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Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
Health Care Price Transparency Act of 2023
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 4822, Health Care Price Transparency Act of 2023, including provisions related to Improving Seniors Timely Access to Care Act concerning the modernization of the prior authorization process S. 3950, Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024, including provisions requiring each state to select, develop and implement a comprehensive, integrated health plan for dual-eligible beneficiaries, and plans to develop and update care coordination plans, establish ombudsman offices, and establish a care coordinator for each beneficiary, reduce look-alike plans, create a single appeals process, and reduce third-party marketing organization incentives to target beneficiaries, expanding Program of All-Inclusive Care for the Elderly (PACE) coverage, and acknowledge dual eligibles are a diverse group with complex needs, including individuals with multiple chronic conditions, physical disabilities, mental illness, and cognitive impairments such as dementia and developmental disabilities. Issues related to Medicaid Redetermination unwinding process. Issues related to CMMI VBID (Value Based Insurance Design) application and criteria and new guidelines. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health. Issues related to prior authorization.
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
CENTENE CORPORATION via CENTENE CORPORATION
2024 · third_quarter · Q3
Issues related to the timeline and upcoming expiration of the Advance Premium Tax Credits (APTCs).
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2024 · second_quarter · Q2
Source: Senate LDA
H.R. 4822, Health Care Price Transparency Act of 2023, including provisions related to Improving Seniors Timely Access to Care Act concerning the modernization of the prior authorization process S. 3950, Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024, including provisions requiring each state to select, develop and implement a comprehensive, integrated health plan for dual-eligible beneficiaries, and plans to develop and update care coordination plans, establish ombudsman offices, and establish a care coordinator for each beneficiary, reduce look-alike plans, create a single appeals process, and reduce third-party marketing organization incentives to target beneficiaries, expanding Program of All-Inclusive Care for the Elderly (PACE) coverage, and acknowledge dual eligibles are a diverse group with complex needs, including individuals with multiple chronic conditions, physical disabilities, mental illness, and cognitive impairments such as dementia and developmental disabilities. Issues related to Medicaid Redetermination unwinding process. Issues related to CMMI VBID (Value Based Insurance Design) application and criteria and new guidelines. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health. Issues related to prior authorization.
H.R. 3746, Fiscal Responsibility Act of 2023, including provisions related to Medicaid. S. 1002, No Unreasonable Payments, Coding, Or Diagnoses for the Elderly (No UPCODE) Act, including provisions that would alter MA payment model by requiring the use of two years of diagnostic data instead of one year in calculating health status data, excluding the ability of plans to solely use chart reviews and health risk assessments in calculating adjustments in payment based on health status, and evaluating the coding intensity at the plan or contract level and making adjustments to make it more in-line with the coding intensity for FFS. Issues related to implications of the Medicare Advantage rate notice and proposed alternatives. Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and staying connected on impact info on the new MA risk adjustment model.
H.R. 5378, Lower Costs, More Transparency Act Issues related to long-term strategy related to stability and affordability of the Marketplace.
H.R. 5378, Lower Costs, More Transparency Act H.R. 5860, Continuing Appropriations Act, 2024 and Other Extensions Act, including provisions related to health care Issues related to long-term strategy related to stability and affordability of the Marketplace.
Continuing Appropriations Act, 2024 and Other Extensions Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5860, Continuing Appropriations Act, 2024 and Other Extensions Act, including provisions related to health care Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and marketing practices. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health.
Continuing Appropriations Act, 2024 and Other Extensions Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5378, Lower Costs, More Transparency Act H.R. 5860, Continuing Appropriations Act, 2024 and Other Extensions Act, including provisions related to health care Issues related to long-term strategy related to stability and affordability of the Marketplace.
Further Continuing Appropriations and Other Extensions Act, 2024
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, including provisions related to health care S. 3059, Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, including provisions establishing provider directory requirements and establishing accountability for provider accuracy under Medicare Advantage (MA) Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and marketing practices. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health. Issues related to prior authorization in Medicaid.
H.R. 3746, Fiscal Responsibility Act of 2023, including provisions related to Medicaid. S. 1002, No Unreasonable Payments, Coding, Or Diagnoses for the Elderly (No UPCODE) Act, including provisions that would alter MA payment model by requiring the use of two years of diagnostic data instead of one year in calculating health status data, excluding the ability of plans to solely use chart reviews and health risk assessments in calculating adjustments in payment based on health status, and evaluating the coding intensity at the plan or contract level and making adjustments to make it more in-line with the coding intensity for FFS. Issues related to implications of the Medicare Advantage rate notice and proposed alternatives. Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and staying connected on impact info on the new MA risk adjustment model.
H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, including provisions related to health care S. 3059, Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, including provisions establishing provider directory requirements and establishing accountability for provider accuracy under Medicare Advantage (MA) Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and marketing practices. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health. Issues related to prior authorization in Medicaid.
Consolidated Appropriations Act, 2022
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5396, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits), Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies H.R. 2471, Consolidated Appropriations Act, 2022, provisions relating to, ACA Marketplace (advanced premium tax credits), changes to third-party liability modifications to Medicaid as well as extending certain telehealth flexibilities under Medicare Potential Mental and Behavioral health legislation, provisions relating to, Medicare coverage and payment, Workforce enhancement, Mental health parity, Telehealth expansion, Behavioral health integration, Network adequacy Issues relating to Letter in support of CMMI Direct Contracting model; Medicare advantage congressional letter of support; Redetermination of Medicaid eligibility and impact of the expiration of the enhanced ACA tax credits; Health care regulatory issues especially the process for Medicaid eligibility redeterminations and enrollment in Marketplace coverage
Consolidated Appropriations Act, 2022
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5396, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies H.R. 2471, Consolidated Appropriations Act, 2022, provisions relating to, ACA Marketplace (advanced premium tax credits) Issues relating to Medicare Advantage Congressional letter of support; Medicare Part D Rule- DIR Fees (pharmacy fees); eligibility redeterminations; Home and Community-based Services; Part D Prescription Drug reform through benefit redesign; Repeal the prescription drug rebate rule; Changes to Medicare Advantage financing for Rx drugs
Consolidated Appropriations Act, 2023
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 2617, Consolidated Appropriations Act, 2023, provisions relating to, Medicare and Medicaid H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 8487/S. 3018, Improving Seniors Timely Access to Care Act of 2022 Senate Finance Committee Draft Parity Legislation, provisions relating to expanded reporting requirements for MA and Medicaid plans. Issues relating to educating on changes to Medicaid Maintenance of Effort (MOE); Medicare Advantage and educating on the value of the program.
H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 (and potential draft legislation), including provisions relating to Medicare coverage and payment, Workforce enhancement, Mental health parity, Telehealth expansion, Behavioral health integration, and Network adequacy Issues relating to Consolidated Appropriations Act, 2021 (P.L. 116-260), implementation/final rule for the No Surprises Act; Reconciliation legislation including provisions relating to ACA Marketplace (advanced tax credits); and, Medicaid non-expansion state coverage gap, mitigation language, and eligibility determinations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies
H.R. 5376, Inflation Reduction Act of 2022, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations, provisions affecting the ACA exchanges and Medicaid Issues relating to Consolidated Appropriations Act, 2021 (P.L. 116-260), implementation/final rule for the No Surprises Act; Mental health issues, including parity enforcement Infant formula shortage and contraception policies
Title IX Take Responsibility Act of 2021
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5396, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits), Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, Money Follows the Person/Spousal Impoverishment program permanencies, and Medicaid non-expansion state coverage gap and eligibility redeterminations Issues relating to Medicare Advantage and educating on the value of the program
Title IX Take Responsibility Act of 2021
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5396, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies H.R. 2471, Consolidated Appropriations Act, 2022, provisions relating to, ACA Marketplace (advanced premium tax credits) Issues relating to Medicare Advantage Congressional letter of support; Medicare Part D Rule- DIR Fees (pharmacy fees); eligibility redeterminations; Home and Community-based Services; Part D Prescription Drug reform through benefit redesign; Repeal the prescription drug rebate rule; Changes to Medicare Advantage financing for Rx drugs
Title IX Take Responsibility Act of 2021
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5396, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits), Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies H.R. 2471, Consolidated Appropriations Act, 2022, provisions relating to, ACA Marketplace (advanced premium tax credits), changes to third-party liability modifications to Medicaid as well as extending certain telehealth flexibilities under Medicare Potential Mental and Behavioral health legislation, provisions relating to, Medicare coverage and payment, Workforce enhancement, Mental health parity, Telehealth expansion, Behavioral health integration, Network adequacy Issues relating to Letter in support of CMMI Direct Contracting model; Medicare advantage congressional letter of support; Redetermination of Medicaid eligibility and impact of the expiration of the enhanced ACA tax credits; Health care regulatory issues especially the process for Medicaid eligibility redeterminations and enrollment in Marketplace coverage
Restoring Hope for Mental Health and Well-Being Act of 2022
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 (and potential draft legislation), including provisions relating to Medicare coverage and payment, Workforce enhancement, Mental health parity, Telehealth expansion, Behavioral health integration, and Network adequacy Issues relating to Consolidated Appropriations Act, 2021 (P.L. 116-260), implementation/final rule for the No Surprises Act; Reconciliation legislation including provisions relating to ACA Marketplace (advanced tax credits); and, Medicaid non-expansion state coverage gap, mitigation language, and eligibility determinations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies
Restoring Hope for Mental Health and Well-Being Act of 2022
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 2617, Consolidated Appropriations Act, 2023, provisions relating to, Medicare and Medicaid H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 8487/S. 3018, Improving Seniors Timely Access to Care Act of 2022 Senate Finance Committee Draft Parity Legislation, provisions relating to expanded reporting requirements for MA and Medicaid plans. Issues relating to educating on changes to Medicaid Maintenance of Effort (MOE); Medicare Advantage and educating on the value of the program.
Improving Seniors’ Timely Access to Care Act of 2022
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 2617, Consolidated Appropriations Act, 2023, provisions relating to, Medicare and Medicaid H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 8487/S. 3018, Improving Seniors Timely Access to Care Act of 2022 Senate Finance Committee Draft Parity Legislation, provisions relating to expanded reporting requirements for MA and Medicaid plans. Issues relating to educating on changes to Medicaid Maintenance of Effort (MOE); Medicare Advantage and educating on the value of the program.
Improving Seniors’ Timely Access to Care Act of 2021
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 2617, Consolidated Appropriations Act, 2023, provisions relating to, Medicare and Medicaid H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 8487/S. 3018, Improving Seniors Timely Access to Care Act of 2022 Senate Finance Committee Draft Parity Legislation, provisions relating to expanded reporting requirements for MA and Medicaid plans. Issues relating to educating on changes to Medicaid Maintenance of Effort (MOE); Medicare Advantage and educating on the value of the program.
H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 19/S. 2164, Lower Costs, More Cures Act of 2021, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act Draft legislation titled American Families Plan, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations FY2022 Budget Proposal including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations Medicare Part D Plan Innovation Proposal (not yet introduced therefore, no bill number). The proposal would require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to Development of duals and supplemental benefits documents; Medical Loss Ratio (MLR) documents; Star ratings; Medicare Advantage (MA) payment.
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; Implementation of P.L. 116-260, Consolidated Appropriations Act, 2021, including provisions relating to COVID-19 provisions (FMAP) and health extenders (IAH), prescription drug issues and PBMs
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) Draft legislation titled American Families Plan, including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) FY2022 Budget Proposal including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) Issues related to the Consolidated Appropriations Act, 2021 (P.L. 116-260) including provisions relating to Div. BB, Title I, No Surprises Act
To prevent across-the-board direct spending cuts, and for other purposes.
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 19/S. 2164, Lower Costs, More Cures Act of 2021, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act Draft legislation titled American Families Plan, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations FY2022 Budget Proposal including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations Medicare Part D Plan Innovation Proposal (not yet introduced therefore, no bill number). The proposal would require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to Development of duals and supplemental benefits documents; Medical Loss Ratio (MLR) documents; Star ratings; Medicare Advantage (MA) payment.
To prevent across-the-board direct spending cuts, and for other purposes.
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
To prevent across-the-board direct spending cuts, and for other purposes.
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; Implementation of P.L. 116-260, Consolidated Appropriations Act, 2021, including provisions relating to COVID-19 provisions (FMAP) and health extenders (IAH), prescription drug issues and PBMs
H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 19/S. 2164, Lower Costs, More Cures Act of 2021, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act Draft legislation titled American Families Plan, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations FY2022 Budget Proposal including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations Medicare Part D Plan Innovation Proposal (not yet introduced therefore, no bill number). The proposal would require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to Development of duals and supplemental benefits documents; Medical Loss Ratio (MLR) documents; Star ratings; Medicare Advantage (MA) payment.
Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
Elijah E. Cummings Lower Drug Costs Now Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 19/S. 2164, Lower Costs, More Cures Act of 2021, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act Draft legislation titled American Families Plan, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations FY2022 Budget Proposal including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations Medicare Part D Plan Innovation Proposal (not yet introduced therefore, no bill number). The proposal would require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to Development of duals and supplemental benefits documents; Medical Loss Ratio (MLR) documents; Star ratings; Medicare Advantage (MA) payment.
H.R. 5376, Build Back Better Act; provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations Issues related to Impact of enhanced tax credits on ACA exchange program and enrollees; Use of marketplace for Medicaid gap population
H.R. 5376, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, repeal the prescription drug rebate rule and other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to delay in sequestration and Physician-Fee-Schedule
H.R. 5376, Build Back Better Act; provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, and repeal the prescription drug rebate rule Issues related to Coverage gap solutions to the Medicaid gap populations for states that did not expand Medicaid; Medicare Advantage program; specifically, the impact of adding new dental benefits to the traditional Medicare program
H.R. 5376, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, repeal the prescription drug rebate rule and other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to delay in sequestration and Physician-Fee-Schedule
H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations, Affordability Fund provision, Home and Community Based Services
H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations, Affordability Fund provision, Home and Community Based Services
Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030.
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; Implementation of P.L. 116-260, Consolidated Appropriations Act, 2021, including provisions relating to COVID-19 provisions (FMAP) and health extenders (IAH), prescription drug issues and PBMs
Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030.
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 19/S. 2164, Lower Costs, More Cures Act of 2021, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act Draft legislation titled American Families Plan, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations FY2022 Budget Proposal including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations Medicare Part D Plan Innovation Proposal (not yet introduced therefore, no bill number). The proposal would require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to Development of duals and supplemental benefits documents; Medical Loss Ratio (MLR) documents; Star ratings; Medicare Advantage (MA) payment.
Protecting Medicare and American Farmers from Sequester Cuts Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5376, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, repeal the prescription drug rebate rule and other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to delay in sequestration and Physician-Fee-Schedule
Protecting Medicare and American Farmers from Sequester Cuts Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 5376, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, repeal the prescription drug rebate rule and other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to delay in sequestration and Physician-Fee-Schedule
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; Implementation of P.L. 116-260, Consolidated Appropriations Act, 2021, including provisions relating to COVID-19 provisions (FMAP) and health extenders (IAH), prescription drug issues and PBMs
H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 19/S. 2164, Lower Costs, More Cures Act of 2021, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act Draft legislation titled American Families Plan, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations FY2022 Budget Proposal including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations Medicare Part D Plan Innovation Proposal (not yet introduced therefore, no bill number). The proposal would require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to Development of duals and supplemental benefits documents; Medical Loss Ratio (MLR) documents; Star ratings; Medicare Advantage (MA) payment.
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030.
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; Implementation of P.L. 116-260, Consolidated Appropriations Act, 2021, including provisions relating to COVID-19 provisions (FMAP) and health extenders (IAH), prescription drug issues and PBMs
A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030.
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
Independence at Home Demonstration Act of 2019
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
Independence at Home Demonstration Improvement Act of 2020
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
Encouraging Innovative Benefit Design to Lower Costs for Seniors Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; Implementation of P.L. 116-260, Consolidated Appropriations Act, 2021, including provisions relating to COVID-19 provisions (FMAP) and health extenders (IAH), prescription drug issues and PBMs
Consolidated Appropriations Act, 2021
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Consolidated Appropriations Act, 2021
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization
Patient Protection and Affordable Care Enhancement Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 1425, ACA Patient Protection and Affordable Care Act Marketplace Stabilization ACA Enhancement Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Marketplace, Commercial market issues Issues related to, Out of Network Payment Surprise billing; Flexibility for programs during pandameic and national emergency such as telehealth flexibility; Discussion on Future of TRICARE Program over coming years
Overdose Prevention and Patient Safety Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Overdose Prevention and Patient Safety Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage Medicare Part D Issues 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial Market Issues.
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 1425, ACA Patient Protection and Affordable Care Act Marketplace Stabilization ACA Enhancement Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Marketplace, Commercial market issues Issues related to, Out of Network Payment Surprise billing; Flexibility for programs during pandameic and national emergency such as telehealth flexibility; Discussion on Future of TRICARE Program over coming years
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization
ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) HR 3630 "No Surprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial market issues) Marketplace grace period regulatory policy
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 1425, ACA Patient Protection and Affordable Care Act Marketplace Stabilization ACA Enhancement Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Marketplace, Commercial market issues Issues related to, Out of Network Payment Surprise billing; Flexibility for programs during pandameic and national emergency such as telehealth flexibility; Discussion on Future of TRICARE Program over coming years
ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) HR 3630 "No Surprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial market issues) Marketplace grace period regulatory policy
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization
Independence at Home Demonstration Act of 2019
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Independence at Home Demonstration Act of 2019
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Helping Medicaid Offer Maternity Services Act of 2020
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Helping Medicaid Offer Maternity Services Act of 2020
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) HR 3630 "No Surprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial market issues) Marketplace grace period regulatory policy
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 1425, ACA Patient Protection and Affordable Care Act Marketplace Stabilization ACA Enhancement Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Marketplace, Commercial market issues Issues related to, Out of Network Payment Surprise billing; Flexibility for programs during pandameic and national emergency such as telehealth flexibility; Discussion on Future of TRICARE Program over coming years
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Ensuring Parity in MA for Audio-Only Telehealth Act of 2020
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Ensuring Parity in MA for Audio-Only Telehealth Act of 2020
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Continuing Appropriations Act, 2021 and Other Extensions Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Continuing Appropriations Act, 2021 and Other Extensions Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Independence at Home Demonstration Improvement Act of 2020
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 1425, ACA Patient Protection and Affordable Care Act Marketplace Stabilization ACA Enhancement Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Marketplace, Commercial market issues Issues related to, Out of Network Payment Surprise billing; Flexibility for programs during pandameic and national emergency such as telehealth flexibility; Discussion on Future of TRICARE Program over coming years
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) HR 3630 "No Surprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial market issues) Marketplace grace period regulatory policy
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 1425, ACA Patient Protection and Affordable Care Act Marketplace Stabilization ACA Enhancement Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Marketplace, Commercial market issues Issues related to, Out of Network Payment Surprise billing; Flexibility for programs during pandameic and national emergency such as telehealth flexibility; Discussion on Future of TRICARE Program over coming years
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization
Restoring Local Control Over Public Infrastructure Act of 2019
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Restoring Local Control Over Public Infrastructure Act of 2019
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage Medicare Part D Issues 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial Market Issues.
Encouraging Innovative Benefit Design to Lower Costs for Seniors Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization
Encouraging Innovative Benefit Design to Lower Costs for Seniors Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Encouraging Innovative Benefit Design to Lower Costs for Seniors Act
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Ensuring Parity in MA for Audio-Only Telehealth Act of 2020
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
Issues related to the timeline and upcoming expiration of the Advance Premium Tax Credits (APTCs).
Issues related to Medicaid Redetermination unwinding process. Issues related to CMMI VBID (Value Based Insurance Design) application and criteria and new guidelines. Issues related to social determinants of health. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health. Issues related to prior authorization. Issues related to potential Prescription Drug Plan (PDP) increases due to CMS policy from Inflation Reduction Act implementation.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2024 · first_quarter · Q1
H.R. 4822, Health Care Price Transparency Act of 2023, including provisions related to Improving Seniors Timely Access to Care Act concerning the modernization of the prior authorization process S. 3950, Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024, including provisions requiring each state to select, develop and implement a comprehensive, integrated health plan for dual-eligible beneficiaries, and plans to develop and update care coordination plans, establish ombudsman offices, and establish a care coordinator for each beneficiary, reduce look-alike plans, create a single appeals process, and reduce third-party marketing organization incentives to target beneficiaries, expanding Program of All-Inclusive Care for the Elderly (PACE) coverage, and acknowledge dual eligibles are a diverse group with complex needs, including individuals with multiple chronic conditions, physical disabilities, mental illness, and cognitive impairments such as dementia and developmental disabilities. Issues related to Medicaid Redetermination unwinding process. Issues related to CMMI VBID (Value Based Insurance Design) application and criteria and new guidelines. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health. Issues related to prior authorization.
Issues related to the timeline and upcoming expiration of the Advance Premium Tax Credits (APTCs).
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2023 · fourth_quarter · Q4
H.R. 5378, Lower Costs, More Transparency Act Issues related to long-term strategy related to stability and affordability of the Marketplace.
H.R. 6363, Further Continuing Appropriations and Other Extensions Act, 2024, including provisions related to health care S. 3059, Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, including provisions establishing provider directory requirements and establishing accountability for provider accuracy under Medicare Advantage (MA) Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and marketing practices. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health. Issues related to prior authorization in Medicaid.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2023 · third_quarter · Q3
H.R. 5860, Continuing Appropriations Act, 2024 and Other Extensions Act, including provisions related to health care Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and marketing practices. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health.
H.R. 5378, Lower Costs, More Transparency Act H.R. 5860, Continuing Appropriations Act, 2024 and Other Extensions Act, including provisions related to health care Issues related to long-term strategy related to stability and affordability of the Marketplace.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2023 · second_quarter · Q2
H.R. 3746, Fiscal Responsibility Act of 2023, including provisions related to Medicaid. S. 1002, No Unreasonable Payments, Coding, Or Diagnoses for the Elderly (No UPCODE) Act, including provisions that would alter MA payment model by requiring the use of two years of diagnostic data instead of one year in calculating health status data, excluding the ability of plans to solely use chart reviews and health risk assessments in calculating adjustments in payment based on health status, and evaluating the coding intensity at the plan or contract level and making adjustments to make it more in-line with the coding intensity for FFS. Issues related to implications of the Medicare Advantage rate notice and proposed alternatives. Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and staying connected on impact info on the new MA risk adjustment model.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
CENTENE CORPORATION via CENTENE CORPORATION
2023 · first_quarter · Q1
Issues related to Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies. Issues related to status of state-based Medicaid redetermination process. Issues related to impact of advance rate notice proposed methodology on Medicare Advantage program. Issues related to the status of Medicaid redetermination/PHE unwinding process. Issues related to Medicare Advantage and educating on the value of the program, and focus on annual Medicare Advantage Congressional support letter Draft legislation titled No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act, including provisions relating to altering the Medicare Advantage payment model by requiring the use of two years of diagnostic data instead of one year in calculating health status data, excluding the ability of plans to solely use chart reviews and health risk assessments in calculating adjustments in payment based on health status, and evaluating the coding intensity at the plan or contract level and making adjustments to make it more in-line with the coding intensity for FFS.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2022 · fourth_quarter · Q4
H.R. 2617, Consolidated Appropriations Act, 2023, provisions relating to, Medicare and Medicaid H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 8487/S. 3018, Improving Seniors Timely Access to Care Act of 2022 Senate Finance Committee Draft Parity Legislation, provisions relating to expanded reporting requirements for MA and Medicaid plans. Issues relating to educating on changes to Medicaid Maintenance of Effort (MOE); Medicare Advantage and educating on the value of the program.
Issues relating to Inflation Reduction Act (P.L. 117-169) on marketplace enrollment and competition.
Filing targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2022 · third_quarter · Q3
H.R. 5376, Inflation Reduction Act of 2022, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations, provisions affecting the ACA exchanges and Medicaid Issues relating to Consolidated Appropriations Act, 2021 (P.L. 116-260), implementation/final rule for the No Surprises Act; Mental health issues, including parity enforcement Infant formula shortage and contraception policies
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2022 · second_quarter · Q2
H.R. 5396, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits), Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, Money Follows the Person/Spousal Impoverishment program permanencies, and Medicaid non-expansion state coverage gap and eligibility redeterminations Issues relating to Medicare Advantage and educating on the value of the program
H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 (and potential draft legislation), including provisions relating to Medicare coverage and payment, Workforce enhancement, Mental health parity, Telehealth expansion, Behavioral health integration, and Network adequacy Issues relating to Consolidated Appropriations Act, 2021 (P.L. 116-260), implementation/final rule for the No Surprises Act; Reconciliation legislation including provisions relating to ACA Marketplace (advanced tax credits); and, Medicaid non-expansion state coverage gap, mitigation language, and eligibility determinations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies
CENTENE CORPORATION via CENTENE CORPORATION
2022 · first_quarter · Q1
H.R. 5396, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits), Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies H.R. 2471, Consolidated Appropriations Act, 2022, provisions relating to, ACA Marketplace (advanced premium tax credits), changes to third-party liability modifications to Medicaid as well as extending certain telehealth flexibilities under Medicare Potential Mental and Behavioral health legislation, provisions relating to, Medicare coverage and payment, Workforce enhancement, Mental health parity, Telehealth expansion, Behavioral health integration, Network adequacy Issues relating to Letter in support of CMMI Direct Contracting model; Medicare advantage congressional letter of support; Redetermination of Medicaid eligibility and impact of the expiration of the enhanced ACA tax credits; Health care regulatory issues especially the process for Medicaid eligibility redeterminations and enrollment in Marketplace coverage
CENTENE CORPORATION via CENTENE CORPORATION
2021 · fourth_quarter · 4A
H.R. 5376, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, repeal the prescription drug rebate rule and other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to delay in sequestration and Physician-Fee-Schedule
H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations, Affordability Fund provision, Home and Community Based Services
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2021 · fourth_quarter · Q4
H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations, Affordability Fund provision, Home and Community Based Services
H.R. 5376, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, repeal the prescription drug rebate rule and other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to delay in sequestration and Physician-Fee-Schedule
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2021 · third_quarter · Q3
H.R. 5376, Build Back Better Act; provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, and repeal the prescription drug rebate rule Issues related to Coverage gap solutions to the Medicaid gap populations for states that did not expand Medicaid; Medicare Advantage program; specifically, the impact of adding new dental benefits to the traditional Medicare program
H.R. 5376, Build Back Better Act; provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations Issues related to Impact of enhanced tax credits on ACA exchange program and enrollees; Use of marketplace for Medicaid gap population
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2021 · second_quarter · Q2
H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 19/S. 2164, Lower Costs, More Cures Act of 2021, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act Draft legislation titled American Families Plan, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations FY2022 Budget Proposal including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations Medicare Part D Plan Innovation Proposal (not yet introduced therefore, no bill number). The proposal would require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to Development of duals and supplemental benefits documents; Medical Loss Ratio (MLR) documents; Star ratings; Medicare Advantage (MA) payment.
CENTENE CORPORATION via CENTENE CORPORATION
2021 · first_quarter · Q1
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).
CENTENE CORPORATION via CENTENE CORPORATION
2020 · fourth_quarter · Q4
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
CENTENE CORPORATION via CENTENE CORPORATION
2020 · third_quarter · Q3
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage
CENTENE CORPORATION via CENTENE CORPORATION
2020 · second_quarter · Q2
ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) HR 3630 "No Surprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial market issues) Marketplace grace period regulatory policy
Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage Medicare Part D Issues 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial Market Issues.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
H.R. 5396, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies H.R. 2471, Consolidated Appropriations Act, 2022, provisions relating to, ACA Marketplace (advanced premium tax credits) Issues relating to Medicare Advantage Congressional letter of support; Medicare Part D Rule- DIR Fees (pharmacy fees); eligibility redeterminations; Home and Community-based Services; Part D Prescription Drug reform through benefit redesign; Repeal the prescription drug rebate rule; Changes to Medicare Advantage financing for Rx drugs
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) Draft legislation titled American Families Plan, including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) FY2022 Budget Proposal including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) Issues related to the Consolidated Appropriations Act, 2021 (P.L. 116-260) including provisions relating to Div. BB, Title I, No Surprises Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; Implementation of P.L. 116-260, Consolidated Appropriations Act, 2021, including provisions relating to COVID-19 provisions (FMAP) and health extenders (IAH), prescription drug issues and PBMs
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 1425, ACA Patient Protection and Affordable Care Act Marketplace Stabilization ACA Enhancement Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Marketplace, Commercial market issues Issues related to, Out of Network Payment Surprise billing; Flexibility for programs during pandameic and national emergency such as telehealth flexibility; Discussion on Future of TRICARE Program over coming years
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE