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.
TREATS Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibility; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.1909 - Preventing Maternal Deaths Reauthorization Act of 2025 To amend the Public Health Service Act to reauthorize support for State-based maternal mortality review committees, to direct the Secretary of Health and Human Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/06/2025) H.R.1627 - TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Norcross, Donald [D-NJ-1]
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2026 · third_quarter · Q3
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R. 9117- Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-IA-1] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Source: Senate LDA
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Generics access; Prescription Drug Cost; Step Therapy H.R.1843 - Increasing Transparency in Generic Drug Applications Act To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. Sponsor: Rep. Dunn, Neal P. [R-FL-2]
Preventing Maternal Deaths Reauthorization Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibility; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.1909 - Preventing Maternal Deaths Reauthorization Act of 2025 To amend the Public Health Service Act to reauthorize support for State-based maternal mortality review committees, to direct the Secretary of Health and Human Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/06/2025) H.R.1627 - TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Norcross, Donald [D-NJ-1]
Improving Seniors’ Timely Access to Care Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
Improving Seniors’ Timely Access to Care Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
GUARD Veterans’ Health Care Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
GUARD Veterans’ Health Care Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
GUARD Veterans’ Health Care Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
No Surprises Act Enforcement Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
No Surprises Act Enforcement Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R. 9117- Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-IA-1] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Momnibus Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R. 9117- Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-IA-1] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Momnibus Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Transparency in Billing Act of 2026
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Transparency in Billing Act of 2026
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R. 9117- Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-IA-1] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
CHECK Act of 2026
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R. 9117- Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-IA-1] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Medicare Advantage Cost Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
Medicare Advantage Cost Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
Lower Costs, More Transparency Act of 2026
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R. 9117- Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-IA-1] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Lower Costs, More Transparency Act of 2026
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Prior Authorization Accountability Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Prior Authorization Accountability Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R. 9117- Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-IA-1] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
No UPCODE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
No Surprises Act Enforcement Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R. 9117- Clear Healthcare Expense Cost Knowledge Act (CHECK Act) To promote the availability of certain healthcare information, and for other purposes. Sponsor: Rep. Langworthy, Nicholas A. [R-IA-1] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
No Surprises Act Enforcement Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform. H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians. Sponsor: Rep. Green, Mark E. [R-TN-7] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19]
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Youth Mental Health; Site neutral payment reform. H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Youth Mental Health; Site neutral payment reform. H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers; Prescription Drug Cost. H.R.1843 - Increasing Transparency in Generic Drug Applications Act To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. Sponsor: Rep. Dunn, Neal P. [R-FL-2]
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14]
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers; Prescription Drug Cost. H.R.1843 - Increasing Transparency in Generic Drug Applications Act To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. Sponsor: Rep. Dunn, Neal P. [R-FL-2]
Reducing Medically Unnecessary Delays in Care Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform. H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians. Sponsor: Rep. Green, Mark E. [R-TN-7] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19]
Reducing Medically Unnecessary Delays in Care Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid Cuts; Medicare, MA; Behavioral Health Care; Medicare/Transparency. H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians. Sponsor: Rep. Green, Mark E. [R-TN-7]
Health Care Affordability Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Health Care Affordability Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Health Care Affordability Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Websites and Software Applications Accessibility Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14]
To direct the Secretary of the Navy to recognize certain aspects of the National Navy UDT-SEAL Museum in Fort Pierce, Florida, as a national memorial, national memorial garden, and national K9 memorial, and for other purposes.
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4]
To direct the Secretary of the Navy to recognize certain aspects of the National Navy UDT-SEAL Museum in Fort Pierce, Florida, as a national memorial, national memorial garden, and national K9 memorial, and for other purposes.
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14]
CONNECT for Health Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
CONNECT for Health Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
No Surprises Act Enforcement Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
No Surprises Act Enforcement Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Tribal Healthcare Careers Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Freedom House Ambulance Service Congressional Gold Medal Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid Cuts; Medicare, MA; Behavioral Health Care; Medicare/Transparency. H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians. Sponsor: Rep. Green, Mark E. [R-TN-7]
Freedom House Ambulance Service Congressional Gold Medal Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform. H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians. Sponsor: Rep. Green, Mark E. [R-TN-7] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19]
No UPCODE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Youth Mental Health; Site neutral payment reform. H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
No UPCODE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Youth Mental Health; Site neutral payment reform. H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
HOVER Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Health Care Affordability Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Health Care Affordability Act of 2025
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Telehealth Expansion Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4]
FAIR Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4]
FAIR Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
FAIR Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Lower Costs, More Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Lower Costs, More Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4]
Lower Costs, More Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Pharmacy Benefit Manager Reform Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers; Prescription Drug Cost S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT]
Pharmacy Benefit Manager Reform Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers; Prescription Drug Cost S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT]
SITE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
SITE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4]
SITE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
No Surprises Act Enforcement Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Telehealth Expansion Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] (Introduced 03/28/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
Protecting Patients Against PBM Abuses Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 2880-Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under part D of the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 04/26/2023) H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024)
Black Maternal Health Momnibus Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] (Introduced 03/28/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
Black Maternal Health Momnibus Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
FAIR Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
FAIR Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] (Introduced 03/28/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
FAIR Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
FAIR Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] (Introduced 03/28/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Lower Costs, More Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Lower Costs, More Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Lower Costs, More Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
Lower Costs, More Transparency Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] (Introduced 03/28/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
Medicare PBM Accountability Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024)
Medicare PBM Accountability Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 2880-Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under part D of the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 04/26/2023) H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024)
Medicare PBM Accountability Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023)
Medicare PBM Accountability Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024) H.R.8702 - Improving Seniors Timely Access to Care Act of 2024 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] (Introduced 06/12/2024)
Telehealth Modernization Act of 2024
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 2880-Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under part D of the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 04/26/2023) H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024)
Telehealth Modernization Act of 2024
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024) H.R.8702 - Improving Seniors Timely Access to Care Act of 2024 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] (Introduced 06/12/2024)
Telehealth Modernization Act of 2024
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024)
Improving Seniors’ Timely Access to Care Act of 2024
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024) H.R.8702 - Improving Seniors Timely Access to Care Act of 2024 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] (Introduced 06/12/2024)
Pharmacy Benefit Manager Transparency Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers S.1339-Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
Pharmacy Benefit Manager Transparency Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
Pharmacy Benefit Manager Transparency Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
Pharmacy Benefit Manager Reform Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
Pharmacy Benefit Manager Reform Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
Pharmacy Benefit Manager Reform Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Pharmacy Benefit Managers S.1339-Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
SITE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
SITE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] (Introduced 03/28/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
SITE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
SITE Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Drug Price Transparency in Medicaid Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage, Prior Authorization. S1038/H.R. 1613 Drug Price Transparency in Medicaid Act of 2023 A bill requiring pass-through pricing models, and prohibits spread-pricing, for payment arrangements with pharmacy benefit managers under Medicaid. Sponsor: Sen. Welch, Peter [D-VT] (Introduced 03/29/2023)
Drug Price Transparency in Medicaid Act of 2023
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization; Site Neutral Payments and Payment Accuracy. S1038/H.R. 1613 Drug Price Transparency in Medicaid Act of 2023 A bill requiring pass-through pricing models, and prohibits spread-pricing, for payment arrangements with pharmacy benefit managers under Medicaid. Sponsor: Sen. Welch, Peter [D-VT] (Introduced 03/29/2023) H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023)
FAIR Act
Client: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY · Firm: HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
Affordability; Telehealth, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
Generics access; Prescription Drug Cost; PBM Reform and Prescription Drug Policy H.R.1843 - Increasing Transparency in Generic Drug Applications Act To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. Sponsor: Rep. Dunn, Neal P. [R-FL-2] H.R.7895 - PBM Kickback Prohibition Act To amend section 408 of the Employee Retirement Income Security Act of 1974 to prohibit kickbacks to pharmacy benefit managers. Sponsor: Rep. Allen, Rick W. [R-GA-12] H.R. 6837 - PBM FAIR Act To amend the Employee Retirement Income Security Act of 1974 to ensure that pharmacy benefit managers are considered fiduciaries, and for other purposes. Sponsor: Rep. Auchincloss, Jake [D-MA-4]
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2026 · second_quarter · Q2
Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in Coverage, Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Artificial Intelligence; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3] S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] H.R.8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. Sponsor: Rep. Foxx, Virginia [R-NC-5] H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. Sponsor: Rep. Guthrie, Brett [R-KY-2] H.R.9396 - Prior Authorization Accountability Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates. Sponsor: Rep. Goldman, Craig A. [R-TX-12] H.R.7973 - Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14]
Generics access; Prescription Drug Cost; PBM Reform and Prescription Drug Policy H.R.1843 - Increasing Transparency in Generic Drug Applications Act To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. Sponsor: Rep. Dunn, Neal P. [R-FL-2] H.R.7895 - PBM Kickback Prohibition Act To amend section 408 of the Employee Retirement Income Security Act of 1974 to prohibit kickbacks to pharmacy benefit managers. Sponsor: Rep. Allen, Rick W. [R-GA-12] H.R. 6837 - PBM FAIR Act To amend the Employee Retirement Income Security Act of 1974 to ensure that pharmacy benefit managers are considered fiduciaries, and for other purposes. Sponsor: Rep. Auchincloss, Jake [D-MA-4]
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicaid Managed Care; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform; Fraud, Waste, and Abuse. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] H.R.9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. Sponsor: Rep. DeGette, Diana [D-CO-1] H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16]
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2026 · first_quarter · Q1
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Medicare Advantage & MA Rate Notice; Youth Mental Health; community engagement implementation; Site neutral payment reform. H.R.4077 - GUARD Veterans Health Care Act To amend title 38, United States Code, and the Social Security Act to permit recovery from the Department of Veterans Affairs of costs from Medicare Advantage and Medicare prescription drug plans and to modify the authority for recovery by the United States of reasonable charges for certain care or services furnished to veterans for non-service-connected disabilities, and for other purposes. Sponsor: Rep. Doggett, Lloyd [D-TX-37] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
Generics access; Prescription Drug Cost; Step Therapy H.R.1843 - Increasing Transparency in Generic Drug Applications Act To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. Sponsor: Rep. Dunn, Neal P. [R-FL-2]
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibility; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability. H.R.1909 - Preventing Maternal Deaths Reauthorization Act of 2025 To amend the Public Health Service Act to reauthorize support for State-based maternal mortality review committees, to direct the Secretary of Health and Human Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives, and for other purposes. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/06/2025) H.R.1627 - TREATS Act To amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment, and for other purposes. Sponsor: Rep. Norcross, Donald [D-NJ-1]
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2025 · fourth_quarter · Q4
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing; Individual Market Reforms and eAPTC Extension; S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.5535 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Marshall, Roger [R-KS] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Youth Mental Health; Site neutral payment reform. H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
Pharmacy Benefit Managers; Prescription Drug Cost. H.R.1843 - Increasing Transparency in Generic Drug Applications Act To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. Sponsor: Rep. Dunn, Neal P. [R-FL-2]
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2025 · third_quarter · Q3
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Marketplace Renewal Notices; Surprise Billing; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.4206 - CONNECT for Health Act of 2025 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14] S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Sen. Shaheen, Jeanne [D-NH] H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep. Murphy, Gregory F. [R-NC-3]
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Youth Mental Health; Site neutral payment reform. H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19] S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Sponsor: Sen. Cassidy, Bill [R-LA]
Pharmacy Benefit Managers; Prescription Drug Cost. H.R.1843 - Increasing Transparency in Generic Drug Applications Act To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications. Sponsor: Rep. Dunn, Neal P. [R-FL-2]
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2025 · second_quarter · Q2
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4] H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. Sponsor: Rep. Underwood, Lauren [D-IL-14]
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2025 · first_quarter · Q1
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Rural healthcare; Prior Authorization; Managed Care Organizations; Maternal Health; Hospital billing. H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R. 4189, CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Rep. Thompson, Mike [D-CA-4]
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2024 · fourth_quarter · Q4
Pharmacy Benefit Managers S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2024 · third_quarter · Q3
Pharmacy Benefit Managers S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2024 · second_quarter · Q2
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 2880-Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under part D of the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 04/26/2023) H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024)
Pharmacy Benefit Managers S.1339-Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2024 · first_quarter · Q1
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023)
Affordability; Telehealth, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2023 · fourth_quarter · Q4
COVID testing and therapeutics; Pharmacy Benefits S127-Pharmacy Benefit Manager Transparency Act of 2023 A bill to prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023) S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023)
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization; Site Neutral Payments and Payment Accuracy. S1038/H.R. 1613 Drug Price Transparency in Medicaid Act of 2023 A bill requiring pass-through pricing models, and prohibits spread-pricing, for payment arrangements with pharmacy benefit managers under Medicaid. Sponsor: Sen. Welch, Peter [D-VT] (Introduced 03/29/2023) H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2023 · third_quarter · Q3
Medicaid; Medicaid Redeterminations; Medicare Advantage, Prior Authorization. S1038/H.R. 1613 Drug Price Transparency in Medicaid Act of 2023 A bill requiring pass-through pricing models, and prohibits spread-pricing, for payment arrangements with pharmacy benefit managers under Medicaid. Sponsor: Sen. Welch, Peter [D-VT] (Introduced 03/29/2023)
Affordability, COVID-19 Vaccines; Finance PBM Framework; Health Equity. S127, Pharmacy Benefit Manager Transparency Act of 2023 A bill to prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2023 · second_quarter · Q2
Affordability; Telehealth, Mental Health; Maternal Health; Prior Authorization; Health Equity; Surprise Billing; Transparency in coverage. S 1001 Telehealth expansion Act 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sen. Daines, Steve [R-MT] (Introduced 03/28/2023) H.R. 3561, The Patient Act of 2023 To promote hospital and insurer price transparency, and for other purposes. Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 05/22/2023)
Medicaid; Medicaid Redeterminations; Medicaid work requirements; Medicare Advantage, Prior Authorization.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2023 · first_quarter · Q1
Medicare Advantage Advance Rate Notice; Medicare Advantage, Prior Authorization.
Mental Health; Maternal Health; Health Equity.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2022 · fourth_quarter · Q4
Public Law 117-328 (H.R. 2617) -Fiscal 2023 omnibus spending package Consolidated Appropriations Act, 2023 The bill provides appropriations to federal agencies for the remainder of FY2023, provides supplemental appropriations for disaster relief and to support Ukraine, extends several expiring authorities, and modifies or establishes various programs that address a wide range of policy areas. Sponsor: Rep. Gerald E. Connolly, (D-VA-11) (Introduced 04/16/2021)
COVID-19; COVID-19 Transition/PHE; Telehealth; Health disparities; Social Determinants of Health; Maternal Health Mental Health; Funding for mental health programs; Affordability. H.R. 7780-Mental Health Matters Act A bill to increase access to mental and behavioral health care for students. The bill creates various grants to increase the number of school-based mental health services providers. Sponsor: Rep. Mark DeSaulnier (D-CA-11) (Introduced 05/16/2022) H.R. 7666-Restoring Hope for Mental Health and Well-Being Act of 2022 To amend to the Public Health Services Act to reauthorize center programs relating to mental health and substance use disorders, and for other purposes. Sponsor: Rep. Frank Pallone (D-NJ-06) (Introduced 05/06/2022) S. 346-Black Maternal Health Momnibus Act of 2021 A bill to end preventable maternal mortality and severe maternal morbidity in the United Stated and close disparities in maternal health outcomes, and for other purposes. Sponsor: Sen. Cory Booker (D-NJ) (Introduced 02/22/2021) H.R. 959-Black Maternal Health Momnibus Act of 2021 A bill to end preventable maternal mortality and severe maternal morbidity in the United Stated and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14) (Introduced 02/08/2021) H.R. 8876 Jackie Walorski Maternal and Child Home Visiting Reauthorization Act of 2022 To reauthorize through FY2027, increases funding for, and modifies the Maternal, Infant, and Early Childhood Home Visiting Program, and for other purposes. Sponsor: Rep. Danny Davis, (D-IL-7) (Introduced 09/19/2022) H.R. 432-Mentel Health Access Improvement Act of 2021 This bill provides for coverage of marriage and family therapist services and mental health counselor services under Medicare. It also excludes such services from the skilled nursing facility prospective payment system, and authorizes marriage and family therapists and mental health counselors to develop discharge plans for post-hospital services. Sponsor: Rep. Mike Thompson (D-CA-5) (Introduced 01/21/2021) H.R. 925 Data to Save Moms Act The bill expands data collection and research on maternal morbidity and mortality among minority populations. The bill authorizes funding for maternal mortality review committees to promotes community engagement and for other purposes. Sponsor: Rep. Sharice Davids (D-KS-3) (Introduced 02/08/2021)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2022 · third_quarter · Q3
Affordable Care Act; Extending ARPA Subsidies; COVID-19 Testing; Telehealth/Audio Only; Health disparities; Social Determinants of Health; Maternal Health Mental Health; Affordability. H.R. 7780-Mental Health Matters Act A bill to increase access to mental and behavioral health care for students. The bill creates various grants to increase the number of school-based mental health services providers. Sponsor: Rep. Mark DeSaulnier (D-CA-11) (Introduced 05/16/2022) H.R. 7666-Restoring Hope for Mental Health and Well-Being Act of 2022 Sponsor: Rep. Frank Pallone (D-NJ-06) (Introduced 05/06/2022) S. 346-Black Maternal Health Momnibus Act of 2021 A bill to end preventable maternal mortality and severe maternal morbidity in the United Stated and close disparities in maternal health outcomes, and for other purposes. Sponsor: Sen. Cory Booker (D-NJ) (Introduced 02/22/2021)
Medicare; Prior Authorization; Medicare Advantage Reform; Medicaid; H.R. 2166-Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 Sponsor: Rep. Terri Sewell (D-AL-01)(Introduced 03/23/2021) H.R. 3173 Improving Seniors' Timely Access to Care Act of 2022 A bill that establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans. Sponsor: Rep. Suzan DelBene (D-WA-1) (Introduced 05/13/2021)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2022 · second_quarter · Q2
Medicare; Medicare Advantage Reform; Medicaid; H.R. 2166-Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 Sponsor: rep. Terri Sewell (D-AL-01)(Introduced 03/23/2021)
COVID-19 Testing; Rx reform; Insulin; Prescription drugs.
ACA Tax Credits.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2022 · first_quarter · Q1
COVID-19 Testing; Rx reform; Prescription drugs; OTC COVID Tests.
Affordable Care Act (ACA); Health Reform; COVID-19; Telehealth/Audio Only; Health disparities; Extending Exchange Subsidies; Extending ARPA Subsidies; Health Equity Issues; Health Care spending; Social Determinants of Health; Pandemic preparedness; OTC COVID Testing; Affordability. H.R. 5376-Build Back Better Act Sponsor: Rep. John Yarmuth (D-KY-03)(Introduced 09/27/2021)
Medicare; Medicare Advantage Reform; Medicaid.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2021 · third_quarter · Q3
ACA Tax Credits. H.R. 1868 -To prevent across-the-board direct spending cuts, and for other purposes. Sponsor: Rep. John Yarmuth (D-KY-03) (Introduced 03/12/2021)
COVID-19 Testing; COVID-19 Vaccine Strategy and Treatment; Prescription Drugs; Prescription Drug Reform. H.R. 3 -117th Congress (2021-2022) Lower Drug Costs Act Sponsor: Frank Pallone Jr. [D-NJ-6] (Introduced 04/22/2021)
Medicare; Medicare Advantage Reform; Medicaid; Part D Reform; H.R. 2166 -117th Congress (2021-2022) To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes. Sponsor: Rep. Terri Sewell (D-AL-07) (Introduced 03/23/2021)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2021 · second_quarter · Q2
Medicaid Maternal Health; Medicare Advantage Audio Only; Medicaid FMAP; Medicare; Medicare Advantage. S.150 -117th Congress (2021-2022) Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 Sponsor: Sen. Catherine Cortez Masto (D-NV) (Introduced 02/02/2021) H.R. 2166 -117th Congress (2021-2022) To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes. Sponsor: Rep. Terri Sewell (D-AL-07) (Introduced 03/23/2021)
Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Transparency; Surprise Billing, Maternal Health; Black Maternal Health; COVID-19 Response/Relief Packages, COBRA subsidies; Telehealth/Audio-Only; COVID-19 Disaster Relief; Health Disparities; Health Equities; Cost and Affordability; SEP. Public Law 117-2 (H.R. 1319)-117th Congress (2021-2022) American Rescue Plan Act of 2021 Sponsor: Rep. John Yarmuth (D-KY-03) H.R. 2503-117th Congress (2021-2022) Social Determinants Accelerator Act of 2021 Sponsor: Rep. Cheri Bustos [D-IL-7] (Introduced 04/14/2021)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2021 · first_quarter · Q1
ACA Tax Credits; H.R. 1868 -117th Congress (2021-2022) To prevent across-the-board direct spending cuts, and for other purposes. Sponsor: Rep. John Yarmuth (D-KY-03) (Introduced 03/12/2021)
COVID-19 Testing; COVID-19 Vaccine Strategy and Treatment; Rx reform;
Medicaid Maternal Health; Medicare Advantage Audio Only; Medicaid FMAP; Medicare; Medicare Advantage. S.150 -117th Congress (2021-2022) Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 Sponsor: Sen. Catherine Cortez Masto (D-NV) (Introduced 02/02/2021) H.R. 2166 -117th Congress (2021-2022) To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes. Sponsor: Rep. Terri Sewell (D-AL-07) (Introduced 03/23/2021)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2020 · fourth_quarter · Q4
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Individual Market Reform; Individual Health Care Costs; Mental Health; Transparency; Interoperability; Surprise billing, State Based Exchange; ACA Outreach, Education, and Enrollment; Prior Authorization; Black Maternal health; Seniors health care; social determinants of health; Healthcare access/privacy; Telehealth/Audio Only; CDC Guidance Testing Funding Level/Plan requirements; COVID-19 Response/Relief Packages; change in corporate form/mutual holding company; COBRA subsidies; Premium Credits; ACA Tax Credits; Maternal Health. H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 07/09/2019) H.R. 6800 - 116th Congress (2019-2020) HEROES Act Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes. Sponsor: Rep. Lowey, Nita [D-NY-17] (Introduced 05/12/2020) Public Law 116-136 (H.R. 748) - 116th Congress (2019-2020) Third Coronavirus Stimulus Package Sponsor: Rep. Courtney, Joe [D-CT-02] Public Law 116-260 (H.R. 133) - 116th Congress (2019-2020) COVID-19 Relief and Fiscal Omnibus Sponsor: Rep. Cuella, Henry [D-TX-28] S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] Public Law 116-123 (H.R. 6074) - 116th Congress (2019-2020) Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 Sponsor: Rep. Lowey, Nita [D-NY-17] H.R. 5826- - 116th Congress (2019-2020)-Second Session Consumer Protection Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Neal, Richard [D-MA-01] (Introduced 02/10/2020) H.R. 6810-116th Congress-Second Session Health Care Protection Act Rep. Davis, Rodney [R-IL-13] (Introduced 05/12/2020) H.R. 6545 - 116th Congress-Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Murphy, Stephanie [D-FL-07] (Introduced 04/17/2020)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2020 · third_quarter · Q3
Opioids; Drug Pricing; COVID-19 Testing
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; Medicaid General; Provider funding; Medicaid FMAP Increase; Coronavirus Medicaid Response. H.R. 3107 - 116th Congress (2019-2020) Improving Seniors Timely Access to Care Act of 2019 Rep. DelBene, Suzan [D-WA-01] (Introduced 06/05/2019) H.R. 7659- 116th Congress (2019-2020) Ensuring Parity in MA for Audio-Only Telehealth Act of 2020 To amend Title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans, and for other purposes. Sponsor: Rep. Sewell, Terri [D-AL-07] (Introduced 07/16/2020)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2020 · second_quarter · Q2
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Marketplace Stability; Individual Market Reform; Health Care Costs; Mental Health; CREATES Act; Sec. 1332 Waivers; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Single Payer; Reinsurance; CSRs; SNPs; FEHBP Issues; 42 CFR Part 2; Transparency; Silver-loading; Health IT; Interoperability; Surprise billing, Transparency, Small Business, State Flexibility; Provider Directories; Postal Reform; Health Reimbursement Arrangements (HRAs), State Based Exchange; ACA Outreach, Education, and Enrollment; Prior Authorization; All-payer claims database; Negotiated rate disclosure; Consumer-facing app disclosure; Medicare for All; Medicare Buy-in; Maternal health; Seniors health care; social determinants of health; Community health, Healthcare access/privacy. H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.2902 - 116th Congress (2019-2020) Maternal CARE Act Sponsor: Rep. Adams, Alma S. [D-NC-12] (Introduced 05/22/2019) H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 07/09/2019) H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S., Jr. [D-VA-8] (Introduced 06/24/2019) H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 04/10/2019) H.R. 2774 - 116th Congress - First Session Primary Care Patient Protection Act of 2019 Rep. Brad Schneider [D-IL-10] (Introduced 05/15/2019) H.R. 5826- - 116th Congress (2019-2020)-Second Session Consumer Protection Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal [D-MA-01] (Introduced 02/10/2020) S. 3548 - 116th Congress -Second Session Coronavirus Aid, Relief, and Economic Security Act Sponsor: Sen. Mitch McConnell [R-KY] (Introduced 03/19/2020) H.R. 6201 - 116th Congress-Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey [D-NY-17] (Introduced 03/11/2020) H.R. 6132 - 116th Congress-Second Session Social Determinants for Moms Act of 2020 Sponsor: Rep. Lucy McBath [D-GA-06] (Introduced 03/09/2020) H.R. 5800 - 116th Congress-Second Session Ban Surprise Billing Act Sponsor: Rep. Scott, Bobby [D-VA-03] (Introduced 02/07/2020) H.R. 6311-11th Congress- Second Session Care for COVID-19 Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 03/19/2020) H.R. 6231-116th Congress- Second Session Ensuring Access to COVID-19 Preventive Care Act of 2020 Sponsor: Rep. Bucshon, Larry [R-IN-8] (Introduced 03/12/2020) H.R. 6810-116th Congress-Second Session Health Care Protection Act Rep. Davis, Rodney [R-IL-13] (Introduced 05/12/2020) H.R. 6426-116h Congress-Second Session To direct the Secretary of Health and Human Services to establish a program under which loans shall be made to certain health care organizations to assist such organization with anticipated revenue loss or higher operating costs as a result of the COVID-19 emergency, and for other purposes. Sponsor: Rep. Rose, Max [D-NY-11] (Introduced 03/31/2020) H.R. 6644-116th-Second Session To require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for services furnished via telehealth if such services would be covered if furnished in-person during the COVID-19 emergency. Sponsor: Rep. Schrier, Kim [D-WA-8] (Introduced 04/28/2020)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2020 · first_quarter · Q1
Opioids (Epidemic, Deterrence, Treatment); CREATES Act; Drug Pricing; PBM/Prescription Drug Costs; Rx Rebates; Rx Rebates; Biosimilars; Part D Reform; Drug Patents; generic drugs; Drug approval; Civica Rx. H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019) H.R.938 - 116th Congress (2019-2020) BLOCKING Act of 2019 Sponsor: Rep. Schrader, Kurt [D-OR-5] (Introduced 01/31/2019) H.R.1499 - 116th Congress (2019-2020) Protecting Consumer Access to Generic Drugs Act of 2019 Sponsor: Rep. Rush, Bobby L. [D-IL-1] (Introduced 03/05/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18](Introduced 3/05/2019) H.R.1503 - 116th Congress (2019-2020) Orange Book Transparency Act of 2019 Sponsor: Rep. Kelly, Robin L. [D-IL-2](Introduced 3/5/2019) H.R.965 - 116th Congress (2019-2020) CREATES Act of 2019 Sponsor: Rep. Cicilline, David N. [D-RI-1] (Introduced 02/05/2019) H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 09/19/2019) H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] (Introduced 01/08/2019) H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 01/10/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] (Introduced 02/07/2019) S.3092 - 116th Congress (2019-2020) Expanding Access to Low-Cost Generics Act of 2019 Sponsor: Sen. Tina Smith (D-MN) (Introduced 12/18/2019) S.2546 - 116th Congress (2019-2020) Safe Step Act Sen. Lisa Murkowski [R-AK] (Introduced 09/25/2019) S.3374 - 116th Congress - Second Session Protecting Jessica Grubbs Legacy Act Sen. Joe Manchin [D-WV] (Introduced 03/03/2020) H.R. 19 - 116th Congress -First Session Lower Costs, More Cures Act of 2019 Rep. Greg Walden [R-OR-02] (Introduced 12/09/2019)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2019 · fourth_quarter · Q4
Opioids (Epidemic, Deterrence, Treatment); CREATES Act; Drug Pricing; PBM/Prescription Drug Costs Rx Rebates; Direct-to-Consumer Rx Advertising; Rx Rebates; Biosimilars H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019) H.R.938 - 116th Congress (2019-2020) BLOCKING Act of 2019 Sponsor: Rep. Schrader, Kurt [D-OR-5] (Introduced 01/31/2019) H.R.1499 - 116th Congress (2019-2020) Protecting Consumer Access to Generic Drugs Act of 2019 Sponsor: Rep. Rush, Bobby L. [D-IL-1] (Introduced 03/05/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18](Introduced 3/05/2019) H.R.1503 - 116th Congress (2019-2020) Orange Book Transparency Act of 2019 Sponsor: Rep. Kelly, Robin L. [D-IL-2](Introduced 3/5/2019) H.R.965 - 116th Congress (2019-2020) CREATES Act of 2019 Sponsor: Rep. Cicilline, David N. [D-RI-1] (Introduced 02/05/2019) H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 09/19/2019) H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] (Introduced 01/08/2019) H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 01/10/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] (Introduced 02/07/2019) S.3092- 116th Congress (2019-2020) Expanding Access to Low-Cost Generics Act of 2019 Sponsor: Sen. Tina Smith (D-MN) (Introduced 12/18/2019)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2019 · third_quarter · Q3
Opioids (Epidemic, Deterrence, Treatment); CREATES Act; Drug Pricing; PBM/Prescription Drug Costs Rx Rebates; Direct-to-Consumer Rx Advertising; Rx Rebates; Biosimilars H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019) H.R.938 - 116th Congress (2019-2020) BLOCKING Act of 2019 Sponsor: Rep. Schrader, Kurt [D-OR-5] (Introduced 01/31/2019) H.R.1499 - 116th Congress (2019-2020) Protecting Consumer Access to Generic Drugs Act of 2019 Sponsor: Rep. Rush, Bobby L. [D-IL-1] (Introduced 03/05/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18](Introduced 3/05/2019) H.R.1503 - 116th Congress (2019-2020) Orange Book Transparency Act of 2019 Sponsor: Rep. Kelly, Robin L. [D-IL-2](Introduced 3/5/2019) H.R.965 - 116th Congress (2019-2020) CREATES Act of 2019 Sponsor: Rep. Cicilline, David N. [D-RI-1] (Introduced 02/05/2019) H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 09/19/2019) H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] (Introduced 01/08/2019) H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 01/10/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] (Introduced 02/07/2019)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2019 · second_quarter · Q2
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; Medicaid General; CHIP Reform; MACRA; Medicare Part D; Medicaid Alignment; Part D Donut Hole, Rx Rebates; Medicare Data Sharing; Privacy. H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019)
Health Insurance Tax (HIT Tax); Tax credits; Cadillac Tax; Health Reimbursement Arrangements (HRAs). S.172 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Sen. Gardner, Cory [R-CO] (Introduced 01/16/2019) S.684 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Sen. Heinrich, Martin [D-NM] (Introduced 03/06/2019) H.R.748 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Rep. Courtney, Joe [D-CT-2] (Introduced 01/24/2019) H.R.1398 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Rep. Bera, Ami [D-CA-7] (Introduced 02/27/2019)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2019 · first_quarter · Q1
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Marketplace Stability; Individual Market Reform; CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Single Payer; Reinsurance; CSRs; SNPs; FEHBP Issues; 42 CFR Part 2; Transparency; Silverloading; Health IT; Interoperability; Texas lawsuit; Surprise billing, Transparency, Small Business, State Flexibility; Biosimilars; Provider Directories; Postal Reform; Health Reimbursement Arrangements (HRAs). H.R.2003 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) H.R.2004 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) S.971 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Sen. Smith, Tina [D-MN] (Introduced 04/01/2019) H.R.1385 - 116th Congress (2019-2020) SAVE Act Sponsor: Rep. Kim, Andy [D-NJ-3] (Introduced 02/27/2019) H.R.1386 - 116th Congress (2019-2020) ENROLL Act of 2019 Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/27/2019) H.R.987 - 116th Congress (2019-2020) MORE Health Education Act Sponsor: Rep. Blunt Rochester, Lisa [D-DE- At Large] (Introduced 02/06/2019) H.R.986 - 116th Congress (2019-2020) Protecting Americans with Preexisting Conditions Act of 2019 Sponsor: Rep. Kuster, Ann M. [D-NH-2] (Introduced 02/06/2019) H.R.1425 - 116th Congress (2019-2020) State Health Care Premium Reduction Act Sponsor: Rep. Craig, Angie [D-MN-2] (Introduced 02/28/2019)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2018 · fourth_quarter · Q4
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; Medicaid General; CHIP Reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Medicare Part D; Medicaid Alignment; Part D Donut Hole, Rx Rebates, Patients Act (Dialysis), ACE Kids Act. HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 3325 ACE Kids Act Introduced July 20, 2017 by Joe Barton (R-TX) To amend title XIX of the Social Security Act to provide States with the options of providing coordinated care for children with complex medical conditions through a health home, and for other purposes. HR 4143 Dialysis Patients Demonstration Act of 2017 Introduced October 26, 2017 by Jason Smith (R-MO) To establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 6478 Biosimilars Competition Act of 2018 Introduced July 23, 2018 by John Sarbanes (D-MD) To enhance competition for prescription drugs by increasing the ability of the Department of Justice and Federal Trade Commission to enforce existing antitrust laws regarding biologic and biosimilar products, and for other purposes. S 2554 Patient Right to Know Drug Price Act of 2018 Introduced March 14, 2018 by Susan Collins (R-ME) Americans overspend by an estimated $135 million on prescriptions through their insurance, in cases when they would cost less out of pocket. Yet pharmacists are often under gag orders from telling customers about that discrepancy. A new bill introduced in the Senate would end this practice.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2018 · third_quarter · Q3
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; CHIP Reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Medicare Part D; Medicaid Alignment. HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 4143 Dialysis Patients Demonstration Act of 2017 Introduced October 26, 2017 by Jason Smith (R-MO) To establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 6478 Biosimilars Competition Act of 2018 Introduced July 23, 2018 by John Sarbanes (D-MD) To enhance competition for prescription drugs by increasing the ability of the Department of Justice and Federal Trade Commission to enforce existing antitrust laws regarding biologic and biosimilar products, and for other purposes. S 2554 Patient Right to Know Drug Price Act of 2018 Introduced March 14, 2018 by Susan Collins (R-ME) Americans overspend by an estimated $135 million on prescriptions through their insurance, in cases when they would cost less out of pocket. Yet pharmacists are often under gag orders from telling customers about that discrepancy. A new bill introduced in the Senate would end this practice.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2018 · second_quarter · Q2
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Savings Accounts (HSA); Small Group Market Reform; Short Term Limited Duration (STLD); Cost-sharing Reduction (CSR); Reinsurance; Risk Adjustment; Market Stability; Drug Pricing; Individual Market Reform; CREATES ACT; Health Insurance Tax (HIT); Affordability; Individual Market Rules; Small Group Market; Postal Reform; Association of Health Plans Opioid Epidemic; State Flexibility; Pay-fors; 42 CFR Part 2. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 314 Introduced January 5, 2017 by Marsha Blackburn (R-TN) To repeal title I of the Patient Protection and Affordable Care Act and to amend the Public Health Service Act to provide for cooperative governing of individual health insurance coverage offered in interstate commerce. HR 1703 Introduced March 23, 2017 by Morgan Griffith (R-VA) To amend the Federal Food, Drug, and Cosmetic Act with respect to determining the intended use of drugs and devices. HR 2051 FAST Generics Act Introduced April 6, 2017 by David McKinley (R-WV) To amend the Federal Food, Drug, and Cosmetic Act to ensure that eligible product developers have competitive access to approved drugs and licensed biological products, so as to enable eligible product developers to develop and test new products, and for other purposes. HR 2430 Introduced May 10, 2017 by Greg Walden (R-OR) To amend the Federal Food, Drug, and Cosmetic Act to revise and extend the user-fee programs for prescription drugs, medical devices, generic drugs, and biosimilar biological products, and for other purposes. HR 1101 Small Business Health Fairness Act of 2017 Introduced February 16, 2017 by Sam Johnson (R-TX) To amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees. HR 708 Introduced January 27, 2017 by Larry Bucshon (R-IN) This bill amends the Public Health Service Act to increase the permissible variation based on age for health insurance premiums for coverage offered in the individual or small group market from a factor of three to a factor of five, or to a factor determined by the state. This applies to plan years starting on or after January 1, 2018. HR 3922 Championing Healthy Kids Act Introduced October 3, 2017 by Greg Walden (R-OR) Extends funding for the Childrens Health Insurance Program (CHIP) through Fiscal Year (FY) 2022, Federally Qualified Health Centers (FQHCs) through FY2019, and revises CHIP and Medicaid. HR 2212 CREATES Act Introduced April 27, 2017 by Tom Marino (R-PA) To promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products. HR 1409 Cancer Drug Parity Act of 2017 Introduced March 7, 2017 by Leonard Lance (R-NJ) To amend the Public Health Service Act to require group and individual health insurance coverage and group health plans to provide for cost sharing for oral anticancer drugs on terms no less favorable than the cost sharing provided for anticancer medications administered by a health care provider. HR 749 Lower Drug Cost Through Competition Act Introduced January 30, 2017 by Kurt Schrader (D-OR) To increase competition in the pharmaceutical industry. HR 4666 Premium Relief Act Introduced December 18, 2017 by Ryan Costello (R-PA) To amend the Public Health Service Act to provide for a Patient and State Stability Fund. HR 3976 Access to Marketplace Insurance Act Introduced October 5, 2017 by Kevin Cramer (R-ND) To amend the Patient Protection and Affordable Care Act to allow for certain third-party payments. HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 5806 21st Century Tools for Pain and Addiction Treatment Act Introduced May 15, 2018 by Michael Burgess(R-TX) To require the Secretary of Health and Human Services to issue guidance with respect to the expedited approval of certain drugs, and for other purposes. HR 5808 Medicaid Pharmaceutical Home Act of 2018 Introduced May 15, 2018 by Gus Bilirakis (R-FL) To amend title XIX of the Social Security Act to require States to operate drug management programs for at-risk beneficiaries, and for other purposes. HR 5810 Medicaid Health Homes for Opioid-Use-Disorder Medicaid Enrollees Encouraged Act Introduced May 15, 2018 by Leonard Lance (R-NJ) To amend title XIX of the Social Security Act to provide for an extension of the enhanced FMAP for certain Medicaid health homes for individuals with substance use disorders. HR 5796 Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act of 2018 Introduced May 15, 2018 by Brian Fitzpatrick (R-PA) To require the Secretary of Health and Human Services to provide grants for eligible entities to provide technical assistance to outlier prescribers of opioids, and for other purposes. HR 5590 Opioid Addiction Action Plan Act Introduced April 24, 2018 by Adam Kinzinger (R-IL) To require the Secretary of Health and Human Services to provide for an action plan on recommendations for changes under Medicare and Medicaid to prevent opioids addictions and enhance access to medication-assisted treatment, and for other purposes. HR 4684 Ensuring Access to Quality Sober Living Act of 2018 Introduced December 19, 2017 by Judy Chu (D-CA) Authorizes the Substance Abuse and Mental Health Services Administration to develop, publish, and disseminate best practices for operating recovery housing that promotes a safe environment and sustained recovery from substance use disorders. Recovery housing is increasingly recognized as critical to recovery for many individuals, and includes activities and programs such as mediation, one-on one counseling, group sessions, peer recovery support, medication management, spiritual engagement, and others. HR 5580 STOP Fentanyl Deaths Act of 2018 Introduced April 23, 2018 by Ann Kuster (D-NH) To authorize the Secretary of Health and Human Services to conduct programs to address the usage of illicit drugs, particularly fentanyl, and for other purposes. HR 5587 Peer Support Communities of Recovery Act Introduced April 23, 2018 by Ben Lujan (D-NM) enhances the Comprehensive Addiction and Recovery Acts Building Communities of Recovery Program and authorizes the Department of Health and Human Services (HHS) to award grants to peer support specialist organizations for the development and expansion of recovery services. Grants shall be awarded to nonprofit organizations that support community-based, peer delivered support, including technical support for the establishment of recovery community organizations, independent, nonprofit groups led by people in recovery and their families. HR 5795 Overdose Prevention and Patient Safety Act Introduced May 15, 2018 by Earl Blumenauer (D-OR) To amend the Public Health Service Act to protect the confidentiality of substance use disorder patient records. HR 5812 Creating Opportunities that Necessitate New and Enhanced Connections That Improve Opioid Navigation Strategies Act of 2018 Introduced May 15, 2018 by Morgan Griffith (R-VA) Will authorize the Centers for Disease Control and Prevention to carry out certain controlled substances overdose prevention and surveillance activities in order to improve data collection and integration into physician clinical workflow so that timely, complete, and accurate information will get into the hands of providers and dispensers so that they can make the best clinical decisions for their patients. HR 4284 INFO Act Introduced November 7, 2017 by Robert Latta (R-OH) directs the Department of Health and Human Services (HHS) to create a public and easily accessible electronic dashboard linking to all of the nationwide efforts to combat the opioid crisis. In addition, the legislation creates an Interagency Substance Use Disorder Coordinating Committee to review and coordinate opioid use disorder (OUD) and other substance use disorder (SUD) research, services, and prevention activities across all relevant Federal agencies, evaluate the effectiveness of these activities, and make specific recommendations for actions that agencies can take to better coordinates the administration of services for patients with OUD and SUD. HR 5009 Jessies Law Introduced February 13, 2018 by Tim Walberg (R-MI) Ensures medical professionals have access to a consenting patients complete health information when making treatment decisions by requiring the Department of Health and Human Services (HHS) to develop and annually disseminate best practices regarding the prominent display of substance use disorder (SUD) history in records of patients who have previously provided this information to a health care provider. HR 5197 ALTO Act Introduced March 7, 2018 by Bill Pascrell, Jr. (D-NJ) Directs the Secretary of Health and Human Services (HHS) to carry out a demonstration program to test alternative pain management protocols to limit the use of opioids in hospital emergency departments. Following the completion of the three-year demonstration, the Secretary of Health and Human Services will submit a report to Congress on the results of the program and issue recommendations for broader implementation. The legislation authorizes $10 million annually in grants for fiscal years 2019-2021.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2018 · first_quarter · Q1
Affordable Care Act (ACA); ACA Regulations; Market Stability; Special Needs Plans (SNP); Special Enrollment Periods (SEPs); Waivers; Small Group Market Reform; Short Term Limited Duration (STLD); Cost-sharing Reduction (CSR); Reinsurance; Third Party Payment of Premiums (TPP); Grace Periods; Health Care Reform; Drug Pricing; Individual Market Reform; Exchanges; Age Bands; Health Insurance Tax (HIT); Tax Credits; Graham-Cassidy Legislation; Collins Nelson-legislation; Alexander-Murray legislation; Association of Health Plans; Small Group Market; Postal Reform; Association of Health Plans. S. 1354- 115th Congress (2017-2018) Individual Health Insurance Marketplace Improvement Act. Sponsor: Sen. Carper, Thomas R. [D-DE] (Introduced June 14, 2017) S. 221-115th Congress (2017-2018) Repeal Insurance Plans of the Multi-State Program Act of 2017. Sponsor: Sen. Johnson, Ron [R-WI] (Introduced December 12, 2017) H.R. 173- 115th Congress (2017-2018) Middle Class Health Benefits Tax Repeal Act of 2017. Sponsor: Rep. Mike Kelly [R-PA-3] (Introduced January 3, 2017) H.R. 246- 115th Congress (2017-2018) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. Sponsor: Rep. Kristi Noem, [R-SD] (Introduced January 4, 2017) H.R. 2430- 115th Congress (2017-2018) FDA Reauthorization Act of 2017 Sponsor: Rep. Walden, Greg [R-OR] (Introduced May 16, 2017) H.R. 314- 115th Congress (2017-2018) Health Care Choice Act 2017 Sponsor: Rep. Blackburn, Marsha [R-TN] (Introduced January 5, 2017) H.R. 2051- 115thth Congress (2017-2018) Fast Generics Act of 2017 Rep. McKinley, David B. [R-WV] (Introduced April 6, 2017) H.R.4666-115th Congress (2017-2018) Premium Relief Act of 2017 Sponsor: Rep. Costello, Ryan A. [R-PA] (Introduced December 18, 2017) H.R.1101- 115th Congress (2017-2018) Small Business Health Fairness Act of 2017 Sponsor: Rep. Johnson, Sam [R-TX] (Introduced February 16, 2017) H.R.708- 115th Congress (2017-2018) State Age Rating Flexibility Act 2017 Sponsor: Rep. Bucshon, Larry [R-IN] (Introduced January 27, 2017) H.R. 3922- 115th Congress (2017-2018) CHAMPIONING HEALTHY KIDS Act. Sponsor: Rep. Walden, Greg [R-OR] (Introduced October 3, 2017) H.R.2212- 115th Congress (2017-2018) CREATES Act of 2017 Rep. Marino, Tom [R-PA] (Introduced April 27, 2017) H.R.749- 115th Congress (2017-2018) Lower Drug Costs through Competition Act Sponsor: Rep. Schrader, Kurt [D-OR] (Introduced January 30, 2017) H.R.3976- 115th Congress (2017-2018) Access to Marketplace Insurance Act Sponsor: Rep. Cramer, Kevin [R-ND] (Introduced October 5, 2017)
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2017 · fourth_quarter · Q4
Affordable Care Act (ACA); ACA Regulations; Market Stability; Special Needs Plans (SNP); Special Enrollment Periods (SEPs); Waivers; Small Group Market Reform; Short Term Limited Duration (STLD); Cost-sharing Reduction (CSR); Reinsurance; Third Party Payment of Premiums (TPP); Grace Periods; Health Care Reform; Drug Pricing; Individual Market Reform; Exchanges; Age Bands; Health Insurance Tax (HIT); Tax Credits; Graham-Cassidy Legislation; Collins Nelson-legislation; Alexander-Murray legislation; Postal Reform; Association of Health Plans. H.R. 173- 115th Congress (2017-2018) Middle Class Health Benefits Tax Repeal Act of 2017. Sponsor: Rep. Mike Kelly [R-PA-3] Introduced January 3, 2017. H.R. 246- 115th Congress (2017-2018) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. Sponsor: Rep. Kristi Noem, [R-SD] Introduced January 4, 2017. H.R. 2430- 115th Congress (2017-2018) FDA Reauthorization Act of 2017 H.R. 314- 115th Congress (2017-2018) Health Care Choice Act 2017 H.R. 2051- 115thth Congress (2017-2018) Fast Generics Act of 2017 H.R.4666-115th Congress (2017-2018) Premium Relief Act of 2017 H.R.1101- 115th Congress (2017-2018) Small Business Health Fairness Act of 2017 H.R.708- 115th Congress (2017-2018) State Age Rating Flexibility Act 2017 H.R.3922- 115th Congress (2017-2018) Championing Healthy Kids Act H.R.2212- 115th Congress (2017-2018) CREATES Act of 2017 H.R.749- 115th Congress (2017-2018) Lower Drug Costs through Competition Act H.R.4666-115th Congress (2017-2018) Premium Relief Act of 2017 H.R.3976- 115th Congress (2017-2018) Access to Marketplace Insurance Act
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2017 · third_quarter · Q3
Opioid Abuse; Opioid Education; Prescription Drug pricing.
CHIP reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Medicare Advantage, Postal Reform; H.R. 756- 115th Congress (2017-2018) Postal Service Reform Act of 2017. Sponsor: Rep. Jason Chaffetz [R-UT-3] Introduced January 31, 2017. H.R. 2575- 115th Congress (2017-2018) Beneficiary Enrollment Notification and Eligibility Simplification Act of 2017 or BENES Act of 2017. Sponsor Raul Ruiz [D-CA-36] Introduced May 19, 2017. H.R. 3921- 115th Congress (2017-2018) Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017 or HEALTHY KIDS Act. Sponsor: Rep. Michael Burgess [R-TX-26] Introduced October 3, 2017.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2017 · second_quarter · Q2
Health Insurance Tax (HIT TAX); Cadillac Tax; Tax Credits HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2017 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage.
Cost-Sharing reductions.
Opioid Abuse; Opioid Education; Prescription Drug pricing. HR 2026 Pharmaceutical Information Exchange Act Introduced April 6, 2017 by Brett Guthrie (R-VA) To improve patient access to emerging medication therapies by clarifying the scope of permitted health care economic and scientific information communications between biopharmaceitoca; manufacturers and population health decision makers.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2017 · first_quarter · Q1
Reserves education.
Medigap; Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act 2015 (MACRA); Site-neutral Payments; Rate Notice and Call letter. HR 1290 Improving Access to Mental Health Act Introduced March 1, 2017 by Barbra Lee (D-CA) To amend title XVII of the Social Security Act to improve access to mental services under the Medicare program. HR 1389 Increasing State Flexbility in Care Coordination for the Most Vulnerable Act of 2017 Introduced March 7, 2017 by Gus Bilirakis (R-FL) To amend title XIX of the Social Security Act to provide States with flexibility to provide care coordination under Medicaid for the most vulnerable through managed care. HR 1395 MACPAC Improvement Act of 2017 Introduced March 7, 2017 by Michael Burgess (R-TX) To amend title XIX of the Social Security Act to improve the Medicaid and Chip Payment and Access Commission (MACPAC).
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2016 · fourth_quarter · Q4
Medicare/Medicaid Issues; Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act 2015 (MACRA); Chronic Care Reform; Exchanges; Site-neutral Payments; Rate Notice and Call Letter. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. The Bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 2895 Introduced June 25, 2015 by Mike Pompeo (R-KS) Medicare Patient Access to Cancer Treatment Act of 2015 To amend title XVIII of the Social Security Act to establish payment parity under the Medicare program for ambulatory cancer services furnished in the hospital outpatient department and the physician office setting. HR 3716 Introduced October 8, 2015 by Larry Bucshon (R-IN) To amend title XIX of the Social Security Act to require States to provide to the Secretary of Health and Human Services certain information with respect to provider termination, and for other purposes.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2016 · third_quarter · Q3
Affordable Care Act - Chronic Care Innovations; Payment reform; CBPP; 2017 Notice of Benefit and Payment Parameters; ACA Regulations, Implementation; Open Enrollment; Market Stability; Special Enrollment Periods (SEPs); Reinsurance; Risk corridors; Risk Mitigation; Risk Programs; Premiums; Individual Market Reform; Third party payments; Exchanges; Age Bands. Other Health Care Issues- Mental Health Reform; End Stage Renal Disease (ESRD); Health Savings Accounts; Opioid Education. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA). This bill repeals a provision of the ACA that imposes an annual fee on a health insurance provider based on its net premium income. HR 2646 Helping Families in Mental Health Crisis Act of 2015 Introduced May 4, 2015 by Tim Murphy (R-PA) To make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. HR 3742 Access to Marketplace Insurance Act Introduced October 9, 2015 by Kevin Cramer (R-ND) To amend the Patient Protection and Affordable Care Act to allow for certain third party payments. HR 5410 Health Coverage State Flexibility Act of 2016, Introduced June 21, 2016 by Bill Flores (R-TX), Amends the Patient Protection and Affordable Care Act to revise the grace period that health insurers must provide to recipients of premium subsidies before discontinuing health coverage for nonpayment of premiums. HR 5506 Introduced June 15, 2016 by Todd Young (R-IN) To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. HR 5904 Tax Payers Before Insurers Act Introduced July 14, 2016 by Mark Walker (R-NC) To require the Secretary of Health and Human Services to deposit certain funds into the general fund of the Treasury in accordance with provision of Federal law with regard to the Patient Protection and Affordable Care Acts Transitional reinsurance Program. HR 5921 State Age Rating Flexibility Act Introduced July 21, 2016 by Larry Bucshon (R-IN) To amend title XXVII of the Public Health Services Act to change the permissible age variation in health insurance premium rates. S. 524 Comprehensive Addition and Recovery Act of 2016 Introduced February 12, 2015 by Sheldon Whitehouse (D-RI) Overdoes from heroin, prescription drugs, and opioid pain relievers. Overdoses from heroin, prescription drugs, and opioid pain relievers last year surpassed car accidents as the leading cause of injury-related death in America, according to the Centers for Disease Control. Deaths have reached their highest levels of the 21st century in 2014, the most recent year for which data is available, according to the National Institute on Drug Abuse. The bill authorizes the Attorney General and Secretary of Health and Human Services to award grants to address the national epidemics of prescription opioid abuse and heroin use. S. 1945 Mental Health Reform Act of 2015 Introduced August 5, 2015 by Bill Cassidy (R-LA) A bill to make available needed psychiatric, psychological and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. S. 2713 Introduced March 17, 2016 by Lamar Alexander (R-TN) Advancing Precision Medicine Act of 2016 A bill to provide for the implementation of Precision Medicine Initiative. Network Adequacy standards and network tiering.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2016 · second_quarter · Q2
Affordable Care Act - Chronic Care Innovations; Payment reform; CBPP; 2017 Notice of Benefit and Payment Parameters; ACA Regulations, Implementation; Open Enrollment; Market Stability; Sepcial Enrollment Periods (SEPs); Reinsurance; Taskforce; Agency Health Research Quality (AHRQ) Other Health Care Issues- Mental Health Parity; Opioid Education; Air Ambulances Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA). This bill repeals a provision of the ACA that imposes an annual fee on a health insurance provider based on its net premium income. HR 2646 Helping Families in Mental Health Crisis Act of 2015 Introduced May 4, 2015 by Tim Murphy (R-PA) To make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. HR 3742 Access to Marketplace Insurance Act Introduced October 9, 2015 by Kevin Cramer (R-ND) To amend the Patient Protection and Affordable Care Act to allow for certain third party payments. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. S. 524 Comprehensive Addition and Recovery Act of 2016 Introduces February 12, 2015 by Sheldon Whitehouse (D-RI) Overdoes from heroin, perscription drugs, and opioid pain relievers. Overdoses from heroin, prescription drugs, and opioid pain relievers last year surpassed car accidents as the leading cause of injury-related death in America, according to the Centers for Disease Control. Deaths have reached their highest levels of the 21st century in 2014, the most recent year for which data is available, according to the National Institute on Drug Abuse. The bill authorizes the Attorney General and Secretary of Health and Human Services to award grants to address the national epidemics of prescription opioid abuse and heroin use. S. 1945 Mental Health Reform Act of 2015 Introduced August 5, 2015 by Bill Cassidy (R-LA) A bill to make available needed psychiatric, psychological and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. Network Adequacy standards and network tiering.
HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY via HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY
2016 · first_quarter · Q1
Medicare/Medicaid Issues; Medicare Advantage; Chronic Care Reform; Exchanges; Site-neutral Payments; Quality Improvement Strategy for QHPs; network adequacy standards.
Affordable Care Act - Chronic Care Innovations; Small Group Expansion; Payment reform; CBPP; 2017 Notice of Benefit and Payment Parameters; ACA Regulations; Co-ops; Innovations for a Healthier Americans Act; Open Enrollment; Market Stability; Agency Health Research Quality (AHRQ) Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA). This bill repeals a provision of the ACA that imposes an annual fee on a health insurance provider based on its net premium income. HR 1624 Introduced March 25, 2015 by Brett Guthrie (R-KY) to amend title I of the PPACA and title XXVII of the Public Health Service Act to revise the definition of small employer. HR 2646 Helping Families in Mental Health Crisis Act of 2015 Introduced May 4, 2015 by Tim Murphy (R-PA) To make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. S. 1099 introduced April 27, 2015 by Tim Scott (R-SC) A bill to amend the PPACA to provide states with flexibility in determining size of employers in the small group market. Network Adequacy standards; network tiering; network criteria; OMNIA
Medicare Advantage; Medicare/Transparency; Medicaid Cuts; Mental Health Care, Youth Mental Health; Site neutral payment reform. H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians. Sponsor: Rep. Green, Mark E. [R-TN-7] H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Sponsor: Rep. Arrington, Jodey C. [R-TX-19]
Pharmacy Benefit Managers; Prescription Drug Cost S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT]
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicaid Cuts; Medicare, MA; Behavioral Health Care; Medicare/Transparency. H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] H.R.2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians. Sponsor: Rep. Green, Mark E. [R-TN-7]
Pharmacy Benefit Managers; Prescription Drug Cost S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT]
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R. 1843 - Telehealth Expansion Act To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Rep. Steel, Michelle [R-CA-45] (Introduced 03/28/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024) H.R.8702 - Improving Seniors Timely Access to Care Act of 2024 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] (Introduced 06/12/2024)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordability; Telehealth, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordability; Telehealth, Mental Health; Maternal Health; Prior Authorization; Health Equity; Surprise Billing; Transparency in coverage. H.R. 3561, The Patient Act of 2023 To promote hospital and insurer price transparency, and for other purposes. Sponsor:Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 05/22/2023) H.R. 4822, Health Care Price Transparency Act of 2023 To improve price transparency with respect to certain health care services, and for other purposes. Sponsor: Rep. Smith, Jason [R-MO-8] (Introduced 07/24/2023) H.R. 4507, Transparency in Coverage Act of 2023 To amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. Sponsor: Rep. Good, Bob [R-VA-5] (Introduced 07/10/2023)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare; Medicare Advantage; Medicare Advantage Prior Authorization; Medicaid; Social Determinants of Health. H.R. 8594 Restore Protections for Dialysis Patients Act A bill requiring private health insurers may not limit, restrict, or condition benefits for renal dialysis services for individuals with end-stage renal disease as compared to other types of benefits for other medical conditions under Medicare secondary payer rules. Sponsor: Rep. Yvette D. Clarke (D-NY-9) (Introduced 07/29/2022) H.R. 3173 Improving Seniors' Timely Access to Care Act of 2022 A bill that establishes several requirements and standards relating to prior authorization processes under Medicare Advantage (MA) plans. Sponsor: Rep. Suzan DelBene (D-WA-1) (Introduced 05/13/2021) S.4750 - Restore Protections for Dialysis Patients Act A bill that specifies private health insurers may not limit, restrict, or condition benefits for renal dialysis services for individuals with end-stage renal disease as compared to other types of benefits for other medical conditions under Medicare secondary payer rules. Sponsor: Sen. Robert Menendez, [D-NJ] (Introduced 08/03/2022)
ACA Tax Credits.
Prescription drugs; Insulin
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
COVID-19 Testing; Rx reform; Insulin; Prescription drugs.
ACA Tax Credits.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Extending ARPA Subsidies; COVID-19 Testing; Telehealth/Audio Only; Health disparities; Social Determinants of Health; Mental Health; Affordability. H.R. 5376-Build Back Better Act Sponsor: Rep. John Yarmuth (D-KY-03)(Introduced 09/27/2021) H.R. 7666-Restoring Hope for Mental Health and well-Being Act of 2022 Sponsor: Rep. Frank Pallone (D-NJ-06) (Introduced 05/06/2022)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Tax Credits.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Transparency; Surprise Billing, Maternal Health; Black Maternal Health; COVID-19 Response/Relief Packages, COBRA subsidies; Telehealth/Audio-Only; Health Disparities; Health Equities; Cost and Affordability. H.R. 4026 -Social Determinants of Health Data Analysis Act of 2021 Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/22/2021) H.R. 4387 -Maternal Health Quality Improvement Act of 2021 Rep. Kelly, Robin L. [D-IL-2] (Introduced 07/09/2021) H.R. 959 - Black Maternal Health Momnibus Act of 2021 Rep. Underwood, Lauren [D-IL-14] (Introduced 02/08/2021)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Tax Credits; APTC; H.R. 1868 -117th Congress (2021-2022) To prevent across-the-board direct spending cuts, and for other purposes. Sponsor: Rep. John Yarmuth (D-KY-03) (Introduced 03/12/2021)
COVID-19 Testing; COVID-19 Vaccine Strategy and Treatment; Rx reform; H.R. 3 -117th Congress (2021-2022) Lower Drug Costs Act Sponsor: Frank Pallone Jr. [D-NJ-6] (Introduced 04/22/2021)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Transparency; Surprise Billing, Maternal Health; Black Maternal Health; COVID-19 Response/Relief Packages, COBRA subsidies; Telehealth/Audio-Only; COVID-19 Disaster Relief; Health Disparities; Health Equities; Cost and Affordability; SEP. Public Law 117-2 (H.R. 1319)-117th Congress (2021-2022) American Rescue Plan Act of 2021 Sponsor: Rep. John Yarmuth (D-KY-03)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Tax Extenders; ACA Tax credits; H.R. 748 - 116th Congress (2019-2020) CARES Act Third Coronavirus Package Sponsor: Rep. Courtney, Joe [D-CT-02] (Introduced 01/24/2019)
Medicare Advantage Audio Only; Medicaid Maternal Coverage; Medicaid FMAP Increase; Coronavirus Medicaid Response. H.R. 7659- 116th Congress Ensuring Parity in MA for Audio-Only Telehealth Act of 2020 To amend Title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans, and for other purposes. Sponsor: Rep. Sewell, Terri [D-AL-07] (Introduced 07/16/2020) S. 4840- 116th Congress Ensuring Parity in MA for Audio-Only Telehealth Act of 2020 Sponsor: Sen. Roberts, Pat [R-KS] (Introduced 10/21/2020)
COVID-19 Testing; COVID-19 Vaccine Strategy and Treatment
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Tax Extenders; ACA Tax credits; H.R. 748 - 116th Congress (2019-2020) CARES Act Third Coronavirus Package Sponsor: Rep. Courtney, Joe [D-CT-02] (Introduced 01/24/2019) H.R. 3107 - 116th Congress (2019-2020)- First Session Improving Seniors Timely Access to Care Act of 2019 Rep. Delbene, Suzan [D-WA-01] (Introduced 06/05/2019)
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Opioids; Marketplace Stability; Individual Market Reform; Health Care Costs; Mental Health; Transparency; Interoperability; Surprise billing, State Based Exchange; ACA Outreach, Education, and Enrollment; Prior Authorization; All-payer claims database; Negotiated rate disclosure; Medicare for All; Maternal health; Seniors health care; social determinants of health; Community health, Healthcare access/privacy; Risk Corridors; COBRA; Telehealth/Audio Only; CDC Guidance Testing; COVID-19; Premium Credits; ACA Tax Credits; Black Maternal Health. H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 07/09/2019) H.R. 6800 - 116th Congress (2019-2020) HEROES Act Making emergency supplemental appropriations for the fiscal year ending September 30, 2020, and for other purposes. Sponsor: Rep. Lowey, Nita [D-NY-17] (Introduced 05/12/2020) H.R. 5826- - 116th Congress (2019-2020)-Second Session Consumer Protection Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Neal, Richard [D-MA-01] (Introduced 02/10/2020) S. 3548 - 116th Congress -Second Session Coronavirus Aid, Relief, and Economic Security Act Sponsor: Sen. McConnell, Mitch [R-KY] (Introduced 03/19/2020) H.R. 6201 - 116th Congress-Second Session First Coronavirus Response Act Sponsor: Rep. Lowey, Nita [D-NY-17] (Introduced 03/11/2020) H.R. 6810-116th Congress-Second Session Health Care Protection Act Rep. Davis, Rodney [R-IL-13] (Introduced 05/12/2020) H.R. 6545 - 116th Congress-Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Murphy, Stephanie [D-FL-07] (Introduced 04/17/2020)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; Medicaid General; CHIP Reform; MACRA; Medicare Part D; Medicaid Alignment; Part D Donut Hole, Rx Rebates; Medicare Data Sharing; Privacy; Medicare Prescription drug prices. H.R. 3107 - 116th Congress (2019-2020) Improving Seniors Timely Access to Care Act of 2019 Rep. DelBene, Suzan [D-WA-01] (Introduced 06/05/2019) H.R.4996 - 116th Congress - First Session Helping MOMS Act of 2019 Rep. Kelly, Robin [D-IL-02] (Introduced 11/08/2019) H.R. 6583-116th Congress Second Session To amend title XVIII of the Social Security Act to establish a risk corridor program for Medicare Advantage plans during COVID-19 emergency and for other purposes. Sponsor: Rep. Houlahan, Chrissy [D-PA-06] (Introduced 04/21/2020) H.R. 6486 - 116th Congress- Second Session Care for COVID-19 Act 2.0 Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 04/10/2020) H.R. 6273-116th Congress-Second Session Protecting Vulnerable American in Times of Crisis Act of 2020 Sponsor: Rep. Butterfield, G.K. [D-NC-01] (Introduced 03/13/2020)
Health Insurance Tax (HIT Tax); Tax Extenders; ACA Tax Extenders; H.R. 748 - 116th Congress (2019-2020) CARES Act Third Coronavirus Package Sponsor: Rep. Courtney, Joe [D-CT-02] (Introduced 01/24/2019) H.R. 3107 - 116th Congress (2019-2020)- First Session Improving Seniors Timely Access to Care Act of 2019 Rep. Suzan Delbene (D-WA-01] (Introduced 06/05/2019) H.R.6440 - 116th Congress- Second Session Pandemic Rapid Response Act Sponsor: Rep. Davis, Rodney [R-IL-13] (Introduced 4/3/2020) H.R. 6396- 116th Congress-Second Session Responsible Relief for Americans Act Sponsor: Rep. Biggs, Andy [R-AZ-05] (Introduced 03/26/2020) H.R. 6800-116th Congress-Second Session HEROES Act Sponsor Rep. Lowey, Nita [D-NY-17] (Introduced 05/12/2020) H.R. 6514-116th Congress-Second Session Worker Health Coverage Protection Act Sponsor: Rep. Scott, Bobby [D-VA-03] (Introduced 04/14/2020) H.R. 6918-116th Congress-Second Session Paycheck Recovery Act of 2020 Sponsor: Rep. Jayapal, Pramila [D-WA-07] (Introduced 05/19/2020) H.R. 6545-116th Congress-Second Session Health Insurance Marketplace Affordability Act of 2020 Sponsor: Rep. Murphy, Stephanie [D-FL-07] (Introduced 04/17/2020)
Opioid; CREATES Act; Drug Pricing; generic drugs; Civica Rx. H.R.6193 - 116th Congress (2019-2020)-Second Session Medication Access in Emergencies Act of 2020 Sponsor: Rep. Pappas, Chris [R-NH-1] (Introduced 03/11/2020) H.R. 5749- 116th Congress-Second Session Affordable Insulin for All Act Sponsor: Rep. Christ, Charlie [D-FL-13] (Introduced 02/04/2020)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Health Insurance Tax (HIT Tax); Health Reimbursement Arrangements (HRAs); Tax Extenders H.R. 748 - 116th Congress (2019-2020) Third Coronavirus Package (CARES Act) To amend the Internal Revenue Code of 1986 to repeal the exercise tax on high cost employer-sponsored health coverage. H.R. 3107 - 116th Congress (2019-2020)- First Session Improving Seniors Timely Access to Care Act of 2019 Rep. Suzan Delbene (D-WA-01] (Introduced 06/05/2019) H.R.1398 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Rep. Bera, Ami [D-CA-7] (Introduced 02/27/2019) H.R. 2774 - 116th Congress- First Session Primary Care Patient Protection Act of 2019 Rep. Brad Schneider [D-IL-10] (Introduced 05/15/2019)
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Marketplace Stability; Individual Market Reform; Health Care Costs; Mental Health; CREATES Act; Sec. 1332 Waivers; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Single Payer; Reinsurance; CSRs; SNPs; FEHBP Issues; 42 CFR Part 2; Transparency; Silverloading; Health IT; Interoperability; Surprise billing, Transparency, Small Business, State Flexibility; Provider Directories; Postal Reform; Health Reimbursement Arrangements (HRAs), State Based Exchange; ACA Outreach, Education, and Enrollment; Prior Authorization; All-payer claims database; Negotiated rate disclosure; Consumer-facing app disclosure; Medicare for All; Medicare Buy-in; Maternal health; Seniors health care; social determinants of health; Community health, Healthcare access/privacy. H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 06/26/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] (Introduced 02/07/2019) H.R.2902 - 116th Congress (2019-2020) Maternal CARE Act Sponsor: Rep. Adams, Alma S. [D-NC-12] (Introduced 05/22/2019) H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 07/09/2019) H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S., Jr. [D-VA-8] (Introduced 06/24/2019) H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] (Introduced 06/05/2019) H.R.4004 - 116th Congress (2019-2020) Social Determinants Accelerator Act of 2019 Sponsor: Rep. Bustos, Cheri [D-IL-17] (Introduced 07/25/2019) H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 04/10/2019) S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN](Introduced 06/19/2019) S2897 - 116th Congress (2019-2020) Patient-Centered Outcomes Research Institute Reauthorization Act Sponsor: Sen. Warner, Mark (D-VA) (Introduced 11/19/2019) H.R. 2774 - 116th Congress - First Session Primary Care Patient Protection Act of 2019 Rep. Brad Schneider [D-IL-10] (Introduced 05/15/2019) H.R. 5826- - 116th Congress (2019-2020)-Second Session Consumer Protection Against Surprise Medical Bills Act of 2020 Sponsor: Rep. Richard Neal [D-MA-01] (Introduced 02/10/2020) S. 3548 - 116th Congress -Second Session Coronavirus Aid, Relief, and Economic Security Act Sponsor: Sen. Mitch McConnell [R-KY] (Introduced 03/19/2020) H.R. 6201 - 116th Congress-Second Session First Coronavirus Response Act Sponsor: Rep. Nita Lowey [D-NY-17] (Introduced 03/11/2020) H.R. 6005 - 116th Congress (2019-2020)- Second Session Know the Price Act Sponsor: Rep. Lucy McBath [D-GA-06] (Introduced 02/27/2020) H.R. 6132 - 116th Congress-Second Session Social Determinants for Moms Act of 2020 Sponsor: Rep. Lucy McBath [D-GA-06] (Introduced 03/09/2020)
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; Medicaid General; CHIP Reform; MACRA; Medicare Part D; Medicaid Alignment; Part D Donut Hole, Rx Rebates; Medicare Data Sharing; Privacy; Medicare Prescription drug prices. H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019) H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6](Introduced 09/19/2019) H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] (Introduced 01/08/2019) H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7](Introduced 01/10/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35](Introduced 02/07/2019) H.R.4629 - 116th Congress (2019-2020) Star Rating for Biosimilars Act Sponsor: Rep. Tonko, Paul [D-NY-20](Introduced 10/08/2019) H.R. 3107 - 116th Congress (2019-2020) Improving Seniors Timely Access to Care Act of 2019 Rep. DelBene, Suzan [D-WA-01] (Introduced 06/05/2019) H.R.4996 - 116th Congress - First Session Helping MOMS Act of 2019 Rep. Kelly, Robin [D-IL-02] (Introduced 11/08/2019) H.R.5534 - 116th Congress-First Session Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2019 Rep. Kind, Ron [D-WI-03] (Introduced 12/23/2019)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Health Insurance Tax (HIT Tax); Tax credits; Cadillac Tax; Health Reimbursement Arrangements (HRAs); Sec. 833, Tax Extenders. S.172 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Sen. Gardner, Cory [R-CO] (Introduced 01/16/2019) S.684 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Sen. Heinrich, Martin [D-NM] (Introduced 03/06/2019) H.R.748 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Rep. Courtney, Joe [D-CT-2] (Introduced 01/24/2019) H.R.1398 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Rep. Bera, Ami [D-CA-7] (Introduced 02/27/2019)
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Marketplace Stability; Individual Market Reform; CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Single Payer; Reinsurance; CSRs; SNPs; FEHBP Issues; 42 CFR Part 2; Transparency; Silverloading; Health IT; Interoperability; Texas lawsuit; Surprise billing, Transparency, Small Business, State Flexibility; Biosimilars; Provider Directories; Postal Reform; Health Reimbursement Arrangements (HRAs), Outreach, Education, and Enrollment; Prior Authorization; All-payer claims database; Negotiated rate disclosure; Consumer-facing app disclosure; Medicare for All; Medicare Buy-in; Maternal health; Seniors health care; social determinants of health; Community health, Cybersecurity. H.R.1346 - 116th Congress (2019-2020) Medicare Buy-In and Health Care Stabilization Act of 2019 Sponsor: Rep. Higgins, Brian [D-NY-26] (Introduced 02/25/2019) H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 06/26/2019) H.R.1385 - 116th Congress (2019-2020) SAVE Act Sponsor: Rep. Kim, Andy [D-NJ-3] (Introduced 02/27/2019) H.R.1386 - 116th Congress (2019-2020) ENROLL Act of 2019 Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/27/2019) H.R.987 - 116th Congress (2019-2020) Strengthening Health Care and Lowering Prescription Drug Costs Act Sponsor: Rep. Blunt Rochester, Lisa [D-DE- At Large] (Introduced 02/06/2019) H.R.986 - 116th Congress (2019-2020) Protecting Americans with Preexisting Conditions Act of 2019 Sponsor: Rep. Kuster, Ann M. [D-NH-2] (Introduced 02/06/2019) H.R.1425 - 116th Congress (2019-2020) State Health Care Premium Reduction Act Sponsor: Rep. Craig, Angie [D-MN-2] (Introduced 02/28/2019) H.R.1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 02/11/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 03/05/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] (Introduced 02/07/2019) H.R.2902 - 116th Congress (2019-2020) Maternal CARE Act Sponsor: Rep. Adams, Alma S. [D-NC-12] (Introduced 05/22/2019) H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 07/09/2019) H.R.4378 - 116th Congress (2019-2020) Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 Sponsor: Rep. Lowey, Nita M. [D-NY-17] (Introduced 09/18/2019) H.R.2328 - 116th Congress (2019-2020) Community Health Investment, Modernization, and Excellence Act of 2019 Sponsor: Rep. O'Halleran, Tom [D-AZ-1] (Introduced 04/15/2019) H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S., Jr. [D-VA-8] (Introduced 06/24/2019) H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] (Introduced 06/05/2019) H.R.4004 - 116th Congress (2019-2020) Social Determinants Accelerator Act of 2019 Sponsor: Rep. Bustos, Cheri [D-IL-17] (Introduced 07/25/2019) H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 04/10/2019) S. 1895-116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN](Introduced 06/19/2019) S2897-116th Congress (2019-2020) Patient-Centered Outcomes Research Institute Reauthorization Act Sponsor: Sen. Warner, Mark (D-VA) (Introduced 11/19/2019)
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; Medicaid General; CHIP Reform; MACRA; Medicare Part D; Medicaid Alignment; Part D Donut Hole, Rx Rebates; Medicare Data Sharing; Privacy; Medicare Prescription drug prices. H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019) H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6](Introduced 09/19/2019) H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large] (Introduced 01/08/2019) H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7](Introduced 01/10/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35](Introduced 02/07/2019) H.R.4629 - 116th Congress (2019-2020) Star Rating for Biosimilars Act Sponsor: Rep. Tonko, Paul [D-NY-20](Introduced 10/08/2019)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; Medicaid General; CHIP Reform; MACRA; Medicare Part D; Medicaid Alignment; Part D Donut Hole, Rx Rebates; Medicare Data Sharing; Privacy; Medicare Prescription drug prices. H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019) H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6](Introduced 09/19/2019) H.R.275 - 116th Congress (2019-2020) Medicare Prescription Drug Price Negotiation Act of 2019 Sponsor: Rep. Welch, Peter [D-VT-At Large](Introduced 01/08/2019) H.R.448 - 116th Congress (2019-2020) Medicare Drug Price Negotiation Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7](Introduced 01/10/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35](Introduced 02/07/2019) H.R.4629 - 116th Congress (2019-2020) Star Rating for Biosimilars Act Sponsor: Rep. Tonko, Paul [D-NY-20](Introduced 10/08/2019)
Health Insurance Tax (HIT Tax); Tax credits; Cadillac Tax; Health Reimbursement Arrangements (HRAs). S.172 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Sen. Gardner, Cory [R-CO] (Introduced 01/16/2019) S.684 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Sen. Heinrich, Martin [D-NM] (Introduced 03/06/2019) H.R.748 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Rep. Courtney, Joe [D-CT-2] (Introduced 01/24/2019) H.R.1398 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Rep. Bera, Ami [D-CA-7] (Introduced 02/27/2019)
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Marketplace Stability; Individual Market Reform; CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Single Payer; Reinsurance; CSRs; SNPs; FEHBP Issues; 42 CFR Part 2; Transparency; Silverloading; Health IT; Interoperability; Texas lawsuit; Surprise billing, Transparency, Small Business, State Flexibility; Biosimilars; Provider Directories; Postal Reform; Health Reimbursement Arrangements (HRAs), Outreach, Education, and Enrollment; Prior Authorization; All-payer claims database; Negotiated rate disclosure; Consumer-facing app disclosure; Medicare for All; Medicare Buy-in. H.R.1346 - 116th Congress (2019-2020) Medicare Buy-In and Health Care Stabilization Act of 2019 Sponsor: Rep. Higgins, Brian [D-NY-26] (Introduced 02/25/2019) H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 06/26/2019) H.R.2003 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) H.R.2004 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) S.971 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Sen. Smith, Tina [D-MN] (Introduced 04/01/2019) H.R.1385 - 116th Congress (2019-2020) SAVE Act Sponsor: Rep. Kim, Andy [D-NJ-3] (Introduced 02/27/2019) H.R.1386 - 116th Congress (2019-2020) ENROLL Act of 2019 Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/27/2019) H.R.987 - 116th Congress (2019-2020) Strengthening Health Care and Lowering Prescription Drug Costs Act Sponsor: Rep. Blunt Rochester, Lisa [D-DE- At Large] (Introduced 02/06/2019) H.R.986 - 116th Congress (2019-2020) Protecting Americans with Preexisting Conditions Act of 2019 Sponsor: Rep. Kuster, Ann M. [D-NH-2] (Introduced 02/06/2019) H.R.1425 - 116th Congress (2019-2020) State Health Care Premium Reduction Act Sponsor: Rep. Craig, Angie [D-MN-2] (Introduced 02/28/2019) H.R.1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 02/11/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 03/05/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019) H.R.1046 - 116th Congress (2019-2020) Medicare Negotiation and Competitive Licensing Act of 2019 Sponsor: Rep. Doggett, Lloyd [D-TX-35] (Introduced 02/07/2019) H.R.1897 - 116th Congress (2019-2020) MOMMA's Act Sponsor: Rep. Kelly, Robin L. [D-IL-2] (Introduced 03/27/2019) H.R.1551 - 116th Congress (2019-2020) Quality Care for Moms and Babies Act Sponsor: Rep. Engel, Eliot L. [D-NY-16] (Introduced 03/06/2019) H.R.2902 - 116th Congress (2019-2020) Maternal CARE Act Sponsor: Rep. Adams, Alma S. [D-NC-12] (Introduced 05/22/2019) H.R.3630 - 116th Congress (2019-2020) No Surprises Act Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] (Introduced 07/09/2019) H.R.4378 - 116th Congress (2019-2020) Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 Sponsor: Rep. Lowey, Nita M. [D-NY-17] (Introduced 09/18/2019) H.R.2328 - 116th Congress (2019-2020) Community Health Investment, Modernization, and Excellence Act of 2019 Sponsor: Rep. O'Halleran, Tom [D-AZ-1] (Introduced 04/15/2019) H.R.3439 - 116th Congress (2019-2020) PATIENT Act Sponsor: Rep. Beyer, Donald S., Jr. [D-VA-8] (Introduced 06/24/2019) H.R.3107 - 116th Congress (2019-2020) Improving Seniors' Timely Access to Care Act of 2019 Sponsor: Rep. DelBene, Suzan K. [D-WA-1] (Introduced 06/05/2019) H.R.4004 - 116th Congress (2019-2020) Social Determinants Accelerator Act of 2019 Sponsor: Rep. Bustos, Cheri [D-IL-17] (Introduced 07/25/2019) H.R.2279 - 116th Congress (2019-2020) Safe Step Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 04/10/2019)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Opioids (Epidemic, Deterrence, Treatment); CREATES Act; Drug Pricing; PBM/Prescription Drug Costs Rx Rebates; Direct-to-Consumer Rx Advertising; Rx Rebates; Biosimilars H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019) H.R.938 - 116th Congress (2019-2020) BLOCKING Act of 2019 Sponsor: Rep. Schrader, Kurt [D-OR-5] (Introduced 01/31/2019) H.R.1499 - 116th Congress (2019-2020) Protecting Consumer Access to Generic Drugs Act of 2019 Sponsor: Rep. Rush, Bobby L. [D-IL-1] (Introduced 03/05/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18](Introduced 3/05/2019) H.R.1503 - 116th Congress (2019-2020) Orange Book Transparency Act of 2019 Sponsor: Rep. Kelly, Robin L. [D-IL-2] (Introduced 3/5/2019) H.R.965 - 116th Congress (2019-2020) CREATES Act of 2019 Sponsor: Rep. Cicilline, David N. [D-RI-1] (Introduced 02/05/2019)
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Marketplace Stability; Individual Market Reform; CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Single Payer; Reinsurance; CSRs; SNPs; FEHBP Issues; 42 CFR Part 2; Transparency; Silverloading; Health IT; Interoperability; Texas lawsuit; Surprise billing, Transparency, Small Business, State Flexibility; Biosimilars; Provider Directories; Postal Reform; Health Reimbursement Arrangements (HRAs), Outreach, Education, and Enrollment; Prior Authorization; All-payer claims database; Negotiated rate disclosure; Consumer-facing app disclosure; Medicare for All; Medicare Buy-in. H.R.1346 - 116th Congress (2019-2020) Medicare Buy-In and Health Care Stabilization Act of 2019 Sponsor: Rep. Higgins, Brian [D-NY-26] (Introduced 02/25/2019) H.R.1384 - 116th Congress (2019-2020) Medicare for All Act of 2019 Sponsor: Rep. Jayapal, Pramila [D-WA-7] (Introduced 02/27/2019) H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act Sponsor: Rep. Ruiz, Raul [D-CA-36] (Introduced 06/26/2019) H.R.2003 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) H.R.2004 - 116th Congress (2019-2020) Ensuring FEDVIP and FLTCIP Coverage During Shutdowns Act Sponsor: Rep. Cummings, Elijah E. [D-MD-7] (Introduced 04/01/2019) S.971 - 116th Congress (2019-2020) Ensuring FEHBP Coverage During Shutdowns Act Sponsor: Sen. Smith, Tina [D-MN] (Introduced 04/01/2019) H.R.1385 - 116th Congress (2019-2020) SAVE Act Sponsor: Rep. Kim, Andy [D-NJ-3] (Introduced 02/27/2019) H.R.1386 - 116th Congress (2019-2020) ENROLL Act of 2019 Sponsor: Rep. Castor, Kathy [D-FL-14] (Introduced 02/27/2019) H.R.987 - 116th Congress (2019-2020) Strengthening Health Care and Lowering Prescription Drug Costs Act Sponsor: Rep. Blunt Rochester, Lisa [D-DE- At Large] (Introduced 02/06/2019) H.R.986 - 116th Congress (2019-2020) Protecting Americans with Preexisting Conditions Act of 2019 Sponsor: Rep. Kuster, Ann M. [D-NH-2] (Introduced 02/06/2019) H.R.1425 - 116th Congress (2019-2020) State Health Care Premium Reduction Act Sponsor: Rep. Craig, Angie [D-MN-2] (Introduced 02/28/2019) H.R.1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 02/11/2019) H.R.1520 - 116th Congress (2019-2020) Purple Book Continuity Act of 2019 Sponsor: Rep. Eshoo, Anna G. [D-CA-18] (Introduced 03/05/2019) S.1895 - 116th Congress (2019-2020) Lower Health Care Costs Act Sponsor: Sen. Alexander, Lamar [R-TN] (Introduced 06/19/2019)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Budget; Reinsurance.
Medicare Advantage; Medicare Prior Authorization; Medicaid Rebates; Medicaid Expansion; Medicaid General; CHIP Reform; MACRA; Medicare Part D; Medicaid Alignment; Part D Donut Hole, Rx Rebates; Medicare Data Sharing; Privacy. H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019)
Opioids (Epidemic, Deterrence, Treatment); CREATES Act; Drug Pricing; PBM/Prescription Drug Costs Rx Rebates; Direct-to-Consumer Rx Advertising; Rx Rebates; Biosimilars H.R.1781 - 116th Congress (2019-2020) Payment Commission Data Act of 2019 Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/14/2019) H.R.938 - 116th Congress (2019-2020) BLOCKING Act of 2019 Sponsor: Rep. Schrader, Kurt [D-OR-5] (Introduced 01/31/2019 H.R.1499 - 116th Congress (2019-2020) Protecting Consumer Access to Generic Drugs Act of 2019 Sponsor: Rep. Rush, Bobby L. [D-IL-1] (Introduced 03/05/2019) H.R.965 - 116th Congress (2019-2020) CREATES Act of 2019 Sponsor: Rep. Cicilline, David N. [D-RI-1] (Introduced 02/05/2019)
Health Insurance Tax (HIT Tax); Cadillac Tax; Health Reimbursement Arrangements (HRAs). S.172 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Sen. Gardner, Cory [R-CO] (Introduced 01/16/2019) S.684 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Sen. Heinrich, Martin [D-NM] (Introduced 03/06/2019) H.R.748 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 Sponsor: Rep. Courtney, Joe [D-CT-2] (Introduced 01/24/2019) H.R.1398 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 Sponsor: Rep. Bera, Ami [D-CA-7] (Introduced 02/27/2019)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Health Insurance Tax (HIT Tax); Tax Credits; Cadillac Tax HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2-17 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. S 3063 Introduced June 13, 2018 by John Barrasso (R-WY) A bill to delay the reimposition of the annual fee on health insurance providers until after 2020.
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Sober Homes; Marketplace Stability; Individual Market Reform; FAA (Air Ambulance); CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Single Payer; Reinsurance; CSRs; SNPs; Health Savings Accounts (HSAs); Postal Reform; 42 CFR Part 2; Transparency; Fall Priorities. HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 2051 FAST Generics Act Introduced April 6, 2017 by David McKinley (R-WV) To amend the Federal Food, Drug, and Cosmetic Act to ensure that eligible product developers have competitive access to approved drugs and licensed biological products, so as to enable eligible product developers to develop and test new products, and for other purposes. HR 2212 CREATES Act Introduced April 27, 2017 by Tom Marino (R-PA) To promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products. HR 3325 ACE Kids Act Introduced July 20, 2017 by Joe Barton (R-TX) To amend title XIX of the Social Security Act to provide States with the option of providing coordinated care for children with complex medical conditions through a health home, and for other purposes. HR 6733 Know the Cost Act of 2018 Introduced September 7, 2018 by Buddy Carter (R-GA) To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to prohibit group health plans, health insurance issuers, prescription drug plan sponsors, and Medicare Advantage organizations from limiting certain information on drug prices.
Opioids Epidemic; CREATES Act; Substance use disorders; Drug Pricing; PBM/Prescription Drug Costs. Rx Rebates.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Health Insurance Tax (HIT Tax); Tax Credits HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2-17 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 5963 Introduced May 24, 2018 by Kristi Noem (R-SD)To delay the reimposition of the annual fee on health insurance providers until after 2020. S 3063 Introduced June 13, 2018 by John Barrasso (R-WY) A bill to delay the reimposition of the annual fee on health insurance providers until after 2020.
Opioid Epidemic; CREATES Act; Substance abuse disorders; PBM/Prescription Drug pricing. Rx Rebates.
Affordable Care Act (ACA); ACA Regulations; ACA Stabilization; Health Reform; Rural Healthcare; Risk Adjustment; State Flexibility; Point of Sale; Opioids; Sober Homes; Marketplace Stability; Individual Market Reform; FAA (Air Ambulance); CREATES Act; Sec. 1332 Waivers; Short Term Limited Duration (STLD): AHPs; Value-based Care; Health Care Costs; Mental Health; Small Business Plans; Single Payer; Reinsurance; CSRs; SNPs; Health Savings Accounts (HSAs); Postal Reform; 42 CFR Part 2; Transparency. HR 4 FAA Reauthorization Act of 2018 Introduced April 13, 2018 by Bill Shuster (R-PA) Air Ambulance issues. HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 2051 FAST Generics Act Introduced April 6, 2017 by David McKinley (R-WV) To amend the Federal Food, Drug, and Cosmetic Act to ensure that eligible product developers have competitive access to approved drugs and licensed biological products, so as to enable eligible product developers to develop and test new products, and for other purposes. HR 2212 CREATES Act Introduced April 27, 2017 by Tom Marino (R-PA) To promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products. HR 6082 Overdose Prevention and Patient Safety Act Introduced June 13, 2018 by Markwayne Mullin (R-OK) Amends the Public Health Service Act to permit substance use disorder (SUD) records to be shared among covered entities and Part 2 programs in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), for the purposes of treatment, payment, and healthcare operations. In order to protect individuals seeking and receiving SUD treatment, the bill enhances the protections on the disclosure of SUD treatment records to non-covered entities and non-Part 2 programs by, except for authorization by court order or by consent of the patient, prohibiting the use of these records in any criminal, civil, or administrative investigations, actions, or proceedings. The legislation increases the penalties in the event of unlawful disclosure of SUD treatment records and establishes breach notification requirements in accordance with the Health Information Technology for Economic and Clinical Health (HITECH) Act. Finally, the bill requires the Secretary of Health and Human Services to issue regulations prohibiting discrimination based on data disclosed from such medical records, to issue regulations requiring covered entities to provide written notice of privacy practices, and to develop model training programs and materials for health care providers and patients and their families. HR 6733 Know the Cost Act of 2018 Introduced September 7, 2018 by Buddy Carter (R-GA) To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to prohibit group health plans, health insurance issuers, prescription drug plan sponsors, and Medicare Advantage organizations from limiting certain information on drug prices. S 974 Creating and Restoring Equal Access to Equivalent Samples Act of 2018 Introduced April 27, 2017 by Patrick Leahy (D-VT). A bill to promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products. S 1354 Individual Health Insurance Marketplace Improvement Act introduced June 14, 2017 by Thomas Carper (D-DE) A bill to establish an Individual Market Reinsurance fund to provide funding for State individual market stabilization reinsurance programs.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Opioid Epidemic; Substance abuse disorders; PBM/Prescription Drug pricing.
Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter; Medicaid; Opioids; Medicare Part D. HR 2575 Introduced May 19, 2017 by Raul Ruiz (R-CA) To amend title XVIII of the Social Security Act to establish a system to educate individuals approaching Medicare eligibility, to simplify and modernize the eligibility enrollment process, and for other purposes. HR 3921 HEALTHY KIDS Act Introduced October 3, 2017 by Michael Burgess (R-TX) To extend funding for the Children's Health Insurance Program, and for other purposes. HR 1148 FAST Act of 2017 Introduced February 16, 2017 by Morgan Griffith (R-VA) To amend title XVIII of the Social Security Act to expand access to telehealth-eligible stroke services under the Medicare program. HR 3192 CHIP Mental Health Parity Act Introduced July 12, 2017 by Joseph Kennedy III (D-MA) To amend title XXI of the Social Security Act to ensure access to mental health services for children under the Children's Health Insurance Program, and for other purposes. HR 6 SUPPORT for Patients and Communities Act Introduced June 13, 2018 by Greg Walden (R-OR) includes Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, protecting communities, and bolstering efforts to combat illicit synthetic drugs like fentanyl. The policies contained in the legislation were advanced through regular order by the House Energy and Commerce Committee and the Ways and Means Committee. HR 5752 Stop Illicit Drug Importation Act of 2018 Introduced May 10, 2018 by Marsha Blackburn (R-TN) amends the Federal Food, Drug, and Cosmetic Act (FD&C) to strengthen the Food and Drug Administrations (FDA) seizure powers and enhance its authority to detain, refuse, seize, or destroy illegal products offered for import. The legislation would subject more people to debarment and civil penalties under the Act. HR 5806 21st Century Tools for Pain and Addiction Treatment Act Introduced May 15, 2018 by Michael Burgess(R-TX) To require the Secretary of Health and Human Services to issue guidance with respect to the expedited approval of certain drugs, and for other purposes. HR 3192 CHIP Mental Health Parity Act To amend title XXI of the Social Security Act to ensure access to mental health services for children under the Children's Health Insurance Program, and for other purposes. HR 5796 Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act of 2018 Introduced May 15, 2018 by Brian Fitzpatrick (R-PA) To require the Secretary of Health and Human Services to provide grants for eligible entities to provide technical assistance to outlier prescribers of opioids, and for other purposes. HR 5605 Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act Introduced April 24, 2018 by Raul Ruiz (D-CA) establishes a four-year demonstration program to increase access to treatment for opioid use disorder. The demonstration would provide incentive payments and funding for care management services based on criteria such as patient engagement, use of evidence-based treatments, and treatment length and intensity. Under the bill, the Secretary of Health and Human Services would be directed to encourage other payers to coordinate payments for opioid use disorder treatments and to evaluate the extent to which the demonstration reduces hospitalizations, increases the use of medication-assisted treatments, and improves the health outcomes of individuals with opioid use disorders during and after the demonstration. This bill also incorporates H.R. 3528, Every Prescription Conveyed Securely Act, which would require e-prescribing, with exceptions, for coverage of prescribed controlled substances under the Medicare Part D program. HR 5587 Peer Support Communities of Recovery Act Introduced April 23, 2018 by Ben Lujan (D-NM) enhances the Comprehensive Addiction and Recovery Acts Building Communities of Recovery Program and authorizes the Department of Health and Human Services (HHS) to award grants to peer support specialist organizations for the development and expansion of recovery services. Grants shall be awarded to nonprofit organizations that support community-based, peer delivered support, including technical support for the establishment of recovery community organizations, independent, nonprofit groups led by people in recovery and their families. HR 5809 Postoperative Opioid Prevention Act of 2018 Introduced May 15, 2018 by Scott Peters (D-CA) To amend title XVIII of the Social Security Act to encourage the use of non-opioid analgesics for the management of post-surgical pain under the Medicare program, and for other purposes. HR 4284 INFO Act Introduced November 7, 2017 by Robert Latta (R-OH) directs the Department of Health and Human Services (HHS) to create a public and easily accessible electronic dashboard linking to all of the nationwide efforts to combat the opioid crisis. In addition, the legislation creates an Interagency Substance Use Disorder Coordinating Committee to review and coordinate opioid use disorder (OUD) and other substance use disorder (SUD) research, services, and prevention activities across all relevant Federal agencies, evaluate the effectiveness of these activities, and make specific recommendations for actions that agencies can take to better coordinates the administration of services for patients with OUD and SUD. HR 5009 Jessies Law Introduced February 13, 2018 by Tim Walberg (R-MI) Ensures medical professionals have access to a consenting patients complete health information when making treatment decisions by requiring the Department of Health and Human Services (HHS) to develop and annually disseminate best practices regarding the prominent display of substance use disorder (SUD) history in records of patients who have previously provided this information to a health care provider. HR 5197 ALTO Act Introduced March 7, 2018 by Bill Pascrell, Jr. (D-NJ) Directs the Secretary of Health and Human Services (HHS) to carry out a demonstration program to test alternative pain management protocols to limit the use of opioids in hospital emergency departments. Following the completion of the three-year demonstration, the Secretary of Health and Human Services will submit a report to Congress on the results of the program and issue recommendations for broader implementation. The legislation authorizes $10 million annually in grants for fiscal years 2019-2021. HR 5261 Treatment, Education, and Community Help to Combat Addiction Act of 2018 Introduced March 13, 2018 by Bill Johnson (R-OH) directs theSecretary of Health and Human Services (HHS) to designate regional Centers of Excellence to enhance and improve how health professional are educated in substance abuse disorder prevention, treatment, and recovery through development, evaluation, and distribution of evidence-based curricula for health profession schools. The bill authorizes $4 million annually for grants to those programs over the 2019-2023 period. HR 5272 To provide additional guidance to grantees seeking funding to treat or prevent mental health or substance use disorders. Introduced March 14, 2018 by Steve Stivers (R-OH) Requires the newly established National Mental Health and Substance Use Policy Laboratory to issue guidance to applicants for Substance Abuse and Mental Health Services Administration (SAMHSA) grants that support evidence-based practices. The guidance shall include how best to articulate the rationale for a given program or activity; encourage the funding of evidence-based interventions; and encourage the replication of promising or effective practices. HR 5327 Comprehensive Opioid Recovery Centers Act of 2018 Introduced March 19, 2018 by Brett Guthrie (R-KY) directs the Secretary of Health and Human Services (HHS) to award grants to at least 10 providers that offer treatment services for people with opioid use disorder. These Comprehensive Opioid Recovery Centers would serve as models for comprehensive treatment and recovery and would utilize the full range of Food and Drug Administration approved medications and evidence-based treatments, have strong linkages with the community, generate meaningful outcomes data, and dramatically improve the opportunities for individuals to establish and maintain long-term recovery. Either directly or through coordination with other entities, Centers must provide services including withdrawal management, counseling, recovery housing, community-based and peer recovery support services, job training and placement assistance, pharmacy and toxicology services, and a secure and confidential electronic health information system. HR 3331 To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology Introduced July 20, 2017 by Lynn Jenkins (R-KY) authorizes the Center for Medicare and Medicaid Innovation to test a program offering incentive payments to behavioral health providers that adopt and use certified electronic health record technology. The U.S. government introduced the Meaningful Use program as part of the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, to encourage health care providers to show "meaningful use" of a certified Electronic Health Record (EHR). In doing so, eligible providers who do so receive incentive payments, but behavioral health providers were not included in the definition of eligible providers. Individual physicians and other eligible health care professionals can each receive up to $44,000 through the Medicare Meaningful Use program or up to $63,750 through the Medicaid Meaningful Use program, depending upon when they begin attesting to the program's requirements. HR 3528 Every Prescription Conveyed Securely Act Introduced July 28, 2017 by Katherine Clark (D-MA) To amend title XVIII of the Social Security Act to require e-prescribing for coverage under part D of the Medicare program of prescription drugs that are controlled substances. HR 4841 Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018 Introduced January 18, 2018 by David Schweikert (R-AZ) To amend title XVIII of the Social Security Act to provide for electronic prior authorization under Medicare part D for covered part D drugs, and for other purposes.
Health Insurance Tax (HIT Tax); Tax Credits HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2-17 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. HR 246 Introduced January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 5963 Introduced May 24, 2018 by Kristi Noem (R-SD)To delay the reimposition of the annual fee on health insurance providers until after 2020.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Cost-Sharing reductions; Reinsurance
Opioid use/Substance abuse disorders; Prescription Drug pricing.
833; Health Insurance Tax (HIT TAX); Tax Credits; Tax Reform H.R. 173 Middle Class Health Benefit Tax Repeal Act. To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. Sponsor: Rep. Kelly, Mike [R-PA] (Introduced January 3, 2017) H.R. 1- An Act to provide reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018. Sponsor: Rep. Brady, Kevin [R-TX] (Introduced November 2, 2017)
CHIP reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Medicare Advantage, Postal Reform; Site Neutral Payments; Rate Notice and Call letter; Medicare Advantage; SNPs. H.R. 1148- 115th Congress (2017-2018) FAST Act of 2017. Sponsor: Rep. Griffith, H. Morgan [R-VA] (Introduced February 16, 2017) H.R. 4998- 115th Congress (2017-2018) Health Insurance for Former Foster Youth Act. Sponsor: Rep. Bass, Karen [D-CA] (Introduced February 13, 2018) H.R. 4005- 115th Congress (2017-2018) Medicaid Reentry Act. Sponsor: Rep. Tonko, Paul [D-NY] (Introduced October 10, 2017) H.R. 1925- 115th Congress (2017-2018) At-Risk Youth Medicaid Protection Act of 2017. Sponsor Rep. Cardenas, Tony [D-CA] (Introduced April 5, 2017) H.R. 3331- 115th Congress (2017-2018) To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. Sponsor Rep. Jenkins, Lynn [R-KS] (Introduced July 20, 2017)
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
833; Health Insurance Tax (HIT TAX); Tax Credits; Tax Reform H.R. 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2017 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage. H.R. 1- An Act to provide reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018.
Cost-Sharing reductions; Reinsurance
Opioid education/Substance abuse disorders; Prescription Drug pricing.
CHIP reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Medicare Advantage, Postal Reform; Rate Notice and Call letter; Medicare Advantage; SNPs; H.R. 756- 115th Congress (2017-2018) Postal Service Reform Act of 2017. Sponsor: Rep. Jason Chaffetz [R-UT-3] Introduced January 31, 2017. H.R. 3921- 115th Congress (2017-2018) Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017 or HEALTHY KIDS Act. Sponsor: Rep. Michael Burgess [R-TX-26] Introduced October 3, 2017.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Cost-Sharing reductions.
Affordable Care Act (ACA); ACA Regulations, HCR Implementation; American Health Care Act (AHCA); Market Stability; Health Savings Accounts (HSAs); Special Needs Plans (SNP); Special Enrollment Periods (SEPs); Cost-sharing Reduction (CSR); Reinsurance; Third Party Payment of Premiums (TPP); Repeal/Replace; Grace Periods; Health Care Reform; Drug Pricing; Marketplace Certainty Act; Individual Market Reform; Exchanges; Age Bands; 2017 Notice of Benefits and Payment Parameters; Senate Health Reform Bill (AHCA); Association of Health Plans. H.R. 173- 115th Congress (2017-2018) Middle Class Health Benefits Tax Repeal Act of 2017. Sponsor: Rep. Mike Kelly [R-PA-3] Introduced January 3, 2017. H.R. 246- 115th Congress (2017-2018) To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act. Sponsor: Rep. Kristi Noem, [R-SD] Introduced January 4, 2017. H.R. 2575- 115th Congress (2017-2018)Beneficiary Enrollment Notification and Eligibility Simplification Act of 2017 or BENES Act of 2017 Sponsor: Rep. Raul Ruiz [D-CA-36] Introduced May 19, 2017. H.R. 1628- 115th Congress (2017-2018) American Health Care Act of 2017 Sponsor:Rep. Diane Black [R-TN-6] Introduced March 20, 2017. S. 1354- 115th Congress (2017-2018) Individual Health Insurance Marketplace Improvement Act Sponsor: Rep. Thomas Carper [D-DE] Introduced June 14, 2017.
Health Insurance Tax (HIT TAX); Cadillac Tax; Tax Credits HR 173 Middle Class Health Benefit Tax Repeal Act Introduced January 3, 2017 by Mike Kelly (R-PA) To amend the Internal Revenue Code of 1986 to repeal the excise tax on high cost employer-sponsored health coverage.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Chip reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter; Postal Reform; Medigap; Site Neutral Payments; HR 756 Postal Service Reform Act of 2017 Introduced January 31, 2017 by Jason Chaffetz (R-UT) To restore the financial solvency and improve the governance of the United States Postal Service to ensure the efficient and affordable nationwide delivery of mail, and for other purposes. HR 2575 Introduced May 19, 2017 by Paul Ruiz (R-CA) To amend the XVII of the Social Security Act to establish a system to educate individuals approaching Medicare eligibility, to simplify and modernize the eligibility enrollment process, and for other purposes.
Reserves education.
Affordable Care Act (ACA); ACA Regulations, HCR Implementation; American Health Care Act (AHCA); Market Stability; Health Savings Accounts (HSAs); Special Needs Plans (SNP); Special Enrollment Periods (SEPs); Cost-sharing Reduction (CSR); Re-insurance; Third Party Payment of Premiums (TPP); Repeal/Replace; Grace Periods; Health Care Reform; Drug Pricing; Market Certainty Act; Individual Market Reform; Exchanges; Age Bands; 2017 Notice of Benefits and Payment Parameters; Senate Health Reform Bill. HR 246 Introduces January 4, 2017 by Kristi Noem (R-SD) This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 314 Introduced January 5, 2017 by Marsha Blackburn (R-TN) This bill repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related provisions of the Health Care and Education Reconciliation Act of 2010. HR 756 Postal Service Reform Act of 2017 Introduced January 31, 2017 by Jason Chaffetz (R-UT) To restore the financial solvency and improve the governance of the United States Postal Service to ensure the efficient and affordable nationwide delivery of mail, and for other purposes. HR 1628 American Health Care Act Introduced March 20, 2017 by Diane Black (R-TN) The American Health Care Act of 2017 (AHCA), also known as the Better Care Reconcilliation Act f 2017 (BCRA), is the leading proposal to repeal and replace the Affordable Care Act and defund Planned Parenthood. HR 1703 Introduced March 23, 2017 by Morgan Griffith (R-VA) To amend the Federal Food, Drug, and Cosmetic Act with respect to determining the intended use of the drugs and devices. HR 2026 Pharmaceutical Information Exchange Act Introduced April 6, 2017 by Brett Guthrie (R-VA) To improve patient access to emerging medication therapies by clarifying the scope of permitted health care economic and scientific information communications between biopharmaceutical manufacturers and population health decision makers. HR 2051 FAST Generics Act Introduced April 6, 2017 by David McKinley (R-WV) To amend the Federal Food, Drug, and Cosmetic Act to ensure that eligible product developers have competitive access to approved drugs and licensed biological products, so as to enable eligible product developers to develop and test new products, and for other purposes. S 1354 Individual Health Insurance Marketplace Improvement Act introduced June 14, 2017 by Thomas Carper (D-DE) A bill to establish an Individual Market reinsurance fund to provide funding for State individual market stabilization reinsurance programs. HR 1101 Small Business Health Fairness Act of 2017 Introduced February 16, 2017 by Sam Johnson (R-TX) to amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Cost-sharing Reduction Payments under the ACA; ACA Reinsurance.
Affordable Care Act (ACA); ACA Regulations, HCR Implementation; American Health Care Act (AHCA); Market Stability; Health Savings Accounts (HSAs); Special Enrollment Periods (SEPs); Cost-sharing Reduction (CSR); Re-insurance; Repeal/Replace; Grace Periods; Healthcare Reform; Individual Market Reform; Exchanges; Age Bands; Association Health Plans. HR 246 Introduces January 4, 2017 by Kristi Noem (R-SD This bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 633 Patient Fairness and Relief Act of 2017 Introduced January 24, 2017 by Gregg Harper (R-MS) To authorize health insurance issuers to continue to offer for sale health insurance coverage offered in the individual market before the enactment of the Patient Protection and Affordable Care Act in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 661 Employer Fairness and Relief Act of 2017 Introduced January 27, 2017 Introduced January 24, 2017 by Brett Guthrie (R-KY) To authorize health insurance issuers to offer for sale previously available health insurance coverage in the small group market in satisfaction of the minimum essential health insurance coverage requirement and for other purposes. HR 708 State Age Rating Flexibility Act of 2017 Introduced by Larry Bucshon (R-IN) This bill amends the Public Health Service Act to increase the permissible variation based on age for health insurance premiums for coverage offered in the individual or small group market from a factor of three to a factor of five, or to a factor determined by the state. This applies to plan years starting on or after January 1, 2018. HR 710 Health Coverage State Flexibility Act 2017 Introduced January 17, 2017 by Bill Flores (R-TX) This bill amends the Patient Protection and Affordable Care Act to revise the grace period that health insurers must provide to recipients of premium subsidies before discontinuing health coverage for nonpayment of premiums. The grace period is shortened from 3 months to 30 days unless state law includes an applicable grace period. HR 706 Plan Verification and Fairness Act of 2017 Introduced January 27, 2017 by Marsha Blackburn (R-TN) This bill amends the Patient Protection and Affordable Care Act to require health insurance exchanges to verify an individual's eligibility for a special enrollment period before coverage is made effective. Individuals seeking coverage through an exchange during a special enrollment period must submit to the exchange the documents necessary to verify their eligibility for the special enrollment period. HR 749 Lower Drug Costs Through Competition Act Introduced January 30, 2017 by Kurt Schrader (D-OR) To increase competition in the pharmaceutical industry. HR 1101 Small Business Health Fairness Act of 2017 Introduced February 16, 2017 by Sam Johnson (R-TX) to amend title I of the Employee Retirement Income Security Act of 1974 to improve access and choice for entrepreneurs with small businesses with respect to medical care for their employees.
Health Insurance Tax (HIT TAX); Cadillac Tax
Opioid Abuse; Opioid Education; Prescription Drugs
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Cost-sharing Reduction Payments under the ACA; ACA Reinsurance; Risk Corridors.
Opioid Abuse; Opioid Education; Prescription Drugs. HR 953 Introduced February 12, 2015 by James Sensenbrenner, Jr. (R-WI) Comprehensive Addiction and Recovery Act of 2015. The bill amends the Public Health Service Act to authorize the Center for Substance Abuse Treatment to award grants to enable state substance abuse agencies, local governments, nonprofit organizations, and Indian tribes or tribal organizations that have a high rate of, or have had a rapid increase in, the use of heroin or other opioids to expand activities, including medication assisted treatment, for the treatment of addiction in the geographical areas affected. The Comprehensive Recovery Act, S. 524 was introduced by Sen. Sheldon Whitehouse (D-RI) and HR 953 to tackle the growing epidemic. HR 2805 Heroin and Prescription Opioid Abuse Prevention, Education and Enforcement Act of 2015 Introduced June 17, 2015 by Susan Brooks (R-IN). This bill requires the Department of Health and Human Services (HHS), in cooperation with the Department of Veteran Affairs, the Department of Defense, and the Drug Enforcement Administration (DEA) to convene a Pain Management Best Practices Inter-Agency Task Force to develop and study best practice for pain management and prescription of pain medication. HR 4499 Introduced February 9, 206 by Alex Mooney (R-VA) Promoting Responsible Opioid Prescribing Act of 2016. To amend title XVII of the Social Security Act to remove consideration of certain pain-related issues from calculations under the Medicare hospital value-based purchasing program, and for other purposes.
Affordable Care Act (ACA) Issues; ACA Regulations, HCR Implementation; Market Stability; Health Savings Accounts (HSAs); Notice of Benefits and Payment Parameters (NBPP); Special Enrollment Periods (SEPs); Cost-sharing Reduction (CSR); Re-insurance; Risk Corridors; Better Way; Repeal/Replace Modeling; ACA Reform; Risk Programs; Premium Education; Chronic Care; Individual Market Reform; Third Party Payments of Premiums; Exchanges; Age Bands. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA). This bill repeals a provision of the ACA that imposes an annual fee on a health insurance provider based on its net premium income. HR 2646 Helping Families in Mental Health Crisis Act of 2015 Introduced May 4, 2015 by Tim Murphy (R-PA) To make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. HR 3742 Access to Marketplace Insurance Act Introduced October 9, 2015 by Kevin Cramer (R-ND) To amend the Patient Protection and Affordable Care Act to allow for certain third party payments. HR 5410 Health Coverage State Flexibility Act of 2016, Introduced June 21, 2016 by Bill Flores (R-TX), Amends the Patient Protection and Affordable Care Act to revise the grace period that health insurers must provide to recipients of premium subsidies before discontinuing health coverage for nonpayment of premiums. HR 5506 Introduced June 15, 2016 by Todd Young (R-IN) To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 5547 Health Care Price Transparency Promotion Act of 2016 Introduced by Michael Burgess (R-IN) To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of picket costs. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. HR 5904 Tax Payers Before Insurers Act Introduced July 14, 2016 by Mark Walker (R-NC) To require the Secretary of Health and Human Services to deposit certain funds into the general fund of the Treasury in accordance with provision of Federal law with regard to the Patient Protection and Affordable Care Acts Transitional reinsurance Program. HR 5921 State Age Rating Flexibility Act Introduced July 21, 2016 by Larry Bucshon (R-IN) To amend title XXVII of the Public Health Services Act to change the permissible age variation in health insurance premium rates. S. 524 Comprehensive Addition and Recovery Act of 2016 Introduced February 12, 2015 by Sheldon Whitehouse (D-RI) Overdoes from heroin, prescription drugs, and opioid pain relievers. Overdoses from heroin, prescription drugs, and opioid pain relievers last year surpassed car accidents as the leading cause of injury-related death in America, according to the Centers for Disease Control. Deaths have reached their highest levels of the 21st century in 2014, the most recent year for which data is available, according to the National Institute on Drug Abuse. The bill authorizes the Attorney General and Secretary of Health and Human Services to award grants to address the national epidemics of prescription opioid abuse and heroin use. S. 1945 Mental Health Reform Act of 2015 Introduced August 5, 2015 by Bill Cassidy (R-LA) A bill to make available needed psychiatric, psychological and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. Network Adequacy standards and tiered networks.
Health Insurance Tax (HIT TAX);HIT Tax Delay; Cadillac Tax. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the PPACA that imposes an annual fee on a health insurance provider based on its net premium income. S 183 Jobs and Premium Protection Act Introduced January 16, 2015 by John Barrasso (R-WY) A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Opioid Abuse; Opioid Education; Prescription Drugs; Pharmaceutical Innovation HR 953 Introduced February 12, 2015 by James Sensenbrenner, Jr. (R-WI) Comprehensive Addiction and Recovery Act of 2015. The bill amends the Public Health Service Act to authorize the Center for Substance Abuse Treatment to award grants to enable state substance abuse agencies, local governments, nonprofit organizations, and Indian tribes or tribal organizations that have a high rate of, or have had a rapid increase in, the use of heroin or other opioids to expand activities, including medication assisted treatment, for the treatment of addiction in the geographical areas affected. The Comprehensive Recovery Act, S. 524 was introduced by Sen. Sheldon Whitehouse (D-RI) and HR 953 to tackle the growing epidemic. HR 2805 Heroin and Prescription Opioid Abuse Prevention, Education and Enforcement Act of 2015 Introduced June 17, 2015 by Susan Brooks (R-IN). This bill requires the Department of Health and Human Services (HHS), in cooperation with the Department of Veteran Affairs, the Department of Defense, and the Drug Enforcement Administration (DEA) to convene a Pain Management Best Practices Inter-Agency Task Force to develop and study best practice for pain management and prescription of pain medication. HR 4499 Introduced February 9, 206 by Alex Mooney (R-VA) Promoting Responsible Opioid Prescribing Act of 2016. To amend title XVII of the Social Security Act to remove consideration of certain pain-related issues from calculations under the Medicare hospital value-based purchasing program, and for other purposes.
Medicare/Medicaid Issues; Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act 2015 (MACRA); Chronic Care Reform; Exchanges; Site-neutral Payments; Quality Improvement Strategy for QHPs; Rate Notice and Call Letter; QHP Quality Rating System (QRS); MHP. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. The Bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 2895 Introduced June 25, 2015 by Mike Pompeo (R-KS) Medicare Patient Access to Cancer Treatment Act of 2015 To amend title XVIII of the Social Security Act to establish payment parity under the Medicare program for ambulatory cancer services furnished in the hospital outpatient department and the physician office setting. HR 3716 Introduced October 8, 2015 by Larry Bucshon (R-IN) To amend title XIX of the Social Security Act to require States to provide to the Secretary of Health and Human Services certain information with respect to provider termination, and for other purposes. HR 4588 Introduced February 23, 2016 by Green (D-TX) To amend title XIX of the Social Security Act to provide the same level of Federal matching assistance for every State that chooses to expand Medicaid coverage to newly eligible individuals, regardless of when such expansion takes place.
833; Health Insurance Tax (HIT TAX); Cadillac Tax HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the PPACA that imposes an annual fee on a health insurance provider based on its net premium income. S 183 Jobs and Premium Protection Act Introduced January 16, 2015 by John Barrasso (R-WY) A bill to repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Risk Corridors; Risk Corridor Funding; ACA Reinsurance
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
833; Health Insurance Tax (HIT TAX); Cadillac Tax HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the PPACA that imposes an annual fee on a health insurance provider based on its net premium income.
Medicare/Medicaid Issues; Medicare Advantage; Chronic Care Reform; Exchanges; Site-neutral Payments; Quality Improvement Strategy for QHPs; network adequacy standards. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. The Bill extends the annual period in which an individual enrolled in MA may elect to instead recieve benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified perscription drug coverage. HR 2895 Introduced June 25, 2015 by Mike Pompeo (R-KS) Medicare Patient Access to Cancer Treatment Act of 2015 To amend title XVIII of the Social Security Act to estblish payment parity under the Medicare program for ambulatory cancer services furnished in the hospital outpatient department and the physician office setting. HR 3716 Introduced October 8, 2015 by Larry Bucshon (R-IN) To amend title XIX of the Social Security Act to require States to provide to the Secretary of Health and Human Services certin information with respect to provider termination, and for other purposes.
Risk Corridors; Risk Corridor Funding; ACA Reinsurance; Federal Health Employee Health Benefits Plan Regional PPO language.
Opioid Abuse; Opioid Education; Perscription Drugs; Pharmaceutical Innovation HR 953 Introduced February 12, 2015 by James Sensenbrenner, Jr. (R-WI) Comprehensive Addiction and Recovery Act of 2015. The bill amends the Public Health Service Act to authorize the Center for Substance Abuse Treatment to award grants to enable state substance abuse agencies, local governments, nonprofit organizations, and Indian tribes or tribal organizations that have a high rate of, or have had a rapid increase in, the use of heroin or other opioids to expand activities, including medication assisted treatment, for the treatment of addiction in the geographical areas affected. The Comprehensive Recovery Act, S. 524 was introduced by Sen. Sheldon Whitehouse (D-RI) and HR 953 to tackle the growing epidemic. HR 2805 Heroin and Prescription Opioid Abuse Prevention, Education and Enforcement Act of 2015 Introduced June 17, 2015 by Susan Brooks (R-IN). This bill requires the Department of Health and Human Services (HHS), in cooperation with the Department of Veteran Affairs, the Department of Defense, and the Drug Enforcement Administration (DEA) to convene a Pain Management Best Practices Inter-Agency Task Force to develop and study best pratice for pain management and perscription of pain medication.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Risk Corridors; Reinsurance.
833; Health Insurance Tax (HIT) HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) This bill repeals a provision of the PPACA that imposes an annual fee on a health insurance provider based on its net premium income.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE