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Reported covered position: Staff Assistant, Rep. Ander Crenshaw (July 2014-June 2015)
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 for a limitation on availability of funds for Department of Health and Human Services, Centers for Disease Control and Prevention Injury Prevention and Control for fiscal year 2024.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2025 · first_quarter · Q1
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Source: Senate LDA
To provide for a limitation on availability of funds for Department of Health and Human Services, Centers for Disease Control and Prevention Injury Prevention and Control for fiscal year 2024.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (118th Congress) Drug Act (H.R. 2214) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (118th Congress) Pharmacy Benefit Manager Transparency Act of 2025 (S. 526) Pharmacy Benefit Manager Reform Act (118th Congress) Patients Before Middlemen Act (S.882) Prescription Drug Transparency and Affordability Act (H.R. 2450) Pharmacists Fight Back Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
To provide for a limitation on availability of funds for Department of Health and Human Services, Centers for Disease Control and Prevention Injury Prevention and Control for fiscal year 2024.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
To provide for a limitation on availability of funds for Environmental Protection Agency, Hazardous Waste Electronic Manifest System for fiscal year 2024.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
To provide for a limitation on availability of funds for Environmental Protection Agency, Hazardous Waste Electronic Manifest System for fiscal year 2024.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
To provide for a limitation on availability of funds for Related Agencies, John F. Kennedy Center for the Performing Arts, Capital Repair and Restoration for fiscal year 2024.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (118th Congress) Drug Act (H.R. 2214) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (118th Congress) Pharmacy Benefit Manager Transparency Act of 2025 (S. 526) Pharmacy Benefit Manager Reform Act (118th Congress) Patients Before Middlemen Act (S.882) Prescription Drug Transparency and Affordability Act (H.R. 2450) Pharmacists Fight Back Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Strengthening Supply Chains Through Truck Driver Incentives Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (118th Congress) Drug Act (H.R. 2214) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (118th Congress) Pharmacy Benefit Manager Transparency Act of 2025 (S. 526) Pharmacy Benefit Manager Reform Act (118th Congress) Patients Before Middlemen Act (S.882) Prescription Drug Transparency and Affordability Act (H.R. 2450) Pharmacists Fight Back Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D.s program
For the relief of Igor Klyuchenko.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
For the relief of Igor Klyuchenko.
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Rural Broadband Protection Act of 2024
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Rural Broadband Protection Act of 2024
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (118th Congress) Drug Act (H.R. 2214) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (118th Congress) Pharmacy Benefit Manager Transparency Act of 2025 (S. 526) Pharmacy Benefit Manager Reform Act (118th Congress) Patients Before Middlemen Act (S.882) Prescription Drug Transparency and Affordability Act (H.R. 2450) Pharmacists Fight Back Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
State and Local General Sales Tax Protection Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (118th Congress) Drug Act (H.R. 2214) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (118th Congress) Pharmacy Benefit Manager Transparency Act of 2025 (S. 526) Pharmacy Benefit Manager Reform Act (118th Congress) Patients Before Middlemen Act (S.882) Prescription Drug Transparency and Affordability Act (H.R. 2450) Pharmacists Fight Back Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Biologics Competition Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Biologics Competition Act (H.R. 1790) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
National Defense Authorization Act for Fiscal Year 2024
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
National Defense Authorization Act for Fiscal Year 2024
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
Protecting Patients Against PBM Abuses Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378)
Protecting Patients Against PBM Abuses Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Biologics Competition Act (H.R. 1790) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Protecting Patients Against PBM Abuses Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Protecting Patients Against PBM Abuses Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Protecting Patients Against PBM Abuses Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Provider and Nursing Licensure
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Provider and Nursing Licensure
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Provider and Nursing Licensure
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Veteran Care Improvement Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Provider and Nursing Licensure
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Fairness in Medicare Part B Enrollment Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Fairness in Medicare Savings Program Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Medicare Advantage Integrity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Provider and Nursing Licensure
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Provider and Nursing Licensure
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Biologics Competition Act (H.R. 1790) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378)
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act
Lower Costs, More Transparency Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Coverage Determination Clarity Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Biologics Competition Act (H.R. 1790) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378)
Physician Led and Rural Access to Quality Care Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Physician Led and Rural Access to Quality Care Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Physician Led and Rural Access to Quality Care Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Physician Led and Rural Access to Quality Care Act
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Prescription Pricing for the People Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Prescription Pricing for the People Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378)
Prescription Pricing for the People Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Prescription Pricing for the People Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Drug-price Transparency for Consumers Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Drug-price Transparency for Consumers Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
Drug-price Transparency for Consumers Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378)
Drug-price Transparency for Consumers Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Biologics Competition Act (H.R. 1790) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Drug-price Transparency for Consumers Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Pharmacy Benefit Manager Transparency Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378)
Pharmacy Benefit Manager Transparency Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Biologics Competition Act (H.R. 1790) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Pharmacy Benefit Manager Transparency Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Pharmacy Benefit Manager Transparency Act of 2023
Client: ELEVANCE HEALTH, INC. · Firm: ELEVANCE HEALTH, INC.
