Loading…
Consumer Protections Against Surprise Medical Bills Act of 2020
Legislative Progress
Introduced
February 10, 2020
Latest Action
February 12, 2020
Primary Sponsor
Richard E. NealDemocratic(MA)
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
62pct
2d open
vs 9,062 other HR bills in the 116th — cohort avg 39d
Consumer Protections Against Surprise Medical Bills Act of 2020 This bill makes a series of changes related to health care costs and billing practices. Among other things, the bill applies the in-network cost-sharing amount to certain emergency and related nonemergency services that are provided out-of-network, applies the in-network cost-sharing amount to nonemergency services that are provided out-of-network at an in-network facility unless specified written notice requirements are met, establishes procedures for health insurance plans to negotiate reimbursement amounts paid to out-of-network providers in states without such a process, requires insurance plans to establish publicly available databases that list the contact information for in-network providers and facilities, requires health care providers and insurance plans to provide certain cost estimates for services scheduled at least three days in advance, requires plans to continue benefits for specified long-term care when an insurance plan's contractual relationship with a provider or facility changes or terminates, requires insurance plans to include specified consumer assistance and benefits information on a plan holder's membership card and maintain certain price comparison tools for in-network services, establishes reporting requirements related to air ambulance services, establishes a temporary income tax deduction for specified expenses resulting from out-of-network and emergency services.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (83)
Ordered to be Reported in the Nature of a Substitute (Amended) by Voice Vote.
Committee Consideration and Mark-up Session Held.
Referred to the Subcommittee on Aviation.
Referred to the Subcommittee on Health.
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, and Transportation and Infrastructure, 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
2021 · second_quarter · Health Issues
Solutions to address balance billing and to preserve access to emergency air ambulance services, particularly in rural areas: H.R. 3630 - No Surprises Act, S. 1895 - Lower Health Care Costs Act, H.R. 5800 - Ban Surprise Billing Act, and H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020; Medicare and Medicaid policies relating to ground and air ambulance services; S. 1895, Lower Health Care Costs Act of 2019; H.R. 3630, No Surprises Act; H.R. 748, CARES Act (P.L. 116-136); H.R. 6800, The Heroes Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2021 · second_quarter · Aviation/Airlines/Airports
Solutions to address balance billing and to preserve access to emergency air ambulance services, particularly in rural areas: H.R. 3630 - No Surprises Act, S. 1895- Lower Health Care Costs Act, H.R. 5800 - Ban Surprise Billing Act, and H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020; Medicare and Medicaid policies relating to ground and air ambulance services; S. 1895, Lower Health Care Costs Act of 2019; H.R. 3630, No Surprises Act; H.R. 748, CARES Act (P.L. 116-136); H.R. 6800, The Heroes Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2021 · second_quarter · Insurance
Solutions to address balance billing and to preserve access to emergency air ambulance services, particularly in rural areas: H.R. 3630 - No Surprises Act, S. 1895 - Lower Health Care Costs Act, H.R. 5800 - Ban Surprise Billing Act, and H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020; Medicare and Medicaid policies relating to ground and air ambulance services; S. 1895, Lower Health Care Costs Act of 2019; H.R. 3630, No Surprises Act; H.R. 748, CARES Act (P.L. 116-136); H.R. 6800, The Heroes Act.
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2021 · first_quarter · Health Issues
Advocate for several Medicare & Medicaid provisions in the CARES Act (H.R. 748), including a delay of Medicare sequestration cuts, a delay of the Medicare Fiscal Accountability Rule and Medicaid disproportionate share hospital (DSH) cut relief. Support increased Federal Medical Assistance Percentages (FMAP) and FMAP flexibility at the state level in the Families First Coronavirus Response Act (H.R. 6201) and the CARES Act (H.R. 748). Advocate for federal childcare benefits for members of the health care workforce. Advocate for increasing borrowing limits on SBA loans and ensuring health care providers are eligible. Support direct funding for health care providers treating COVID-19 patients, including funding through the Hospital Preparedness Program. Support funding and efforts to ensure health care providers have access to essential materials, such as PPE, for COVID-19 response and readiness. Advocate for changes to indirect medical education payments to account for COVID-19 response efforts. Advocate for direct Federal funding for state and local governments during the COVID-19 crisis. Discuss the distribution methodology for the Public Health and Social Services Emergency Fund with the White House, HHS, CMS and Congressional staff. Discuss issues related to Medicare accelerated payments with White House, HHS, CMS and Congressional staff. Advocate for continued Federal funding for New York States DSRIP program. Discuss Medicare and Medicaid issues with the CMS Administrator. Discuss COVID-19 response with White House staff and HHS leadership, including the HHS Secretary. Discuss GNYHA's legislative priorities with Congressional staff: a delay of cuts to Medicaid DSH funding (support), site-neutral policies (oppose), 340B drug discount program (support), expanding federal graduate medical education programs (support), funding to address the opioid crisis (support), funding for hospital infrastructure (support), the Affordable Care Act (support), and liver allocation reforms (support). Discuss the need to reform the United States' liver allocation system with Congressional staff/members, HHS, HRSA, UNOS and OPTN. Educate Congressional staff and lawmakers on Medicare for All. Support graduate medical education funding through the Medicare program, including support for the Resident Physician Shortage Reduction Act (S. 834/H.R. 2256) and the Opioid Workforce Act. Discuss technical assistance regarding the Opioid Workforce Act with committee staff. Discuss the Prescription Drug Pricing Reduction Act of 2021 (S. 909) with Congressional staff and committee staff. Support surprise billing legislation reform and work with committee and Congressional staff on a range of issues. Discussed several bills including: Protecting People from Surprise Medical Bills Act (H.R. 3502), Lower Health Care Costs Act (S. 1895), No Surprises Act (H.R. 3630) and Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826). Discussed the inclusion of surprise billing legislation in COVID-19 response legislation. Discuss New York State's Partnership for Patients initiative with CMS contract officers. Discuss GME rural training tracks and possible reforms with Congressional staff. Discuss the ET3 model with staff from CMMI. Discuss the Medicare GME program, including issues related to oversight and transparency, with congressional staff. Spoke with CMS to review Medicare DGME policy (42 CFR 413.75) on residency counting issues Discuss provisions in the CARES Act (H.R. 748) related to health care provider liability and immunity with Congressional and committee staff. Attend cybersecurity briefing related to foreign threats with FBI. Discuss issues concerning DSH hospitals with the Executive Branch. Discuss Medicare and Medicaid issues with the CMS Administrator. Discuss Lower Drug Costs Now Act (H.R.3) with Congressional staff. Discuss issues related to telehealth and HIT with staff from CMS, the White House and Congressional staff. Discuss drug shortages related to the COVID-19 crisis with Congressional and Administration staff. Coordinate with ASPR, the Department of Defense, FEMA and the FDA on COVID-19 response efforts. Discuss the HEROES Act (H.R. 6800) and other COVID-19 phase four response legislation with lawmakers, Congressional staff, HHS and the White House. Discuss disbursements from the Public Health and Social Services Emergency Fund with HHS, the White House, and Congressional staff and lawmakers. Discuss hospital infrastructure spending with the White House and Congressional staff, including in the Invest in America Act (H.R. 2). Discuss Medicare Advance Payment forgiveness with HHS and Congressional staff, advocated for H.R. 7292 (support). Discuss supply chain issues, including PPE and ventilators, with Congressional staff, HHS and White House. Discuss a range of other COVID-19 priorities with Congressional staff including ensuring Medicare advantage plans comply with increased COVID-19 Medicare payments (support), an add-on payment for COVID-19 care (support), and crisis pay for health care workers (support). Support a delay of Medicaid DSH reimbursement cuts in COVID-19 response package and a delay or repeal of the Medicaid Fiscal Accountability Regulation. Discuss increased Federal Medical Assistance Percentages (support) and increased funding for state and local governments (support) with Congressional staff. Discuss surprise billing legislation with White House staff. Discuss Medicare Rule on Physician Time Studies (42 CFR 415.60) with CMS. Discuss disclosure of patient information to the media with HHS. Discuss Medicare Rules regarding new teaching hospitals with CMS. Discuss alternate care site billing with CMS.
2021 · first_quarter · Aviation/Airlines/Airports
Solutions to address balance billing and to preserve access to emergency air ambulance services, particularly in rural areas: H.R. 3630 - No Surprises Act, S. 1895- Lower Health Care Costs Act, H.R. 5800 - Ban Surprise Billing Act, and H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020; Medicare and Medicaid policies relating to ground and air ambulance services; S. 1895, Lower Health Care Costs Act of 2019; H.R. 3630, No Surprises Act; H.R. 748, CARES Act (P.L. 116-136); H.R. 6800, The Heroes Act
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
| House |
| Referred to |
| February 10, 2020 |
| Energy and Commerce Committee | House | Referred to | February 10, 2020 |
| Democratic |
| IL |
| Brian Higgins | Democratic | NY |
| Daniel T. Kildee | Democratic | MI |
| Danny K. Davis | Democratic | IL |
| Darin LaHood | Republican | IL |
| David Schweikert | Republican | AZ |
| Devin Nunes | Republican | CA |
| Donald S. Beyer, Jr. | Democratic | VA |
| Donna E. Shalala | Democratic | FL |
| Dusty Johnson | Republican | SD |
| Dwight Evans | Democratic | PA |
| Elaine G. Luria | Democratic | VA |
| George Holding | Republican | NC |
| Glenn Thompson | Republican | PA |
| Gregory F. Murphy | Republican | NC |
| Hakeem S. Jeffries | Democratic | NY |
| Jackie Walorski | Republican | IN |
| Jason Smith | Republican | MO |
| Jodey C. Arrington | Republican | TX |
| John B. Larson | Democratic | CT |
| John Lewis | Democratic | GA |
| Joseph D. Morelle | Democratic | NY |
| Kenny Marchant | Republican | TX |
| Kevin Brady | Republican | TX |
| Kevin Hern | Republican | OK |
| Kim Schrier | Democratic | WA |
| Mike Kelly | Republican | PA |
| Mike Thompson | Democratic | CA |
| Ron Estes | Republican | KS |
| Stephanie N. Murphy | Democratic | FL |
| Suzan K. DelBene | Democratic | WA |
| Terri A. Sewell | Democratic | AL |
| Thomas R. Suozzi | Democratic | NY |
| Tom Reed | Republican | NY |
| Tom Rice | Republican | SC |
| Vern Buchanan | Republican | FL |
| W. Gregory Steube | Republican | FL |
| HR 5807 |
116th |
| Related bill |
| HR 5192 | 116th | Related bill |
| HR 5121 | 116th | Related bill |
Client expense: $510,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), President of the U.S., SENATE, Small Business Administration (SBA), Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office
2021 · first_quarter · Insurance
Solutions to address balance billing and to preserve access to emergency air ambulance services, particularly in rural areas: H.R. 3630 - No Surprises Act, S. 1895 - Lower Health Care Costs Act, H.R. 5800 - Ban Surprise Billing Act, and H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020; Medicare and Medicaid policies relating to ground and air ambulance services; S. 1895, Lower Health Care Costs Act of 2019; H.R. 3630, No Surprises Act; H.R. 748, CARES Act (P.L. 116-136); H.R. 6800, The Heroes Act.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2021 · first_quarter · Health Issues
Solutions to address balance billing and to preserve access to emergency air ambulance services, particularly in rural areas: H.R. 3630 - No Surprises Act, S. 1895 - Lower Health Care Costs Act, H.R. 5800 - Ban Surprise Billing Act, and H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020; Medicare and Medicaid policies relating to ground and air ambulance services; S. 1895, Lower Health Care Costs Act of 2019; H.R. 3630, No Surprises Act; H.R. 748, CARES Act (P.L. 116-136); H.R. 6800, The Heroes Act
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2021 · first_quarter · Health Issues
Provisions related to Timely Billing in legislation to address surprise medical bills, including S.1895 - the Lower Health Care Costs Act, H.R.2328 - the REACH Act and H.R. 5826 - The Consumer Protections Against Surprise Medical Bills Act of 2020; Coronavirus response efforts, including related provisions in: (1) H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act; (2) H.R. 6201, the Families First Coronavirus Response Act; (3) H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act and (4) H.R.133 - Consolidated Appropriations Act, 2021.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Health Issues
Requirements related to COVID-19 testing. Surprise billing reform, including S. 1895, the Lower Health Care Costs Act, H.R. 3630, the No Surprises Act, H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act, and H.R. 5800, the Ban Surprise Bills Act.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Health Issues
Surprise billing reform, including S. 1895, the Lower Health Care Costs Act, H.R. 3630, the No Surprises Act, H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act, and H.R. 5800, the Ban Surprise Bills Act. S. 3559/H.R. 6365, the Immediate Relief for Rural Facilities and Providers Act of 2020. Insurance contract issues in the private market.
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Health Issues
Requirements related to COVID-19 testing. Surprise billing reform, including S. 1895, the Lower Health Care Costs Act, H.R. 3630, the No Surprises Act, H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act, and H.R. 5800, the Ban Surprise Bills Act.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · second_quarter · Health Issues
Surprise billing reform, including S. 1895, the Lower Health Care Costs Act, H.R. 3630, the No Surprises Act, H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act, and H.R. 5800, the Ban Surprise Bills Act.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · fourth_quarter · Health Issues
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans;surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; COVID Vaccines; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
Client expense: $180,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Health Issues
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
Client expense: $450,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Health Issues
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
Client expense: $170,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Health Issues
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) H.R. 748 116 Congress
Client expense: $250,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
General Issures regarding Executive Order 13950 - Combating Race and Sex Stereotyping H.R.1636 / S.2163 / Public Law 116-156 "Commission on the Social Status of Black Men and Boys Act"Section 2. (b) (3) S. 1531Stopping the Outrageous Practice of Surprise Medical Bills Act of 2019; provisions related to eliminate surprise billing S. 348/H.R. 1763 - Resident Physician Shortage Reduction Act of 2019; all provisions H.R. 3, Moving Forward Act H.R. 6201, Families First Coronavirus Response Act Eliminate Surprise billing (S 1895, HR 3630, HR 3502, S 1531, HR 5800, HR 5826) Support the Resident Physician Shortage Reduction Act of 2019 (S 348/HR1763) Support delaying the ACAs DSH cuts (HR2328) Opioid Workforce Act (H.R. 3414)
Client expense: $50,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Price transparency, out-of-network reimbursement of emergency medical services, surprise medical bills Opioids, pain management Federal funding for Substance Use Disorder treatments Drug Shortages H.R.451-Dont Break Up the T-Band Act of 2020 H.R.501-Poison Center Network Enhancement Act of 2019 H.R.861-End Surprise Billing Act of 2019 H.R.925-The Heroes Act H.R.1301-Mental Health Telemedicine Expansion Act H.R.1309-Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.1418-Competitive Health Insurance Reform Act of 2019 H.R.1554-Resident Education Deferred Interest (REDI) Act H.R.1646-Helping Emergency Responders Overcome (HERO) Act H.R.1682-Improving Access to Medicare Coverage Act of 2019 H.R.1767-Excellence in Mental Health and Addiction Treatment Expansion Act H.R.2281-Easy Medication Access and Treatment (MAT) for Opioid Addiction Act H.R.2328-Reauthorizing and Extending Americas Community Health Act H.R.2464-End the Cycle of Violence Act of 2019 H.R.2482-Mainstreaming Addiction Treatment Act of 2019 H.R.2519-Improving Mental Health Access from the Emergency Department Act of 2019 H.R.2550-Prevent Blood Loss with Emergency Equipment Devices Act of 2019 H.R.2569-Comprehensive Addiction Resources Emergency Act of 2019 H.R.3107-Improving Seniors Timely Access to Care Act of 2019 H.R.3417-Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 H.R.3502-Protecting People From Surprise Medical Bills Act H.R.3630-No Surprises Act H.R.3935-Protecting Patients Transportation to Care Act H.R.3984-Health Care Safety Net Enhancement Act of 2019 H.R.4194-National Suicide Hotline Designation Act of 2019 H.R.4861-Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 H.R.4932-Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 H.R.5619-Suicide Prevention Act H.R.5727-Research Empirical Solutions to End Ambulance Reversals from Closed Hospitals (RESEARCH) Act of 2020 H.R.5800-Ban Surprise Billing Act H.R.5826-Consumer Protections Against Surprise Medical Bills Act of 2020 H.R.5855-Bipartisan Solution to Cyclical Violence Act of 2020 H.R.6663-Truth in Healthcare Marketing Act of 2020 H.R.6800-Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act H.R.6910-Emergency Room Hero and Patient Safety Act H.R.6930-Manufacturing API, Drugs, and Excipients (MADE) in America Act of 2020 H.R.7059-Coronavirus Provider Protection Act H.R.7255-Coronavirus Health Care Worker Wellness Act of 2020 H.R.7574-Strengthening Americas Strategic National Stockpile Act of 2020 H.R.7819-Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8094-Dr. Lorna Breen Health Care Provider Protection Act H.R.8441-Frontlines Heroes Act 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, and for other purposes H.R.8702-Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 S.289-Rural Physician Workforce Production Act of 2019 S.299-Geriatrics Workforce Improvement Act S.350-Competitive Health Insurance Reform Act of 2019 S.618-Medicare Choices Empowerment and Protection Act S.753-Improving Access to Medicare Coverage Act of 2019 S.824-Excellence in Mental Health and Addiction Treatment Expansion Act S.851-Workplace Violence Prevention for Health Care and Social Service Workers Act S.1199-Poison Center Network Enhancement Act of 2019 S.1266-Protecting Patients from Surprise Medical Bills Act S.1334-Improving Mental Health Access from the Emergency Department S.1350-Good Samaritan Health Professionals Act of 2019 S.1365-Comprehensive Addiction Resources Emergency Act of 2019 S.1531-Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S.1895-Lower Health Care Costs Act S.2074-Mainstreaming Addiction Treatment Act of 2019 S.2661-National Suicide Hotline Designation Act of 2020 S.2741-Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S.3006-Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 S.3143-Magnet Injury Prevention Act S.3198-Suicide Prevention Act S.3346-Prevent Blood Loss with Emergency Equipment Devices Act of 2020 S.4349-Dr. Lorna Breen Health Care Provider Protection Act S.5007-Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020
Client expense: $340,838 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Insurance
Price transparency, out-of-network reimbursement of emergency medical services, surprise medical bills H.R.861-End Surprise Billing Act of 2019 H.R.1418-Competitive Health Insurance Reform Act of 2019 H.R.2328-Reauthorizing and Extending Americas Community Health Act H.R.3107-Improving Seniors Timely Access to Care Act of 2019 H.R.3502-Protecting People From Surprise Medical Bills Act H.R.3630-No Surprises Act H.R.5800-Ban Surprise Billing Act H.R.5826-Consumer Protections Against Surprise Medical Bills Act of 2020 S.350-Competitive Health Insurance Reform Act of 2019 S.1266-Protecting Patients from Surprise Medical Bills Act S.1531-Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S.1895-Lower Health Care Costs Act
Client expense: $340,838 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Insurance
Price transparency, out-of-network reimbursement of emergency medical services, surprise medical bills H.R.861-End Surprise Billing Act of 2019 H.R.1418-Competitive Health Insurance Reform Act of 2019 H.R.2328-Reauthorizing and Extending Americas Community Health Act H.R.3107-Improving Seniors Timely Access to Care Act of 2019 H.R.3502-Protecting People From Surprise Medical Bills Act H.R.3630-No Surprises Act H.R.5800-Ban Surprise Billing Act H.R.5826-Consumer Protections Against Surprise Medical Bills Act of 2020 S.350-Competitive Health Insurance Reform Act of 2019 S.1266-Protecting Patients from Surprise Medical Bills Act S.1531-Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S.1895-Lower Health Care Costs Act
Client expense: $391,824 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Health Issues
Price transparency, out-of-network reimbursement of emergency medical services, surprise medical bills Opioids, pain management Federal funding for Substance Use Disorder treatments Drug Shortages H.R.451-Dont Break Up the T-Band Act of 2020 H.R.501-Poison Center Network Enhancement Act of 2019 H.R.861-End Surprise Billing Act of 2019 H.R.925-The Heroes Act H.R.1301-Mental Health Telemedicine Expansion Act H.R.1309-Workplace Violence Prevention for Health Care and Social Service Workers Act H.R.1418-Competitive Health Insurance Reform Act of 2019 H.R.1554-Resident Education Deferred Interest (REDI) Act H.R.1646-Helping Emergency Responders Overcome (HERO) Act H.R.1682-Improving Access to Medicare Coverage Act of 2019 H.R.1767-Excellence in Mental Health and Addiction Treatment Expansion Act H.R.2281-Easy Medication Access and Treatment (MAT) for Opioid Addiction Act H.R.2328-Reauthorizing and Extending Americas Community Health Act H.R.2464-End the Cycle of Violence Act of 2019 H.R.2482-Mainstreaming Addiction Treatment Act of 2019 H.R.2519-Improving Mental Health Access from the Emergency Department Act of 2019 H.R.2550-Prevent Blood Loss with Emergency Equipment Devices Act of 2019 H.R.2569-Comprehensive Addiction Resources Emergency Act of 2019 H.R.3107-Improving Seniors Timely Access to Care Act of 2019 H.R.3417-Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 H.R.3502-Protecting People From Surprise Medical Bills Act H.R.3630-No Surprises Act H.R.3935-Protecting Patients Transportation to Care Act H.R.3984-Health Care Safety Net Enhancement Act of 2019 H.R.4194-National Suicide Hotline Designation Act of 2019 H.R.4861-Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 H.R.4932-Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 H.R.5619-Suicide Prevention Act H.R.5727-Research Empirical Solutions to End Ambulance Reversals from Closed Hospitals (RESEARCH) Act of 2020 H.R.5800-Ban Surprise Billing Act H.R.5826-Consumer Protections Against Surprise Medical Bills Act of 2020 H.R.5855-Bipartisan Solution to Cyclical Violence Act of 2020 H.R.6663-Truth in Healthcare Marketing Act of 2020 H.R.6800-Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act H.R.6910-Emergency Room Hero and Patient Safety Act H.R.6930-Manufacturing API, Drugs, and Excipients (MADE) in America Act of 2020 H.R.7059-Coronavirus Provider Protection Act H.R.7255-Coronavirus Health Care Worker Wellness Act of 2020 H.R.7574-Strengthening Americas Strategic National Stockpile Act of 2020 H.R.7819-Eliminating the Provider Relief Fund Tax Penalties Act of 2020 H.R.8094-Dr. Lorna Breen Health Care Provider Protection Act S.289-Rural Physician Workforce Production Act of 2019 S.299-Geriatrics Workforce Improvement Act S.350-Competitive Health Insurance Reform Act of 2019 S.618-Medicare Choices Empowerment and Protection Act S.753-Improving Access to Medicare Coverage Act of 2019 S.824-Excellence in Mental Health and Addiction Treatment Expansion Act S.851-Workplace Violence Prevention for Health Care and Social Service Workers Act S.1199-Poison Center Network Enhancement Act of 2019 S.1266-Protecting Patients from Surprise Medical Bills Act S.1334-Improving Mental Health Access from the Emergency Department S.1350-Good Samaritan Health Professionals Act of 2019 S.1365-Comprehensive Addiction Resources Emergency Act of 2019 S.1531-Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S.1895-Lower Health Care Costs Act S.2074-Mainstreaming Addiction Treatment Act of 2019 S.2661-National Suicide Hotline Designation Act of 2020 S.2741-Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S.3006-Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 S.3143-Magnet Injury Prevention Act S.3198-Suicide Prevention Act S.3346-Prevent Blood Loss with Emergency Equipment Devices Act of 2020 S.4349-Dr. Lorna Breen Health Care Provider Protection Act
Client expense: $391,824 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
H.R. 3502, Protecting People from Surprise Medical Bills Act, all provisions H.R. 5826, Consumer Protections Against Surprise Medical Bills Act of 2020, all provisions H.R. 3630, No Surprises Act, all provisions S. 1895, Lower Health Care Costs Act, provisions relating to surprise billing S. 1531, Stopping The Outrageous Practice of (STOP) Surprise Medical Bills Act of 2019, all provisions S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, all provisions H.R. 6644, 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, all provisions S. 3741, Health Care at Home Act of 2020, all provisions S. 4666, National Coronavirus Commission Act of 2020, all provisions S. 4507, Getting Early Treatment and Comprehensive Assessments Reduces Emergencies (GET CARE) Act of 2020, all provisions H.R. 8441, Frontline Heroes Act, all provisions S. 4317, SAFE TO WORK Act, all provisions H.R. 925, The Heroes Act, all provisions S. 3749, Public Health Emergency Privacy Act, all provisions S. 3861, Exposure Notification Privacy Act, all provisions H.R. 6585, Equitable Data Collection and Disclosure on COVID-19 Act, all provisions H.R. 7510, Assimilating Health and Equity Assessments into Decision-making (AHEAD Act) of 2020, all provisions S. 4919, Assimilating Health and Equity Assessments into Decision-making (AHEAD Act) of 2020, all provisions H.R. 6808, Health Force and Resilience Force Act of 2020, all provisions S. 3606, Health Force and Resilience Force Act of 2020, all provisions H.R. 7255, Coronavirus Health Care Worker Wellness Act of 2020, all provisions H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act, all provisions S. 4349, Dr. Lorna Breen Health Care Provider Protection Act, all provisions H.R. 3884, Marijuana Opportunity Reinvestment and Expungement (MORE) Act of 2020, all provisions S. 2032, Cannabidiol and Marihuana Research Expansion Act, all provisions H.R. 1503, Orange Book Transparency Act of 2019, provisions related to PBM and prescription drug price transparency H.R. 1520, Purple Book Continuity Act of 2019, provisions related to PBM and prescription drug price transparency H.R. 987, Strengthening Health Care and Lowering Prescription Drug Costs Act, provisions related to PBM and prescription drug price transparency H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, provisions related to PBM and prescription drug price transparency H.R. 4995, Maternal Health Quality Improvement Act of 2020, all provisions H.R. 7120, George Floyd Justice in Policing Act of 2020, provisions relating to police reform Affordable Care Act stabilization Expansion of Paycheck Protection Program for 501(c)6s Public Health and Social Services Emergency Fund Marginalized and minoritized communities/COVID-19 disproportionate impact COVID-19 long haulers COVID-19 testing/vaccines/health care prior authorization COVID-19/treatment and prescribing flexibilities COVID-19/Expanded PPE/clearinghouses E/M services Surprise medical billing executive orders Surprise Medical Billing, generally Clinical and administrative data intersection State Medical Boards/Interstate Medical Licensure Compact Pharmacists and COVID-19 testing Mental health parity Digital therapeutics Physician practice financial impact 21st Century Cures Act/health data and privacy 42 CFR Part 2, HIPAA Patent reform CPT - digital Most favored nation drug pricing Drug pricing Health Information Technology/information blocking Dietary guidelines/alcohol consumption Data privacy Cyber security best practices Race and sex stereotyping executive order
Client expense: $3,870,000 · Firm income: Not reported
Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Veterans Affairs, Dept of (VA), White House Office
2020 · fourth_quarter · Health Issues
Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking Palliative Care and Hospice Education and Training Act (H.R. 647/S. 2080) Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R. 728/S. 1399) Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748/S.3548) Emergency Medical Services for Children Program Reauthorization Act of 2019 (H.R. 776/S. 1173) End Surprise Billing Act of 2019 (H.R. 861) Fairness for Breastfeeding Mothers Act (H.R. 866/S. 528) Heroes Act (H.R. 925) Mental Health Access Improvement Act of 2019 (H.R. 945) Mental Health Services for Students Act of 2019 (H.R. 1109) Workplace Violence Prevention for Health Care and Social Service Workers Act (H.R. 1309) Competitive Health Insurance Reform Act of 2020 (H.R. 1418) Patient Protection and Affordable Care Enhancement Act (H.R. 1425) Healthy Families Act (H.R. 1784/S. 840) Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act (H.R. 1897) School-Based Health Centers Reauthorization Act of 2019 (H.R. 2075/S. 1013) Scarlett's Sunshine on Sudden Unexpected Death Act (H.R. 2271/S. 1130) Easy MAT for Opioid Addiction Act (H.R. 2281) Community Health Investment, Modernization, and Excellence Act of 2019 (H.R. 2328) Newborn Screening Saves Lives Reauthorization Act of 2019 (H.R. 2507) Pregnant Workers Fairness Act (H.R. 2694) Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 (H.R. 2781) Vaccine Awareness Campaign to Champion Immunization Nationally and Enhance Safety (VACCINES) Act of 2019 (H.R. 2862) Physical Activities Recommendations for Americans Act of 2019 (H.R. 2891) Safe Cribs Act of 2019 (H.R. 3170) Safe Sleep for Babies Act of 2019 (H.R. 3172) Pathways to Health Careers Act (H.R. 3398) Chronic Care Management Improvement Act (H.R. 3436) No Surprises Act (H.R. 3630) Midwives for Maximizing Optimal Maternity Services (Midwives for MOMS) Act of 2019 (H.R. 3849) Social Determinants Accelerator Act of 2019 (H.R. 4004/S. 2986) Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act of 2019 (H.R. 3328/H.R. 4100/S. 1712) Effective Suicide Screening and Assessment in the Emergency Department Act of 2019 (H.R. 4861/S. 3006) United States Public Health Service Modernization Act of 2019 (H.R. 4870/S. 2629) Medication Access and Training Expansion (MATE) Act of 2019 (H.R. 4974) Maternal Health Quality Improvement Act of 2019 (H.R. 4995) Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Protecting Seniors Through Immunization Act of 2019 (H.R. 5076/S. 1872) Pursuing Equity in Mental Health Act of 2019 (H.R. 5469) Primary and Behavioral Health Care Access Act (H.R. 5575) Ban Surprise Billing Act (H.R. 5800) Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826) Black Maternal Health Momnibus Act of 2020 (H.R. 6142/S. 3424) Families First Coronavirus Response Act (H.R. 6201) Take Responsibility for Workers and Families Act (H.R. 6379) Health Care at Home Act (H.R. 6644) COVID-19 Mental Health Research Act (H.R. 6645) HEROES Act (H.R. 6800) Child Care Is Essential Act (H.R. 7027) Ensuring Children and Child Care Workers Are Safe Act of 2020 (H.R. 7079) Child Care for Economic Recovery Act (H.R. 7327) Protect Telehealth Access Act (H.R. 7391) Protecting Access to Post-COVID-19 Telehealth Act of 2020 (H.R. 7663) Community and Public Health Programs Extension Act (S. 192) National Nurse Act of 2019 (S. 696/H.R. 1597) Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767) Nursing Where It's Needed Act (S. 1045) Promoting Physical Activity for Americans Act (S. 1608) Lower Health Care Costs Act (S. 1895) National Suicide Hotline Designation Act (S. 2661) Child Care Protection Improvement Act of 2019 (S. 2683) CONNECT for Health Act of 2019(S. 2741/H.R. 4932) CAPTA Reauthorization Act of 2019 (S. 2971) Suicide Prevention Act (S. 3198/H.R. 5619) Eliminating Abusive and Rampant Neglect of Interactive Technologies (EARN IT) Act of 2020 (S. 3398) Tele-Mental Health Improvement Act (S. 3792) Coronavirus Mental Health and Addiction Assistance Act of 2020 (S. 3825/H.R. 6999) Mental and Behavioral Health Connectivity Act (S. 3999) Future Advancement of Academic Nursing (FAAN) Act (S. 4396/H.R. 7945) Safe Authorization for Vaccines during Emergencies (SAVE) Act (S. 4427) Pioneering Antimicrobial Subscriptions to End Up surging Resistance (PASTEUR) Act of 2020 (S. 4760)
Client expense: Not reported · Firm income: $24,000
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
2020 · fourth_quarter · Health Issues
H.R. 6390/S.3568 - Medical Supply Chain Emergency Act of 2020 H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act Provider Non-Discrimination and Network Adequacy S. 2074, HR 2482. Mainstreaming Addiction Treatment Act of 2019 H.R. 4974/S.4640 - Medication Access and Training Expansion (MATE) Act Reducing Regulatory Burdens - Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R.6800 - The Heroes Act H.R.6809 - Nurse Workforce Protection Act of 2020 Support for public health infrastructure Disproportionate impact of COVID-19 on communities of color Emergency Relief Fund support Nursing role in COVID-19 vaccine development, production, and distribution H.R. 8061 - Community Immunity During COVID-19 Act S.4315 - TRACE Act Issues surrounding maternal vaccinations S.4112 - Coronavirus Child Care and Education Relief Act Support for school nurses H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act Personal Protective Equipment Standards and access to Personal Protective Equipment, including supply chain issues Mental health resources for nurses No Surprises Act Protect our Heroes Act of 2020 Issues surrounding COVID-19 vaccine distribution and administration H.R. 133 - Consolidated Appropriations Act, 2021
Client expense: $315,487 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2020 · fourth_quarter · Health Issues
Support HR 1763/ S 348, Resident Physician Shortage Reduction Act of 2019, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; Oppose HR 506,Hospital Competition Act of 2019, a bill to amend title XVIII of the Social Security Act to increase hospital competition; Statement submitted to the House Judiciary on the hearing "Diagnosing the Problem: Exploring the Effects of Consolidation and Anticompetitive Conduct in Health Care Markets"; Support HR 965/ S340, Creating and Restoring Equal Access to Equivalent Samples Act of 2019 or the CREATES Act of 2019, a bill to promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products; Support HR 986/ S466 Protecting Americans with Preexisting Conditions Act of 2019, a bill provide that certain guidance related to waivers for State innovation under the Patient Protection and Affordable Care Act shall have no force or effect; Support HR 987 Strengthening Health Care and Lowering Prescription Drug Costs Act, a bill to amend the Patient Protection and Affordable Care Act to provide for Federal Exchange outreach and educational activities; Support HR 938 Bringing Low-cost Options and Competition while Keeping Incentives for New Generics Act of 2019 or the BLOCKING Act of 2019, a bill to amend the Federal Food, Drug, and Cosmetic Act, with respect to eligibility for approval of a subsequent generic drug, to remove the barrier to that approval posed by the 180-day exclusivity period afforded to a first generic applicant that has not yet received final approval, and for other purposes; Support HR 1010, a bill to provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect; Support HR 1499 Protecting Consumer Access to Generic Drugs Act of 2019, a bill to prohibit brand name drug manufacturers from compensating generic drug manufacturers to delay the entry of a generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable product manufacturers to delay entry of biosimilar and interchangeable products, and for other purposes; Support HR 1425 State Health Care Premium Reduction Act, a bill to amend the Patient Protection and Affordable Care Act to provide for a Improve Health Insurance Affordability Fund to provide for certain reinsurance payments to lower premiums in the individual health insurance market; Support HR 1386/ S 1905 Expand Navigators Resources for Outreach, Learning, and Longevity Act of 2019 or the ENROLL Act of 2019,a bill to amend the Patient Protection and Affordable Care Act to provide for additional requirements with respect to the navigator program, and for other purposes; Support HR 1520 Purple Book Continuity Act of 2019, a bill to amend the Public Health Service Act to provide for the publication of a list of licensed biological products, and for other purposes; Support HR 1503 Orange Book Transparency Act of 2019A bill that would increase transparency for the patent status of both approved biological products and approved drugs; Support HR 2439/ HR 3414 Opioid Workforce Act of 2019, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions to help combat the opioid crisis; Submitted statement to the House Committee on Ways and Means Overcoming Racial Disparities and Social Determinants in the Maternal Mortality Crisis sharing information regarding hospitals and health systems efforts to address maternal morbidity and mortality, as we seek ways to improve outcomes and reduce health inequities for expectant and new mothers, and give their children the best possible start in life; Submitted oral and written testimony to the House Committee on Ways and Means Subcommittee on Health Hearing on Protecting Patients from Surprise Medical Bills. Protecting patients from surprise medical bills is a top priority and we have adopted a set of guiding principles to use as we evaluate legislative proposals: Define surprise bills, Protect the patient financially, Ensure patient access to emergency care, Preserve the role of private negotiation, Remove the patient from health plan/provider negotiations, Educate patients about their health care coverage, Ensure patients have access to comprehensive provider networks and accurate network information, and Support state laws that work; Letters submitted to the Energy & Commerce Committee in response to the request for comments on their surprise billing discussion draft. Concerned with the Committees draft legislations approach to determining reimbursement for out-of-network providers. Once the patient is protected from surprise bills, providers and insurers should then be permitted to negotiate payment rates for services provided. We strongly oppose approaches that would impose arbitrary rates on providers. We look forward to continuing to work with the Committee on solutions to stop surprise medical bills; Letter sent to the HELP Committee in response to the Lower Health Care Costs Act of 2019 discussion draft about our concerns about several of the proposals that would allow the government to intrude into private commercial contracts between providers and insurers. For example, several of the provisions could undermine value-based purchasing arrangements aimed directly at improving the quality of care while reducing costs. We strongly urge the Committee to remove these provisions; Submitted oral and written testimony to the House Committee on Energy and Commerce, Subcommittee on Health Hearing on No More Surprises: Protecting Patients from Surprise Medical Bills asking that the Committee preserve the ability of providers and insurers to negotiate private contracts and not establish a fixed payment amount for out-of-network services; Oppose HR 1309 Workplace Violence Prevention for Health Care and Social Service Workers Act, a bill to direct the Secretary of Labor to issue an occupational safety and health standard that requires covered employers within the health care and social service industries to develop and implement a comprehensive workplace violence prevention plan, and for other purposes; Concerns about S.1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 or the STOP Surprise Medical Bills Act of 2019, to amend the Public Health Service Act to provide protections for health insurance consumers from surprise billing; Concerns about S. 1895 Lower Health Care Costs Act Letter addressed concerns about the legislative provision that sets a benchmark rate in statute for the out-of-network payments, as well as provisions that seek to change privately negotiated contracting arrangements between hospitals and insurance companies; Support HR 3425, Advancing Medical Resident Training in Community Hospitals Act of 2019, to amend title XVIII of the Social Security Act to establish rules for payment for graduate medical education (GME) costs for hospitals that establish a new medical residency training program after hosting resident rotators for short durations; Expressed concerns regarding the provisions that reduce reimbursements to providers and hospitals that administer drugs the Prescription Drug Pricing Reduction Act (PDPRA) of 2019: including about Section 107, Medicare Part B Rebate by Manufacturers for Drugs or Biologicals with Prices Increasing Faster than Inflation, Section 110, Establishment of Maximum Add-on Payment for Drugs, Biologicals, and Biosimilars, this provision would establish $1,000 as the maximum add-on amount that a provider can be paid for a separately payable drug, biological or biosimilar, Section 111, Treatment of Drug Administration Services Furnished by an Off-Campus Outpatient Department of a Provider, the site neutral payment reduction would cut aggregate hospital payments; Support S. 2091, Backlog Elimination, Legal Immigration, and Employment Visa Enhancement Act, this legislation would increase the total number of employment-based visas from 140,000 to 270,000 and ensure that critical health care workers needed in the U.S. have access to employment-based visas by carving out health care workers in designated shortage occupations from the limit; Support S 350, The Competitive Health Insurance Reform Act of 2019, a bill to restore the application of the Federal antitrust laws to the business of health insurance to protect competition and consumers; Submitted statement to Subcommittee on Health of the Committee on Energy and Commerce for the hearing on Improving Maternal Health: Legislation to Advance Prevention Efforts and Access to Care; Concerns with S. 386 and HR 1044, Fairness for High-Skilled Immigrants Act of 2019, this bill increases the per-country cap on family-based immigrant visas from 7% of the total number of such visas available that year to 15%, and eliminates the 7% cap for employment-based immigrant visas. It also removes an offset that reduced the number of visas for individuals from China; Support H.R. 4538, Closing Loopholes for Orphan Drugs Act, a bill to amend title III of the Public Health Service Act to limit the orphan drug exclusion under the drug discount program under section 340B of such title; Discussions of provisions we support and those we recommend