Reported covered position: N/A
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Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect.
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2020 · fourth_quarter · 4T
Premium tax credits for enrollees in the Federally Facilitated Marketplace Association Health Plans Short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Support for the Extension of HHS-designated Public Health Emergency (PHE) Reinsurance and risk corridors
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
Source: Senate LDA
To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect.
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Consolidated Appropriations Act, 2021
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
Consolidated Appropriations Act, 2021
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
Consolidated Appropriations Act, 2021
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Consolidated Appropriations Act, 2021
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Patient Protection and Affordable Care Enhancement Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
Patient Protection and Affordable Care Enhancement Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Support for the Extension of HHS-designated Public Health Emergency (PHE) Reinsurance and risk corridors
Further Consolidated Appropriations Act, 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.Res.906 - Calling on the President to invoke the Defense Production Act to respond to COVID-19 H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to address 42 CFR Part 2 Reform in HR 1865 HR 6800, the HEROES Act
Stabilize Medicaid and CHIP Coverage Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Stabilize Medicaid and CHIP Coverage Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid quality measurement and improvement Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Medicaid Provider Payments Medicaid state financing mechanisms HR 6359 Coronavirus Medicaid Response Act Response to Congressional inquiry regarding maternal health care and Medicaid managed care Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 6800, the HEROES Act
Stabilize Medicaid and CHIP Coverage Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Stabilize Medicaid and CHIP Coverage Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)
Stabilize Medicaid and CHIP Coverage Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
Overdose Prevention and Patient Safety Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)
Overdose Prevention and Patient Safety Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Elijah E. Cummings Lower Drug Costs Now Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Elijah E. Cummings Lower Drug Costs Now Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
LGBTQ Business Equal Credit Enforcement and Investment Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)
No Surprises Act
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Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
No Surprises Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Maternal Health Quality Improvement Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Maternal Health Quality Improvement Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Helping Medicaid Offer Maternity Services Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
Helping Medicaid Offer Maternity Services Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Helping Medicaid Offer Maternity Services Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid
Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.Res.906 - Calling on the President to invoke the Defense Production Act to respond to COVID-19 H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to address 42 CFR Part 2 Reform in HR 1865 HR 6800, the HEROES Act
Families First Coronavirus Response Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid
Families First Coronavirus Response Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
Families First Coronavirus Response Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)
Families First Coronavirus Response Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
Families First Coronavirus Response Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 925 The HEROES Act H.R.6201, the Families First Coronavirus Response Act " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid HR 6800, the HEROES Act
Families First Coronavirus Response Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.Res.906 - Calling on the President to invoke the Defense Production Act to respond to COVID-19 H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to address 42 CFR Part 2 Reform in HR 1865 HR 6800, the HEROES Act
Families First Coronavirus Response Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
Promoting Infrastructure by Protecting Our Subcontractors and Taxpayers Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid quality measurement and improvement Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Medicaid Provider Payments Medicaid state financing mechanisms HR 6359 Coronavirus Medicaid Response Act Response to Congressional inquiry regarding maternal health care and Medicaid managed care Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 6800, the HEROES Act
Promoting Infrastructure by Protecting Our Subcontractors and Taxpayers Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
Workforce Emergency Response Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
Workforce Emergency Response Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
Workforce Emergency Response Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 925 The HEROES Act H.R.6201, the Families First Coronavirus Response Act " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid HR 6800, the HEROES Act
Workforce Emergency Response Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.Res.906 - Calling on the President to invoke the Defense Production Act to respond to COVID-19 H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to address 42 CFR Part 2 Reform in HR 1865 HR 6800, the HEROES Act
Workforce Emergency Response Act of 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Support for the Extension of HHS-designated Public Health Emergency (PHE) Reinsurance and risk corridors
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 925 The HEROES Act H.R.6201, the Families First Coronavirus Response Act " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid HR 6800, the HEROES Act
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid quality measurement and improvement Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Medicaid Provider Payments Medicaid state financing mechanisms HR 6359 Coronavirus Medicaid Response Act Response to Congressional inquiry regarding maternal health care and Medicaid managed care Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 6800, the HEROES Act
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.Res.906 - Calling on the President to invoke the Defense Production Act to respond to COVID-19 H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to address 42 CFR Part 2 Reform in HR 1865 HR 6800, the HEROES Act
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
MIND Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
CARES Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid
CARES Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.Res.906 - Calling on the President to invoke the Defense Production Act to respond to COVID-19 H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to address 42 CFR Part 2 Reform in HR 1865 HR 6800, the HEROES Act
CARES Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 925 The HEROES Act H.R.6201, the Families First Coronavirus Response Act " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid HR 6800, the HEROES Act
CARES Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
CARES Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
CARES Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)
CARES Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Continuing Appropriations Act, 2021 and Other Extensions Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
Continuing Appropriations Act, 2021 and Other Extensions Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 925 The HEROES Act H.R.6201, the Families First Coronavirus Response Act " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid HR 6800, the HEROES Act
Continuing Appropriations Act, 2021 and Other Extensions Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
The Heroes Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 925 The HEROES Act H.R.6201, the Families First Coronavirus Response Act " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid HR 6800, the HEROES Act
Calling on the President to invoke the Defense Production Act to respond to COVID-19.
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.6379, Take Responsibility for Workers and Families Act H.Res.906 - Calling on the President to invoke the Defense Production Act to respond to COVID-19 H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to address 42 CFR Part 2 Reform in HR 1865 HR 6800, the HEROES Act
Protecting Jessica Grubb’s Legacy Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)
Volunteer Responder Incentive Protection Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
STOP Surprise Medical Bills Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
STOP Surprise Medical Bills Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
No Junk Plans Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
No Junk Plans Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Lower Health Care Costs Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Lower Health Care Costs Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
‘Protecting Jessica Grubb’s Legacy Act'
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Stabilize Medicaid and CHIP Coverage Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)
Stabilize Medicaid and CHIP Coverage Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Stabilize Medicaid and CHIP Coverage Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Stabilize Medicaid and CHIP Coverage Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
Stabilize Medicaid and CHIP Coverage Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid quality measurement and improvement Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Medicaid Provider Payments Medicaid state financing mechanisms HR 6359 Coronavirus Medicaid Response Act Response to Congressional inquiry regarding maternal health care and Medicaid managed care Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 6800, the HEROES Act
To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect.
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect.
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect.
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force or effect.
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Further Consolidated Appropriations Act, 2020
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Including legislation to address 42 CFR Part 2 Reform in HR 1865 H.R.1865 - Further Consolidated Appropriations Act, 2020 Including legislation to require adult core quality reporting in Medicaid
Stabilize Medicaid and CHIP Coverage Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs S. 1012, Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Impact of significant budget cuts in Medicaid Medicaid Provider Payments Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs
Safety Net Health Plan Employee Student Loan Forgiveness Fairness Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
H.R.5372, Safety Net Health Plan Student Loan Forgiveness Fairness Act
Strengthening Health Care and Lowering Prescription Drug Costs Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Strengthening Health Care and Lowering Prescription Drug Costs Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Strengthening Health Care and Lowering Prescription Drug Costs Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Protecting Jessica Grubb’s Legacy Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs S. 1012, Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Impact of significant budget cuts in Medicaid Medicaid Provider Payments Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs
STOP Surprise Medical Bills Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
STOP Surprise Medical Bills Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
STOP Surprise Medical Bills Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
No Junk Plans Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
No Junk Plans Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
No Junk Plans Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Lower Health Care Costs Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Lower Health Care Costs Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Lower Health Care Costs Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Stabilize Medicaid and CHIP Coverage Act of 2019
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
SNP sustainability and improvements to MMPs S. 1012, Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Impact of significant budget cuts in Medicaid Medicaid Provider Payments Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs
Protecting Jessica Grubb's Legacy Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
Protecting Jessica Grubb's Legacy Act
Client: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS · Firm: ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2020 · fourth_quarter · Q4
Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act
SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
Premium tax credits for enrollees in the Federally Facilitated Marketplace Association Health Plans Short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Support for the Extension of HHS-designated Public Health Emergency (PHE) Reinsurance and risk corridors
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2020 · third_quarter · Q3
Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Support for the Extension of HHS-designated Public Health Emergency (PHE) Reinsurance and risk corridors
H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act H.R. 925 The HEROES Act H.R.6201, the Families First Coronavirus Response Act " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid HR 6800, the HEROES Act
SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid quality measurement and improvement Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Medicaid Provider Payments Medicaid state financing mechanisms HR 6359 Coronavirus Medicaid Response Act Response to Congressional inquiry regarding maternal health care and Medicaid managed care Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 6800, the HEROES Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2020 · second_quarter · Q2
H.R.6379, Take Responsibility for Workers and Families Act H.Res.906 - Calling on the President to invoke the Defense Production Act to respond to COVID-19 H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to address 42 CFR Part 2 Reform in HR 1865 HR 6800, the HEROES Act
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Risk adjustment Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace HR 6800, the HEROES Act H.R.1425, the Patient Protection and Affordable Care Enhancement Act (ACEA) Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Reinsurance Affordable Care Act implementation with respect to safety net health plans Network adequacy
Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2020 · first_quarter · Q1
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)
H.R.6379, Take Responsibility for Workers and Families Act H.R.6201, the Families First Coronavirus Response Act H.R.6074, Coronavirus Supplemental Appropriations Health provisions of budget proposals " H.R. 748, the Coronavirus Aid, Relief, and Economic Security (CARES) Act" Including legislation to require adult core quality reporting in Medicaid
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2019 · fourth_quarter · Q4
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
H.R.5372, Safety Net Health Plan Student Loan Forgiveness Fairness Act
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2019 · third_quarter · Q3
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
SNP sustainability and improvements to MMPs Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act Regulatory and systematic impact of Medicaid continuous coverage
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2019 · second_quarter · Q2
SNP sustainability and improvements to MMPs Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act Regulatory and systematic impact of Medicaid continuous coverage
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act H.R.987, Strengthening Health Care and Lowering Prescription Drug Costs Act HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2019 · first_quarter · Q1
Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP sustainability and improvements to MMPs Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act
Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Association Health Plans Short-term, limited-duration insurance HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2018 · fourth_quarter · Q4
S. 1850 - Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid managed care regulations Medicaid quality measurement and improvement SNP sustainability and improvements to MMPs
Affordable Care Act implementation with respect to safety net health plans Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Network adequacy Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act Senate amendment in the nature of a substitute to H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act Association Health Plans Short-term, limited-duration insurance S.J.Res.63, Congressional Disapproval relating to short-term, limited-duration insurance. Reducing Costs for Out-of-Network Services Act of 2018 S. 1850 - Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) S 581 - Jessie's Law
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2018 · third_quarter · Q3
S. 1850 - Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) S 581 - Jessie's Law 340B drug discount program Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Medicaid managed care regulations Medicaid quality measurement and improvement Risk adjustment SNP sustainability and improvements to MMPs Medical loss ratio for Medicaid managed care plans Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) S 3120, Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 Opioid Crisis Response Act of 2018 H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act H.R. 5583, to amend title XI of the Social Security Act to require states to annually report on certain adult health quality measures, and for other purposes
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2018 · second_quarter · Q2
Affordable Care Act implementation with respect to safety net health plans Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Network adequacy Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act HR 3545, Opioid Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coorindated systems created by 42 CFR Part 2 Responding to Congressional Inquiries to Industry regarding America's opioid response Marketplace Stabilization Short-Term, Limited-Duration Insurance
S. 1850 - Protecting Jessica Grubb's Legacy Act HR 3545 - Overdose Prevention and Patient Safety Act (OPPS Act) S 581 - Jessie's Law Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Impact of enhanced state flexibility in managing Medicaid programs Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) H.R.3168 re. Medicare Advantage D-SNP reauthorization S. 1827, the KIDS Act H.R.3921 -- HEALTHY KIDS Act H.R.3922 - CHAMPIONING HEALTHY KIDS ACT CHIP funding extension in H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) CHIP funding extension in S.1892, Bipartisan Budget Act Inclusion of Permanent reauthorization and policy changes for MA Dual Special Needs Plans programs in H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) Implications on Safety Net Health Plans in S 2001, State Public Option Act
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2018 · first_quarter · Q1
Affordable Care Act implementation with respect to safety net health plans Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Network adequacy Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace Cost sharing reductions (CSR) S.1835 - Lower Premiums Through Reinsurance Act of 2017 Alexander/Murray S. 1827, the KIDS Act H.R.3921 -- HEALTHY KIDS Act H.R.3922 - CHAMPIONING HEALTHY KIDS Act S.1850, Protecting Jessica Grubbs Legacy Act HR 3545, Opioid Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coorindated systems created by 42 CFR Part 2 Responding to Congressional Inquiries to Industry regarding America's opioid response Marketplace Stabilization Consolidated Appropriations Act, 2018 S.1835 - Lower Premiums Through Reinsurance Act of 2017 Short-Term, Limited-Duration Insurance
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2017 · fourth_quarter · Q4
Affordable Care Act implementation with respect to safety net health plans Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Network adequacy Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.Con.Res.3, related to Health Insurance Exchanges Cost sharing reductions (CSR) S. 1354, Individual Health Insurance Marketplace Improvement Act AINS, Graham-Cassidy Tax Cuts and Jobs Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 Alexander/Murray S. 1827, the KIDS Act H.R.3921 -- HEALTHY KIDS Act H.R.3922 - CHAMPIONING HEALTHY KIDS Act
Impact on federal entitlement spending inH.R.1Tax Cuts and Jobs Act of 2017 Impact on elimination of Medical Expense deduction in H.R.1 Impact on elimination of deductability of SALT in H.R.1
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2017 · third_quarter · Q3
Health provisions of budget proposals Protecting Medicaid from reductions made during budget reconciliation H.R.1628, American Health Care Act AINS, Graham-Cassidy AINS, Better Care Reconciliation Act
Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Network adequacy Protecting Medicaid from reductions made during budget reconciliation Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Home and community based services Impact of enhanced state flexibility in managing Medicaid programs H.R.1628, American Health Care Act AINS, Better Care Reconciliation Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) S.870, the CHRONIC Care Act Impact of Medicaid cuts in Graham-Cassidy Budget Alternative H.R.3168 re. Medicare Advantage D-SNP reauthorization
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2017 · second_quarter · Q2
Health provisions of budget proposals; Protecting Medicaid from reductions made during budget reconciliation; H.R.1628, American Health Care Act; AINS, Better Care Reconciliation Act
340B drug discount program Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles High cost specialty medications Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Mental Health Parity Network adequacy Protecting Medicaid from reductions made during budget reconciliation Provider Directories Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Home and community based services Impact of enhanced state flexibility in managing Medicaid programs S.Con.Res.3, related to Medicaid H.R.1628, American Health Care Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) AINS, Better Care Reconciliation Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) S.870, the CHRONIC Care Act H.R.3168 re. Medicare Advantage D-SNP reauthorization
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2017 · first_quarter · 1A
Health provisions of budget proposals; Protecting Medicaid from reductions made during budget reconciliation; H.R.1628, American Health Care Act
340B drug discount program Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Fraud, waste, and abuse issues for Medicare and Medicaid High cost specialty medications Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Mental Health Parity Network adequacy Protecting Medicaid from reductions made during budget reconciliation Provider Directories Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Generic medications Home and community based services Impact of enhanced state flexibility in managing Medicaid programs Marketing rule consistency across Medicaid and the Exchange Medicaid eligibility programs including TMA and QI Medicaid managed care external quality review standards Medicaid PCP rate increase Medical loss ratio for Medicaid managed care plans Psychotropic medication use among foster care children S.Con.Res.3, related to Medicaid H.R.1628, American Health Care Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2)
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2017 · first_quarter · Q1
340B drug discount program Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Fraud, waste, and abuse issues for Medicare and Medicaid High cost specialty medications Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Mental Health Parity Network adequacy Protecting Medicaid from reductions made during budget reconciliation Provider Directories Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Generic medications Home and community based services Impact of enhanced state flexibility in managing Medicaid programs Marketing rule consistency across Medicaid and the Exchange Medicaid eligibility programs including TMA and QI Medicaid managed care external quality review standards Medicaid PCP rate increase Medical loss ratio for Medicaid managed care plans Psychotropic medication use among foster care children S.Con.Res.3, related to Medicaid H.R.1628, American Health Care Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2)
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2016 · fourth_quarter · 4A
Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; Capped Medicaid Funding Proposals; H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2016 · fourth_quarter · Q4
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; Mental Health Issues and Legislation; Network adequacy; Risk adjustment; Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2); Strategies to address substance use disorders; Health insurance providers fee; Marketing rule consistency across Medicaid and the Exchange
Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; Capped Medicaid Funding Proposals; H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2016 · third_quarter · Q3
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; Mental Health Issues and Legislation; Network adequacy; Risk adjustment; Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2); Strategies to address substance use disorders; Health insurance providers fee; Marketing rule consistency across Medicaid and the Exchange
Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; Medicaid state financing mechanisms; Capped Medicaid Funding Proposals; CHIP funding extension; Impact of enhanced state flexibility in managing Medicaid programs; Marketing rule consistency across Medicaid and the Exchange; H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016
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2016 · second_quarter · Q2
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; Mental Health Issues and Legislation; Network adequacy; Risk adjustment; Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2); Strategies to address substance use disorders; Marketing rule consistency across Medicaid and the Exchange
Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Mental Health Parity; Network adequacy; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; H.R. 4588, Incentivizing Medicaid Expansion Act of 2016; Amendment to S. Con. Res. 11 Regarding Continuous Eligibility in Medicaid; Capped Medicaid Funding Proposals; H.R.3716/S.2669 regarding prohibiting federal payment under Medicaid for nonemergency services furnished by providers whose participation in Medicaid, Medicare, or CHIP has been terminated; H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016
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2016 · first_quarter · Q1
340B drug discount program; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 3821, Medicaid Directory of Caregivers Act; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid Provider Payments; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Provider Directories; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; H.R. 4588, Incentivizing Medicaid Expansion Act of 2016; Medicaid expansion activities; Medicaid state financing mechanisms
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2015 · fourth_quarter · Q4
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; Health insurance providers fee; Marketplace Quality Reporting System; Mental Health Issues and Legislation; Network adequacy; Risk adjustment; Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2)
Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Generic medications; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 3821, Medicaid Directory of Caregivers Act; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Home and community based services; Impact of enhanced state flexibility in managing Medicaid programs; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid Provider Payments; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Issues and Legislation; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Provider Directories; Psychotropic medication use among foster care children; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs
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2015 · third_quarter · Q3
"State of Medicaid" Congressional briefing and related advocacy and policy documents; 50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. ___, Medicaid Directory of Caregivers Act; H.R. 2582, Seniors' Health Care Plan Protection Act of 2015; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Marketing rule consistency across Medicaid and the Exchange; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care external quality review standards; Medicaid managed care regulations; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Issues and Legislation; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Provider Directories; Psychotropic medication use among foster care children; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2104, Preserving Medicare Advantage for all Medicare Beneficiaries Act of 2015; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs
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2015 · second_quarter · Q2
Health insurance providers fee
Health provisions of budget proposals; Protecting Medicaid from reductions made during budget reconciliation
Affordable Care Act implementation with respect to safety net health plans; Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; Health insurance providers fee; Network adequacy; Risk adjustment
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2015 · first_quarter · Q1
Actuarial soundness; Amendment to S.Con.Res.11 regarding continuous enrollment in Medicaid; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Marketing rule consistency across Medicaid and the Exchange; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Network adequacy; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; S. 737, Ensuring Access to Primary Care for Women & Children Act; SNP reauthorization
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2014 · fourth_quarter · Q4
Health plan excise tax; Safety net health plan exclusion from health insurer excise tax
Continuous eligibility, coordination between exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal); Affordable Care Act and implementation with respect to safety net health plans; Health plan excise tax; Safety net health plans participating in exchange; Implementation of the FFM; Risk adjustment; Marketing rule consistency across Medicaid and the exchange; Network adequacy
Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects ; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program, roll-out issues of duals demo and MMP plans; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization; Medicaid managed care best practices; Network adequacy
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2014 · third_quarter · Q3
Health plan excise tax; Safety net health plan exclusion from health insurer excise tax
Protecting Medicaid from reductions made during FY 2015 reconciliation
Continuous eligibility, coordination between exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal); Affordable Care Act and implementation with respect to safety net health plans; Implementing BHP; Health plan excise tax; Safety net health plans participating in exchange; Implementation of the FFM; Risk adjustment
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2014 · second_quarter · Q2
Health plan excise tax; Safety net health plan exclusion from health insurer excise tax
Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles;Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; EQR standards; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; TMA program and continuous enrollment; CHIP Reauthorization; H.R. 4484; Medicaid Quality Measurement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; High cost specialty medications
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2014 · first_quarter · Q1
Continuous eligibility, coordination between exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal); Affordable Care Act and implementation with respect to safety net health plans; Safety net health plans participating in exchange; Implementation of the FFM; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Risk adjustment; Marketing rule consistency across Medicaid and the exchange
Health plan excise tax; Safety net health plan exclusion from health insurer excise tax
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2014 · first_quarter · Q1
Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPsRegulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans; S. 1980; Medicaid extender provisions in Medicare Sustainable Growth Reform legislation; Home and Community Based Services; CHIP Reauthorization
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2013 · fourth_quarter · Q4
Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPs;Regulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Safety net health plan loan guarantee - reserve and solvency; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment
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2013 · third_quarter · Q3
Health Plan Excise Tax, Maintaining Safety Net Health Plan exclusion from health insurer excise tax
Support for legislative solution to address "churning" in Medicaid/CHIP eligibility and to improve quality measurement in both programs, Promote HR 1698, Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts, Promoting Expanding Medicaid Managed care for Duals, Opposition to significant budget cuts in Medicaid, Consideration of Coordinated Care Alternatives for Dual eligibles, Legislation establishing MLR for Medicaid Managed Care Plans,Modification of payment systems for MA/SNPs, Requested the regulatory and systematic impact of Medicaid continuous coverage, Promoted marketing rule consistency across Medicaid and the Exchange, Promoting counter-cyclical federal financing of Medicaid in economic downturns, Medicaid Health Plans serving as qualified Health plans in the Exchange, SNP Reauthorization, Promoted integrated care options for dual eligibles, Advocated for appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects, Advocated for Medicaid reforms related to dual eligibles and other populations to MACPAC and MedPAC, Actuarial Soundness, Promoting education on dual eligible demonstration projects, PCP Payment Increase, Advocated for best practices to support mental and behavioral health treatment in Medicaid and Medicare, Promoted SNHP Loan Guarantee- Reserve and Solvency, Risk Adjustment, Consulted with members of congress concerning Federalization for Dual eligibles, Provided advice on Medicaid eligibility for newborns, "State of Medicaid" Congressional Briefing and related advocacy and policy documents
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2013 · second_quarter · Q2
Support for legislative solution to address "churning" in Medicaid/CHIP eligibility and to improve quality measurement in both programs; Promote HR 1698; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expanding Medicaid Managed Care for Duals; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care for Dual eligibles; Comments on legislation regarding generics medication in Medicaid;Modification of payment systems for MA/SNPs; Requested the regulatory and systematic impact of Medicaid continuous coverage; Promoted marketing rule consistency across Medicaid and the Exchange; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid health plans serving as Qualified Health Plans in the Exchange; SNP reauthorization; Promoted integrated care options for dual eligibles; Advocated for Medicaid reforms related to dual eligibles and other populations to MACPAC and MedPAC; Actuarial Soundness; Promoting education on dual eligible demonstration projects; PCP payment increase; Advocated for appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2013 · first_quarter · Q1
Promoted SNHP Loan Guarantee- Reserve and Solvency, Risk Adjustment, Consulted with members of Congress concerning federalization for dual eligibles, Advocated for continuous eligibility, coordination between Exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal), Promoting the issuance of timely regulations regarding the implementation of Basic Health Program, Support for Affordable Care Act and implementation re: Safety Net Health Plans,Implementing BHP, Health Plan Excise Tax, Safety Net Plans participating in Exchange, Made recommendations regarding the implementation of the FFE, Promoted marketing rule consistency across Medicaid and the Exchange
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid, Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts, Promoting Expanding Medicaid Managed care for Duals, Opposition to significant budget cuts in Medicaid, Consideration of Coordinated Care Alternatives for Dual eligibles, Comments on Legislation regarding Generics medication in Medicaid, Opposition on Medicaid block grants to states,Promoted marketing rule consistency across Medicaid and the Exchange, Medicaid Health Plans serving as qualified Health plans in the Exchange, SNP Reauthorization, Consulted on integrated care options for dual eligibles, Advocated for Medicaid reforms related to dual eligibles and other populations to MACPAC and MedPAC, Support continued ability for states to finance Medicaid using provider taxes, Actuarial Soundness, Promoting education on dual eligible demonstration projects, PCP Payment Increase
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2012 · fourth_quarter · Q4
Health Plan Excise Tax
Advocated to exclude Medicaid reductions from Fiscal Cliff negotiations; FY2013 Budget
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting Expanding Medicaid Managed care for Duals; Opposition to repealing MOE; Opposition to significant budget cuts in Medicaid; Consideration of Coordinated Care Alternatives for Dual eligibles; Opposition on Medicaid block grants to states; Modification of payment systems for MA/SNPs; Requested the regulatory and systematic impact of Medicaid continuous coverage; Promoted marketing rule consistency across Medicaid and the Exchange; SNP Reauthorization; Consulted integrated care options for dual eligibles; Advocated for Medicaid reforms related to dual eligibles and other populations to MacPAC; Support continued ability for states to finance Medicaid using provider taxes; Actuarial Soundness; Consulted with Members of Congress concerning per capita cap bill in Medicaid program; PCP payment increase;
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2012 · third_quarter · Q3
Support for the Affordable Care Act and implementation related to safety net health plans; Safety net plan participation in health insurance exchanges; Promoting the issuance of timely regulations regarding the implementation of Basic Health Program; issues related to Excise Tax; Solicited Guidance and made recommendations with respect to Supreme Court Decision on the ACA.
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid Health Plans serving as qualified Health plans in the Exchange; Reauthorization of the Medicare Advantage Special Needs Plans program; Promoted Support of HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011 and HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; actuarial soundess; Consulted with members of congress concerning per capita cap bill in Medicaid program; PCP Payment Increase; Promoted Safety Net Health Plan Loan Guarantee; Risk Adjustment; Consulted concerning integrated care options for dual eligibles; "State of Medicaid" Congressional Briefing and related advocacy and policy document.
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2012 · second_quarter · Q2
Support for the Affordable Care Act and implementation related to safety net health plans; Safety net plan participation in health insurance exchanges; Promoting the issuance of timely regulations regarding the implementation of Basic Health Program; issues related to Excise Tax; Solicited Guidance and made recommendations with respect to Supreme Court Decision on the ACA.
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid Health Plans serving as qualified Health plans in the Exchange; Reauthorization of the Medicare Advantage Special Needs Plans program; Promoted Support of HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011 and HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; actuarial soundess; Consulted with members of congress concerning per capita cap bill in Medicaid program; EQR Standards; Provided advice on Medicaid eligibility for newborns; PCP Payment Increase; Promoted Safety Net Health Plan Loan Guarantee; Risk Adjustment; Provided recommendations on Waste, Fraud, Abuse issues for Medicare and Medicaid; Consulted concerning integrated care options for dual eligibles.
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2012 · first_quarter · Q1
Support for the Affordable Care Act and implementation related to safety net health plans; Safety net plan participation in health insurance exchanges; Promoting the issuance of timely regulations regarding the implementation of Basic Health Program; issues related to Excise Tax;
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Enhanced state flexibility in managing Medicaid programs; Comments on legislation promoting the use of generic medications in Medicaid; Modification of payment systems for Medicare Advantage Special Needs Plans; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Reauthorization of the Medicare Advantage Special Needs Plans program; HR 669- The Ensuring Continuous Medicaid Coverage for Children Act of 2011; HR 671- The Ensuring Continuous Coverage under SCHIP Act of 2011; Health Homes; Medicaid Health Plans serving as qualified Health plans in the Exchange; actuarial soundess; Consulted with member of congress concerning medicaid state plan amendment authority for integrated care options for dual eligibles. Advocated for Medicaid reforms related to dual eligibles and other populations to MacPAC (note: agency is not available in drop-down list under section 17).
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2011 · third_quarter · 3A
Modifications of Medicare/Medicaid before the Joint Select Committee on Deficit Reduction.
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposite to repeal of the Medicaid maintenance of effort requirement; Opposite to significant budget cuts in Medicaid; Consideration of coordianted care alternatives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Promoting Medicare and Medicaid modifications to the Joint Select Committee on Deficit Reduction; Enhanced State Flexibility in managing Medicaid programs; Comments on legislation promoting the use of generic medications in Medicaid; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; actuarial soundness.
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2011 · fourth_quarter · Q4
Support for the Affordable Care Act and implementation related to safety net health plans; Implementation of the Basic Health Plan; Safety net plan participation in health insurance exchanges
Modifications of Medicare/Medicaid before the Joint Select Committee on Deficit Reduction
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to repeal of the Medicaid maintenance of effort requirement; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Promoting Medicare and Medicaid modifications to the Joint Select Committee on Deficit Reduction; Enhanced state flexibility in managing Medicaid programs; Comments on legislation promoting the use of generic medications in Medicaid; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; actuarial soundness; Promoting counter-cyclical federal financing of Medicaid in economic downturns; Medicaid health plans serving as qualified health plans in Health Exchanges, SNP reauthorization, Consulted with Members of Congress concerning Medicaid State Plan Amendment authority for integrated care options for dual eligibles.
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2011 · third_quarter · Q3
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to repeal of the Medicaid maintenance of effort requirement; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alternatives for dual eligibles; Legislation Establishing Medical Loss Ratios for Medicaid Managed Care Plans; Promoting Medicare and Medicaid modifications to the Joint Select Committee on Deficit Reduction; Enhanced state flexibility in managing Medicaid programs; Comments on legislation promoting the use of generic medications in Medicaid; Opposition to Medicaid block grants to states; Modification of payment systems for Medicare Advantage Special Needs Plans; actuarial soundness.
Modifications of Medicare/Medicaid before the Joint Select Committee on Deficit Reduction.
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2011 · second_quarter · Q2
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to repeal of the Medicaid maintenance of effort requirement; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles.
Support for the Affordable Care Act and implementation related to safety net health plans; Implementation of the Basic Health Plan; Safety net plan participation in health insurance exchanges.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2011 · second_quarter · Q2
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of managed care for dually eligible populations; Opposition to repeal of the Medicaid maintenance of effort requirement; Opposition to significant budget cuts in Medicaid; Consideration of coordinated care alterantives for dual eligibles.
Support for the Affordable Care Act and implementation related to safety net health plans; Implementation of the Basic Health Plan; Safety net plan participation in health insurance exchanges.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2011 · first_quarter · Q1
Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Support for improving the coordination of Medicare and Medicaid benefits for dual eligibles
Support for the Affordable Care Act and implementation related to safety net health plans; Implementation of the Basic Health Plan; Safety net plan participation in health insurance exchanges; Safety net plan participation in the Consumer Operated and Oriented Plan
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2010 · second_quarter · 2A
Support for long-term reauthorization of the Medicare Advantage Special Needs Plan Program; Support for addressing problems with the Medicare Advantage risk adjustment system for certain special needs plans; Support for improving the coordination of Medicare and Medicaid benefits for dual eligibles; Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measures in Medicaid; Extension of ARRA's Medicaid FMAP provisions. Implementation of the drug rebate to Medicaid managed care companies; Waier reviews process; Upper poverty limit; Actuarial soundness.
Exempting government contracting plans from the health insurance fee in HR 3950; Exempting safety net health plans from health insurance fee in HR 3950.
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2010 · second_quarter · Q2
Support for long-term reauthorization of the Medicare Advantage Special Needs Plan Program; Support for addressing problems with the Medicare Advantage risk adjustment system for certain special needs plans; Support for improving the coordination of Medicare and Medicaid benefits for dual eligibles; Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Extension of ARRA's Medicaid FMAP provisions; Implemenation of the drug rebate to Medicaid managed care companies; Waiver review process; Upper poverty limit; Actuarial soundness
Support for the Affordable Care Act and implementation related to safety net health plans
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2010 · first_quarter · Q1
Exempting government contracting plans from the health insurance fee in H.R.3950; Exempting safety net health plans from health insurance fee in H.R.3950
Support for expansion of Medicaid and SCHIP as part of comprehensive health reform legislation; Establishing Standards for Health Plans Serving Low-Income Beneficiaries in a Health Insurance Exchange; Addressing the appropriateness of health plan choices for people newly covered under health coverage expansions; Support for providing access to expanded coverage through safety net health plans; Inclusion of statutory definition of Safety Net Health Plan; cont'd Establishment of standards and criteria for a Public Health Insurance Option
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2009 · fourth_quarter · Q4
Support for expansion of Medicaid and SCHIP as part of comprehensive health reform legislation; Establishing Standards for Health Plans Serving Low-Income Beneficiaries in a Health Insurance Exchange; Addressing the appropriateness of health plan choices for people newly covered under health coverage expansions; Support for providing access to expanded coverage through safety net health plans; Inclusion of statutory definition of Safety Net Health Plan; cont'd Establishment of standards and criteria for a Public Health Insurance Option; Exempting safety net health plans/government contracting plans from the application of a fee on health insurers
Drug Rebate Equalization Act (H.R.904/S.547); Support for long-term reauthorization of the Medicare Advantage Special Needs Plan Program; Support for addressing problems with the Medicare Advantage risk adjustment system for certain special needs plans; Support for improving the coordination of Medicare and Medicaid benefits for dual eligibles; cont'd Support for expansion of Medicaid and CHIP as part of comprehensive health reform legislation; Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Opposing the inclusion of Medicaid beneficiaries in a health insurance exchange; General Medicare and Medicaid policy changes proposed under Senate Finance Committee health reform; Support for equalizing the Medicaid drug rebate between Medicaid fee-for-service and Medicaid managed care (House and Senate health reform legislation, Section 1843 of House legislation); Medicare and Medicaid provisions of H.R.3200; Extending 340B protections under House and Senate health reform legislation; Medicaid Continuous Quality Act, Improving the continuity and quality of Medicaid coverage; Reform out-of-network Medicaid managed care payment policy; Legislative issues regarding extending the Medicaid MCO provider tax
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2009 · third_quarter · Q3
Support for expansion of Medicaid and SCHIP as part of comprehensive health reform legislation; Establishing Standards for Health Plans Serving Low-Income Beneficiaries in a Health Insurance Exchange; Addressing the appropriateness of health plan choices for people newly covered under health coverage expansions; Support for providing access to expanded coverage through safety net health plans; Inclusion of statutory definition of Safety Net Health Plan; cont'd Establishment of standards and criteria for a Public Health Insurance Option
Drug Rebate Equalization Act (H.R.904/S.547); Support for long-term reauthorization of the Medicare Advantage Special Needs Plan Program; Support for addressing problems with the Medicare Advantage risk adjustment system for certain special needs plans; Support for improving the coordination of Medicare and Medicaid benefits for dual eligibles; cont'd Support for expansion of Medicaid and CHIP as part of comprehensive health reform legislation; Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Opposing the inclusion of Medicaid beneficiaries in a health insurance exchange; General Medicare and Medicaid policy changes proposed under Senate Finance Committee health reform; Support for equalizing the Medicaid drug rebate between Medicaid fee-for-service and Medicaid managed care (House and Senate health reform legislation, Section 1843 of House legislation); Medicare and Medicaid provisions of H.R.3200; Extending 340B protections under House and Senate health reform legislation; Reform out-of-network Medicaid managed care payment policy; Legislative issues regarding extending the Medicaid MCO provider tax
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2009 · second_quarter · Q2
Support for expansion of Medicaid and SCHIP as part of comprehensive health reform legislation; Establishing Standards for Health Plans Serving Low-Income Beneficiaries in a Health Insurance Exchange; Addressing the appropriateness of health plan choices for people newly covered under health coverage expansions; Support for providing access to expanded coverage through safety net health plans; Inclusion of statutory definition of Safety Net Health Plan; cont'd Establishment of standards and criteria for a Public Health Insurance Option
Drug Rebate Equalization Act (H.R.904/S.547); Support for long-term reauthorization of the Medicare Advantage Special Needs Plan Program; Support for addressing problems with the Medicare Advantage risk adjustment system for certain special needs plans; Support for improving the coordination of Medicare and Medicaid benefits for dual eligibles; cont'd Support for expansion of Medicaid and SCHIP as part of comprehensive health reform legislation; Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Opposing the inclusion of Medicaid beneficiaries in a health insurance exchange; General Medicare and Medicaid policy changes proposed under Senate Finance Committee health reform; Support for equalizing the Medicaid drug rebate between Medicaid fee-for-service and Medicaid managed care (House and Senate health reform legislation, Section 1843 of House legislation); Legislative issues regarding extending the Medicaid MCO provider tax
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2009 · first_quarter · Q1
Support for providing budgetary offsets by equalizing the Medicaid drug rebate for Medicaid fee-for-service and managed care
Support for providing funding for health information technology to safety net health plans as part of economic stimulus package (H.R. 1); Support for expansion of Medcaid, Medicare and SCHIP as part of comprehensive health reform legislation; Support for addressing the appropriateness of health plan choices for people newly covered under health coverage expansions; Support for providing access to expanded coverage through safety net helth plans; Inclusion of statutory definition of Safety Net Health Plan
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2008 · fourth_quarter · Q4
Securing participation of Safety Net Health Plans in Congressional health IT efforts Discussion of the role of Safety Net Health Plans in comprehensive health care reform proposals Statutory definition of Safety Net Health Plans
Drug Rebate Equalization Act (H.R. 3041/S. 1589) Support for long-term reauthorization of the Medicare Advantage Special Needs Plan Program Support for increasing the Federal Medicaid Matching Rates as part of economic stimulus package
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2008 · third_quarter · Q3
Securing Participation of Safety Net Health Plans in Congressional Health IT efforts (H.R. 6357) Discussion of the Role of Safety Net Health Plans in Comprehensive Health Care Reform Proposals Statutory definition of Safety Net Health Plans
Drug Rebate Equalization Act (H.R. 3041/S. 1589) Enacting moratoria on Medicaid regulations issued by CMS since August 2007 (H.R. 5613; H.R. 2642; S. 2819) Reauthorizing the Medicare Advantage Special Needs Plan Program (H.R. 6331; H.R. 6212; S. 3101) Discussion of payment appropriate to the risk of the enrollee in Medicare Advantage Continuous Eligibility Issues for Medicaid Beneficiaries in Managed Care Support for increasing the Federal Medicaid Matching Rates as part of economic stimulus package
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2008 · second_quarter · Q2
Drug Rebate Equalization Act (H.R.3041/S.1589) Enacting moratoria on Medicaid regulations issued by CMS since August 2007 (H.R.5613; H.R. 2642; S.2819) Reauthorizing the Medicare Advantage Special Needs Plan Program (H.R.6331; H.R.6212; S.3101)
Securing Participation of Safety Net Health Plans in Congressional Health IT efforts (H.R. 6357)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2008 · first_quarter · Q1
HR3041/S.1585, the Drug Rebate Equalization Act HR 5613, the Medicaid Safety Net Protection Act Establishing standards for MA Special Needs Plans Extending the Medicaid Drug Rebate to Medicaid health plans
Health Information Technology (S.1693) -- ensuring safety net health plans included in Health IT opportunities Health Disparties (S.1596) -- ensuring safety net health plans included in health disparities opportunities
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2007 · year_end · YY
Health Information Technology (S.1693) -- ensuring safety net health plans included in health information technology opportunities Health Disparities (S.1596) -- ensuring safety net health plans included in health disparities opportunities Federal recognition of Medicaid-focused health plans as federal health safety net organizations (S.1893)
Extension of Medicaid drug rebate to Medicaid health plans (S.1589, H.R.3041, H.R.976, H.R.3963, S.2499); Reauthorization and Creation of Standards for Medicare Advantage Special Needs Plans (H.R.3162, S.1893, S.2499); Reauthorization of SCHIP program (H.R.3162, S.1893); Addressing Deficit Reduction Act Technical Corrections (H.R.3162, S.1893); General Medicaid, Medicare, and SCHIP Funding and Policy Changes; Creation of a Chronic Care SNP Demonstration (H.R.3162, S.2499)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2007 · mid_year · MM
Addressing Deficit Reduction Act Technical Corrections (CHAMP Act; S.1893) General Medicaid Funding and Policy Changes Extension of Medicaid Drug Rebate to Medicaid Health Plans (Drug Rebate Equalization Act, S.1589, H.R.3041; CHAMP Act (no bill number yet); S.1893) Reauthorization and Creation of Standards for MedicareAdvantage Special Needs Plans (CHAMP Act; S.1893) Reauthorization of the SCHIP program (CHAMP Act, S.1893)
Health Information Technology (S.1693) -- ensuring safety net health plans included in health information technology opportunities Health Disparities (S.1576) -- ensuring safety net health plans included in health disparities opportunities Federal recognition of Medicaid-focused health plans as federal health safety net organizations (S.1893)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS via ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
2006 · year_end · YY
Drug Rebate SCHIP Program (reauthorization, reallocation of unspent funds, funding) General Medicaid Funding and Policy Changes Integration of Medicare and Medicaid for Dual Eligibles in Medicare Advantage H.R.1815, the Medicaid Health Plan Rebate Act Safety Net Plans Facilitated Enrollment Implementation of Deficit Reduction Act Federal Enforcement of Medicaid Actuarial Soundness Requirements National Collection of HEDIS Data for Medicaid Health Plans Medicaid Provider Taxes
Health Information Technology Legislation (S.1418, H.R.4157) Health Disparities Legislation (S.4024) Health Access Networks (S.3819)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Including legislation to address 42 CFR Part 2 Reform in HR 1865 H.R.1865 - Further Consolidated Appropriations Act, 2020 Including legislation to require adult core quality reporting in Medicaid
SNP sustainability and improvements to MMPs S. 1012, Protecting Jessica Grubb's Legacy Act Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Impact of significant budget cuts in Medicaid Medicaid Provider Payments Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office
Affordable Care Act implementation with respect to safety net health plans Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Network adequacy Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1850, Protecting Jessica Grubbs Legacy Act The Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Responding to Congressional Inquiries to Industry regarding America's opioid response Marketplace Stabilization H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act Senate amendment in the nature of a substitute to H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act Association Health Plans Short-term, limited-duration insurance S.J.Res.63, Congressional Disapproval relating to short-term, limited-duration insurance. Reducing Costs for Out-of-Network Services Act of 2018
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office
Health provisions of budget proposals H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) S.1892, Bipartisan Budget Act
S. 1850 - Protecting Jessica Grubb's Legacy Act HR 3545 - Overdose Prevention and Patient Safety Act (OPPS Act) S 581 - Jessie's Law Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Impact of enhanced state flexibility in managing Medicaid programs Medicaid PCP rate increase Medical loss ratio for Medicaid managed care plans Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) H.R.3168 re. Medicare Advantage D-SNP reauthorization S. 1827, the KIDS Act H.R.3921 -- HEALTHY KIDS Act H.R.3922 - CHAMPIONING HEALTHY KIDS ACT CHIP funding extension in H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) CHIP funding extension in S.1892, Bipartisan Budget Act Inclusion of Permanent reauthorization and policy changes for MA Dual Special Needs Plans programs in H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) Implications on Safety Net Health Plans in S 2001, State Public Option Act Inclusion of Permanent reauthorization and policy changes for MA Dual Speical Needs Plans programs in in S.1892, Bipartisan Budget Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office
Health provisions of budget proposals AINS, Graham-Cassidy Tax Cuts and Jobs Act of 2017
S. 1850 - Protecting Jessica Grubb's Legacy Act HR 3545 - Overdose Prevention and Patient Safety Act (OPPS Act) S 581 - Jessie's Law Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Network adequacy Protecting Medicaid from reductions made during budget reconciliation Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Impact of enhanced state flexibility in managing Medicaid programs Medical loss ratio for Medicaid managed care plans Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) S.870, the CHRONIC Care Act Impact of Medicaid cuts in Graham-Cassidy Budget Alternative H.R.3168 re. Medicare Advantage D-SNP reauthorization Tax Cuts and Jobs Act of 2017 Impact on elimination of Medical Expense deduction on Medicaid beneficiaries in H.R.1 Impact on elimination of deductability of SALT on cuts in Medicaid under H.R.1 S. 1827, the KIDS Act H.R.3921 -- HEALTHY KIDS Act H.R.3922 - CHAMPIONING HEALTHY KIDS AcT
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office
Affordable Care Act implementation with respect to safety net health plans Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Federally Facilitated Marketplace implementation Network adequacy Risk adjustment Strategies to address substance use disorders Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.Con.Res.3, related to Health Insurance Exchanges H.R.1628, American Health Care Act Cost sharing reductions (CSR) S. 1354, Individual Health Insurance Marketplace Improvement Act AINS, Graham-Cassidy AINS Better Care Reconciliation Act
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; Network adequacy; Risk adjustment; Strategies to address substance use disorders; Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace; Basic Health Program; Health insurance providers fee; S.Con.Res.3, related to Health Insurance Exchanges; H.R.1628, American Health Care Act; Cost sharing reductions (CSR); S. 1354, Individual Health Insurance Marketplace Improvement Act; AINS Better Care Reconciliation Act
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; Network adequacy; Risk adjustment; Strategies to address substance use disorders; Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace; Basic Health Program; Health insurance providers fee; S.Con.Res.3, related to Health Insurance Exchanges; H.R.1628, American Health Care Act; Cost sharing reductions (CSR); Marketing rule consistency across Medicaid and the Exchange
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office
Health provisions of budget proposals; Protecting Medicaid from reductions made during budget reconciliation; H.R.1628, American Health Care Act
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; Network adequacy; Risk adjustment; Strategies to address substance use disorders; Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace; Basic Health Program; Health insurance providers fee; S.Con.Res.3, related to Health Insurance Exchanges; H.R.1628, American Health Care Act; Cost sharing reductions (CSR); Marketing rule consistency across Medicaid and the Exchange
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; Mental Health Issues and Legislation; Network adequacy; Risk adjustment; Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2); Strategies to address substance use disorders; Health insurance providers fee; Marketing rule consistency across Medicaid and the Exchange
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
Filing targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; Marketplace Quality Reporting System; Mental Health Issues and Legislation; Network adequacy; Risk adjustment; Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2); Strategies to address substance use disorders
Health provisions of budget proposals; Protecting Medicaid from reductions made during budget reconciliation
Filing targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)
Health provisions of budget proposals; Protecting Medicaid from reductions made during budget reconciliation
Health insurance providers fee
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; Mental Health Issues and Legislation; Network adequacy; Risk adjustment
Health provisions of budget proposals; Protecting Medicaid from reductions made during budget reconciliation
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 2505, Medicare Advantage Coverage Transparency Act of 2015; H.R. 2506, Seniors' Health Care Plan Protection Act of 2015; H.R. 2507, Increasing Regulatory Fairness Act of 2015; H.R. 2579, Securing Care for Seniors Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid eligibility programs including TMA and QI; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
Health provisions of budget proposals
Health insurance providers fee
Affordable Care Act implementation with respect to safety net health plans; Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; Health insurance providers fee; Marketing rule consistency across Medicaid and the Exchange; Network adequacy; Risk adjustment
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; S. 2491; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of
Continuous eligibility, coordination between exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal); Issuance of timely regulations regarding the implementation of Basic Health Program; Affordable Care Act and implementation with respect to safety net health plans; Implementing BHP; Safety net health plans participating in exchange; Implementation of the FFM; Risk adjustment; Marketing rule consistency across Medicaid and the exchange
Protecting Medicaid from reductions made during FY 2015 reconciliation
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE
Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPsRegulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans; S. 1980; Medicaid extender provisions in Medicare Sustainable Growth Reform legislation; Home and Community Based Services; CHIP Reauthorization
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
Health plan excise tax; Safety net health plan exclusion from health insurer excise tax
Continuous eligibility, coordination between exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal); Affordable Care Act and implementation with respect to safety net health plans; Safety net health plans participating in exchange; Implementation of the FFM; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Risk adjustment; Marketing rule consistency across Medicaid and the exchange
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
Continuous eligibility, coordination between exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal); Issuance of timely regulations regarding the implementation of Basic Health Program; Affordable Care Act and implementation with respect to safety net health plans; Implementing BHP; Health plan excise tax; Safety net health plans participating in exchange; Implementation of the FFM;Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Safety net health plan loan guarantee - reserve and solvency; Marketing rule consistency across Medicaid and the exchange
Health plan excise tax; Safety net health plan exclusion from health insurer excise tax
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), SENATE, Treasury, Dept of
Advocated for continuous eligibility, coordination between exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal), Promoting the issuance of timely regulations regarding the implementation of Basic Health Program, Support for Affordable Care Act and implementation re: Safety Net Health plan, Implementing BHP, Health Plan Excise Tax, Safety Net Health Plans participating in Exchange, Made recommendations regarding the implementation of the FFE,Medicare Sustainable Growth Rate Reform, Offsets with respect to Sustainable Growth Rate reform, Promoted marketing rule consistency across Medicaid and the Exchange, Promoted SNHP Loan Guarantee- Reserve and Solvency, Risk Adjustment
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Health Plan Excise Tax
Promoted SNHP loan guarantee - reserve and solvency; Risk adjustment; Consulted with members of Congress concerning federalization for Dual Eligibles; Advocated for continuous eligibility, coordination between Exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge proposal); Provided advice on Medicaid eligibility for newborns; "State of Medicaid" Congressional briefing and related advocacy and policy documents;Promoting the issuance of timely regulations regarding the implementation of Basic Health Program; Support for Affordable Care Act and implementation re: Safety Net health plan; Implementing BHP; Health Plan Excise Tax; Safety Net Plans participating in the Exchange; Made recommendations regarding the implementation of the FFE; Medicare Sustainable Growth Rate reform, offsets with respect to Sustainable Growth Rate reform; Promoted marketing rule consistency across Medicaid and the Exchange
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Medicaid Health Plans serving as Qualified Health plans in the Exchange; Promoted SNHP Loan Guarantee- Reserve and Solvency; Risk Adjustment; Advocated for continuous eligibility, coordination between Exchange and Medicaid programs to support continuous care (e.g. BHP, Bridge Proposal); Promoting the issuance of timely regulations regarding the implementation of Basic Health Program; Support for Affordable Care Act and implementation re: Safety Net Health Plan; Implementing BHP; Health Plan Excise Tax; Safety Net Plans participating in Exchange; Made recommendations regarding the implementation of the FFE; Promoted marketing rule consistency across Medicaid and the Exchange;
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
FY 2013 Budget
Filing targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office
Support for the Affordable Care Act and implementation related to safety net health plans; Implementation of the Basic Health Plan; Safety net plan participation in health insurance exchanges.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Support for the Affordable Care Act and implementation related to safety net health plans; Implementation of the Basic Health Plan; Safety net plan participation in health insurance exchanges.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Support for Affordable Care Act and implementation related to safety net health plans.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office
Exempting government contracting plans from the health insurance fee in H.R.3950; Exempting safety net health plans from health insurance fee in H.R.3950
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office
Drug Rebate Equalization Act (H.R.904/S.547); Support for long-term reauthorization of the Medicare Advantage Special Needs Plan Program; Support for addressing problems with the Medicare Advantage risk adjustment system for certain special needs plans; Support for improving the coordination of Medicare and Medicaid benefits for dual eligibles; cont'd Support for expansion of Medicaid and CHIP as part of comprehensive health reform legislation; Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Opposing the inclusion of Medicaid beneficiaries in a health insurance exchange; General Medicare and Medicaid policy changes proposed under Senate Finance Committee health reform; Support for equalizing the Medicaid drug rebate between Medicaid fee-for-service and Medicaid managed care (House and Senate health reform legislation, Section 1843 of House legislation); Medicare and Medicaid provisions of H.R.3200; Extending 340B protections under House and Senate health reform legislation; Medicaid Continuous Quality Act, Improving the continuity and quality of Medicaid coverage; Extension of expiring provisions regarding enhanced match, maintenance of effort, and prompt pay requirements under ARRA; Legislative issues regarding extending the Medicaid MCO provider tax and including the out-of-network payment policy in Health Care Reform.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office
Support for equalizing the Medicaid drug rebate between Medicaid fee-for-service and Medicaid managed care; Drug Rebate Equalization Act (H.R. 904/S 547); Reauthorization of the State Children's Health Insurace Porgram (H.R. 2); Support for increasing the Federal Medicaid Matching Rates as part of economic stimulus package (H.R. 1); Support for long-term reauthorization of the Medicare Advantage Special Needs Plan Program; cont'd Support for addressing problems with the Medicare Advantage risk adjustment system for certain special needs plans; Support for improving the coordination of Medicare and Medicaid benefits for dual eligibles; Support for expansion of Medicaid, Medicare and SCHIP as part of comprehensive health reform legislation; Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Legislative issues regarding extending the Medicaid MCO provider tax
Filing targets: HOUSE OF REPRESENTATIVES, SENATE