PRIMACY STRATEGY GROUP

Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.

Client expense: — · Firm income: $20,000

Matched citations: H.R. 3514

340b Policy Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.

Client expense: — · Firm income: $20,000

Matched citations: H.R. 3514

Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.

Client expense: — · Firm income: $20,000

Matched citations: S. 1816

340b Policy Prior Authorization Simplification - H.R. 3514/S. 1816 - Improving Seniors Timely Access to Care Act Establish an electronic prior authorization process for MA plans including a standardization for transactions and clinical attachments. Increase transparency around MA prior authorization requirements and its use. Clarify CMS authority to establish timeframes for e-PA requests including expedited determinations, real-time decisions for routinely approved items and services, and other PA requests. Expand beneficiary protections to improve enrollee experiences and outcomes. Require HHS and other agencies to report to Congress on program integrity efforts and other ways to further improve the e-PA process.

Client expense: — · Firm income: $20,000

Matched citations: S. 1816

Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act

Client expense: — · Firm income: $20,000

Matched citations: H.R. 4710

Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act

Client expense: — · Firm income: $20,000

Matched citations: H.R. 4710

Increased radar funding Policies that ensure air ambulance care providers get adequate reimbursements Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act

Client expense: — · Firm income: $20,000

Matched citations: H.R. 4710

Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act

Client expense: — · Firm income: $20,000

Matched citations: S. 2420

Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act

Client expense: — · Firm income: $20,000

Matched citations: S. 2420

Increased radar funding Policies that ensure air ambulance care providers get adequate reimbursements Air medical services H.R. 4710 / S. 2420 - No Surprises Enforcement Act

Client expense: — · Firm income: $20,000

Matched citations: S. 2420

H.R. 8095 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.

Client expense: — · Firm income: $10,000

Matched citations: H.R. 8095

H.R. 8095 - Ensuring Medicaid Continuity for Children in Foster Care Act - This bill allows states to receive federal Medicaid payment for services provided to foster care children in qualified residential treatment programs (i.e., programs with trauma-informed treatment models that address the needs of children with serious emotional or behavioral disorders or disturbances). Legislative pathway on addressing lack of liability insurance for children's mental health providers.

Client expense: — · Firm income: $10,000

Matched citations: H.R. 8095

S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.

Client expense: — · Firm income: $20,000

Matched citations: H.R.4588

S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.

Client expense: — · Firm income: $20,000

Matched citations: H.R.4588

S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.

Client expense: — · Firm income: $20,000

Matched citations: S. 2028

S. 2028/H.R.4588 - Supporting Apprenticeship Colleges Act - This bill directs the Department of Education to award grants to institutions of higher education that sponsor construction and manufacturing-oriented registered apprenticeship programs for (1) expanding or supporting outreach to high schools, local businesses, and local workforce development boards; and (2) providing advising and support services to students who are enrolled in these apprenticeship programs.

Client expense: — · Firm income: $20,000

Matched citations: S. 2028

Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.

Client expense: — · Firm income: $10,312

Matched citations: H.R.6685

Multiemployer Pension Reform: S.3615/H.R.6685 Multiemployer Plan Relief Act Section 101 of the SECURE 2.0 Act requires employers with more than 10 employees to automatically enroll new employees at 3% of pay, increasing annually by 1% up to at least 10% but no more than 15% of pay. The 401(k) automatic enrollment provision presents a unique and increased set of challenges for Taft-Hartley plans that do not encumber single-employer plans in the same manner and that require further legislative reforms. Put simply, these automatic enrollment and auto-escalation provisions would dramatically increase the administrative complexity of 401(k) deferrals for multiemployer plans. While SECURE 2.0 was intended to promote retirement savings, the added complexity of administering the automatic enrollemt and escalation provisions will undermine that objective because existing multiemployer DC plans will likely not add a 401(k) feature to their plans and very few (if any) new 401(k) plans will be established in the multiemployer space.

Client expense: — · Firm income: $10,312

Matched citations: S.3615

FY2027 Authorizations, Appropriations, and Budget Policy H.R. 9497 Water Resources Development Act

Client expense: — · Firm income: $15,000

Matched citations: H.R. 9497

Affordable housing programming H.R. 6644 21st Century ROAD to Housing Act - Buy America Provisions and Flexibility for CDBG

Client expense: — · Firm income: $15,000

Matched citations: H.R. 6644

H.R. 4588 / S. 2028 - Supporting Apprenticeship Colleges Act

Client expense: — · Firm income: $13,000

Matched citations: H.R. 4588