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Medicare Dental, Vision, and Hearing Benefit Act of 2021
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
43pct
1d open
vs 9,698 other HR bills in the 117th — cohort avg 63d
Medicare Dental, Vision, and Hearing Benefit Act of 2021 This bill provides for Medicare coverage of dental, vision, and hearing care. Coverage includes (1) routine dental cleanings and exams, basic and major dental services, emergency dental care, and dentures; (2) routine eye exams, eyeglasses, and contact lenses; and (3) routine hearing exams, hearing aids, and exams for hearing aids. With respect to such care, the bill establishes special payment rules, limitations, and coinsurance requirements.
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 (9)
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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
2022 · fourth_quarter · Trade (domestic/foreign)
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
2022 · fourth_quarter · Financial Institutions/Investments/Securities
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
H.R. 1587/S. 1731, the Medicare Audiologist Access and Services Act of 2021 H.R. 2168/S. 3193, the Expanded Telehealth Access Act H.R. 4040, the Advancing Telehealth Beyond COVID-19 Act of 2021 H.R. 4311, the Medicare Dental, Vision, and Hearing Benefit Act H.R. 6202, the Telehealth Extension Act H.R. 6020/S. 3314, the Supporting Medicare Providers Act of 2021 H.R. 7876, the Connecting Rural Telehealth to the Future Act H.R. 2471, the Consolidated Appropriations Act, 2022 (Public Law 117-103) Implementation of S. 610, the Protecting Medicare and American Farmers from Sequester Cuts Act Implementation of H.R. 1319, American Rescue Plan Act of 2021 (Public Law 117-2) Issues related to enhanced Federal Medical Assistance Percentage in Medicaid Various issues related to CMS Actions surrounding: Medicare supervision requirements audits of medical records and claims for Part A and B services code development and reimbursement of personal protective equipment Quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems Demonstration projects/episodic payment models Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Reimbursement of telehealth services COVID-19 emergency telepractice coverage of Medicare, Medicare Advantage and Medicaid Medicare telehealth coverage under Part A and B Essential and Non-essential personnel designation Implementation of CARES Act (P.L. 116-136) Provision and payment for Part A therapy Various issues related to implementation of ACA Various issues related to Medicaid in schools Advocated for Medicaid Federal Medical Assistance Percentage (FMAP) Sequestration H.R. 3173/S. 3018, the Improving Seniors Timely Access to Care Act Issues related to extension of COVID-19 public health emergency H.R. 8800, the Supporting Medicare Providers Act of 2022 Issues related to coverage of augmentative and alternative communication devices and systems and their role in integration of individuals with disabilities in work and community settings Issues related to Medicare beneficiaries accessing services provided by audiologists without a physician order H.R.6833 - Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 H.R. 2617, Consolidated Appropriations Act, 2023
Client expense: $270,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
2022 · fourth_quarter · Medicare/Medicaid
1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposals to adjust 2022 Medicare Part B premiums 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill 24. Medicare regulations under the No Surprises Act 25. Administration of ACO REACH program 26. Administration of Medicare telephone help lines 27. H.R. 5376, Inflation Reduction Act of 2022, provisions relating to Medicare drug negotiations, vaccine access and pricing, insulin pricing, out of pocket annual caps, catastrophic drug out of pocket costs 28. Expansion of Medicare coverage for medically necessary dental services
Client expense: $70,000 · 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), SENATE
2022 · fourth_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act and S. 3166 the Medicaid Dental Benefits Act of 2021 regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); Medicare Medically Necessary Dental Care Act of 2021 (HR 5110); and the Build Back Better Act (HR 5376) regarding Medicare coverage of dental and oral health services
Client expense: $70,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
Regulations related to the 2023 Medicare Physician Fee Schedule Rule. S.97 & H.R.502 - Medicare Dental Benefit Act of 2021 H.R.1794 - Foster Youth Dental Act of 2021 H.R.4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 H.R.4439 - Medicaid Dental Benefit Act H.R.4650 - Medicare Dental Coverage Act of 2021 H.R.5376 - Build Back Better Act S.560 - Oral Health for Moms Act H.R.5110 - Medicare Medically Necessary Dental Care Act of 2021 S.1180 - Choose Medicare Act S.3166 - Medicaid Dental Benefit Act of 2021 S.1279 - Medicare at 50 Act S.2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Regulations related to the 2023 Medicare Physician Fee Schedule Rule. S.97 & H.R.502 - Medicare Dental Benefit Act of 2021 H.R.1794 - Foster Youth Dental Act of 2021 H.R.4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 H.R.4439 - Medicaid Dental Benefit Act H.R.4650 - Medicare Dental Coverage Act of 2021 H.R.5376 - Build Back Better Act S.560 - Oral Health for Moms Act H.R.5110 - Medicare Medically Necessary Dental Care Act of 2021 S.1180 - Choose Medicare Act S.3166 - Medicaid Dental Benefit Act of 2021 S.1279 - Medicare at 50 Act S.2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Financial Institutions/Investments/Securities
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Trade (domestic/foreign)
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
2022 · third_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act and S. 3166 the Medicaid Dental Benefits Act of 2021 regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); Medicare Medically Necessary Dental Care Act of 2021 (HR 5110); and the Build Back Better Act (HR 5376) regarding Medicare coverage of dental and oral health services
Client expense: $70,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposals to adjust 2022 Medicare Part B premiums 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill 24. Medicare regulations under the No Surprises Act 25. Administration of ACO REACH program 26. Administration of Medicare telephone help lines 27. H.R. 5376, Inflation Reduction Act of 2022, provisions relating to Medicare drug negotiations, vaccine access and pricing, insulin pricing, out of pocket annual caps, catastrophic drug out of pocket costs 28. Expansion of Medicare coverage for medically necessary dental services
2022 · third_quarter · Medicare/Medicaid
H.R. 1587/S. 1731, the Medicare Audiologist Access and Services Act of 2021 H.R. 2168/S. 3193, the Expanded Telehealth Access Act H.R. 4040, the Advancing Telehealth Beyond COVID-19 Act of 2021 H.R. 4311, the Medicare Dental, Vision, and Hearing Benefit Act H.R. 6202, the Telehealth Extension Act H.R. 6020/S. 3314, the Supporting Medicare Providers Act of 2021 H.R. 7876, the Connecting Rural Telehealth to the Future Act H.R. 2471, the Consolidated Appropriations Act, 2022 (Public Law 117-103) Implementation of S. 610, the Protecting Medicare and American Farmers from Sequester Cuts Act Implementation of H.R. 1319, American Rescue Plan Act of 2021 (Public Law 117-2) Issues related to enhanced Federal Medical Assistance Percentage in Medicaid Various issues related to CMS Actions surrounding: Medicare supervision requirements audits of medical records and claims for Part A and B services code development and reimbursement of personal protective equipment Quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems Demonstration projects/episodic payment models Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Reimbursement of telehealth services COVID-19 emergency telepractice coverage of Medicare, Medicare Advantage and Medicaid Medicare telehealth coverage under Part A and B Essential and Non-essential personnel designation Implementation of CARES Act (P.L. 116-136) Provision and payment for Part A therapy Various issues related to implementation of ACA Various issues related to Medicaid in schools Advocated for Medicaid Federal Medical Assistance Percentage (FMAP) Sequestration H.R. 3173/S. 3018, the Improving Seniors Timely Access to Care Act Issues related to extension of COVID-19 public health emergency H.R. 8800, the Supporting Medicare Providers Act of 2022 Issues related to coverage of augmentative and alternative communication devices and systems and their role in integration of individuals with disabilities in work and community settings Issues related to Medicare beneficiaries accessing services provided by audiologists without a physician order
2022 · second_quarter · Medicare/Medicaid
S.97 & H.R.502 - Medicare Dental Benefit Act of 2021 H.R.1794 - Foster Youth Dental Act of 2021 H.R.4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 H.R.4439 - Medicaid Dental Benefit Act H.R.4650 - Medicare Dental Coverage Act of 2021 H.R.5376 - Build Back Better Act S.560 - Oral Health for Moms Act H.R.5110 - Medicare Medically Necessary Dental Care Act of 2021 S.1180 - Choose Medicare Act S.3166 - Medicaid Dental Benefit Act of 2021 S.1279 - Medicare at 50 Act S.2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · second_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act and S. 3166 the Medicaid Dental Benefits Act of 2021 regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); Medicare Medically Necessary Dental Care Act of 2021 (HR 5110); and the Build Back Better Act (HR 5376) regarding Medicare coverage of dental and oral health services
Client expense: $110,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · second_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act and S. 3166 the Medicaid Dental Benefits Act of 2021 regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); Medicare Medically Necessary Dental Care Act of 2021 (HR 5110); and the Build Back Better Act (HR 5376) regarding Medicare coverage of dental and oral health services
Client expense: $120,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · second_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act and S. 3166 the Medicaid Dental Benefits Act of 2021 regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); Medicare Medically Necessary Dental Care Act of 2021 (HR 5110); and the Build Back Better Act (HR 5376) regarding Medicare coverage of dental and oral health services
Client expense: $120,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · second_quarter · Financial Institutions/Investments/Securities
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · second_quarter · Trade (domestic/foreign)
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
2022 · second_quarter · Medicare/Medicaid
1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposals to adjust 2022 Medicare Part B premiums 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill 24. Medicare regulations under the No Surprises Act 25. Proposals to cap insulin costs under Medicare
2022 · second_quarter · Medicare/Medicaid
Issues related to coverage of spiritual care - no specific legislation. Issues related to religious non-medical health care institutions - no specific legislation.H.R.4311 - H.R.5376 - Build Back Better Act - issues related to Medicare benefit expansion. Issues related to vaccine policy - no specific legislation.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES
2022 · second_quarter · Medicare/Medicaid
H.R. 1587/S. 1731, the Medicare Audiologist Access and Services Act of 2021 H.R. 2168/S. 3193, the Expanded Telehealth Access Act H.R. 4311, the Medicare Dental, Vision, and Hearing Benefit Act H.R. 6202, the Telehealth Extension Act H.R. 6020/S. 3314, the Supporting Medicare Providers Act of 2021 H.R. 7876, the Connecting Rural Telehealth to the Future Act H.R. 2471, the Consolidated Appropriations Act, 2022 (Public Law 117-103) Implementation of S. 610, the Protecting Medicare and American Farmers from Sequester Cuts Act Implementation of H.R. 1319, American Rescue Plan Act of 2021 (Public Law 117-2) Issues related to enhanced Federal Medical Assistance Percentage in Medicaid Various issues related to CMS Actions surrounding: Medicare supervision requirements audits of medical records and claims for Part A and B services code development and reimbursement of personal protective equipment quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems Demonstration projects/episodic payment models Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Reimbursement of telehealth services COVID-19 emergency telepractice coverage of Medicare, Medicare Advantage and Medicaid Medicare telehealth coverage under Part A and B Essential and Non-essential personnel designation Implementation of CARES Act (P.L. 116-136) Provision and payment for Part A therapy Various issues related to implementation of ACA Various issues related to Medicaid in schools Advocated for Medicaid Federal Medical Assistance Percentage (FMAP) Sequestration H.R. 3173/S. 3018, the Improving Seniors Timely Access to Care Act Issues related to extension of COVID-19 public health emergency
Client expense: $280,000 · Firm income: Not reported
2022 · first_quarter · Medicare/Medicaid
S.97 & H.R.502 - Medicare Dental Benefit Act of 2021 H.R.1794 - Foster Youth Dental Act of 2021 H.R.4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 H.R.4439 - Medicaid Dental Benefit Act H.R.4650 - Medicare Dental Coverage Act of 2021 H.R.5376 - Build Back Better Act S.560 - Oral Health for Moms Act H.R.5110 - Medicare Medically Necessary Dental Care Act of 2021 S.1180 - Choose Medicare Act S.3166 - Medicaid Dental Benefit Act of 2021 S.1279 - Medicare at 50 Act S.2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · first_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act and S. 3166 the Medicaid Dental Benefits Act of 2021 regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); Medicare Medically Necessary Dental Care Act of 2021 (HR 5110); and the Build Back Better Act (HR 5376) regarding Medicare coverage of dental and oral health services
Client expense: $90,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · first_quarter · Medicare/Medicaid
1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposed 2022 Medicare Part B premium increases 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill
2022 · first_quarter · Medicare/Medicaid
H.R. 1587/S. 1731, the Medicare Audiologist Access and Services Act of 2021 H.R. 5376, the Build Back Better Act H.R. 2168/S. 3193, the Expanded Telehealth Access Act H.R. 4311, the Medicare Dental, Vision, and Hearing Benefit Act H.R. 6202, the Telehealth Extension Act H.R. 6020/S. 3314, the Supporting Medicare Providers Act of 2021 H.R. 2471, the Consolidated Appropriations Act, 2022 (Public Law 117-103) Implementation of S. 610, the Protecting Medicare and American Farmers from Sequester Cuts Act Implementation of H.R. 1319, American Rescue Plan Act of 2021 (Public Law 117-2) Issues related to enhanced Federal Medical Assistance Percentage in Medicaid Various issues related to CMS Actions surrounding: Medicare supervision requirements audits of medical records and claims for Part A and B services code development and reimbursement of personal protective equipment Quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems Demonstration projects/episodic payment models Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Reimbursement of telehealth services COVID-19 emergency telepractice coverage of Medicare, Medicare Advantage and Medicaid Medicare telehealth coverage under Part A and B Essential and Non-essential personnel designation Implementation of CARES Act (P.L. 116-136) Provision and payment for Part A therapy Various issues related to implementation of ACA Various issues related to Medicaid in schools Advocated for Medicaid Federal Medical Assistance Percentage (FMAP) Sequestration
Client expense: $280,000 · Firm income: Not reported
2022 · first_quarter · Medicare/Medicaid
Issues related to coverage of spiritual care - no specific legislation. Issues related to religious non-medical health care institutions - no specific legislation.H.R.4311 - H.R.5376 - Build Back Better Act - issues related to Medicare benefit expansion. Issues related to vaccine policy - no specific legislation. H.R.2471 - Consolidated Appropriations Act, 2022 - issues related to vaccine policy.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · first_quarter · Trade (domestic/foreign)
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
2022 · first_quarter · Financial Institutions/Investments/Securities
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2021 · fourth_quarter · Medicare/Medicaid
S.97 & H.R.502 - Medicare Dental Benefit Act of 2021 H.R.1794 - Foster Youth Dental Act of 2021 H.R.4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 H.R.4439 - Medicaid Dental Benefit Act H.R.4650 - Medicare Dental Coverage Act of 2021 H.R.5376 - Build Back Better Act S.560 - Oral Health for Moms Act H.R.5110 - Medicare Medically Necessary Dental Care Act of 2021 S.1180 - Choose Medicare Act S.3166 - Medicaid Dental Benefit Act of 2021 S.1279 - Medicare at 50 Act S.2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of, White House Office
2021 · fourth_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act and S. 3166 the Medicaid Dental Benefits Act of 2021 regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); Medicare Medically Necessary Dental Care Act of 2021 (HR 5110); and the Build Back Better Act (HR 5376) regarding Medicare coverage of dental and oral health services
Client expense: $240,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2021 · fourth_quarter · Medicare/Medicaid
H.R. 19 - Lower Costs, More Cures Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - Medicare and Medicaid reforms H.R. 56 - Patient Access to Medical Foods Act - Rep. Biggs, Andy [R-AZ-5] - coverage of medical foods H.R. 66 - CARING for Kids Act - Rep. Buchanan, Vern [R-FL-16] - CHIP extension H.R. 315 - Medicare Sequester COVID Moratorium Act - Rep. Schneider, Bradley Scott [D-IL-10] - Medicare Sequester H.R. 340 - Incentivizing Medicaid Expansion Act of 2021 - Rep. Veasey, Marc A. [D-TX-33] - Medicaid expansion H.R. 502 - Medicare Dental Benefit Act of 2021 - Rep. Barragan, Nanette Diaz [D-CA-44] - Medicare dental coverage H.R. 525 - COVID HCBS Relief Act of 2021 - Rep. Dingell, Debbie [D-MI-12] - HCBS H.R. 599 - Protecting Medicare Beneficiaries with Pre-Existing Conditions Act - Rep. Schneider, Bradley Scott [D-IL-10] - pre-existing conditions H.R. 722 - Ensuring Vaccination and Treatment Affordability Act - Rep. Pappas, Chris [D-NH-1] - cost-sharing for COVID-19 vaccines H.R. 918 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Rep. Cardenas, Tony [D-CA-29] - Medicaid & COVID-19 H.R. 955 - Medicaid Reentry Act of 2021 - Rep. Tonko, Paul [D-NY-20] - Medicaid coverage H.R. 975 - Ensuring Seniors Access to COVID Treatments Act - Rep. Casten, Sean [D-IL-6] - coverage of COVID-19 drugs H.R. 1227 - Medicare-X Choice Act of 2021 - Rep. Delgado, Antonio [D-NY-19] - Medicare-X H.R. 1495 - Jim Ramstad Legacy of Recovery Act - Rep. Emmer, Tom [R-MN-6] - Medicaid coverage for SUD H.R. 1717 - Protecting Married Seniors from Impoverishment Act of 2021 - Rep. Upton, Fred [R-MI-6] - HCBS and spousal impoverishment H.R. 1722 - Puerto Rico Health Care Fairness, Accountability, and Beneficiary Access Act of 2021 - Rep. Velazquez, Nydia M. [D-NY-7] - Medicaid for territories H.R. 1791 - CHIPP Act - Rep. Barragan, Nanette Diaz [D-CA-44] - CHIP extension H.R. 1795 - Expanded Coverage for Former Foster Youth Act - Rep. Bass, Karen [D-CA-37] - coverage for foster youth H.R. 1880 - To amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration - Rep. Dingell, Debbie [D-MI-12] - Money Follows the Person extension H.R. 1969 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] - Medicare Advantage benchmark rates H.R. 1976 - Medicare for All Act of 2021 - Rep. Jayapal, Pramila [D-WA-7] - Medicare for All H.R. 1978 - Protecting Seniors Through Immunization Act of 2021 - Rep. Kuster, Ann M. [D-NH-2] - cost sharing for vaccines under Medicare part D H.R. 1999 - Protect Seniors and Cut Waste Act - Rep. Smith, Jason [R-MO-8] - sequester for Pay-As-You-Go H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 - Rep. Sewell, Terri A. [D-AL-7] - Medicare coverage of telehealth H.R. 2217 - Territory Federal Matching Requirement Equity Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] - FMAP for territories H.R. 2297 - MIND Act - Rep. Boyle, Brendan F. [D-PA-2] - Medicaid payment for services provided in institutions for mental diseases H.R. 2464 - More Help for Seniors Act of 2021 - Rep. Craig, Angie [D-MN-2] - Medicare prescription drug benefit H.R. 2881 - Medicare Buy-In and Health Care Stabilization Act of 2021 - Rep. Higgins, Brian [D-NY-26] - Medicare public insurance H.R. 3108 - Medical Nutrition Therapy Act of 2021 - Rep. Kelly, Robin L. [D-IL-2] - coverage of medical foods H.R. 3173 - Improving Seniors Timely Access to Care Act of 2021 - Rep. DelBene, Suzan K. [D-WA-1] - prior authorization H.R. 3447 - Permanency for Audio-Only Telehealth Act - Rep. Smith, Jason [R-MO-8] - Medicare telehealth coverage H.R. 3450 - Medicaid Bump Act - Rep. Tonko, Paul [D-NY-20] - Medicaid funding and behavioral health H.R. 3894 - CARING for Social Determinants Act of 2021- Rep. Blunt Rochester, Lisa [D-DE-At Large] - Medicaid and SDOH H.R. 3961 - COVER Now Act - Rep. Doggett, Lloyd [D-TX-35] - Medicaid expansion H.R. 4040 Advancing Telehealth Beyond COVID-19 Act of 2021- Rep. Cheney, Liz [R-WY-At Large] - Medicare telehealth coverage H.R. 4043 - Ensuring Patient Access to Critical Breakthrough Products Act of 2021 - Rep. DelBene, Suzan K. [D-WA-1] - Medicare coverage of breakthrough devices H.R. 4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 - Rep. Bilirakis, Gus M. [R-FL-12] - Medicare Advantage supplemental benefits H.R. 4158 - Insulin Access for All Act of 2021 - Rep. Rush, Bobby L. [D-IL-1] - cost sharing for insulin H.R. 4187 - Medicare Vision Act of 2021 - Rep. Schrier, Kim [D-WA - Medicare vision coverage H.R. 4263 - Patient Parity Protection Act of 2021 - Rep. Gottheimer, Josh [D-NJ-5] - out-of-network services H.R. 4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 - Rep. Doggett, Lloyd [D-TX-35] - Medicare dental, vision, and hearing benefits H.R. 4406 - Supporting Medicaid in the U.S. Territories Act of 2021 - Rep. Soto, Darren [D-FL-9] - Medicaid support in U.S. territories H.R. 4439 - Medicaid Dental Benefit Act - Rep. Barragan, Nanette Diaz [D-CA-44] - Medicaid dental benefit H.R. 4640 - Close the Medigap Act of 2021 - Rep. Doggett, Lloyd [D-TX-35] - Medicare supplemental health insurance policies H.R. 4650 - Medicare Dental Coverage Act of 2021 - Rep. Kelly, Robin L. [D-IL-2] - Medicare dental benefit H.R. 4941 - PACE Part D Choice Act of 2021 - Rep. Blumenauer, Earl [D-OR-3] - prescription drug plans in the Medicare-only PACE program H.R. 4942 - BETTER Kidney Care Act - Rep. Blumenauer, Earl [D-OR-3] - demonstration program for Medicare enrollees with ESRD H.R. 4974 - State Public Option Act - Rep. Schrier, Kim [D-WA-8] - Medicaid public option H.R. 5099 - Lowering Medicare Premiums and Prescription Drug Costs Act - Rep. Schneider, Bradley Scott [D-IL-10] - Medicare cost-sharing benefits H.R. 5110 - Medicare Medically Necessary Dental Care Act of 2021 - Rep. Cohen, Steve [D-TN-9] - Medicare dental benefits H.R. 5165 - Improving Medicare Coverage Act - Rep. Jayapal, Pramila [D-WA-7] - Medicare eligibility age H.R. 5414 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 - Rep. Bilirakis, Gus M. [R-FL-12] - Medicaid coverage for children in foster care H.R. 5425 - Protecting Rural Telehealth Access Act - Rep. O'Halleran, Tom [D-AZ-1] - Medicare telehealth services H.R. 5576 - Fair Drug Prices for Kids Act - Rep. Wild, Susan [D-PA-7] - Medicaid Drug Rebate Program under CHIP H.R. 5632 - Long-Term Care Pharmacy Definition Act of 2021 - Rep. Schrader, Kurt [D-OR-5] - Medicare long term care pharmacy H.R. 5674 - Medicare Mental Health Inpatient Equity Act of 2021 - Rep. Tonko, Paul [D-NY-20] - inpatient psychiatric hospital services under Medicare H.R. 6101 - Drug Price Transparency in Medicaid Act of 2021 - Rep. Carter, Earl L. "Buddy" [R-GA-1] - drug pricing in Medicaid S. 97 - Medicare Dental Benefit Act of 2021 - Sen. Cardin, Benjamin L. [D-MD] - Medicare dental coverage S. 150 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 - Sen. Cortez Masto, Catherine [D-NV] - Medicaid telehealth coverage S. 151 - COVID HCBS Relief Act of 2021 - Sen. Casey, Robert P., Jr. [D-PA] - HCBS S. 274 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Sen. Bennet, Michael F. [D-CO] - Medicaid & COVID-19 S. 340 - TREATS Act - Sen. Portman, Rob [R-OH] - telehealth - Medicare telehealth coverage S. 386 - Medicare-X Choice Act of 2021 - Sen. Bennet, Michael F. [D-CO] - Medicare-X S. 448 - Ensuring Kids Have Access to Medically Necessary Dental Care Act - Sen. Cardin, Benjamin L. [D-MD] - CHIP S. 653 - COMP Act - Sen. Portman, Rob [R-OH] - Medicare secondary payer rules S. 748 - Medicare Sequester Relief Act - Sen. Shaheen, Jeanne [D-NH] - Medicare sequestration S. 1180 - Choose Medicare Act - Sen. Merkley, Jeff [D-OR] - Medicare public insurance S. 1536 - Medical Nutrition Therapy Act of 2021 - Sen. Collins, Susan M. [R-ME] - coverage of medical foods S. 1727 - Medicaid Bump Act - Sen. Smith, Tina [D-MN] - Medicaid funding and behavioral health S. 1844 - Lowering Medicare Premiums and Prescription Drug Costs Act - Sen. Casey, Robert P., Jr. [D-PA] - Medicare premiums and drug costs S. 2111 - Audio-Only Telehealth for Emergencies Act - Sen. Kennedy, John [R-LA] - Medicare coverage of telehealth S. 2112 - EASE Behavioral Health Services Act - Sen. Kennedy, John [R-LA] - telehealth S. 2164 - Lower Costs, More Cures Act of 2021 - Sen. Crapo, Mike [R-ID] - Medicare and Medicaid reforms S. 2197 - Rural and Frontier Telehealth Expansion Act - Sen. Rosen, Jacky [D-NV] - FMAP & telehealth S. 2210 - Better Care Better Jobs Act - Sen. Casey, Robert P., Jr. [D-PA] - HCBS S. 2236 - Expanding Health Care Options for Early Retirees Act - Sen. Brown, Sherrod [D-OH] - Medicare buy-in S. 2315 - Medicaid Saves Lives Act - Sen. Warnock, Raphael [D-GA] - Medicaid expansion S. 2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 - Sen. Casey, Bob [D-PA] - Medicaid dental, vision, and hearing benefits S. 2639 - State Public Option Act - Sen. Schatz, Brian [D-HI] - Medicaid public option S. 2689 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 - Sen. Burr, Richard [R-NC] - Medicaid-eligibility for children in foster care S. 3018 - Improving Seniors Timely Access to Care Act of 2021 - Sen. Marshall, Roger [R-KS] - prior authorization under MA S. 3061 - Medicare Mental Health Inpatient Equity Act of 2021 - Sen. Collins, Susan M. [R-ME] - inpatient psychiatric hospital services under Medicare S. 3193 - Expanded Telehealth Access Act - Sen. Daines, Steve [R-MT] - Medicare telehealth service providers S. 3332 - Let States Innovate Under Medicaid Act - Sen. Braun, Mike [R-IN] - Medicaid program promotion Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2022 policy and technical regulation for MA and Part D; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in, reduced Medicare eligibility age, and public option; issues relating to 2022 Rate Notice; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to expanded Medicare fee for service benefits (dental, hearing and vision); issues related to Medicaid coverage gap; potential Medicare NCD relating to monoclonal antibodies for treatment of Alzheimers disease; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing and vaccines; issues related to health equity; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, educational opportunities, and MA supplemental benefits; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the Affordable Care Act (ACA) including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.
2021 · fourth_quarter · Medicare/Medicaid
Issues related to coverage of spiritual care - no specific legislation. Issues related to religious non-medical health care institutions - no specific legislation.H.R.4311 - H.R.5376 - Build Back Better Act - issues related to Medicare benefit expansion. Issues related to vaccine policy - no specific legislation.
Client expense: Not reported · Firm income: $110,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Small Business Administration (SBA)
2021 · fourth_quarter · Medicare/Medicaid
1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposed 2022 Medicare Part B premium increases
Client expense: $70,000 · Firm income: Not reported
2021 · fourth_quarter · Financial Institutions/Investments/Securities
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
2021 · fourth_quarter · Trade (domestic/foreign)
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
2021 · fourth_quarter · Medicare/Medicaid
H.R. 1587/S. 1731, the Medicare Audiologist Access and Services Act of 2021 H.R. 5376, the Build Back Better Act H.R. 2168/S. 3193, the Expanded Telehealth Access Act H.R. 4311, the Medicare Dental, Vision, and Hearing Benefit Act H.R. 6202, the Telehealth Extension Act H.R. 6020/S. 3314, the Supporting Medicare Providers Act of 2021 S. 610, the Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 1319, American Rescue Plan Act of 2021 (Public Law 117-2) Issues related to enhanced Federal Medical Assistance Percentage in Medicaid Various issues related to CMS Actions surrounding: Medicare supervision requirements audits of medical records and claims for Part A and B services code development and reimbursement of personal protective equipment Quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems Demonstration projects/episodic payment models Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Reimbursement of telehealth services COVID-19 emergency telepractice coverage of Medicare, Medicare Advantage and Medicaid Medicare telehealth coverage under Part A and B Essential and Non-essential personnel designation Implementation of CARES Act (P.L. 116-136) Provision and payment for Part A therapy Various issues related to implementation of ACA Various issues related to Medicaid in schools Advocated for Medicaid Federal Medical Assistance Percentage (FMAP) Sequestration
Client expense: $240,000 · Firm income: Not reported
2021 · fourth_quarter · Medicare/Medicaid
Medicare Part D Smoothing; Medicare Part D Out of Pocket Costs; Adding Dental, Vision, and Hearing benefits to Medicare; Vaccine co-pay parity for Medicare Part D and Part B; H.R. 502/S. 87 - Medicare Dental Benefit Act; Expanding eligibility for the Medicare Low-Income Subsidy/Extra Help program; H.R. 4311 - Medicare Dental Vision, and Hearing Benefit Act of 2021; H.R. 5376 - Part D cap and smoothing and Part D vaccine copay equity in the Build Back Better Act.
Client expense: Not reported · Firm income: $30,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES
2021 · third_quarter · Medicare/Medicaid
S.97 & H.R.502 - Medicare Dental Benefit Act of 2021 H.R.1794 - Foster Youth Dental Act of 2021 H.R.4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 H.R.4439 - Medicaid Dental Benefit Act H.R.4650 - Medicare Dental Coverage Act of 2021 H.R.5376 - Build Back Better Act
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of, White House Office
2021 · third_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); and Medicare Medically Necessary Dental Care Act of 2021 (HR 5110) regarding Medicare coverage of dental and oral health services
Client expense: $140,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE
2021 · third_quarter · Medicare/Medicaid
Medicaid: HR 4439 - Medicaid Dental Benefit Act regarding provisions to require state Medicaid programs to provide mandatory adult dental and oral health services Medicare: Medicare Dental Benefit Act of 2021 (HR 502/S. 97); Medicare Dental Coverage Act of 2021 (HR 4650); Medicare Dental, Vision, and Hearing Benefit Act of 2021 (HR 4311); Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 (S. 2618); and Medicare Medically Necessary Dental Care Act of 2021 (HR 5110) regarding Medicare coverage of dental and oral health services
Client expense: $140,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE
2021 · third_quarter · Medicare/Medicaid
H.R. 19 - Lower Costs, More Cures Act of 2021 - Rep. McMorris Rodgers, Cathy [R-WA-5] - Medicare and Medicaid reforms H.R. 56 - Patient Access to Medical Foods Act - Rep. Biggs, Andy [R-AZ-5] - coverage of medical foods H.R. 66 - CARING for Kids Act - Rep. Buchanan, Vern [R-FL-16] - CHIP extension H.R. 315 - Medicare Sequester COVID Moratorium Act - Rep. Schneider, Bradley Scott [D-IL-10] - Medicare Sequester H.R. 340 - Incentivizing Medicaid Expansion Act of 2021 - Rep. Veasey, Marc A. [D-TX-33] - Medicaid expansion H.R. 502 - Medicare Dental Benefit Act of 2021 - Rep. Barragan, Nanette Diaz [D-CA-44] - Medicare dental coverage H.R. 525 - COVID HCBS Relief Act of 2021 - Rep. Dingell, Debbie [D-MI-12] - HCBS H.R. 599 - Protecting Medicare Beneficiaries with Pre-Existing Conditions Act - Rep. Schneider, Bradley Scott [D-IL-10] - pre-existing conditions H.R. 722 - Ensuring Vaccination and Treatment Affordability Act - Rep. Pappas, Chris [D-NH-1] - cost-sharing for COVID-19 vaccines H.R. 918 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Rep. Cardenas, Tony [D-CA-29] - Medicaid & COVID-19 H.R. 955 - Medicaid Reentry Act of 2021 - Rep. Tonko, Paul [D-NY-20] - Medicaid coverage H.R. 975 - Ensuring Seniors Access to COVID Treatments Act - Rep. Casten, Sean [D-IL-6] - coverage of COVID-19 drugs H.R. 1227 - Medicare-X Choice Act of 2021 - Rep. Delgado, Antonio [D-NY-19] - Medicare-X H.R. 1495 - Jim Ramstad Legacy of Recovery Act - Rep. Emmer, Tom [R-MN-6] - Medicaid coverage for SUD H.R. 1717 - Protecting Married Seniors from Impoverishment Act of 2021 - Rep. Upton, Fred [R-MI-6] - HCBS and spousal impoverishment H.R. 1722 - Puerto Rico Health Care Fairness, Accountability, and Beneficiary Access Act of 2021 - Rep. Velazquez, Nydia M. [D-NY-7] - Medicaid for territories H.R. 1791 - CHIPP Act - Rep. Barragan, Nanette Diaz [D-CA-44] - CHIP extension H.R. 1795 - Expanded Coverage for Former Foster Youth Act - Rep. Bass, Karen [D-CA-37] - coverage for foster youth H.R. 1880 - To amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration - Rep. Dingell, Debbie [D-MI-12] - Money Follows the Person extension H.R. 1969 - Medicare Advantage Integrity Act - Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] - Medicare Advantage benchmark rates H.R. 1976 - Medicare for All Act of 2021 - Rep. Jayapal, Pramila [D-WA-7] - Medicare for All H.R. 1978 - Protecting Seniors Through Immunization Act of 2021 - Rep. Kuster, Ann M. [D-NH-2] - cost sharing for vaccines under Medicare part D H.R. 1999 - Protect Seniors and Cut Waste Act - Rep. Smith, Jason [R-MO-8] - sequester for Pay-As-You-Go H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 - Rep. Sewell, Terri A. [D-AL-7] - Medicare coverage of telehealth H.R. 2217 - Territory Federal Matching Requirement Equity Act of 2021 - Resident Commissioner Gonzalez-Colon, Jenniffer [R-PR-At Large] - FMAP for territories H.R. 2297 - MIND Act - Rep. Boyle, Brendan F. [D-PA-2] - Medicaid payment for services provided in institutions for mental diseases H.R. 2464 - More Help for Seniors Act of 2021 - Rep. Craig, Angie [D-MN-2] - Medicare prescription drug benefit H.R. 2881 - Medicare Buy-In and Health Care Stabilization Act of 2021 - Rep. Higgins, Brian [D-NY-26] - Medicare public insurance H.R. 3108 - Medical Nutrition Therapy Act of 2021 - Rep. Kelly, Robin L. [D-IL-2] - coverage of medical foods H.R. 3173 - Improving Seniors Timely Access to Care Act of 2021 - Rep. DelBene, Suzan K. [D-WA-1] - prior authorization H.R. 3447 - Permanency for Audio-Only Telehealth Act - Rep. Smith, Jason [R-MO-8] - Medicare telehealth coverage H.R. 3450 - Medicaid Bump Act - Rep. Tonko, Paul [D-NY-20] - Medicaid funding and behavioral health H.R. 3894 - CARING for Social Determinants Act of 2021- Rep. Blunt Rochester, Lisa [D-DE-At Large] - Medicaid and SDOH H.R. 3961 - COVER Now Act - Rep. Doggett, Lloyd [D-TX-35] - Medicaid expansion H.R. 4040 Advancing Telehealth Beyond COVID-19 Act of 2021- Rep. Cheney, Liz [R-WY-At Large] - Medicare telehealth coverage H.R. 4043 - Ensuring Patient Access to Critical Breakthrough Products Act of 2021 - Rep. DelBene, Suzan K. [D-WA-1] - Medicare coverage of breakthrough devices H.R. 4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 - Rep. Bilirakis, Gus M. [R-FL-12] - Medicare Advantage supplemental benefits H.R. 4158 - Insulin Access for All Act of 2021 - Rep. Rush, Bobby L. [D-IL-1] - cost sharing for insulin H.R. 4187 - Medicare Vision Act of 2021 - Rep. Schrier, Kim [D-WA - Medicare vision coverage H.R. 4263 - Patient Parity Protection Act of 2021 - Rep. Gottheimer, Josh [D-NJ-5] - out-of-network services H.R. 4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 - Rep. Doggett, Lloyd [D-TX-35] - Medicare dental, vision, and hearing benefits H.R. 4406 - Supporting Medicaid in the U.S. Territories Act of 2021 - Rep. Soto, Darren [D-FL-9] - Medicaid support in U.S. territories H.R. 4439 - Medicaid Dental Benefit Act - Rep. Barragan, Nanette Diaz [D-CA-44] - Medicaid dental benefit H.R. 4640 - Close the Medigap Act of 2021 - Rep. Doggett, Lloyd [D-TX-35] - Medicare supplemental health insurance policies H.R. 4650 - Medicare Dental Coverage Act of 2021 - Rep. Kelly, Robin L. [D-IL-2] - Medicare dental benefit H.R. 4941 - PACE Part D Choice Act of 2021 - Rep. Blumenauer, Earl [D-OR-3] - prescription drug plans in the Medicare-only PACE program H.R. 4942 - BETTER Kidney Care Act - Rep. Blumenauer, Earl [D-OR-3] - demonstration program for Medicare enrollees with ESRD H.R. 4974 - State Public Option Act - Rep. Schrier, Kim [D-WA-8] - Medicaid public option H.R. 5099 - Lowering Medicare Premiums and Prescription Drug Costs Act - Rep. Schneider, Bradley Scott [D-IL-10] - Medicare cost-sharing benefits H.R. 5110 - Medicare Medically Necessary Dental Care Act of 2021 - Rep. Cohen, Steve [D-TN-9] - Medicare dental benefits H.R. 5165 - Improving Medicare Coverage Act - Rep. Jayapal, Pramila [D-WA-7] - Medicare eligibility age H.R. 5414 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 - Rep. Bilirakis, Gus M. [R-FL-12] - Medicaid coverage for children in foster care H.R. 5425 - Protecting Rural Telehealth Access Act - Rep. O'Halleran, Tom [D-AZ-1] - Medicare telehealth services S. 97 - Medicare Dental Benefit Act of 2021 - Sen. Cardin, Benjamin L. [D-MD] - Medicare dental coverage S. 150 - Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 - Sen. Cortez Masto, Catherine [D-NV] - Medicaid telehealth coverage S. 151 - COVID HCBS Relief Act of 2021 - Sen. Casey, Robert P., Jr. [D-PA] - HCBS S. 274 - Stronger Medicaid Response to the COVID-19 Pandemic Act - Sen. Bennet, Michael F. [D-CO] - Medicaid & COVID-19 S. 340 - TREATS Act - Sen. Portman, Rob [R-OH] - telehealth - Medicare telehealth coverage S. 386 - Medicare-X Choice Act of 2021 - Sen. Bennet, Michael F. [D-CO] - Medicare-X S. 448 - Ensuring Kids Have Access to Medically Necessary Dental Care Act - Sen. Cardin, Benjamin L. [D-MD] - CHIP S. 653 - COMP Act - Sen. Portman, Rob [R-OH] - Medicare secondary payer rules S. 748 - Medicare Sequester Relief Act - Sen. Shaheen, Jeanne [D-NH] - Medicare sequestration S. 1180 - Choose Medicare Act - Sen. Merkley, Jeff [D-OR] - Medicare public insurance S. 1536 - Medical Nutrition Therapy Act of 2021 - Sen. Collins, Susan M. [R-ME] - coverage of medical foods S. 1727 - Medicaid Bump Act - Sen. Smith, Tina [D-MN] - Medicaid funding and behavioral health S. 1844 - Lowering Medicare Premiums and Prescription Drug Costs Act - Sen. Casey, Robert P., Jr. [D-PA] - Medicare premiums and drug costs S. 2111 - Audio-Only Telehealth for Emergencies Act - Sen. Kennedy, John [R-LA] - Medicare coverage of telehealth S. 2112 - EASE Behavioral Health Services Act - Sen. Kennedy, John [R-LA] - telehealth S. 2164 - Lower Costs, More Cures Act of 2021 - Sen. Crapo, Mike [R-ID] - Medicare and Medicaid reforms S. 2197 - Rural and Frontier Telehealth Expansion Act - Sen. Rosen, Jacky [D-NV] - FMAP & telehealth S. 2210 - Better Care Better Jobs Act - Sen. Casey, Robert P., Jr. [D-PA] - HCBS S. 2236 - Expanding Health Care Options for Early Retirees Act - Sen. Brown, Sherrod [D-OH] - Medicare buy-in S. 2315 - Medicaid Saves Lives Act - Sen. Warnock, Raphael [D-GA] - Medicaid expansion S. 2618 - Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2021 - Sen. Casey, Bob [D-PA] - Medicaid dental, vision, and hearing benefits S. 2639 - State Public Option Act - Sen. Schatz, Brian [D-HI] - Medicaid public option S. 2689 - Ensuring Medicaid Continuity for Children in Foster Care Act of 2021 - Sen. Burr, Richard [R-NC] - Medicaid-eligibility for children in foster care Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and risk adjustment data validation (RADV) audit issues including proposed RADV regulation for MA; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2022 policy and technical regulation for MA and Part D; Part D reform, out of pocket limits; issues related to Medicare for All, Medicare buy-in, reduced Medicare eligibility age, and public option; issues relating to 2022 Rate Notice; issues related to coverage in non-Medicaid Expansion States (e.g., Gap Population); issues related to expanded Medicare fee for service benefits (dental, hearing and vision); issues related to Medicaid coverage gap; potential Medicare NCD relating to monoclonal antibodies for treatment of Alzheimers disease; Executive Orders relating to international pricing, Part D rebates, insulin costs, and importation; issues related to MLTSS; issues related to removal of safe harbor protection for rebates; issues relating to COVID-19, including testing and vaccines; issues related to health equity; issues related to vaccination; issues related to audio-only telehealth; issues related to addressing the social determinants of health, including housing, transportation, nutrition, educational opportunities, and MA supplemental benefits; issues related to Medicaid presumptive eligibility and continuous eligibility; issues relating to Medicaid best price; in-home health risk assessments; Medicare Medical Loss Ratio issues; issues related to changes to prior authorization regulations, electronic documentation, and related issues; issues relating to sequestration under the Medicare Advantage and Part D programs; implications of physician fee schedule on MA; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); issues related to the international price index; issues related to child and maternal health; issues related to Medicaid supplemental and disproportionate share hospital (DSH) funding; issues related to Medicaid funding for territories; issues related to medical management; issues relating to MA supplemental benefits; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value based payment models; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; issues relating to MACRA, including implications for MA and Part D plans; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS's substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the Affordable Care Act (ACA) including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; issues related to health homes for children with medically complex conditions; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation. *Add MACPAC to Agency List.
2021 · third_quarter · Medicare/Medicaid
1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill
Client expense: $80,000 · Firm income: Not reported
2021 · third_quarter · Medicare/Medicaid
H.R. 3173, Improving Senior Timely Access to Care Act of 2021, Provisions related to prior authorization in Medicare Advantage. H.R. 2166, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021, provisions related to Medicare Advantage risk adjustment. H.R. 4311, Medicare Dental, Vision, & Hearing Benefit Act of 2021, provisions related to Medicare Advantage
Client expense: $200,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2021 · third_quarter · Medicare/Medicaid
Issues related to coverage of spiritual care - no specific legislation. Issues related to religious non-medical health care institutions - no specific legislation.H.R.4311 - Medicare Dental, Vision, and Hearing Benefit Act - entire bill. H.R.5376 - Build Back Better Act - issues related to Medicare benefit expansion.
Client expense: Not reported · Firm income: $60,000
2021 · third_quarter · Medicare/Medicaid
Eliminating Out of Pocket Costs/cost-sharing in Medicare Parts A, B, C, and D for COVID-19 treatment services; Medicare Part D Smoothing; Medicare Part D Out of Pocket Costs; Adding Dental, Vision, and Hearing benefits to Medicare; Vaccine co-pay parity for Medicare Part D and Part B; H.R. 502/S. 87 - Medicare Dental Benefit Act; Expanding eligibility for the Medicare Low-Income Subsidy/Extra Help program; H.R. 4311 - Medicare Dental Vision, and Hearing Benefit Act of 2021.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2021 · third_quarter · Trade (domestic/foreign)
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
2021 · third_quarter · Financial Institutions/Investments/Securities
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
2021 · third_quarter · Medicare/Medicaid
H.R. 5376, the Build Back Better Act H.R. 1587/S. 1731, the Medicare Audiologist Access and Services Act of 2021 H.R. 2168, the Expanded Telehealth Access Act H.R. 4311, the Medicare Dental, Vision, and Hearing Benefit Act H.R. 1319, American Rescue Plan Act of 2021 (Public Law 117-2) Issues related to enhanced Federal Medical Assistance Percentage in Medicaid Various issues related to CMS Actions surrounding: Medicare supervision requirements audits of medical records and claims for Part A and B services code development and reimbursement of personal protective equipment Quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems Demonstration projects/episodic payment models Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Reimbursement of telehealth services COVID-19 emergency telepractice coverage of Medicare, Medicare Advantage and Medicaid Medicare telehealth coverage under Part A and B Essential and Non-essential personnel designation CARES Act (P.L.116-136) Provision and payment for Part A therapy Various issues related to implementation of ACA Various issues related to Medicaid in schools Advocated for Medicaid Federal Medical Assistance Percentage (FMAP) Sequestration
Client expense: $240,000 · Firm income: Not reported
2021 · second_quarter · Medicare/Medicaid
S.97 & H.R.502 - Medicare Dental Benefit Act of 2021 H.R.1794 - Foster Youth Dental Act of 2021 H.R.4311 - Medicare Dental, Vision, and Hearing Benefit Act of 2021 H.R.4439 - Medicaid Dental Benefit Act H.R.4650 - Medicare Dental Coverage Act of 2021
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of, White House Office
2021 · second_quarter · Trade (domestic/foreign)
CFIUS reform legislation (FIRRMA) including S. 2098 and H.R. 4311.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of
| Democratic |
| CA |
| Albio Sires | Democratic | NJ |
| Alexandria Ocasio-Cortez | Democratic | NY |
| André Carson | Democratic | IN |
| Andy Kim | Democratic | NJ |
| Andy Levin | Democratic | MI |
| Anthony G. Brown | Democratic | MD |
| Ayanna Pressley | Democratic | MA |
| Barbara Lee | Democratic | CA |
| Betty McCollum | Democratic | MN |
| Bill Pascrell, Jr. | Democratic | NJ |
| Bonnie Watson Coleman | Democratic | NJ |
| Brad Sherman | Democratic | CA |
| Brenda L. Lawrence | Democratic | MI |
| Brian Higgins | Democratic | NY |
| C. A. Dutch Ruppersberger | Democratic | MD |
| Carolyn B. Maloney | Democratic | NY |
| Chellie Pingree | Democratic | ME |
| Cori Bush | Democratic | MO |
| David J. Trone | Democratic | MD |
| David N. Cicilline | Democratic | RI |
| David Scott | Democratic | GA |
| Debbie Dingell | Democratic | MI |
| Dina Titus | Democratic | NV |
| Donald M. Payne, Jr. | Democratic | NJ |
| Donald Norcross | Democratic | NJ |
| Donald S. Beyer, Jr. | Democratic | VA |
| Dwight Evans | Democratic | PA |
| Earl Blumenauer | Democratic | OR |
| Ed Perlmutter | Democratic | CO |
| Eddie Bernice Johnson | Democratic | TX |
| Eleanor Holmes Norton | Democratic | DC |
| Emanuel Cleaver | Democratic | MO |
| Eric Swalwell | Democratic | CA |
| Filemon Vela | Democratic | TX |
| G. K. Butterfield | Democratic | NC |
| Gerald E. Connolly | Democratic | VA |
| Grace F. Napolitano | Democratic | CA |
| Grace Meng | Democratic | NY |
| Gregorio Kilili Camacho Sablan | Democratic | MP |
| Gregory W. Meeks | Democratic | NY |
| Gwen Moore | Democratic | WI |
| Henry C. "Hank" Johnson, Jr. | Democratic | GA |
| Henry Cuellar | Democratic | TX |
| Ilhan Omar | Democratic | MN |
| Jackie Speier | Democratic | CA |
| Jahana Hayes | Democratic | CT |
| Jamaal Bowman | Democratic | NY |
| James P. McGovern | Democratic | MA |
| James R. Langevin | Democratic | RI |
| Jamie Raskin | Democratic | MD |
| Janice D. Schakowsky | Democratic | IL |
| Jared Huffman | Democratic | CA |
| Jerrold Nadler | Democratic | NY |
| Jerry McNerney | Democratic | CA |
| Jesús G. "Chuy" García | Democratic | IL |
| Joaquin Castro | Democratic | TX |
| Joe Courtney | Democratic | CT |
| Joe Neguse | Democratic | CO |
| John A. Yarmuth | Democratic | KY |
| John B. Larson | Democratic | CT |
| John Garamendi | Democratic | CA |
| Josh Gottheimer | Democratic | NJ |
| Joyce Beatty | Democratic | OH |
| Judy Chu | Democratic | CA |
| Karen Bass | Democratic | CA |
| Katie Porter | Democratic | CA |
| Kweisi Mfume | Democratic | MD |
| Lisa Blunt Rochester | Democratic | DE |
| Lori Trahan | Democratic | MA |
| Lucille Roybal-Allard | Democratic | CA |
| Madeleine Dean | Democratic | PA |
| Marc A. Veasey | Democratic | TX |
| Marcy Kaptur | Democratic | OH |
| Marie Newman | Democratic | IL |
| Mark DeSaulnier | Democratic | CA |
| Mark Pocan | Democratic | WI |
| Mark Takano | Democratic | CA |
| Mary Gay Scanlon | Democratic | PA |
| Matt Cartwright | Democratic | PA |
| Maxine Waters | Democratic | CA |
| Mike Levin | Democratic | CA |
| Mike Thompson | Democratic | CA |
| Mondaire Jones | Democratic | NY |
| Nikema Williams | Democratic | GA |
| Paul Tonko | Democratic | NY |
| Peter A. DeFazio | Democratic | OR |
| Pramila Jayapal | Democratic | WA |
| Raja Krishnamoorthi | Democratic | IL |
| Rashida Tlaib | Democratic | MI |
| Raul Ruiz | Democratic | CA |
| Raúl M. Grijalva | Democratic | AZ |
| Rick Larsen | Democratic | WA |
| Ritchie Torres | Democratic | NY |
| Ro Khanna | Democratic | CA |
| Rosa L. DeLauro | Democratic | CT |
| Ruben Gallego | Democratic | AZ |
| Sanford D. Bishop, Jr. | Democratic | GA |
| Sheila Jackson Lee | Democratic | TX |
| Steve Cohen | Democratic | TN |
| Sylvia R. Garcia | Democratic | TX |
| Ted Lieu | Democratic | CA |
| Teresa Leger Fernandez | Democratic | NM |
| Terri A. Sewell | Democratic | AL |
| Thomas R. Suozzi | Democratic | NY |
| Tim Ryan | Democratic | OH |
| Tony Cárdenas | Democratic | CA |
| Troy A. Carter | Democratic | LA |
| Veronica Escobar | Democratic | TX |
| Vicente Gonzalez | Democratic | TX |
| Zoe Lofgren | Democratic | CA |
Client expense: $70,000 · 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), SENATE
Client expense: $240,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
Client expense: $80,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
Client expense: $80,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
Client expense: $2,630,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Social Security Administration (SSA)
Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE
Client expense: $2,250,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA)
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE
Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE