discounts for covered part D drugs from the anti-kickback prohibition S. 4295 - Public Health Emergency Pass-Through Payment Fairness Act of 2020 - Paul - access to drugs and devices under Medicare S. 4358 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Bennet - Medicaid coverage for vaccines and treatment for COVID-19 for uninsured without cost-sharing S. 4375 - Telehealth Modernization Act - Alexander - make permanent Medicare telehealth flexibilities S. 4423 - COVID-19 Hospice Respite Care Relief Act of 2020 - Brown - Medicare hospice care S. 4448 - Fair Drug Prices for Kids Act - Warner - extend Medicaid drug rebate program to CHIP S. 4574 - Bringing Enhanced Treatments and Therapies to ESRD Recipients Kidney Care Act - Young - integrated care for Medicare beneficiaries with ESRD S. 4690 - A bill to increase vaccination rates among pregnant women enrolled in Medicaid or CHIP, and for other purposes - Hassan - Medicaid and maternal health S. 4705 - A bill to amend title XIX requiring coverage under Medicaid of vaccines for pregnant women - Cassidy - Medicaid coverage S. 4717 - A bill to amend title XIX of the Social Security Act to streamline enrollment of certain Medicaid providers across State lines, and for other purposes - Grassley - Medicaid enrollment S. 4742 - A bill to amend title XIX of the Social Security Act to promote access to life-saving therapies for Medicaid enrollees by ensuring coverage of routine patient costs for items and services furnished in connection with participation in qualifying clinical trials, and for other purposes - Burr - Medicaid coverage Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2021 policy and technical regulation for MA and Part D; MA and Part D proposed rule on drug pricing changes for 2020; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in and public option; CMSs price transparency proposal for direct-to-consumer advertisements; issues relating to 2022 Rate Notice; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to proposed changes to removal of safe harbor protection for rebates (proposed rule); issues relating to COVID-19, including testing; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; issues relating to prescription drug price blueprint; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.
Client expense: $2,230,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
2020 · third_quarter · Health Issues
Public health funding Funding for hospitals for COVID-19 related costs Vaccine affordability Behavioral health Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing SNAP and nutrition services Prescription Drug Pricing H.R. 3436 - Chronic Care Management Act H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 S. 2871 - Indian Health Service Health Professions Tax Fairness Act of 2019 S. 286 and H.R. 945 - Mental Health Access Improvement Act of 2019 S. 1895, The Lower Health Care Costs Act of 2019 S. 2074 and H.R. 2482 - Mainstreaming Addiction Treatment Act S. 2648 - Rural ACO Improvement Act H.R. 5212 - Accountable Care in Rural America Act S. 2157 and H.R. 6962 - Rural Hospital Sustainability Act S. 2373 and H.R. 4232 - Rural MOMS Act H.R. 6496 - The Insular Area Medicaid Parity Act S. 4740 - Public Health Infrastructure Saves Lives Act S. 4666 - National Coronavirus Commission Act of 2020
Client expense: $510,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Health Issues
Public health funding Funding for hospitals for COVID-19 related costs Vaccine affordability Behavioral health Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing S. 1895, The Lower Health Care Costs Act of 2019 SNAP and nutrition services Prescription Drug Pricing H.R. 3436 - Chronic Care Management Act H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 S. 2871 - Indian Health Service Health Professions Tax Fairness Act of 2019 S. 2074 and H.R. 2482 - Mainstreaming Addiction Treatment Act S. 286 and H.R. 945 - Mental Health Access Improvement Act of 2019 S. 2648 - Rural ACO Improvement Act H.R. 5212 - Accountable Care in Rural America Act S. 2157 and H.R. 6962 - Rural Hospital Sustainability Act S. 2373 and H.R. 4232 - Rural MOMS Act
Client expense: $510,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Health Issues
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Care Reform; Rural Healthcare; Risk Adjustment; CSRs; Opioids; Marketplace Stability; Individual Market Reform; Association Health Plans (AHPs); Value-Based Reimbursement; Health Care Costs; Mental Health; Reinsurance; Transparency; Silverloading; Interoperability; Health IT; Surprise Billing; Small Business; Prior Authorization; Provider Directories; Health Reimbursement Arrangements (HRAs); Education and Enrollment; Consumer-facing app disclosures; Negotiated Rate Disclosure; Medicare for All; Medicare Buy-In, Social determinants of health, Community Health, Cybersecurity, NBPP(Notice Benefit and Payment Parameters);Provider directories; Maternal Health; Senior's health care; COVID-19 Response/Relief Packages; Healthcare access/privacy; Risk Corridors; COBRA; Telehealth; SEPs; CDC Guidance Testing; Safe Harbor; Prior Authorizations; COVID-19 Test Without Cost-Sharing. H.R. 1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7](Introduced 2/27/19) S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN](Introduced 6/19/2019) H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr [D-NJ-6](Introduced 07/09/2019) H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S.,Jr. [D-VA-8](Introduced 06/24/2019) S. 2546 - 116th Congress (2019-2020) Safe Step Act Sponsor: Sen. Lisa Murkowshi (R-Ark) H.R.5826 - 116th Congress (2019-2020) Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Neal, Richard [D-MA-1] (Introduced 02/10/2020) S.3548 - 116th Congress (2019-2020) Coronavirus Aid, Relief, and Economic Security Act Sponsor: Sen. McConnell, Mitch [R-KY](Introduced 03/19/2020) H.R.5754 - 116th Congress (2019-2020) Rural ER Access Act Sponsor: Rep. Green, Mark [R-TN-7](Introduced 02/04/2020) H.R. 5763 - 116th Congress - Second Session National Telehealth Strategy and Data Advancement Act Sponsor: Rep. Greg Gianforte (R-MT At-Large) H.R.5800 - 116th Congress (2019-2020) Ban Surprise Billing Act Sponsor: Rep. Scott, Robert [D-VA-3](Introduced 02/07/2020) H.R.5916 - 116th Congress (2019-2020) Transparent Health Care PRicing Act of 2020 Sponsor: Rep. Mike Gallagher (R-WI-08) Public Law 116-127 (H.R.6201) - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6336 - 116th congress - Second Session To amend title XI of the Social Security Act to provide for a waiver of payment reductions under the Medicare and Medicaid programs for certain nonapproved capital expenditures undertaken by health care facilities during the COVID-19 emergency. Sponsor: Rep. Dan Bishop (R-NC_09) H.R. 6311 - 116th Congress - Second Session Care for COVID-19 Act Sponsor: Rep. Raul Ruiz (D-CA-36) H.R. 6299 - 116th COngress - Second Session Rapid COverage of COVID-19 Vaccine Act of 2020 H.R. 5816 - 116th Congress - Second Session Continuing Care for Patients Act of 2020 Sponsor: Rep. Gwen Moore (D-WI-04) H.R. 5826 - 116th Congress Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal (D-MA-01) H.R. 5924 - 116th Congress Second Session To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. Sponsor: Rep. David McKinley (R-WV-01) H.R. 6004 - 116th Congress - Second Session Transparency and Accountability in Health Care Costs and Prices Act of 2020 Sponsor: Rep. Dan Lipinski (D-IL-03) H.R. 6173 - 116th Congress - Second Session Covering Coronavirus Test Act of 2020 Sponsor: Rep. Diana DeGette (D-CO-01) H.R. 6213 - 116th Congress - Second Session No Cost for COVID-19 Testing Act Sponsor: Rep. Frederica Wilson (D-FL-24) H.R. 6222 - 116th Congress - Second Session Ensuring Affordable COVID-19 Preventative Care Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6232 - 116th Congress - Second Session To require the SEcretary of Health and Human Services, through the National Desaster Medicdal System, to provide for certain laboratory reimbursement for diagnostic testing for COVID-19 in uninsured individuals. Sponsor: Rep Tony Cardenas (D-CA-29) H.R. 6231 - 116th Congress - Second Session Ensuring Access to COVID-19 Preventative Care Act of 2020 Sponsor: Rep. Larry Bucshon (R-IN-08) H.R. 6263 - 116th Congress - Second Session To amend title XVIII of the Social Security Acto to waive cost sharing under the Medicare program for certain visits relating to testing for COVID-19. Sponsor: Rep. John Sarbanes (D-MD-03) H.R. 6810 - 116th Congress - Second Session Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) Public Law 116-123 (H.R. 6074) - 116th Congress - Second Session Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6800 - 116th Congress - Second Session HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6338 - 116th Congress - Second Session Pandemic Healthcare Access Act Sponsor: Rep. Ted Budd (R-NC-13) H.R. 5808 - 116th Congress - Second Session Save Rural Communities Act of 2020 Sponsor: Rep. Jodey Arrington (R-TX-19) H.R. 7391 - 116th Congress - Second Session To amend title XVIII of the Social Security Act to remove certain geographic and originating site restrictions on the furnishing of telehealth services under the Medicare program. H.R. 5763 - 116th Congress - Second Session National Telehealth Strategy and Data Advancement Act Sponsor: Greg Gianforte (R-MT At-Large) H.R. 6792 - 116th Congress - Second Session Improving Telehealth for Underserved Communities Act of 2020 Sponsor: Rep. Adrian Smith (R-NE-03) H.R. 6918 - 116th Congress - Second Session Paycheck Recovery Act of 2020 Sponsor: Rep. Pramila Jayapal (D-WA-07) Public Law - 116-136 (H.R.748) - 116th Congress - First Session Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 3107 - 116th Congress Improving Senior's Timely Access to Care Act of 2019 Sponsor: Rep. Suzan DelBene (D-WA), Rep. Mike Kelly (R-PA), Rep. Roger Marshal (R-KS0 and Ami Bera (D-CA)
2020 · second_quarter · Medicare/Medicaid
H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 - DelBene - prior authorization in Medicare Advantage H.R. 3925 - Reducing Barriers to Substance Use Treatment Act - Tonko - Opioids H.R. 3935 - Protecting Patients Transportation to Care Act - Carter - Medicaid coverage for transportation H.R. 4453 - Protecting Seniors from Health Care Fraud Act of 2019 - Ruiz -Distributing information to Medicare beneficiaries to prevent fraud H.R. 4529 - Promoting Access to Broadband Act of 2019 - Maloney - Medicaid H.R. 4583 - Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019 - Schneider - prescription drug affordability H.R. 4620 - More Help for Seniors Act of 2019 - Rose - expand eligibility for low-income subsidies under part D of the Medicare program H.R. 4621 - Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2019 - Blunt Rochester - best practices re social determinants of health H.R. 4629 - Star Rating for Biosimilars Act - Tonko - biosimilars H.R. 4632 - Better Transparency in Information for Medicare Beneficiaries Act of 2019 - Kind - provides consumers information regarding premiums under LIS benchmark plans H.R. 4671 - Helping Seniors Afford Health Care Act - Kim - Medicare affordability and low income beneficiaries H.R. 5006 - Expanding Access to Inpatient Mental Health Act - Emmer - Medicaid coverage for SUD/mental health for institutionalized H.R. 5201 - Telemental Health Expansion Act of 2019 - Matsui - Medicare coverage of mental telehealth H.R. 5232 - Road to Recovery Act - Fitzpatrick - Medicaid and CHIP SUD treatment H.R. 5693 - Primary Health Services Enhancement Act - Kind - Medicare rural health H.R. 5808 - Save Rural Communities Act of 2020 - Jodey Arrington - rural emergency medical access services under Medicare H.R. 5833 - To amend title XVIII of the Social Security Act to permit the use of certain psychological evaluation via telehealth for Medicare coverage of neurostimulation services for the treatment of chronic pain - Latta - Medicare coverage in telehealth H.R. 5882 - GENE Therapy Payment Act - Schrader - value based care H.R. 6098 - To amend title XXI of the Social Security Act to allow States to expand income eligibility standards under the Children's Health Insurance Program - Barragan - CHIP eligibility H.R. 6151 - CARING for Kids Act - Abby Fineknauer - CHIP H.R. 6179 - Increasing Access to Biosimilars Act of 2020 - Cardenas - payments to providers of biosimilars under Medicare H.R. 6209 - Reducing Unnecessary Senior Hospitalizations Act of 2020 or the RUSH Act of 2020 -Kuster - Medicare coverage for certain services in hospital emergency departments H.R. 6244 - To amend titles XVIII and XIX to provide for coverage at no cost sharing of COVID-19 testing under the Medicaid program and Children's Health Insurance Program - Kelly - Medicaid coverage of COVID-19 related visits and testing H.R. 6263 - To amend title XVIII of the Social Security Act to waive cost sharing under the Medicare program for certain visits relating to testing for COVID-19 -Sarbanes - Medicare coverage of COVID-19 related visits and testing H.R. 6273 - Protecting Vulnerable Americans in Times of Crisis Act of 2020 - Butterfield - FMAP H.R. 6311 - Care for COVID-19 Act - Ruiz - COVID-19 cost sharing H.R. 6336 - Increasing Hospital Capacity to Fight the Coronavirus Act of 2020 - Bishop - Medicare and Medicaid payments during COVID-19 emergency H.R. 6462 - Emergency Medicaid for Coronavirus Treatment Act - Gallego - Medicaid coverage H.R. 6511 - Ensuring Vaccination and Treatment Affordability Act - Pappas - COVID H.R. 6521 - To prohibit the Secretary of Health and Human Services from taking certain actions with respect to Medicaid supplemental payments reporting requirements, and for other purposes - Diaz Barragan H.R. 6538 - Modernized Medicine Act - Kennedy - Medicaid, Telehealth H.R. 6539 - Coronavirus Medicaid Response Act - Lee - FMAP H.R. 6572 - To direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, to carry out a national campaign to increase awareness and knowledge of COVID-19. - Bilirakis - COVID H.R. 6583 - To amend title XVIII of the Social Security Act to establish a risk corridor program for Medicare Advantage plans during the COVID-19 emergency, and for other purposes. - Houlahan - COVID H.R. 6616 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Cardenas - COVID H.R. 6640 - Medicare Advantage COVID Treatment Act - Mucarsel-Powell - COVID H.R. 6658 - Insular Area Medicaid Coronavirus Recovery Act - Sablan - FMAP H.R. 6727 - To hold Medicare beneficiaries harmless for specified COVID-19 treatment services furnished under part A or part B of the Medicare program - Schrier - COVID H.R. 6744 - Computer and Internet Equity Act - Davis - internet access for Lifeline program H.R. 6753 - Save Rural Hospitals Act of 2020 - Finkenauer - Medicare hospital payments H.R. 6792 - Improving Telehealth for Underserved Communities Act of 2020 - Smith - telehealth H.R. 6797 - CHIPPER Act - Wild - CHIP, COVID H.R. 6837 - Medicare Accelerated and Advance Payments Improvement Act of 2020 - Schneider - COVID H.R. 7154 - Outpatient Therapy Modernization and Stabilization Act - Boyle - outpatient therapy services H.R. 7187 - HEALTH Act of 2020 -Thompson -Smith - telehealth H.R. 7297 - To amend title XVIII of the Social Security Act to provide for forgiveness of certain accelerated and advance payments under parts A and B of the Medicare program. - Kaptur H.R. 7338 - To amend title XVIII of the Social Security Act to permit the Secretary of Health and Human Services to waive requirements relating to the furnishing of telehealth services under the Medicare program, and for other purposes. - Cheney - Telehealth H.R. 7391 - To amend title XVIII of the Social Security Act to remove certain geographic and originating site restrictions on the furnishing of telehealth services under the Medicare program - Sherrill - Telehealth S. 2846 - Protecting Patients Transportation to Care Act - Isakson - Medicaid coverage of transportation S. 2911 - Seniors Prescription Drug Relief Act of 2019 - Cassidy - Part D smoothing S. 3220 - Ensuring Access to Direct Support Professionals Act - Portman - Medicaid coverage in acute care hospitals S. 3238 - Preventive Home Visit Act - King - preventative home visits S. 3277 - HCBS Infrastructure Improvement Act - Casey - access to community based services S. 3353 - Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2020 - Cassidy - Medicare coverage of kidney transplant services S. 3384 - Lowering Prescription Drug Prices for America's Seniors and Families Act of 2020 - McSally - Medicare Part D drug pricing negotiation S. 3399 - FCHIP Extension Act - Tester - rural health S. 3442 - Care for COVID-19 Act - Booker - COVID-19 cost sharing S. 3443 - Improving Coverage and Care for Mothers Act - Casey - Medicaid coverage for all pregnant and postpartum women S. 3447 - RUSH Act of 2020 - Thune - Medicare coverage for certain services in hospital emergency departments S. 3466 - ACCESS for Biosimilars Act of 2020 - McSally - eliminates cost sharing for biosimilar biological products furnished under part B of the Medicare program S. 3615 - Rural Community Hospital Demonstration Extension Act of 2020 - Murkowski - rural community hospital demonstration program S. 3665 - Save Rural Hospitals Act of 2020 - Alexander - Medicare hospital payments S. 3750 - Medicare Accelerated and Advance Payments Improvement Act of 2020 - Shaheen - COVID S. 3881 - CHIPPER Act - Casey - CHIP, COVID S. 3998 - HEALTH Act of 2020 - Hyde-Smith - telehealth S. 3999 - Mental and Behavioral Health Connectivity Act - King - Mental Health S. 4108 - A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns - Casey - FMAP Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2021 policy and technical regulation for MA and Part D; MA and Part D proposed rule on drug pricing changes for 2020; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in and public option; CMSs price transparency proposal for direct-to-consumer advertisements; issues relating to 2021 Rate Notice and Call Letter; issues related to MLTSS; issues related to proposed changes to removal of safe harbor protection for rebates (proposed rule); issues relating to COVID-19; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; issues relating to prescription drug price blueprint; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.
2020 · second_quarter · Health Issues
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Risk Adjustment; Opioids; Individual Market Reform; Health Care Costs; Mental Health; CSRs; Transparency; Surprise billing, Transparency, Prior Authorization; All payer claims database; Negotiated rate disclosure; Medicare for All; Maternal health; Senior's health care; Community health; NBPP (Notice Benefit and Payment Parameters), COVID-19 Response/Relief Packages, Healthcare access/privacy; Risk Corridors; COBRA; Telehealth; SEPs; CDC Guidance Testing; Safe Harbor; COVID-19; Postal Reform; Single Employer Pensions; H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.2003 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) H.R.2004 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) S.973 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Sponsor: Sen. Smith, Tina [D-MN] (Introduced 04/01/2019) S.971 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Sen. Smith, Tina [D-MN] (Introduced 04/01/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 03/05/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S., Jr. [D-VA-8] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] S. 2546 - 116th Congress (2019-2020) Safe Step Act Sponsor: Sen. Lisa Murkowski (R-AK) S. 2004 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Sponsor: Rep. Elijah Cummings (D-MD-07) H.R. 2774 - 116th Congress (2019-2020) Primary Care Patient Protection Act of 2019 Sponsor: Rep. Brad Schneider (D-IL-10) H.R. 5826 - 116th Congress - Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal(D-MA-01) S. 3548 - 116th Congress - Second Session Coronavirus Aid, Relief, and Economic Security Act Sponsor: Sen. Mitch McConnell (R-KY) H.R. 5551 - 116th Congress - Second Session Ensuring Child Health Coverage Compensation in Divorce Act of 2020 Sponsor: Del. Eleanor Holmes Norton (D-DC At-Large) H.R. 5575 - 116th Congress - Second Session Primary and Behavioral Health Care Access Act of 2020 Sponsor: Rep. Lauren Underwood (D-IL-14) H.R. 5688 - 116th Congress - Second Session Reducing Administrative Costs and Burdens in Health Care Act of 2020 Sponsor: Rep. Cindy Axne (D-IA-03) H.R. 5754 - 116th Congress - Second Session Rural ER Access Act Sponsor: Rep. Mark Green (R-TN-07) H.R. 5763 - 116th Congress - Second Session National Telehealth Strategy and Data Advancement Act Sponsor: Rep. Greg Gianforte (R-MT At-Large) H.R. 5800 - 116th Congress - Second Session Ban Surprise Billing Act Sponsor: Rep. Bobby Scott (D-VA-03) H.R. 5807 - 116th Congress - Second Session Know Your Provider Act of 2020 Sponsor: Rep. John Larson (D-CT-01) H.R. 5916 - 116th Congress - Second Session Transparent Health Care Pricing Act of 2020 Sponsor: Rep. Mike Gallagher (R-WI-08) Public Law 116-127 (H.R. 6201) - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6336 - 116th Congress - Second Session To amend title XI of the Social Security Act to provide for a waiver of payment reductions under the Medicare and Medicaid programs for certain nonapproved capital expenditures undertaken by health care facilities during the COVID-19 emergency. Sponsor: Rep. Dan Bishop (R-NC-09) H.R. 6311 - 116th Congress - Second Session Care for COVID-19 Act Sponsor: Rep. Raul Ruiz (D-CA-36) H.R. 6299 - 116th Congress - Second Session Rapid Coverage of