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.
Improving Seniors’ Timely Access to Care Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Site neutral payment reform; Program Fraud, Waste, and Abuse 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.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; 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. 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. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. 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.
Source: Senate LDA
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; 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. 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. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. 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.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; 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. 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. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector.
Lower Costs, More Transparency Act of 2026
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; 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. 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. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. 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.
Lower Costs, More Transparency Act of 2026
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; 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. 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. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector.
Prior Authorization Accountability Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; 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. 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. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. 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.
Premium Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; 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. 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. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. 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.
Patients Deserve Price Tags Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; 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. 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. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. 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.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; 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. 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. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; 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. 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. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. 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.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicaid Cuts; Site neutral payment reform; Healthy Equity Index reward factor; Medicare Advantage Reform; General New Mexico healthcare landscape and access to care 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. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; MA 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. S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Discussions regarding Inappropriate use of skin substitute products in Medicare and policy approaches to reduce inappropriate utilization and spending. Discussed the community engagement requirements
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicaid Cuts; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA 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. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
Inspectors General Modernization Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Freedom from Intimidation in Elections Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace 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. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
To improve the review and effectiveness of the cost of living adjustments to pay and benefits for members of the Armed Forces and civilian employees of the Department of Defense whose permanent duty station is located in the 19th Congressional District of California, and for other purposes.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
No Student Visas for Sanctuary Cities Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
No Student Visas for Sanctuary Cities Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace 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. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
No Student Visas for Sanctuary Cities Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Websites and Software Applications Accessibility Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Websites and Software Applications Accessibility Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace 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. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
Websites and Software Applications Accessibility Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Tribal Healthcare Careers Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Tribal Healthcare Careers Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Choice Arrangement
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Right to Enroll Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
HOPE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Lower Health Care Premiums for All Americans Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
No UPCODE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicaid Cuts; Site neutral payment reform; Healthy Equity Index reward factor; Medicare Advantage Reform; General New Mexico healthcare landscape and access to care 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. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
No UPCODE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicaid Cuts; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA 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. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
No UPCODE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; MA 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. S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Discussions regarding Inappropriate use of skin substitute products in Medicare and policy approaches to reduce inappropriate utilization and spending. Discussed the community engagement requirements
HOVER Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace 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. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
HOVER Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Fair Billing Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace 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. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
Tech to Save Moms Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Healthy Competition for Better Care Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
Healthy Competition for Better Care Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
American Relief Act, 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Protecting Patients Against PBM Abuses Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs 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. 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. Discussions regarding utilizing AI to combat fraud. Discussions regarding Dual Eligible Special Needs Plans (D-SNP 101).
Protecting Patients Against PBM Abuses Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs 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. 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.
Healthy Competition for Better Care Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Black Maternal Health Momnibus Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
Student Athlete Level Playing Field Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Lower Costs, More Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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.
Lower Costs, More Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
Lower Costs, More Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Medicare PBM Accountability Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs 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. 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. Discussions regarding utilizing AI to combat fraud. Discussions regarding Dual Eligible Special Needs Plans (D-SNP 101).
Medicare PBM Accountability Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs 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. 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.
Restore Protections for Dialysis Patients Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Pharmacy Benefit Manager Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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.
Pharmacy Benefit Manager Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Pharmacy Benefit Manager Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Pharmacy Benefit Manager Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
Pharmacy Benefit Manager Reform Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Pharmacy Benefit Manager Reform Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Healthy Competition for Better Care Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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.
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Health Care Prices Revealed and Information to Consumers Explained Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Health Care Prices Revealed and Information to Consumers Explained Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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.
Health Care Prices Revealed and Information to Consumers Explained Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
Vessel Response Plan Improvement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
States implementation of the Interoperability and Prior Authorization final rule Medicaid Redeterminations and renewals; Same-day billing restrictions in Medicaid; Medicare Advantage; 340B program, H.R. 5380 - the Amend Title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage Act, H.R. 2880 - the Protecting Patients Against PBM Abuses Act, H.R. 5376 - the Inflation Reduction Act of 2022
Inflation Reduction Act of 2022
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Inflation Reduction Act of 2022
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
States implementation of the Interoperability and Prior Authorization final rule Medicaid Redeterminations and renewals; Same-day billing restrictions in Medicaid; Medicare Advantage; 340B program, H.R. 5380 - the Amend Title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage Act, H.R. 2880 - the Protecting Patients Against PBM Abuses Act, H.R. 5376 - the Inflation Reduction Act of 2022
Spectrum Innovation Act of 2021
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Helping Students Plan for College Act of 2021
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
States implementation of the Interoperability and Prior Authorization final rule Medicaid Redeterminations and renewals; Same-day billing restrictions in Medicaid; Medicare Advantage; 340B program, H.R. 5380 - the Amend Title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage Act, H.R. 2880 - the Protecting Patients Against PBM Abuses Act, H.R. 5376 - the Inflation Reduction Act of 2022
Reach Every Mother and Child Act of 2021
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Drug Price Transparency in Medicaid Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Provider Directories; Medicaid Redeterminations; Same-day billing restrictions in Medicaid S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act of 2023 To amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program. Issues supporting AI activities.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule; Site Neutrality/Site Neutral Payment Reform and Fair Hospital Billing; Transparency in Coverage; Surprise Billing; Rural Healthcare Access; Prior Authorization; Provider Workforce; Provider Directory Accuracy. Prescription drugs; gene therapies; AI technology. 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. H.R. 3417 FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 5378 Lower Costs, More Transparency Act HR 3630 - No Surprises Act To amend Title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 5568 - the Care For Moms Act
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Telehealth, youth mental health; health equity; site neutrality hospital billing; Employee Retirement Income Security Act; Prior Authorization; transparency in coverage; surprise billing; Association Health Plans; out of pocket charges, pharmacy benefit management framework proposals. S. Telehealth expansion Act of 2023 - To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1869 SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Ace 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. HR 3651 The Patient Act of 2023 - To promote hospital and insurer price transparency, and for other purposes. HR 3417 FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S. 150 Affordable Prescription Drugs for Patients Act of 2023 - A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. S. 127 Pharmacy Benefit Management Transparency Act of 2023 - A bill to prevent unfair and deceptive action and practices and dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S. 1339 Pharmacy Benefit Management 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.
PATIENT Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Love Lives On Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Telehealth, youth mental health; health equity; site neutrality hospital billing; Employee Retirement Income Security Act; Prior Authorization; transparency in coverage; surprise billing; Association Health Plans; out of pocket charges, pharmacy benefit management framework proposals. S. Telehealth expansion Act of 2023 - To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1869 SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Ace 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. HR 3651 The Patient Act of 2023 - To promote hospital and insurer price transparency, and for other purposes. HR 3417 FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S. 150 Affordable Prescription Drugs for Patients Act of 2023 - A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. S. 127 Pharmacy Benefit Management Transparency Act of 2023 - A bill to prevent unfair and deceptive action and practices and dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S. 1339 Pharmacy Benefit Management 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.
Medicare Patient Access to Cancer Treatment Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Transparency in Coverage Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Hidden Fee Disclosure Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Transparency in Billing Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Health DATA Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Health Care Price Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Lower Costs, More Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule; Site Neutrality/Site Neutral Payment Reform and Fair Hospital Billing; Transparency in Coverage; Surprise Billing; Rural Healthcare Access; Prior Authorization; Provider Workforce; Provider Directory Accuracy. Prescription drugs; gene therapies; AI technology. 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. H.R. 3417 FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 5378 Lower Costs, More Transparency Act HR 3630 - No Surprises Act To amend Title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 5568 - the Care For Moms Act
Site neutral payment reform; Program Fraud, Waste, and Abuse 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.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; 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. 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. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector.
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; MA Reform; Program Fraud, Waste, and Abuse; Medicaid Managed Care
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Healthcare tax credits; Telehealth/ telehealth flexibilities; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Community Health + Maternal Health; Hospital Billing; Program integrity in the individual marketplace; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Health Savings Accounts; 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. 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.
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; MA Reform
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; MA 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. S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Discussions regarding Inappropriate use of skin substitute products in Medicare and policy approaches to reduce inappropriate utilization and spending. Discussed the community engagement requirements
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) 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. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department 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.
Medicaid Cuts; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA 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. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace 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. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider 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. 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. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. 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. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. 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. S.2415 - 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. 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. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. 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.
States implementation of the Interoperability and Prior Authorization final rule Medicaid Redeterminations and renewals; Same-day billing restrictions in Medicaid; Medicare Advantage; 340B program, H.R. 5380 - the Amend Title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage Act, H.R. 2880 - the Protecting Patients Against PBM Abuses Act, H.R. 5376 - the Inflation Reduction Act of 2022
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule; Site Neutrality/Site Neutral Payment Reform and Fair Hospital Billing; Transparency in Coverage; Surprise Billing; Rural Healthcare Access; Prior Authorization; Provider Workforce; Provider Directory Accuracy. Prescription drugs; gene therapies; AI technology. 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. H.R. 3417 FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 5378 Lower Costs, More Transparency Act HR 3630 - No Surprises Act To amend Title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 5568 - the Care For Moms Act
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services 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. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act 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. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements 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. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Medicaid same-day billing; provider directories; RADV Rule and Rate Notice; Medicare Advantage Advance Rate Notice and Prior Authorization legislation; Medicaid Redeterminations; Medicaid work requirements; IRA implementation S 4750 Restore Protections for Dialysis Patients Act - To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act
Affordability; Affordable Care Act; Telehealth, youth mental health; health equity; site neutrality hospital billing; Employee Retirement Income Security Act; Prior Authorization; transparency in coverage; surprise billing; Association Health Plans; out of pocket charges, pharmacy benefit management framework proposals. S. Telehealth expansion Act of 2023 - To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1869 SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Ace 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. HR 3651 The Patient Act of 2023 - To promote hospital and insurer price transparency, and for other purposes. HR 3417 FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S. 150 Affordable Prescription Drugs for Patients Act of 2023 - A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. S. 127 Pharmacy Benefit Management Transparency Act of 2023 - A bill to prevent unfair and deceptive action and practices and dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S. 1339 Pharmacy Benefit Management 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.
Affordable Care Act (ACA); Transparency; Surprise Billing, Telehealth; COVID-19; Extending ACA Subsidies; Health Equity Issues; Mental Health Parity; Affordability; Inflation Reduction Act; No Surprises Act; affordability, COVID commercialization, youth mental health, maternal health, workforce shortages, hospital billing, ERISA preemption. S. 127 Pharmacy Benefit Manager Transparency Act of 2023. Regulation of PBM reporting, business model, rebates and discounts.
Medicare; Prior Authorization; Medicare Advantage; Medicaid; Prescription Drug Costs/Part D; Medicaid Managed Care plans. Policies related to social determinants of health, health equity, maternal mortality; Medicare rate notice, Medicare Advantage prior authorization, provider directories, Medicaid redetermination.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare; Prior Authorization; Medicare Advantage; Medicaid; Prescription Drug Costs/Part D; Medicaid Managed Care plans. Policies related to social determinants of health, health equity, maternal mortality. S. 3018 - Improving Seniors Timely Access to Care Act of 2021Sponsor: Sen. Roger Marshall (R-KS)
Affordable Care Act (ACA); Transparency; Surprise Billing, Telehealth; COVID-19; Extending ARPA Subsidies; Health Equity Issues; Mental Health Parity; Affordability; Inflation Reduction Act; No Surprises Act; Covid transition/PH.COVID-19 response in P.L. 117-103, The Consolidated Appropriations Act; Health care policies contained in P.L. 117-2, The American Rescue Plan Act; P.L. 117-169, Inflation Reduction Act of 2022 H.R. 2617 - Consolidated Appropriations Act, 2023; ACA subsidies, Medicaid redetermination, Medicaid Postpartum coverage, pharmacy benefit mangers H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 To amend the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 5218 Collaborate in an Orderly and Cohesive Manner Act H.R. 7767 - Strengthening Behavioral Health Benefits Act to amend the Employee Retirement Income Security Act of 1974 to provide for the enforcement of mental health and substance abuse disorder parity requirements, and for other purposes. Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 959 - Black Maternal Health Momnibus Act of 2021To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14)
Medicare; Prior Authorization; Medicare Advantage; Medicaid; Prescription Drug Costs/Part D; Medicaid Managed Care plans. Policies related to social determinants of health, health equity, maternal mortality. Health care policies contained P.L. 117-169, Inflation Reduction Act of 2022 H.R. 3173 - Improving Seniors Timely Access to Care Act of 2021 Sponsor: Rep. Suzan DelBene (D-WA-01) S. 3018 - Improving Seniors Timely Access to Care Act of 2021 Sponsor: Sen. Roger Marshall (R-KS) H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone (D-NJ-06) Insulin -the Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R. 5376 Inflation Reduction Act Sponsor: John Yarmuth (D-KY)
Affordable Care Act (ACA); Transparency; Surprise Billing, Telehealth; COVID-19; Extending ARPA Subsidies; Health Equity Issues; Mental Health Parity; Affordability; Inflation Reduction Act; No Surprises Act; Covid transition/PH. COVID-19 response in P.L. 117-103, The Consolidated Appropriations Act; Health care policies contained in P.L. 117-2, The American Rescue Plan Act; P.L. 117-169, Inflation Reduction Act of 2022 H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 To amend the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 5218 Collaborate in an Orderly and Cohesive Manner Act H.R. 7767 - Strengthening Behavioral Health Benefits Act To amend the Employee Retirement Income Security Act of 1974 to provide for the enforcement of mental health and substance abuse disorder parity requirements, and for other purposes. Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 959 - Black Maternal Health Momnibus Act of 2021 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14) H.R. 5376 Inflation Reduction Act Sponsor: John Yarmuth (D-KY) H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone (D-NJ-06) Insulin -the Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act
Issues related generally to: Medicare Advantage, Medicare Part D, and Medicaid managed care plans, including but not limited to policies related to Medicare Advantage reform, prior authorization, Medicaid, Part D reform, social determinants of health, health equity, and maternal mortality, including policies contained in and amendments offered to S.Con.Res.5, setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years2022 through 2030; and policies contained in and amendments offered to P.L. 117-2, the American Rescue Plan Act of 2021.Policies contained in P.L. 117-7, to prevent across-the-board direct spending cuts, and for other purposes, and P.L. 117-71, Protecting Medicare and American Farmers from Sequester Cuts Act. Policies contained in H.R.3684 - Infrastructure Investment and Jobs Act, H.R. 5376, Build Back Better Act, H.R. 3173 Improving Seniors Timely Access to Care Act of 2021 S. 3018 Improving Senior timely Access to Care Act of 2021
COVID-19 Testing, Rx Reform, Over the Counter COVID Tests, Insulin H.R. 3 - Lower Drug Costs Now Act
BCBSA: Medicare; Medicare Advantage; Medicaid; Part D Reform. Including but no limited to policies related to social determinants of health, health equity, and maternal mortality, across the board spending cuts, and the public health emergency. S.Con.Res.5 - The congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030 (policies and amendments) The American Rescue Plan Act of 2021 - Policies contained in and amendments offered to P.L. 117-2 P.L. 117-7 - Prevent across-the-board direct spending cuts, and for other purposes H.R.3684 - Infrastructure Investment and Jobs Act H.R. 537 - Build Back Better Act.
Issues related generally to: the Affordable Care Act, insurance markets/stabilization, transparency, surprise billing, and COVID-19 response, including those contained in but not limited to policies in and amendments offered to S.Con.Res.5, setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030; and health care policies contained in and amendments offered to P.L. 117-2, the American Rescue Plan Act of 2021. Policies contained in H.R.3684 - Infrastructure Investment and Jobs Act, and H.R. 5376, Build Back Better Act. Consumer purchasing protections ACA Discussions regarding Advanced Explanation of Benefits (Consolidated Appropriations Act) issues and concerns with respect to the challenges presented under the existing statute.
Issues related generally to: Issues related generally to: Medicare Advantage, Medicare Part D, Medicaid managed care plans, including but not limited to policies related to expansion of Medicare benefits and associated budget cuts, social determinants of health, health equity, prescription drug pricing, Medicaid gap coverage, Medicaid redeterminations and maternal mortality, including policies contained in and amendments offered to and policies contained in in H.R.3684 - Infrastructure Investment and Jobs Act and H.R. 5376, to provide for reconciliation pursuant to Title II of S. Con. Res. 14.
Issues related generally to: Issues related generally to: Medicare Advantage, Medicare Part D, Medicaid managed care plans, including but not limited to policies related to expansion of Medicare benefits and associated budget cuts, social determinants of health, health equity, prescription drug pricing, Medicaid gap coverage, Medicaid redeterminations and maternal mortality, including policies contained in and amendments offered to and policies contained in in H.R.3684 - Infrastructure Investment and Jobs Act and H.R. 5376, to provide for reconciliation pursuant to Title II of S. Con. Res. 14.
Issues generally related to: the Affordable Care Act and commercial health plans, including but not limited to policies related to ACA coverage subsides and prescription drug pricing; and policies contained in S.Con.Res.5, setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030; and policies contained in and amendments offered to P.L. 117-2, the American Rescue Plan Act of 2021 H.R.3684 - Infrastructure Investment and Jobs Act and H.R. 5376, To provide for reconciliation pursuant to title II of S. Con. Res. 14. OK HB131 Managed Care; State Surprise Billing Legislation, State Hospital Licensure Legislation
Issues related generally to: Medicare Advantage, Medicare Part D, and Medicaid managed care plans, including but not limited to policies related to social determinants of health, health equity, and maternal mortality, including policies contained in and amendments offered to S. Con. Res. 5, setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030; and policies contained in and amendments offered to P.L. 1170-2, the American Rescue Plan Act of 2021.
Issues related to the Affordable Care Act, insurance markets stabilization, transparency, surprise billing, OVID-19 response, including those contained in but not limited to policies in and amendments offered to S. Con. Res. 5, setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030; and health care policies contained in and amendments offered to P.L. 117-2, the American Rescue Plan Act of 2021.
Issues related to the Affordable Care Act, insurance markets stabilization, transparency, maternal health, COBRA Subsidies, health disparities, SEP and COVID-19 response, including provisions and amendments to S.Con.Res.5 (Congressional Budget) and P.L. 117-2, the American Rescue Plan Act of 2021.
H.R. 1868 - A bill to prevent across-the-board direct spending cuts: Provisions related to Medicaid, Maternal Health, Medicaid FMAP, Medicare, and Medicare Advantage. Issues related to Medicare Advantage, Medicare Part D, Medicaid managed care plans, and maternal mortality, including provisions and amendments to S.Con.Res.5 (Congressional Budget) and P.L. 117-2, the American Rescue Plan Act of 2021.
H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to Medicaid extension for new mothers, Medicare Advantage, Medicare Part D, and Medicaid managed care plans, opioid prescribing and use, and maternal mortality. H.R. 6800 - HEROES ACT: Issues related to Federal Medical Assistance Percentages and Medicaid. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to Medicaid expansion, Affordable Care Act and prescription drugs. H.R. 8406 - Heroes Act; Senate Amendment 2652, P.L. 116-260, Consolidated Appropriations Act of 2021, P.L. 116-123 - Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020, P.L. 116-127 - Families First Coronavirus Response Act, P.L. 116-136 - Coronavirus Aid, Relief, and Economic Security Act (CARES Act), P.L. 116-139 - Paycheck Protection Program and Health Care Enhancement Act, P.L. 115-271 - SUPPORT for Patients and Communities Act, P.L. 116-159, the Continuing Appropriations Act of 2021 and Other Extensions Act; COVID-19 issues as they relate to health care policies and health insurance. Issues related to Medicare Advantage, Medicare Part D, and Medicaid managed care plans, including but not limited to opioid prescribing and use, and maternal mortality.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, H.R. 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act, H.R. 5800 - Ban Surprise Billing Act, H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records H.R. 6139 - Health Care Protection Act: Issues related to COVID-19, funding for surveillance testing and treatment, financial assistance for individual health insurance, COBRA, financial assistance to maintain employer health plan coverage, and emergency funding for hospitals and providers. H.R. 6800 - HEROES ACT: Issues related to COVID-19, Federal Medical Assistance Percentages, Medicaid and COBRA. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to COVID-19, Medicaid expansion, and prescription drugs. Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.
H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio. H.R. 1384 - Medicare for All Act of 2019: Issues pertaining to private health insurance market, Affordable Care Act. H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019: Issues pertaining to managed care, Medicare, prior authorization.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, H.R. 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act, H.R. 5800 - Ban Surprise Billing Act, H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 6201 Families First Coronavirus Response Act, S. 3548, H.R. 748 - CARES Act: Issues regarding taxes on high cost employer-sponsored health coverage. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.
H.R. 7217 - IMPROVE Act: Issues related to Part D rebates, 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio. H.R. 1384 - Medicare for All Act of 2019: Issues related to private health insurance market, Affordable Care Act. H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019: Issues related to managed care, Medicare, prior authorization. H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to Medicaid extension for new mothers, Medicare Advantage, Medicare Part D, and Medicaid managed care plans, opioid prescribing and use, and maternal mortality. H.R. 6800 - HEROES ACT: Issues related to Federal Medical Assistance Percentages and Medicaid. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to Medicaid expansion, Affordable Care Act and prescription drugs. H.R. 8406 - Heroes Act: Senate Amendment 2652 related to COVID-19 relief. H.R. 8337 - Continuing Appropriations Act, 2021 and Other Extensions Act: Issues related to stimulus funding for employers, providers, COVID-19, and access to health insurance. P.L. 116-123 - Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020: Issues related to health care policies. P.L. 116-127 - Families First Coronavirus Response Act: Issues related to COVID19 and health insurance. P.L. 116-136 - Coronavirus Aid, Relief, and Economic Security Act (CARES Act): Issues related to COVID19 and health insurance. P.L. 116-139 - Paycheck Protection Program and Health Care Enhancement Act: Issues related to COVID19 and health insurance. P.L. 115-271 - SUPPORT for Patients and Communities Act: Issues related to COVID19 and health insurance.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, H.R. 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act, H.R. 5800 - Ban Surprise Billing Act, H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records H.R. 6139 - Health Care Protection Act: Issues related to COVID-19, funding for surveillance testing and treatment, financial assistance for individual health insurance, COBRA, financial assistance to maintain employer health plan coverage, and emergency funding for hospitals and providers. H.R. 6800 - HEROES ACT: Issues related to COVID-19, Federal Medical Assistance Percentages, Medicaid and COBRA. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to COVID-19, Medicaid expansion, and prescription drugs. Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, H.R. 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act, H.R. 5800 - Ban Surprise Billing Act, H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 6201 Families First Coronavirus Response Act, S. 3548, H.R. 748 - CARES Act: Issues regarding taxes on high cost employer-sponsored health coverage. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.
H.R. 1781 - Payment Commission Data Act of 2019: Issues regarding providing the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to drug pricing and rebate data. H.R. 938 - Bringing Low-cost Options and Competition while Keeping Incentives for New Generics (BLOCKING) Act of 2019: Issues regarding discouraging parking of 180-day exclusivity by a first generic applicant that is blocking the approval of other generics. H.R. 1520 - Purple Book Continuity Act of 2019: Issues regarding codifying publication of the patents of approved biological products in the Purple Book in a similar format and with similar requirements to the Orange Book; Publication and regular updating of the Purple Book electronically on the FDAs website. H.R. 1503 - Orange Book Transparency Act of 2019: Issues regarding ensuring that the Orange Book is accurate and up-to-date, by requiring manufacturers to share complete and timely information with FDA, as well as ensuring that patents listed in the Orange Book are relevant to the approved drug product. H.R. 1499 - Protecting Consumer Access to Generic Drugs Act of 2019: Issues regarding brand-name and generic drug manufacturers entering into agreements in which the brand-name drug manufacturer pays the generic manufacturer to keep a generic equivalent off the market. H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 1385 - State Allowance for a Variety of Exchanges (SAVE) Act: Issues regarding federal funds to establish state-based Marketplaces. H.R. 1386 - Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act: Issues regarding funding for Federally-Facilitated Marketplace navigator program; requirements for navigator entities in each state; Health and Human Services ensuring that navigator grants are awarded to entities with demonstrated capacity to carry out the duties specified in the Affordable Care Act. H.R. 987 - Marketing and Outreach Restoration to Empower (MORE) Health Education Act of 2019: Issues related to restoring outreach and enrollment funding to assist consumers in signing up for health care. H.R. 1010 - Issues regarding Short-Term, Limited Duration Insurance. H.R. 986 - Protecting Americans with Preexisting Conditions Act of 2019: Issues regarding rescinding Section 1332 guidance of the ACA promulgated in October 2018. H.R. 1425 - State Health Care Premium Reduction Act: Issues regarding state reinsurance program and providing financial assistance to reduce out-of-pocket costs. H.R. 820 - Public Health Service Act: Issues regarding National Institutes of Health support to collect the medical specimens and information of children with selected cancers that have the least effective treatments. 657 - Drug Price Transparency (DPT) Act: Issues relating to drug and price transparency. S. 80, S. 172 - Issues regarding repeal and delay of the health insurer fee. Issues regarding surprise billing, including benchmark payments and arbitration models.
H.R. 3325, S. 428 - ACE Kids Act, H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
H.R. 1781 - Payment Commission Data Act of 2019: Issues regarding providing the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to drug pricing and rebate data. H.R. 938 - Bringing Low-cost Options and Competition while Keeping Incentives for New Generics (BLOCKING) Act of 2019: Issues regarding discouraging parking of 180-day exclusivity by a first generic applicant that is blocking the approval of other generics. H.R. 1520 - Purple Book Continuity Act of 2019: Issues regarding codifying publication of the patents of approved biological products in the Purple Book in a similar format and with similar requirements to the Orange Book; Publication and regular updating of the Purple Book electronically on the FDAs website. H.R. 1503 - Orange Book Transparency Act of 2019: Issues regarding ensuring that the Orange Book is accurate and up-to-date, by requiring manufacturers to share complete and timely information with FDA, as well as ensuring that patents listed in the Orange Book are relevant to the approved drug product. H.R. 1499 - Protecting Consumer Access to Generic Drugs Act of 2019: Issues regarding brand-name and generic drug manufacturers entering into agreements in which the brand-name drug manufacturer pays the generic manufacturer to keep a generic equivalent off the market. H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 1385 - State Allowance for a Variety of Exchanges (SAVE) Act: Issues regarding federal funds to establish state-based Marketplaces. H.R. 1386 - Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act: Issues regarding funding for Federally-Facilitated Marketplace navigator program; requirements for navigator entities in each state; Health and Human Services ensuring that navigator grants are awarded to entities with demonstrated capacity to carry out the duties specified in the Affordable Care Act. H.R. 987 - Marketing and Outreach Restoration to Empower (MORE) Health Education Act of 2019: Issues related to restoring outreach and enrollment funding to assist consumers in signing up for health care. H.R. 1010 - Issues regarding Short-Term, Limited Duration Insurance. H.R. 986 - Protecting Americans with Preexisting Conditions Act of 2019: Issues regarding rescinding Section 1332 guidance of the ACA promulgated in October 2018. H.R. 1425 - State Health Care Premium Reduction Act: Issues regarding state reinsurance program and providing financial assistance to reduce out-of-pocket costs. H.R. 820 - Public Health Service Act: Issues regarding National Institutes of Health support to collect the medical specimens and information of children with selected cancers that have the least effective treatments. H.R. 2069 - The SPIKE Act, H.R. 2113 - STAR Act, H.R. 2115 - Public Disclosure of Drug Discounts Act, H.R. 2296 - FAIR Drug Pricing Act, H.R. 2376 - Prescription Pricing for the People Act, H.R, 2757 - Creating Lower Cost Alternatives for Your Prescription Drugs Act, S. 657 - Drug Price Transparency (DPT) Act: Issues relating to drug and price transparency. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Regarding all provisions. S. 80, S. 172 - Issues regarding repeal and delay of the health insurer fee. Issues pertaining to surprise billing, including benchmark payments and arbitration models.
H.R. 3325, S. 428 - ACE Kids Act, H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio. H.R. 4378 - Continuing Appropriations Act, 2020, and Health Excellence Act of 2019: Issues related to Money Follows the Person. S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug pricing; Medicaid; Medicare.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to ACA reinsurance/stabilization; rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Prescription Rebates; Privacy; Universal Coverage. H.R. 3439 - Protecting Access To Information for Effective and Necessary Treatment Act, PATIENT Act: Regarding all provisions. H.R. 861 - End Surprise Billing Act, HR 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act; Issues relating to surprise billing, including benchmark payments, arbitration models, and out of network billing. H.R. 1897, S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 1551 - Quality Care for Moms and Babies Act, H.R. 2902 - Maternal Care Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug costs. Centers for Medicare and Medicaid Services 84 FR 39398 - Hospital Outpatient Prospective Payment System (OPPS); EO 13877 / 84 FR 30849 - Improving Price and Quality Transparency in American Healthcare To Put Patients First; Centers for Medicare and Medicaid Services Proposed Rule 84 FR 7610 - Interoperability and Patient Access; Office of National Coordinator for Health Information Technology Proposed Rule 84 FR 7424 - Interoperability, Information Blocking, and the ONC Health IT Certification Program; Issues relating to drug and price transparency.
H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 259, Medicaid Extenders Act of 2019, H.R. 4378, Continuing Appropriations Act of 2020: Issues related to Medicaid extension. HR 1398, S. 172 - Health Insurance Tax Relief Act of 2019, S. 80 - Jobs and Premium Protection Act; Issues related to repeal and delay the health insurer fee. Issues related to the Affordable Care Act reinsurance/stabilization. H.R. 861 - End Surprise Billing Act, HR 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act; Issues relating to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, HR 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug costs and prescription rebates. Issues relating to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 259, Medicaid Extenders Act of 2019, H.R. 4378, Continuing Appropriations Act of 2020: Issues related to Medicaid extension. HR 1398, S. 172 - Health Insurance Tax Relief Act of 2019, S. 80 - Jobs and Premium Protection Act; Issues related to repeal and delay the health insurer fee. Issues related to the Affordable Care Act reinsurance/stabilization. H.R. 861 - End Surprise Billing Act, HR 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act; Issues relating to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, HR 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug costs and prescription rebates. Issues relating to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.
H.R. 3325, S. 428 - ACE Kids Act, H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio. H.R. 4378 - Continuing Appropriations Act, 2020, and Health Excellence Act of 2019: Issues related to Money Follows the Person. S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug pricing; Medicaid; Medicare.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to ACA reinsurance/stabilization; rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Prescription Rebates; Privacy; Universal Coverage. H.R. 3439 - Protecting Access To Information for Effective and Necessary Treatment Act, PATIENT Act: Regarding all provisions. H.R. 861 - End Surprise Billing Act, HR 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act; Issues relating to surprise billing, including benchmark payments, arbitration models, and out of network billing. H.R. 1897, S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 1551 - Quality Care for Moms and Babies Act, H.R. 2902 - Maternal Care Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug costs. Centers for Medicare and Medicaid Services 84 FR 39398 - Hospital Outpatient Prospective Payment System (OPPS); EO 13877 / 84 FR 30849 - Improving Price and Quality Transparency in American Healthcare To Put Patients First; Centers for Medicare and Medicaid Services Proposed Rule 84 FR 7610 - Interoperability and Patient Access; Office of National Coordinator for Health Information Technology Proposed Rule 84 FR 7424 - Interoperability, Information Blocking, and the ONC Health IT Certification Program; Issues relating to drug and price transparency.
H.R. 3325, S. 428 - ACE Kids Act, H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
H.R. 1781 - Payment Commission Data Act of 2019: Issues regarding providing the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to drug pricing and rebate data. H.R. 938 - Bringing Low-cost Options and Competition while Keeping Incentives for New Generics (BLOCKING) Act of 2019: Issues regarding discouraging parking of 180-day exclusivity by a first generic applicant that is blocking the approval of other generics. H.R. 1520 - Purple Book Continuity Act of 2019: Issues regarding codifying publication of the patents of approved biological products in the Purple Book in a similar format and with similar requirements to the Orange Book; Publication and regular updating of the Purple Book electronically on the FDAs website. H.R. 1503 - Orange Book Transparency Act of 2019: Issues regarding ensuring that the Orange Book is accurate and up-to-date, by requiring manufacturers to share complete and timely information with FDA, as well as ensuring that patents listed in the Orange Book are relevant to the approved drug product. H.R. 1499 - Protecting Consumer Access to Generic Drugs Act of 2019: Issues regarding brand-name and generic drug manufacturers entering into agreements in which the brand-name drug manufacturer pays the generic manufacturer to keep a generic equivalent off the market. H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 1385 - State Allowance for a Variety of Exchanges (SAVE) Act: Issues regarding federal funds to establish state-based Marketplaces. H.R. 1386 - Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act: Issues regarding funding for Federally-Facilitated Marketplace navigator program; requirements for navigator entities in each state; Health and Human Services ensuring that navigator grants are awarded to entities with demonstrated capacity to carry out the duties specified in the Affordable Care Act. H.R. 987 - Marketing and Outreach Restoration to Empower (MORE) Health Education Act of 2019: Issues related to restoring outreach and enrollment funding to assist consumers in signing up for health care. H.R. 1010 - Issues regarding Short-Term, Limited Duration Insurance. H.R. 986 - Protecting Americans with Preexisting Conditions Act of 2019: Issues regarding rescinding Section 1332 guidance of the ACA promulgated in October 2018. H.R. 1425 - State Health Care Premium Reduction Act: Issues regarding state reinsurance program and providing financial assistance to reduce out-of-pocket costs. H.R. 820 - Public Health Service Act: Issues regarding National Institutes of Health support to collect the medical specimens and information of children with selected cancers that have the least effective treatments. H.R. 2069 - The SPIKE Act, H.R. 2113 - STAR Act, H.R. 2115 - Public Disclosure of Drug Discounts Act, H.R. 2296 - FAIR Drug Pricing Act, H.R. 2376 - Prescription Pricing for the People Act, H.R, 2757 - Creating Lower Cost Alternatives for Your Prescription Drugs Act, S. 657 - Drug Price Transparency (DPT) Act: Issues relating to drug and price transparency. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Regarding all provisions. S. 80, S. 172 - Issues regarding repeal and delay of the health insurer fee. Issues pertaining to surprise billing, including benchmark payments and arbitration models.
Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
H.R. 1781 - Payment Commission Data Act of 2019: Issues regarding providing the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to drug pricing and rebate data. H.R. 938 - Bringing Low-cost Options and Competition while Keeping Incentives for New Generics (BLOCKING) Act of 2019: Issues regarding discouraging parking of 180-day exclusivity by a first generic applicant that is blocking the approval of other generics. H.R. 1520 - Purple Book Continuity Act of 2019: Issues regarding codifying publication of the patents of approved biological products in the Purple Book in a similar format and with similar requirements to the Orange Book; Publication and regular updating of the Purple Book electronically on the FDAs website. H.R. 1503 - Orange Book Transparency Act of 2019: Issues regarding ensuring that the Orange Book is accurate and up-to-date, by requiring manufacturers to share complete and timely information with FDA, as well as ensuring that patents listed in the Orange Book are relevant to the approved drug product. H.R. 1499 - Protecting Consumer Access to Generic Drugs Act of 2019: Issues regarding brand-name and generic drug manufacturers entering into agreements in which the brand-name drug manufacturer pays the generic manufacturer to keep a generic equivalent off the market. H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 1385 - State Allowance for a Variety of Exchanges (SAVE) Act: Issues regarding federal funds to establish state-based Marketplaces. H.R. 1386 - Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act: Issues regarding funding for Federally-Facilitated Marketplace navigator program; requirements for navigator entities in each state; Health and Human Services ensuring that navigator grants are awarded to entities with demonstrated capacity to carry out the duties specified in the Affordable Care Act. H.R. 987 - Marketing and Outreach Restoration to Empower (MORE) Health Education Act of 2019: Issues related to restoring outreach and enrollment funding to assist consumers in signing up for health care. H.R. 1010 - Issues regarding Short-Term, Limited Duration Insurance. H.R. 986 - Protecting Americans with Preexisting Conditions Act of 2019: Issues regarding rescinding Section 1332 guidance of the ACA promulgated in October 2018. H.R. 1425 - State Health Care Premium Reduction Act: Issues regarding state reinsurance program and providing financial assistance to reduce out-of-pocket costs. H.R. 820 - Public Health Service Act: Issues regarding National Institutes of Health support to collect the medical specimens and information of children with selected cancers that have the least effective treatments. 657 - Drug Price Transparency (DPT) Act: Issues relating to drug and price transparency. S. 80, S. 172 - Issues regarding repeal and delay of the health insurer fee. Issues regarding surprise billing, including benchmark payments and arbitration models.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 259, Medicaid Extenders Act of 2019, H.R. 4378, Continuing Appropriations Act of 2020: Issues related to Medicaid extension. HR 1398, S. 172 - Health Insurance Tax Relief Act of 2019, S. 80 - Jobs and Premium Protection Act; Issues related to repeal and delay the health insurer fee. Issues related to the Affordable Care Act reinsurance/stabilization. H.R. 861 - End Surprise Billing Act, HR 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act; Issues relating to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, HR 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug costs and prescription rebates. Issues relating to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.
H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Issues related to ACA reinsurance/stabilization; rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Prescription Rebates; Privacy; Universal Coverage. H.R. 3439 - Protecting Access To Information for Effective and Necessary Treatment Act, PATIENT Act: Regarding all provisions. H.R. 861 - End Surprise Billing Act, HR 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act; Issues relating to surprise billing, including benchmark payments, arbitration models, and out of network billing. H.R. 1897, S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 1551 - Quality Care for Moms and Babies Act, H.R. 2902 - Maternal Care Act: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues relating to drug costs. Centers for Medicare and Medicaid Services 84 FR 39398 - Hospital Outpatient Prospective Payment System (OPPS); EO 13877 / 84 FR 30849 - Improving Price and Quality Transparency in American Healthcare To Put Patients First; Centers for Medicare and Medicaid Services Proposed Rule 84 FR 7610 - Interoperability and Patient Access; Office of National Coordinator for Health Information Technology Proposed Rule 84 FR 7424 - Interoperability, Information Blocking, and the ONC Health IT Certification Program; Issues relating to drug and price transparency.
H.R. 3325, S. 428 - ACE Kids Act, H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
H.R. 1781 - Payment Commission Data Act of 2019: Issues regarding providing the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission with access to drug pricing and rebate data. H.R. 938 - Bringing Low-cost Options and Competition while Keeping Incentives for New Generics (BLOCKING) Act of 2019: Issues regarding discouraging parking of 180-day exclusivity by a first generic applicant that is blocking the approval of other generics. H.R. 1520 - Purple Book Continuity Act of 2019: Issues regarding codifying publication of the patents of approved biological products in the Purple Book in a similar format and with similar requirements to the Orange Book; Publication and regular updating of the Purple Book electronically on the FDAs website. H.R. 1503 - Orange Book Transparency Act of 2019: Issues regarding ensuring that the Orange Book is accurate and up-to-date, by requiring manufacturers to share complete and timely information with FDA, as well as ensuring that patents listed in the Orange Book are relevant to the approved drug product. H.R. 1499 - Protecting Consumer Access to Generic Drugs Act of 2019: Issues regarding brand-name and generic drug manufacturers entering into agreements in which the brand-name drug manufacturer pays the generic manufacturer to keep a generic equivalent off the market. H.R. 965, S. 340 - Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019: Issues regarding processes by which generic manufacturers can obtain sufficient quantities of brand drug samples for testing. H.R. 1385 - State Allowance for a Variety of Exchanges (SAVE) Act: Issues regarding federal funds to establish state-based Marketplaces. H.R. 1386 - Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act: Issues regarding funding for Federally-Facilitated Marketplace navigator program; requirements for navigator entities in each state; Health and Human Services ensuring that navigator grants are awarded to entities with demonstrated capacity to carry out the duties specified in the Affordable Care Act. H.R. 987 - Marketing and Outreach Restoration to Empower (MORE) Health Education Act of 2019: Issues related to restoring outreach and enrollment funding to assist consumers in signing up for health care. H.R. 1010 - Issues regarding Short-Term, Limited Duration Insurance. H.R. 986 - Protecting Americans with Preexisting Conditions Act of 2019: Issues regarding rescinding Section 1332 guidance of the ACA promulgated in October 2018. H.R. 1425 - State Health Care Premium Reduction Act: Issues regarding state reinsurance program and providing financial assistance to reduce out-of-pocket costs. H.R. 820 - Public Health Service Act: Issues regarding National Institutes of Health support to collect the medical specimens and information of children with selected cancers that have the least effective treatments. H.R. 2069 - The SPIKE Act, H.R. 2113 - STAR Act, H.R. 2115 - Public Disclosure of Drug Discounts Act, H.R. 2296 - FAIR Drug Pricing Act, H.R. 2376 - Prescription Pricing for the People Act, H.R, 2757 - Creating Lower Cost Alternatives for Your Prescription Drugs Act, S. 657 - Drug Price Transparency (DPT) Act: Issues relating to drug and price transparency. H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions. S. 1895 - The Lower Health Care Costs Act: Regarding all provisions. S. 80, S. 172 - Issues regarding repeal and delay of the health insurer fee. Issues pertaining to surprise billing, including benchmark payments and arbitration models.
H.R. 1781 - Payment Commission Data Act of 2019: Provisions regarding drug pricing and rebate data, drug costs, Affordable Care Act reinsurance/stabilization, out-of-network billing, rural health access, health equity, Medicare Advantage, Medicaid Rebates, Medicaid Expansion, Rate Notice and Call Letter, Medicare Part D, Notice of Benefit and Payment Parameters, Part D Donut Hole, Prescription Rebates, Privacy.
Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
H.R. 7217 - IMPROVE Act; H.R. 3325/S. 428; Issues pertaining to Part D rebates; 2020 NBPP. H.R. 3325/S. 428 - "ACE Kids Act" - 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, regarding all provisions. S. 2554 - "Patients' Right to Know Drug Price Act of 2018", issues pertaining to drug pricing.
S.3063; Health Insurance Tax Relief Act of 2018 - A bill to delay the reimposition of the annual fee on health insurance providers until after 2020, issues pertaining to health insurance tax.
H.R. 7217 - IMPROVE Act; H.R. 3325/S. 428; Issues pertaining to Part D rebates; 2020 NBPP. H.R. 3325/S. 428 - "ACE Kids Act" - 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, regarding all provisions. S. 2554 - "Patients' Right to Know Drug Price Act of 2018", issues pertaining to drug pricing.
S.3063; Health Insurance Tax Relief Act of 2018 - A bill to delay the reimposition of the annual fee on health insurance providers until after 2020, issues pertaining to health insurance tax.
Issues relating to CHIP Reform; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter.
S. 2680, "The Opioid Crisis Response Act of 2018", regarding all provisions. S. 2902, "Better Data Sharing to Combat the Opioid Crisis Act" regarding all provisions. S. 3042, "Agriculture Improvement Act of 2018", regarding federal funding for AHPs. S. 974, "CREATES Act", regarding all provisions. S.3063, "Health Insurance Tax Relief Act of 2018", regarding all provisions. HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions. HR 314, "Health Care Choice Act of 2017", regarding all provisions. HR 1628, "American Health Care Act of 2017", regarding all provisions. HR 2051, "FAST Generics Act of 2017", regarding all provisions. HR 2400, "To amend title 5, United States Code, to allow individuals who are not Federal employees to enroll in the Federal Employees Health Benefits Program, and for other purposes", regarding all provisions. HR 2212, "CREATES Act of 2017", regarding all provisions. HR 3976, "Access to Marketplace Insurance Act", regarding all provisions. S 1835, "Lower Premiums Through Reinsurance Act of 2017", regarding all provisions. Issues relating to the Health Insurance Tax. Issues relating to the Alexander/Murray legislation to stabilize the health insurance market. HR 195, "Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes", regarding all provisions. Affordable Care Act; Reinsurance; Cost Sharing Reductions (CSRs); Special Needs Plans (SNPs); Third Party Payment Premiums (TPPs); Drug Pricing; Individual Market, Health insurance Tax, Short Term Limited Duration Plans. FAA Reauthorization Act of 2018. Issues regarding Opioids.
Issues relating to CHIP Reform; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter
HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions. HR 314, "Health Care Choice Act of 2017", regarding all provisions. HR 1628, "American Health Care Act of 2017", regarding all provisions. HR 2051, "FAST Generics Act of 2017", regarding all provisions. HR 2400, "To amend title 5, United States Code, to allow individuals who are not Federal employees to enroll in the Federal Employees Health Benefits Program, and for other purposes", regarding all provisions. HR 2212, "CREATES Act of 2017", regarding all provisions. HR 3976, "Access to Marketplace Insurance Act", regarding all provisions. S 1835, "Lower Premiums Through Reinsurance Act of 2017", regarding all provisions. Issues relating to the Health Insurance Tax. Issues relating to the Alexander/Murray legislation to stabilize the health insurance market. The January 22 & February 8 CR and CHIP re-authorization. HR 195, "Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes", regarding all provisions. HR 1625, "Consolidated Appropriations Act, 2018", regarding all provisions. HR 1892, "Bipartisan Budget Act of 2018", regarding all provisions. Affordable Care Act; Reinsurance; Cost Sharing Reductions (CSRs); Special Needs Plans (SNPs); Third Party Payment Premiums (TPPs); Drug Pricing; Individual Market, Health insurance Tax, Short Term Limited Duration Plans.
Issues pertaining to Part D rebates; 2020 NBPP
H.R. 2051: "FAST Generics Act of 2017", 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. 974, H.R. 2212: "CREATES Act of 2017", regarding all provisions. H.R. 3976: "Access to Marketplace Insurance Act", regarding all provisions. S. 2680, H.R. 6: "The Opioid Crisis Response Act of 2018", regarding all provisions. S. 3042, H.R. 2: "Agriculture Improvement Act of 2018", regarding federal funding for AHPs. S. 3063, "Health Insurance Tax Relief Act of 2018", regarding all provisions. Affordable Care Act; Reinsurance; Cost Sharing Reductions (CSRs); Special Needs Plans (SNPs); Third Party Payment Premiums (TPPs); Drug Pricing; Individual Market, Health insurance Tax, Short Term Limited Duration Plans. H.R. 302: FAA Reauthorization Act of 2018. Issues regarding Opioids. Issues pertaining to Prescription Drug Monitoring Program (PDMP) access for insurers; Issues pertaining to federal funding for AHPs; Issues pertaining to air ambulance pricing transparency; Issues pertaining to free standing ERs; Issues pertaining to exleveling ESRD coverage by private health plans; Issues pertaining to risk adjustment.
Issues relating to CHIP Reform; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter
HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions. HR 314, "Health Care Choice Act of 2017", regarding all provisions. HR 1628, "American Health Care Act of 2017", regarding all provisions. HR 2051, "FAST Generics Act of 2017", regarding all provisions. HR 2400, "To amend title 5, United States Code, to allow individuals who are not Federal employees to enroll in the Federal Employees Health Benefits Program, and for other purposes", regarding all provisions. HR 2212, "CREATES Act of 2017", regarding all provisions. HR 3976, "Access to Marketplace Insurance Act", regarding all provisions. S 1835, "Lower Premiums Through Reinsurance Act of 2017", regarding all provisions. Issues relating to the Health Insurance Tax. Issues relating to the Alexander/Murray legislation to stabilize the health insurance market. The January 22 & February 8 CR and CHIP re-authorization. HR 195, "Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes", regarding all provisions. HR 1625, "Consolidated Appropriations Act, 2018", regarding all provisions. HR 1892, "Bipartisan Budget Act of 2018", regarding all provisions. Affordable Care Act; Reinsurance; Cost Sharing Reductions (CSRs); Special Needs Plans (SNPs); Third Party Payment Premiums (TPPs); Drug Pricing; Individual Market, Health insurance Tax, Short Term Limited Duration Plans.
Issues relating to CHIP Reform; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter.
S. 2680, "The Opioid Crisis Response Act of 2018", regarding all provisions. S. 2902, "Better Data Sharing to Combat the Opioid Crisis Act" regarding all provisions. S. 3042, "Agriculture Improvement Act of 2018", regarding federal funding for AHPs. S. 974, "CREATES Act", regarding all provisions. S.3063, "Health Insurance Tax Relief Act of 2018", regarding all provisions. HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions. HR 314, "Health Care Choice Act of 2017", regarding all provisions. HR 1628, "American Health Care Act of 2017", regarding all provisions. HR 2051, "FAST Generics Act of 2017", regarding all provisions. HR 2400, "To amend title 5, United States Code, to allow individuals who are not Federal employees to enroll in the Federal Employees Health Benefits Program, and for other purposes", regarding all provisions. HR 2212, "CREATES Act of 2017", regarding all provisions. HR 3976, "Access to Marketplace Insurance Act", regarding all provisions. S 1835, "Lower Premiums Through Reinsurance Act of 2017", regarding all provisions. Issues relating to the Health Insurance Tax. Issues relating to the Alexander/Murray legislation to stabilize the health insurance market. HR 195, "Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes", regarding all provisions. Affordable Care Act; Reinsurance; Cost Sharing Reductions (CSRs); Special Needs Plans (SNPs); Third Party Payment Premiums (TPPs); Drug Pricing; Individual Market, Health insurance Tax, Short Term Limited Duration Plans. FAA Reauthorization Act of 2018. Issues regarding Opioids.
Issues relating to CHIP Reform; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter
HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions. HR 314, "Health Care Choice Act of 2017", regarding all provisions. HR 1628, "American Health Care Act of 2017", regarding all provisions. HR 2051, "FAST Generics Act of 2017", regarding all provisions. HR 2400, "To amend title 5, United States Code, to allow individuals who are not Federal employees to enroll in the Federal Employees Health Benefits Program, and for other purposes", regarding all provisions. HR 2212, "CREATES Act of 2017", regarding all provisions. HR 3976, "Access to Marketplace Insurance Act", regarding all provisions. S 1835, "Lower Premiums Through Reinsurance Act of 2017", regarding all provisions. Issues relating to the Health Insurance Tax. Issues relating to the Alexander/Murray legislation to stabilize the health insurance market. The January 22 & February 8 CR and CHIP re-authorization. HR 195, "Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes", regarding all provisions. HR 1625, "Consolidated Appropriations Act, 2018", regarding all provisions. HR 1892, "Bipartisan Budget Act of 2018", regarding all provisions. Affordable Care Act; Reinsurance; Cost Sharing Reductions (CSRs); Special Needs Plans (SNPs); Third Party Payment Premiums (TPPs); Drug Pricing; Individual Market, Health insurance Tax, Short Term Limited Duration Plans.
HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions. HR 314, "Health Care Choice Act of 2017", regarding all provisions. HR 1628, "American Health Care Act of 2017", regarding all provisions. HR 2051, "FAST Generics Act of 2017", regarding all provisions. HR 2400, "To amend title 5, United States Code, to allow individuals who are not Federal employees to enroll in the Federal Employees Health Benefits Program, and for other purposes", regarding all provisions. HR 2212, "CREATES Act of 2017", regarding all provisions. HR 3976, "Access to Marketplace Insurance Act", regarding all provisions. S 1835, "Lower Premiums Through Reinsurance Act of 2017", regarding all provisions. Issues relating to the Health Insurance Tax. Issues relating to the Alexander/Murray legislation to stabilize the health insurance market. Issues relating to the Graham/Cassidy legislation to repeal the ACA. Affordable Care Act; Reinsurance; Cost Sharing Reductions (CSRs); Speacial Needs Plans (SNPs); Third Party Payment Premiums (TPPs); Drug Pricing; Risk Ratios; Individual Market Reforms/ Market Stability; Marketplace Certainity Act; Mental Health Parity; Grace Periods; ACA Regulation and Implementation; ACA Repeal and Replace; selling insurance across state lines.
Issues relating to CHIP Reform; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter
HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions. HR 314, "Health Care Choice Act of 2017", regarding all provisions. HR 1628, "American Health Care Act of 2017", regarding all provisions. HR 2051, "FAST Generics Act of 2017", regarding all provisions. HR 2400, "To amend title 5, United States Code, to allow individuals who are not Federal employees to enroll in the Federal Employees Health Benefits Program, and for other purposes", regarding all provisions. Issues relating to the Alexander/Murray legislation to stabilize the health insurance market. Issues relating to the Graham/Cassidy legislation to repeal the ACA. Issues relating Affordable Care Act; Reinsurance; Cost Sharing Reductions (CSRs); Speacial Needs Plans (SNPs); Third Party Payment Premiums (TPPs); Drug Pricing; Risk Ratios; Individual Market Reforms/ Market Stability; Marketplace Certainity Act; Mental Health Parity; Grace Periods; ACA Regulation and Implementation; ACA Repeal and Replace; selling insurance across state lines.
HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions. HR 314, "Health Care Choice Act of 2017", regarding all provisions. HR 1628, "American Health Care Act of 2017", regarding all provisions. HR 1703, "Medical Product Communications Act of 2017", regarding all provisions. HR 2026, "Pharmaceutical Information Exchange Act", regarding all provisions. HR 2051, "FAST Generics Act of 2017", regarding all provisions. HR 2400, "To amend title 5, United States Code, to allow individuals who are not Federal employees to enroll in the Federal Employees Health Benefits Program, and for other purposes", regarding all provisions. Issues relating to Affordable Care Act (ACA) Regulations; American Health Care Act (AHCA); Health Care Reform; Health Savings Accounts (HSAs); Reinsurance; Cost Sharing Reductions (CSRs); Implementation; Special Needs Plans (SNPs); Third Party Payment of Premiums (TPPs); Repeal and Replace; Drug Pricing; Risk Ratios; Individual Market Reform; Market Stability; Marketplace Certainty Act; Mental Health Parity; 2017 Notice of Benefit and Payment Parameters; Grace Periods; SEPs; Senate Health Reform Bill.
Issues related to ACA Reinsurance & Cost-sharing Reeducation Payments under ACA.
HR 1369, "Indian Healthcare Improvement Act of 2017", regarding all provisions. Issues relating to Medicare Advantage, CHIP Reform, Exchanges, Rate Notice and Call Letter, Postal Reform.
Issues related to Health Insurance Tax (HIT TAX), Cadillac Tax.
H.R.2646, "Helping Families in Mental Health Crisis Act of 2015", regarding all provisions. S.1945, "Mental Health Reform Act of 2015", regarding all provisions. H.R. 5410, "Health Coverage State Flexibility Act of 2016", regarding all provisions. H.R. 5659, "ESRD Choice Act of 2016", regarding all provisions. S. 2803, "Taxpayers Before Insurers Act", regarding all provisions. H.R. 5589, "Plan Verification and Fairness Act of 2016", regarding all provisions. H.R. 3742, "Access to Marketplace Insurance Act", regarding all provisions. H.R. 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", regarding all provisions. H.R. 5447, "Small Business Health Care Relief Act of 2016", regarding all provisions. Issues related to Mental Health Parity. Issues related to the Federal Employee Health Benefit Program (FEHBP). Issues related to the Affordable Care Act including Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Co-ops; Implementation; Cyber Security; Open Enrollment; Market Stability; Department of Labor Conflict of Interest Rule; Grace Periods; Special Enrollment Periods.
H.R.2646, "Helping Families in Mental Health Crisis Act of 2015", regarding all provisions. S.1945, "Mental Health Reform Act of 2015", regarding all provisions. H.R. 5410, "Health Coverage State Flexibility Act of 2016", regarding all provisions. H.R. 5659, "ESRD Choice Act of 2016", regarding all provisions. S. 2803, "Taxpayers Before Insurers Act", regarding all provisions. S. 524, "Comprehensive Addiction and Recovery Act of 2016", regarding all provisions. H.R. 5589, "Plan Verification and Fairness Act of 2016", regarding all provisions. H.R. 3742, "Access to Marketplace Insurance Act", regarding all provisions. Issues related to Mental Health Parity. Issues related to the Federal Employee Health Benefit Program (FEHBP). Issues related to the Affordable Care Act including Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Co-ops; Implementation; Cyber Security; Open Enrollment; Market Stability; Department of Labor Conflict of Interest Rule; Grace Periods; Special Enrollment Periods.
H.R.2646, "Helping Families in Mental Health Crisis Act of 2015", regarding all provisions. S.1945, "Mental Health Reform Act of 2015", regarding all provisions. H.R. 5410, "Health Coverage State Flexibility Act of 2016", regarding all provisions. H.R. 5659, "ESRD Choice Act of 2016", regarding all provisions. S. 2803, "Taxpayers Before Insurers Act", regarding all provisions. S. 524, "Comprehensive Addiction and Recovery Act of 2016", regarding all provisions. H.R. 5589, "Plan Verification and Fairness Act of 2016", regarding all provisions. H.R. 3742, "Access to Marketplace Insurance Act", regarding all provisions. Issues related to Mental Health Parity. Issues related to the Federal Employee Health Benefit Program (FEHBP). Issues related to the Affordable Care Act including Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Co-ops; Implementation; Cyber Security; Open Enrollment; Market Stability; Department of Labor Conflict of Interest Rule; Grace Periods; Special Enrollment Periods.
Issues related to Medigap; Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Chronic Care Reform; Exchanges; ICD-10; Site-neutral Payments; Medicare Fraud; Nondiscrimination Delivery System Reform; Provider Lookup Tool; Enrollee Experience Survey-Technical Expert Panel; Quality Improvement Strategy for QHPs; Rate Notice and Call Letter; Medical Billing; Transparency Tools; All Payer Claims Databases.
H.R.928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", provisions relating to health insurance taxes.
S. 183, "Jobs and Premium Protection Act", provisions related to taxes. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", provisions relating to health insurance taxes.
S.1099, "PACE Act", provisions related to small group expansion. H.R. 1624, "Protecting Affordable Coverage for Employees Act", all provisions. Issues related to Risk Corridors; Delivery system reform; Consumer experience; Back end issues; Implementation issues; Health Care regulations, premiums & exchanges.
S.1099, "PACE Act", provisions related to small group expansion. H.R.928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", all provisions. H.R. 1624, "Protecting Affordable Coverage for Employees Act", all provisions. Issues related to Risk Corridors; Delivery system reform; Consumer experience; Back end issues; Implementation issues; Health Care regulations, premiums & exchanges.
S. 183, "Jobs and Premium Protection Act", provisions related to taxes. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", provisions relating to health insurance taxes.
S. 183, "Jobs and Premium Protection Act", provisions related to taxes.
S.1099, "PACE Act", provisions related to small group expansion. H.R.928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", all provisions. H.R. 1624, "Protecting Affordable Coverage for Employees Act", all provisions. Issues related to Risk Corridors; Delivery system reform; Consumer experience; Back end issues; Implementation issues; Regulations; Premiums; Exchanges; Supreme Court decision implications.
Medicaid Cuts; Site neutral payment reform; Healthy Equity Index reward factor; Medicare Advantage Reform; General New Mexico healthcare landscape and access to care 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. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Medicaid Cuts; Site neutral payment reform; Healthy Equity Index reward factor
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. 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. S.1339 - Pharmacy Benefit Manager Reform Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs 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. 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. Discussions regarding utilizing AI to combat fraud. Discussions regarding Dual Eligible Special Needs Plans (D-SNP 101).
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs 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. 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.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Provider Directories; Medicaid Redetermination and Renewals; Payment under the Informal Dispute Resolution (IDR) process; Medicare Advantage; Site Neutral Payments and Payment Accuracy; Medicare Advantage Advance Rate Notice; AI technology. S. 2973 - Modernizing and Ensuring PBM Accountability Act To amend Titles XVIII and XIX of the Social Security Act to establish requirements relating to pharmacy benefit managers under the Medicare and Medicaid programs, and for other purposes. Issues relating to mental health parity, access to vaccine, AI technology, and Medicare advantage access in Illinois.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Provider Directories; Medicaid Redeterminations; Same-day billing restrictions in Medicaid S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act of 2023 To amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program. Issues supporting AI activities.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Issues related generally to: the Affordable Care Act, telehealth, Public Health Emergency, Affordability, insurance markets/stabilization, ARPA subsidies, transparency, surprise billing, access to and payment for mental health care, and COVID-19 response, and those contained in but not limited to policies in and amendments offered to S.Con.Res.5, setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, and P.L. 117-103, the Consolidated Appropriations Act, 2022; and health care policies contained in and amendments offered to P.L.117-2, the American Rescue Plan Act of 2021. Policies contained in H.R.3684 - Infrastructure Investment and Jobs Act H.R. 5376, Build Back Better Act, H.R. 7666 Restoring Hope for Mental Health and Well Being Act of 2022 H.R. 5218, Collaborate in an Orderly and Cohesive Manner Act
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordable Care Act (ACA); Health Reform; Surprise Billing; COVID-19; Extending Exchange Subsidies; Extending ARPA Subsidies; Health Equity Issues; OTC Covid Testing; Public Health Emergency; Affordability; data standardization; Transparency; Coverage. Public Law 117-2 (HR1319) - American Rescue Plan Act of 2021 S.Con.Res.5 - Setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030 P.L. 117-103 - The Consolidated Appropriations Act, 2022 (policies and amendments) H.R. 5376 - Build Back Better Act H.R.3684 - Infrastructure Investment and Jobs Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Issues regarding COVID-19 testing, COVID-19 vaccine strategy and treatment, and vaccine rollout.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage; insurance markets and stabilization. H.R. 861 - End Surprise Billing Act, H.R. 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act, H.R. 5800 - Ban Surprise Billing Act, H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. H.R. 6800, H.R. 8406 - HEROES ACT, Senate Amendment 2652: Issues related to COVID-19, Federal Medical Assistance Percentages, Medicaid and COBRA. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to COVID-19, Medicaid expansion, and prescription drugs. P.L. 116-260, Consolidated Appropriations Act of 2021, P.L. 116-123 - Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020, P.L. 116-127 - Families First Coronavirus Response Act, P.L. 116-136 - Coronavirus Aid, Relief, and Economic Security Act (CARES Act), P.L. 116-139 - Paycheck Protection Program and Health Care Enhancement Act, P.L. 116-159, the Continuing Appropriations Act of 2021 and Other Extensions Act; Issues related to COVID-19 as they related to health care policies. Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency. Issues related to insurance markets and stabilization.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
H.R. 7217 - IMPROVE Act: Issues related to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio. H.R. 1384 - Medicare for All Act of 2019: Issues related to private health insurance market, Affordable Care Act. H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019: Issues related to managed care, Medicare, prior authorization. H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to Medicaid extension for new mothers. H.R. 6800 - HEROES ACT: Issues related to Federal Medical Assistance Percentages and Medicaid. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to Medicaid expansion.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
H.R. 3253 - Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019: Regarding all provisions, specifically Money follows the person. S. 1895 - The Lower Health Care Costs Act: Issues related to rural health access; health equity; Medicare Advantage; Medicaid Rebates; Medicaid Expansion; Rate Notice and Call Letter; Medicare Part D; NBPP, Part D Donut Hole; Privacy; Universal Coverage. H.R. 861 - End Surprise Billing Act, H.R. 3630 - No Surprises Act, H.R. 3502 - Protecting People from Surprise Medical Bills Act, H.R. 5800 - Ban Surprise Billing Act, H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020: Issues related to surprise billing, including benchmark payments, arbitration models, and out of network billing. S. 916 - MOMMAs Act, H.R. 2602, S. 1343 - MOMMIES Act, H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to options for states to extend coverage for pregnant women eligible for Medicaid via the pregnancy pathway to 365 days, Minority Maternity Care, Social Determinants of Health. S. 657 - Drug Price Transparency (DPT) Act, S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug and price transparency. H.R. 3- Lower Drug Costs Now Act of 2019, S. 102 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug costs and prescription rebates. H.R. 19 - Lower Costs, More Cures Act of 2019: Issues related to prescription drug pricing. S. 2546, H.R.2279 - Safe Step Act: Issues related to managed care, prior authorization. S. 3374 - Protecting Jessica Grubb's Legacy Act: Issues regarding HIPPA, confidentiality of substance abuse records H.R. 6139 - Health Care Protection Act: Issues related to COVID-19, funding for surveillance testing and treatment, financial assistance for individual health insurance, COBRA, financial assistance to maintain employer health plan coverage, and emergency funding for hospitals and providers. H.R. 6800 - HEROES ACT: Issues related to COVID-19, Federal Medical Assistance Percentages, Medicaid and COBRA. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to COVID-19, Medicaid expansion, and prescription drugs. Issues related to drug and price transparency, including the Administrations rule on interoperability and Executive order on transparency.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
H.R. 7217 - IMPROVE Act: Issues related to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio. H.R. 1384 - Medicare for All Act of 2019: Issues related to private health insurance market, Affordable Care Act. H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019: Issues related to managed care, Medicare, prior authorization. H.R. 4996 - Helping Medicaid Offer Maternity Services Act of 2019: Issues related to Medicaid extension for new mothers. H.R. 6800 - HEROES ACT: Issues related to Federal Medical Assistance Percentages and Medicaid. H.R. 1425 - Patient Protection and Affordable Care Enhancement ACT: Issues related to Medicaid expansion.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio. H.R. 1384 - Medicare for All Act of 2019: Issues pertaining to private health insurance market, Affordable Care Act. H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019: Issues pertaining to managed care, Medicare, prior authorization.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
H.R. 3325, S. 428 - ACE Kids Act, H.R. 7217 - IMPROVE Act: Issues pertaining to Part D rebates; 2020 Notice of Benefit and Payment Parameters, Money Follows the Person, Medicaid Medical Loss Ratio. H.R. 4378 - Continuing Appropriations Act, 2020, and Health Excellence Act of 2019: Issues related to Money Follows the Person. S. 2543 - Prescription Drug Pricing Reduction Act of 2019: Issues related to drug pricing; Medicaid; Medicare.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
H.R. 2051: "FAST Generics Act of 2017", 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, issues pertaining to drug pricing. S. 974, H.R. 2212: "CREATES Act of 2017", regarding all provisions. H.R. 3976: "Access to Marketplace Insurance Act", issues pertaining to Third Party Payment Premiums (TPPs). S. 2680, H.R. 6: "The Opioid Crisis Response Act of 2018", regarding all provisions. S. 3042, H.R. 2: "Agriculture Improvement Act of 2018", issues pertaining to federal funding for AHPs. H.R. 302, FAA Reauthorization Act of 2018, issues pertaining to air ambulance pricing transparency. H.R. 6294: "REVAMP Act" - To amend the Federal Food, Drug and Cosmetic Act to encourage the development of priority antimicrobial products through the award of transferable exclusivity extension period, regarding all provisions. H.R. 6733: "Know the Cost Act" - 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, regarding all provisions. Issues pertaining to the Affordable Care Act; Annual Appropriations; Reinsurance; Cost Sharing Reductions (CSRs); Individual Market; Short Term Limited Duration Plans; Part D Donut Hole fix; Free standing ERs; ESRD coverage by private health plans; Risk adjustment.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
H.R. 2051: "FAST Generics Act of 2017", 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, issues pertaining to drug pricing. S. 974, H.R. 2212: "CREATES Act of 2017", regarding all provisions. H.R. 3976: "Access to Marketplace Insurance Act", issues pertaining to Third Party Payment Premiums (TPPs). S. 2680, H.R. 6: "The Opioid Crisis Response Act of 2018", regarding all provisions. S. 3042, H.R. 2: "Agriculture Improvement Act of 2018", issues pertaining to federal funding for AHPs. H.R. 302, FAA Reauthorization Act of 2018, issues pertaining to air ambulance pricing transparency. H.R. 6294: "REVAMP Act" - To amend the Federal Food, Drug and Cosmetic Act to encourage the development of priority antimicrobial products through the award of transferable exclusivity extension period, regarding all provisions. H.R. 6733: "Know the Cost Act" - 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, regarding all provisions. Issues pertaining to the Affordable Care Act; Annual Appropriations; Reinsurance; Cost Sharing Reductions (CSRs); Individual Market; Short Term Limited Duration Plans; Part D Donut Hole fix; Free standing ERs; ESRD coverage by private health plans; Risk adjustment.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Issues relating to CHIP Reform; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Issues relating to opioid abuse and drug pricing.
HR 756, "Postal Service Reform Act of 2017", regarding all provisions. Issues relating to postal reform.
Issues relating to CHIP Reform; Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); Rate Notice and Call Letter; Medigap; Site Neutral Payments.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
HR 756, "Postal Service Reform Act of 2017", regarding all provisions. Issues relating to postal reform.
HR 246, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act", regarding all provisions. HR 633, "Patient Fairness and Relief Act of 2017", regarding all provisions. HR 708, "State Age Rating Flexibility Act of 2017", regarding all provisions. HR 710, "Health Coverage State Flexibility Act of 2017", regarding all provisions. HR 706, "Plan Verification and Fairness Act of 2017", regarding all provisions. HR 661, "Employee Fairness and Relief Act of 2017", regarding all provisions. HR 749, "Lower Drug Costs through Competition Act", regarding all provisions. HR 1101, "Small Business Health Fairness Act of 2017", regarding all provisions.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Issues related to Medigap; Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Chronic Care Reform; Exchanges; ICD-10; Site-neutral Payments; Medicare Fraud; Nondiscrimination Delivery System Reform; Provider Lookup Tool; Enrollee Experience Survey-Technical Expert Panel; Quality Improvement Strategy for QHPs; Rate Notice and Call Letter; Medical Billing; Transparency Tools; All Payer Claims Databases.
H.R. 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Act", regarding all provisions. S. 183, "Jobs and Premium Protection Act", regarding all provisions. Issues related to Health Insurance Tax (HIT TAX), HIT Tax Delay, Cadillac Tax.
Federal Employee Health Benefit Program (FEHBP)offerings. Issues regarding Small Business Health Options Program (SHOP) Employer Choice program. Regional PPO Language.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
H.R. 2911, "Small Business Healthcare Relief Act", provisions relating to Health Insurance Tax (HIT Tax) & Cadillac Tax.
Federal Employee Health Benefit Program (FEHBP)offerings. Issues regarding Small Business Health Options Program (SHOP) Employer Choice program. Regional PPO Language.
Issues related to Medigap; Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Chronic Care Reform; Exchanges; ICD-10; Site-neutral Payments; Medicare Fraud; Nondiscrimination Delivery System Reform; Provider Lookup Tool; Enrollee Experience Survey-Technical Expert Panel; Quality Improvement Strategy for QHPs; Rate Notice and Call Letter; Medical Billing; Transparency Tools; All Payer Claims Databases.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Issues related to Medigap; Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Chronic Care Reform; Exchanges; ICD-10; Site-neutral Payments; Medicare Fraud; Nondiscrimination Delivery System Reform; Provider Lookup Tool; Enrollee Experience Survey-Technical Expert Panel; Quality Improvement Strategy for QHPs; Rate Notice and Call Letter; Medical Billing; Transparency Tools; All Payer Claims Databases.
H.R. 2911, "Small Business Healthcare Relief Act", provisions relating to Health Insurance Tax (HIT Tax) & Cadillac Tax.
Federal Employee Health Benefit Program (FEHBP)offerings. Issues regarding Small Business Health Options Program (SHOP) Employer Choice program. Regional PPO Language.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
H.R.2646, "Helping Families in Mental Health Crisis Act of 2015", regarding all provisions. S.1945, "Mental Health Reform Act of 2015", regarding all provisions. Issues related to Mental Health Parity. Issues related to the Federal Employee Health Benefit Program (FEHBP). Issues related to the Affordable Care Act including Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Co-ops; Implementation; Cyber Security; Open Enrollment; Market Stability; Department of Labor Conflict of Interest Rule; Grace Periods; Special Enrollment Periods.
Federal Employee Health Benefit Program (FEHBP)offerings. Issues regarding Small Business Health Options Program (SHOP) Employer Choice program. Regional PPO Language.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Federal Employee Health Benefit Program (FEHBP)offerings. Issues regarding Small Business Health Options Program (SHOP) Employer Choice program. Regional PPO Language.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Issues related to ACA Risk Corridors. Federal Employee Health Benefit Program (FEHBP)offerings. Issues regarding Small Business Health Options Program (SHOP) Employer Choice program. Regional PPO Language.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
Issues related to ACA Risk Corridors. Federal Employee Health Benefit Program (FEHBP)offerings. Issues regarding Small Business Health Options Program (SHOP) Employer Choice program. Regional PPO Language.
H.R. 6, "21st Century Cures Act", provisions related to medicare reform.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office