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Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
Insurance Fraud Accountability Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2026 · third_quarter · Q3
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse; Durable Medical Equipment S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Source: Senate LDA
Insurance Fraud Accountability Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector
Improving Seniors’ Timely Access to Care Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse; Durable Medical Equipment S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Improving Seniors’ Timely Access to Care Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 93932 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Interagency Patent Coordination and Improvement Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Interagency Patent Coordination and Improvement Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Interagency Patent Coordination and Improvement Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
No Surprises Act Enforcement Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. 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: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Healthy Competition for Better Care Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Healthy Competition for Better Care Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector
Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington
Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse; Durable Medical Equipment S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 93932 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Transparency in Billing Act of 2026
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector
Transparency in Billing Act of 2026
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
DME Scammer Prevention Act of 2026
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse; Durable Medical Equipment S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
DME Scammer Prevention Act of 2026
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 93932 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Medicare Advantage Cost Transparency Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse; Durable Medical Equipment S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Lower Costs, More Transparency Act of 2026
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. 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: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Drug Competition Enhancement Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Drug Competition Enhancement Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Drug Competition Enhancement Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Stop STALLING Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Stop STALLING Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Stop STALLING Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Preserve Access to Affordable Generics and Biosimilars Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Preserve Access to Affordable Generics and Biosimilars Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Preserve Access to Affordable Generics and Biosimilars Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Interagency Patent Coordination and Improvement Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Interagency Patent Coordination and Improvement Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Interagency Patent Coordination and Improvement Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
No UPCODE Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 93932 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
No UPCODE Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington
No UPCODE Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse; Durable Medical Equipment S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Improving Care in Rural America Reauthorization Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Patients Deserve Price Tags Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Patients Deserve Price Tags Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. 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: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. 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: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Ensuring Timely Access to Generics Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Ensuring Timely Access to Generics Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Ensuring Timely Access to Generics Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Prior Authorization Relief Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse; Durable Medical Equipment S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 9392 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Prior Authorization Relief Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 93932 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Healthy Competition for Better Care Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Healthy Competition for Better Care Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Insurance Fraud Accountability Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Reducing Medically Unnecessary Delays in Care Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Reducing Medically Unnecessary Delays in Care Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Reducing Medically Unnecessary Delays in Care Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index reward factor; Value Base Care; Transparency H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Reducing Medically Unnecessary Delays in Care Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Health Care Affordability Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Health Care Affordability Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Health Care Affordability Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Health Care Affordability Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
To direct the Secretary of the Navy to recognize certain aspects of the National Navy UDT-SEAL Museum in Fort Pierce, Florida, as a national memorial, national memorial garden, and national K9 memorial, and for other purposes.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
To direct the Secretary of the Navy to recognize certain aspects of the National Navy UDT-SEAL Museum in Fort Pierce, Florida, as a national memorial, national memorial garden, and national K9 memorial, and for other purposes.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
To direct the Secretary of the Navy to recognize certain aspects of the National Navy UDT-SEAL Museum in Fort Pierce, Florida, as a national memorial, national memorial garden, and national K9 memorial, and for other purposes.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
To direct the Secretary of the Navy to recognize certain aspects of the National Navy UDT-SEAL Museum in Fort Pierce, Florida, as a national memorial, national memorial garden, and national K9 memorial, and for other purposes.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Pharmacists Fight Back in Medicare and Medicaid Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. H.R. 6609 - Pharmacists Fight Back in Medicare and Medicaid Act To amend titles XI, XVIII, and XIX, of the Social Security Act to establish certain requirements under Medicare and Medicaid with respect to prescription drug benefits and pharmacy benefit managers.
Freedom House Ambulance Service Congressional Gold Medal Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Freedom House Ambulance Service Congressional Gold Medal Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Freedom House Ambulance Service Congressional Gold Medal Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Freedom House Ambulance Service Congressional Gold Medal Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index reward factor; Value Base Care; Transparency H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
No UPCODE Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
No UPCODE Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
No UPCODE Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Health Care Affordability Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Health Care Affordability Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Health Care Affordability Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Health Care Affordability Act of 2025
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Bipartisan Health Care Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Bipartisan Health Care Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Bipartisan Health Care Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Bipartisan Health Care Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Telehealth Expansion Act of 2023
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Telehealth Expansion Act of 2023
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Telehealth Expansion Act of 2023
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Telehealth Expansion Act of 2023
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
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: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
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: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
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: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
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: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
FAIR Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
FAIR Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
FAIR Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
FAIR Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.
To amend the Federal Food, Drug, and Cosmetic Act to increase transparency in generic drug applications.
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. H.R. 6609 - Pharmacists Fight Back in Medicare and Medicaid Act To amend titles XI, XVIII, and XIX, of the Social Security Act to establish certain requirements under Medicare and Medicaid with respect to prescription drug benefits and pharmacy benefit managers.
Lower Costs, More Transparency Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Lower Costs, More Transparency Act
Client: BLUECROSS BLUESHIELD OF TENNESSEE · Firm: BLUECROSS BLUESHIELD OF TENNESSEE
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Hospital Billing/Consolidation; Maternal Health; Employer Provided Health Coverage; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector S. 2301 - Improving Care in Rural Camerica Reauthorization Act of 2025 To reauthorize certain programs regarding rural health care.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2026 · second_quarter · Q2
Pharmacy Benefit Managers Reform; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts; Suprise Billing; Artificial Intelligence S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 8684 - Transparency in Billing Act of 2026 To amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R. 9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform; Program Fraud Waste and Abuse S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington H.R. 93932 - Medicare Advantage Cost Transparency Act To amend title XVIII of the Social Security Act to require the inclusion of certain information in Medicare Advantage encounter data. 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. H.R. 8871 - DME Scammer Prevention Act of 2026 To amend title XVIII of the Social Security Act to promote Medicare program integrity with respect to certain medical equipment and supplies. S. 3762 - Prior Authorization Relief Act To amend part C of the title XVIII of the Social Security Act to provide for prior authorization reforms under the Medicare Advantage program.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2026 · first_quarter · Q1
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension; HealthCare Affordability; Health Savings Accounts S.2355 - Patients Deserve Price Tags Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. Sponsor: Sen. Roger Marshall 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Rep Gergory Murphy 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 Cide if 1986 to increase penalties for group health plans, health insurance issuers and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. Sponsor: Sen. Roger Marshall S. 4027- Health Competition For Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Sen Jon Justed H.R. 6248 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care Sponsor: Rep Jodey Arrington H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes.
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy; Generic Access; Direct to Consumer Marketing; Pay to Play; Patents S. 3014 - Ensuring Timely Access to Generics Act of 2025 To amend the Federal Food, Drug and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Jeanne Shaheen S.1040 - Drug Competition Enhancement Act A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn S.1095 - Stop STALLING Act A bill to enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the effective review of petitions filed in good faith to raise legitimate public health concerns, and for other purposes. Sponsor: Sen Amy Klobuchar S. 1096 - Preserve Access to Affordable Generics and Biosimilars Act A bill to prohibit brand name drug companies from compensating generic drug companies to delay the entry of o generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable companies to delay the entry of biosimilar biological products and interchangeable biological products. Sponsor: Sen Amy Klobuchar H.R. 4570 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: Rep Joe Neguse S1097 - Interagency Patent Coordination and Improvement Act of 2025 TO amend title 35, United States Code, to establish an interagency task force between the United States Patent and Trademark Office and the Food and Drug Administration for purposes of sharing information and providing technical assistance with respect to patents, and for other purposes. Sponsor: S. Richard Durbin
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; MA Reform S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 842 - Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act To amend title XVIII of the Social Security Act to provide for Medicare coverage of multi-cancer early detection screening tests. Sponsor: Rep Jodey Arrington
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2025 · fourth_quarter · Q4
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Federal Budget Process; Hospital Billing/Consolidation; Maternal Health; Individual Marketplace Program Integrity; EAPTC Extension H.R. 2079 - Insurance Fraud Accountability Act To amend the Patient Protection and Affordable Care Act to reduce fraudulent enrollments in qualified health plans, and for other purposes. H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. H.R. 6609 - Pharmacists Fight Back in Medicare and Medicaid Act To amend titles XI, XVIII, and XIX, of the Social Security Act to establish certain requirements under Medicare and Medicaid with respect to prescription drug benefits and pharmacy benefit managers.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2025 · third_quarter · Q3
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2025 · second_quarter · Q2
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other 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 H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2025 · first_quarter · Q1
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
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2024 · fourth_quarter · Q4
Prescription Drug Pricing Reform; Pharmacy Benefit Managers; Delinking PBM language; Prior Authorization S. 1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage HR 9070 - Affordable Prescriptions for Patients Act To prohibit product hopping and for other purposes
Medicare Advantage Advance Rate Notice; MA Health Equity Index Reward Factor Methodology; BCBST Health Equity Report H.R. 7623 Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the SSA to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D
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2024 · third_quarter · Q3
S. 1869 - Site Act To Ensure Fair Billing Practices for items and services furnished by off campus hospital locations and to assist with health care workforce (nursing) 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.3561 - The Patient Act of 2023 To promote hospital and payor price transparency and for other purposes H.R. 4822 Health Care Price Transparency Act of 2023 To improve price transparency with respect to certain health care services H.R. 5378 Lower Costs, More Transparency Act To promote transparency in the health care sector H.R. 7681 Primary and Virtual Care Affordability Act To extend the exemption for telehealth services from certain high deductible health plan rules and to establish a safe harbor for high deductible plans with no deductible for certain primary care services Improving Senior Access to Timely Care Act ACA Subsidies; Tax Credits; Health Equity Index Methodology Reward Factor; Prior Authorization; Telehealth; Hospital Billing
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2024 · second_quarter · Q2
S. 1869 - Site Act To Ensure Fair Billing Practices for items and services furnished by off campus hospital locations and to assist with health care workforce (nursing) 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.3561 - The Patient Act of 2023 To promote hospital and payor price transparency and for other purposes H.R. 4822 Health Care Price Transparency Act of 2023 To improve price transparency with respect to certain health care services H.R. 5378 Lower Costs, More Transparency Act To promote transparency in the health care sector H.R. 7681 Primary and Virtual Care Affordability Act To extend the exemption for telehealth services from certain high deductible health plan rules and to establish a safe harbor for high deductible plans with no deductible for certain primary care services Improving Senior Access to Timely Care Act ACA Subsidies; Tax Credits; Health Equity Index Methodology Reward Factor; BCBST Health Equity Report; Prior Authorization; Telehealth
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2024 · first_quarter · Q1
Medicare Advantage Advance Rate Notice; MA Health Equity Index
S. 1869 - Site Act To Ensure Fair Billing Practices for items and services furnished by off campus hospital locations and to assist with health care workforce (nursing) 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.3561 - The Patient Act of 2023 To promote hospital and payor price transparency and for other purposes H.R. 4822 Health Care Price Transparency Act of 2023 To improve price transparency with respect to certain health care services H.R. 5378 Lower Costs, More Transparency Act To promote transparency in the health care sector
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2023 · fourth_quarter · Q4
Medicare Advantage Advance Rate Notice; MA Prior Authorization; Medicaid Redeterminations
Telehealth - Extending Flexibilities; Maternal Health; Affordability; Provider Network Challenges (Contract Dispute); Site Neutral Payment Policies; Prior Authorizations, Transparency in Coverage; S. 1869 - Site Act To Ensure Fair Billing Practices for items and services furnished by off campus hospital locations and to assist with health care workforce (nursing) H.R. 3417 - FAIR ACt To ensure fair billing practices for items and services furnished by off campus outpatient departments of a provider S. 2016- Connect for Health Act of 2023 To expand access to telehealth services and for other purposes H.R.3561 - The Patient Act of 2023 To promote hospital and payor price transparency and for other purposes H.R. 4822 Health Care Price Transparency Act of 2023 To improve price transparency with respect to certain health care services H.R. 5378 Lower Costs, More Transparency Act To promote transparency in the health care sector
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2023 · third_quarter · Q3
Medicare Advantage Advance Rate Notice; MA Prior Authorization; Medicaid Redeterminations
Telehealth - Extending Flexibilities; Maternal Health; Affordability; Provider Network Challenges (Contract Dispute); Youth Mental Health (Partnership w/ Boys and Girls Club; Health Equity Report; Site Neutral Payment Policies; Prior Authorizations, Transparency in Coverage; S. 1869 - Site Act To Ensure Fair Billing Practices for items and services furnished by off campus hospital locations and to assist with health care workforce (nursing) H.R. 3417 - FAIR ACt To ensure fair billing practices for items and services furnished by off campus outpatient departments of a provider S. 2016- Connect for Health Act of 2023 To expand access to telehealth services and for other purposes H.R.3561 - The Patient Act of 2023 To promote hospital and payor price transparency and for other purposes S. 652 - Safe Step Act To amend ERISA to require a group health plan or health insurance coverage offered in connection with such a plan to provide an exceptions process for any medication step therapy protocol H.R. 4822 Health Care Price Transparency Act of 2023 To improve price transparency with respect to certain health care services H.R. 5378 Lower Costs, More Transparency Act To promote transparency in the health care sector
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2023 · second_quarter · Q2
Insulin Act; Insulin Out of Pocket Charges; Pharmacy Benefit Managers; Delinking PBM language S 954 - Affordable Insulin Now Act A bill to provide for appropriate cost-sharing for insulin products covered under private health plans and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals. S. 1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage S.127 - PBM Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to PBM services for Rx drugs, etc.
Medicare Advantage Advance Rate Notice; MA Prior Authorization; Medicaid Redeterminations
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2023 · first_quarter · Q1
Medicare Advantage Advance Rate Notice; MA Prior Authorization; Medicaid Redetermination
Telehealth; Maternal Health; Affordability; Provider Network Challenges (Contract Dispute)
Insulin Act; Insulin Out of Pocket Charges; Pharmacy Benefit Managers S 954 - Affordable Insulin Now Act A bill to provide for appropriate cost-sharing for insulin products covered under private health plans and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals.
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2022 · fourth_quarter · Q4
Lower Health Care Costs; COVID-19; ACA (Marketplace Status) Cost and Affordability; COVID Transition/Public Health Emergency; Telehealth; Mental Health Parity; Transparency in Coverage/Delivery System Reform Educated Congressional Offices on Provider Competition; Cost of Services 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 Pollone H.R. 7780 - Mental Health Matters Act To support the behavioral needs of students and youth, invest in the school-based behavioral health workforce, and ensure access to mental health and substance use disorder benefits Sponsor: Rep. Mark DeSaulnier
COVID-19 Commercialization of Testing Vaccines and Treatment; Prescription Drug Reform; Insulin Educated Congressional Members on our Specialty Pharmacy Program and Savings We've Seen Thus Far Educated Congressional Staff/Members on Insulin Copays for Lines of Business by percentage
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2022 · third_quarter · Q3
ACA Tax Credits; APTC Educated Congressional Members on Importance of Maintaining the ARPA Subsidies and the negative impact it will have on cost of premiums and enrollment if they aren't continued
Educate Members on Our Workforce Development and Accelerated Higher Education Program in partnership with East Tennessee State University
Medicare Advantage; Medicaid Coverage Gap; Prior Authorization Congressional Education on Redetermination Timelines and Resources Needed to Communicate with Impacted Members H.R. 3173 Improving Seniors Timely Access to Care Act of 2021 Sponsor - Rep. Suzan DelBene S. 3018 Improving Seniors Timely Access to Care Act of 2021 Sponsor - Sen. Roger Marshall
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2022 · second_quarter · Q2
Education and Awareness around BlueSky Institute - An Innovative Partnership between BCBST and ETSU that directly invest in TN students while simultaneously fulfilling critical workforce needs. Talked about Pell Grant Funding Increase
Medicare Advantage; Medicaid Coverage Gap; Prior Authorization Congressional Education on Redetermination Timelines and Resources Needed to Communicate with Impacted Members H.R. 3173 Improving Seniors Timely Access to Care Act of 2021 Sponsor - Rep. Suzan DelBene S. 3018 Improving Seniors Timely Access to Care Act of 2021 Sponsor - Sen. Roger Marshall H.R. 5376 - Build Back Better Act H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 H.R. 2166 - To amend title XVIII of the SSA to require the inclusion of certain audio-only diagnoses in the determination of RA for MA plans
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2022 · first_quarter · Q1
Medicare Advantage; Medicare Advantage Audio Only; Medicaid Coverage Gap Congressional Education regarding disenrollment of MA members due to crosswalk error and CMS intervention. Congressional Education on Redetermination Timelines and Resources Needed to Communicate with Impacted Members H.R. 5376 - Build Back Better Act H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 150 - Ensuring Parity in MA for Audio Only Telehealth Act of 2021 H.R. 2166 - To amend title XVIII of the SSA to require the inclusion of certain audio-only diagnoses in the determination of RA for MA plans
Affordable Care Act (ACA); Health Reform; ACA Coverage Improvement; Lower Health Care Costs; Surprise Billing; COVID-19; Extending Exchange Subsidies; Cost and Affordability; CAA; H.R. 5376 Telehealth Flexibility/Audio-Only; Public Health Emergency Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act, 2021 Public Law 117-2 (H.R. 1319) American Rescue Plan Act 2021
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2021 · fourth_quarter · Q4
ACA Tax Credits; APTC H.R. 1868 - To prevent across the board direct spending cuts and for other purposes H.R. 5376 - Build Back Better Act
Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Surprise Billing; COVID-19; Extending Exchange Subsidies; Cost and Affordability; CAA; H.R. 5376 BBB; Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act, 2021 Public Law 117-2 (H.R. 1319) American Rescue Plan Act 2021
COVID-19 Testing; Vaccine Strategy and Treatment; Prescription Drug Reform H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone
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2021 · third_quarter · Q3
COVID-19 Testing; Vaccine Strategy and Treatment; Prescription Drug Reform H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone
Education and Awareness around BlueSky Institute - An Innovative Partnership between BCBST and ETSU that directly invest in TN students while simultaneously fulfilling critical workforce needs.
Medicare Advantage; Medicare; Medicare Advantage Audio Only H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 150 - Ensuring Parity in MA for Audio Only Telehealth Act of 2021 H.R. 2166 - To amend title XVIII of the SSA to require the inclusion of certain audio-only diagnoses in the determination of RA for MA plans P.L. 117- H.R. 1868 - To prevent across the board direct spending cuts and for other purposes
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2021 · second_quarter · Q2
COVID-19 Testing; Vaccine Strategy and Treatment; Prescription Drug Reform H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone
ACA Tax Credits; APTC H.R. 1868
Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Surprise Billing; COVID-19 Response/Relief Packages; Telehealth; Health disparities; Health Equities; Cost and Affordability; CAA Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act, 2021 Public Law 117-2 (H.R. 1319) American Rescue Plan Act 2021
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2021 · first_quarter · 1A
COVID-19 Testing; Vaccine Strategy and Treatment
ACA Tax Credits H.R. 1868
Medicare Advantage; Medicare; Medicare Advantage Audio Only S. 748 - Medicare Sequester Relief Act S. 150 - Ensuring Parity in MA for Audio Only Telehealth Act of 2021 H.R. 2166 - To amend title XVIII of the SSA to require the inclusion of certain audio-only diagnoses in the determination of RA for MA plans
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2021 · first_quarter · Q1
Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Surprise Billing; COVID-19 Response/Relief Packages, COBRA subsidies; Telehealth; Health disparities; Health Equities; SEP; Cost and Affordability Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Public Law 117-2 (H.R. 1319) American Rescue Plan Act 2021
Medicare Advantage; Medicare; Medicare Advantage Audio Only S. 748 - Medicare Sequester Relief Act S. 150 - Ensuring Parity in MA for Audio Only Telehealth Act of 2021 H.R. 2166 - To amend title XVIII of the SSA to require the inclusion of certain audio-only diagnoses in the determination of RA for MA plans
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2020 · fourth_quarter · 4A
HRAs; Tax Extenders H.R. 748 - 116th Congress CARES Act
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act; COVID-19 Vaccine Strategy and Treatment; COVID-19 Testing
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans;surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; COVID Vaccines; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
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2020 · third_quarter · 3A
HRAs; Tax Extenders H.R. 748 - 116th Congress CARES Act
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act;.
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
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2020 · second_quarter · 2A
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
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2020 · first_quarter · 1A
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) H.R. 748 116 Congress
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act;. H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019
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2020 · fourth_quarter · Q4
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act; COVID-19 Vaccine Strategy and Treatment; COVID-19 Testing
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; COVID-19 Medicaid Response; Rate Notice and Call Letter H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 HR. 6486 - 116th Congress Care for COVID-19 Act MA COVID Treatment Act
HRAs; Tax Extenders H.R. 748 - 116th Congress CARES Act
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2020 · third_quarter · Q3
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; COVID-19 Medicaid Response; Rate Notice and Call Letter H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 HR. 6486 - 116th Congress Care for COVID-19 Act MA COVID Treatment Act
HRAs; Tax Extenders H.R. 748 - 116th Congress CARES Act
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
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2020 · second_quarter · Q2
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
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2020 · first_quarter · Q1
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act;. H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019
HRAs; Tax Extenders H.R. 748 - 116th Congress CARES Act
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2019 · fourth_quarter · Q4
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019
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2019 · third_quarter · Q3
ACA health insurance tax relief and repeal; ACA Cadillac tax relief and repeal.
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; .
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter;
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2019 · second_quarter · Q2
President Trump's Budget proposal for fiscal year 2020; HHS appropriations; debt ceiling and budgetary spending caps.
ACA health insurance tax relief and repeal; ACA Cadillac tax relief and repeal.
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; transparency; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; .
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2019 · first_quarter · Q1
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; HR1781; HR938; HR1520; HR1503; HR1499; HR965.
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization.
President Trump's Budget proposal for fiscal year 2020; HHS appropriations.
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2018 · fourth_quarter · Q4
Cost sharing reduction payments under the ACA; Budget Deficit & Debt Relief Legislation; Congressional Budget Resolutions; House and Senate appropriations bills.
General pharmacy and pharmaceutical issues; Opioids; prescription drug pricing; pharmacy benefit manager (PBM)issues; generic drug issues; The CREATES Act; prescription drug monitoring programs; legislation amending 42 CFR Part 2.
Medicare Part C & D program changes and funding; Medicare Advantage rate notice and call letter; Medicare Advantage Star rating system; Medicare prior authorization; Medicaid reform; Medigap; ACE Kids Act; pharmacy benefit manager(PBM)issues; healthcare and prescription drug costs.
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2018 · third_quarter · Q3
Insurance Market stabilization; reinsurance; risk adjustment; cost-sharing reductions; 3rd party payment of premiums; air ambulance issues; healthcare costs; delivery system reform; CREATES Act; ACE Kids Act; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; mental health reform; ACA regulations; short-term limited duration plans; association health plans.
Cost sharing reduction payments under the ACA; Budget Deficit & Debt Relief Legislation; Congressional Budget Resolutions; House and Senate appropriations bills.
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2018 · second_quarter · Q2
Cost sharing reduction payments under the ACA; Budget Deficit & Debt Relief Legislation; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills.
Medicare Part C & D program changes and funding; Medicare Advantage rate notice and call letter; Medicare Advantage Star rating system; Medicaid reform; Medigap.
General pharmacy and pharmaceutical issues; Opioids; prescription drug pricing; PBM issues; generic drug issues; The CREATES Act; prescription drug monitoring programs.
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2018 · first_quarter · Q1
Tax provisions of the Affordable Care Act; Bipartisan Budget Act of 2018.
General pharmacy and pharmaceutical issues; Opioid Abuse; prescription drug pricing; generic drug issues.
Medicare Part C & D program changes and funding; legislation and regulation to reform Medicare Advantage; Medicare Advantage Star rating system; Medigap.
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2017 · fourth_quarter · Q4
Medicare Part C & D program changes and funding cuts; CHIP reform (HR3921); legislation and regulation to reform Medicare Advantage; Medicare Advantage Star rating system; Medigap.
HR1; The American Health Care Act of 2017; HR706; HR710; HR1628; Insurance Market stabilization; CMS Notice of Benefit & Payment Parameters; reinsurance; cost-sharing reductions; 3rd party payment of premiums; special enrollment periods; grace periods; age rate bands; delivery system reform; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; mental health reform; ACA Implementation and back-end issues; Executive Orders related to short-term limited duration plans and association health plans.
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2017 · third_quarter · Q3
Cost sharing reduction payments under the ACA; Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills.
Medicare Part C & D program changes and funding cuts; CHIP reform; MACRA; Medicare accountable care organization (ACO) program; legislation to reform Medicare Advantage; Medicare Advantage Star rating system; Medigap.
General pharmacy and pharmaceutical issues; Opioid Abuse; prescription drug pricing
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2017 · second_quarter · Q2
Tax provisions of the Affordable Care Act.
Cost sharing reduction payments under the ACA; Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills; ACA reinsurance and risk corridor program changes.
Medicare Part C & D program changes and funding cuts; CHIP reform; MACRA; Medicare accountable care organization (ACO) program; legislation to reform Medicare Advantage; Medicare Advantage Star rating system; Medigap.
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2017 · first_quarter · Q1
Cost sharing reduction payments under the ACA; Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills; ACA reinsurance and risk corridor program changes.
Medicare Part C & D program changes and funding cuts; CHIP reform; MACRA; Medicare accountable care organization (ACO) program; legislation to reform Medicare Advantage; Medicare Advantage Star rating system; Medigap.
Precision Medicine Act; General Pharmacy Issues; Opioid Abuse; specialty drug pricing
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2016 · fourth_quarter · Q4
Health Insurance Tax: H.R. 928 & S. 183 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
Medicare Part C & D program changes and funding cuts; Medicare accountable care organization (ACO) program; legislation to reform Medicare Advantage; Medicare Advantage Star rating system; Medigap.
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills; ACA risk mitigation program changes.
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2016 · third_quarter · Q3
HR928; HR2646; Insurance Market stabilization (HR5410, HR5589); CMS Notice of Benefit & Payment Parameters; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); mental health reform (HR2646/S1945); ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624.
General Pharmacy Issues (HR6/2713); opioid abuse (S524, HR953, HR2805, HR4499); specialty drug pricing
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2016 · second_quarter · Q2
General Pharmacy Issues; HR6, 21st Century Cures; opioid abuse (S. 524); specialty drug pricing
HR928; HR2646; Insurance Market Reform, General Issues; CMS Notice of Benefit & Payment Parameters; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); mental health reform; ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624; Mental Health Reform (H.R. 2646)
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2016 · first_quarter · Q1
HR928; HR2646; Insurance Market Reform, General Issues; CMS Notice of Benefit & Payment Parameters; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); mental health reform; ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624).
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills.
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2015 · fourth_quarter · Q4
HR928; HR2646; Insurance Market Reform, General Issues; CMS Notice of Benefit & Payment Parameters; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624).
Medicare Part C & D program changes and funding cuts; Medicare accountable care organization (ACO) program; legislation to reform Medicare Advantage; Medicare Advantage Star rating system.
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2015 · third_quarter · Q3
General Pharmacy Issues; HR6, 21st Century Cures; opioid abuse; specialty drug pricing
Health Insurance Tax: H.R. 928 & S. 183 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; IRC Section 833 tax provisions.
Insurance Market Reform, General Issues; HR1624, small group market definition; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624).
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2015 · second_quarter · Q2
H.R. 2: Medicare SGR "patch", CHIP, payment reform, Medigap, DSH payments; Medicare Part C & D program changes and funding cuts; Medicare accountable care organization (ACO) program; House legislation to reform Medicare Advantage.
Health Insurance Tax: H.R. 928 & S. 183 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; IRC Section 833 tax provisions.
Insurance Market Reform, General Issues; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624).
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2015 · first_quarter · Q1
Budget Deficit & Debt Relief Legistration; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution.
Health Insurance Tax: H.R. 928 & S. 183 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; IRC Section 833 tax provisions.
H.R. 2: Medicare SGR "patch", CHIP, payment reform, medigap, DSH payments; Medicare Part C & D program changes and funding cuts; Medicare accountable care organization (ACO) program.
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2014 · fourth_quarter · Q4
Health Insurance Tax: H.R. 763. "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; S. 603, "Jobs and Premium Protection Act"; H.R. 3367, to delay the application of the health insurance provider annual fee until 2016; IRS Section 833 tax provisions.
H.R. 4302, 12-month Medicare SGR "patch"; Medicare Advantage: The Securing Care for Seniors Act S. 1486; Medigap; Medicare Part C & D program changes and funding cuts; H.R. 5558, to improve the Medicare program; Meddicare accountable care organization (ACO) program.
General Pharmacy Issues; specialty drug pricing.
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2014 · third_quarter · Q3
General Pharmacy Issues
H.R. 4302, 12-month Medicare SGR "patch"; Medicare Advantage: The Securing Care for Seniors Act S.1486; Medigap; Medicare Part D Cuts, H.R.2810 Introduced by Burgess (R-TX) on July 31 2013; H.R. 5558, to improve the Medicare accountable care organization (ACO) program.
H.J. Res. 59, The Bipartisan Budget Agreement; Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; Continuing Appropriations (H.R. 3547)
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2014 · second_quarter · Q2
H.J. Res. 59, The Bipartisan Budget Agreement; Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; Continuing Appropriations (H.R. 3547).
General Pharmacy Issues
H.R. 4302, 12-month Medicare SGR "patch" Medicare Advantage: The Securing Care for Seniors Act S. 1486; proposed funding cuts Medigap Medicare Part D Cuts, HR 2810 Introduced by Burgess (R-TX) on July 31, 2013
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2014 · first_quarter · Q1
Health Insurance Tax: H.R. 763, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; S.603, "Jobs and Premium Protection Act"; H.R.3367, to delay the application of the health insurance provider annual fee until 2016
Insurance Market Reform, General Issues; Grandfathered Policies / Continuation of Existing Coverage (H.R. 335); Risk Corridors (S. 1726 and H.R. 3541); State Based Regulations: Exchanges/Medicaid Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health DisparitiesChronic Care & Medical Management; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779).
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2013 · fourth_quarter · Q4
General Pharmacy Issues The Pharmaceutical Quality, Security, and Accountability Act S.959
Insurance Market Reform General Issues; State Based Regulations: Exchanges/Medicaid Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health DisparitiesChronic Care & Medical Management; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM.
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2013 · third_quarter · Q3
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution
General Pharmacy Issues The Pharmaceutical Quality, Security, and Accountability Act S.959
The Postal Reform Act of 2013 S.1486
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2013 · second_quarter · Q2
Insurance Market Reform General Issues; State Based Regulations: Exchanges/Sales Across State Lines HR. 762; Medical Loss Ratios: MLR Broker Fees IPAB - Medicare Decisions Accountability Act of 2011 HR. 351Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Employer & School Wellness; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM.
General Pharmacy Issues
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2013 · first_quarter · Q1
Insurance Market Reform General Issues; State Based Regulations: Exchanges/Sales Across State Lines HR. 762; Medical Loss Ratios: MLR Broker FeesIPAB - Medicare Decisions Accountability Act of 2011 HR. 351 Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Employer & School Wellness; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM.
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2012 · fourth_quarter · Q4
Health Insurance Tax: HR. 1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S. 1880 "Jobs and Premium Protection Act"
Insurance Market Reform General Issues; PL 111-148 "good faith compliance standard" of HCR Implementation S. 3078/HR. 4757 Rate Authority Act State Based Regulations: Exchanges/Sales Across State Lines HR. 371 MLR - Medical Loss Ratio: HR. 1206 Access to Professional Health Insurance Advisors Act: MLR Repeal Act HR. 2077 IPAB - Medicare Decisions Accountability Act of 2011 HR. 452 State Innovation Waivers / Consistent Reporting Requirements Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Employer & School Wellness; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM.
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2012 · third_quarter · Q3
Medicare Advantage: Medicare - Improvements for Patients and Providers Act Medigap first-dollar coverage; S 1789 "21st Century Postal Service Act of 2012" sections pertaining to wraparound plan for postal workers with medigap Part A & B
Health Insurance Tax: HR 1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S 1880 "Jobs and Premium Protection Act"
HR 2309 "Postal Reform Act of 2011" sections pertaining to FEHBP, S 1789 "21st Century Postal Service Act of 2012" sections pertaining to Postal Benefits carveout; OMB Postal Benefit Carveout; OPM IG's Statement on FEHBP audits
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2012 · second_quarter · Q2
Budget Deficit & Debt Relief Legislation; Debt Ceiling H.Con.Res. 112 Establishing the Budget for the US Government FY 2013
Health Insurance Tax: HR1370 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S1880 "Jobs and Premium Protection Act"
Insurance Market Reform General Issues; PL 111-148 "good faith compliance standard" of HCR Implementation S. 3078/ HR 4757 Rate Authority Act State Based Regulations: Exchanges/Sales Across State Lines HR 371 MLR - Medical Loss Ratio: HR 1206 Access to Professional Health Insurance Advisors Act: MLR Repeal Act HR 2077 IPAB - Medicare Decisions Accountability Act of 2011 HR 452 State Innovation Waivers / Consistent Reporting Requirements Healthcare Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-Centered Primary/Medical Home; Wellness/Health Disparities; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2012 · first_quarter · Q1
General Pharmacy Issues
Insurance Market Reform - Affordable Private Healthcare: Fees/Mandates/Delivery System/Excise Taxes HR 1370 General Issues; PL 111-148 "good faith compliance standard" of HCR Implementation S. 3078/ HR 4757 Rate Authority Act State Based Regulations: Exchanges/Sales Across State Lines HR 371 MLR - Medical Loss Ratio: HR 1206 Access to Professional Health Insurance Advisors Act: MLR Repeal Act HR 2077 IPAB - Medicare Decisions Accountability Act of 2011 HR 452 State Innovation Waivers / Consistent Reporting Requirements Healthcare Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-Centered Primary/Medical Home; Wellness/Health Disparities; Childhood Obesity; Infant Mortality
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2011 · fourth_quarter · Q4
IRC Section 833(b) Tax Provisions MLR Broker Fees HR 1206 Small Employer Tax Credits Excise Tax on High Value Health Insurance Plans HR 1370
Budget Deficit & Debt Relief Legislation; Debt Ceiling
General Pharmacy Issues
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2011 · third_quarter · Q3
General Pharmacy Issues
Insurance Market Reform - Affordable Private Healthcare: Fees/Mandates/Delivery System/Excise Taxes HR 1370 General Issues: PL 111-148 "good faith compliance standard" of HCR Implementation S. 3078/ HR 4757 Rate Authority Act State Based Regulations: Exchanges/Sales Across State Lines HR 371 MLR - Medical Loss Ratio: HR 1206 Access to Professional Health Insurance Advisors Act: MLR Repeal Act HR 2077 IPAB - Medicare Decisions Accountability Act of 2011 HR 452 State Innovation Waivers/Consistent Reporting Requirements Healthcare Quality: Wellness/Health Disparities
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2011 · second_quarter · Q2
IRC Section 833(b) Tax provisions MLR Broker Fees HR.1206 Small Employer Tax Credits Excise Tax on High High Value Health Insurance Plans HR1370
Budget Deficit & Debt Relief Legislation; Debt Ceiling
Medicare Advantage; Medicare - Improvements for Patients and Providers Act; Medicare Administrative Contractor Program
BLUECROSS BLUESHIELD OF TENNESSEE via BLUECROSS BLUESHIELD OF TENNESSEE
2011 · first_quarter · Q1
General Pharmacy Issues
IRC Section 833(b) Tax provisions MLR Broker Fees HR1206 Small Employer Tax Credits Excise Tax on High Value Health Insurance Plans
Insurance Market Reform - Affordable Private Healthcare: Fees / Mandates / Delivery System / Excise Taxes General Issues: PL 111-148 "good faith compliance standard" of HCR Implementation S3078/HR4757 Rate Authority Act State Based Regulations: Exchanges / Sales Across State Lines HR 371 MLR - Medical Loss Rations: HR1206 Access to Professional Health Insurance Advisors Act MLR - Medical Loss Rations: HR1206 Access to Professional Health Insurance Advisors Act State Innovation Waivers / Consistent Reporting Requirements Healthcare Quality: Wellness / Health Disparities
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 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 plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - 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 and Medicaid Services an attestation with respect to each such department.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index reward factor; Value Base Care; Transparency H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians
Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
S. 1869 - Site Act To Ensure Fair Billing Practices for items and services furnished by off campus hospital locations 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.3561 - The Patient Act of 2023 To promote hospital and payor price transparency and for other purposes H.R. 4822 Health Care Price Transparency Act of 2023 To improve price transparency with respect to certain health care services H.R. 5378 Lower Costs, More Transparency Act To promote transparency in the health care sector H.R. 7681 Primary and Virtual Care Affordability Act To extend the exemption for telehealth services from certain high deductible health plan rules and to establish a safe harbor for high deductible plans with no deductible for certain primary care services Improving Senior Access to Timely Care Act ACA Subsidies; Tax Credits; Health Equity Index Methodology Reward Factor; Prior Authorization; Telehealth; Hospital Billing; Site Neutral Payment Reform; ACA Fraud
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Prescription Drug Pricing Reform; Pharmacy Benefit Managers; Delinking PBM language; Prior Authorization S. 1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage
Medicare Advantage Advance Rate Notice; MA Health Equity Index Reward Factor Methodology H.R. 7623 Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the SSA to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Prescription Drug Pricing Reform; Pharmacy Benefit Managers; Delinking PBM language; Prior Authorization S. 1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage
Medicare Advantage Advance Rate Notice; MA Health Equity Index Reward Factor Methodology H.R. 7623 Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the SSA to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Prescription Drug Pricing Reform; Pharmacy Benefit Managers; Delinking PBM language S. 1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Insulin Act; Insulin Out of Pocket Charges; Pharmacy Benefit Managers; Delinking PBM language S 954 - Affordable Insulin Now Act A bill to provide for appropriate cost-sharing for insulin products covered under private health plans and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals. S. 1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage S.127 - PBM Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to PBM services for Rx drugs, etc.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Insulin Act; Insulin Out of Pocket Charges; Pharmacy Benefit Managers; Delinking PBM language S 954 - Affordable Insulin Now Act A bill to provide for appropriate cost-sharing for insulin products covered under private health plans and to establish a program to support health care providers and pharmacies in providing discounted insulin products to uninsured individuals. S. 1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage S.127 - PBM Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to PBM services for Rx drugs, etc.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Telehealth - Extending Flexibilities; Maternal Health; Affordability; Provider Network Challenges (Contract Dispute); Youth Mental Health (Partnership w/ Boys and Girls Club; Health Equity Report; Site Neutral Payment Policies; Prior Authorizations, Transparency in Coverage; S. 1889 - Site Act To Ensure Fair Billing Practices for items and services furnished by off campus hospital locations and to assist with health care workforce (nursing) H.R. 3417 - FAIR ACt To ensure fair billing practices for items and services furnished by off campus outpatient departments of a provider S. 2016- Connect for Health Act of 2023 To expand access to telehealth services and for other purposes H.R.3561 - The Patient Act of 2023 To promote hospital and payor price transparency and for other purposes S. 1001 - Telehealth Expansion Act To permanently extend the exemption for telehealth services from some health plan rules
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Educate Members on Our Workforce Development and Accelerated Higher Education Program in partnership with East Tennessee State University - BlueSky Institute
Medicare Advantage (5 Star Rating); Medicaid Coverage Gap; Prior Authorization Congressional Education on Redetermination Timelines and Resources Needed to Communicate with Impacted Members H.R. 3173 Improving Seniors Timely Access to Care Act of 2021 Sponsor - Rep. Suzan DelBene S. 3018 Improving Seniors Timely Access to Care Act of 2021 Sponsor - Sen. Roger Marshall
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordable Care Act (ACA); ACA Coverage Improvement; Lower Health Care Costs; COVID-19; Extending Exchange Subsidies; Cost and Affordability; COVID Transition/Public Health Emergency; Telehealth; Mental Health Parity 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 Pollone H.R. 7780 - Mental Health Matters Act To support the behavioral needs of students and youth, invest in the school-based behavioral health workforce, and ensure access to mental health and substance use disorder benefits Sponsor: Rep. Mark DeSaulnier
COVID-19 Testing; Vaccine Strategy and Treatment; Prescription Drug Reform; OTC Covid Tests; Insulin Educated Congressional Members on our Specialty Pharmacy Program and Savings We've Seen Thus Far Educated Congressional Staff/Members on Insulin Copays for Lines of Business by percentage
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
COVID-19 Testing; Vaccine Strategy and Treatment; Prescription Drug Reform; OTC Covid Tests; Insulin Educated Congressional Members on our Specialty Pharmacy Program and Savings We've Seen Thus Far Educated Congressional Staff/Members on Insulin Copays for Lines of Business by percentage H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone
Affordable Care Act (ACA); ACA Coverage Improvement; Lower Health Care Costs; COVID-19; Extending Exchange Subsidies; Cost and Affordability; CAA; H.R. 5376; Public Health Emergency H.R. 5376 - Build Back Better Act
ACA Tax Credits; APTC Educated Congressional Members on Importance of Maintaining the ARPA Subsidies and the negative impact it will have on cost of premiums and enrollment if they aren't continued Reconciliation
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Tax Credits; APTC Educated Congressional Members on Importance of Maintaining the ARPA Subsidies and the negative impact it will have on cost of premiums and enrollment if they aren't continued H.R. 1868 - To prevent across the board direct spending cuts and for other purposes H.R. 5376 - Build Back Better Act
Education and Awareness around BlueSky Institute - An Innovative Partnership between BCBST and ETSU that directly invest in TN students while simultaneously fulfilling critical workforce needs. Talked about Pell Grant Funding Increase
COVID-19 Testing; Vaccine Strategy and Treatment; Prescription Drug Reform Educated Congressional Members on our Specialty Pharmacy Program and Savings We've Seen Thus Far H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage; Medicare; Medicare Advantage Audio Only; Medicaid Coverage Gap Congressional Education regarding disenrollment of MA members due to crosswalk error and CMS intervention. H.R. 5376 - Build Back Better Act H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 150 - Ensuring Parity in MA for Audio Only Telehealth Act of 2021 H.R. 2166 - To amend title XVIII of the SSA to require the inclusion of certain audio-only diagnoses in the determination of RA for MA plans P.L. 117- H.R. 1868 - To prevent across the board direct spending cuts and for other purposes
Education and Awareness around BlueSky Institute - An Innovative Partnership between BCBST and ETSU that directly invest in TN students while simultaneously fulfilling critical workforce needs.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Tax Credits; APTC H.R. 1868 - To prevent across the board direct spending cuts and for other purposes
Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Surprise Billing; COVID-19; Extending Exchange Subsidies; Cost and Affordability; CAA Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Consolidated Appropriations Act, 2021 Public Law 117-2 (H.R. 1319) American Rescue Plan Act 2021
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage; Medicare; Medicare Advantage Audio Only H.R. 2166 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 150 - Ensuring Parity in MA for Audio Only Telehealth Act of 2021 H.R. 2166 - To amend title XVIII of the SSA to require the inclusion of certain audio-only diagnoses in the determination of RA for MA plans
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordable Care Act (ACA); ACA Reform; ACA Coverage Improvement; Health Reform; Lower Health Care Costs; Surprise Billing; COVID-19 Response/Relief Packages, COBRA subsidies; Telehealth; Health disparities; Health Equities; SEP; Cost and Affordability Public Law 116-260 (H.R. 133) Covid-19 Relief and Fiscal 2021 Omnibus Public Law 117-2 (H.R. 1319) American Rescue Plan Act 2021
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Tax Credits H.R. 1868
COVID-19 Testing; Vaccine Strategy and Treatment
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; COVID-19 Medicaid Response; Rate Notice and Call Letter H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 HR. 6486 - 116th Congress Care for COVID-19 Act MA COVID Treatment Act
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; COVID-19 Medicaid Response; Rate Notice and Call Letter H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 HR. 6486 - 116th Congress Care for COVID-19 Act MA COVID Treatment Act
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act;. H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; COVID-19 Medicaid Response; Rate Notice and Call Letter H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 HR. 6486 - 116th Congress Care for COVID-19 Act MA COVID Treatment Act
HRAs; Tax Extenders H.R. 748 - 116th Congress CARES Act
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019
HRAs; Tax Extenders H.R. 748 - 116th Congress CARES Act
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans;surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; Telemedicine; Covering COVID Testing; COVID Vaccines; No Wrong Door for COVID-19 Coverage; Social Determinants of Health; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) Public Law 116-127 - 116th Congress First Coronavirus Response Act Public Law 116-139 Vehicle for COVID-19 Hospital and Testing Funds Public Law 116-136 Third Coronavirus Stimulus Package HEROES Act H.R. 748 116 Congress
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act;.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HRAs; Tax Extenders H.R. 748 - 116th Congress CARES Act
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act;. H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019
Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates; Medicaid General; Rate Notice and Call Letter; COVID-19 Medicaid Response; Rate Notice and Call Letter H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 HR. 6486 - 116th Congress Care for COVID-19 Act MA COVID Treatment Act
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Affordable Care Act (ACA) reform legislation and regulations; individual market reform; ACA stabilization; short-term limited duration plans; association health plans; single payer/Medicare for All; surprise billing; transparency; prior authorization; third party payment of premiums; all payer claims databases; negotiated rate disclosure; provider directories; 42 CFR Part 2; health Savings Accounts; Health Reimbursement Arrangements; . H.R.3502 - 116th Congress (2019-2020) Protecting People From Surprise Medical Bills Act H.R. 1143 - 116th Congress (2019-2020) Educating Consumers on the Risks of Short-Term Plans Act of 2019 S. 1895 - 116th Congress (2019-2020) Lower Health Care Costs Act H.R. 3630 - 116th Congress (2019-2020) No Surprises Act H.R. 5826 - 116th Congress - Consumer Protections Against Surprise Medical Bills Act of 2020 S. 3548 116 Congress- Coronavirus, Aid, Relief and Economic Security Act (CARES) H.R. 748 116 Congress
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act;. H.R.3 - 116th Congress (2019-2020) Lower Drug Costs Now Act of 2019 H.R.965 - 116th Congress (2019-2020) CREATES Act of 2019
ACA health insurance tax relief and repeal; ACA Cadillac tax relief and repeal. S.172 - 116th Congress (2019-2020) Health Insurance Tax Relief Act of 2019 S.684 - 116th Congress (2019-2020) Middle Class Health Benefits Tax Repeal Act of 2019 H.R.748 - 116th Congress (2019-2020) Middle Class health Benefits Tax Repeal Act of 2019 H.R.1398 - 116th Congress(2019-2020) Health Insurance Tax Relief Act of 2019
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act; .
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage annual call letter and rate setting proposed regulation; Medicare Part D; prior authorization; Medicaid reform; Rx drug rebates.
Opioid and prescription drug pricing issues; Rx drug rebates; regulation of pharmacy benefit managers; CREATES Act; .
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage annual call letter and rate setting proposed regulation; prior authorization; Medicaid reform; Rx drug rebates.
ACA health insurance tax relief and repeal; ACA Cadillac tax relief and repeal;
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Tax provisions of the Affordable Care Act; Bipartisan Budget Act of 2018.
Insurance Market stabilization; reinsurance; risk adjustment; cost-sharing reductions; 3rd party payment of premiums; air ambulance issues; healthcare costs; delivery system reform; CREATES Act; ACE Kids Act; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; mental health reform; ACA regulations; short-term limited duration plans; association health plans.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Medicare Part C & D program changes and funding; Medicare Advantage rate notice and call letter; Medicare Advantage Star rating system; Medicaid reform; Medigap; ACE Kids Act; pharmacy benefit manager(PBM)issues; healthcare and prescription drug costs.
General pharmacy and pharmaceutical issues; Opioids; prescription drug pricing; pharmacy benefit manager (PBM)issues; generic drug issues; The CREATES Act; prescription drug monitoring programs; legislation amending 42 CFR Part 2.
Tax provisions of the Affordable Care Act; Bipartisan Budget Act of 2018.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Insurance Market stabilization; reinsurance; cost-sharing reductions; 3rd party payment of premiums; special enrollment periods; grace periods; age rate bands; delivery system reform; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; mental health reform; ACA Implementation and back-end issues; Executive Orders related to short-term limited duration plans and association health plans.
Tax provisions of the Affordable Care Act; Bipartisan Budget Act of 2018.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Cost sharing reduction payments under the ACA; Budget Deficit & Debt Relief Legislation; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills.
HR1; The American Health Care Act of 2017; HR706; HR710; HR1628; Insurance Market stabilization; CMS Notice of Benefit & Payment Parameters; reinsurance; cost-sharing reductions; 3rd party payment of premiums; special enrollment periods; grace periods; age rate bands; delivery system reform; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; mental health reform; ACA Implementation and back-end issues; Executive Orders related to short-term limited duration plans and association health plans.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Tax provisions of the Affordable Care Act; HR2246.
Cost sharing reduction payments under the ACA; Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills.
General pharmacy and pharmaceutical issues; Opioid Abuse; prescription drug pricing; generic drug issues; HR2051; HR22312.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Tax provisions of the Affordable Care Act.
The American Health Care Act of 2017 (AHCA); The Better Care Reconciliation Act of 2017 (BCRA); HR706; HR710; HR1628; Insurance Market stabilization; CMS Notice of Benefit & Payment Parameters; reinsurance; cost-sharing reductions; 3rd party payment of premiums; special enrollment periods; grace periods; age rate bands; delivery system reform; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; Postal Reform Act; Risk Mitigation Legislation; mental health reform; ACA Implementation and back-end issues; Small Business Health Options Program (SHOP)implementation.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
The American Health Care Act of 2017 (AHCA); The Better Care Reconciliation Act of 2017 (BCRA); HR706; HR710; Insurance Market stabilization; CMS Notice of Benefit & Payment Parameters; reinsurance; cost-sharing reductions; 3rd party payment of premiums; special enrollment periods; grace periods; age rate bands; delivery system reform; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; Postal Reform Act; Risk Mitigation Legislation; mental health reform; ACA Implementation and back-end issues; Small Business Health Options Program (SHOP)implementation.
General pharmacy and pharmaceutical issues; Opioid Abuse; prescription drug pricing
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
American Health Care Act; HR706; HR710; Insurance Market stabilization; CMS Notice of Benefit & Payment Parameters; reinsurance; cost-sharing reductions; 3rd party payment of premiums; special enrollment periods; grace periods; age rate bands; delivery system reform; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM; President's Budget; Postal Reform Act; Risk Mitigation Legislation; mental health reform; ACA Implementation and back-end issues; Small Business Health Options Program (SHOP)implementation.
Health Insurance Tax.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
HR928; HR2646; HR5589; Insurance Market stabilization (HR5410, HR5589); CMS Notice of Benefit & Payment Parameters; reinsurance; cost-sharing reductions; 3rd party payment of premiums; special enrollment periods; grace periods; age rate bands; Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Employer Wellness; Chronic Care & Medical Management; Childhood Obesity; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation (S. 123, H.R. 221); mental health reform (HR2646/S1945); ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation; ACA small group definition (S. 1099/H.R. 1624.
Precision Medicine Act (S2713); General Pharmacy Issues (HR6/2713); opioid abuse (S524, HR953, HR2805, HR4499); specialty drug pricing
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Health Insurance Tax: H.R. 928 & S. 183 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills; ACA risk mitigation program changes.
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills.
Health Insurance Tax: H.R. 928 & S. 183 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Health Insurance Tax: H.R. 928 & S. 183 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
General Pharmacy Issues; HR6, 21st Century Cures; opioid abuse; specialty drug pricing
Medicare Part C & D program changes and funding cuts; Medicare accountable care organization (ACO) program; legislation to reform Medicare Advantage; Medicare Advantage Star rating system.
Filing targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Health Insurance Tax: H.R. 928 & S. 183 "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"
General Pharmacy Issues; HR6, 21st Century Cures; opioid abuse; specialty drug pricing
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills; reconciliation.
Filing targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills; reconciliation.
Medicare Part C & D program changes and funding cuts; Medicare accountable care organization (ACO) program; legislation to reform Medicare Advantage.
Filing targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
General Pharmacy Issues; specialty drug pricing
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; House and Senate appropriations bills.
Filing targets: Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
General Pharmacy Issues; specialty drug pricing
Insurance Market Reform, General Issues; Exchanges/Medicaid; Cybersecurity; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R.779; President's Budget); S.1486, Postal Reform Act of 2013; Risk Mitigation Legislation: S.123, H.R. 221; ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
H.R. 83, Consolidated and Further Continuing Appropriations Act, 2015; H.R. 5771,to extend certain expiring tax provisions; H.J. Res. 59, Bipartisan Budget Agreement; Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; Continuing Appropriations (H.R. 3547)
Insurance Market Reform, General Issues; Grandfathered Policies/Continuation of Existing Coverage (H.R. 335); State Based Regulations: Exchanges/Medicaid; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S. 1486, Postal Reform Act of 2013; Risk Mitigation Legislation: S. 1726, H.R. 3541, H.R. 3812, H.R. 3851, H.R. 4406; ACA Implementation and back-end issues; Small Business Health Options Program (SHOP) implementation; ICD-10 implementation.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Health Insurance Tax: H.R. 763, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA"; S.603, "Jobs and Premium Protection Act"; H.R.3367, to delay the application of the health insurance provider annual fee until 2016; IRC section 833(b) tax provisions.
Insurance Market Reform, General issues; Grandfathered Policies / Continuation of Existing Coverage (H.R. 335); Risk Corridors(S. 1726 and H.R. 3541); State Based Regulations: Exchanges/Medicaid; Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality; Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget); S.1486, Postal Reform Act of 2013; Risk mitigation legislation: S.1726, H.R.3541, H.R.3812, H.R.3851, H.R.4406; ACA Implementation and back-end issues.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Health Insurance Tax: H.R. 763, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", S. 603, "Jobs and Premium Protection Act"; H.R. 3367, to delay the application of the health insurance provider annual fee until 2016
Insurance Market Reform, General Issues; Grandfathered Policies / Continuation of Existing Coverage (H.R. 335); Risk Corridors (S. 1726 and H.R. 3541); State Based Regulations: Exchanges/Medicaid Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness-Health DisparitiesChronic Care & Medical Management; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM (H.R. 779; President's Budget). S. 1486, Postal Reform Act of 2013 Risk mitigation legislation: S. 1726, H.R. 3541, H.R. 3812, H.R. 3851. H.R. 4406 ACA Implementation and back-end issues
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
H.R. 4302, 12-month Medicare SGR patch Medicare Advantage: The Securing Care for Seniors Act S.1486 Medigap
General Pharmacy Issues
H.J. Res. 59, The Bipartisan Budget Agreement; Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution; Continuing Appropriations (H.R. 3547).
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution
Medicare Advantage: The Securing Care for Seniors Act S.1486 Medigap
Health Insurance Tax: H.R. 763, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA", S. 603, "Jobs and Premium Protection Act", and H.R. 3367, to delay the application of the health insurance provider annual fee until 2016
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Health Insurance Tax: HR. 763, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S. 603, "Jobs and Premium Protection Act"
Insurance Market Reform General Issues; State Based Regulations: Exchanges/MedicaidHealthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Employer & School Wellness; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM.
Medicare Advantage: The Securing Care for Seniors Act S.1486 Medigap
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage Medigap
Budget Deficit & Debt Relief Legislation; Debt Ceiling; Congressional Budget Resolutions; Presidential Budget Resolution
Health Insurance Tax: HR. 763, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S. 603, "Jobs and Premium Protection Act"
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage Medigap
General Pharmacy Issues
Health Insurance Tax: HR. 763, "To Repeal the annual fee on Health Insurance Providers Enacted by PPACA" and S. 603, "Jobs and Premium Protection Act"
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Budget Deficit & Debt Relief Legislation; Debt Ceiling H.Con.Res. 112 Establishing the Budget for the US Government FY 2013
Medicare Advantage: Medicare - Improvements for Patients and Providers Act Medigap first-dollar coverage; S.1789 "21st Century Postal Service Act of 2012" sections pertaining to wraparound plan for postal workers with Medigap Part A & B
HR. 2309 "Postal Reform Act of 2011" sections pertaining to FEHBP, S. 1789 "21st Century Postal Service Act of 2012" sections pertaining to Postal Benefits carveout; OMB Postal Benefit Carveout; OPM IG's Statement on FEHBP audits
General Pharmacy Issues
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Budget Deficit & Debt Relief Legislation; Debt Ceiling H.Con.Res. 112 Establishing the Budget for the US Government FY 2013
General Pharmacy Issues
Insurance Market Reform General Issues; PL 111-148 "good faith compliance standard" of HCR Implementation S. 3078/ HR 4757 Rate Authority Act State Based Regulations: Exhanges/Sales Across State Lines HR 371 MLR - Medical Loss Ratio: HR 1206 Access to Professional Health Insurance Advisors Act: MLR Repeal Act HR 2077 IPAB - Medicare Decisions Accountability Act of 2011 HR 452 State Innovation Waivers / Consistent Reporting Requirements Healthcare Quality: Delivery System Incentives to Promote Better Care; Patient Safety and Quality Improvement; Payment Reforms; Patient-Centered Primary/Medical Home; Bundled Payments; Wellness/Health Disparities; Employer & School Wellness; Chronic Care & Medical Management; Childhood Obesity; Infant Mortality Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
HR 2309 "Postal Reform Act of 2011" sections pertaining to FEHBP; S1789 "21st Century Postal Service Act of 2012" sections pertaining to Postal Benefits carveout; OMB Postal Benefit Carveout; OPM IG's Statement on FEHBP audits
General Pharmacy Issues
Medicare Advantage: Medicare - Improvements for Patients and Providers Act Medigap first-dollar coverage; S1789 "21st Century Postal Service Act of 2012" sections pertaining to wraparound plan for postal workers with medigap Part A & B
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Budget Deficit & Debt Relief Legislation; Debt Ceiling H.Con.Res. 112 Establishing the Budget for the US Government FY 2013
Medicare Advantage: Medicare - Improvements for Patients and Providers Act
IRC Section 833(b) Tax Provisions MLR Broker Fees HR 1206 Small Employer Tax Credits Excise Tax on Health Insurance Plans HR 1370 / S.1880
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Insurance Market Reform - Affordable Private Healthcare: Fees/Mandates/Delivery System/Excise Taxes HR 1370 General Issues: PL 111-148 "good faith compliance standard" of HCR Implementation S. 3078/ HR 4757 Rate Authority Act State Based Regulations: Exchanges/Sales Across State Lines HR 371 MLR - Medical Loss Ratio: HR 1206 Access to Professional Health Insurance Advisors Act: MLR Repeal Act HR 2077 IPAB - Medicare Decisions Accountability Act of 2011 HR 452 State Innovation Waivers / Consistent Reporting Requirements Healthcare Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-Centered Primary/Medical Home; Wellness/Health Disparities; Childhood Obesity; Infant Mortality
Medicare Advantage: Medicare - Improvements for Patients and Providers Act; Medicare Administrative Contractor Program Medigap
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage: Medicare - Improvements for Patients and Providers Act; Medicare Administrative Contractor Program
Budget Deficit & Debt Relief Legislation; Debt Ceiling
IRC Section 833(b) Tax Provisions MLR Broker Fees HR 1206 Small Employer Tax Credits Excise Tax on High Value Health Insurance Plans HR 1370
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Insurance Market Reform - Affordable Private Healthcare: Fees/Mandates/Delivery System/Excise Taxes HR1370 General Issues: PL 111-148 "good faith compliance standard" of HCR Implementation S.3078/HR.4757 Rate Authority Act State Based Regulations: Exchanges/Sales Across State Lines HR.371 MLR - Medical Loss Ratio: HR.1206 Access to Professional Health Insurance Advisors Act; MLR Repeal Act HR2077 IPAB - Medicare Decisions Accountability Act of 2011 HR 452 State Innovation Waivers/Consistent Reporting Requirements Healthcare Quality: Wellness/Health Disparities
General Pharmacy Issues
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare Advantage Funding
Medicare - Improvements for Patients and Providers Act
Filing targets: HOUSE OF REPRESENTATIVES, SENATE