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
ACA Exchanges & Enrollment Enhanced Premium Tax Credits Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act (118th Congress) Site-based Invoicing and Transparency Enhancement (SITE) Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Assuring Critical Care Expansions to Support Servicemembers (ACCESS) Act of 2025 (S. 275 and H.R. 740) Veterans Affairs Community Cares program Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 2191) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Puerto Rico Medicare Program Funding Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) Medicare Advantage - 2026 CMS Advance Rate Notice for MA and Parts D.s program
Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (118th Congress) Drug Act (H.R. 2214) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (118th Congress) Pharmacy Benefit Manager Transparency Act of 2025 (S. 526) Pharmacy Benefit Manager Reform Act (118th Congress) Patients Before Middlemen Act (S.882) Prescription Drug Transparency and Affordability Act (H.R. 2450) Pharmacists Fight Back Act (118th Congress) Lower Cost, More Transparency Act (118th Congress) Full-Year Continuing Appropriations and Extensions Act of 2025 (H.R.1968)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · fourth_quarter · 4A
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · fourth_quarter · Q4
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) Continuing Resolution (H.R. 10545)
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · third_quarter · Q3
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Provider and Nursing Licensure
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Provider and Nursing Licensure
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378)
Medicare Advantage Supplemental Benefits In-Home Health Risk Assessments Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · second_quarter · Q2
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act
Medicare Advantage Supplemental Benefits Medicare Advantage Star Ratings and Quality Bonus Payments Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH) The DUALS Act of 2024 (S.3950) Medicare Fee For Service (FFS) Beneficiary Education & Engagement
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Prescription Pricing for the People Act (S.113) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2024 · first_quarter · Q1
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
Medicare Advantage Supplemental Benefits Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Fairness in Medicare Savings Program Act of 2023 (H.R. 4410) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Territories Medicare Prescription Drug Assistance Equality Act of 2021 (H.R. 1825) Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · fourth_quarter · Q4
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Better Mental Health Care, Lower-Cost Drugs and Extenders Act Provider Directories Transparency in Coverage and Machine-Readable Files
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Better Mental Health Care, Lower-Cost Drugs and Extenders Act Provider Directories Transparency in Coverage and Machine-Readable Files
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · third_quarter · 3A
Individual Market Prior Authorization Mental Health and Substance Use, Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental Health Parity Fair Hospital Billing and Claims Form Issues Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Mental Health Workforce Act (H.R. 3760) Transparency in Billing Act (H.R. 4509) Transparency in Coverage Act (H.R. 4507) Health Data Act (H.R. 4527) Hidden Fee Disclosure Act (H.R. 4508) The Health Care Price Transparency Act of 2023 (H.R. 4822) PATIENT Act (H.R. 3561) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) BCBSA of Louisiana Acquisition AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Health - Veterans Community Care program Military OneSource program
Individual Market Prior Authorization Mental Health and Substance Use, Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental Health Parity Fair Hospital Billing and Claims Form Issues Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Mental Health Workforce Act (H.R. 3760) Transparency in Billing Act (H.R. 4509) Transparency in Coverage Act (H.R. 4507) Health Data Act (H.R. 4527) Hidden Fee Disclosure Act (H.R. 4508) The Health Care Price Transparency Act of 2023 (H.R. 4822) PATIENT Act (H.R. 3561) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) BCBSA of Louisiana Acquisition AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Health - Veterans Community Care program Military OneSource program
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · third_quarter · Q3
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Provider and Nursing Licensing Issues INSULIN Act of 2023 (S. 1269) Biosimilar Red Tape Elimination Act Drug Patent Reform Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen (PBM) Act (S.1967) Biologics Competition Act
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · second_quarter · Q2
ACA 1332 Waivers Individual Market and Exchange Stabilization Prior Authorization Dishonest and Fair Hospital Billing Transparency in Billing Act Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) BCBSA of Louisiana Acquisition Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Addressing Anti-Competitive Contracting Clauses Act Hospital Claims Form Issues Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Behavioral Health Crisis Intervention and 9-8-8 hotline services MAT Act Chronic Kidney Disease Conditions of Coverage Reform Telehealth Benefit Expansion for Workers Act of 2023 (H.R.824 ) Special Enrollment Periods Medicaid Eligibility and Renewals Veterans Affairs Community Care Network Program Veterans PACT Act Defense - Military OneSource Program; H.R. 4221 - an Act to eliminate certain health care charges for members of the Selected Reserve eligible for TRICARE Reserve Select Insurance Navigators Network Adequacy Provider Directories Provider and Nursing Licensing Issues Inpatient Only List Association Health Plans (CHOICE Arrangement Act (H.R. 3799) Machine Readable Files Cancer Moonshot Initiative AI Use in Healthcare
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2023 · first_quarter · Q1
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Site Neutrality Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determents of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · fourth_quarter · Q4
Federal Medical Assistance Percentages (FMAP) increase COVID-19 Testing, Vaccinations, Cost Sharing for COVID-19 Testing APTC Expansion and Permanency CARES Act
Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing Direct and Indirect Remuneration (DIR) Drug Rebate Rule/Executive Order Senate Finance Committee Prescription Drug Pricing Reduction Act Lower Drug Costs Now Act (H.R. 3) Drug Patent Reform Robinson-Patman Reform Inflation Reduction Act of 2022 (H.R. 5376) Pharmacy Benefit Manager Transparency Act (S. 4293) PBM Transparency Language in the Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) 2023 Omnibus Appropriations Bill
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · third_quarter · Q3
Federal Medical Assistance Percentages (FMAP) increase COVID-19 testing, vaccinations, cost sharing for COVID-19 testing APTC Expansion and Permanency CARES Act
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Consumer Choice of Care Act Competition in State Healthcare Markets Act Addressing Anti-Competitive Contracting Clauses Act Increasing Competition for Medical Residency Act Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, CFR Part 2, Parity and compliance issues H.R. 7780 - Mental Health Matters Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Telehealth KEEP Telehealth Options Act Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period Hospital Claims Form Issues Build Back Better Act (H.R.5376) Inflation Reduction Act of 2022 Medicaid eligibility Health Equity/Health Disparities Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care Veterans PACT Act Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) TCPA Insurance Navigators Network Adequacy Provider Directories Bipartisan Safer Communities Act
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · second_quarter · 2A
Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Rebate Rule/Executive Order Senate Finance Committee Prescription Drug Pricing Reduction Act Lower Drug Costs Now Act (H.R. 3) Drug Patent Reform Robinson-Patman Reform
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Against Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicaid Funding for Puerto Rico including discussions on the FMAP, ESRD, and LTSS. Medicare Advantage issues such as rates, benchmarks, providers payments, and disparities in funding for territories. Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · second_quarter · Q2
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2022 · first_quarter · Q1
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150, H.R.3447) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities HR1826 - Fairness in Medicare Part B Enrollment Act HR2217 - Territory Federal Matching Requirement Equity Act of 2021 HR1825 - A Bill to Remove the Matching Requirement for Medicate Part D Drugs.
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2021 · fourth_quarter · Q4
Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Rebate Rule/Executive Order Senate Finance Committee Prescription Drug Pricing Reduction Act Lower Drug Costs Now Act (H.R. 3) Drug Patent Reform Robinson-Patman Reform
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Opioid use disorders (OUD) and substance use disorders (SUD) treatment Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2021 · third_quarter · Q3
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Hospital Competition Act
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2021 · second_quarter · Q2
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2021 · first_quarter · Q1
Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Rebate Rule/Executive Order
COBRA Subsidies Federal Medical Assistance Percentages (FMAP) increase COVID-19 testing, vaccinations, cost sharing for COVID-19 testing
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, COBRA subsidies, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Federal Medical Assistance Percentages (FMAP) increase
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2020 · fourth_quarter · Q4
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of special need plans, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (MIND Act) (H.R. 6926) (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Maternal Health Quality Improvement Act (H.R. 4995) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Non Emergency Medical Transportation (The Protecting Patients Transportation to Care Act)(S.2846); the Consolidated Appropriations Act (H.R. 133) Medicaid maternal health coverage expansion (H.R.6800)
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2020 · third_quarter · Q3
Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing,Lower Health Care Cost Act of 2019 (S. 1895), (H.R. 5304)
Coronavirus Aid, Relief, and Economic Security (CARES) Act COVID-19 Legislation (Phase I, II, III and other) Commercial paper market stability COBRA Subsidies Federal Medical Assistance Percentages (FMAP) increase Special enrollment period State and local funding support COVID-19 testing, vaccinations, cost sharing for COVID-19 testing
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2020 · second_quarter · Q2
Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing,Lower Health Care Cost Act of 2019 (S. 1895), (H.R. 5304)
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization, (H.R. 3107) Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630) Price of prescription drugs Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; (H.R. 3) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) COVID-19 legislation (Phase I, II, III and other); Commercial paper market stability; Families First Coronavirus Response Act (H.R. 6201); Coronavirus Aid, Relief, and Economic Security (CARES) Act; SEPs; Risk Mitigation and Excess Loss; COBRA; Coverage Mandates Federal Medical Assistance Percentages (FMAP) increase
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2020 · first_quarter · Q1
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization, (H.R. 3107) Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Association health plans Mental health and substance use,42 CFR Part 2, Parity and compliance issues Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630) Price of prescription drugs Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) COVID-19 legislation (Phase I, II, III and other); Commercial paper market stability; Families First Coronavirus Response Act (HR 6201); Coronavirus Aid, Relief, and Economic Security (CARES) Act; SEPs; Risk Mitigation and Excess Loss; COBRA; Coverage Mandates
ELEVANCE HEALTH, INC. via ELEVANCE HEALTH, INC.
2019 · fourth_quarter · Q4
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of special need plans, star ratings, normalization factors, stars contract consolidation) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Medicare Part D crosswalk policy Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicaid non-emergency medical transportation Medicare Advantage Pilot Program in TRICARE Kentucky Medicaid RFP Decision Maternal Health Quality Improvement Act (H.R. 4995) Medicaid Maternal Health Outcomes and Coverage; Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Price Transparency in Medicaid Act of 2019 (H.R. 5281)
Prior Authorization Mental Health and Substance Use Behavioral Health Crisis Intervention 9-8-8 hotline services Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health H.R. 3520 Veteran Care Improvement Act of 2023. Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program H.R. 2670 FY2024 National Defense Authorization Act of 2024 Provider Directories Transparency in Coverage and Machine-Readable Files Affordable Connectivity Program Change Healthcare Cyber Incident
Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Biologics Competition Act (H.R. 1790) Drug-Price Transparency for Consumers Act (S. 1250) Lower Cost, More Transparency Act (H.R. 5378) NADAC Reporting
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Medicare Advantage Supplemental Benefits Telehealth Expansion Act (H.R. 1843) Local Coverage Determinations - Coverage Determination Clarity Act of 2023 (H.R. 5396) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 Medicare Savings Program (MSP) Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411) Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Medicare & Medicaid Social Determinants of Health (SDOH)
INSULIN Act of 2023 (S. 1269) Biosimilar Red Tape Elimination Act (S. 2305) Drug Patent Reform Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Protecting Patients Against PBM Abuses Act (H.R. 2880) Drug Act (H.R. 6283) Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act (S.2973) Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen Act (S.1967) Biologics Competition Act (H.R. 1790) Drug-Price Transparency for Consumers Act (S. 1250) NADAC Reporting
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Provider and Nursing Licensing Issues INSULIN Act of 2023 (S. 1269) Biosimilar Red Tape Elimination Act Drug Patent Reform Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing, Rebates, Delinking Robinson-Patman Act Reform Modernizing and Ensuring PBM Accountability (MEPA) Act Pharmacy Benefit Manager Transparency Act (S. 127) Pharmacy Benefit Manager Reform Act (S. 1339) Patients Before Middlemen (PBM) Act (S.1967) Biologics Competition Act
Medicare Advantage & Medicare Part D Prescription Drug Program Medicaid Managed Care Medicaid Eligibility and Redetermination Medicare Site Neutrality Social Determinants of Health (SDOH) Medicare Advantage Supplemental Benefits CY2024 Medicare Advantage Advance Notice and Part D Program Telehealth Expansion Act (H.R. 1843) Puerto Rico Medicaid Program Funding - Federal Matching Assistance Percentage (FMAP) Territory Federal Matching Requirement Equity Act of 2021 (H.R. 2217) [from 117th congress] Medicare Savings Program (MSP) & H.R. 4410 Fairness in Medicare Part B Enrollment Act of 2023 (H.R. 4027) Medicare Advantage Integrity Act of 2023 (H.R. 4411)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Individual Market Prior Authorization Mental Health and Substance Use, Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental Health Parity Fair Hospital Billing and Claims Form Issues Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Mental Health Workforce Act (H.R. 3760) Transparency in Billing Act (H.R. 4509) Transparency in Coverage Act (H.R. 4507) Health Data Act (H.R. 4527) Hidden Fee Disclosure Act (H.R. 4508) The Health Care Price Transparency Act of 2023 (H.R. 4822) PATIENT Act (H.R. 3561) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) BCBSA of Louisiana Acquisition AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Health - Veterans Community Care program Military OneSource program
Individual Market Prior Authorization Mental Health and Substance Use, Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental Health Parity Fair Hospital Billing and Claims Form Issues Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Mental Health Workforce Act (H.R. 3760) Transparency in Billing Act (H.R. 4509) Transparency in Coverage Act (H.R. 4507) Health Data Act (H.R. 4527) Hidden Fee Disclosure Act (H.R. 4508) The Health Care Price Transparency Act of 2023 (H.R. 4822) PATIENT Act (H.R. 3561) Lower Cost, More Transparency Act (H.R. 5378) Primary Care and Workforce Act (S. 2840) BCBSA of Louisiana Acquisition AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veterans Health - Veterans Community Care program Military OneSource program
Filing targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation) Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicare Site Neutrality Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) Medicaid Actuarial Soundness Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Social Determinants of Health (SDOH) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, Black Maternal Health) Medicare Savings Program (MSP) in Medicaid H.R. 7997, Increasing Medicare Advantage Benchmark Rates in Puerto Rico and other regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions Medicaid funding for Puerto Rico H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022) Medicare Part B penalties (H.R. 4027) Medicare Advantage reimbursement (H.R. 4411) Medicare Savings Program (H.R. 4410) Medicaid Eligibility and Renewals Medicare Advantage Supplemental Benefits Mental Health Parity 2024 Notice of Benefit and Payment Parameters CY2024 Medicare Advantage Advance Notice and Part D Program Medicaid and CHIP Managed Care Access, Finance, and Quality Proposed Rule Direct and Indirect Remuneration
Biosimilar Red Tape Elimination Act Biologics Competition Act Price of prescription drugs; antitrust issues; Affordable Prescriptions for Patients Act of 2023 (S.150) Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing Drug Patent Reform Robinson-Patman Act Reform Pharmacy Benefit Manager Transparency Act (S. 127) PBM Transparency Language in the Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Rebates and Rebate Pass Through Prescription Pricing for the People Act (S. 113) Price of Prescription Drugs Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Pharmacy Benefit Managers; Pharmacy Benefit Manager Reform Act (S. 1339) Transparency PRICE Act (H.R. 3281) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) INSULIN Act of 2023 (S. 1269) Insulin Commercial Price Cap Protecting Patients Against PBM Abuses Act (H.R. 2880) Pharmacy Benefits Manager Accountability Act (H.R. 2679) Drug Price Transparency in Medicaid Act of 2023 (H.R. 1613)
ACA 1332 Waivers Individual Market and Exchange Stabilization Prior Authorization Dishonest and Fair Hospital Billing Transparency in Billing Act Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Protecting Health Care for All Patients (PATIENTS) Act of 2022 (H.R. 7634) BCBSA of Louisiana Acquisition Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Addressing Anti-Competitive Contracting Clauses Act Hospital Claims Form Issues Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Behavioral Health Crisis Intervention and 9-8-8 hotline services MAT Act Chronic Kidney Disease Conditions of Coverage Reform Telehealth Benefit Expansion for Workers Act of 2023 (H.R.824 ) Special Enrollment Periods Medicaid Eligibility and Renewals Veterans Affairs Community Care Network Program Veterans PACT Act Defense - Military OneSource Program; H.R. 4221 - an Act to eliminate certain health care charges for members of the Selected Reserve eligible for TRICARE Reserve Select Insurance Navigators Network Adequacy Provider Directories Provider and Nursing Licensing Issues Inpatient Only List Association Health Plans (CHOICE Arrangement Act (H.R. 3799) Machine Readable Files Cancer Moonshot Initiative AI Use in Healthcare
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ACA 1332 Waivers Individual Market and Exchange Stabilization Prior Authorization COVID-19 Testing, Vaccinations, Cost Sharing for COVID-19 Testing, End of the PHE Transparency of Hospital Billing Act (H.R.8133) BCBSA of Louisiana Acquisition Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Hospital Claims Form Issues Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Behavioral Health Crisis Intervention and 9-8-8 hotline services MAT Act Price of Prescription Drugs Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Pharmacy Benefit Manager Transparency Act (S. 127) Chronic Kidney Disease Conditions of Coverage Reform Telehealth Expansion Act (H.R. 5981) Special Enrollment Periods Medicaid Eligibility and Renewals VA Community Care Network Program Veterans PACT Act Insurance Navigators Network Adequacy Provider Directories Provider and Nursing Licensing Issues Inpatient Only List
ACA 1332 Waivers Individual Market and Exchange Stabilization Prior Authorization COVID-19 Testing, Vaccinations, Cost Sharing for COVID-19 Testing, End of the PHE Transparency of Hospital Billing Act (H.R.8133) BCBSA of Louisiana Acquisition Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Hospital Claims Form Issues Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Behavioral Health Crisis Intervention and 9-8-8 hotline services MAT Act Price of Prescription Drugs Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Pharmacy Benefit Manager Transparency Act (S. 127) Chronic Kidney Disease Conditions of Coverage Reform Telehealth Expansion Act (H.R. 5981) Special Enrollment Periods Medicaid Eligibility and Renewals VA Community Care Network Program Veterans PACT Act Insurance Navigators Network Adequacy Provider Directories Provider and Nursing Licensing Issues Inpatient Only List
Biosimilar Red Tape Elimination Act Biologics Competition Act Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act (S. 113) Affordable Prescriptions for Patients Act of 2023 (S.150) Pharmacy Benefit Manager (PBM) operations and practices, Spread Pricing Drug Patent Reform Robinson-Patman Act Reform Pharmacy Benefit Manager Transparency Act (S. 127) PBM Transparency Language in the Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Rebates and Rebate Pass Through Prescription Pricing for the People Act (S. 113)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ACA 1332 Waivers Individual Market and Exchange Stabilization Prior Authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Consumer Choice of Care Act Competition in State Healthcare Markets Act Addressing Anti-Competitive Contracting Clauses Act Increasing Competition for Medical Residency Act Hospital Claims Form Issues Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios. (H.R.3969) Mental Health and Substance Use, CFR Part 2, Parity and MHPAEA Compliance Issues Mental Health Matters Act (H.R. 7780) Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Bipartisan Safer Communities Act MAT Act Surprise Medical Billing Price of Prescription Drugs Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Chronic Kidney Disease Conditions of Coverage Reform COVID-19 Testing, Vaccines, Treatment, Cost Sharing Medicare Sequestration Telehealth KEEP Telehealth Options Act Telehealth Expansion Act (H.R. 5981) Short Term Limited Duration Health Plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Periods Hospital Claims Form Issues Build Back Better Act (H.R.5376) Inflation Reduction Act of 2022 Medicaid Eligibility Health Equity/Health Disparities Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care VA Community Care Network Program Veterans PACT Act Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) TCPA Insurance Navigators Network Adequacy Provider Directories 2023 Omnibus Appropriations Bill Originating Site Requirements Provider and Nursing Licensing Issues Inpatient Only List Site Neutrality Biosimilar Red Tape Elimination Act Biologics Competition Act
ACA 1332 Waivers Individual Market and Exchange Stabilization Prior Authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Consumer Choice of Care Act Competition in State Healthcare Markets Act Addressing Anti-Competitive Contracting Clauses Act Increasing Competition for Medical Residency Act Hospital Claims Form Issues Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios. (H.R.3969) Mental Health and Substance Use, CFR Part 2, Parity and MHPAEA Compliance Issues Mental Health Matters Act (H.R. 7780) Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Bipartisan Safer Communities Act MAT Act Surprise Medical Billing Price of Prescription Drugs Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Chronic Kidney Disease Conditions of Coverage Reform COVID-19 Testing, Vaccines, Treatment, Cost Sharing Medicare Sequestration Telehealth KEEP Telehealth Options Act Telehealth Expansion Act (H.R. 5981) Short Term Limited Duration Health Plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Periods Hospital Claims Form Issues Build Back Better Act (H.R.5376) Inflation Reduction Act of 2022 Medicaid Eligibility Health Equity/Health Disparities Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care VA Community Care Network Program Veterans PACT Act Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) TCPA Insurance Navigators Network Adequacy Provider Directories 2023 Omnibus Appropriations Bill Originating Site Requirements Provider and Nursing Licensing Issues Inpatient Only List Site Neutrality Biosimilar Red Tape Elimination Act Biologics Competition Act
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental Health and Substance Use (42 CFR Part 2) Medicaid Managed Care Medicaid Expansion Medicaid Reform Medicaid Redeterminations CHIP Reauthorization Medicaid Actuarial Soundness Long-term Services and Supports Medicare Part D prescription drug program Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) Operations and Practices, Spread Pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice Affordable Insulin Now Act (H.R.6833) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Social Determents of Health (SDOH) Addressing Social Determinants in Medicare Advantage Act of 2021 (H.R.4074) Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage Benchmarks to a Minimum Level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). Build Back Better Act (H.R.5376) Medicaid Eligibility and Redeterminations Inflation Reduction Act of 2022 (H.R. 5376) Medicare Advantage Supplemental Benefits Timely Access to Care Act (H.R. 3173 and S. 3018) 2023 Omnibus Appropriations Bill Mental Health Parity Restore Protections for Dialysis Patients Act (H.R.8594)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Flexibility in Hospital Ownership Act Oversight of Anti-Competitive Behavior of Non-Profit Hospitals Act Consumer Choice of Care Act Competition in State Healthcare Markets Act Addressing Anti-Competitive Contracting Clauses Act Increasing Competition for Medical Residency Act Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, CFR Part 2, Parity and compliance issues H.R. 7780 - Mental Health Matters Act Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Telehealth KEEP Telehealth Options Act Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period Hospital Claims Form Issues Build Back Better Act (H.R.5376) Inflation Reduction Act of 2022 Medicaid eligibility Health Equity/Health Disparities Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care Veterans PACT Act Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics Act of 2022 Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) TCPA Insurance Navigators Network Adequacy Provider Directories Bipartisan Safer Communities Act
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) reforms in the FY 2023 Medicare Part D Notice H.R.6833 - Affordable Insulin Now Act Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R.7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 Social Determents of Health (SDOH) H.R.4074 - Addressing Social Determinants in Medicare Advantage Act of 2021 Health Equity/Health Disparities Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 Medicare Audio-Only Telehealth (H.R.2166, S.150) Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Savings Program (MSP) in Medicaid Increasing on the Medicare Advantage benchmarks to a minimum level H.R. 7997 (to Amend the SS Act to establish a floor in MA benchmark rates for regions with low Medicare fee-for-service penetration and to make the Medicare Savings Program available in all jurisdictions) H.R. 2217 (Territory Federal Matching Requirement Equity Act of 2021) H.R. 1825 (A Bill to Remove the Matching Requirement for Medicare Part D Drugs) H.R. 1826 (Fairness in Medicare Part B Enrollment Act) S. 3778 (Territories Medicare Prescription Drug Assistance Equity Act of 2022). H.R.5376 - Build Back Better Act Medicaid eligibility and redeterminations H.R. 5376 - Inflation Reduction Act of 2022 Medicare Advantage Supplemental Benefits
Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Direct and Indirect Remuneration (DIR) Drug Rebate Rule/Executive Order Senate Finance Committee Prescription Drug Pricing Reduction Act Lower Drug Costs Now Act (H.R. 3) Drug Patent Reform Robinson-Patman Reform H.R. 5376 - Inflation Reduction Act of 2022 Pharmacy Benefit Manager Transparency Act (S. 4293)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
Federal Medical Assistance Percentages (FMAP) increase COVID-19 testing, vaccinations, cost sharing for COVID-19 testing APTC Expansion and Permanency CARES Act Blockchain
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
Federal Medical Assistance Percentages (FMAP) increase COVID-19 testing, vaccinations, cost sharing for COVID-19 testing APTC Expansion and Permanency CARES Act Blockchain
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Transparency of Hospital Billing Act (H.R.8133) Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues. Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R.7666) Behavioral Health Crisis Intervention and 9-8-8 hotline services Mental health parity and MHPAEA compliance Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Pharmacy Benefit Manager Transparency Act (S. 4293) Chronic Kidney Disease Conditions of Coverage Reform COVID-19 testing, vaccines, treatment, cost sharing Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act (H.R. 133) Medical Loss Ratio; To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios (H.R. 3969) Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues Build Back Better Act (H.R.5376) KEEP Telehealth Options Act Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022 Defense Health Programs (FY2022 Budget and FY2023 Budget Request) Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) 2018 MISSION Act Veterans PACT Act Achieving Equity in the Treatment of Dual Eligible Beneficiaries Act (H.R. 7997) Bipartisan Safer Communities Act
Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Rebate Rule/Executive Order Senate Finance Committee Prescription Drug Pricing Reduction Act Lower Drug Costs Now Act (H.R. 3) Drug Patent Reform Robinson-Patman Reform
Filing targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
Federal Medical Assistance Percentages (FMAP) increase COVID-19 testing, vaccinations, cost sharing for COVID-19 testing APTC Expansion and Permanency CARES Act Blockchain
Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Rebate Rule/Executive Order Senate Finance Committee Prescription Drug Pricing Reduction Act Lower Drug Costs Now Act (H.R. 3) Drug Patent Reform Robinson-Patman Reform
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; No Surprises Act Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Opioid use disorders (OUD) and substance use disorders (SUD) treatment Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Postal Service Reform Act of 2022; Postal Service Retiree Benefits Reform Defense Health Programs (FY2022 Budget and FY2023 Budget Request Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) Veterans Records Access (Access for Veterans to Records Act)
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) ACA 1332 Waivers Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; No Surprises Act Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Opioid use disorders (OUD) and substance use disorders (SUD) treatment Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities Postal Service Reform Act of 2022; Postal Service Retiree Benefits Reform Defense Health Programs (FY2022 Budget and FY2023 Budget Request Veterans Health Care (U.S. Department of Veterans Affairs Assets and Infrastructure Review Report) Veterans Records Access (Access for Veterans to Records Act)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, U.S. Postal Service (USPS)
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Opioid use disorders (OUD) and substance use disorders (SUD) treatment Agent/broker compensation disclosures under the Consolidated Appropriations Act. CAA regulation implementation Hospital Competition Act Medicaid eligibility Health Equity/Health Disparities
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act Medicaid eligibility Health Equity/Health Disparities
Federal Medical Assistance Percentages (FMAP) increase COVID-19 testing, vaccinations, cost sharing for COVID-19 testing APTC Expansion and Permanency CARES Act Blockchain
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act, Continuing Resolution (CR)FY 2022 Medicaid Funding for Puerto Rico Medicare Advantage asks regarding the underfunding and disparity for Puerto Rico H.R.5376 - Build Back Better Act
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Medicare Sequestration, ACA subsidies, COVID vaccines and testing, Consolidated Appropriations Act Behavioral Health Telehealth Short Term Limited Duration health plans Consolidated Appropriations Act, HR 133 Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues H.R.5376 - Build Back Better Act KEEP Telehealth Options Act Hospital Competition Act
Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Rebate Rule/Executive Order Senate Finance Committee Prescription Drug Pricing Reduction Act Lower Drug Costs Now Act (H.R. 3) Drug Patent Reform Robinson-Patman Reform
Federal Medical Assistance Percentages (FMAP) increase COVID-19 testing, vaccinations, cost sharing for COVID-19 testing APTC Expansion and Permanency CARES Act American Rescue Plan Blockchain
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
Federal Medical Assistance Percentages (FMAP) increase COVID-19 testing, vaccinations, cost sharing for COVID-19 testing APTC Expansion and Permanency CARES Act American Rescue Plan Blockchain
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Medical Loss Ratio; H.R. 3969 - To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans Special Enrollment Period CONNECT for Health Act Hospital Claims Form Issues
Price of prescription drugs; antitrust issues; Prescription Drug Pricing Reduction Act Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Rebate Rule/Executive Order Senate Finance Committee Prescription Drug Pricing Reduction Act Lower Drug Costs Now Act (H.R. 3) Drug Patent Reform
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth H.R. 4074 -To amend title XVIII of the Social Security Act Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021) Helping MOMS Act of 2021 CMS Extreme & Uncontrollable Circumstances Policy Medicare Sequester (H.R.315, S.748) Medicare Audio-Only Telehealth (H.R.2166, S.150) H.R. 4406, the Supporting Medicaid in the U.S. Territories Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of special need plans, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Non Emergency Medical Transportation the Consolidated Appropriations Act (H.R. 133) Maternal health (Medicaid postpartum coverage extension, H.R.959 Black Maternal Health Momnibus Act of 2021)
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; Surprise medical billing; Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, COVID-19 testing, vaccines, treatment, cost sharing Federal Medical Assistance Percentages (FMAP) increase Short Term Limited Duration health plans
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Digital, AI, and Blockchain Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; H.R.7539 -Strengthening Behavioral Health Parity Act and the Consolidated Appropriations Act (H.R. 133) Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630); and the Consolidated Appropriations Act (H.R. 133) Price of prescription drugs Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; (H.R. 3) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) and the Consolidated Appropriations Act (H.R. 133) COVID-19 legislation (Phase I, II, III and other); Families First Coronavirus Response Act (H.R. 6201); Coronavirus Aid, Relief, and Economic Security (CARES) Act; The Heroes Act (H.R. 925 and 6800); HEALS Act (S. 1624); the Consolidated Appropriations Act (H.R. 133); SEPs; Risk Mitigation and Excess Loss; COBRA; Testing and Coverage Mandates Federal Medical Assistance Percentages (FMAP) increase McCarran-Ferguson Act repeal; the Competitive Health Insurance Reform Act of 2020 (S. 350) and Competitive Health Insurance Reform Act of 2019 (H.R. 1418)
Coronavirus Aid, Relief, and Economic Security (CARES) Act COVID-19 Legislation (Phase I, II, III and other) Commercial paper market stability COBRA Subsidies Federal Medical Assistance Percentages (FMAP) increase Special enrollment period State and local funding support COVID-19 testing, vaccinations, cost sharing for COVID-19 testing
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Hospital Consolidation Privacy and Healthcare Cybersecurity Digital, AI, and Blockchain Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues; H.R.7539 -Strengthening Behavioral Health Parity Act and the Consolidated Appropriations Act (H.R. 133) Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630); and the Consolidated Appropriations Act (H.R. 133) Price of prescription drugs Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; (H.R. 3) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) and the Consolidated Appropriations Act (H.R. 133) COVID-19 legislation (Phase I, II, III and other); Families First Coronavirus Response Act (H.R. 6201); Coronavirus Aid, Relief, and Economic Security (CARES) Act; The Heroes Act (H.R. 925 and 6800); HEALS Act (S. 1624); the Consolidated Appropriations Act (H.R. 133); SEPs; Risk Mitigation and Excess Loss; COBRA; Testing and Coverage Mandates Federal Medical Assistance Percentages (FMAP) increase McCarran-Ferguson Act repeal; the Competitive Health Insurance Reform Act of 2020 (S. 350) and Competitive Health Insurance Reform Act of 2019 (H.R. 1418)
Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing,Lower Health Care Cost Act of 2019 (S. 1895), (H.R. 5304); and the Consolidated Appropriations Act (H.R. 133)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Uterine Fibroids Coverage Hospital Consolidation Privacy and Healthcare Cybersecurity Digital, AI, and Blockchain Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630) Price of prescription drugs Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; (H.R. 3) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) COVID-19 legislation (Phase I, II, III and other); Families First Coronavirus Response Act (H.R. 6201); Coronavirus Aid, Relief, and Economic Security (CARES) Act; The Heroes Act (H.R. 6800); HEALS Act (S. 1624); SEPs; Risk Mitigation and Excess Loss; COBRA; Testing and Coverage Mandates Federal Medical Assistance Percentages (FMAP) increase
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization and Utilization Management, (H.R. 3107); Uterine Fibroids Coverage Hospital Consolidation Privacy and Healthcare Cybersecurity Digital, AI, and Blockchain Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630) Price of prescription drugs Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; (H.R. 3) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) COVID-19 legislation (Phase I, II, III and other); Families First Coronavirus Response Act (H.R. 6201); Coronavirus Aid, Relief, and Economic Security (CARES) Act; The Heroes Act (H.R. 6800); HEALS Act (S. 1624); SEPs; Risk Mitigation and Excess Loss; COBRA; Testing and Coverage Mandates Federal Medical Assistance Percentages (FMAP) increase
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of special need plans, star ratings, extreme and uncontrollable circumstances policy, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (MIND Act) (H.R. 6926) (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicare Advantage Pilot Program in TRICARE Maternal Health Quality Improvement Act (H.R. 4995) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing Non Emergency Medical Transportation (The Protecting Patients Transportation to Care Act)(S.2846) Medicaid maternal health coverage expansion (H.R.6800)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization, (H.R. 3107) Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Mental health and substance use,42 CFR Part 2, Parity and compliance issues Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630) Price of prescription drugs Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; (H.R. 3) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) COVID-19 legislation (Phase I, II, III and other); Commercial paper market stability; Families First Coronavirus Response Act (H.R. 6201); Coronavirus Aid, Relief, and Economic Security (CARES) Act; SEPs; Risk Mitigation and Excess Loss; COBRA; Coverage Mandates Federal Medical Assistance Percentages (FMAP) increase
Coronavirus Aid, Relief, and Economic Security (CARES) Act COVID-19 Legislation (Phase I, II, III and other) Commercial paper market stability COBRA Subsidies Federal Medical Assistance Percentages (FMAP) increase Special enrollment period State and local funding support COVID-19 testing, vaccinations, cost sharing for COVID-19 testing
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of special need plans, star ratings, normalization factors, stars contract consolidation, ESRD, audio-only telehealth) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care (MIND Act) (H.R. 6926) (IMD Exclusion) Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Medicare Part D crosswalk policy Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicaid non-emergency medical transportation Medicare Advantage Pilot Program in TRICARE Maternal Health Quality Improvement Act (H.R. 4995) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Price Transparency in Medicaid Act of 2019 (H.R. 5281) Non Emergency Medical Transportation (The Protecting Patients Transportation to Care Act)(S.2846) Medicaid maternal health coverage expansion (H.R.6800)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE, Treasury, Dept of, White House Office
Coronavirus Aid, Relief, and Economic Security (CARES) Act COVID-19 Legislation (Phase I, II, III and other) Commercial paper market stability
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of special need plans, star ratings, normalization factors, stars contract consolidation) Medicare RAD-V Mental health and substance use (42 CFR Part 2) Medicaid managed care Medicaid expansion Medicaid reform (block grants, per capita caps) Medicaid and CHIP reauthorization Medicaid actuarial soundness Long-term services and supports Social Determents of Health (SDOH) Medicare Part D prescription drug program and Medicare Part D coverage gap (donut hole) Medicare Part D crosswalk policy Opioid addiction issues and response (prescription drug monitoring programs) Medicaid medical loss ratio remittance Medicaid non-emergency medical transportation Medicare Advantage Pilot Program in TRICARE Maternal Health Quality Improvement Act (H.R. 4995) Medicaid Maternal Health Outcomes and Coverage; Helping Medicaid Offer Maternity Services (MOMS) Act of 2019 (H.R. 4996) Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Price Transparency in Medicaid Act of 2019 (H.R. 5281) Telehealth
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization, (H.R. 3107) Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Association health plans Mental health and substance use,42 CFR Part 2, Parity and compliance issues Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630) Price of prescription drugs Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) COVID-19 legislation (Phase I, II, III and other); Commercial paper market stability; Families First Coronavirus Response Act (HR 6201); Coronavirus Aid, Relief, and Economic Security (CARES) Act; SEPs; Risk Mitigation and Excess Loss; COBRA; Coverage Mandates
Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Price Transparency in Medicaid Act of 2019 (H.R. 5281) S.3031, Toomey Crapo prescription drug alternative proposal to Grassley/Wyden
Filing targets: Centers For Medicare and Medicaid Services (CMS), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Economic Council (NEC), SENATE, White House Office
Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Price of prescription drugs Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Drug Price Transparency in Medicaid Act of 2019 (H.R. 5281)
To extend the moratorium and/or repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act Health Insurance Tax Relief Act of 2019 (H.R. 1398) Jobs and Premium Protection Act (H.R. 2447) Jobs and Premium Protection Act (S. 80) Health Insurance Tax Relief Act of 2019 (S.172) Tax exclusion for employer-sponsored health insurance Spending Agreement to fund Federal Government for 2020 fiscal year; National Security minibus (H.R. 1158) and the Domestic Priorities and International Assistance minibus of appropriations bills (H.R.1865)
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Association health plans Mental health and substance use,42 CFR Part 2, Parity and compliance issues Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630) Price of prescription drugs Medical Loss Ratios Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) Spending Agreement to fund Federal Government for 2020 fiscal year; National Security minibus (H.R. 1158) and the Domestic Priorities and International Assistance minibus of appropriations bills (H.R.1865)
ACA implementation (exchange operations and functionality, risk mitigation programs, risk adjustment) ACA reform (reconciliation, individual mandate, cost sharing reduction subsidies, reinsurance transitional policies) Individual market and exchange stabilization Prior authorization Hospital Consolidation Privacy and Healthcare Cybersecurity Social Determinants of Health (SDOH) Association health plans Mental health and substance use,42 CFR Part 2, Parity and compliance issues Surprise medical billing; Lower Health Care Cost Act of 2019 (S. 1895), and No Surprises Act (H.R. 3630) Price of prescription drugs Medical Loss Ratios Commercial Risk adjustment data validation (RADV) Senate HELP Committee Lower Health Care Costs Act Senate Finance Committee Prescription Drug Pricing Reduction Act; HR 3 Pharmacy Benefit Manager (PBM) operations and practices, Spread pricing, Lower Health Care Cost Act of 2019 (S. 1895) Spending Agreement to fund Federal Government for 2020 fiscal year; National Security minibus (H.R. 1158) and the Domestic Priorities and International Assistance minibus of appropriations bills (H.R.1865)
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE