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Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act
Legislative Progress
Introduced
June 9, 2022
Latest Action
June 9, 2022
Primary Sponsor
Jenniffer González-ColónRepublican(PR)
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
0pct
0d open
vs 9,698 other HR bills in the 117th — cohort avg 63d
Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act This bill temporarily establishes geographic adjustments for certain Medicare Advantage payment formulations, and specifies that a certain percentage of corresponding payment increases must be directed toward payments for basic benefits. It also requires U.S. territories to establish Medicare Savings Programs (currently optional in the territories).
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (2)
2023 · second_quarter · Medicare/Medicaid
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
Client expense: $1,430,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2023 · first_quarter · Medicare/Medicaid
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Site Neutrality Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determents of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program
Client expense: $3,640,000 · 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 · Insurance
ACA 1332 Waivers Individual Market and Exchange Stabilization Prior Authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Consumer Choice of Care Act Competition in State Healthcare Markets Act Addressing Anti-Competitive Contracting Clauses Act Increasing Competition for Medical Residency Act Hospital Claims Form Issues Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios. (H.R.3969) Mental Health and Substance Use, CFR Part 2, Parity and MHPAEA Compliance Issues Mental Health Matters Act (H.R. 7780) Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Bipartisan Safer Communities Act MAT Act Surprise Medical Billing Price of Prescription Drugs Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Chronic Kidney Disease Conditions of Coverage Reform COVID-19 Testing, Vaccines, Treatment, Cost Sharing Medicare Sequestration Telehealth KEEP Telehealth Options Act Telehealth Expansion Act (H.R. 5981) Short Term Limited Duration Health Plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Periods Hospital Claims Form Issues Build Back Better Act (H.R.5376) Inflation Reduction Act of 2022 Medicaid Eligibility Health Equity/Health Disparities Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care VA Community Care Network Program Veterans PACT Act Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) TCPA Insurance Navigators Network Adequacy Provider Directories 2023 Omnibus Appropriations Bill Originating Site Requirements Provider and Nursing Licensing Issues Inpatient Only List Site Neutrality Biosimilar Red Tape Elimination Act Biologics Competition Act
Client expense: $1,270,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2022 · fourth_quarter · Health Issues
ACA 1332 Waivers Individual Market and Exchange Stabilization Prior Authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Consumer Choice of Care Act Competition in State Healthcare Markets Act Addressing Anti-Competitive Contracting Clauses Act Increasing Competition for Medical Residency Act Hospital Claims Form Issues Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios. (H.R.3969) Mental Health and Substance Use, CFR Part 2, Parity and MHPAEA Compliance Issues Mental Health Matters Act (H.R. 7780) Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Bipartisan Safer Communities Act MAT Act Surprise Medical Billing Price of Prescription Drugs Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Chronic Kidney Disease Conditions of Coverage Reform COVID-19 Testing, Vaccines, Treatment, Cost Sharing Medicare Sequestration Telehealth KEEP Telehealth Options Act Telehealth Expansion Act (H.R. 5981) Short Term Limited Duration Health Plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Periods Hospital Claims Form Issues Build Back Better Act (H.R.5376) Inflation Reduction Act of 2022 Medicaid Eligibility Health Equity/Health Disparities Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care VA Community Care Network Program Veterans PACT Act Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) TCPA Insurance Navigators Network Adequacy Provider Directories 2023 Omnibus Appropriations Bill Originating Site Requirements Provider and Nursing Licensing Issues Inpatient Only List Site Neutrality Biosimilar Red Tape Elimination Act Biologics Competition Act
Client expense: $1,270,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2022 · fourth_quarter · Medicare/Medicaid
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
Client expense: $1,270,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2022 · fourth_quarter · Medicare/Medicaid
Issues related to Medicaid and Medicare Advantage funding; H.R. 7997 - Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act; Issues related to Medicaid funding in Consolidated Appropriations Act (PL 117-328).
Client expense: Not reported · Firm income: $90,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Consumer Choice of Care Act Competition in State Healthcare Markets Act Addressing Anti-Competitive Contracting Clauses Act Increasing Competition for Medical Residency Act Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, CFR Part 2, Parity and compliance issues H.R. 7780 - Mental Health Matters Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Telehealth KEEP Telehealth Options Act Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period Hospital Claims Form Issues Build Back Better Act (H.R.5376) Inflation Reduction Act of 2022 Medicaid eligibility Health Equity/Health Disparities Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care Veterans PACT Act Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) TCPA Insurance Navigators Network Adequacy Provider Directories Bipartisan Safer Communities Act
2022 · third_quarter · Insurance
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Consumer Choice of Care Act Competition in State Healthcare Markets Act Addressing Anti-Competitive Contracting Clauses Act Increasing Competition for Medical Residency Act Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, CFR Part 2, Parity and compliance issues H.R. 7780 - Mental Health Matters Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Telehealth KEEP Telehealth Options Act Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period Hospital Claims Form Issues Build Back Better Act (H.R.5376) Inflation Reduction Act of 2022 Medicaid eligibility Health Equity/Health Disparities Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care Veterans PACT Act Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) TCPA Insurance Navigators Network Adequacy Provider Directories Bipartisan Safer Communities Act
2022 · third_quarter · Medicare/Medicaid
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Social Determents of Health (SDOH) H.R.4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage benchmarks to a minimum level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). H.R.5376 - Build Back Better Act Medicaid eligibility and redeterminations H.R. 5376 - Inflation Reduction Act of 2022 Medicare Advantage Supplemental Benefits
2022 · second_quarter · Insurance
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
2022 · second_quarter · Health Issues
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
2022 · third_quarter · Medicare/Medicaid
Issues related to Medicaid and Medicare Advantage funding; H.R. 7997 - Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act; Inflation Reduction Act of 2022 (PL 117-169); The legislative vehicle for the Continuing Resolution (PL 117-180).
Client expense: Not reported · Firm income: $90,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · second_quarter · Health Issues
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
2022 · second_quarter · Insurance
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
2022 · second_quarter · Medicare/Medicaid
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
2022 · second_quarter · Medicare/Medicaid
Issues related to Medicaid funding in the Consolidated Appropriations Act of 2022, (PL No. 117-103); Issues related to Medicare Advantage funding; H.R.7997 - Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act; Issues related to H.R. 5376 - Build Back Better Act, budget reconciliation legislation.
Client expense: Not reported · Firm income: $90,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
| Democratic |
| FL |
| Darren Soto | Democratic | FL |
| Don Bacon | Republican | NE |
| Maria Elvira Salazar | Republican | FL |
| Mario Diaz-Balart | Republican | FL |
| Nydia M. Velázquez | Democratic | NY |
| Stephanie N. Murphy | Democratic | FL |
Client expense: $1,590,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
Client expense: $1,590,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
Client expense: $1,590,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
Client expense: $1,570,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
Client expense: $1,570,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
Client expense: $1,570,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
Client expense: $1,570,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
Client expense: $1,570,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of