HOVER Act of 2025

Medicare/Medicaid - H.R. 5378, the Lower Costs, More Transparency Act; H.R. 4473, S. 1869, the Site-based Invoicing and Transparency Enhancement Act; H.R.1, One Big Beautiful Bill Act

Client expense: $139,736 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- 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

Medicare Advantage: Star Ratings, Risk Adjustment, Excellent Health Outcomes for All, Supplemental Benefits (H.R. 5746), No UPCODE Act (S. 1105), Medicare Prior Authorization and Electronic Prior Authorization, Provider Directories (S. 891), Telehealth Extending Flexibilities (H.R. 4206, S. 1261), Transparency & PBMs (S. 882; S. 891, S. 3345), Physician Fee Schedule, Site Neutrality (S. 1869 from 118th, H.R. 3417 from 118th)

Client expense: $630,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Advantage: Star Ratings, Risk Adjustment, Excellent Health Outcomes for All, Supplemental Benefits (H.R. 5746), No UPCODE Act (S. 1105), Medicare Prior Authorization and Electronic Prior Authorization, Provider Directories (S. 891), Telehealth Extending Flexibilities (H.R. 4206, S. 1261), Transparency & PBMs (S. 882; S. 891), Physician Fee Schedule (S. 891), Site Neutrality & Provider Billing (S. 1869, H.R. 3417), Medicare Coverage & Obesity, Medicaid Uncompensated Care (H.R. 1)

Client expense: $680,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare/Medicaid - H.R. 5378, the Lower Costs, More Transparency Act; H.R. 4473, S. 1869, the Site-based Invoicing and Transparency Enhancement Act; H.R.1, One Big Beautiful Bill Act

Client expense: $126,954 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- 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

Medicare/Medicaid - H.R. 5378, the Lower Costs, More Transparency Act; H.R. 4473, S. 1869, the Site-based Invoicing and Transparency Enhancement Act; H.R.1, One Big Beautiful Bill Act

Client expense: $128,029 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace S.1869 - SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 - To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department

Client expense: $820,000 · Firm income: Not reported

Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14]

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

- 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

Medicare Advantage: Star Ratings, Risk Adjustment, Excellent Health Outcomes for All, Supplemental Benefits (H.R. 5746), No UPCODE Act (S. 1105), Medicare Prior Authorization and Electronic Prior Authorization, Provider Directories (S. 891), Telehealth Extending Flexibilities (H.R. 1968), Transparency & PBMs (S. 882, S. 891, H.R. 1), Physician Fee Schedule (S. 891), Site Neutrality & Provider Billing (S. 1869, H.R. 3417), Medicare Coverage & Obesity

Client expense: $630,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5378, the Lower Costs, More Transparency Act; H.R. 4473, S. 1869, the Site-based Invoicing and Transparency Enhancement Act

Client expense: $131,760 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.

- 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