COVID-19 Vaccine Act of 2020 H.R. 5817 - 116th Congress - Second Session Fair and Honest Advance Cost Estimate for Patients Act of 2020 Sponsor: Rep. Devin Nunes (R-CA-22) H.R. 5816 - 116th Congress - Second Session Continuing Care for Patients Act of 2020 Sponsor: Rep. Gwen Moore (D-WI-04) HR. 5809 - 116th Congress - Second Session Better Information Act of 2020 Sponsor: Rep. Don Beyer (D-VA-08) H.R. 5826 -116th Congress - Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal (D-MA-01) H.R. 5924 - 116th Congress - Second Session To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. Sponsor: Rep. David McKinley (R-WV-01) H.R. 6004 - 116th Congress - Second Session Transparency and Accountability in Health Care Costs and Prices Act of 2020 Sponsor: Rep. Dan Lipinski (D-IL-03) H.R. 6005 - 116th Congress - Second Session Know the Price Act Sponsor: Rep. Tom Malinowski (D-NJ-07) H.R. 6132 - 116th Congress - Second Session Social Determinants for Moms Act of 2020 Sponsor: Rep. Lucy McBath (D-GA-06) H.R. 6135 - 116th Congress - Second Session No More Narrow Networks Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6136 - 116th Congress - Second Session Protecting Consumers from Unreasonable Rates Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6137 - 116th Congress - Second Session Innovative Maternal Payment And Coverage To Save Moms Act Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6138 - 116th Congress - Second Session Tech to Save Moms Act Sponsor: Rep. Eddie Bernice Johnson (D-TX-30) H.R. 6149 - 116th Congress - Second Session Medicaid Report on Expansion of Access to Coverage for Health Act Sponsor: Rep. Joe Cunningham (D-SC-01) H.R. 6151 - 116th Congress - Second Session CARING for Kids Act Sponsor: Rep. Abby Finkenauer (D-IA-01) H.R. 6173 - 116th Congress - Second Session Covering Coronavirus Test Act of 2020 Sponsor: Rep. Diana DeGette (D-CO-01) H.R. 6213 - 116th Congress - Second Session No Cost for COVID-19 Testing Act Sponsor: Rep. Frederica Wilson (D-FL-24) H.R. 6222 - 116th Congress - Second Session Ensuring Affordable COVID-19 Preventive Care Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6232 - 116th Congress - Second Session To require the Secretary of Health and Human Services, through the National Disaster Medical System, to provide for certain laboratory reimbursement for diagnostic testing for COVID-19 in uninsured individuals. Sponsor: Rep. Tony Cardenas (D-CA-29) H.R. 6231 - 116th Congress - Second Session Ensuring Access to COVID-19 Preventive Care Act of 2020 Sponsor: Rep. Larry Bucshon (R-IN-08) H.R. 6244 - 116th Congress - Second Session To amend titles XVIII and XIX to provide for coverage at no cost sharing of COVID-19 testing under the Medicaid program and Children's Health Insurance Program. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 6263 - 116th Congress - Second Session To amend title XVIII of the Social Security Act to waive cost sharing under the Medicare program for certain visits relating to testing for COVID-19. Sponsor: Rep. John Sarbanes (D-MD-03) H.R. 6282 - 116th Congress - Second Session Commission on America's Medical Security Act Sponsor: Rep. Raul Ruiz (D-CA-36) H.R. 6283 - 116th Congress - Second Session Good Samaritan Health Professionals Act of 2020 Sponsor: Rep. Raul Ruiz (D-CA-36) H.R. 1379 - 116th Congress - First Session Ensuring Lasting Smiles Act Rep. Collin Peterson (D-MN-07) H.R. 6810 - 116th Congress - Second Session Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) H.R. 6808 - 116th Congress - Second Session Health Force and Resilience Force Act of 2020 Sponsor: Rep. Jason Crow (D-CO-06) S. 3606 - 116th Congress - Second Session Health Force and Resilience Force Act of 2020 Sponsor: Sen. Kirsten Gillibrand (D-NY) H.R. 6130 - 116th Congress - Second Session Improving Awareness of Health Coverage Options Act Sponsor: Rep. Josh Harder (D-CA-10) Public Law 116-123 (H.R.6074) - 116th Congress - Second Session Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6379 - 116th Congress - Second Session Take Responsibility for Workers and Families Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6800 - 116th Congress - Second Session HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6426 - 116th Congress - Second Session To direct the Secretary of Health and Human Services to establish a program under which loans shall be made to certain health care organizations to assist such organizations with anticipated revenue loss or higher operating costs as a result of the COVID-19 emergency, and for other purposes Sponsor: Rep. Max Rose (D-NY-11) H.R. 6455 - 116th Congress - Second Session National Commission Regarding the 2019 Novel Coronavirus (COVID-19) Pandemic Act Sponsor: Rep. Bennie Thompson (D-MS-02) H.R. 6409 - 116th Congress - Second Session Assistance for Businesses and Local Economies Act Sponsor: Rep. Ilhan Omar (D-MN-05) Public Law 116-139 (H.R. 266) - 116th Congress - First Session Vehicle for Covid-19 Small Business, Hospital and Testing Funds Sponsor: Rep. Betty McCollum (D-MN-04) H.R. 5566 - 116th Congress - Second Session Patient Fairness Act of 2020 Sponsor: Rep. Warren Davidson (R-OH-08) H.R. 5596 - 116th Congress - Second Session Personalized Care Act of 2020 Sponsor: Rep. Chip Roy(R-TX-21) H.R. 6338 - 116th Congress - Second Session Pandemic Healthcare Access Act Sponsor: Rep. Ted Budd (R-NC-13) H.R. 5808 - 116th Congress - Second Session Save Rural Communities Act of 2020 Sponsor: Rep. Jodey Arrington (R-TX-19) H.R. 7391 - 116th Congress - Second Session To amend title XVIII of the Social Security Act to remove certain geographic and originating site restrictions on the furnishing of telehealth services under the Medicare program. H.R. 5763 - 116th Congress - Second Session National Telehealth Strategy and Data Advancement Act Sponsor: Rep. Greg Gianforte (R-MT At-Large) H.R. 6487 - 116th Congress - Second Session Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6514 - 116th Congress - Second Session Worker Health Coverage Protection Act Sponsor: Rep. Bobby Scott (D-VA-03) H.R. 6712 - 116th Congress - Second Session American Healthshare Plans Act of 2020 Sponsor: Rep. John Curtis(R-UT-03) H.R. 6746 - 116th Congress - Second Session To require the Secretary of Labor to establish a program for providing portable benefits to eligible workers, and for other purposes Sponsor: Rep. Suzan DelBene (D-WA-01) H.R. 6833 - 116th Congress - Second Session Utilizing and Supporting Evacuated Peace Corps Volunteers Act Sponsor: Rep. Dean Phillips (D-MN-03) H.R. 6411 - 116th Congress - Second Session Emergency Advance Refill Notification Act of 2020 Sponsor: Rep. Lucy McBath (D-GA-06) H.R. 6511 - 116th Congress - Second Session Ensuring Vaccination and Treatment Affordability Act Sponsor: Rep. Chris Pappas (D-NH-01) H.R. 6518 - 116th Congress - Second Session Stop Health Premium Spikes Act of 2020 H.R. 6561 - 116th Congress - Second Session Improving Social Determinants of Health Act of 2020 Sponsor: Rep. Nanette Barragan (D-CA-44) H.R. 6568 - 116th Congress - Second Session Coverage for COVID-19 Treatment Act of 2020 Sponsor: Rep. Lisa Blunt Rochester (D-DE At-Large) H.R. 6634 - 116th Congress - Second Session Emergency COVID Telehealth Response Act Sponsor: Rep. Cindy Axne (D-IA-03) H.R. 6638 - 116th Congress - Second Session Reducing COVID-19 Disparities by Investing in Public Health Act Cosponsor: Rep. Jahana Hayes (D-CT-05) H.R. 6644 - 116th Congress - Second Session To require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for services furnished via telehealth if such services would be covered if furnished in-person during the COVID-19 emergency. Sponsor: Kim Schrier (D-WA-08) H.R. 6645 - 116th Congress - Second Session To direct the Secretary of Health and Human Services, acting through the Director of the National Institute of Mental Health, to conduct or support research on the mental health consequences of SARS-CoV-2 or COVID-19, and for other purposes. H.R. 6654 - 116th Congress - Second Session Emergency COVID Telehealth Response Act Sponsor: Rep. Cindy Axne (D-IA-03) H.R. 6663 - 116th Congress - Second Session Truth in Healthcare Marketing Act of 2020 Sponsor: Rep. Larry Buschon (R-IN-08) H.R. 6742 - 116th Congress - Second Session Protecting Life in Crisis Act Sponsor: Rep. Mike Conaway (R-TX-11) H.R. 6763 - 116th Congress - Second Session COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 6792 - 116th Congress - Second Session Improving Telehealth for Underserved Communities Act of 2020 Sponsor: Rep. Adrian Smith (R-NE-03) H.R. 6797 - 116th Congress - Second Session Children's Health Insurance Program Pandemic Enhancement and Relief Act Sponsor: Rep. Susan Wild (D-PA-07) H.R. 6866 - 116th Congress - Second Session Public Health Emergency Privacy Act Sponsor: Rep. Anna Eshoo (D-CA-18) H.R. 6906 - 116th Congress - Second Session Health Care Emergency Guarantee Act Sponsor: Pramila Jayapal (D-WA-07) H.R. 6918 - 116th Congress - Second Session Paycheck Recovery Act of 2020 Sponsor: Rep. Pramila Jayapal(D-WA-07) H.R. 6925 - 116th Congress - Second Session Medical Innovation Acceleration Act of 2020 Sponsor: Rep. Andy Biggs (R-AZ-05) H.R. 6926 - 116th Congress - Second Session Meeting IMD Needs with Direction Act Sponsor: Rep. Brendan Boyle (D-PA-02) H.R. 6930 - 116th Congress - Second Session Manufacturing API, Drugs, and Excipients in America Act of 2020 Sponsor: Rep. Buddy Carter (R-GA-01) H.R. 6971 - 116th Congress - Second Session Medical Nutrition Therapy Act of 2020 Sponsor: Rep. Eliot Engel (D-NY-16) H.R. 6999 - 116th Congress - Second Session Coronavirus Mental Health and Addiction Assistance Act of 2020 Sponsor: Rep. Tim Ryan (D-OH-13) H.R. 7017 - 116th Congress - Second Session Right to Test Act Sponsor: Rep. Patrick McHenry (R-NC-10) H.R. 7077 - 116th Congress - Second Session Community Solutions for COVID-19 Act Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 7078 - 116th Congress - Second Session Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2020 Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 7123 - 116th Congress - Second Session Katherine's Lung Cancer Early Detection and Survival Act of 2020 Sponsor: Rep. Brendan Boyle (D-PA-02) H.R. 7158 - 116th Congress - Second Session Health Enterprise Zones Act of 2020 Sponsor: Anthony Brown (D-MD-04) H.R. 7168 - 116th Congress - Second Session Creating Capacity for Communities in Need Act Sponsor: Vicente Gonzalez (D-TX-15) H.R. 7187 - 116th Congress - Second Session Helping Ensure Access to Local TeleHealth Act of 2020 Sponsor: Rep Glenn Thompson (R-PA-15) H.R. 7190 - 116th Congress - Second Session Increasing Rural Health Access During the COVID-19 Public Health Emergency Act of 2020 Sponsor: Rep. Xochitl Torres Small (D-NM-02) H.R. 7286 - 116th Congress - Second Session Quit Because of COVID-19 Act Sponsor: Rep. Lisa Blunt Rochester (D-DE-At-Large) H.R. 5958 - 116th Congress - Second Session Official Short Title: Senior Health Planning Account Act Sponsor: Rep. Brian Higgins (D-NY-26) H.R. 6209 - 116th Congress - Second Session Reducing Unnecessary Senior Hospitalizations Act of 2020 Sponsor: Rep. Ann Kuster (D-NH-02) H.R. 6436 - 116th Congress - Second Session Police and Fire Health Care Protection Act of 2020 Sponsor: Rep. Steve Chabot (R-OH-01) H.R. 6545 - 116th Congress - Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07) H.R. 6698 - 116th Congress - Second Session Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6753 - 116th Congress - Second Session Rural Community Hospital Demonstration Extension Act of 2020 Sponsor: Rep. Abby Finkenauer (D-IA-01) H.R. 6781 - 116th Congress - Second Session Paycheck Protection Program Improved Coordination Act of 2020 Cosponsor: Rep. Chris Pappas (D-NH-01) H.R. 6824 - 116th Congress - Second Session To amend the Internal Revenue Code of 1986 to provide for the carryover of the remaining 2020 balance in health flexible spending arrangements. Sponsor: Rep. Derek Kilmer (D-WA-06) H.R. 6855 - 116th Congress - Second Session Facilitating Virtual Visitation for Nursing Home Residents Act of 2020 Sponsor: Rep. Linda Sanchez (D-CA-38) H.R. 6857 - 116th Congress - Second Session COVID-19-Only Homes Organized for Resident Treatment Act of 2020 Sponsor: Rep. Tom Suozzi (D-NY-03) H.R. 6920 - 116th Congress - Second Session Keep Employees' Earnings Protected Act of 2020 Sponsor: Rep. Ross Spano (R-FL-15) H.R. 7008 - 116th Congress - Second Session Family Savings Flexibility Act Sponsor: Rep. Brad Wenstrup (R-OH-02) H.R. 7149 - 116th Congress - Second Session To amend the Internal Revenue Code of 1986 to provide special disposition rules for unused benefits in flexible spending arrangements of individuals for calendar year 2020. Sponsor: Rep. Gary Palmer (R-AL-06) H.R. 7233 - 116th Congress - Second Session Knowing the Efficiency and Efficacy of Permanent Telehealth Options Act of 2020 Sponsor: Rep. Troy Balderson (R-OH-12) H.R. 7242 - 116th Congress - Second Session To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts for gym memberships and costs of home gym equipment, to repeal the requirement that health plan be high deductible, and for other purposes. Sponsor: Rep. John Curtis (R-UT-03) H.R. 7267 - 116th Congress - Second Session Patients Before Profits Act of 2020 Sponsor: Rep. Katie Porter (D-CA-45) Public Law 116-136(H.R. 748) - 116th Congress - First Session Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02)
2020 · second_quarter · Health Issues
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Risk Adjustment; Opioids; Individual Market Reform; Health Care Costs; Mental Health; CSRs; Transparency; Surprise billing, Transparency, Prior Authorization; All payer claims database; Negotiated rate disclosure; Medicare for All; Maternal health; Senior's health care; Community health; NBPP (Notice Benefit and Payment Parameters), COVID-19 Response/Relief Packages, Healthcare access/privacy; Risk Corridors; COBRA; Telehealth; SEPs; CDC Guidance Testing; Safe Harbor; COVID-19; Postal Reform; Single Employer Pensions; H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.2003 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 03/05/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S., Jr. [D-VA-8] H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] Pg. 4 of 18 S. 2546 - 116th Congress (2019-2020) Safe Step Act Sponsor: Sen. Lisa Murkowski (R-AK) H.R. 5826 - 116th Congress - Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal(D-MA-01) S.3548 - 116th Congress - Second Session Coronavirus Aid, Relief, and Economic Security Act Sponsor: Sen. Mitch McConnell (R-KY) H.R. 5688 - 116th Congress - Second Session Reducing Administrative Costs and Burdens in Health Care Act of 2020 Sponsor: Rep. Cindy Axne (D-IA-03) H.R. 5754 - 116th Congress - Second Session Rural ER Access Act Sponsor: Rep. Mark Green (R-TN-07) H.R. 5763 - 116th Congress - Second Session National Telehealth Strategy and Data Advancement Act Sponsor: Rep. Greg Gianforte (R-MT At-Large) H.R. 5800 - 116th Congress - Second Session Ban Surprise Billing Act Sponsor: Rep. Bobby Scott (D-VA-03) H.R. 5807 - 116th Congress - Second Session Know Your Provider Act of 2020 Sponsor: Rep. John Larson (D-CT-01) H.R. 5916 - 116th Congress - Second Session Transparent Health Care Pricing Act of 2020 Sponsor: Rep. Mike Gallagher (R-WI-08) Public Law 116-127 (H.R. 6201) - 116th Congress - Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6311 - 116th Congress - Second Session Care for COVID-19 Act Sponsor: Rep. Raul Ruiz (D-CA-36) H.R. 6299 - 116th Congress - Second Session Rapid Coverage of COVID-19 Vaccine Act of 2020 H.R. 5817 - 116th Congress - Second Session Fair and Honest Advance Cost Estimate for Patients Act of 2020 Sponsor: Rep. Devin Nunes (R-CA-22) H.R. 5816 - 116th Congress - Second Session Continuing Care for Patients Act of 2020 Sponsor: Rep. Gwen Moore (D-WI-04) HR. 5809 - 116th Congress - Second Session Better Information Act of 2020 Sponsor: Rep. Don Beyer (D-VA-08) H.R. 5826 -116th Congress - Second Session Consumer Protections Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal (D-MA-01) H.R. 5924 - 116th Congress - Second Session To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. Sponsor: Rep. David McKinley (R-WV-01) H.R. 6004 - 116th Congress - Second Session Transparency and Accountability in Health Care Costs and Prices Act of 2020 Sponsor: Rep. Dan Lipinski (D-IL-03) H.R. 6005 - 116th Congress - Second Session Know the Price Act Sponsor: Rep. Tom Malinowski (D-NJ-07) H.R. 6132 - 116th Congress - Second Session Social Determinants for Moms Act of 2020 Sponsor: Rep. Lucy McBath (D-GA-06) H.R. 6135 - 116th Congress - Second Session No More Narrow Networks Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6136 - 116th Congress - Second Session Protecting Consumers from Unreasonable Rates Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6137 - 116th Congress - Second Session Innovative Maternal Payment And Coverage To Save Moms Act Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6138 - 116th Congress - Second Session Tech to Save Moms Act Sponsor: Rep. Eddie Bernice Johnson (D-TX-30) H.R. 6149 - 116th Congress - Second Session Medicaid Report on Expansion of Access to Coverage for Health Act Sponsor: Rep. Joe Cunningham (D-SC-01) H.R. 6151 - 116th Congress - Second Session CARING for Kids Act Sponsor: Rep. Abby Finkenauer (D-IA-01) H.R. 6173 - 116th Congress - Second Session Covering Coronavirus Test Act of 2020 Sponsor: Rep. Diana DeGette (D-CO-01) H.R. 6213 - 116th Congress - Second Session No Cost for COVID-19 Testing Act Sponsor: Rep. Frederica Wilson (D-FL-24) H.R. 6222 - 116th Congress - Second Session Ensuring Affordable COVID-19 Preventive Care Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6232 - 116th Congress - Second Session To require the Secretary of Health and Human Services, through the National Disaster Medical System, to provide for certain laboratory reimbursement for diagnostic testing for COVID-19 in uninsured individuals. Sponsor: Rep. Tony Cardenas (D-CA-29) H.R. 6231 - 116th Congress - Second Session Ensuring Access to COVID-19 Preventive Care Act of 2020 Sponsor: Rep. Larry Bucshon (R-IN-08) H.R. 6244 - 116th Congress - Second Session To amend titles XVIII and XIX to provide for coverage at no cost sharing of COVID-19 testing under the Medicaid program and Children's Health Insurance Program. Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 6263 - 116th Congress - Second Session To amend title XVIII of the Social Security Act to waive cost sharing under the Medicare program for certain visits relating to testing for COVID-19. Sponsor: Rep. John Sarbanes (D-MD-03) H.R. 6282 - 116th Congress - Second Session Commission on America's Medical Security Act Sponsor: Rep. Raul Ruiz (D-CA-36) H.R. 6283 - 116th Congress - Second Session Good Samaritan Health Professionals Act of 2020 Sponsor: Rep. Raul Ruiz (D-CA-36) H.R. 1379 - 116th Congress - First Session Ensuring Lasting Smiles Act Rep. Collin Peterson (D-MN-07) H.R. 6810 - 116th Congress - Second Session Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) S. 3606 - 116th Congress - Second Session Health Force and Resilience Force Act of 2020 Sponsor: Sen. Kirsten Gillibrand (D-NY) H.R. 6130 - 116th Congress - Second Session Improving Awareness of Health Coverage Options Act Sponsor: Rep. Josh Harder (D-CA-10) Public Law 116-123 (H.R.6074) - 116th Congress - Second Session Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6800 - 116th Congress - Second Session HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6426 - 116th Congress - Second Session To direct the Secretary of Health and Human Services to establish a program under which loans shall be made to certain health care organizations to assist such organizations with anticipated revenue loss or higher operating costs as a result of the COVID-19 emergency, and for other purposes Sponsor: Rep. Max Rose (D-NY-11) H.R. 6455 - 116th Congress - Second Session National Commission Regarding the 2019 Novel Coronavirus (COVID-19) Pandemic Act Sponsor: Rep. Bennie Thompson (D-MS-02) H.R. 6409 - 116th Congress - Second Session Assistance for Businesses and Local Economies Act Sponsor: Rep. Ilhan Omar (D-MN-05) Public Law 116-139 (H.R. 266) - 116th Congress - First Session Vehicle for Covid-19 Small Business, Hospital and Testing Funds Sponsor: Rep. Betty McCollum (D-MN-04) H.R. 5566 - 116th Congress - Second Session Patient Fairness Act of 2020 Sponsor: Rep. Warren Davidson (R-OH-08) H.R. 5596 - 116th Congress - Second Session Personalized Care Act of 2020 Sponsor: Rep. Chip Roy(R-TX-21) H.R. 6338 - 116th Congress - Second Session Pandemic Healthcare Access Act Sponsor: Rep. Ted Budd (R-NC-13) H.R. 5808 - 116th Congress - Second Session Save Rural Communities Act of 2020 Sponsor: Rep. Jodey Arrington (R-TX-19) H.R. 7391 - 116th Congress - Second Session To amend title XVIII of the Social Security Act to remove certain geographic and originating site restrictions on the furnishing of telehealth services under the Medicare program. H.R. 5763 - 116th Congress - Second Session National Telehealth Strategy and Data Advancement Act Sponsor: Rep. Greg Gianforte (R-MT At-Large) H.R. 6487 - 116th Congress - Second Session Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6514 - 116th Congress - Second Session Worker Health Coverage Protection Act Sponsor: Rep. Bobby Scott (D-VA-03) H.R. 6411 - 116th Congress - Second Session Emergency Advance Refill Notification Act of 2020 Sponsor: Rep. Lucy McBath (D-GA-06) H.R. 6511 - 116th Congress - Second Session Ensuring Vaccination and Treatment Affordability Act Sponsor: Rep. Chris Pappas (D-NH-01) H.R. 6518 - 116th Congress - Second Session Stop Health Premium Spikes Act of 2020 H.R. 6561 - 116th Congress - Second Session Improving Social Determinants of Health Act of 2020 Sponsor: Rep. Nanette Barragan (D-CA-44) H.R. 6568 - 116th Congress - Second Session Coverage for COVID-19 Treatment Act of 2020 Sponsor: Rep. Lisa Blunt Rochester (D-DE At-Large) H.R. 6634 - 116th Congress - Second Session Emergency COVID Telehealth Response Act Sponsor: Rep. Cindy Axne (D-IA-03) H.R. 6638 - 116th Congress - Second Session Reducing COVID-19 Disparities by Investing in Public Health Act Cosponsor: Rep. Jahana Hayes (D-CT-05) H.R. 6644 - 116th Congress - Second Session To require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for services furnished via telehealth if such services would be covered if furnished in-person during the COVID-19 emergency. Sponsor: Kim Schrier (D-WA-08) H.R. 6645 - 116th Congress - Second Session To direct the Secretary of Health and Human Services, acting through the Director of the National Institute of Mental Health, to conduct or support research on the mental health consequences of SARS-CoV-2 or COVID-19, and for other purposes. H.R. 6654 - 116th Congress - Second Session Emergency COVID Telehealth Response Act Sponsor: Rep. Cindy Axne (D-IA-03) H.R. 6663 - 116th Congress - Second Session Truth in Healthcare Marketing Act of 2020 Sponsor: Rep. Larry Buschon (R-IN-08) H.R. 6792 - 116th Congress - Second Session Improving Telehealth for Underserved Communities Act of 2020 Sponsor: Rep. Adrian Smith (R-NE-03) H.R. 6797 - 116th Congress - Second Session Children's Health Insurance Program Pandemic Enhancement and Relief Act Sponsor: Rep. Susan Wild (D-PA-07) H.R. 6866 - 116th Congress - Second Session Public Health Emergency Privacy Act Sponsor: Rep. Anna Eshoo (D-CA-18) H.R. 6906 - 116th Congress - Second Session Health Care Emergency Guarantee Act Sponsor: Pramila Jayapal (D-WA-07) H.R. 6918 - 116th Congress - Second Session Paycheck Recovery Act of 2020 Sponsor: Rep. Pramila Jayapal(D-WA-07) H.R. 6925 - 116th Congress - Second Session Medical Innovation Acceleration Act of 2020 Sponsor: Rep. Andy Biggs (R-AZ-05) H.R. 6971 - 116th Congress - Second Session Medical Nutrition Therapy Act of 2020 Sponsor: Rep. Eliot Engel (D-NY-16) H.R. 6999 - 116th Congress - Second Session Coronavirus Mental Health and Addiction Assistance Act of 2020 Sponsor: Rep. Tim Ryan (D-OH-13) H.R. 7077 - 116th Congress - Second Session Community Solutions for COVID-19 Act Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 7078 - 116th Congress - Second Session Evaluating Disparities and Outcomes of Telehealth During the COVID-19 Emergency Act of 2020 Sponsor: Rep. Robin Kelly (D-IL-02) H.R. 7187 - 116th Congress - Second Session Helping Ensure Access to Local TeleHealth Act of 2020 Sponsor: Rep Glenn Thompson (R-PA-15) H.R. 7190 - 116th Congress - Second Session Increasing Rural Health Access During the COVID-19 Public Health Emergency Act of 2020 Sponsor: Rep. Xochitl Torres Small (D-NM-02) H.R. 7286 - 116th Congress - Second Session Quit Because of COVID-19 Act Sponsor: Rep. Lisa Blunt Rochester (D-DE-At-Large) H.R. 6209 - 116th Congress - Second Session Reducing Unnecessary Senior Hospitalizations Act of 2020 Sponsor: Rep. Ann Kuster (D-NH-02) H.R. 6545 - 116th Congress - Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07) H.R. 6698 - 116th Congress - Second Session Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020 Sponsor: Rep. Jan Schakowsky (D-IL-09) H.R. 6753 - 116th Congress - Second Session Rural Community Hospital Demonstration Extension Act of 2020 Sponsor: Rep. Abby Finkenauer (D-IA-01) H.R. 6781 - 116th Congress - Second Session Paycheck Protection Program Improved Coordination Act of 2020 Cosponsor: Rep. Chris Pappas (D-NH-01) H.R. 6824 - 116th Congress - Second Session To amend the Internal Revenue Code of 1986 to provide for the carryover of the remaining 2020 balance in health flexible spending arrangements. Sponsor: Rep. Derek Kilmer (D-WA-06) H.R. 6855 - 116th Congress - Second Session Facilitating Virtual Visitation for Nursing Home Residents Act of 2020 Sponsor: Rep. Linda Sanchez (D-CA-38) H.R. 6857 - 116th Congress - Second Session COVID-19-Only Homes Organized for Resident Treatment Act of 2020 Sponsor: Rep. Tom Suozzi (D-NY-03) H.R. 6920 - 116th Congress - Second Session Keep Employees' Earnings Protected Act of 2020 Sponsor: Rep. Ross Spano (R-FL-15) H.R. 7008 - 116th Congress - Second Session Family Savings Flexibility Act Sponsor: Rep. Brad Wenstrup (R-OH-02) Pg. 11 of 18 H.R. 7149 - 116th Congress - Second Session To amend the Internal Revenue Code of 1986 to provide special disposition rules for unused benefits in flexible spending arrangements of individuals for calendar year 2020. Sponsor: Rep. Gary Palmer (R-AL-06) H.R. 7233 - 116th Congress - Second Session Knowing the Efficiency and Efficacy of Permanent Telehealth Options Act of 2020 Sponsor: Rep. Troy Balderson (R-OH-12) H.R. 7242 - 116th Congress - Second Session To amend the Internal Revenue Code of 1986 to permit expenditures from health savings accounts for gym memberships and costs of home gym equipment, to repeal the requirement that health plan be high deductible, and for other purposes. Sponsor: Rep. John Curtis (R-UT-03) H.R. 7267 - 116th Congress - Second Session Patients Before Profits Act of 2020 Sponsor: Rep. Katie Porter (D-CA-45) Public Law 116-136(H.R. 748) - 116th Congress - First Session Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02)
2020 · first_quarter · Medicare/Medicaid
H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 - DelBene - prior authorization in Medicare Advantage H.R. 3925 - Reducing Barriers to Substance Use Treatment Act - Tonko - Opioids H.R. 3935 - Protecting Patients Transportation to Care Act - Carter - Medicaid coverage for transportation H.R. 4453 - Protecting Seniors from Health Care Fraud Act of 2019 - Ruiz -Distributing information to Medicare beneficiaries to prevent fraud H.R. 4529 - Promoting Access to Broadband Act of 2019 - Maloney - Medicaid H.R. 4583 - Medicare Extra Rx Higher Eligibility Limits in Part D Act of 2019 - Schneider - prescription drug affordability H.R. 4620 - More Help for Seniors Act of 2019 - Rose - expand eligibility for low-income subsidies under part D of the Medicare program H.R. 4621 - Collecting and Analyzing Resources Integral and Necessary for Guidance for Social Determinants Act of 2019 - Blunt Rochester - best practices re social determinants of health H.R. 4629 - Star Rating for Biosimilars Act - Tonko - biosimilars H.R. 4632 - Better Transparency in Information for Medicare Beneficiaries Act of 2019 - Kind - provides consumers information regarding premiums under LIS benchmark plans H.R. 4671 - Helping Seniors Afford Health Care Act - Kim - Medicare affordability and low income beneficiaries H.R. 5006 - Expanding Access to Inpatient Mental Health Act - Emmer - Medicaid coverage for SUD/mental health for institutionalized H.R. 5201 - Telemental Health Expansion Act of 2019 - Matsui - Medicare coverage of mental telehealth H.R. 5232 - Road to Recovery Act - Fitzpatrick - Medicaid and CHIP SUD treatment H.R. 5693 - Primary Health Services Enhancement Act - Kind - Medicare rural health H.R. 5808 - Save Rural Communities Act of 2020 - Jodey Arrington - rural emergency medical access services under Medicare H.R. 5833 - To amend title XVIII of the Social Security Act to permit the use of certain psychological evaluation via telehealth for Medicare coverage of neurostimulation services for the treatment of chronic pain - Latta - Medicare coverage in telehealth H.R. 5882 - GENE Therapy Payment Act - Schrader - value based care H.R. 6098 - To amend title XXI of the Social Security Act to allow States to expand income eligibility standards under the Children's Health Insurance Program -Barragan - CHIP eligibility H.R. 6151 - CARING for Kids Act - Abby Fineknauer - CHIP H.R. 6179 - Increasing Access to Biosimilars Act of 2020 - Cardenas - payments to providers of biosimilars under Medicare H.R. 6209 - Reducing Unnecessary Senior Hospitalizations Act of 2020 or the RUSH Act of 2020 -Kuster - Medicare coverage for certain services in hospital emergency departments H.R. 6244 - To amend titles XVIII and XIX to provide for coverage at no cost sharing of COVID-19 testing under the Medicaid program and Children's Health Insurance Program - Kelly - Medicaid coverage of COVID-19 related visits and testing H.R. 6263 - To amend title XVIII of the Social Security Act to waive cost sharing under the Medicare program for certain visits relating to testing for COVID-19 -Sarbanes - Medicare coverage of COVID-19 related visits and testing H.R. 6273 - Protecting Vulnerable Americans in Times of Crisis Act of 2020 - Butterfield - FMAP H.R. 6311 - Care for COVID-19 Act - Ruiz - COVID-19 cost sharing H.R. 6336 - To amend title XI of the Social Security Act to provide for a waiver of payment reductions under the Medicare and Medicaid programs for certain nonapproved capital expenditures undertaken by health care facilities during the COVID-19 emergency - Bishop - Medicare and Medicaid payments during COVID-19 emergency S. 2846 - Protecting Patients Transportation to Care Act - Isakson - Medicaid coverage of transportation S. 2911 - Seniors Prescription Drug Relief Act of 2019 - Cassidy - Part D smoothing S. 3220 - Ensuring Access to Direct Support Professionals Act - Portman - Medicaid coverage in acute care hospitals S. 3238 - Preventive Home Visit Act - King - preventative home visits S. 3277 - HCBS Infrastructure Improvement Act - Casey - access to community based services S. 3353 - Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2020 - Cassidy - Medicare coverage of kidney transplant services S. 3384 - Lowering Prescription Drug Prices for America's Seniors and Families Act of 2020 - McSally - Medicare Part D drug pricing negotiation S. 3399 - FCHIP Extension Act - Tester - rural health S. 3442 - Care for COVID-19 Act - Booker - COVID-19 cost sharing S. 3443 - Improving Coverage and Care for Mothers Act - Casey - Medicaid coverage for all pregnant and postpartum women S. 3447 - RUSH Act of 2020 - Thune - Medicare coverage for certain services in hospital emergency departments S. 3466 - ACCESS for Biosimilars Act of 2020 - McSally - eliminates cost sharing for biosimilar biological products furnished under part B of the Medicare program Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2021 policy and technical regulation for MA and Part D; MA and Part D proposed rule on drug pricing changes for 2020; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in and public option; CMSs price transparency proposal for direct-to-consumer advertisements; issues relating to 2021 Rate Notice and Call Letter; issues related to MLTSS; issues related to proposed changes to removal of safe harbor protection for rebates (proposed rule); issues relating to COVID-19; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; issues relating to prescription drug price blueprint; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.
2020 · first_quarter · Health Issues
Rural health care Telehealth Medicare Medicaid Health Savings Accounts Individual Health Insurance Market Reforms Employer Health Insurance Market Reforms Hospital Consolidation Surprise Medical Billing S. 1895, The Lower Health Care Costs Act of 2019 Child Nutrition Reauthorization Prescription Drug Pricing H.R.6138 - Tech to Save Moms Act H.R.5808 - Save Rural Communities Act of 2020 H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6201 - Families First Coronavirus Response Act (H.R. 6201) S. 3548/H.R. 748 - The Coronavirus Aid, Relief, and Economic Security Act H.R. 1499 - The Protecting Consumer Access to Generic Drugs Act
Client expense: $440,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Medicare/Medicaid
Discuss the Medicaid Fiscal Accountability Rule (CMS-2393-P) as proposed by the Centers for Medicare and Medicaid Services; specifically, the rule's impact on Texas hospitals and state financing schemes. Request support for a letter from the Texas Congressional Delegation to CMS expressing concern about the rule's impact on the state. Save Rural Communities Act of 2020 (HR 5808), a bill that allows new licensing categories and payment for rural hospitals. Provided suggested revisions so that federal law would recognize state law. Supporting Organizations for the Improving Seniors Timely Access to Care Act (H.R. 3107), endorsing a bill that would improve prior authorization process for seniors' access to medical care. Request to Centers for Medicare and Medicaid Service to grant a Section 1135 waiver giving Texas hospitals regulatory relief to address the COVID-19 pandemic.
Client expense: Not reported · Firm income: $50,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2020 · first_quarter · Medicare/Medicaid
Discuss the Medicaid Fiscal Accountability Rule (CMS-2393-P) as proposed by the Centers for Medicare and Medicaid Services; specifically, the rule's impact on Texas hospitals and state financing schemes. Request support for a letter from the Texas Congressional Delegation to CMS expressing concern about the rule's impact on the state. Save Rural Communities Act of 2020 (HR 5808), a bill that allows new licensing categories and payment for rural hospitals. Provided suggested revisions so that federal law would recognize state law. Supporting Organizations for the Improving Seniors Timely Access to Care Act (H.R. 3107), endorsing a bill that would improve prior authorization process for seniors' access to medical care. Request to Centers for Medicare and Medicaid Service to grant a Section 1135 waiver giving Texas hospitals regulatory relief to address the COVID-19 pandemic.
Client expense: Not reported · Firm income: $50,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
| Republican |
| TX |
| Lance Gooden | Republican | TX |
| Louie Gohmert | Republican | TX |
| Mac Thornberry | Republican | TX |
| Terri A. Sewell | Democratic | AL |
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Client expense: $2,250,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Client expense: $1,690,000 · 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: $104,240 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $3,630,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of the Vice President of the United States, SENATE, Treasury, Dept of, White House Office