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Legislative Progress
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Getting Over Lengthy Delays in Care As Required by Doctors Act of 2022 or the GOLD CARD Act of 2022 This bill exempts physicians from prior authorization requirements under Medicare Advantage plans with respect to specific items and services if at least 90% of the physician's requests for such items and services were approved during the previous plan year.
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Filing registrants (22)
Referred to the Subcommittee on Health.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2022 · fourth_quarter · Medicare/Medicaid
Support H.R. 8800, Supporting Medicare Providers Act of 2022. This legislation provides a 4.42% update to the conversion factor. Support HR 7995, Gold Card Act'
Client expense: $326,542 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · second_quarter · Medicare/Medicaid
H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, provisions relating to Graduate Medical Education S. 2094, Physician Shortage GME Cap Flex Act of 2021, provisions relating to Graduate Medical Education H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, provisions relating to Prior Authorization and attachment standards S. 3018, Improving Seniors Timely Access to Care Act of 2021, provisions relating to Prior Authorization and attachment standards H.R. 7995, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NO PAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NO PAIN) Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act, all provisions S. 834, Resident Physician Shortage Reduction Act, all provisions H.R. 1218, Data Mapping to Save Moms Lives Act, all provisions S. 198, Data Mapping to Save Moms Lives Act, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, all provisions H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions H.R. 6311, Comprehensive Addiction Resources Emergency Act of 2021, all provisions S. 3418, Comprehensive Addiction Resources Emergency Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 3348, SOS: Sustaining Outpatient Services Act, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, all provisions S. 3791, Access to Prescription Digital Therapeutics Act of 2022, all provisions H.R. 7878, Kidney Health Connect Act of 2022, all provisions S. 4307, Kidney Health Connect Act of 2022, all provisions H.R. 6202, Telehealth Extension Act of 2021, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 1438, Opioid Workforce Act of 2021, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 7475, Mamas First Act, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 3614, Menstrual Equity For All Act of 2021, provisions related to menstrual products coverage in Medicaid Medicare program: Physician Payment and Delivery Reform Medicare program: Impending Medicare payment cuts Medicare program: Medicare Evaluation and Management/budget neutrality Medicare program: Statutory PAYGO/Sequester Relief Medicare program: Accountable Care Organizations/specialty care Medicare program: Alternative Payment Models Medicare program: AMA Recovery Plan for Americas Physicians/payment reform Medicare program: Global and Professional Direct Contracting alternative payment model/REACH ACOs Medicare program: Appropriate Use Criteria and Prior Authorization Medicare program: Medicare Advantage/prior authorization regulation Medicare program: Automatic blood pressure measurement devices/coverage Medicare program: Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) Medicare program: MIPS/Promoting Interoperability/Cost/Improvement Activities Medicare program: MIPS/data sharing/transparency Medicare program: MACRA physician burdens Medicare program: Quality Payment Program Medicare program: Health IT burden Medicare program: Public Health Emergency COVID-19 /Accelerated and Advance Payments Medicare program: Primary Care First models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Modifier 25 Medicare program: Split/shared billing Medicare program: Interoperability/data blocking/HIPAA Medicare program: Coding Medicare program: Provider compliance/Regulatory relief Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment/Revalidation Medicare program: Open Payments Medicare program: Prescription drug pricing/Pharmacy Benefits Managers Medicare program: Step Therapy Medicare and Medicaid programs: Medicare Access and Chip Reauthorization Act (MACRA)/implementation Medicare and Medicaid programs: MACRA Oversight Medicaid program: Improving Access to Physical and Mental Health Care for Children and Youth Under Medicaid and CHIP draft Medicare and Medicaid programs: Health Equity Medicaid program: Maternal Mortality Medicaid program: Uninsured and healthcare coverage/COVID-19 Medicaid program: Special Enrollment Period Medicaid program: Sickle Cell Disease
2022 · fourth_quarter · Medicare/Medicaid
The Patient Protection and Affordable Care Act, Pub. L. No. 111-148, Section 4104; Colon cancer screening policies in Medicare; Medicare physician quality incentives; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medical procedures under Medicare; Issues related to the Medicare physician fee schedule and payment policies for GI services, including budget neutrality and Medicare Economic Index; H.R.8800 - Supporting Medicare Providers Act of 2022; in general - protecting access to physician services for Medicare beneficiaries per preventing reductions resulting from Medicare sequestration, Statutory PAYGO, and reduction in Medicare conversion factor for CY2023; physician burden reduction under Medicare, in general; H.R.1868/Pub. L. No. 117-7, To prevent across-the-board direct spending cuts, and for other purposes/Medicare sequester; Policies to waive cost of certain diagnostic colorectal cancer procedures under Medicare; Policies to continue coverage and payment for telehealth services under Medicare; S.610/Pub. L. No. 117-71, Protecting Medicare and American Farmers from Sequester Cuts Act; H.R.3173/S.3018, Improving Seniors' Timely Access to Care Act; H.R.7995, To amend title XVIII of the Social Security Act to exempt qualifying physicians from prior authorization requirements under Medicare Advantage plans, and for other purposes; H.R.2617, the Consolidated Appropriations Act, 2023.
Client expense: Not reported · Firm income: $40,000
2022 · fourth_quarter · Medicare/Medicaid
Issues related to prescription drug coverage and pharmacy benefits Regulatory and proposed legislative changes to Medicare Part D prescription drug benefits Access to prescription drugs during the coronavirus pandemic S.298 / H.R.1829: Pharmacy Benefit Manager Accountability Study Act of 2021 H.R.2410: Medicare and You Handbook Improvement Act H.R.2484: Lowest Price for Patients Act H.R.2608: Ensuring Seniors Access to Local Pharmacies Act H.R.3: Elijah E. Cummings Lower Drug Costs Now Act H.R.19: Lower Costs, More Cures Act H.R.2846: Ensuring Access to Lower-Cost Medicines for Seniors Act H.R.2855: Star Ratings for Biosimilars Act S.1523: The Drug Price Transparency Act H.R.3173: Improving Seniors Timely Access to Care Act S.1909 / H.R.3554: Pharmacy DIR Reform to Reduce Senior Drug Costs Act H.R.3682: Improving Transparency to Lower Drug Costs Act S.2164: Lower Costs, More Cures Act of 2021 H.R.4121: To codify a final rule issued by the Secretary of Health and Human Services relating to fraud and abuse and the removal of safe harbor protection for certain drug rebates, and for other purposes H.R.4158: To amend titles XVIII and XIX of the Social Security Act to eliminate cost sharing with respect to coverage of insulin as a covered part D drug under the Medicare program or as a covered outpatient drug under the Medicaid program H.R.2815: BIOSIM Act S.464 / H.R.2163: Safe Step Act S.1524 / H.R.3029: Health Care PRICE Transparency Act H.R.4418: SPIKE Act H.R.5237: A bill to amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes. H.R.5260: Reduced Costs and Continued Cures Act H.R.3684: The Infrastructure Investment and Jobs Act, Sec.90006, Moratorium on implementation of rule relating to eliminating the anti-kickback statute safe harbor protection for prescription drug rebates H.R.5376: The Build Back Better Act, Sec. 139301, Prohibiting implementation of rule relating to eliminating the anti-kickback statute safe harbor protection for prescription drug rebates H.R.5376: The Inflation Reduction Act, Sec. 139301, Prohibiting implementation of rule relating to eliminating the anti-kickback statute safe harbor protection for prescription drug rebates H.R.5623: The Insulin Cost Reduction Act, To amend title XVIII of the Social Security Act to prohibit price concessions with respect to insulin drugs and exceptions under Part D of Medicare, and for other purposes H.R.3554: To amend title XVIII of the Social Security Act to reform requirements with respect to direct and indirect remuneration under Medicare part D, and for other purposes S.3700: A bill to provide for appropriate cost-sharing for insulin products covered under Medicare part D and private health plans H.R.6833: To amend title XXVII of the Public Health Service Act, the Internal Revenue Code of 1986, and the Employee Retirement Income Security Act of 1974 to establish requirements with respect to cost-sharing for certain insulin products, and for other purposes H.R.6757: To amend title XVIII of the Social Security Act to establish under the Medicare prescription drug program a minimum amount of price concessions for insulin to be passed through to beneficiaries at the point-of-sale, and for other purposes H.R.6833: Affordable Insulin Now Act S.4011: Capping Drug Costs for Seniors Act of 2022 H.R.7995: GOLD CARD Act 42 CFR Part 1001 RIN 0936-AA08: Fraud and Abuse; Removal of Safe Harbor Protection for Rebates Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection for Certain Point-of-Sale Reductions in Price on Prescription Pharmaceuticals and Certain Pharmacy Benefit Manager Service Fees 42 CFR Parts 422 423 RIN 0938-AU30 Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule (CMS-4192-P)
2022 · fourth_quarter · Health Issues
Issues related to prescription drug coverage and pharmacy benefits Regulatory and proposed legislative changes to Medicare Part D and Medicaid prescription drug benefits Access to prescription drugs during the coronavirus pandemic S.298 / H.R.1829: Pharmacy Benefit Manager Accountability Study Act of 2021 S.464 / H.R.2163: Safe Step Act S.917: Short on Competition Act H.R.2355: Opioid Prescription Verification Act H.R.2410: Medicare and You Handbook Improvement Act H.R.2484: Lowest Price for Patients Act H.R.2608: Ensuring Seniors Access to Local Pharmacies Act H.R.3: Elijah E. Cummings Lower Drug Costs Now Act H.R.19: Lower Costs, More Cures Act H.R.2843: STOP GAMES Act H.R.2846: Ensuring Access to Lower-Cost Medicines for Seniors Act H.R.2853: BLOCKING Act H.R.2855: Star Ratings for Biosimilars Act S.1388: Prescription Pricing for the People Act S.1425 / H.R.2883: Stop STALLING Act S.1427 / H.R.2869: Increasing Access to Biosimilars Act S.1428 / H.R.2891: Preserve Access to Affordable Generics and Biosimilars Act S.1435 / H.R.2873: Affordable Prescriptions for Patients Act of 2021 / Affordable Prescriptions for Patients Through Promoting Competition Act of 2021 H.R.2884: Affordable Prescriptions for Patients Through Improvements to Patent Litigation Act S.1462: Simplifying the Generic Drug Application Process Act S.1463: Modernizing Therapeutic Equivalence Rating Determination Act S.1523: The Drug Price Transparency Act S.1524 / H.R.3029: Health Care PRICE Transparency Act H.R.3173: Improving Seniors Timely Access to Care Act S.1909 / H.R.3554: Pharmacy DIR Reform to Reduce Senior Drug Costs Act H.R.3682: Improving Transparency to Lower Drug Costs Act S.2164: Lower Costs More Cures Act H.R.4121: To codify a final rule issued by the Secretary of Health and Human Services relating to fraud and abuse and the removal of safe harbor protection for certain drug rebates, and for other purposes H.R.4158: To amend titles XVIII and XIX of the Social Security Act to eliminate cost sharing with respect to coverage of insulin as a covered part D drug under the Medicare program or as a covered outpatient drug under the Medicaid program H.R.4502: Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022 H.R.2884: Affordable Prescriptions for Patients Through Improvements to Patent Litigation Act H.R.4813: Matts Act S.2814: Vital Medication Affordability Act S.1132: Ending Pricey Insulin (EPI) Act H.R.3062: A bill making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for fiscal year ending September 30, 2022 H.R.6000: The CURES 2.0 Act, To continue the acceleration of the discovery, development, and delivery of 21st century cures, and for other purposes H.R.3554: To amend title XVIII of the Social Security Act to reform requirements with respect to direct and indirect remuneration under Medicare part D, and for other purposes H.R.6851: To amend the Families First Coronavirus Response Act and the CARES Act to establish new coverage and payment rules for certain COVID-19 diagnostic tests and related items and services, and for other purposes S.3700: A bill to provide for appropriate cost-sharing for insulin products covered under Medicare part D and private health plans H.R.6833: To amend title XXVII of the Public Health Service Act, the Internal Revenue Code of 1986, and the Employee Retirement Income Security Act of 1974 to establish requirements with respect to cost-sharing for certain insulin products, and for other purposes H.R.6757: To amend title XVIII of the Social Security Act to establish under the Medicare prescription drug program a minimum amount of price concessions for insulin to be passed through to beneficiaries at the point-of-sale, and for other purposes H.R.7008: To improve patient access to emerging medication therapies by clarifying the scope of permitted health care economic and scientific information communications between biopharmaceutical manufacturers and population health decision makers, and for other purposes H.R.7047: To amend title III of the Public Health Service Act with respect to the determination by the Secretary regarding certain biosimilar application elements, and for other purposes H.R.6833: Affordable Insulin Now Act H.R.6963: Accelerated Approval Integrity Act H.R.7008: Pre-approval Information Exchange Act H.R.7032: Increasing Transparency in Generic Drug Applications Act H.R.7047: Lowering Costs by Improving Biosimilar Uptake Act S.4011: Capping Drug Costs for Seniors Act of 2022 H.R.7666: Restoring Hope for Mental Health and Well-Being Act H.R.7667: Food and Drug Amendments of 2022 H.R.7828: To amend the Public Health Service Act to shorten the exclusivity period for brand name biological products from 12 to 5 years; (PRICED Act) S.4293: Pharmacy Benefit Manager Transparency Act S.4348: A bill to amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs, medical devices, generic drugs, and biosimilar biological products, and for other purposes; (FDASLA Act) H.R.7995: GOLD CARD Act H.R.5376: The Inflation Reduction Act, Sec. 139301, Prohibiting implementation of rule relating to eliminating the anti-kickback statute safe harbor protection for prescription drug rebates 42 CFR Part 1001 RIN 0936-AA08: Fraud and Abuse; Removal of Safe Harbor Protection for Rebates Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection for Certain Point-of-Sale Reductions in Price on Prescription Pharmaceuticals and Certain Pharmacy Benefit Manager Service Fees 42 CFR Parts 422 423 RIN 0938-AU30 Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule (CMS-4192-P)
| Democratic |
| IA |
| Daniel Meuser | Republican | PA |
| Eleanor Holmes Norton | Democratic | DC |
| Henry Cuellar | Democratic | TX |
| Jefferson Van Drew | Republican | NJ |
| Jimmy Panetta | Democratic | CA |
| John Joyce | Republican | PA |
| Larry Bucshon | Republican | IN |
| Lloyd Doggett | Democratic | TX |
| Louie Gohmert | Republican | TX |
| Mariannette Miller-Meeks | Republican | IA |
| Mike Thompson | Democratic | CA |
| Pat Fallon | Republican | TX |
| Ronny Jackson | Republican | TX |
| Sanford D. Bishop, Jr. | Democratic | GA |
| Steve Cohen | Democratic | TN |
| Susan Wild | Democratic | PA |
| Thomas P. Tiffany | Republican | WI |
| Vicente Gonzalez | Democratic | TX |
| William R. Keating | Democratic | MA |
Client expense: $4,550,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Client expense: $2,578,869 · 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), Office of Management & Budget (OMB), SENATE
Client expense: $2,578,869 · 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), Office of Management & Budget (OMB), SENATE
2022 · fourth_quarter · Health Issues
December 22, 2022, Alliance of Specialty Medicine letter to Representative Richard Hudson expressing our support for H.R. 9584, the Accessible Care by Curbing Excessive lawSuitS Act of 2022, which sets conditions for lawsuits arising from health care liability claims. December 21, 2022, Alliance of Specialty Medicine letter to Speaker Nancy Pelosi, House Republican Leader Kevin McCarthy, Senate Majority Leader Charles Schumer and Senate Republican Leader Mitch McConnell expressing our concern about pending cuts to Medicare physician payment rates in the Fiscal Year 2023 Omnibus Appropriations bill. December 20, 2022, coalition letter to Speaker Nancy Pelosi, House Republican Leader Kevin McCarthy, Senate Majority Leader Charles Schumer, Senate Republican Leader Mitch McConnell, Senators Ron Wyden and Mike Crapo, and Representatives Frank Pallone and Cathy McMorris Rodgers, urging Congress to modify the omnibus legislation and stop the full 4.5 percent cut to Medicare physician payment rates for Fiscal Year 2023. December 16, 2022, Alliance of Specialty Medicine letter to Senator John Kennedy expressing our support for S. 5194, the Protecting Medicare Patients and Physicians Act, which would mitigate pending cuts to Medicare physician payment rates in Fiscal Year 2023. December 6, 2022, Alliance of Specialty Medicine letter to Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure in response to CMS request for information (RFI) soliciting public comment on establishing a National Directory of Healthcare Providers & Services (NDH). December 5, 2022, coalition letter to Speaker Nancy Pelosi, House Republican Leader Kevin McCarthy, Senate Majority Leader Charles Schumer and Senate Republican Leader Mitch McConnell urging Congress to prevent the entire 4.5 percent reduction to Medicare physician payment rates from being implemented on January 1, 2023. November 21, 2022, coalition letter to Federal Trade Commission (FTC) Chair Lina Khan commenting on the FTCs advance notice of proposed rulemaking (ANPR) entitled Trade Regulation Rule on Commercial Surveillance and Data Security, which pertains to clinical data registries. November 2, 2022, coalition letter to Representatives Richard Neal, Kevin Brady, Frank Pallone, Cathy McMorris Rodgers, Lucille Roybal-Allard and David Joyce expressing our opposition to H.R. 8812, the Improving Care and Access to Nurses Act or the I CAN Act. This legislation would expand the scope of practice for non-physician practitioners (NPPs) under Medicare and Medicaid. October 31, 2022, coalition letter to Representatives Ami Bera, MD, Larry Bucshon, MD, Kim Schrier, MD, Michael Burgess, MD, Earl Blumenauer, Brad Wenstrup, DPM, Bradley Schneider and Mariannette Miller-Meeks, MD in response to a congressional request for information (RFI) on the Centers for Medicare & Medicaid Services (CMS) implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). October 28, 2022, letter to Representatives Ami Bera, MD, Larry Bucshon, MD, Kim Schrier, MD, Michael Burgess, MD, Earl Blumenauer, Brad Wenstrup, DPM, Bradley Schneider and Mariannette Miller-Meeks, MD in response to a congressional request for information (RFI) on the Centers for Medicare & Medicaid Services (CMS) implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issues pertaining to the scope of practice legislation, related to H.R. 1587/S. 1731, H.R. 8812, H.R. 6087, and in general. Issues pertaining to prior authorization, related to H.R. 3173/H.R. 8487/S. 3018 and H.R. 7995, and in general. Issues pertaining to the Early Hearing Detection and Intervention Program, related to H.R. 5561/S. 4052, and in general. Issues pertaining to Medicare physician reimbursement, related to H.R. 8800 and S. 5194, and in general. Issues related to hearing healthcare, in general. Issues pertaining to health information technology and electronic health records, in general. Issues pertaining to Language Equality and Acquisition for Deaf Kids (LEAD-K) and parent choice, in general. Issues pertaining to Graduate Medical Education, in general. Issues pertaining to COVID-19, in general. Issues pertaining to healthcare liability reform, related to H.R. 9584, and in general. Issues pertaining to healthcare practice and the Federal Supremacy Clause at the Department of Veterans Affairs, in general. Issues related to the potential expansion of Medicare to cover hearing health benefits in potential reconciliation legislation. Issues pertaining to the "Magnet Injury Prevention Act," H.R. 8199/S. 4479. Issues pertaining to clinical data registries, in general.
Client expense: $200,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE
2022 · fourth_quarter · Medicare/Medicaid
December 21, 2022, Alliance of Specialty Medicine letter to Speaker Nancy Pelosi, House Republican Leader Kevin McCarthy, Senate Majority Leader Charles Schumer and Senate Republican Leader Mitch McConnell expressing our concern about pending cuts to Medicare physician payment rates in the Fiscal Year 2023 Omnibus Appropriations bill. December 20, 2022, coalition letter to Speaker Nancy Pelosi, House Republican Leader Kevin McCarthy, Senate Majority Leader Charles Schumer, Senate Republican Leader Mitch McConnell, Senators Ron Wyden and Mike Crapo, and Representatives Frank Pallone and Cathy McMorris Rodgers, urging Congress to modify the omnibus legislation and stop the full 4.5 percent cut to Medicare physician payment rates for Fiscal Year 2023. December 16, 2022, Alliance of Specialty Medicine letter to Senator John Kennedy expressing our support for S. 5194, the Protecting Medicare Patients and Physicians Act, which would mitigate pending cuts to Medicare physician payment rates in Fiscal Year 2023. December 6, 2022, Alliance of Specialty Medicine letter to Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure in response to CMS request for information (RFI) soliciting public comment on establishing a National Directory of Healthcare Providers & Services (NDH). December 5, 2022, coalition letter to Speaker Nancy Pelosi, House Republican Leader Kevin McCarthy, Senate Majority Leader Charles Schumer and Senate Republican Leader Mitch McConnell urging Congress to prevent the entire 4.5 percent reduction to Medicare physician payment rates from being implemented on January 1, 2023. November 2, 2022, coalition letter to Representatives Richard Neal, Kevin Brady, Frank Pallone, Cathy McMorris Rodgers, Lucille Roybal-Allard and David Joyce expressing our opposition to H.R. 8812, the Improving Care and Access to Nurses Act or the I CAN Act. This legislation would expand the scope of practice for non-physician practitioners (NPPs) under Medicare and Medicaid. October 31, 2022, coalition letter to Representatives Ami Bera, MD, Larry Bucshon, MD, Kim Schrier, MD, Michael Burgess, MD, Earl Blumenauer, Brad Wenstrup, DPM, Bradley Schneider and Mariannette Miller-Meeks, MD in response to a congressional request for information (RFI) on the Centers for Medicare & Medicaid Services (CMS) implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). October 28, 2022, letter to Representatives Ami Bera, MD, Larry Bucshon, MD, Kim Schrier, MD, Michael Burgess, MD, Earl Blumenauer, Brad Wenstrup, DPM, Bradley Schneider and Mariannette Miller-Meeks, MD in response to a congressional request for information (RFI) on the Centers for Medicare & Medicaid Services (CMS) implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Issues pertaining to the scope of practice legislation, related to H.R. 1587/S. 1731, H.R. 8812, and in general. Issues pertaining to prior authorization, related to H.R. 3173/H.R. 8487/S. 3018 and H.R. 7995, and in general. Issues pertaining to the Early Hearing Detection and Intervention Program, related to H.R. 5561/S. 4052, and in general. Issues pertaining to Medicare physician reimbursement, related to H.R. 8800, S. 5194, and in general. Issues related to hearing healthcare, in general. Issues pertaining to health information technology and electronic health records, in general. Issues pertaining to COVID-19, in general. Issues related to the potential expansion of Medicare to cover hearing health benefits in potential reconciliation legislation.
Client expense: $200,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
Support H.R. 8800, Supporting Medicare Providers Act of 2022. This legislation provides a 4.42% update to the conversion factor. Support HR 7995, Gold Card Act'
Client expense: $326,542 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage. Advocate for increased funding and reforms to Graduate Medical Education. Lobby members of Congress regarding improvements to Health Information Technology implementation. Advocate for expansion of telemedicine services under Medicare and increased reimbursement for such services. Advocate for improving disease management and care coordination for patients with chronic diseases. Support preservation of the In-Offices Ancillary Services Exemption (IOASE) under Stark Law regarding physician self-referral and oppose repeal of the in-office ancillary and physician services exception. Advocate for relief from Medicare regulations under Medicare Access and CHIP Reauthorization Act (MACRA P.L. 114-110), including the Quality Payment Program (QPP) and specifically the development of advanced alternative payment models (APMs) and implementation of the Merit-Based Incentive Payment System (MIPS). Advocate for relief for from prior authorization requirements under Medicare Advantage and Medicare Part D plans. Lobby Congress to urge CMS to strengthen Qualified Clinical Data Registries (QCDRs) by removing barriers that restrict access to data from EHRs. (H.R. 6000) Advocate for congressional action to hold health care professionals harmless from any cuts related to CMS Evaluation and Management Code proposals in any forthcoming legislative package. Support the Knowing the Efficiency and Efficacy of Permanent (KEEP) Telehealth Options Act (H.R. 1677/S. 620). Support H.R.8437, the Improving Seniors Timely Access to Care Act of 2022 Support H.R. 3173/S. 3018, Improving Seniors Timely Access to Care Act of 2021 Support H.R. 2903/S. 1512 the CONNECT for Health Act of 2021 Support H.R. 5054, Keep Physicians Serving Patients Act Advocate to support extension of moratorium on 2% Medicare sequester, replace scheduled and anticipated cuts in payments with positive, inflationary-based updates, eliminate the nearly 4.5% conversion factor cut in the CMS proposed rule for the 2023 Medicare Physician Fee Schedule (MPFS) associated with budget neutrality adjustments tied to Evaluation & Management (E/M) Code MPFS policy changes, and waive the 4% PAYGO sequester to Medicare physician payment reimbursement due to enactment of H.R. 1319, American Recovery Act, P.L. 117-2 (H.R. 2617, Consolidated Appropriations Act). Support H.R. 8800, the Supporting Medicare Providers Act of 2022 Support H.R. 5394, the Meaningful Access to Federal Health Plan Claims Data Act Support H.R. 7995, GOLD CARD Act of 2022
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Lobby members of Congress regarding issues related to telemedicine. Advocate for increased transparency regarding drug pricing. Advocate for reducing barriers to entry of generic drugs into the marketplace. Advocate for transparency on the part of pharmaceutical benefit managers. Advocate for patient access to compounded medications. Advocate for reducing the burdens of utilization management tools, including step therapy and prior authorization for pharmaceuticals and services. Advocate for a stable supply of medications and mitigate drug shortages. Lobby members of the House to join the Congressional Skin Cancer Caucus. Advocate for adequate and accurate network coverage for dermatologic care within health insurance exchange networks. Support H. Res 436, sense of the House supporting state, local and community initiatives to curb incidences of skin cancer beginning with childhood skin cancer. Support H. Res 718, designating October 17, 2021 as National Vitiligo Awareness Day Support H.R. 2163/S. 464, Safe Step Act. Support S. 989, Ensuring Childrens Access to Specialty Care Act Support H.R. 153, Protecting Consumer Access to Generic Drugs Act Support S. 898, Fair Accountability & Innovative Research (FAIR) Drug Pricing Act Support H.R. 3662, Patient Access to Urgent-Use Pharmacy Compounding Act Support H.R. 1916/S. 754, Ensuring Lasting Smiles Act Advocate for relief from prior authorization requirements under Medicare Advantage and Medicare Part D plans. Advocate for the continued and increased funding of Community Health Centers. Advocate for implementation of surprise medical billing legislation (enacted as part of P.L. 116-260, Consolidated Appropriations Act, 2021, H.R. 133) as intended by Congress. Support H.R. 1677/S. 620, the KEEP Telehealth Options Act. Support H.R. 2903/S. 1512 the CONNECT for Health Act of 2021 Support the Dr. Lorna Breen Health Care Provider Protection Act (S. 610/H.R. 1667). Support H.R. 3173/S. 3018, Improving Seniors Timely Access to Care Act of 2021 Support H.R. 8437, the Improving Seniors Timely Access to Care Act of 2022 Support H.R. 4122/S. 3645, Resident Education Deferred Interest Act or the REDI Act Support the Resident Physician Shortage Reduction Act (S. 834/H.R. 2256) Advocate for the FDA to implement the 2015 rule, General and Plastic Surgery Devices: Restricted Sale, Distribution, and Use of Sunlamp Products; and the Sunlamp Products Proposed; Amendment to Performance Standard, which would ban minors under the age of 18 from using tanning beds. Support H.R. 5054, Keep Physicians Serving Patients Act Support H.R. 5394, the Meaningful Access to Federal Health Plan Claims Data Act Advocate for legislative solution to access problems to iPLEDGE/REMS program for isotretinoin (H.R. 7667, Food and Drug Amendments of 2022/S. 4348 FDASLA Act of 2022, H.R. 2617, Consolidated Appropriations Act). Support H.R. 7649, a bill to direct the Secretary of Health and Human Services to open a public docket for the submission of public comments regarding factors that should be taken into consideration when reviewing a proposed modification to an approved risk evaluation and mitigation strategy, and for other purposes. Support H.R. 5030/S. 2706, the Diversifying Investigations and Equitable Research Studies for Everyone (DIVERSE) Trials Act Support H.R. 7995, GOLD CARD Act of 2022 Advocate to provide relief from the 2% Medicare sequester, replace scheduled and anticipated cuts in payments with positive, inflationary-based updates, eliminate the nearly 4.5% conversion factor cut in the CMS proposed rule for the 2023 Medicare Physician Fee Schedule (MPFS) associated with budget neutrality adjustments tied to Evaluation & Management (E/M) Code MPFS policy changes, and waive the 4% PAYGO sequester to Medicare physician payment reimbursement due to enactment of H.R. 1319, American Recovery Act, P.L. 117-2 (H.R. 2617, Consolidated Appropriations Act). Support H.R. 8800, Supporting Medicare Providers Act of 2022 Advocate against H.R 6708, Improving Access to Workers Compensation for Injured Federal Workers Act, which expands the role of nurse practitioners and physician assistants in providing services to injured federal workers under the federal workers' compensation program. Oppose H.R. 8812, the Improving Care & Access to Nurses Act (I CAN Act)
Client expense: $410,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
H.R. 8800, Supporting Medicare Providers Act of 2022, all provisions H.R. 3434, Territories Health Equity Act of 2021, all provisions H.R. 4406, Supporting Medicaid in the U.S. Territories Act of 2021, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, provisions relating to COVID-19 flexibilities, and telemental health S. 3791, Access to Prescription Digital Therapeutics Act of 2022, provisions relating to COVID-19 flexibilities, and telemental health S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2022, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 6087, Improving Access to Workers Compensation for Injured Federal Workers Act of 2022, all provisions H.R. 5067, Preserving Patient Access to Home Infusion Act, provisions relating to scope of practice S. 2652, Preserving Patient Access to Home Infusion Act, provisions relating to scope of practice H.R. 8812, Improving Care and Access to Nurses (I CAN) Act, all provisions S. 5212, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 9577, Increasing Mental Health Options Act of 2022, all provisions S. 5272, Increasing Mental Health Options Act of 2022, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 8487, Improving Seniors' Timely Access to Care Act of 2022, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions H.R. 1438, Opioid Workforce Act of 2021, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, provisions relating to Medicaid and CHIP, and maternal and infant mortality S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, provisions relating to Medicaid and CHIP, and maternal and infant mortality H.R. 925, Data to Save Moms Act, all provisions H.R. 959, Black Maternal Health Momnibus Act of 2021, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions S. 5249, Preserving Patient Access to Value-Based Care Act, all provisions H.R. 8879, Inpatient Psychiatric Facility Improvement Act, all provisions H.R. 8878, To amend title XVIII of the Social Security Act to ensure adequate coverage of outpatient mental health services under the Medicare program, all provisions H.R. 432, Mental Health Access Improvement Act of 2021, all provisions H.R. 8910, Behavioral Health Integration Awareness Act of 2022, all provisions H.R. 8884, Medicare Opioid Use Disorder Outreach Act, all provisions H.R. 8890, Physician Wellness Program Act of 2022, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 7995, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 4128, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021, all provisions S. 2209, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions S. 2938, Bipartisan Safer Communities Act, all provisions H.R. 8594, Restore Protections for Dialysis Patients Act, all provisions S. 4750, Restore Protections for Dialysis Patients Act, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 9378, Sunshine Act of 2022, all provisions H.R. 6576, Small Practice, Underserved, and Rural Support Program (SURS) Extension Act of 2022, all provisions Medicare program: Medicare and CHIP Reauthorization Act (MACRA) broad reform Medicare program: MACRA implementation Medicare program: MACRA burdens Medicare program: 21st Century Cures Act implementation Medicare program: Enhancing the Mental Health Workforce Medicare program: Improvement to Medicare Inpatient Psychiatric Facility Improvement Act Medicare program: Medicare program improvement/Physician Services and Education Medicare program: Accountable Care Organizations Medicare program: Medicare Economic Index (MEI)/inflation updates Medicare program: 2% Medicare sequester moratorium Medicare program: 4.5% payment rates reduction Medicare program: Medicare Physician Fee Schedule Conversion Factor/3% increase extension Medicare program: Global and Professional Direct Contracting alternative payment model/REACH ACOs Medicare program: Medicare physician payment Medicare program: Merit-based Incentive Payment Program (MIPS) improvement Medicare program: Alternative Payment Models (APMs) Medicare program: Medicare Physician Payment Reform/primary care/specialties Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation Medicare program: Recovery plan for Americas Physicians Medicare program: Physician-Owned Hospitals/Medicare Moratorium Medicare program: Health IT burdens Medicare program: EHR certification Medicare program: Provider Compliance/Regulatory Relief Medicare program: Quality Payment Program/physician burdens Medicare program: National provider directory Medicare program: Self-measured blood pressure (SMBP) devices/benefit category Medicare program: Information blocking Medicare program: Coding Medicare program: Skilled nursing facilities (SNF) Medicare and Medicaid programs: Cybersecurity Medicare and Medicaid programs: Puerto Rico/Medicaid caps/FMAP Medicaid program: Improving Access to Physical and Mental Health Care for Children and Youth Under Medicaid and CHIP Medicaid program: Ensuring Access to Telemental Health Services Medicaid program: Ensuring Access to Telemental Health Services Medicaid program: Enhancing the Mental Health Workforce Medicaid program: Improving Integration, Coordination, and Access to Care Medicaid program: Maternal mortality and morbidity/Equity
Client expense: $5,060,000 · 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, White House Office
2022 · fourth_quarter · Health Issues
H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 Department of Veterans Affairs Supremacy Project VA Scope of Practice Stop the Bleed training/program Rural health and equity NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models
Client expense: $23,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 Department of Veterans Affairs Supremacy Project VA Scope of Practice Stop the Bleed training/program Rural health and equity NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models
Client expense: $23,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 Department of Veterans Affairs Supremacy Project VA Scope of Practice Stop the Bleed training/program Rural health and equity NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models
Client expense: $236,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Health Issues
H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 Department of Veterans Affairs Supremacy Project VA Scope of Practice Stop the Bleed training/program Rural health and equity NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models
Client expense: $236,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
Oppose restrictive prior authorization practices Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law Support for structural changes that lead to delivering high quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value Support for reforms to the CMMI proposed radiation oncology alternative payment model Support for waiving budget neutrality adjustments with evaluation and management code changes Support for protecting access to care for Medicare patients Oppose physician fee schedule cuts due to clinical labor price updates Support for H.R. 7995 Support for H.R. 8800
Client expense: $124,201 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2022 · fourth_quarter · Medicare/Medicaid
Recovery audit contractor reform. Medicare regulatory reform, including physician payment reforms, including related provisions in Consolidated Appropriations Act, 2023, PL 117-328, in Sec. 4111, extending Medicare advanced alternative payment model incentives, Sec. 4112, extending Medicare physician payment support, and Division O, waiving certain PAYGO requirements in 2023 and 2024. Network adequacy oversight. Prior authorization reform, including related provisions in H.R. 7995, the GOLD CARD Act, to exempt qualifying physicians from prior authorization requirements under Medicare Advantage plans, and H.R. 3173/S. 3018 and H.R. 8487, the Ensuring Seniors Timely Access to Care Act. Medicare accountable care organizations. Electronic health record interoperability and vendor accountability. Physician-led hospital barriers, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act, and S. 4130, the Patient Access to Higher Quality Care Act of 2022. Coronavirus response efforts, including support for health care providers, patients and small business, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of related provisions in H.R. 1319, the American Rescue Plan Act (P.L. 117-2). Medicare physician fee schedule and sequestration relief, including related provisions in Division FF and O, Consolidated Appropriations Act, 2023, PL 117-328. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including: (1) provisions in H.R. 5376, the Inflation Reduction Act of 2022 (P.L. 117-169), in Subtitle B, Part 1, sec. (b), to modify Medicare Part B reimbursement by application of Maximum Fair Prices and Conforming Amendments, to selected Medicare Part B covered drugs; and (2) monitor the CMMI Most Favored Nation and related demonstration initiatives.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
HR 3173/S 3018: Seniors Timely Access to Care Act : Medicare Advantage Prior Authorization Reform. HR 8800 Supporting Medicare Providers Act of 2022: Stops the 2023 Medicare Fee Schedule Payment cuts of 4.42%. RFI (Bera, Bucshon) on Medicare Payment Reform. HR 7995: The GOLD CARD Act of 2022: Medicare Advantage Prior Authorization Reform. HR 4587 Value in Health Care Act to Improve the Medicare APM Programs and extend the APM/ACO 5% incentive payments. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. CMS-0057-P; RIN 0938-AU87: Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans. State Medicaid Agencies, Childrens Health Insurance Program (CHIP) Agencies, and CHIP Managed Care Entities, Issuers. CMS 9899-P; RIN 0938-AU97: Patient Protection and Affordable Care Act HHS Notice of Benefit and Payment Parameters (NBPP) for 2024. CMS File Code 1770-P; Medicare and Medicaid Programs; CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies. Medicare Shared Savings Program Requirements. Covid-19 Provider Relief Fund Distribution and Reporting Requirements. No Surprise Act Final Rule: HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. Requirements Related to Surprise Billing.
Client expense: $55,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
Medicare physician reimbursement issues Merit-Based Incentive Payment System (MIPS) Advanced Alternative Payment (APM) models Quality Payment Program (QPP) Misvalued global surgical codes Ambulatory Surgical Center (ASC) reimbursement issues Telehealth programs and reimbursement Health Information Technology (HIT) Medicare Advantage utilization management, including prior authorization and step therapy Pass-Through payments for ophthalmic products Office-based ophthalmic surgery H.R.3173-Improving Seniors' Timely Access to Care Act of 2021 H.R.3322-Medicare Patient Empowerment Act of 2021 H.R.7995-GOLD CARD Act of 2022 H.R.8800-Supporting Medicare Providers Act of 2022 S.826-Medicare Patient Empowerment Act of 2021 S.3018-Improving Seniors' Timely Access to Care Act of 2021
Client expense: $170,854 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2022 · fourth_quarter · Health Issues
1. Lessening prior authorization barriers to healthcare through H.R. 7995, the Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022. 2. Payment parity for telemedicine under ERISA self-funded plans. 3. Providing meaningful coverage for uninsured Texans.
Client expense: $10,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Issues related to healthcare technology, prior authorization, H.R. 3173/S.3018, H.R. 7995, interoperability,privacy,H.R.8152
Client expense: $60,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
HR 315 - Medicare Sequester Moratorium Act - relief from Medicare sequester HR 1332/ S 368 -Telehealth Modernization Act - permanent repeal of Medicare geographic and originating site restrictions HR 1946/S 1873- Multi Cancer Early Detection Coverage and Screening Act - provide for Medicare coverage of multi-cancer early detection screening tests HR 1577/S 596 - Treat and Reduce Obesity Act of 2021 - expands Medicare coverage of intensive behavioral therapy for obesity HR 2347/S 2691 - Strengthening the Vaccines for Children Program Act of 2021 - ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program S 1287 - REFUND Act of 2021 - provide refunds for certain single dose vial drugs HR 2903/S 1512- CONNECT for Health Act of 2021 - expand access to telehealth services HR 3173/S 3018- Improving Seniors Timely Access to Care Act of 2021- establishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans HR 3447 - Permanency for Audio-Only Telehealth Act- expand accessibility to certain telehealth services under Medicare HR 4110/S 3656- Reducing Hereditary Cancer Act- provide hereditary cancer genetic testing HR 3089/S 1544- Accelerating Kids' Access to Care Act- streamline enrollment under the Medicaid program of certain providers across State lines HR 1978/S 912- Protecting Seniors Through Immunization Act of 2021- improve Medicare coverage of vaccinations HR 7995- GOLD CARD Act of 2022- exempts qualifying physicians from prior authorization requirements in Medicare Advantage plans HR 5377- Cancer Patient Equity Act of 2021- provides coverage of cancer diagnostic and laboratory tests under Medicare, Medicaid, and CHIP Drug pricing- Inflation Reduction Act HR 8800- Supporting Medicare Providers Act of 2022- Medicare reimbursement HR 8487- Improving Seniors Timely Access to Care Act of 2022- establishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans Omnibus: PAYGO, sequestration, HR 8800, APM bonus HR 2410/S 5117- Medicare & You Handbook Improvement Act of 2021- requires the inclusion of information on prior authorization requirements and other utilization management techniques in the Medicare & You annual notice.
Client expense: $80,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Issues related to health care data, technology, prior authorization, and interoperability. H.R.7995: GOLD CARD Act of 2022. S.3018/H.R.3173: Improving Seniors Timely Access to Care Act of 2021. H.R.8152: American Data Privacy and Protection Act.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
-Request for Information (RFI): HHS Initiative To Strengthen Primary Health Care - shared feedback in response to the aforementioned request for information (RFI) from the perspective of practicing specialty medicine providers, urging Health and Human services to work with the Centers for Medicare & Medicaid Services to ensure that the Quality Payment Program (QPP) offers more clinically relevant participation pathways for specialists that result in truly meaningful improvements to patient care. -Expressed support for Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022 (H.R. 7995) legislation. Supports Congress working to advance legislation which would reduce the administrative burdens of prior authorization in the Medicare Advantage program to ensure safe, timely, and affordable access to care for patients. -Supports H.R. 3173, the Improving Seniors Timely Access to Care Act, which would improve the prior authorization process in Medicare Advantage plans through increased transparency and the establishment of an electronic prior authorization process and urges Congress to advance this legislation -Supported legislative action to mitigate scheduled cuts generated by changes within the Medicare Physician Fee Schedule (MPFS). These critical payment reduction relief policies provided increased financial stability for Medicare clinicians and helped to ensure our nations seniors maintained access to high-quality care. -We continue to be deeply alarmed about the mounting financial instability of the Medicare physician payment system. Strongly urged Congress to address the looming Medicare cuts in 2023 by establishing a permanent Medicare payment system that improves and preserves patient access to physician care. -Applauds the introduction of H.R. 8800, the Supporting Medicare Providers Act of 2022. This critical legislation provides a 4.42% positive adjustment to the Medicare Physician Fee Schedule (MPFS) conversion factor (CF) for CY2023, thereby mitigating payment cuts within the MPFS that are anticipated to take effect on January 1, 2023.
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Health Issues
Issues related to health care data, technology, prior authorization, and interoperability. H.R.7995: GOLD CARD Act of 2022. S.3018/H.R.3173: Improving Seniors Timely Access to Care Act of 2021. H.R.8152: American Data Privacy and Protection Act.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
The Patient Protection and Affordable Care Act, Pub. L. No. 111-148, Section 4104; Colon cancer screening policies in Medicare; Medicare physician quality incentives; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medical procedures under Medicare; Issues related to the Medicare physician fee schedule and payment policies for GI services, including budget neutrality and Medicare Economic Index; H.R. 8800 - Supporting Medicare Providers Act of 2022; in general - protecting access to physician services for Medicare beneficiaries per preventing reductions resulting from Medicare sequestration, Statutory PAYGO, and reduction in Medicare conversion factor for CY2023; physician burden reduction under Medicare, in general; H.R. 1868/Pub. L. No. 117-7, To prevent across-the-board direct spending cuts, and for other purposes/Medicare sequester; Policies to waive cost of certain diagnostic colorectal cancer procedures under Medicare; Policies to continue coverage and payment for telehealth services under Medicare; S. 610/Pub. L. No. 117-71, Protecting Medicare and American Farmers from Sequester Cuts Act; H.R. 3173/S. 3018, Improving Seniors' Timely Access to Care Act; H.R. 7995, To amend title XVIII of the Social Security Act to exempt qualifying physicians from prior authorization requirements under Medicare Advantage plans, and for other purposes.
Client expense: Not reported · Firm income: $50,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Medicare/Medicaid
S.834, Resident Physician Shortage Reduction Act: To provide additional Medicare funds to support 14,000 new GME/residency training slots S.3018, Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage Program H.R 2256, Resident Physician Shortage Reduction Act: To provide additional Medicare funds to support 14,000 new GME/residency training slots H.R. 3173, Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage Program H.R.7995, GOLD CARD Act: Prior authorization reform in Medicare Advantage H.R. 8800, Protecting Medicare Providers Act: To prevent a 4.42% Medicare payment cut No Bill: To prevent Medicare payment cuts and mandate that the Centers for Medicare & Medicaid Services value global codes appropriately No Bill: Urging Congressional oversight and review of Medicare's Quality Payment Program No Bill: Urging Congress to repeal the Appropriate Use Criteria program for diagnostic imaging
Client expense: $65,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
S.834, Resident Physician Shortage Reduction Act: To provide additional Medicare funds to support 14,000 new GME/residency training slots S.3018, Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage Program H.R 2256, Resident Physician Shortage Reduction Act: To provide additional Medicare funds to support 14,000 new GME/residency training slots H.R. 3173, Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage Program H.R.7995, GOLD CARD Act: Prior authorization reform in Medicare Advantage H.R. 8800, Protecting Medicare Providers Act: To prevent a 4.42% Medicare payment cut No Bill: To prevent Medicare payment cuts and mandate that the Centers for Medicare & Medicaid Services value global codes appropriately No Bill: Urging Congressional oversight and review of Medicare's Quality Payment Program No Bill: Urging Congress to repeal the Appropriate Use Criteria program for diagnostic imaging
Client expense: $65,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
Issues related to prescription drug coverage and pharmacy benefits Regulatory and proposed legislative changes to Medicare Part D and Medicaid prescription drug benefits Access to prescription drugs during the coronavirus pandemic S.298 / H.R.1829: Pharmacy Benefit Manager Accountability Study Act of 2021 S.464 / H.R.2163: Safe Step Act S.917: Short on Competition Act H.R.2355: Opioid Prescription Verification Act H.R.2410: Medicare and You Handbook Improvement Act H.R.2484: Lowest Price for Patients Act H.R.2608: Ensuring Seniors Access to Local Pharmacies Act H.R.3: Elijah E. Cummings Lower Drug Costs Now Act H.R.19: Lower Costs, More Cures Act H.R.2843: STOP GAMES Act H.R.2846: Ensuring Access to Lower-Cost Medicines for Seniors Act H.R.2853: BLOCKING Act H.R.2855: Star Ratings for Biosimilars Act S.1388: Prescription Pricing for the People Act S.1425 / H.R.2883: Stop STALLING Act S.1427 / H.R.2869: Increasing Access to Biosimilars Act S.1428 / H.R.2891: Preserve Access to Affordable Generics and Biosimilars Act S.1435 / H.R.2873: Affordable Prescriptions for Patients Act of 2021 / Affordable Prescriptions for Patients Through Promoting Competition Act of 2021 H.R.2884: Affordable Prescriptions for Patients Through Improvements to Patent Litigation Act S.1462: Simplifying the Generic Drug Application Process Act S.1463: Modernizing Therapeutic Equivalence Rating Determination Act S.1523: The Drug Price Transparency Act S.1524 / H.R.3029: Health Care PRICE Transparency Act H.R.3173: Improving Seniors Timely Access to Care Act S.1909 / H.R.3554: Pharmacy DIR Reform to Reduce Senior Drug Costs Act H.R.3682: Improving Transparency to Lower Drug Costs Act S.2164: Lower Costs More Cures Act H.R.4121: To codify a final rule issued by the Secretary of Health and Human Services relating to fraud and abuse and the removal of safe harbor protection for certain drug rebates, and for other purposes H.R.4158: To amend titles XVIII and XIX of the Social Security Act to eliminate cost sharing with respect to coverage of insulin as a covered part D drug under the Medicare program or as a covered outpatient drug under the Medicaid program H.R.4502: Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022 H.R.2884: Affordable Prescriptions for Patients Through Improvements to Patent Litigation Act H.R.4813: Matts Act S.2814: Vital Medication Affordability Act S.1132: Ending Pricey Insulin (EPI) Act H.R.3062: A bill making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for fiscal year ending September 30, 2022 H.R.6000: The CURES 2.0 Act, To continue the acceleration of the discovery, development, and delivery of 21st century cures, and for other purposes H.R.3554: To amend title XVIII of the Social Security Act to reform requirements with respect to direct and indirect remuneration under Medicare part D, and for other purposes H.R.6851: To amend the Families First Coronavirus Response Act and the CARES Act to establish new coverage and payment rules for certain COVID-19 diagnostic tests and related items and services, and for other purposes S.3700: A bill to provide for appropriate cost-sharing for insulin products covered under Medicare part D and private health plans H.R.6833: To amend title XXVII of the Public Health Service Act, the Internal Revenue Code of 1986, and the Employee Retirement Income Security Act of 1974 to establish requirements with respect to cost-sharing for certain insulin products, and for other purposes H.R.6757: To amend title XVIII of the Social Security Act to establish under the Medicare prescription drug program a minimum amount of price concessions for insulin to be passed through to beneficiaries at the point-of-sale, and for other purposes H.R.7008: To improve patient access to emerging medication therapies by clarifying the scope of permitted health care economic and scientific information communications between biopharmaceutical manufacturers and population health decision makers, and for other purposes H.R.7047: To amend title III of the Public Health Service Act with respect to the determination by the Secretary regarding certain biosimilar application elements, and for other purposes H.R.6833: Affordable Insulin Now Act H.R.6963: Accelerated Approval Integrity Act H.R.7008: Pre-approval Information Exchange Act H.R.7032: Increasing Transparency in Generic Drug Applications Act H.R.7047: Lowering Costs by Improving Biosimilar Uptake Act S.4011: Capping Drug Costs for Seniors Act of 2022 H.R.7666: Restoring Hope for Mental Health and Well-Being Act H.R.7667: Food and Drug Amendments of 2022 H.R.7828: To amend the Public Health Service Act to shorten the exclusivity period for brand name biological products from 12 to 5 years; (PRICED Act) S.4293: Pharmacy Benefit Manager Transparency Act S.4348: A bill to amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs, medical devices, generic drugs, and biosimilar biological products, and for other purposes; (FDASLA Act) H.R.7995: GOLD CARD Act H.R.5376: The Inflation Reduction Act, Sec. 139301, Prohibiting implementation of rule relating to eliminating the anti-kickback statute safe harbor protection for prescription drug rebates 42 CFR Part 1001 RIN 0936-AA08: Fraud and Abuse; Removal of Safe Harbor Protection for Rebates Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection for Certain Point-of-Sale Reductions in Price on Prescription Pharmaceuticals and Certain Pharmacy Benefit Manager Service Fees 42 CFR Parts 422 423 RIN 0938-AU30 Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule (CMS-4192-P)
Client expense: $1,908,258 · 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), Office of Management & Budget (OMB), SENATE
2022 · third_quarter · Medicare/Medicaid
Issues related to prescription drug coverage and pharmacy benefits Regulatory and proposed legislative changes to Medicare Part D prescription drug benefits Access to prescription drugs during the coronavirus pandemic S.298 / H.R.1829: Pharmacy Benefit Manager Accountability Study Act of 2021 H.R.2410: Medicare and You Handbook Improvement Act H.R.2484: Lowest Price for Patients Act H.R.2608: Ensuring Seniors Access to Local Pharmacies Act H.R.3: Elijah E. Cummings Lower Drug Costs Now Act H.R.19: Lower Costs, More Cures Act H.R.2846: Ensuring Access to Lower-Cost Medicines for Seniors Act H.R.2855: Star Ratings for Biosimilars Act S.1523: The Drug Price Transparency Act H.R.3173: Improving Seniors Timely Access to Care Act S.1909 / H.R.3554: Pharmacy DIR Reform to Reduce Senior Drug Costs Act H.R.3682: Improving Transparency to Lower Drug Costs Act S.2164: Lower Costs, More Cures Act of 2021 H.R.4121: To codify a final rule issued by the Secretary of Health and Human Services relating to fraud and abuse and the removal of safe harbor protection for certain drug rebates, and for other purposes H.R.4158: To amend titles XVIII and XIX of the Social Security Act to eliminate cost sharing with respect to coverage of insulin as a covered part D drug under the Medicare program or as a covered outpatient drug under the Medicaid program H.R.2815: BIOSIM Act S.464 / H.R.2163: Safe Step Act S.1524 / H.R.3029: Health Care PRICE Transparency Act H.R.4418: SPIKE Act H.R.5237: A bill to amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes. H.R.5260: Reduced Costs and Continued Cures Act H.R.3684: The Infrastructure Investment and Jobs Act, Sec.90006, Moratorium on implementation of rule relating to eliminating the anti-kickback statute safe harbor protection for prescription drug rebates H.R.5376: The Build Back Better Act, Sec. 139301, Prohibiting implementation of rule relating to eliminating the anti-kickback statute safe harbor protection for prescription drug rebates H.R.5376: The Inflation Reduction Act, Sec. 139301, Prohibiting implementation of rule relating to eliminating the anti-kickback statute safe harbor protection for prescription drug rebates H.R.5623: The Insulin Cost Reduction Act, To amend title XVIII of the Social Security Act to prohibit price concessions with respect to insulin drugs and exceptions under Part D of Medicare, and for other purposes H.R.3554: To amend title XVIII of the Social Security Act to reform requirements with respect to direct and indirect remuneration under Medicare part D, and for other purposes S.3700: A bill to provide for appropriate cost-sharing for insulin products covered under Medicare part D and private health plans H.R.6833: To amend title XXVII of the Public Health Service Act, the Internal Revenue Code of 1986, and the Employee Retirement Income Security Act of 1974 to establish requirements with respect to cost-sharing for certain insulin products, and for other purposes H.R.6757: To amend title XVIII of the Social Security Act to establish under the Medicare prescription drug program a minimum amount of price concessions for insulin to be passed through to beneficiaries at the point-of-sale, and for other purposes H.R.6833: Affordable Insulin Now Act S.4011: Capping Drug Costs for Seniors Act of 2022 H.R.7995: GOLD CARD Act 42 CFR Part 1001 RIN 0936-AA08: Fraud and Abuse; Removal of Safe Harbor Protection for Rebates Involving Prescription Pharmaceuticals and Creation of New Safe Harbor Protection for Certain Point-of-Sale Reductions in Price on Prescription Pharmaceuticals and Certain Pharmacy Benefit Manager Service Fees 42 CFR Parts 422 423 RIN 0938-AU30 Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs Proposed Rule (CMS-4192-P)
Client expense: $1,908,258 · 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), Office of Management & Budget (OMB), SENATE
2022 · third_quarter · Medicare/Medicaid
HR 3173 & S 3018--Improving Seniors Timely Access to Care Act of 2021--Medicare Advantage HR 7995--Gold Card Act of 2022--Medicare Advantage HR 8295--Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2023--Medicare Advantage
Client expense: $290,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
September 30, 2022, coalition letter to Representatives Ami Bera and Larry Bucshon thanking them for introducing H.R. 8800, the Supporting Medicare Providers Act of 2022 (legislation to avert some of the scheduled cuts to Medicare reimbursement rates for physicians). September 29, 2022, Alliance of Specialty Medicine letter to Representatives Ami Bera and Larry Bucshon thanking them for introducing H.R. 8800, the Supporting Medicare Providers Act of 2022 (legislation to avert some of the scheduled cuts to Medicare reimbursement rates for physicians). September 22, 2022, coalition letter to Speaker Pelosi, Leader McCarthy, Leader Schumer, and Leader McConnell warning about the impact of scheduled cuts to Medicare reimbursement for physicians and asking Congress to take action on overall reform for Medicare payment. September 14, 2022, coalition letter to Representatives Ami Bera and Larry Bucshon thanking them for introducing H.R. 8800, the Supporting Medicare Providers Act of 2022 (legislation to avert some of the scheduled cuts to Medicare reimbursement rates for physicians). September 6, 2022, coalition letter to CMS Administrator Brooks-LaSure expressing concerns with the Medicare Physician Fee Schedule global surgical package. July 28, 2022, Alliance of Specialty Medicine letter to Representatives Michael Burgess and Vicente Gonzalez thanking them for introducing H.R. 7995, the GOLD CARD Act (legislation to reform the prior authorization process under the Medicare Advantage program). July 27, 2022, coalition letter to congressional leadership for the Senate Finance, House Ways and Means, and House Energy and Commerce committees regarding concerns over scheduled cuts to Medicare reimbursement rates for physicians. July 18, 2022, coalition letter to Senate Majority Leader Schumer and Speaker Pelosi urging investment in the healthcare workforce and robust funding for Graduate Medical Education (GME). July 7, 2022, Physician Clinical Registry Coalition letter to Michelle Schreiber, MD, Deputy Director of the Centers for Clinical Standards and Quality at the Centers for Medicare & Medicaid Services (CMS), expressing concerns with the measure set review (MSR) process. July 6, 2022, letter to Representatives Michael Burgess and Vicente Gonzalez thanking them for introducing H.R. 7995, the GOLD CARD Act (legislation to reform the prior authorization process under the Medicare Advantage program). Issues pertaining to the scope of practice legislation, related to H.R. 1587/S. 1731, and in general. Issues pertaining to prior authorization, related to H.R. 3173/H.R. 8487/S. 3018 and H.R. 7995, and in general. Issues pertaining to the Early Hearing Detection and Intervention Program, related to H.R. 5561/S. 4052, and in general. Issues pertaining to Medicare physician reimbursement, related to H.R. 8800, and in general. Issues related to hearing healthcare, in general. Issues pertaining to health information technology and electronic health records, in general. Issues pertaining to COVID-19, in general. Issues related to the potential expansion of Medicare to cover hearing health benefits in potential reconciliation legislation.
Client expense: $260,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
September 30, 2022, coalition letter to Representatives Ami Bera and Larry Bucshon thanking them for introducing H.R. 8800, the Supporting Medicare Providers Act of 2022 (legislation to avert some of the scheduled cuts to Medicare reimbursement rates for physicians). September 29, 2022, Alliance of Specialty Medicine letter to Representatives Ami Bera and Larry Bucshon thanking them for introducing H.R. 8800, the Supporting Medicare Providers Act of 2022 (legislation to avert some of the scheduled cuts to Medicare reimbursement rates for physicians). September 28, 2022, letter to FDA Commissioner Califf expressing concern regarding the ongoing national shortage of tracheostomy tubes for pediatric and adult patients. September 22, 2022, coalition letter to Speaker Pelosi, Leader McCarthy, Leader Schumer, and Leader McConnell warning about the impact of scheduled cuts to Medicare reimbursement for physicians and asking Congress to take action on overall reform for Medicare payment. September 14, 2022, coalition letter to Representatives Ami Bera and Larry Bucshon thanking them for introducing H.R. 8800, the Supporting Medicare Providers Act of 2022 (legislation to avert some of the scheduled cuts to Medicare reimbursement rates for physicians). September 6, 2022, coalition letter to CMS Administrator Brooks-LaSure expressing concerns with the Medicare Physician Fee Schedule global surgical package. August 1, 2022, Alliance of Specialty Medicine coalition letter to HHS Assistant Secretary Levine responding to the "Request for Information (RFI): HHS Initiative To Strengthen Primary Health Care." July 28, 2022, Alliance of Specialty Medicine letter to Representatives Michael Burgess and Vicente Gonzalez thanking them for introducing H.R. 7995, the GOLD CARD Act (legislation to reform the prior authorization process under the Medicare Advantage program). July 27, 2022, coalition letter to congressional leadership for the Senate Finance, House Ways and Means, and House Energy and Commerce committees regarding concerns over scheduled cuts to Medicare reimbursement rates for physicians. July 18, 2022, coalition letter to Senate Majority Leader Schumer and Speaker Pelosi urging investment in the healthcare workforce and robust funding for Graduate Medical Education (GME). July 18, 2022, letter to Sandra Battiste, MPH, of the Health Resources & Services Administration, responding to the Request for Information: Early Hearing Detection and Intervention Program. July 7, 2022, Physician Clinical Registry Coalition letter to Michelle Schreiber, MD, Deputy Director of the Centers for Clinical Standards and Quality at the Centers for Medicare & Medicaid Services (CMS), expressing concerns with the measure set review (MSR) process. July 6, 2022, letter to Representatives Michael Burgess and Vicente Gonzalez thanking them for introducing H.R. 7995, the GOLD CARD Act (legislation to reform the prior authorization process under the Medicare Advantage program). Issues pertaining to the scope of practice legislation, related to H.R. 1587/S. 1731 and H.R. 6087, and in general. Issues pertaining to prior authorization, related to H.R. 3173/H.R. 8487/S. 3018 and H.R. 7995, and in general. Issues pertaining to the Early Hearing Detection and Intervention Program, related to H.R. 5561/S. 4052, and in general. Issues pertaining to Medicare physician reimbursement, related to H.R. 8800, and in general. Issues related to hearing healthcare, in general. Issues pertaining to health information technology and electronic health records, in general. Issues pertaining to Language Equality and Acquisition for Deaf Kids (LEAD-K) and parent choice, in general. Issues pertaining to Graduate Medical Education, in general. Issues pertaining to COVID-19, in general. Issues pertaining to healthcare liability reform, in general. Issues pertaining to healthcare practice and the Federal Supremacy Clause at the Department of Veterans Affairs, in general. Issues related to the potential expansion of Medicare to cover hearing health benefits in potential reconciliation legislation. Issues pertaining to the "Magnet Injury Prevention Act," H.R. 8199/S. 4479.
Client expense: $260,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE
2022 · third_quarter · Medicare/Medicaid
H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, NOPAIN Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, CONNECT for Health Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 7995, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, MOMMAs Act, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 8487, Improving Seniors Timely Access to Care Act of 2022, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Substance Use Disorder Workforce Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, provisions related to scope of practice H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions S. 2938, Bipartisan Safer Communities Act, all provisions H.R. 8800, Supporting Medicare Providers Act of 2022, all provisions H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2022, all provisions H.R. 8850, Fair Access In Residency (FAIR) Act, all provisions S. 2173, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 4873, Improving Access to Advance Care Planning Act, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 8594, Restore Protections for Dialysis Patients Act, all provisions S. 4750, Restore Protections for Dialysis Patients Act, all provisions H.R. 8188, Saving Access to Laboratory Services Act (SALSA), all provisions S. 4449, SALSA Act, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 3434, Territories Health Equity Act of 2021, all provisions H.R. 4406, Supporting Medicaid in the U.S. Territories Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, all provisions S. 3791, Access to Prescription Digital Therapeutics Act of 2022, all provisions H.R. 7573, Telehealth Extension and Evaluation Act, all provisions S. 3593, Telehealth Extension and Evaluation Act, all provisions H.R. 7878, Kidney Health Connect Act of 2022, all provisions S. 4307, Kidney Health Connect Act of 2022, all provisions H.R. 6202, Telehealth Extension Act of 2021, all provisions H.R. 7053, Hospital Inpatient Services Modernization Act, all provisions S. 3792, Hospital Inpatient Services Modernization Act, all provisions H.R. 7116, 9-8-8 Implementation Act of 2022, all provisions H.R. 8879, Inpatient Psychiatric Facility Improvement Act, all provisions H.R. 8878, To amend title XVIII of the Social Security Act to ensure adequate coverage of outpatient mental health services under the Medicare program, all provisions H.R. 432, Mental Health Access Improvement Act of 2021, all provisions H.R. 8910, Behavioral Health Integration Awareness Act of 2022, all provisions H.R. 8884, To direct the Secretary of Health and Human Services to provide outreach and reporting on opioid use disorder treatment services furnished by opioid treatment programs under the Medicare program, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 7475, Mamas First Act, all provisions H.R. 5067, Preserving Patient Access to Home Infusion Act, all provisions S. 2652, Preserving Patient Access to Home Infusion Act, all provisions H.R. 8812, To amend titles XVIII and XIX of the Social Security Act and the Bipartisan Budget Act of 2018 to increase access to services provided by advanced practice registered nurses under the Medicare and Medicaid programs, and for other purposes, provisions related to scope of practice Medicare program: 21st Century Cures Act/implementation Medicare program: EHR Certification Medicare program: Medicare and CHIP Reauthorization Act (MACRA) Reform Medicare program: MACRA implementation Medicare program: Laboratory testing/Diagnostics/PAMA Medicare program: Merit-based Incentive Payment System (MIPS) quality/cost/improvement activities/promoting interoperability Medicare program: Merit-based Value Pathway Medicare program: Physician Fee Schedule (PFS) inflation updates/budget neutrality rules Medicare program: 2023 Medicare Physician Fee Schedule/4.5% cut Medicare program: Accountable specialty care/payments Medicare program: Alternative Payment Models/incentive payments Medicare program: Telehealth/COVID flexibilities Medicare program: Health IT burdens Medicare program: Self-measured blood pressure devices/benefit category Medicare program: Coding Medicare program: Primary Care First models Medicare program: Appropriate Use Criteria Medicare program: Opioids Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Dental benefits Medicaid program: Uninsured and healthcare coverage/COVID-19 Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/revalidation Medicare program: Open Payments Medicaid program: Special Enrollment Period Medicaid program: Sickle Cell Disease Medicaid program: Improving Access to Physical and Mental Health Care for Children and Youth Under Medicaid and CHIP/draft Medicare program: Provider compliance and regulatory relief Medicare program: Medicare Administrative Contractors (MACs)/Downcoding Medicare and Medicaid programs: Health Equity Medicare and Medicaid programs: Modifier 25, Impossible Day Medicare and Medicaid programs: Connected health technologies Medicare and Medicaid programs: Diabetes
Client expense: $4,360,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Medicare/Medicaid
HR 5376: Inflation Reduction Act: Authorizes Medicare drug price negotiation; Extends the Affordable Care Act premium tax credits for 3 years and addresses climate change. HR 3173/S 3018: Seniors Timely Access to Care Act : Medicare Advantage Prior Authorization Reform. HR 8800 Supporting Medicare Providers Act of 2022: Stops the 2023 Medicare Fee Schedule Payment cuts of 4.42%. Additional Medicare Payment Reform (Legislation to be introduced): - Provide an automatic annual Medicare inflation update for physicians based on the Medicare Economic Index. - Stop the 4% PAYGO-related Medicare physician payment cut for 2023. - RFI (Bera, Bucshon) on Medicare Payment Reform. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. HR 7995: The GOLD CARD Act of 2022: Medicare Advantage Prior Authorization Reform. HR 4587 Value in Health Care Act to Improve the Medicare APM Programs and extend the APM/ACO 5% incentive payments. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. CMS File Code 1770-P; Medicare and Medicaid Programs; CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies. Medicare Shared Savings Program Requirements. Covid-19 Provider Relief Fund Distribution and Reporting Requirements. No Surprise Act Final Rule: HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. Requirements Related to Surprise Billing.
Client expense: $55,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage. Advocate for increased funding and reforms to Graduate Medical Education. Lobby members of Congress regarding improvements to Health Information Technology implementation. Advocate for expansion of telemedicine services under Medicare and increased reimbursement for such services. Advocate for improving disease management and care coordination for patients with chronic diseases. Support preservation of the In-Offices Ancillary Services Exemption (IOASE) under Stark Law regarding physician self-referral and oppose repeal of the in-office ancillary and physician services exception. Advocate for relief from Medicare regulations under Medicare Access and CHIP Reauthorization Act (MACRA P.L. 114-110), including the Quality Payment Program (QPP) and specifically the development of advanced alternative payment models (APMs) and implementation of the Merit-Based Incentive Payment System (MIPS). Advocate for relief for from prior authorization requirements under Medicare Advantage and Medicare Part D plans. Lobby Congress to urge CMS to strengthen Qualified Clinical Data Registries (QCDRs) by removing barriers that restrict access to data from EHRs. (H.R. 6000) Advocate for congressional action to hold health care professionals harmless from any cuts related to CMS Evaluation and Management Code proposals in any forthcoming legislative package. Support the Knowing the Efficiency and Efficacy of Permanent (KEEP) Telehealth Options Act (H.R. 1677/S. 620). Support H.R.8437, the Improving Seniors Timely Access to Care Act of 2022 Support H.R. 3173/S. 3018, Improving Seniors Timely Access to Care Act of 2021 Support H.R. 2903/S. 1512 the CONNECT for Health Act of 2021 Support H.R. 5054, Keep Physicians Serving Patients Act Advocate to support extension of moratorium on 2% Medicare sequester, replace scheduled and anticipated cuts in payments with positive, inflationary-based updates, eliminate the nearly 4.5% conversion factor cut in the CMS proposed rule for the 2023 Medicare Physician Fee Schedule (MPFS) associated with budget neutrality adjustments tied to Evaluation & Management (E/M) Code MPFS policy changes, and waive the 4% PAYGO sequester to Medicare physician payment reimbursement due to enactment of H.R. 1319, American Recovery Act, P.L. 117-2. Support H.R. 8800, the Supporting Medicare Providers Act of 2022 Support H.R. 5394, the Meaningful Access to Federal Health Plan Claims Data Act Support H.R. 7995, GOLD CARD Act of 2022
Client expense: $570,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
Lobby members of Congress regarding issues related to telemedicine. Advocate for increased transparency regarding drug pricing. Advocate for reducing barriers to entry of generic drugs into the marketplace. Advocate for transparency on the part of pharmaceutical benefit managers. Advocate for patient access to compounded medications. Advocate for reducing the burdens of utilization management tools, including step therapy and prior authorization for pharmaceuticals and services. Advocate for a stable supply of medications and mitigate drug shortages. Lobby members of the House to join the Congressional Skin Cancer Caucus. Advocate for adequate and accurate network coverage for dermatologic care within health insurance exchange networks. Support H. Res 436, sense of the House supporting state, local and community initiatives to curb incidences of skin cancer beginning with childhood skin cancer. Support H. Res 718, designating October 17, 2021 as National Vitiligo Awareness Day Support H.R. 2163/S. 464, Safe Step Act. Support S. 989, Ensuring Childrens Access to Specialty Care Act Support H.R. 153, Protecting Consumer Access to Generic Drugs Act Support S. 898, Fair Accountability & Innovative Research (FAIR) Drug Pricing Act Support H.R. 3662, Patient Access to Urgent-Use Pharmacy Compounding Act Support H.R. 1916/S. 754, Ensuring Lasting Smiles Act Advocate for relief from prior authorization requirements under Medicare Advantage and Medicare Part D plans. Advocate for the continued and increased funding of Community Health Centers. Advocate for implementation of surprise medical billing legislation (enacted as part of P.L. 116-260, Consolidated Appropriations Act, 2021, H.R. 133) as intended by Congress. Advocate for congressional action to hold health care professionals harmless from any cuts related to CMS Evaluation and Management Code proposals in any forthcoming legislation. (S. 610) Support H.R. 1677/S. 620, the KEEP Telehealth Options Act. Support H.R. 2903/S. 1512 the CONNECT for Health Act of 2021 Support the Dr. Lorna Breen Health Care Provider Protection Act (S. 610/H.R. 1667). Support H.R. 3173/S. 3018, Improving Seniors Timely Access to Care Act of 2021 Support H.R. 8437, the Improving Seniors Timely Access to Care Act of 2022 Support H.R. 4122/S. 3645, Resident Education Deferred Interest Act or the REDI Act Support the Resident Physician Shortage Reduction Act (S. 834/H.R. 2256) Advocate for the FDA to implement the 2015 rule, General and Plastic Surgery Devices: Restricted Sale, Distribution, and Use of Sunlamp Products; and the Sunlamp Products Proposed; Amendment to Performance Standard, which would ban minors under the age of 18 from using tanning beds. Support H.R. 5054, Keep Physicians Serving Patients Act Advocate to support extension of moratorium on 2% Medicare sequester as well as waiving PAYGO and mitigating anticipated additional 4% cuts to Medicare physician payment reimbursement due to enactment of H.R. 1319, American Recovery Act, P.L. 117-2. Support H.R. 5394, the Meaningful Access to Federal Health Plan Claims Data Act Advocate for legislative solution to access problems to iPLEDGE/REMS program for isotretinoin (H.R. 7667, Food and Drug Amendments of 2022/S. 4348 FDASLA Act of 2022). Support H.R. 7649, a bill to direct the Secretary of Health and Human Services to open a public docket for the submission of public comments regarding factors that should be taken into consideration when reviewing a proposed modification to an approved risk evaluation and mitigation strategy, and for other purposes. Support H.R. 5030/S. 2706, the Diversifying Investigations and Equitable Research Studies for Everyone (DIVERSE) Trials Act Support H.R. 7995, GOLD CARD Act of 2022 Advocate to support extension of moratorium on 2% Medicare sequester, replace scheduled and anticipated cuts in payments with positive, inflationary-based updates, eliminate the nearly 4.5% conversion factor cut in the CMS proposed rule for the 2023 Medicare Physician Fee Schedule (MPFS) associated with budget neutrality adjustments tied to Evaluation & Management (E/M) Code MPFS policy changes, and waive the 4% PAYGO sequester to Medicare physician payment reimbursement due to enactment of H.R. 1319, American Recovery Act, P.L. 117-2. Support H.R. 8800, Supporting Medicare Providers Act of 2022 Advocate against H.R 6708, Improving Access to Workers Compensation for Injured Federal Workers Act, which expands the role of nurse practitioners and physician assistants in providing services to injured federal workers under the federal workers' compensation program.
Client expense: $570,000 · Firm income: Not reported
Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Recovery audit contractor reform. Medicare regulatory reform, including physician payment reforms. Network adequacy oversight. Prior authorization reform, including related provisions in H.R. 7995, the GOLD CARD Act, to exempt qualifying physicians from prior authorization requirements under Medicare Advantage plans, and H.R. 3173/S. 3018 and H.R. 8487, the Ensuring Seniors Timely Access to Care Act. Medicare accountable care organizations. Electronic health record interoperability and vendor accountability. Physician-led hospital barriers, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act, and S. 4130, the Patient Access to Higher Quality Care Act of 2022. Coronavirus response efforts, including support for health care providers, patients and small business, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of related provisions in H.R. 1319, the American Rescue Plan Act (P.L. 117-2). Medicare physician fee schedule and sequestration relief. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including: (1) provisions in H.R. 5376, the Inflation Reduction Act of 2022 (P.L. 117-169), in Subtitle B, Part 1, sec. (b), to modify Medicare Part B reimbursement by application of Maximum Fair Prices and Conforming Amendments, to selected Medicare Part B covered drugs; and (2) monitor the CMMI Most Favored Nation and related demonstration initiatives.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Update and reforms to Medicare payments for physicians and implementation of related provisions of the Medicare Access and CHIP Reauthorization Act, including: maintain patient access to In-Office Ancillary Services; implementation of Electronic Health Records meaningful use requirements; CMS implementation of misvalued codes; and Medicare sequestration. Medicare beneficiary access to telehealth, including related provisions in H.R. 4040, the Advancing Telehealth Beyond COVID-19 Act of 2022, H.R. 1677/S. 620, the KEEP Telehealth Options Act and Discussion Draft of bipartisan Senate Finance Committee legislation, the Telemental Health Access to Care Act. Medicare Part B reimbursement for prescription drugs and related issues to enhance patient access to covered drugs and CMMI quality initiatives, including: use of step therapy in Medicare and health insurance coverage, including related provisions in S. 464/H.R. 2163, the Safe Step Act; and H.R. 5376, Inflation Reduction Act of 2022 (Public Law No: 117-169), including provisions regarding application of Maximum Fair Prices and conforming amendments to modify Medicare Part B reimbursement for selected drugs; and physician reimbursement issues related to CMMI Most Favored Nation demonstration. Medicare beneficiary access to drugs/advocate for relief from prior authorization requirements under Medicare Advantage and Medicare Part D plans, including related provisions in S. 3018/ H.R. 3173, and H.R. 8487, the Improving Seniors Timely Access to Care Act, and H.R. 7995, the GOLD CARD Act, to exempt qualifying physicians from prior authorization requirements under Medicare Advantage plans. Coronavirus response and support for health care providers and patients, including related provisions in S. 3799, the PREVENT Pandemics Act, and implementation of related provisions in H.R. 1319, the American Rescue Plan Act (P.L. 117-2).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Support H.R. 8800, Supporting Medicare Providers Act of 2022. This legislation provides a 4.42% update to the conversion factor. Support HR 7995, Gold Card Act of 2022 Exempting physicians from prior authorization requirements under Medicare Advantage plans if at least 90% of the physicians requests were approved during the previous plan year.
Client expense: $319,516 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
1. Lessening prior authorization barriers to healthcare through H.R. 7995, the Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022. 2. Payment parity for telemedicine under ERISA self-funded plans. 3. Providing meaningful coverage for uninsured Texans.
Client expense: $10,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
HR 315 - Medicare Sequester Moratorium Act - relief from Medicare sequester HR 1332/ S 368 -Telehealth Modernization Act - permanent repeal of Medicare geographic and originating site restrictions HR 1946/S 1873- Multi Cancer Early Detection Coverage and Screening Act - provide for Medicare coverage of multi-cancer early detection screening tests HR 1577/S 596 - Treat and Reduce Obesity Act of 2021 - expands Medicare coverage of intensive behavioral therapy for obesity HR 2347/S 2691 - Strengthening the Vaccines for Children Program Act of 2021 - ensure adequate access to vaccines under the Medicaid program and the Vaccines for Children program S 1287 - REFUND Act of 2021 - provide refunds for certain single dose vial drugs HR 2903/S 1512- CONNECT for Health Act of 2021 - expand access to telehealth services HR 3173/S 3018- Improving Seniors Timely Access to Care Act of 2021- stablishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans HR 3447 - Permanency for Audio-Only Telehealth Act- expand accessibility to certain telehealth services under Medicare HR 4110/S 3656- Reducing Hereditary Cancer Act- provide hereditary cancer genetic testing HR 3089/S 1544- Accelerating Kids' Access to Care Act- streamline enrollment under the Medicaid program of certain providers across State lines HR 1978/S 912- Protecting Seniors Through Immunization Act of 2021- improve Medicare coverage of vaccinations HR 7995- GOLD CARD Act of 2022- exempts qualifying physicians from prior authorization requirements in Medicare Advantage plans HR 5377- Cancer Patient Equity Act of 2021- provides coverage of cancer diagnostic and laboratory tests under Medicare, Medicaid, and CHIP Drug pricing- Inflation Reduction Act HR 8800- Supporting Medicare Providers Act of 2022- Medicare reimbursement HR 8487- Improving Seniors Timely Access to Care Act of 2022- establishes several requirements and standards relating to prior authorization processes under Medicare Advantage plans
Client expense: $125,406 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Physician payment: provided comments to CMS re: proposed 2023 Physician Fee Schedule; support the Supporting Medicare Providers Act of 2022 (HR 8800); urge Congress to extend Medicare APM incentive payments GME: partnered with other organizations to urge Congress to increase support for GME Prior authorization: supported introduction of GOLD CARD Act of 2022 (H.R. 7995); supports passage of the Improving Seniors' Timely Care to Access Act (HR 3173/S 3018) Surprise billing: urged appropriate implementation timeline for No Surprises Act enforcement PHE: urge renewal of the COVID-19 PHE Information blocking: request additional clarity and guidance surrounding information blocking regulations; request that HHS postpone information blocking compliance deadlines Medicare advantage: provided comment for Medicare Advantage RFI Laboratory services: urge Congress to protect patient access to clinical laboratory services by supporting Saving Access to Laboratory Services Act (SALSA/H.R. 8188/S.4449) Telehealth: urge Senate to extend telehealth flexibilities
Client expense: $300,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Health Issues
Physician payment: provided comments to CMS re: proposed 2023 Physician Fee Schedule; support the Supporting Medicare Providers Act of 2022 (HR 8800); urge Congress to extend Medicare APM incentive payments GME: partnered with other organizations to urge Congress to increase support for GME Prior authorization: supported introduction of GOLD CARD Act of 2022 (H.R. 7995); supports passage of the Improving Seniors' Timely Care to Access Act (HR 3173/S 3018) Surprise billing: urged appropriate implementation timeline for No Surprises Act enforcement PHE: urge renewal of the COVID-19 PHE Information blocking: request additional clarity and guidance surrounding information blocking regulations; request that HHS postpone information blocking compliance deadlines Medicare advantage: provided comment for Medicare Advantage RFI Laboratory services: urge Congress to protect patient access to clinical laboratory services by supporting Saving Access to Laboratory Services Act (SALSA/H.R. 8188/S.4449) Telehealth: urge Senate to extend telehealth flexibilities
Client expense: $300,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Occupational Safety & Health Administration (OSHA), SENATE
2022 · third_quarter · Medicare/Medicaid
Request cosponsorship of the Hospital Inpatient Services Modernization Act (S.3792), legislation that would extend the Acute Hospital Care at Home waiver program for two years from the date the public health emergency ends. Express support for the Gold Card Act (HR 7995), legislation that would remove prior authorization requirements for certain physicians who have a 90% prior authorization approval rate over a six-month period on certain services. Request congressional engagement to: (1) Extend the full 2 percent Medicare sequester moratorium through the end of the COVID-19 public health emergency or Dec. 31, 2022, whichever is later; (2) Extend the current low-volume hospital adjustment criteria and Medicare dependent hospital program designation to enable rural hospitals in Texas to continue receiving appropriate Medicare payment adjustments; and (3) Waive the statutory PAYGO reductions to avoid reductions in payments by an additional 4 percent in 2023. CMS on CMS-1771-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Payment Rates, express support for Congressional sign on letter to CMS expressing concern with hospital reimbursement rates. CMS-3419-P, RIN 0938-AU92, Medicare and Medicaid Programs; Conditions of Participation (CoPs)for Rural Emergency Hospitals (REH) and Critical Access Hospital CoP Updates Proposed Rule, provide comments on new REH designation. Medicare Program; Request for Information on Medicare, provide comments to CMS on Medicare Advantage preauthorization, network adequacy, federal oversight, and payment rates. Support for Congressional sign-on letter led by Congressman Lloyd Doggett expressing similar concerns. Inflation Reduction Act (HR 5376), express support for efforts to address the Medicaid coverage gap in non-expansion states. Improving Seniors Timely Access to Care (HR 3173), endorsement of legislation that addresses preauthorization process in Medicare Advantage. Endorsement of the Healthcare Enhancement for Americas Rural Towns (HEART) Act (HR 9034), would make permanent the Medicare Dependent Hospital program and extend for five years the Low Volume Adjustment.
Client expense: Not reported · Firm income: $50,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Oppose restrictive prior authorization practices Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law Support for structural changes that lead to delivering high quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value Support for reforms to the CMMI proposed radiation oncology alternative payment model Support for waiving budget neutrality adjustments with evaluation and management code changes Support for protecting access to care for Medicare patients Oppose physician fee schedule cuts due to clinical labor price updates Support for H.R. 7995 Support for H.R. 8800
Client expense: $167,296 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2022 · third_quarter · Medicare/Medicaid
Oppose restrictive prior authorization practices Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law Support for structural changes that lead to delivering high quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value Support for reforms to the CMMI proposed radiation oncology alternative payment model Support for waiving budget neutrality adjustments with evaluation and management code changes Support for protecting access to care for Medicare patients Oppose physician fee schedule cuts due to clinical labor price updates Support for H.R. 7995 Support for H.R. 8800
Client expense: $86,653 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2022 · third_quarter · Medicare/Medicaid
Medicare physician reimbursement issues Merit-Based Incentive Payment System (MIPS) Advanced Alternative Payment (APM) models Quality Payment Program (QPP) Misvalued global surgical codes Ambulatory Surgical Center (ASC) reimbursement issues Telehealth programs and reimbursement Health Information Technology (HIT) Medicare Advantage utilization management, including prior authorization and step therapy Pass-Through payments for ophthalmic products Office-based ophthalmic surgery H.R.3173-Improving Seniors' Timely Access to Care Act of 2021 H.R.3322-Medicare Patient Empowerment Act of 2021 H.R.7995-GOLD CARD Act of 2022 H.R.8800-Supporting Medicare Providers Act of 2022 S.826-Medicare Patient Empowerment Act of 2021 S.3018-Improving Seniors' Timely Access to Care Act of 2021
Client expense: $194,452 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Issues related to healthcare technology, prior authorization, H.R. 3173/S.3018, H.R. 7995, interoperability,privacy,H.R.8152
Client expense: $60,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
H.R. 1260 - The Bipartisan Solution to Cyclical Violence Act of 2021 H.R. 8/S. 529 - The Bipartisan Background Checks Act/Background Check Expansion Act H.R. 2256/S. 834 - The Resident Physician Shortage Reduction Act Public Law No. 117-105/S. 610/H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act H.R. 1319/PL 117-2 - American Rescue Plan Act H.R. 315 - Medicare Sequester COVID Moratorium Act H.R. 3173/S. 3018 - Improving Seniors' Timely Access to Care Act S. 1593/H.R. 5149 - Ensuring Access to General Surgery Act H.R. 1025 - Kids Access to Primary Care Act of 2021 H.R. 5239/S. 2941 - Good Samaritan Health Professionals Act of 2021 H.R. 5305, the Extending Government Funding and Delivering Emergency Assistance Act. H.R. 4502 - Labor HHS Appropriations H.R. 4350 National Defense Authorization Act for Fiscal Year 2022 H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 1332/S. 368 - Telehealth Modernization Act S. 2565 - Expanding Access to Palliative Care H.R. 5377 - Cancer Patient Equity Act H.R. 6020 the Supporting Medicare Providers Act of 2021 H.R.2256 - Build Back Better Act S. 3799 - PREVENT Pandemics Act H. Res 951/S. Res 532 - Recognizing 100 Years of the COT H. Res 997/S. Res 566 - ACS CoC anniversary resolution PL 109-417 - Pandemic and All Hazards Preparedness Act Reauthorization H.R. 7995 - Gold Card Act of 2022 S. 4269/H.R. 7850 - Prevent BLEEDing Act S. 4330 - SPARC Act S. 3658/H.R. 4122 - REDI Act S. 2938 - Bipartisan Safer Communities Act H.R. 2163/S. 464 - Safe Step Act H.R. 8163 - Improving Trauma Systems and Emergency Care Act H.R. 8800 - Supporting Medicare Providers Act of 2022 NSA good faith estimate rule Global Surgery/Rare Surgery Commission on Cancer Legislative Agenda Appropriate Use Criteria (AUC) Firearms injury prevention, safety & research ACS Quality legislative proposal Local Coverage Determinations/Carrier Advisory Committees No Surprises Act Implementation Scope of Practice issues National Trauma and Emergency Preparedness System (NTEPS) Public Health Preparedness CY2022 Medicare Physician Fee Schedule Final Rule Multi-Cancer Early Detection Screening Coverage Act NO PAIN Act COVID-19 Vaccines and Mental Health Maternal and gender disparities in health care The role of immigrant physicians in the U.S. Healthcare system Local Coverage Determinations/Carrier Access Committee Issues New Hernia Repair CPT Codes for 2023 Regional medical operations centers (RMOCs) Remote Patient Monitoring Social Determinants of Health Sequestration relief Ocular Regional Clinical Centers of Excellence (RCOEs) 21st Century Cures 2.0 Act Price Transparency Legislation Medicare Physician Payment Cuts MACRA Improvements National Trauma Systems Legislation Mission Zero Funding Prior Authorization Unique Patient Identifier/Appropriations Surgical Workforce Shortages ACA coverage expansion Global Surgical Codes Graduate Medical Education (GME) Alternative Payment Models
Client expense: $23,100 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE