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Chronic Disease Flexible Coverage Act
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
84pct
29d open
vs 10,940 other HR bills in the 119th — cohort avg 30d
Chronic Disease Flexible Coverage Act This bill provides statutory authority for guidance from the Internal Revenue Service (IRS) that expands the types of preventive care that may be offered under a high deductible health plan (HDHP) without requiring a deductible or with a deductible below the minimum threshold. Under current law, to be considered health savings account-eligible, an HDHP must have a deductible above a certain minimum threshold amount, which is adjusted annually. However, an HDHP may cover certain types of preventive care without requiring a deductible or with a deductible below the minimum threshold. The IRS issued guidance expanding the types of preventive care that may be covered by an HDHP without requiring a deductible or with a deductible below the minimum threshold to include angiotensin converting enzyme inhibitors for individuals with congestive heart failure, diabetes, or coronary artery disease; anti-resorptive therapy for individuals with osteoporosis or osteopenia; beta-blockers for individuals with congestive heart failure or coronary artery disease; blood pressure monitors for individuals with hypertension; inhaled corticosteroids and peak flow meters for individuals with asthma; insulin and other glucose lowering agents, retinopathy screening, glucometers, and hemoglobin A1c testing for individuals with diabetes; international normalized ratio testing for individuals with liver disease or bleeding disorders; low-density lipoprotein testing for individuals with heart disease; statins for individuals with heart disease or diabetes; and selective serotonin reuptake inhibitors for individuals with depression. The bill provides statutory authority for the IRS's guidance.
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Filing registrants (10)
Received in the Senate and Read twice and referred to the Committee on Finance.
Motion to reconsider laid on the table Agreed to without objection.
On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H964)
DEBATE - The House proceeded with forty minutes of debate on H.R. 919.
Considered under suspension of the rules. (consideration: CR H964-966)
Mr. Smith (MO) moved to suspend the rules and pass the bill.
Referred to the House Committee on Ways and Means.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2026 · third_quarter · Taxation/Internal Revenue Code
Issues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act, S.2875 - CHOICE Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · third_quarter · Taxation/Internal Revenue Code
Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389 Hard Working Seniors Act - HR 10072
Client expense: $400,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2026 · third_quarter · Health Issues
Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389 Hard Working Seniors Act - HR 10072
Client expense: $400,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2026 · third_quarter · Taxation/Internal Revenue Code
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · third_quarter · Consumer Issues/Safety/Products
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · third_quarter · Health Issues
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
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
2026 · third_quarter · Taxation/Internal Revenue Code
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
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
2026 · third_quarter · Health Issues
General legislative and regulatory issues including health care reform; Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enforcement Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; H.R.6248/S.4027, the Healthy Competition for Better Care Act; S.2355, Patients Deserve Price Tags Act.
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · third_quarter · Taxation/Internal Revenue Code
General legislative and regulatory issues including health care reform; Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enforcement Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; H.R.6248/S.4027, the Healthy Competition for Better Care Act; S.2355, Patients Deserve Price Tags Act.
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · first_quarter · Health Issues
ERISA Preemption Tax treatment of employer-sponsored health care Health care affordability, price transparency, prescription drug prices, Pharmacy Benefit Managers (PBM) pricing and transparency, hospital pricing and transparency, site neutral payment reform, hospital consolidation and billing practices Consolidated Appropriations Act of 2026, Pharmacy Benefit Manufacturer reforms and hospital billing practices Healthy Competition for Better Care Act, HR 6248 / S 4027 Voluntary Employee Beneficiary Association (VEBAs) to allow repurposing of excess assets in VEBAs 340B prescription drug program Chronic Disease Flexible Coverage Act, HR 919 Surprise Medical Billing (No Surprises Act) Telehealth and Remote Care Services Paid Leave and I-PLAN (H.R. 3090) Restore Protections for Dialysis Patients Act - HR 2199 Electronic delivery for health benefit plans Patients Deserve Price Tags Act (S. 2355)
Client expense: $280,000 · Firm income: Not reported
2026 · second_quarter · Taxation/Internal Revenue Code
Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389
Client expense: $660,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · second_quarter · Health Issues
Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389
Client expense: $660,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · second_quarter · Taxation/Internal Revenue Code
Issues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act, S.2875 - CHOICE Act H.R.1157 - ACCESS Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · second_quarter · Consumer Issues/Safety/Products
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · second_quarter · Taxation/Internal Revenue Code
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · second_quarter · Health Issues
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
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
2026 · second_quarter · Taxation/Internal Revenue Code
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
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
2026 · second_quarter · Taxation/Internal Revenue Code
General legislative and regulatory issues including health care reform; Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enforcement Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · second_quarter · Health Issues
General legislative and regulatory issues including health care reform; Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enforcement Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · first_quarter · Health Issues
Issues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act. H.R.1157 - ACCESS Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Taxation/Internal Revenue Code
Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389
Client expense: $740,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Health Issues
Issues related to tax advantaged savings vehicles for health expenses One Big Beautiful Bill Act HSA Expansion Provisions - Public Law No. 119-21 Bipartisan Health Insurance Affordability Act - H.R. 6501 Health Care Freedom for Patients Act of 2025 - S. 3386 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSAs for All Act - H.R. 7681 The Chronic Disease Flexible Coverage Act - H.R. 919 Lowering Cost for Caregivers Act of 2025 - H.R. 138 Lower Health Care Premiums for All Americans Act - H.R. 6703 HSA Modernization Act- H.R. 548 Lowering Health Care Costs for Americans Act - S.3389
Client expense: $740,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2026 · first_quarter · Health Issues
ERISA Preemption Tax treatment of employer-sponsored health care Health care affordability, price transparency, prescription drug prices, Pharmacy Benefit Managers (PBM) pricing and transparency, hospital pricing and transparency, site neutral payment reform, hospital consolidation and billing practices Consolidated Appropriations Act of 2026, Pharmacy Benefit Manufacturer reforms and hospital billing practices Healthy Competition for Better Care Act, HR 6248 / S 4027 Voluntary Employee Beneficiary Association (VEBAs) to allow repurposing of excess assets in VEBAs 340B prescription drug program Chronic Disease Flexible Coverage Act, HR 919 Surprise Medical Billing (No Surprises Act) Telehealth and Remote Care Services Paid Leave and I-PLAN (H.R. 3090) Restore Protections for Dialysis Patients Act - HR 2199 Electronic delivery for health benefit plans Patients Deserve Price Tags Act (S. 2355)
Client expense: $230,000 · Firm income: Not reported
2026 · first_quarter · Consumer Issues/Safety/Products
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · first_quarter · Taxation/Internal Revenue Code
Health Savings Account issues; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · first_quarter · Taxation/Internal Revenue Code
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
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
2026 · first_quarter · Health Issues
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248/S.4027, the Healthy Competition for Better Care Act.
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
2026 · first_quarter · Health Issues
General legislative and regulatory issues including health care reform; Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enforcement Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2026 · first_quarter · Taxation/Internal Revenue Code
General legislative and regulatory issues including health care reform; Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enforcement Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; H.R.6248/S.4027, the Healthy Competition for Better Care Act.
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · third_quarter · Health Issues
ERISA preemption Tax treatment of employer-sponsored health benefit plans; budget reconciliation Health Savings Accounts and High-Deductible Health Plans; permanent safe harbor for HSA-eligible health plans to cover telehealth pre-deductible, HSA flexibility primary care and chronic disease; budget reconciliation; Telehealth Expansion Act (HR 1650 / S. 763 - 119th Congress) Health care cost transparency, prescription drugs, PBM pricing and transparency and hospital and health plan price transparency Hospital consolidation and billing practices, site neutral payment reform; Healthy Competition for Better Care Act Voluntary Employee Beneficiary Associations (VEBAs) End-stage renal disease and Medicare secondary payer issues 340B Prescription Drug Program 408(b)(2) Fee disclosure for health plans Surprise Medical Billing rules Chronic Disease Flexible Coverage Act (HR 919 - 119th Congress) Paid leave, Interstate Paid Leave Action Network (I-PLAN) Act, (HR 3090) More Paid Leave for More Americans Act (HR 3089) Fair Billing Act (S. 2497) Prescription Drug Machine Readable Files (MRF) Prescription Drug Cost ERISA electronic reporting and disclosure, mental health parity, allow HSAs to cover chronic conditions on a pre-deductible basis Form 5500 Simplification legislation
Client expense: $330,000 · Firm income: Not reported
2025 · fourth_quarter · Health Issues
Issues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act. H.R.1157 - ACCESS Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Health Issues
- H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - S. 1869, the Site-based Invoicing and Transparency Enhancement Act ("SITE Act") - H.R. 4509, Transparency in Billing Act - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Value-based payments - H.R. 919, the Chronic Disease Flexible Coverage Act - H.R. 1650, S. 763, the Telehealth Expansion Act of 2025
Client expense: Not reported · Firm income: $160,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · fourth_quarter · Taxation/Internal Revenue Code
Health Savings Account issues; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · fourth_quarter · Consumer Issues/Safety/Products
Health Savings Account issues; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; S.3386, Health Care Freedom for Patients Act of 2025.
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · fourth_quarter · Health Issues
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248, the Healthy Competition for Better Care Act.
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
2025 · fourth_quarter · Taxation/Internal Revenue Code
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51); H.R.6248, the Healthy Competition for Better Care Act.
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
2025 · fourth_quarter · Health Issues
General legislative and regulatory issues including health care reform; Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enforcement Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; H.R.6248, the Healthy Competition for Better Care Act.
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · fourth_quarter · Taxation/Internal Revenue Code
General legislative and regulatory issues including health care reform; Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260) implementation; S.2420/H.R.4710, the No Surprises Act Enforcement Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21) implementation; H.R.6248, the Healthy Competition for Better Care Act.
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · third_quarter · Health Issues
H.R. 1, One Big Beautiful Bill Act H.R. 661, MIRACLE Medical Technology Act of 2025 H.R. 919, Chronic Disease Flexible Coverage Act H.R. 1650/S. 763, Telehealth Expansion Act of 2025 H.R. 2028/S. 1847, the Association Health Plans Act H.R. 2213/S. 998, Medical Supply Chain Resiliency Act H.R. 2270, Empowering Employer Child and Elder Care Solutions Act H.R. 2528/S. 1847, Association Health Plans Act H.R. 2571, Self-Insurance Protection Act S. 763, Telehealth Expansion Act of 2025 S. 1096, Preserve Access to Affordable Generics and Biosimilars Act Final Rule, Mental Health Parity and Addiction Equity Act (89 Fed. Reg. 77,586-77,751, September 23, 2024) Request for Information, Ultra Processed Foods (90 Fed. Reg. 35,305-35,309, July 25, 2025) Request for Information, NIH Artificial Intelligence Strategy (Response to NIH RFI NOT-OD-25-117), July 15, 2025 Request for Information, Ensuring Lawful Regulation and Unleashing Innovation to Make America Healthy Again (90 Fed. Reg. 20,478-20,481, July 14, 2025) Various issues relating to the employer-sponsored health care system, implementation of regulatory process, provider network adequacy, health savings account (HSAs), health reimbursement account (HRAs), employer mandate; implementation of the Inflation Reduction Act (P.L. 117-169); implementation of the One Big Beautiful Bill Act, (P.L. 119-21); balance or surprise billing and related issues; single-payer health care options; Affordable Care Act tax credit expiration; health reimbursement arrangements and other account-based group health plans; Health and Human Services international pricing index (IPI) model; mental health parity; COBRA subsidies; Federal Trade Commissions multilateral pharmaceutical merger taskforce; telehealth, including coverage of telehealth under High-Deductible Health Plans (HDHPs) and expanding telehealth options for employees; impact of Pharmacy Benefit Managers Practices; FTC-2022-0015; petition to HHS to grant march-in rights for the patents on the drug Xtandi; legislative proposals to tax employer-provided health care coverage; artificial price caps on providing insulin; Reasonable Price Clause in reauthorization draft of the Pandemic and All Hazards Preparedness Act (PAHPA, P.L. 109-417); ERISA preemption protections including information on constructive changes/modifications to ERISA; expansion of the list of preventive care benefits that may be provided by a high-deductible health plan (HDHP); efforts to reform the World Health Organizations (WHO) engagement with private sector; continued U.S. membership to the World Health Organization (WHO); support for necessary market conditions to incentivize health sector investment from private sector; support for private sector involvement in health systems strengthening; promote greater harmonization of standards and investment in digital health; health-related policy issues in the G20/G7 forums and other multilateral forums; support for improving access to health products and technologies globally, including via regulatory alignment, addressing trade barriers, strengthening the global supply chain, and raising awareness on potential pitfalls of local manufacturing; combatting anti-microbial resistance infectious diseases, and non-communicable diseases; support for continued and reformed U.S. foreign assistance, including in global health
2025 · third_quarter · Health Issues
Issues related to making Health Savings Accounts and Health Reimbursement Arrangements more accessible and ubiquitous, including H.R. 548- HSA Modernization Act, H.R.919 - Chronic Disease Flexible Coverage Act, S. 2875 - Custom Health Option and Individual Care Expense (CHOICE) Act, H.R. 5463 - Choice Arrangement Act.
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · third_quarter · Health Issues
- H.R. 5378, "Lower Costs, More Transparency Act" - ERISA preemption - S. 1869, the Site-based Invoicing and Transparency Enhancement Act ("SITE Act") - H.R. 4509, Transparency in Billing Act - Issues related to employer-sponsored health benefits and health coverage - Taxation of health benefits - Anti-tiering and Anti-steering clauses - Transparency - Cost containment - Site-neutral payments - Value-based payments - H.R. 919, the Chronic Disease Flexible Coverage Act - H.R. 1650, S. 763, the Telehealth Expansion Act of 2025
Client expense: Not reported · Firm income: $160,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2025 · third_quarter · Health Issues
ERISA preemption Tax treatment of employer-sponsored health benefit plans; budget reconciliation Health Savings Accounts and High-Deductible Health Plans; permanent safe harbor for HSA-eligible health plans to cover telehealth pre-deductible, HSA flexibility primary care and chronic disease; budget reconciliation; Telehealth Expansion Act (HR 1650 / S. 763 - 119th Congress) Health care cost transparency, prescription drugs, PBM pricing and transparency and hospital and health plan price transparency Hospital consolidation and billing practices, site neutral payment reform; Healthy Competition for Better Care Act Voluntary Employee Beneficiary Associations (VEBAs) End-stage renal disease and Medicare secondary payer issues 340B Prescription Drug Program 408(b)(2) Fee disclosure for health plans Surprise Medical Billing rules Chronic Disease Flexible Coverage Act (HR 919 - 119th Congress) Paid leave, Interstate Paid Leave Action Network (I-PLAN) Act, (HR 3090) More Paid Leave for More Americans Act (HR 3089) Fair Billing Act (S. 2497) Prescription Drug Machine Readable Files (MRF) Prescription Drug Cost ERISA electronic reporting and disclosure, mental health parity, allow HSAs to cover chronic conditions on a pre-deductible basis Form 5500 Simplification legislation
Client expense: $220,000 · Firm income: Not reported
2025 · third_quarter · Taxation/Internal Revenue Code
Health Savings Account issues; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21).
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · third_quarter · Consumer Issues/Safety/Products
Health Savings Account issues; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.548, HSA Modernization Act; S.864, HELP Copays Act; H.R.1, One Big Beautiful Bill Act (P.L.119-21).
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2025 · third_quarter · Health Issues
Legislative and regulatory issues including improvements to Health Savings Accounts coupled with high deductible health plans; H.R.919, Chronic Disease Flexible Coverage Act; Requested expansion of IRS Notice 2019-45; Requested expansion of IRS Notice 2013-57.
Client expense: Not reported · Firm income: Not reported
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of
2025 · third_quarter · Medicare/Medicaid
Legislative and regulatory issues including improvements to Health Savings Accounts coupled with high deductible health plans; H.R.919, Chronic Disease Flexible Coverage Act; Requested expansion of IRS Notice 2019-45; Requested expansion of IRS Notice 2013-57.
Client expense: Not reported · Firm income: Not reported
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of
2025 · third_quarter · Taxation/Internal Revenue Code
Legislative and regulatory issues including improvements to Health Savings Accounts coupled with high deductible health plans; H.R.919, Chronic Disease Flexible Coverage Act; Requested expansion of IRS Notice 2019-45; Requested expansion of IRS Notice 2013-57.
Client expense: Not reported · Firm income: Not reported
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), SENATE, Treasury, Dept of
2025 · third_quarter · Health Issues
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1968, Full-Year Continuing Appropriations and Extensions Act, 2025 (P.L.119-4); H.R.1, One Big Beautiful Bill Act (P.L.119-21); Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51).
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
2025 · third_quarter · Taxation/Internal Revenue Code
Legislative and regulatory policy proposals to protect employer-sponsored health care coverage; S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1968, Full-Year Continuing Appropriations and Extensions Act, 2025 (P.L.119-4); H.R.1, One Big Beautiful Bill Act (P.L.119-21); Proposed Rule: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency (RIN 0938-AV51).
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
2025 · third_quarter · Health Issues
General legislative and regulatory issues including health care reform. Legislative and regulatory policy proposals to protect employer-sponsored health care coverage: S.763/H.R.1650, Telehealth Expansion Act; H.R.919, Chronic Disease Flexible Coverage Act; H.R.1968, Full-Year Continuing Appropriations and Extensions Act, 2025 (P.L.119-4). Legislative and regulatory issues related to preventing surprise medical bills and lowering health care costs, including implementation of H.R.133, Consolidated Appropriations Act, 2021 (P.L.116-260); S.2420/H.R.4710, the No Surprises Act Enforcement Act. H.R.1, One Big Beautiful Bill Act (P.L.119-21).
Client expense: Not reported · Firm income: $20,000
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office
Client expense: $13,650,000 · Firm income: Not reported
Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Trade & Development Agency (USTDA), U.S. Trade Representative (USTR)
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office