be changes in a draft bill called the Mitigating Existing Drug Shortages (MEDS) Act; Discussions in support of the allowing states to designate hospitals as necessary providers for purposes of waiving the critical access hospital mileage requirements; Provided comments to W&M on legislation to expand Health Profession Opportunity Grants; Support S. 2723, The Mitigating Emergency Drug Shortages (MEDS) Act, a bill to amend Sec. 506C of the Federal Food, Drug, and Cosmetic Act which strengthens requirements for drug manufacturers to disclose the root causes and expected duration of shortages, extends reporting requirements to active pharmaceutical ingredients manufacturers, requires manufacturers have contingency plans to ensure ongoing supply, develops recommendations to incentivize manufacturers to enter the market for drugs in shortage and examines the national security risks of shortages; Discuss DEA reductions in annual quotas for opioid products used by hospitals for sedation and pain management; Meeting with the Office of the Assistant Secretary of Preparedness and Response (ASPR) to discuss developments in the hospital preparedness program, the pilot projects for the Regional Disaster Healthcare System and other issues; Rural access to health care, including identifying core services needed in rural communities, outlining approaches and considerations for delivering those services, and examining access and quality in the rural context; ONCs proposed rule to implement the 21st Century Cures provision on information blocking; Supported members serving on the HHS Quality Summit panel, which was convened by the Deputy Secretary to gather input regarding how to improve and energize quality and safety improvement activities across health care system; Discussion with HHS on drug pricing, 340b, and price transparency policies, as well as the International Pricing Index ANPRM; Discussion with HHS about the work of Aligning for Health to address social determinants of health; Support S 2902, Strengthening Our Rural Health Workforce Act of 2019, a bill to enhance the rural health workforce; Meetings and correspondence with staff members of Senate Financing Committee on a proposal to support rural health care access (REH, re-opening necessary provider CAH, infrastructure funding); Letter to Ways & Means committee Rural and Underserved Communities Health Task Force in response to RFI on factors that contribute to health outcomes in these areas, examples of successful models and lessons from the field that address access and outcomes, and considerations for the unique circumstances of rural and underserved communities; Letter to Energy and Commerce Members regarding health information technology priorities; Letter of Support to Senate Appropriations on funding for the Centers for Disease Control and Prevention and the National Institutes of Health to study gun violence; Support S.2741 and H.R. 4932,Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019, a bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes; Support S 2603, Resolving Extended Limbo for Immigrant Employees and Families (RELIEF) Act, a bill to amend the Immigration and Nationality Act to end the immigrant visa backlog, and for other purposes; Support HR 4995, Maternal Health Quality Improvement Act of 2019, a bill to amend the Public Health Service Act to improve obstetric care and maternal health outcomes, and for other purposes; Concerns with HR 5800,Ban Surprise Billing Act, a bill to address surprise medical bills that relies on a median in-network rate to resolve out-of-network payments and allows for an independent dispute resolution process to determine the final payment. Concerned with the Committee's legislative approach to determining reimbursement for out-of-network providers. Oppose approaches that would impose arbitrary rates on providers, which could have significant consequences far beyond the scope of surprise medical bills. It is the insurers' responsibility to maintain comprehensive provider networks, and a default payment rate would remove incentives for health plans to contract with providers or to offer fair terms; Support HR 5826, Consumer Protections Against Surprise Medical Bills Act, a bill that prohibits providers from balance billing patients for emergency services or medical care the patient reasonably could have expected to be in-network, and from charging patients more than the in-network cost-sharing amount. Rather than rely on a benchmark payment rate to determine out-of-network reimbursement, the legislation provides a period for health plans and providers to negotiate out-of-network reimbursement, followed by a mediated dispute resolution process if necessary; Letter urging HHS to take regulatory actions to help hospitals and health systems prepare and respond to COVID-19; Letter requesting $100 billion to prepare and respond to COVID-19; Letter urging the Department of Labor to accurately define health care provider when promulgating regulations implementing key sections of the Families First Coronavirus Response Act; Letter sent to the President asking for the use of the Defense Production Act to increase the production of medical supplies and equipment; Letter to HHS regarding $100 billion emergency fund, asking HHS and CMS to directly and expediently distribute to rural and urban hospitals and health systems funds from the Public Health and Social Services Emergency Fund that were designated for providers in the Coronavirus Aid, Relief, and Economic Security (CARES) Act. The CARES Act increased funding by $100 billion in order to reimburse eligible health care providers for health care-related expenses or lost revenues that are attributable to COVID-19. In the letter, we urged HHS and CMS to immediately distribute funding to all hospital types in the US - with additional funding going to COVID-19 hotspots; Letter urging Congress to modernize the Stafford Act as part of its next COVID-19 legislative package to allow all hospitals to recoup financial losses from this pandemic and future disasters; Letter to the Federal Reserve System, the Federal Deposit Insurance Corporation and the Office of the Comptroller of the Currency requesting they, as primary federal regulators for insured depository institutions, take prompt action to assist health care providers on the front line of the COVID-19 pandemic should the need to do so arise; Letter to the Secretary of the Treasury and the Federal Reserve Chair of the Board of Governors urging a supplement to the New Main Street Loan Facility term sheet with prompt guidance to ensure that access to this critically-necessary loan facility will be attainable for hospitals without delay; Letter was sent to the SBA urging it to ensure that small- and mid-size public hospitals, including those that have both nonprofit and public designations, are allowed to apply for and receive loans under the newly-authorized SBA Paycheck Protection Program; Letter in response to FEMAs request for input on establishing a voluntary agreement, under the Defense Production Act, of key private sector stakeholders relevant to responding to COVID-19, urging that such an agreement account for the full breadth of COVID-19 medical supply and equipment needs; Support H.R. 6474/S.3838 Healthcare Broadband Expansion During COVID-19 Act, a bill that would provide an additional $2 billion in funding for the FCC Rural Health Care program and increase the subsidy for health care providers from 65 to 85 percent. This legislation also simplifies the program to allow for more efficient application processes and disbursement of much needed funding; Support HR 6654 Emergency COVID-19 Telehealth Response Act, a bill that would codify an expanded list of providers to deliver and bill for telehealth services during the PHE; Support HR 7233Knowing the Efficiency and Efficacy of Permanent (KEEP) Telehealth Options Act of 2020, a bill that would require the Department of Health and Human Services and the Government Accountability Office (GAO) to conduct studies to provide information about the expanded use of telehealth during the COVID-19 pandemic; Letter to Senate HELP Committee in response to request for feedback on preparing for next pandemic; Discussion about telehealth waivers and flexibilities with HHS; Discussion about CARES provider relief fund distributions with HHS; Oppose HR 6559/ S 3677 COVID-19 Every Worker Protection Act of 2020, a bill to require the Occupational Safety and Health Administration to promulgate an emergency temporary standard to protect employees from occupational exposure to SARS-CoV-2, and for other purposes; Joint letter with ANA urging Congress to act quickly to get needed resources into the health care system, so that hospitals, nurses and physicians responding to COVID-19 are able to continue to provide treatments, front-line health care personnel are able to provide care and patients are able access health care services; Statement to Committee on Ways and Means for the hearing on The Disproportionate Impact of COVID-19 on Communities of Color urging Congress to employ the resources of the National Institute on Minority Health and Health Disparities - which is congressionally-mandated to coordinate the research of the other National Institutes of Healths centers and institutes related to minority health - to research and develop approaches to specifically address the COVID-19 needs of minority populations; Advocate with Congress for full forgiveness of COVID-19 related accelerated payments received by hospitals; Support S 3781Pharmaceutical Accountability, Responsibility, and Transparency (PART) Act, a bill to increase reporting of, help mitigate potential shortages related to, and promote, accountability and transparency for pharmaceuticals and medical devices; Support S 3780 Help Onshore Manufacturing Efficiencies (HOME) for Drugs and Devices Act, a bill to encourage domestic advanced manufacturing of critical drugs and devices in order to address economic, health, and security concerns, combat shortages of critical drugs and devices, and promote increased domestic diversification of, and independence from foreign reliance on, pharmaceutical and medical device supply chains; Support S.3763 Pandemic Responder Service Award Act, a bill to establish the Pandemic Responder Service Award program to express our gratitude to front-line health care workers; Support HR 6788/ S 3599 Healthcare Workforce Resilience Act, a bill to enhance our Nations nurse and physician workforce during the COVID-19 crisis by recapturing unused immigrant visas; Urged support for joint House and Senate letter to the Administration asking for flexibility for hospitals with respect to J-1 and H-1B visa programs; Letter to Senate Finance Committee to address the important issue of maternal health and the opportunity to provide suggestions regarding how to improve maternal health in this country; Support the Temporary Reciprocity to Ensure Access to Treatment Act, a bill that allows for the temporary reciprocity for treatment by medical professionals licensed in one state to patients in other states; Letter urging the Senate to include in the next COVID-19 relief bill provisions to strengthen the federal response for racial and ethnic minority and marginalized communities, which are disproportionately affected by the pandemic;Letter asking Congress to allocate as part of the next COVID-19 relief package at least an additional $100 billion to the emergency relief fund to provide direct funding to front line health care personnel and providers to continue to respond to this pandemic; Letter sent to HHS urging them to direct HRSA to take action to stop three drug manufacturers from limiting the distribution of 340B drugs to 340B covered entities. These drug manufacturers have taken separate actions to either limit the distribution of 340B drugs or require 340B covered entities provide claims level data for investigatory purposes if that 340B covered entity uses a contract pharmacy arrangement; Letter to the Congressional Leadership asking them to not to include in the next COVID-19 relief package any surprise medical billing legislation - such as a reimbursement rate set in statute - that would further destabilize hospitals finances during the pandemic; Support S 4507, Getting Early Treatment and Comprehensive Assessments Reduces Emergencies Act of 2020 or the GET CARE Act of 2020, a bill to amend the Public Health Service Act to provide for a national campaign to raise awareness of the importance of seeking preventive health services and the utilization of such services; Comment letter addressing concerns on the proposed rule from the Departments of the Treasury, Labor and Health and Human Services that would allow certain grandfathered health plans to increase patient cost-sharing beyond current limits, without losing their grandfathered status; Letter urging the Administration to work with the AHA and Congress to create a future for telehealth that allows not only clinicians, but also hospitals and health systems, to code and bill for virtual services. We further urge CMS and HHS to continue to provide hospitals with the flexibility for annual beneficiary consent to telehealth treatment to be obtained at the same time, and not necessarily before, services are furnished; Support HR 8061,Community Immunity During COVID-19 Act of 2020, a bill that would provide funding to state and local health departments to work with community providers and organizations to increase immunization rates for Advisory Committee on Immunization Practices (ACIP)-recommended vaccines during the COVID-19 public health emergency; Letter again expressing concern with recent actions taken by several major drug manufacturers to limit the distribution of certain 340B drugs to our hospital members. While we understand that the HRSA is further investigating these actions, we urge swift and decisive action to halt these pernicious tactics so as to prevent other manufacturers from following suit; Comment letter outlining our concerns about the ability of hospital systems to distribute provider relief funds among the parent and subsidiaries. HHS published certain FAQs that place problematic restrictions on the use of CARES Act provider relief fund dollars. Specifically, the FAQs restrict the ability of a hospital system to allocate the funds throughout its system where COVID-19 related expenses and lost revenues are occurring; Submitted comments in response to HRSAs RFI on Health Professional Shortage Area (HPSA) scoring. HPSA scores are important for rural hospitals and clinics ability to recruit physicians and other clinicians, namely from the National Health Service Corps (NHSC) program. Letter asking HHS to reinstate the COVID-19 Provider Relief Fund reporting requirements; Support S 4349, Dr. Lorna Breen Health Care Provider Protection Act, a bill to address behavioral health and well-being among health care professionals; Support S. 3595Ensuring Understanding of COVID-19 to Protect Public Health Act, a bill that directs the NIH to conduct a longitudinal study on mild, moderate, and severe cases of COVID-19 on a diverse patient population.
Client expense: $4,460,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
2020 · fourth_quarter · Health Issues
Q4 Lobbying Report (October 1 - December 31) Health Issues Healthcare and COVID-19 measures included in the Consolidated Appropriations Act of 2020 (H.R. 133) Public Health and Social Services Emergency Fund (coronavirus relief packages H.R. 1300; H.R. 7010, H.R. 6800) Regulatory relief in light of coronavirus (all coronavirus relief packages - H.R. 133; H.R. 6074; H.R. 6201; H.R. 748, H.R. 6800) Transparency (surprise medical bills; public posting of hospital charges; final price transparency rule; inpatient prospective payment system proposed rule; Transparency in Coverage Proposed Rule) Surprise medical billing (H.R. 133; H.R. 5826; H.R. 3630; S. 1531) Liability relief (all coronavirus relief packages - H.R. 133; H.R. 6800; S. 1624; S. 4775) 340B Drug Pricing Program Medicare/Medicaid Public Health Emergency designation Medicaid Fiscal Accountability Regulation Rural hospital policies Graduate Medical Education (GME) funding (H.R. 133; S. 348/H.R. 1763; Resident Physician Shortage Reduction Act of 2019; H.R. 2349/H.R. 3414 Opioid Workforce Act) Delay of Medicaid Disproportionate Share Hospital payment cuts (H.R. 133; H.R. 3022) Medicare sequestration relief (H.R. 133) Federal Medical Assistance Percentage increase (H.R. 133) Telehealth flexibilities and payment (all coronavirus relief packages - H.R. 133; H.R. 6800, S. 1624, S. 4775, physician fee schedule proposed rule) Post-acute care flexibilities (coronavirus relief packages - H.R. 133; H.R. 6800; S. 1624, S. 4775) Site neutral payment policy OPPS, IPPS and physician fee schedule rules Budget FY 2021 Appropriations bills Submitted Comments CMS-10752; Submissions of 1135 Waiver Request Automated Process; Notice, Federal Register (Vol. 85, No. 204) October 21, 2020 CMS-1734-P; Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug Under a Prescription Drug Plan or an MA-PD Plan; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; and Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy Proposed Rule, Federal Register (Vol. 85, No.159), August 17, 2020 CMS-1736-P; Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; New Categories for Hospital Outpatient Department Prior Authorization Process; Clinical Laboratory Fee Schedule: Laboratory Date of Service Policy; Overall Hospital Quality Star Rating Methodology; and Physician Owned Hospitals; Proposed Rule, Federal Register (Vol. 85, No.156), August 12, 2020
Client expense: $290,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)
2020 · fourth_quarter · Health Issues
Ban Surprise Billing Act (H.R. 5800) The Clinical Treatment Act (H.R. 913 / S. 4742) Consolidated Appropriations Act, 2021 (H.R. 133) Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826) Dependent Income Exclusion Act of 2019 (H.R.4417/S.2497) Educating Consumers on the Risks of Short-Term Plans Act of 2019 (H.R.1143) ENROLL Act of 2019 (H.R.1386/S.1905) Family Coverage Act (S.1935) HEARTS Act of 2020 (H.R. 6166) The Heroes Act (H.R. 6800) Home Visiting to Reduce Maternal Mortality and Morbidity Act (H.R.4768) Lower Health Care Costs Act (S.1895) Maternal Health Quality Improvement Act of 2020 (HR 4995) Marketing & Outreach Restoration to Empower Health Education Act (MORE) (H.R.987) No Surprises Act (H.R.3630) The Patient Protection and Affordable Care Enhancement Act (H.R. 1425) Personal Health Investment Today Act (PHIT) (S.680/H.R.1679) Physical Activity Recommendations (PAR) for Americans Act (S.1608/H.R.2891) Pre-existing Conditions Protection Act of 2019 (H.R.692) Protect Act (S.1125) Protecting Access to Post COVID-19 Telehealth Act of 2020 (H.R. 7663) Protecting Americans with Pre-existing Conditions Act of 2019 (H.R.986) Public Health Funding Restoration Act (S.1944/H.R.3447) Quit Because of COVID-19 Act (H.R. 7286) A Resolution Supporting the Designation of April 2019 as "National Donate Life Month"(H.Res 315/S.Res 162) State Allowance for a Variety of Exchanges Act (SAVE Act) (H.R.1385) States Achieve Medicaid Expansion (S.585) State Health Care Premium Reduction Act (H.R.1425) Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (S.1531) Sustaining Outpatient Services Act (H.R. 4838/S.4151) Implementation of: Menu Labeling Physical Activity Guidelines Recommendations Prevention and Public Health Fund (PL 111-148, Sec 4002)
Client expense: $125,000 · Firm income: Not reported
Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
2020 · fourth_quarter · Health Issues
H.R. 14 - Commitment to Defeat the Virus and Keep America Healthy Act - Hudson - fighting COVID-19 H.R. 133 - Consolidated Appropriations Act, 2021 - Cuellar - year-end Congressional package H.R. 925 - amended version of The Heroes Act (H.R.8406)- Lowey - Coronavirus Relief package H.R. 1897 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act) - Kelly - maternal health H.R. 4004 - Social Determinants Accelerator Act of 2019 - Bustos - social determinants of health H.R. 4215 - Excellence in Maternal Health Act of 2019 - Bucshon - maternal health H.R. 4768 - Home Visiting to Reduce Maternal Mortality and Morbidity Act - David - maternal health H.R. 4900 - Telehealth Across State Lines Act of 2019 - Roe - telehealth H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 - Thompson - telehealth H.R. 4995 - Maternal Health Quality Improvement Act of 2019 - Engel - maternal health outcomes H.R. 5190 - STAR Act - Harder - telemedicine assistance for rural health clinics and health centers H.R. 5257 - Telehealth Expansion Act of 2019 - Cox - establish FCC telehealth program H.R. 5473 - Enhance Access to Support Essential Behavioral Health Services Act - Bilirakis - telehealth H.R. 5640 - Data Mapping to Save Moms' Lives Act - Butterfield - maternal health H.R. 5681 - Protecting Communities from Hospital Closures Act of 2020 - Boyle - rural health H.R. 5754 - Rural ER Access Act - Green - rural health H.R. 5763 - National Telehealth Strategy and Data Advancement Act - Gianforte - telehealth H.R. 5800 - Ban Surprise Billing Act - Scott - surprise medical bills H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020 - Neal - surprise medical bills H.R. 5916 - Transparent Health Care Pricing Act of 2020 - Gallagher - provider transparency in health care services H.R. 5924 - 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 - McKinley - rural health, loan program H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 - Lowey - COVID-19 H.R. 6132 - Social Determinants for Moms Act of 2020 - McBath - maternal health and social determinants of health H.R. 6138 - Tech to Save Moms Act - Johnson - maternal health H.R. 6142 - Black Maternal Health Momnibus Act of 2020 - Underwood - maternal health H.R. 6143 - Moms MATTER Act of 2020 - Kennedy - maternal health H.R. 6144 - Kira Johnson Act - Adams - maternal health H.R. 6165 - Data to Save Moms Act of 2020 - Davids - maternal health H.R. 6232 - 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 - Cardenas - Federal coverage of COVID-19 related visits and testing for uninsured individuals H.R. 6261 - To provide for coverage of testing for COVID-19 at no cost sharing for Indians receiving health services through the Indian Health Service - Ruiz - Federal coverage of COVID-19 related visits and testing for Native Americans H.R. 6351 - Universal Coronavirus Vaccine Act - Harder - COVID-19 H.R. 6379 - Take Responsibility for Workers and Families Act - Lowey - COVID-19 H.R. 6426 - 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 - Max Rose - costs H.R. 6437 - Coronavirus Immigrant Families Protection Act - Chu - COVID19 H.R. 6467 -Coronavirus Community Relief Act - Neguse - COVID H.R. 6468 -To provide for an enhanced Coronavirus relief fund, and for other purposes. - Perlmutter - COVID H.R. 6474 - Healthcare Broadband Expansion During COVID-19 Act - Eshoo - rural health H.R. 6487 - ACCESS Act - Schakowsky - telehealth H.R. 6620 - To authorize grants to address substance use during COVID-19.- Kuster - COVID H.R. 6634 - Emergency COVID Telehealth Response Act - Axne - telehealth H.R. 6654 - Emergency COVID Telehealth Response Act -Axne - telehealth H.R. 6666 - COVID-19 Testing, Reaching, And Contacting Everyone (TRACE) Act - Rush - COVID H.R. 6719 - Emergency Medical Supplies Procurement Act - Khanna- COVID H.R. 6763 - COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 - Kelley - COVID H.R. 6800 - HEROES Act - Lowey - COVID H.R. 6881 - Emergency Broadband Connections Act of 2020 - COVID H.R. 6926 - MIND Act -Boyle - COVID H.R. 6999 - Coronavirus Mental Health and Addiction Assistance Act of 2020 -Ryan - COVID H.R. 7017 - Right to Test Act - McHenry - Testing H.R. 7077 - Community Solutions for COVID-19 Act - Kelley - COVID H.R. 7190 - Increasing Rural Health Access During the COVID-19 Public Health Emergency Act of 2020 - Torres Small - COVID H.R. 7205 - Nationwide Dig Once Act of 2020 - Eshoo - broadband H.R. 7302 - To make high-speed broadband internet service accessible and affordable to all Americans, and for other purposes - Clyburn - Broadband H.R. 7359 - Accelerating Broadband Connectivity Act of 2020 - Kelley - Broadband H.R. 7534 - RURAL HELP Act of 2020 - Keller - study on cost disparities between rural and urban hospitals H.R. 7546 - Minority Community Public Health Emergency Response Act of 2020 - Lewis - minority, underserved communities access to public health and health care services during COVID-19 H.R. 7557 - To amend title VI of the Social Security Act to extend the coverage of Coronavirus Relief Fund payments to Tribal Governments - OHalleran - COVID-19 relief funds H.R. 7571 -Facilitating Reforms that Offer Necessary Telehealth In Every Rural (FRONTIER) Community Act - Young - expand telehealth mental health services to frontier states H.R. 7593 - TREATS Act - McKinley - Increase telehealth for SUD H.R. 7614 - Depts. of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act - DeLauro - Appropriations H.R. 7618 - COVID-19 Bias and Anti-Racism Training Act of 2020 - Adams - improve bias and anti-racism training for health entities H.R. 7649 - Jobs to Fight COVID-19 Act of 2020 - Morelle - initiative for national testing, contact tracing, pandemic response H.R. 7701 - Addiction Prevention and Responsible Opioid Practices Act- Cartwright - program for prevention of opioid misuse H.R. 7732 - How Awareness and Prevention Protect You Act - Wasserman Schultz - CDC campaign to increase awareness and knowledge of COVID-19 virus H.R. 7758 - Assistance for Rural Health, Safety and Educational Facilities Act - Scott - assistance to rural health facilities affected by COVID H.R. 7780 - Virtual Community Support Act of 2020 - Kennedy - community-based mental health and SUD services H.R. 7783 - Plasma Donation Awareness Act of 2020 - Peters - national awareness and outreach on plasma donation H.R. 7972 - Rural Connectivity Advancement Program Act of 2020 - Latta - rural communications infrastructure H.R. 7992 - Telehealth Act - Wagner - telehealth expansion H.R. 8027 - Maternal Health Pandemic Response Act of 2020 - Underwood - maternal health H.R. 8061 - Community Immunity During COVID-19 Act of 2020 - Underwood - fund health depts to increase recommended immunizations H.R. 8086 - To provide additional appropriations for the public health and social services emergency fund - Burgess - appropriations for public health and social services fund H.R. 8098 - Hospital Competition Act of 2020- Banks - hospital price transparency H.R. 8141 - Strengthening Mental Health Supports for BIPOC Communities Act - Cardenas - reduce health inequities for racial and ethnic minority H.R. 8156 - Ensuring Telehealth Expansion Act of 2020 - Williams - extend telehealth provisions H.R. 8192 - COVID Community Care Act - Lee - health appropriations H.R. 8200 - To improve the health of minority individuals during the COVID-19 pandemic - Kelly - health disparities in communities of color H.R. 8203 - COVID-19 Health Disparities Action Act of 2020 - Cardenas - action plan, grants, awareness campaign for COVID health disparities H.R. 8337 - Continuing Appropriations Act, 2021 - Lowey - Health appropriations H.R. 8351 - Community Health Center Mental Health Screening Act - Dean - mental and behavioral health screenings H.R. 8368 - To amend title VI of the Social Security Act to permit the use of amounts under the Coronavirus Relief Fund for rural broadband expansion and improvement - Barr - COVID-19, broadband H.R. 8406- The Heroes Act - Lowey - Coronavirus Relief package H.R. 8417 - To facilitate direct primary care arrangements - Crenshaw - direct primary care H.R. 8419 - To prevent surprise medical bills with respect to COVID-19 testing - Fletcher - COVID-19, surprise medical billing H.R. 8463 - To prohibit discrimination in health care and require the provision of equitable health care, and for other purposes - Schiff - equity in health care H.R. 8496 - SPEEDY COVID-19 Tests Act - Sherrill - COVID-19 testing H.R. 8528 - Ensuring Telehealth Expansion Act of 2020 -Williams - telehealth expansion H.R. 8642 - Safe Testing at Residence Telehealth Act of 2020 - Schweikert -telehealth coverage during COVID-19 H.R. 8677 - HEAT Act - Marshall - payments for home health services furnished via telehealth H.R. 8742 - To extend the availability of amounts under the Coronavirus Relief Fund - Keating - COVID funding availability H.R. 8892 - Rural-Urban Physician Workforce Act of 2020 - Wenstrup - funding for rural residency training H.R. 8900 - Further Continuing Appropriations Act, 2021, and Other Extensions Act - Lowey - End of year extenders and appropriations H.R. 8921 - COVID-19 Cold Storage Expansion Act of 2020 - Espaillat - COVID-19 vaccine admin funding H.R. 8966 - COVID-19 Vaccine Awareness Support Act of 2020 - Wenstrup - public awareness campaign S. 116 - Modernizing Obstetric Medicine Standards Act of 2019 (MOMS Act) - Gillibrand - maternal health S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act) - Durbin - maternal health S. 2741 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 - Schatz - telehealth S. 2885 - Stop Marketing and Revealing the Wearables and Trackers Consumer Health Data Act - Cassidy - consumer health information S. 2986 - Social Determinants Accelerator Act of 2019 - Young - Social Determinants of Health S. 3152 - Data Mapping to Save Moms' Lives Act - Rosen - maternal health S. 3318 - Transparent Health Care Pricing Act of 2020 - Cassidy - disclosure of point-of-sale cash prices S. 3380 - Patient Safety Improvement Act of 2020 - Whitehouse - data collection and quality improvement S. 3424 - Black Maternal Health Momnibus Act of 2020 - Harris - maternal health S. 3437 - Improving Care in Rural America Reauthorization Act of 2020 - Loeffler - rural health S. 3438 - R-DOCS Reauthorization Act of 2020 - Loeffler - telehealth S. 3517 - ACCESS Act - Klobuchar - telehealth S. 3568 - Medical Supply Chain Emergency Act of 2020 - Murphy - expedite acquisition of PPE S. 3570 - To provide for the expedited procurement of equipment needed to combat COVID-19 under the Defense Production Act of 1950 - Baldwin - expedite acquisition of PPE S. 3721 - COVID-19 Racial and Ethnic Disparities Task Force Act of 2020 - Harris - COVID S. 3769- Right to Test Act - Cruz - Testing S. 3825 - Coronavirus Mental Health and Addiction Assistance Act of 2020 - Klobuchar - COVID S. 3828 - Jobs to Fight COVID-19 Act of 2020 - Schatz - COVID S. 3838 - Health Care Broadband Expansion During COVID-19 Act -Schatz - broadband S. 3877 - Community Solutions for COVID-19 Act - Booker - COVID S. 3921 - Emergency Medical Supplies Procurement Act - Sanders - COVID S. 3951 - Increasing Rural Health Access During the COVID-19 Public Health Emergency Act of 2020 - McSally - COVID S. 3988 - Enhancing Preparedness through Telehealth Act - Cassidy - Telehealth S. 4015 - Rural Connectivity Advancement Program Act of 2020 - Thune - Rural S. 4021 - Accelerating Broadband Connectivity Act of 2020 - Wicker - Broadband S. 4058 - A bill to authorize grants to address substance use during COVID-19 - Smith - SUD S. 4059 - A bill to direct the Secretary of Health and Human Services to award grants to States, political subdivisions of States, Indian Tribes and Tribal organizations, community-based entities, and primary care and behavioral health organizations to address behavioral health needs caused by the public health emergency declared with respect to COVID-19 - Smith - Mental Health S. 4095 - A bill to provide emergency benefits for broadband service during periods relating to COVID-19, and for other purposes - Wyden - Broadband S. 4103 - A bill to amend title XVIII of the Social Security Act to increase the use of telehealth for substance use disorder treatment - Portman - telehealth S. 4113 - A bill to amend the Communications Act of 1934 to provide grants to States and Indian Tribes to deploy affordable, high-speed broadband to unserved and underserved areas - Bennett - broadband S. 4131 - Accessible, Affordable Internet for All Act - Klobuchar - broadband access S. 4163 - Timely and Effective Systematic Testing (TEST) Act - Gardner - Biosurveillance of COVID through testing S. 4211 - Facilitating Reforms that Offer Necessary Telehealth In Every Rural (FRONTIER) Community Act - Sullivan - expand mental health services through telehealth S. 4242 - Addiction Prevention and Responsible Opioid Practices Act- Durbin - program for prevention of opioid misuse S. 4248 - COVID-19 Bias and Anti-Racism Training Act of 2020 - Harris - improve bias and anti-racism training for health care entities S. 4262 - COVID-19 Health Disparities Action Act of 2020 - Menendez - HHS action plan, grants, public awareness campaign for COVID-19 and racial and ethnic minorities S. 4269 - Mothers and Newborns Success Act - Kaine - maternal health S. 4291 - DEPLOY Broadband Act - Gardner - rural broadband appropriations S. 4315 - COVID-19 Testing, Reaching, And Contacting Everyone Act - King - grants for testing and contact tracing, supported isolation at individuals residences S. 4317 -SAFE TO WORK Act - Cornyn - GOP COVID-19 relief package S. 4318 -American Workers, Families, and Employers Assistance Act - Grassley - GOP COVID-19 relief package S. 4319 -Supporting America's Restaurant Workers Act - Scott - GOP COVID-19 relief package S. 4320 -Coronavirus Response Additional Supplemental Appropriations Act, 2020 - Shelby - GOP COVID-19 relief package S. 4322 -Safely Back to School and Back to Work Act - Alexander - GOP COVID-19 relief package S. 4323 -TRUST Act of 2020 - Romney - GOP COVID-19 relief package S. 4388 - Mental Health Equity Act of 2020 - Menendez - mental health S. 4427 - Safe Authorization for Vaccines during Emergencies Act - Hassan - transparency in EUA of vaccines S. 4477 - Strengthening Social Connections Act of 2020 - Smith - Appropriations for social isolation services for older Americans S. 4507 - Getting Early Treatment and Comprehensive Assessments Reduces Emergencies Act of 2020 - Warner - campaign for awareness on preventive health services S. 4737 - Community Immunity During COVID-19 Act of 2020 - Smith - immunizations S. 4745 - Stop COVID-19 Test Surprise Medical Bills Act of 2020 - Smith - Surprise Medical Billing S. 4769 - Maternal Health Pandemic Response Act of 2020 - Warren - maternal health S. 4775 - Delivering Immediate Relief to America's Families, Schools and Small Businesses Act - McConnell - COVID-19 relief S. 4789 - Eliminate the Digital Divide Act of 2020 - Cornyn - broadband access S. 4792 - RISER Act -Moran - Coronavirus Relief Fund payment funds S. 4794 - A bill making emergency supplemental appropriations for the COVID-19 Telehealth Program of the Federal Communications Commission for the fiscal year ending September 30, 2020 -Smith - telehealth funds S. 4800 - The Heroes Act - Schumer - COVID-19 relief S. 4819 - Health Equity and Accountability Act of 2020 - Hirono - to improve minority health outcomes S. 4898 - A bill to amend title VI of the Social Security Act to extend the period during which States, Indian Tribes, and local governments may use Coronavirus Relief Fund payments -Murkowski - extension of COVID-19 relief payments S. 4941- Making emergency supplemental appropriations for the fiscal year ending September 30, 2020- Warren - Emergency fund supplemental appropriations S. 4958 - COVID-19 Vaccine Awareness Support Act of 2020 - Portman - public awareness campaign S. 5000 - CARA 2.0 Act of 2020 - Portman - substance use disorder S. 5034 - Behavioral Health Crisis Services Expansion Act - Cortez Masto - mental health S. 5073 - A bill to establish a program to support county and municipal government entities in reducing the spread of COVID-19 through standardized testing and evaluation measures - Scott - COVID-19 testing S. 5082 - A bill to provide Federal support for COVID-19 testing - Warren - COVID-19 testing Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues related to Medicare Secondary Payer requirements; issues related to health care price transparency; issues related to all payor claims databases; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital and provider consolidation; issues related to trauma-informed care; issues related to medical management; issues relating to quality improvement; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; issues relating to COVID-19, including testing, vaccines and therapeutics; issues related to addressing the social determinants of health, including housing, transportation, nutrition, and educational opportunities; prescription drug pricing; telemedicine; rural health; issues related to behavioral health benefits; issues related to Managed Long Term Services and Supports (MLTSS); issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; issues relating to surprise medical bills; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues related to health insurance tax; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; NQF reauthorization; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to short term limited duration products; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to association health plans; issues related to cost-sharing reductions (CSRs); issues related to the refundable credit for coverage under a qualified health plan; issues related to small employer group size; issues related to Certificate of Public Advantage; issues relating to veterans health care; issues relating to caregivers; 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
H.R. 3630, No Surprises Act; S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019; S. 1895, Lower Health Care Costs Act; H.R. 5800, Ban Surprise Billing Act; H.R. 5826 Consumer Protections Against Surprise Medical Bills Act; H.R. 1730/S 741, the Cancer Drug Parity Act; Texas v US lawsuit implications for protections for people with pre-existing conditions; federal regulation of Short-Term Limited-Duration Insurance (STLDI) and other junk insurance;
Client expense: $80,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
-H.R. 6420 / S. 3652 All Dependents Count Act, support passage. -H.R. 6680 / S. 3619 Strengthening Unemployment Insurance for Coronavirus Impacted Workers and Students Act, support passage. -H.R. 6305 / S. 3544 Coronavirus Relief for Seniors and People with Disabilities, support passage. -H.R. 2279/S. 2546, Safe Step Act, support passage-H.R. 3630, No Surprises Act; S. 1895, Lower Health Care Costs Act; S. 1531, the Stopping the Outrageous Practice of Surprise Medical Bills Act of 2019; H.R. 5800, Ban Surprise Billing Act; H.R. 5826 Consumer Protections Against Surprise Medical Bills Act, support passage of legislation to protect patients from surprise medical billing that holds patients harmless-H.R. 2093/S. 1028, STATES Act, support passage-H.R. 127, Compassionate Access, Research Expansion and Respect States (CARERS) Act, support passage- H.R. 4322/S. 2400, Expanding Cannabis Research and Information Act, support passage -H.R. 1425, Patient Protection and Affordable Care Enhancement Act, support passage. -H.R. 133, Consolidated Appropriations Act, support funding for epilepsy programs and research, COVID-19 relief and ending surprise medical billing.
Client expense: $50,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Individual Health Care Costs; Mental Health; Transparency; Surprise billing, Maternal health; Senior's health care; NBPP (Notice Benefit and Payment Parameters), COVID-19 Response/Relief Packages, COBRA subsidies; Telehealth/ Audio-Only; COVID-19; ACA Tax Credits; Black Maternal Health; Testing Funding Level/Plan Requirements; Silver loading; Reinsurance; COVID-19 Disaster Relief; 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. 6800 - 116th Congress HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6545 - 116th Congress Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07) Public Law 116-136(H.R. 748) - 116th Congress Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02) Public Law 116-260 (H.R. 133) - 116th Congress Covid-19 Relief and Fiscal 2021 Omnibus Sponsor: Rep. Henry Cuellar (D-TX-28) S. 1895 - 116th Congress Lower Health Care Costs Act Sponsor: Sen. Lamar Alexander (R-TN) H.R. 3630 - 116th Congress No Surprises Act Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 5826 - 116th Congress Consumer Protections Against Surprise Medical Bills Act of 2020 Rep. Richard Neal - (D-MA-01) H.R. 6810 - 116th Congress Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) Public Law 116-123 (H.R. 6074) - 116th Congress Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey(D-NY-17) Public Law 116-127 (H.R. 6201) - 116th Congress Families First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-159 (H.R. 8337) - 116th Congress
Client expense: $104,240 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Issues related to legislative proposals that impact the health insurance market. Medicare Advantage issues. Legislative proposals on Surprise Balance Billing, including: H.R. 2328, the Community Health Investment, Modernization, and Excellence Act of 2019; H.R. 5800, the Ban Surprise Billing Act; H.R. 5826, the Consumer Protections Against Surprise Medical Bills Act of 2020; S. 1895, the Lower Health Care Costs Act; and H.R. 133, Consolidated Appropriations Act, 2021.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Proposed changes to Medicare hospital reimbursement policy Health care policy Proposals to strengthen the health care system and achieve Affordable Care Act (ACA) market stability H.R. 269, "Pandemic and All-Hazards Preparedness & Advancing Innovation Act" - provisions related to hospitals Funding for National Ebola Network H.R. 2113, Prescription Drug Sunshine, Transparency, Accountability and Reporting (STAR) Act" - provisions related to studying rising hospital drug prices and reporting of drug costs H.R. 965/S. 340, CREATES Act S. 2543, the Prescription Drug Pricing Reduction Act H.R. 3, "Elijah E. Cummings Lower Drug Costs Now Act" Additional legislative proposals to address rising drug costs H.R. 1559, "340B Protection and Accountability Act" Additional legislative proposals modifying the 340B program Surprise Billing S. 1895, Lower health Care Cost Act" H.R. 3630, "No Surprises Act" S. 1531, "STOP Surprise Medical Bills Act" H.R.5826, Consumer Protections Against Surprise Medical Bills Act of 2020 H.R. 925, Health and Economic Recovery Omnibus Emergency Solutions Act (HEROS Act 2.0) H.R. 133, "Consolidated Appropriations Act, 2021" - provisions related to combating COVID, surprise medical bills and health programs Legislative proposals aimed at combating coronavirus
Client expense: Not reported · Firm income: $110,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage; insurance markets and stabilization. H.R. 861 - End Surprise Billing Act, H.R. 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act, H.R. 5800 - Ban Surprise Billing Act, H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. H.R. 6800, H.R. 8406 - HEROES ACT, Senate Amendment 2652: Issues related to COVID-19, Federal Medical Assistance Percentages, Medicaid and COBRA. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to COVID-19, Medicaid expansion, and prescription drugs. P.L. 116-260, Consolidated Appropriations Act of 2021, P.L. 116-123 - Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020, P.L. 116-127 - Families First Coronavirus Response Act, P.L. 116-136 - Coronavirus Aid, Relief, and Economic Security Act (CARES Act), P.L. 116-139 - Paycheck Protection Program and Health Care Enhancement Act, P.L. 116-159, the Continuing Appropriations Act of 2021 and Other Extensions Act; Issues related to COVID-19 as they related to health care policies. Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency. Issues related to insurance markets and stabilization.
Client expense: $1,010,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Continued implementation of ACA Health care policy H.R. 2113, Prescription Drug Sunshine, Transparency, Accountability and Reporting (STAR) Act" - provisions related to studying rising hospital drug prices and reporting of drug costs H.R. 965/S. 340, CREATES Act H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act S.2543, the Prescription Drug Pricing Reduction Act Additional legislative proposals to address rising drug costs H.R. 1559, "340B Protection and Accountability Act" Additional legislative proposals modifying the 340B program S. 1895, Lower Health Care Cost Act"- provisions related to surprise billing and payer/provider contracts S. 1531, "STOP Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" H.R. 3502, "Protecting People from Surprise Medical Bills Act" H.R.5826, "Consumer Protections Against Surprise Medical Bills Act of 2020" H.R. 925, Health and Economic Recovery Omnibus Emergency Solutions Act (HEROS Act 2.0) H.R. 133, "Consolidated Appropriations Act, 2021" - provisions related to federal financial relief, including funding for healthcare providers, and health programs and related to surprise medical bills Legislative proposals aimed at combating coronavirus
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Health care payment and delivery system reform Health information technology and implementation of EHR meaningful use Policy related to health exchange risk corridors and cost-sharing reduction payments H.R. 269, "Pandemic and All-Hazards Preparedness& Advancing Innovation Act" - provisions related to hospitals H.R. 2113, Prescription Drug Sunshine, Transparency, Accountability and Reporting (STAR) Act" - provisions related to studying rising hospital drug prices and reporting of drug costs H.R. 965/S.340, CREATES Act S. 2543, the Prescription Drug Pricing Reduction Act H.R. 3, "Elijah E. Cummings Lower Drug Costs Now Act" Additional legislative proposals to address rising drug costs S. 1895, Lower Health Care Cost Act"- provisions related to surprise billing and payer/provider contracts S. 1531, "STOP Surprise Medical Bills Act" H.R. 3630 "No Surprises Act" H.R.5826, "Consumer Protections Against Surprise Medical Bills Act of 2020" H.R. 1559, "340B Protection and Accountability Act" Additional legislative proposals modifying the 340B program H.R. 925, Health and Economic Recovery Omnibus Emergency Solutions Act (HEROS Act 2.0) H.R. 133, "Consolidated Appropriations Act, 2021" - provisions related to federal financial relief, including funding for healthcare providers, health programs and surprise medical billing Legislative proposals aimed at combating coronavirus
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Proposed changes to Medicare hospital reimbursement policy Health care policy H.R. 986/S. 466 Protecting Americans with Preexisting Conditions Act of 2019, a bill provide that certain guidance related to waivers for State innovation under the ACA shall have no force or effect H.R. 2113, Prescription Drug Sunshine, Transparency, Accountability and Reporting (STAR) Act" - provisions related to studying rising hospital drug prices and reporting of drug costs H.R. 965/S. 340, "CREATES Act" H.R. 938, Bringing Low-cost Options and Competition while Keeping Incentives for New Generics Act of 2019 or the BLOCKING Act of 2019 - provisions related to eligibility for approval of a subsequent generic drug and to remove the barrier to that approval posed by the 180-day exclusivity period afforded to a first generic applicant that has not yet received final approval H.R. 1499 Protecting Consumer Access to Generic Drugs Act of 2019 - provisions related to prohibiting brand name drug manufacturers from compensating generic drug manufacturers to delay the entry of a generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable product manufacturers to delay entry of biosimilar and interchangeable products S. 2543, the Prescription Drug Pricing Reduction Act H.R. 3, "Elijah E. Cummings Lower Drug Costs Now Act" Additional legislative proposals to address rising drug costs H.R. 1559, "340B Protection and Accountability Act" Additional legislative proposals modifying the 340B program S.1895, Lower Health Care Costs Act- provisions related to surprise billing and provider/payer agreements S. 1531, "STOP Surprise Medical Bills Act" H.R. 3630, "No Surprises Act" H.R.5826, "Consumer Protections Against Surprise Medical Bills Act of 2020" Other proposals to address surprise billing Proposals to strengthen the health care system and achieve ACA market stability Legislation aimed at combating COVID-19 - provisions related to healthcare and hospitals H.R. 925, "Health and Economic Recovery Omnibus Emergency Solutions Act (HEROS Act 2.0) H.R. 133, "Consolidated Appropriations Act, 2021" - provisions related to COVID-response and hospitals Legislative proposals aimed at combating coronavirus
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Healthcare and COVID-19 measures included in the Consolidated Appropriations Act of 2020 (H.R. 133) Public Health and Social Services Emergency Fund (coronavirus relief packages-H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800, H.R. 6800, HEALS Act, S. 4775, H.R. 133) Provider Relief Fund Reporting Requirements Regulatory relief in light of coronavirus (all coronavirus relief packages - H.R. 6074, H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800, H.R. 6800, HEALS Act, S. 4775, H.R. 133) Healthcare Workforce Resilience Act (S. 3599/H.R. 6788) Hospital Price Transparency (surprise medical bills; public posting of hospital charges; Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First; Final Rule on Price Transparency; Transparency in Coverage Proposed Rule; inpatient prospective payment system rule) Surprise Medical Bills (H.R. 133; H.R. 5826; H.R. 3630; S. 1531) Liability relief (S. 4317; all coronavirus relief packages - H.R. 6074, H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800; H.R. 6800, HEALS Act, S. 4775, H.R. 133) H.R. 7538, Essential Workforce Parity Act (providing liability relief and amending FMLA leave provisions) S. 3763 / H.R. 6953, Pandemic Responder Service Award Act Hospital preparedness program (H.R. 6074) 340B Drug Pricing Program (S. 4160) Public Health Emergency designation Vaccine distribution Maternal Mortality (S. 4949, Supporting Best Practices for Healthy Moms Act)
Client expense: $100,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
COBRA support S.4653, A bill to protect the healthcare of hundreds of millions of people of the United States and prevent efforts of the Department of Justice to advocate courts to strike down the Patient Protection and Affordable Care Act, Entirety Monitor the following: Executive actions on An America-First Healthcare Plan Executive Order on Lowering Drug Prices by Putting America First Executive Order on Improving Rural Health and Telehealth Access Executive Order on Lowering Prices for Patients by Eliminating Kickbacks to Middlemen Executive Order on Increasing Drug Importation to Lower Prices for American Patients Executive Order on Access to Affordable Life-saving Medications Healthcare extenders: continued delay of cuts to payments supporting disproportionate share hospitals and an extension of funding for Community Health Centers H.R.3, Lower Drug Costs Now Act, Entirety H.R. 1309/S.851, Workplace Violence Prevention for Health Care and Social Service Workers Act, Entirety Affordability of pharmaceuticals, generally Treating gun violence as a public health epidemic related issues S.1357, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, Entirety Surprise medical billing, generally Nurse Overtime and Patient Safety Act, Entirety H.R.5800, The Ban Surprise Billing Act, Entirety H.R.5826, Consumer Protections Against Surprise Medical Bills Act, Entirety S.696 the National Nurse Act, Entirety H.R. 1425, the Patient Protection and Affordable Care Enhancement Act, Entirety Health Equity Issues during COVID Pandemic S.3763, Pandemic Responder Service Award Act, Entirety H.R.7288, Taxpayer Research and Coronavirus Knowledge Act, Entirety H.R.7296, Make Medications Affordable by Preventing Pandemic Pricegouging Act, Entirety H.R.7113, COVID-19 Emergency Manufacturing Act, Entirety S.3799, HEAL for Immigrant Women and Families Act, Entirety National Infrastructure for Mitigating the Impact of COVID-19 within Racial and Ethnic Minority Communities grant program Support Medicare/ACA enrollment H.R. 6637, Health Equity and Accountability Act, Entirety Nondiscrimination in Health and Health Education Programs and Activities, Final Rule (RIN 0945-AA11) Delivery of healthcare services to students during COVID pandemic Telehealth issues S.3599 Healthcare Workforce Resilience Act Political interference in work of experts H.R.6514, Worker Health Coverage Protection Act Emergency PPE Petition Department of Health and Human Services Regulations/Programs, Proposed Rule: Securing Updated and Necessary Statutory Evaluations Timely (Sunset Proposal)
Client expense: $370,000 · Firm income: Not reported
Government targets: Agriculture, Dept of (USDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · fourth_quarter · Health Issues
H.R. 3502, Protecting People from Surprise Medical Bills Act, all provisions H.R. 5826, Consumer Protections Against Surprise Medical Bills Act of 2020, all provisions H.R. 3630, No Surprises Act, all provisions S. 1895, Lower Health Care Costs Act, provisions relating to surprise billing S. 1531, Stopping The Outrageous Practice of (STOP) Surprise Medical Bills Act of 2019, all provisions S. 4421, Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act, all provisions H.R. 6644, 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, all provisions S. 3741, Health Care at Home Act of 2020, all provisions S. 4666, National Coronavirus Commission Act of 2020, all provisions S. 4507, Getting Early Treatment and Comprehensive Assessments Reduces Emergencies (GET CARE) Act of 2020, all provisions H.R. 8441, Frontline Heroes Act, all provisions S. 4317, SAFE TO WORK Act, all provisions H.R. 925, The Heroes Act, all provisions S. 3749, Public Health Emergency Privacy Act, all provisions S. 3861, Exposure Notification Privacy Act, all provisions H.R. 6585, Equitable Data Collection and Disclosure on COVID-19 Act, all provisions H.R. 7510, Assimilating Health and Equity Assessments into Decision-making (AHEAD Act) of 2020, all provisions S. 4919, Assimilating Health and Equity Assessments into Decision-making (AHEAD Act) of 2020, all provisions H.R. 6808, Health Force and Resilience Force Act of 2020, all provisions S. 3606, Health Force and Resilience Force Act of 2020, all provisions H.R. 7255, Coronavirus Health Care Worker Wellness Act of 2020, all provisions H.R. 8094, Dr. Lorna Breen Health Care Provider Protection Act, all provisions S. 4349, Dr. Lorna Breen Health Care Provider Protection Act, all provisions H.R. 3884, Marijuana Opportunity Reinvestment and Expungement (MORE) Act of 2020, all provisions S. 2032, Cannabidiol and Marihuana Research Expansion Act, all provisions H.R. 1503, Orange Book Transparency Act of 2019, provisions related to PBM and prescription drug price transparency H.R. 1520, Purple Book Continuity Act of 2019, provisions related to PBM and prescription drug price transparency H.R. 987, Strengthening Health Care and Lowering Prescription Drug Costs Act, provisions related to PBM and prescription drug price transparency H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, provisions related to PBM and prescription drug price transparency H.R. 4995, Maternal Health Quality Improvement Act of 2020, all provisions H.R. 7120, George Floyd Justice in Policing Act of 2020, provisions relating to police reform Affordable Care Act stabilization Expansion of Paycheck Protection Program for 501(c)6s Public Health and Social Services Emergency Fund Marginalized and minoritized communities/COVID-19 disproportionate impact COVID-19 long haulers COVID-19 testing/vaccines/health care prior authorization COVID-19/treatment and prescribing flexibilities COVID-19/Expanded PPE/clearinghouses E/M services Surprise medical billing executive orders Surprise Medical Billing, generally Clinical and administrative data intersection State Medical Boards/Interstate Medical Licensure Compact Pharmacists and COVID-19 testing Mental health parity Digital therapeutics Physician practice financial impact 21st Century Cures Act/health data and privacy 42 CFR Part 2, HIPAA Patent reform CPT - digital Most favored nation drug pricing Drug pricing Health Information Technology/information blocking Dietary guidelines/alcohol consumption Data privacy Cyber security best practices Race and sex stereotyping executive order
Client expense: $4,170,000 · Firm income: Not reported
Government targets: Agriculture, Dept of (USDA), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Veterans Affairs, Dept of (VA), White House Office
2020 · fourth_quarter · Health Issues
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Individual Health Care Costs; Mental Health; Transparency; Surprise billing, Maternal health; Senior's health care; NBPP (Notice Benefit and Payment Parameters), COVID-19 Response/Relief Packages, COBRA subsidies; Telehealth/ Audio-Only; COVID-19; ACA Tax Credits; Black Maternal Health; Testing Funding Level/Plan Requirements; Silver loading; Reinsurance; AMA CPT Licensing Fee; COVID-19 Disaster Relief; OWS Connection; Postal Reform; 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. 6800 - 116th Congress HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6545 - 116th Congress Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07) Public Law 116-136(H.R. 748) - 116th Congress Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02) Public Law 116-260 (H.R. 133) - 116th Congress Covid-19 Relief and Fiscal 2021 Omnibus Sponsor: Rep. Henry Cuellar (D-TX-28) S. 1895 - 116th Congress Lower Health Care Costs Act Sponsor: Sen. Lamar Alexander (R-TN) S. 3606 - 116th Congress Health Force and Resilience Force Act of 2020 Sponsor: Sen. Kirsten Gillibrand (D-NY) H.R. 3630 - 116th Congress No Surprises Act Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 5826 - 116th Congress Consumer Protections Against Surprise Medical Bills Act of 2020 Rep. Richard Neal - (D-MA-01) H.R. 6810 - 116th Congress Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) Public Law 116-123 (H.R. 6074) - 116th Congress Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey(D-NY-17) Public Law 116-127 (H.R. 6201) - 116th Congress Families First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-159 (H.R. 8337) - 116th Congress Continuing Appropriations Act, 2021 and Other Extensions Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6545 - 116th Congress Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07)
Client expense: $1,480,000 · 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
2020 · fourth_quarter · Health Issues
S. 518/H.R. 1948 - Lymphedema Treatment Act of 2019 S. 1037/H.R. 2788 - Rural Health Clinic Modernization Act of 2019 S. 296/H.R. 2150 - Home Health Care Planning Improvement Act S. 237/H.R. 808 - Promoting Access to Diabetic Shoes Act H.R. 900 - ACO Assignment Improvement Act of 2019 S. 1399/H.R. 728 - Title VIII Nursing Workforce Reauthorization Act of 2019 S. 2842/H.R. 3911 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 S. 1895 - Lower Health Care Costs Act H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 H.R. 3630 - No Surprises Act H.R. 3925 - Reducing Barriers to Substance Use Treatment Act S. 2074/H.R. 2482 - Mainstreaming Addiction Treatment Act of 2019 H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act H.R. 4974/S. 4640 - Medication Access and Training Expansion (MATE) Act of 2019 Executive Order 13890 - Protecting and Improving Medicare for Our Nation's Seniors S. 2741/H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S. 2971 - CAPTA Reauthorization Act of 2019 H.R. 19 - Lower Costs, More Cures Act of 2019 S. 2543 - Prescription Drug Pricing Reduction Act of 2019 H.R. 647 - Palliative Care and Hospice Education and Training Act H.R. 748 (P.L. 116-136) - CARES Act S. 3548 - CARES Act H.R. 6201 - Families First Coronavirus Response Act H.R. 6704 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6379 - Take Responsibility for Workers and Families Act H.R. 6159 - Kids' Access to Primary Care Act of 2020 H.R. 6164 - Perinatal Workforce Act of 2020 H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020 H.R. 5800 - Ban Surprise Billing Act H.R. 3436 - Chronic Care Management Improvement Act H.R. 5575 - Primary and Behavioral Health Care Access Act S. Res. 500/H. Res. 859 - A resolution supporting the goals and ideals of the "International Year of the Nurse and the Midwife", as designated by the World Health Organization H.R. 6800 - The HEROES Act H.R. 6809 - Nurse Workforce Protection Act of 2020 H.R. 6650/S. 3634 - Health Heroes 2020 Act S. 4055 - Strengthening Americas Health Care Readiness Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act S. 3993 - A bill to permit a licensed health care provider to provide health care services to individuals in one or more States in which the provider is not licensed S. 4088 - The Ensuring Access to Primary Care for Women & Children Act H.R. 1329 - the Medicaid Reentry Act H.R. 8061 - Community Immunity During COVID-19 Act H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S. 4775 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act S. 4103 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 7663 - Protecting Access to Post-COVID-19 Telehealth Act of 2020 S. 4396/H.R. 7945 - Future Advancement of Academic Nursing (FAAN) Act H.R. 6142 - Black Maternal Health Momnibus Act of 2020 S. 5000 - CARA 2.0 Act of 2020 Emergency Coronavirus Relief Act of 2020 H.R. 133 - Consolidated Appropriations Act, 2021 Increased Federal Medical Assistance Percentage (FMAP) funding to states Skilled nursing facility admitting examination and assessment requirements COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth pertaining to home health care COVID-19 Pandemic Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Documentation of medical records Rural Health Issues Provider Non-Discrimination Issues relating to Mental and Substance Use Disorder Workforce Training Demonstration implementation Medicare restrictions pertaining to telehealth
Client expense: $190,650 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Veterans Affairs, Dept of (VA), White House Office
2020 · fourth_quarter · Health Issues
S.1531, Stopping the Outrageous Practice of Surprise Medical Bills Act of 2019; S.1895, Lower Health Care Costs Act; H.R. 3630, No Surprises Act (issues related to Medicare, Medicaid, regulatory flexibility, and hospital funding); H.R. 3502, Protecting People from Surprise Medical Bills Act (issues related to Medicare, Medicaid, regulatory flexibility, and hospital funding); S 2741, CONNECT for Health Care Act (issues related to Medicare); HR 133 Consolidated Appropriations Act, 2021 (issues related to hospital policy); HR 5826, Consumer Protections Against Surprise Medical Bills Act of 2020 (entire bill); HR 8840, Medicare Sequester COVID Moratorium Act (entire bill)
Client expense: $710,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Advocate for several Medicare & Medicaid provisions in the CARES Act (H.R. 748), including a delay of Medicare sequestration cuts, a delay of the Medicare Fiscal Accountability Rule and Medicaid disproportionate share hospital (DSH) cut relief. Support increased Federal Medical Assistance Percentages (FMAP) and FMAP flexibility at the state level in the Families First Coronavirus Response Act (H.R. 6201) and the CARES Act (H.R. 748). Support direct funding for health care providers treating COVID-19 patients, including funding through the Hospital Preparedness Program. Support funding and efforts to ensure health care providers have access to essential materials, such as PPE, for COVID-19 response and readiness. Advocate for changes to indirect medical education payments to account for COVID-19 response efforts. Advocate for direct Federal funding for state and local governments during the COVID-19 crisis. Discuss the distribution methodology for the Public Health and Social Services Emergency Fund with Congressional staff. Discuss issues related to Medicare accelerated payments with Congressional staff. Discuss legislative priorities with Congressional staff: a delay of cuts to Medicaid DSH funding (support), site-neutral policies (oppose), 340B drug discount program (support), expanding federal graduate medical education programs (support), funding to address the opioid crisis (support), funding for hospital infrastructure (support), the Affordable Care Act (support), and liver allocation reforms (support). Discuss the need to reform the United States' liver allocation system with Congressional staff/members. Support graduate medical education funding through the Medicare program, including support for the Resident Physician Shortage Reduction Act (S. 348/H.R. 1763) and the Opioid Workforce Act (H.R. 3414/S. 2439). Discuss technical assistance regarding the Opioid Workforce Act (H.R. 3414/S. 2439) with committee staff. Discuss the Prescription Drug Pricing Reduction Act of 2019 (S. 2543) with Congressional staff. Support surprise billing legislation reform and work with committee and Congressional staff on a range of issues. Discussed several bills including: Protecting People from Surprise Medical Bills Act (H.R. 3502), Lower Health Care Costs Act (S. 1895), No Surprises Act (H.R. 3630) and Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826). Discuss the Medicare GME program, including issues related to oversight and transparency, with congressional staff. Discuss provisions in the CARES Act (H.R. 748) related to health care provider liability and immunity with Congressional staff. Discuss Lower Drug Costs Now Act (H.R.3) with Congressional staff. Discuss issues related to telehealth and HIT with congressional staff. Discuss drug shortages related to the COVID-19 crisis with Congressional and Administration staff. Discuss the HEROES Act (H.R. 6800) and other COVID-19 phase four response legislation with Congressional staff. Discuss disbursements from the Public Health and Social Services Emergency Fund with Congressional staff. Discuss Medicare Advance Payment forgiveness with Congressional staff. Discuss supply chain issues, including PPE and ventilators, with Congressional staff. Support a delay of Medicaid DSH reimbursement cuts in COVID-19 response package and a delay or repeal of the Medicaid Fiscal Accountability Regulation. Discuss increased Federal Medical Assistance Percentages (support) and increased funding for state and local governments (support) with Congressional staff.
Client expense: $250,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Individual Market Reform; Individual Health Care Costs; Mental Health; Transparency; Interoperability; Surprise billing, State Based Exchange; ACA Outreach, Education, and Enrollment; Prior Authorization; Black Maternal health; Seniors health care; social determinants of health; Healthcare access/privacy; Telehealth/Audio Only; CDC Guidance Testing Funding Level/Plan requirements; COVID-19 Response/Relief Packages; change in corporate form/mutual holding company; COBRA subsidies; Premium Credits; ACA Tax Credits; Maternal Health. H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 07/09/2019) H.R. 6800 - 116th Congress (2019-2020) HEROES Act Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes. Sponsor: Rep. Lowey, Nita [D-NY-17] (Introduced 05/12/2020) Public Law 116-136 (H.R. 748) - 116th Congress (2019-2020) Third Coronavirus Stimulus Package Sponsor: Rep. Courtney, Joe [D-CT-02] Public Law 116-260 (H.R. 133) - 116th Congress (2019-2020) COVID-19 Relief and Fiscal Omnibus Sponsor: Rep. Cuella, Henry [D-TX-28] S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] Public Law 116-123 (H.R. 6074) - 116th Congress (2019-2020) Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Lowey, Nita [D-NY-17] H.R. 5826- - 116th Congress (2019-2020)-Second Session Consumer Protection Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Neal, Richard [D-MA-01] (Introduced 02/10/2020) H.R. 6810-116th Congress-Second Session Health Care Protection Act Rep. Davis, Rodney [R-IL-13] (Introduced 05/12/2020) H.R. 6545 - 116th Congress-Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Murphy, Stephanie [D-FL-07] (Introduced 04/17/2020)
Client expense: $50,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans;surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; COVID Vaccines; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
Client expense: $25,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Advocacy regarding solutions to address balance billing and preserve access to emergency air ambulance services, particularly in rural areas, including the Consolidated Appropriations Act, 2021 (H.R. 133), Lower Health Care Costs Act (S. 1895), No Surprises Act (H.R. 3630), Ban Surprise Billing Act (H.R. 5800), Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826), the Coronavirus Preparedness and Response Supplemental Appropriations Act (H.R. 6074), and CARES Act (H.R. 748); Paycheck Protection Program and Health Care Enhancement Act (H.R. 266); support for air ambulance cost and claims data reporting program; support for emergency first responder COVID-19 relief.
Client expense: Not reported · Firm income: $540,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of the Vice President of the United States, SENATE, White House Office
2020 · fourth_quarter · Health Issues
Lobbied on the Protecting Patients from Surprise Medical Bills Act (S. 1266), Lower Health Care Costs Act (S. 1895), Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (S. 1521), the No Surprises Act (H.R. 3630), Ban Surprise Billing Act (H.R. 5800), the Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826) and the Extension of Continuing Appropriations Act of 2022 (H.J.Res. 110).
Client expense: $200,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE, Veterans Affairs, Dept of (VA), White House Office
2020 · fourth_quarter · Health Issues
Advocate for several Medicare & Medicaid provisions in the CARES Act (H.R. 748), including a delay of Medicare sequestration cuts, a delay of the Medicare Fiscal Accountability Rule and Medicaid disproportionate share hospital (DSH) cut relief. Support increased Federal Medical Assistance Percentages (FMAP) and FMAP flexibility at the state level in the Families First Coronavirus Response Act (H.R. 6201) and the CARES Act (H.R. 748). Advocate for federal childcare benefits for members of the health care workforce. Advocate for increasing borrowing limits on SBA loans and ensuring health care providers are eligible. Support direct funding for health care providers treating COVID-19 patients, including funding through the Hospital Preparedness Program. Support funding and efforts to ensure health care providers have access to essential materials, such as PPE, for COVID-19 response and readiness. Advocate for changes to indirect medical education payments to account for COVID-19 response efforts. Advocate for direct Federal funding for state and local governments during the COVID-19 crisis. Discuss the distribution methodology for the Public Health and Social Services Emergency Fund with the White House, HHS, CMS and Congressional staff. Discuss issues related to Medicare accelerated payments with White House, HHS, CMS and Congressional staff. Advocate for continued Federal funding for New York States DSRIP program. Discuss Medicare and Medicaid issues with the CMS Administrator. Discuss COVID-19 response with White House staff and HHS leadership, including the HHS Secretary. Discuss GNYHA's legislative priorities with Congressional staff: a delay of cuts to Medicaid DSH funding (support), site-neutral policies (oppose), 340B drug discount program (support), expanding federal graduate medical education programs (support), funding to address the opioid crisis (support), funding for hospital infrastructure (support), the Affordable Care Act (support), and liver allocation reforms (support). Discuss the need to reform the United States' liver allocation system with Congressional staff/members, HHS, HRSA, UNOS and OPTN. Oppose several provisions in the White House's FY 2021 budget blueprint including cuts and changes to GME funding, site-neutral policies, changes to Medicare UCP and bad debt, Medicare post-acute care payments, wage index adjustments, and other Medicaid cuts. Support for the Medical liability provisions in the budget. Educate Congressional staff and lawmakers on Medicare for All. Support graduate medical education funding through the Medicare program, including support for the Resident Physician Shortage Reduction Act (S. 348/H.R. 1763) and the Opioid Workforce Act (H.R. 3414/S. 2439). Discuss technical assistance regarding the Opioid Workforce Act (H.R. 3414/S. 2439) with committee staff. Discuss the Prescription Drug Pricing Reduction Act of 2019 (S. 2543) with Congressional staff and committee staff. Support surprise billing legislation reform and work with committee and Congressional staff on a range of issues. Discussed several bills including: Protecting People from Surprise Medical Bills Act (H.R. 3502), Lower Health Care Costs Act (S. 1895), No Surprises Act (H.R. 3630) and Consumer Protections Against Surprise Medical Bills Act of 2020 (H.R. 5826). Discussed the inclusion of surprise billing legislation in COVID-19 response legislation. Discuss New York State's Partnership for Patients initiative with CMS contract officers. Discuss GME rural training tracks and possible reforms with Congressional staff. Discuss the ET3 model with staff from CMMI. Discuss the Medicare GME program, including issues related to oversight and transparency, with congressional staff. Spoke with CMS to review Medicare DGME policy (42 CFR 413.75) on residency counting issues Discuss provisions in the CARES Act (H.R. 748) related to health care provider liability and immunity with Congressional and committee staff. Attend cybersecurity briefing related to foreign threats with FBI. Discuss issues concerning DSH hospitals with the Executive Branch. Discuss Medicare and Medicaid issues with the CMS Administrator. Discuss Lower Drug Costs Now Act (H.R.3) with Congressional staff. Discuss issues related to telehealth and HIT with staff from CMS, the White House and Congressional staff. Discuss drug shortages related to the COVID-19 crisis with Congressional and Administration staff. Coordinate with ASPR, the Department of Defense, FEMA and the FDA on COVID-19 response efforts. Discuss the HEROES Act (H.R. 6800) and other COVID-19 phase four response legislation with lawmakers, Congressional staff, HHS and the White House. Discuss disbursements from the Public Health and Social Services Emergency Fund with HHS, the White House, and Congressional staff and lawmakers. Discuss hospital infrastructure spending with Congressional staff, including in the Invest in America Act (H.R. 2). Discuss Medicare Advance Payment forgiveness with HHS and Congressional staff, advocated for H.R. 7292 (support). Discuss supply chain issues, including PPE and ventilators, with Congressional staff, HHS and White House. Discuss a range of other COVID-19 priorities with Congressional staff including ensuring Medicare advantage plans comply with increased COVID-19 Medicare payments (support), an add-on payment for COVID-19 care (support), and crisis pay for health care workers (support). Support a delay of Medicaid DSH reimbursement cuts in COVID-19 response package and a delay or repeal of the Medicaid Fiscal Accountability Regulation. Discuss increased Federal Medical Assistance Percentages (support) and increased funding for state and local governments (support) with Congressional staff. Discuss surprise billing legislation with White House staff. Discuss Medicare Rule on Physician Time Studies (42 CFR 415.60) with CMS. Discuss disclosure of patient information to the media with HHS. Discuss Medicare Rules regarding new teaching hospitals with CMS. Discuss alternate care site billing with CMS.
Client expense: $550,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Emergency Management Agency (FEMA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), President of the U.S., SENATE, Small Business Administration (SBA), Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office
2020 · fourth_quarter · Health Issues
Affordable Care Act (ACA); Transparency; Surprise billing, COVID-19 Response/Relief Packages; Testing Funding Level/Plan Requirements; Vaccines; Electronic Medical Records; HIPAA; Telehealth; Provider Contracting H.R. 6800 - 116th Congress HEROES Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-136 (H.R. 748) - 116th Congress Third Coronavirus Stimulus Package Sponsor: Rep. Joe Courtney (D-CT-02) Public Law 116-260 (H.R. 133) - 116th Congress COVID-19 Relief and Fiscal 2021 Omnibus Sponsor: Rep. Henry Cuellar (D-TX-28) S. 1895 - 116th Congress Lower Health Care Costs Act Sponsor: Sen. Lamar Alexander (R-TN) H.R. 3630 - 116th Congress No Surprises Act Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 5826 - 116th Congress Consumer Protections Against Surprise Medical Bills Act of 2020 Rep. Richard Neal (D-MA-01) H.R. 6810 - 116th Congress Health Care Protection Act Sponsor: Rep. Rodney Davis (R-IL-13) Public Law 116-123 (H.R. 6074) - 116th Congress Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-127 (H.R. 6201) - 116th Congress Families First Coronavirus Response Act Sponsor: Rep. Nita Lowey (D-NY-17) Public Law 116-159 (H.R. 8337) - 116th Congress Continuing Appropriations Act, 2021 and Other Extensions Act Sponsor: Rep. Nita Lowey (D-NY-17) H.R. 6545 - 116th Congress Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Stephanie Murphy (D-FL-07)
Client expense: $270,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE