NPR and PBS Act

S. 1105, No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act: Medicare Advantage payment reform S. 1390/H.R.2191, Physician Led and Rural Access to Quality Care Act, to revise certain physician self-referral exemptions relating to physician-owned hospitals. S. 1816/H.R.2514, Improving Seniors Timely Access to Care Act of 2025: Prior authorization reform in Medicare Advantage S. 2439/H.R.3890, Resident Physician Shortage Reduction Act: Medicare funding for medical residency training. S. 2903/H.R.5509, Safe Step Act, To amend ERISA to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol. H.R.6160, Strengthening Medicare for Patients and Providers Act, to provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index. H.R. 2443, Reducing Medically Unnecessary Delays in Care Act: To ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R.4002, Patient Access to Higher Quality Health Care Act of 2025, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. No Bill: Urging Congress to prevent funding for the proposed CMMI Wasteful and Inappropriate Service Reduction (WISeR) Model in the Medicare Fee-for-Service (FFS) program, which expands prior authorization to traditional Medicare. No Bill: Urging Congress to take action to prevent the efficiency adjustment in the 2026 Medicare Physician Fee Schedule

Client expense: $35,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 1105, No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act: Medicare Advantage payment reform S. 1816/H.R.2514, Improving Seniors Timely Access to Care Act of 2025: Prior authorization reform in Medicare Advantage S. 2439/H.R.3890, Resident Physician Shortage Reduction Act: Medicare funding for medical residency training H.R.879, Medicare Patient Access and Practice Stabilization Act of 2025: To increase support for physicians and other practitioners in adjusting to Medicare payment changes. H.R. 2443, Reducing Medically Unnecessary Delays in Care Act: To ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R.4331, Access to Claims Data Act: To establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement. No Bill: Urging Congress to prevent funding for the proposed CMMI Wasteful and Inappropriate Service Reduction (WISeR) Model in the Medicare Fee-for-Service (FFS) program, which expands prior authorization to traditional Medicare. No Bill: Urging Congress to improve data sharing/interoperability, improvements to MACRA's quality payment program, including enhancing the use of clinical data registries

Client expense: $40,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 1105, No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act: Medicare Advantage payment reform S. 1816/H.R.2514, Improving Seniors Timely Access to Care Act of 2025: Prior authorization reform in Medicare Advantage S. 2439/H.R.3890, Resident Physician Shortage Reduction Act: Medicare funding for medical residency training H.R.879, Medicare Patient Access and Practice Stabilization Act of 2025: To increase support for physicians and other practitioners in adjusting to Medicare payment changes. H.R. 2443, Reducing Medically Unnecessary Delays in Care Act: To ensure that prior authorization medical decisions under Medicare are determined by physicians. H.R.4331, Access to Claims Data Act: To establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement. No Bill: Urging Congress to prevent funding for the proposed CMMI Wasteful and Inappropriate Service Reduction (WISeR) Model in the Medicare Fee-for-Service (FFS) program, which expands prior authorization to traditional Medicare. No Bill: Urging Congress to improve data sharing/interoperability, improvements to MACRA's quality payment program, including enhancing the use of clinical data registries

Client expense: $40,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE