Reported covered position: Senior Policy Advisor; Congresswoman Diana DeGette
How to read the money
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 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
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
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
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
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
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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
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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.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
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
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
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
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
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.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
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
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
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
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
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
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.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
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
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
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
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
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
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
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. 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
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
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
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
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
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
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
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 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
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
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 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
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
‘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 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 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 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 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
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
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
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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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)
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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
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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
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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
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