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Reported covered position: Legis. Assistant, 2015-2016, Sen. Rounds; Legis. Assistant, 2013-2014, Rep. Noem; Staff Assistant/Legis. Aide/Constituent Service Representative, 2011-2012, Rep. Noem.
How to read the money
Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
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
2025 · first_quarter · Q1
Issues related to Affordable Care Act (ACA) enhanced premium tax credits (APTCs) Issues related to Individual Coverage Health Reimbursement Accounts (ICHRA) Issues related to reinstating the Value Based Insurance Design (VBID) program
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2024 · fourth_quarter · Q4
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 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. 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.
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, 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, 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
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, Extension of enhanced APTC subsidies, Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal the prescription drug rebate rule, Part D benefit Redesign, Insulin Cap, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies 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, 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.
National Defense Authorization Act for Fiscal Year 2023
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 7900/S. 4543, National Defense Authorization Act for Fiscal Year 2023, TRICARE-related provisions
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.
James M. Inhofe National Defense Authorization Act for Fiscal Year 2023
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 7900/S. 4543, National Defense Authorization Act for Fiscal Year 2023, TRICARE-related provisions
National Defense Authorization Act for Fiscal Year 2022
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 4350, National Defense Authorization Act for Fiscal Year 2022, provisions relating to TRICARE
National Defense Authorization Act for Fiscal Year 2022
Client: CENTENE CORPORATION · Firm: CENTENE CORPORATION
H.R. 4350, National Defense Authorization Act for Fiscal Year 2022, provisions relating to TRICARE
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, 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
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
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. Issues related to Medicaid rate adequacy.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office
CENTENE CORPORATION via CENTENE CORPORATION
2024 · third_quarter · Q3
Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage. 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: HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2024 · second_quarter · Q2
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.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
CENTENE CORPORATION via CENTENE CORPORATION
2023 · fourth_quarter · Q4
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
Issues relate to the value of extension of eAPTCs.
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.
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.
H.R. 7900/S. 4543, National Defense Authorization Act for Fiscal Year 2023, TRICARE-related provisions
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
H.R. 5376, Inflation Reduction Act of 2022, provisions relating to, Extension of enhanced APTC subsidies, Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal the prescription drug rebate rule, Part D benefit Redesign, Insulin Cap, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies Issues relating to Medicare Advantage and educating on the value of the program
CENTENE CORPORATION via CENTENE CORPORATION
2022 · second_quarter · Q2
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
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 · 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
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 · 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
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. 4350, National Defense Authorization Act for Fiscal Year 2022, provisions relating to TRICARE
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
Issues related to TRICARE and status of contract.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
H.R. 4350, National Defense Authorization Act for Fiscal Year 2022, provisions relating to TRICARE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE