Reported covered position: Senior Counsel, House Judiciary Committee, July 2014 - January 2016
How to read the money
Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
Improving Seniors’ Timely Access to Care Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Site neutral payment reform; Program Fraud, Waste, and Abuse H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. H.R.9396 - Prior Authorization Accountability Act - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates.
Source: Senate LDA
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. H.R.9396 - Prior Authorization Accountability Act - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector.
Lower Costs, More Transparency Act of 2026
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector.
Lower Costs, More Transparency Act of 2026
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. H.R.9396 - Prior Authorization Accountability Act - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates.
Prior Authorization Accountability Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. H.R.9396 - Prior Authorization Accountability Act - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates.
Premium Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. H.R.9396 - Prior Authorization Accountability Act - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates.
Patients Deserve Price Tags Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. H.R.9396 - Prior Authorization Accountability Act - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. S.2355 - Patients Deserve Price Tags Act - To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector. H.R.9397 - Premium Transparency Act - To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to ensure health insurer accountability through publishing of overhead costs and claim payments, and to direct the Secretary of Health and Human Services to issue guidance on the provision of certain insurance information. H.R.9396 - Prior Authorization Accountability Act - To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to require the displaying of claim denial rates.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; MA Reform H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Discussions regarding Inappropriate use of skin substitute products in Medicare and policy approaches to reduce inappropriate utilization and spending. Discussed the community engagement requirements
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicaid Cuts; Site neutral payment reform; Healthy Equity Index reward factor; Medicare Advantage Reform; General New Mexico healthcare landscape and access to care H.R.1 - One Big Beautiful Bill Act - This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicaid Cuts; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA Reform H.R.1 - One Big Beautiful Bill Act - This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
Inspectors General Modernization Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Freedom from Intimidation in Elections Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace S.1869 - SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 - To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
To improve the review and effectiveness of the cost of living adjustments to pay and benefits for members of the Armed Forces and civilian employees of the Department of Defense whose permanent duty station is located in the 19th Congressional District of California, and for other purposes.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
No Student Visas for Sanctuary Cities Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
No Student Visas for Sanctuary Cities Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace S.1869 - SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 - To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
No Student Visas for Sanctuary Cities Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Websites and Software Applications Accessibility Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace S.1869 - SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 - To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
Websites and Software Applications Accessibility Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Websites and Software Applications Accessibility Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Tribal Healthcare Careers Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Tribal Healthcare Careers Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Choice Arrangement
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Right to Enroll Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
HOPE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Lower Health Care Premiums for All Americans Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
No UPCODE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; MA Reform H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Discussions regarding Inappropriate use of skin substitute products in Medicare and policy approaches to reduce inappropriate utilization and spending. Discussed the community engagement requirements
No UPCODE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicaid Cuts; Site neutral payment reform; Healthy Equity Index reward factor; Medicare Advantage Reform; General New Mexico healthcare landscape and access to care H.R.1 - One Big Beautiful Bill Act - This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
No UPCODE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicaid Cuts; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA Reform H.R.1 - One Big Beautiful Bill Act - This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
HOVER Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace S.1869 - SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 - To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
HOVER Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Fair Billing Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace S.1869 - SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 - To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
Health Care Affordability Act of 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Tech to Save Moms Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Healthy Competition for Better Care Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
Healthy Competition for Better Care Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
No Surprises Act Enforcement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
American Relief Act, 2025
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Protecting Patients Against PBM Abuses Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs H.R. 2880 - Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under Part D of the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D. Discussions regarding utilizing AI to combat fraud. Discussions regarding Dual Eligible Special Needs Plans (D-SNP 101).
Protecting Patients Against PBM Abuses Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs H.R. 2880 - Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under Part D of the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D.
Healthy Competition for Better Care Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Black Maternal Health Momnibus Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Student Athlete Level Playing Field Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Lower Costs, More Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes.
Lower Costs, More Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Lower Costs, More Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage.
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Medicare PBM Accountability Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs H.R. 2880 - Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under Part D of the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D.
Medicare PBM Accountability Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs H.R. 2880 - Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under Part D of the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D. Discussions regarding utilizing AI to combat fraud. Discussions regarding Dual Eligible Special Needs Plans (D-SNP 101).
Restore Protections for Dialysis Patients Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Pharmacy Benefit Manager Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
Pharmacy Benefit Manager Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Pharmacy Benefit Manager Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes.
Pharmacy Benefit Manager Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Pharmacy Benefit Manager Reform Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Pharmacy Benefit Manager Reform Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Healthy Competition for Better Care Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes.
SITE Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Preventing Maternal Deaths Reauthorization Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Health Care Prices Revealed and Information to Consumers Explained Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
Health Care Prices Revealed and Information to Consumers Explained Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Health Care Prices Revealed and Information to Consumers Explained Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes.
Vessel Response Plan Improvement Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
States implementation of the Interoperability and Prior Authorization final rule Medicaid Redeterminations and renewals; Same-day billing restrictions in Medicaid; Medicare Advantage; 340B program, H.R. 5380 - the Amend Title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage Act, H.R. 2880 - the Protecting Patients Against PBM Abuses Act, H.R. 5376 - the Inflation Reduction Act of 2022
Inflation Reduction Act of 2022
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Inflation Reduction Act of 2022
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
States implementation of the Interoperability and Prior Authorization final rule Medicaid Redeterminations and renewals; Same-day billing restrictions in Medicaid; Medicare Advantage; 340B program, H.R. 5380 - the Amend Title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage Act, H.R. 2880 - the Protecting Patients Against PBM Abuses Act, H.R. 5376 - the Inflation Reduction Act of 2022
Spectrum Innovation Act of 2021
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Helping Students Plan for College Act of 2021
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
States implementation of the Interoperability and Prior Authorization final rule Medicaid Redeterminations and renewals; Same-day billing restrictions in Medicaid; Medicare Advantage; 340B program, H.R. 5380 - the Amend Title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage Act, H.R. 2880 - the Protecting Patients Against PBM Abuses Act, H.R. 5376 - the Inflation Reduction Act of 2022
Reach Every Mother and Child Act of 2021
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Drug Price Transparency in Medicaid Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Provider Directories; Medicaid Redeterminations; Same-day billing restrictions in Medicaid S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act of 2023 To amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program. Issues supporting AI activities.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Telehealth, youth mental health; health equity; site neutrality hospital billing; Employee Retirement Income Security Act; Prior Authorization; transparency in coverage; surprise billing; Association Health Plans; out of pocket charges, pharmacy benefit management framework proposals. S. Telehealth expansion Act of 2023 - To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1869 SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Ace to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. HR 3651 The Patient Act of 2023 - To promote hospital and insurer price transparency, and for other purposes. HR 3417 FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S. 150 Affordable Prescription Drugs for Patients Act of 2023 - A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. S. 127 Pharmacy Benefit Management Transparency Act of 2023 - A bill to prevent unfair and deceptive action and practices and dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S. 1339 Pharmacy Benefit Management Reform Act - To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage.
FAIR Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule; Site Neutrality/Site Neutral Payment Reform and Fair Hospital Billing; Transparency in Coverage; Surprise Billing; Rural Healthcare Access; Prior Authorization; Provider Workforce; Provider Directory Accuracy. Prescription drugs; gene therapies; AI technology. S. 1869 - Site Act To amend Title XVIII of the Social Security Act and Title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such Title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3417 FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 5378 Lower Costs, More Transparency Act HR 3630 - No Surprises Act To amend Title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 5568 - the Care For Moms Act
PATIENT Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Love Lives On Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Telehealth, youth mental health; health equity; site neutrality hospital billing; Employee Retirement Income Security Act; Prior Authorization; transparency in coverage; surprise billing; Association Health Plans; out of pocket charges, pharmacy benefit management framework proposals. S. Telehealth expansion Act of 2023 - To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1869 SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Ace to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. HR 3651 The Patient Act of 2023 - To promote hospital and insurer price transparency, and for other purposes. HR 3417 FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S. 150 Affordable Prescription Drugs for Patients Act of 2023 - A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. S. 127 Pharmacy Benefit Management Transparency Act of 2023 - A bill to prevent unfair and deceptive action and practices and dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S. 1339 Pharmacy Benefit Management Reform Act - To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage.
Medicare Patient Access to Cancer Treatment Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Transparency in Coverage Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Hidden Fee Disclosure Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Transparency in Billing Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Health DATA Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Health Care Price Transparency Act of 2023
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Lower Costs, More Transparency Act
Client: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) · Firm: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule; Site Neutrality/Site Neutral Payment Reform and Fair Hospital Billing; Transparency in Coverage; Surprise Billing; Rural Healthcare Access; Prior Authorization; Provider Workforce; Provider Directory Accuracy. Prescription drugs; gene therapies; AI technology. S. 1869 - Site Act To amend Title XVIII of the Social Security Act and Title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such Title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3417 FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 5378 Lower Costs, More Transparency Act HR 3630 - No Surprises Act To amend Title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 5568 - the Care For Moms Act
Site neutral payment reform; Program Fraud, Waste, and Abuse H.R.3514 - Improving Seniors Timely Access to Care Act of 2025 - To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Healthcare tax credits; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Individual Market Reforms and eAPTC Extension; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes. H.R.9393 - Lower Costs, More Transparency Act of 2026 To promote price transparency in the health care sector.
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; MA Reform; Program Fraud, Waste, and Abuse; Medicaid Managed Care
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ACA Healthcare tax credits; Telehealth/ telehealth flexibilities; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Community Health + Maternal Health; Hospital Billing; Program integrity in the individual marketplace; Artificial Intelligence; Individual Market Reforms and eAPTC Extension; Health Savings Accounts; Healthcare Affordability H.R.4710 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes. S.2420 - No Surprises Act Enforcement Act To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans, health insurance issuers, and nonparticipating providers or facilities for practices that violate balance billing requirements, and for other purposes.
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; MA Reform
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace; Federal Budget Process; Artificial Intelligence; Marketplace Renewal Notices; Individual Market Reforms and eAPTC Extension. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act (118th) To promote price transparency in the health care sector, and for other purposes. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.6703 - Lower Health Care Premiums for All Americans Act To ensure access to affordable health insurance. S.2497 - Fair Billing Act To amend title XVIII of the Social Security Act to require a separate identification number and an attestation for each off-campus outpatient department of a provider. H.R.5972 - Right to Enroll Act of 2025 To direct the Secretary of Health and Human Services to extend the annual open enrollment period for enrolling in a qualified health plan offered by an Exchange for plan year 2026. H.R.6232 - HOPE Act To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and to amend the Patient Protection and Affordable Care Act to make certain adjustments to the operation of the Exchanges established under such Act. S.958 - Tech to Save Moms Act To support the use of technology in maternal health care, and for other purposes. H.R.5463 - Choice Arrangement To amend the Internal Revenue Code of 1986 to provide for the treatment of employer-provided health reimbursement arrangements that are integrated with individual market coverage, and for other purposes.
Medicare Advantage & MA Rate Notice; Medicare/Transparency; Site neutral payment reform; Community Health Index reward factor; Community Health Index for MA plans; MA Reform H.R.1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage. Discussions regarding Inappropriate use of skin substitute products in Medicare and policy approaches to reduce inappropriate utilization and spending. Discussed the community engagement requirements
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Program integrity in the individual marketplace; Federal Budget Process; Marketplace renewal notices. S. 1451 Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act (118th) To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S.1869 - SITE Act (118th) To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act (118th) To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department S.5535 - No Surprises Act Enforcement Act, To amend title XXVII of the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code of 1986 to increase penalties for group health plans and health insurance issuers for practices that violate balance billing requirements, and for other purposes.
Medicaid Cuts; Site neutral payment reform; Health Equity Index reward factor; Health Equity Index for MA plans; MA Reform H.R.1 - One Big Beautiful Bill Act - This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; Transparency in coverage; Surprise Billing; Rural healthcare; Prior Authorization; Hospital Consolidation; Employer-provided health coverage; Hospital Billing; Program integrity in the individual marketplace S.1869 - SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider S.46 - Health Care Affordability Act of 2025 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 - To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department
Affordable Care Act (ACA), ACA subsidies and tax credits; ACA Fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Managed Care Organizations; Hospital Billing; Federal Budget Process, prescription drugs. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S.46 - Health Care Affordability Act of 2025 A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.247 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan. H.R.3237 To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare & Medicaid Services an attestation with respect to each such department. H.R.10445 - Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 This bill provides continuing FY2025 appropriations for federal agencies and provides emergency funding for disaster relief. It also extends, modifies, or establishes various programs and authorities throughout the federal government. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care.
Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/ telehealth flexibilities; Mental Health Care; Youth Mental Health; Site neutral payment reform; hospital billing; Transparency in coverage; Surprise Billing; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cyber-attack & Cybersecurity; Provider Directories; Artificial Intelligence; Health Equity; Maternal Health; ACA fraud; 2025 Proposed NBPP/Individual Market/ACA exchanges; Rural healthcare; CMS Transforming Maternal Health (TMaH) model; Data Equity; No surprises enforcement S. 1451 Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. H.R.3120 - Healthy Competition for Better Care Act To ban anticompetitive terms in facility and insurance contracts that limit access to higher quality, lower cost care. S. 3548 Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. H.R. 3305, Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.2415 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. H.R.3630 - No Surprises Act To amend title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 10545, American Relief Act, 2025 Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Efforts to make permanent ACA Enhanced Tax Credits. Efforts related to the use of Artificial Intelligence in decisions about health care benefit eligibility or payment amounts.
Affordable Care Act (ACA), ACA subsidies and tax credits; Mental Health Care; Site neutral payment reform; Transparency in coverage; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity Index reward factor; Employer-provided health coverage; Cybersecurity; Artificial Intelligence; Maternal Health; Hospital Billing. CMS Managed Care Rules, unauthorized enrollments and Data Sharing, surprise balance billing IDR process. S. 1869 - SITE Act To amend title XVIII of the Social Security Act and Title XXVII of the Public Service Act to ensure fair billing practices for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payment for graduate nursing education costs, and for other purposes. H.R. 3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 - Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes. S. 3548 - Health Care PRICE Transparency Act To amend the Public Health Service Act to provide for hospital and insurer price transparency. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes.
States implementation of the Interoperability and Prior Authorization final rule Medicaid Redeterminations and renewals; Same-day billing restrictions in Medicaid; Medicare Advantage; 340B program, H.R. 5380 - the Amend Title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage Act, H.R. 2880 - the Protecting Patients Against PBM Abuses Act, H.R. 5376 - the Inflation Reduction Act of 2022
Affordable Care Act (ACA); ACA tax credits; Telehealth flexibility; Mental Health Care; Health; site neutral payment reform; Transparency in coverage; Surprise Billing; 2025 Proposed NBPP / Individual Market / ACA Exchanges; Rural healthcare; Prior Authorization; Hospital Consolidation; Health Equity index factor; Employer-provided health coverage; Cyber Attack; Artificial Intelligence; H.R. 3838 - the Preventing Maternal Deaths Reauthorization Act of 2023, S. 1869- the Site-based Invoicing and Transparency Enhancement Act, H.R. 3417 - the Facilitating Accountability In Reimbursements Act (FAIR Act), H.R. 5378 - the Lower Costs, More Transparency Act, S. 1451 - the Healthy Competition for Better Care Act, H.R. 5376 - the Inflation Reduction Act of 2022,
Affordable Care Act (ACA), ACA subsidies; Telehealth; Mental Health, Mental Health Rule; Site Neutrality/Site Neutral Payment Reform and Fair Hospital Billing; Transparency in Coverage; Surprise Billing; Rural Healthcare Access; Prior Authorization; Provider Workforce; Provider Directory Accuracy. Prescription drugs; gene therapies; AI technology. S. 1869 - Site Act To amend Title XVIII of the Social Security Act and Title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such Title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3417 FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. HR 5378 Lower Costs, More Transparency Act HR 3630 - No Surprises Act To amend Title XXVII of the Public Health Service Act to protect health care consumers from surprise billing practices, and for other purposes. H.R. 5568 - the Care For Moms Act
Affordability; Affordable Care Act; Mental health/Youth Mental Health; Maternal Health; Health Equity; Site Neutrality/site neutral payment reform; Fair Hospital Billing; Transparency in coverage; Surprise Billing; Government shutdown; Rural healthcare access; HIPAA modernization; Artificial intelligence (AI); Preventative services S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. H.R. 3561, The Patient Act of 2023To promote hospital and insurer price transparency, and for other purposes. H.R.3417 - FAIR Act to ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. H.R. 5378 Lower Costs, More Transparency Act to promote price transparency in the health care sector, and for other purposes. H.R.4822 Health Care Price Transparency Act of 2023To improve price transparency with respect to certain health care services, and for other purpose. H.R.4509 - Transparency in Billing Act to amend the Employee Retirement Income Security Act of 1974 to require group health plans and health insurance issuers offering group health insurance coverage to only pay claims submitted by hospitals that have in place policies and procedures to ensure accurate billing practices, and for other purposes. H.R.4508 - Hidden Fee Disclosure Act to amend the Employee Retirement Income Security Act of 1974 to clarify and strengthen the application of certain employer-sponsored health plan disclosure requirements H.R.4507 - Transparency in Coverage Act of 2023 to amend the Employee Retirement Income Security Act of 1974 to promote transparency in health coverage and reform pharmacy benefit management services with respect to group health plans, and for other purposes. H.R.4527 - Health DATA Act to amend the Employee Retirement Income Security Act of 1974 to ensure plan fiduciaries may access de-identified information relating to health claims, and for other purposes. H.R.5647 - Childhood Cancer Clinical Trials Act to amend title XXVII of the Public Health Service Act to require out-of-network coverage for qualified individuals diagnosed with a rare pediatric disease participating in approved clinical trials, and for other purposes. H.R.5687 - HSA Modernization Act of 2023To amend the Internal Revenue Code of 1986 to modernize health savings accounts. H.R.4473 Medicare Patient Access to Treatment Act.
Medicaid same-day billing; provider directories; RADV Rule and Rate Notice; Medicare Advantage Advance Rate Notice and Prior Authorization legislation; Medicaid Redeterminations; Medicaid work requirements; IRA implementation S 4750 Restore Protections for Dialysis Patients Act - To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act
Affordability; Affordable Care Act; Telehealth, youth mental health; health equity; site neutrality hospital billing; Employee Retirement Income Security Act; Prior Authorization; transparency in coverage; surprise billing; Association Health Plans; out of pocket charges, pharmacy benefit management framework proposals. S. Telehealth expansion Act of 2023 - To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. S. 1869 SITE Act - To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Ace to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. HR 3651 The Patient Act of 2023 - To promote hospital and insurer price transparency, and for other purposes. HR 3417 FAIR Act - To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. S. 150 Affordable Prescription Drugs for Patients Act of 2023 - A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. S. 127 Pharmacy Benefit Management Transparency Act of 2023 - A bill to prevent unfair and deceptive action and practices and dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S. 1339 Pharmacy Benefit Management Reform Act - To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage.
Affordable Care Act (ACA); Transparency; Surprise Billing, Telehealth; COVID-19; Extending ACA Subsidies; Health Equity Issues; Mental Health Parity; Affordability; Inflation Reduction Act; No Surprises Act; affordability, COVID commercialization, youth mental health, maternal health, workforce shortages, hospital billing, ERISA preemption. S. 127 Pharmacy Benefit Manager Transparency Act of 2023. Regulation of PBM reporting, business model, rebates and discounts.
Medicare; Prior Authorization; Medicare Advantage; Medicaid; Prescription Drug Costs/Part D; Medicaid Managed Care plans. Policies related to social determinants of health, health equity, maternal mortality; Medicare rate notice, Medicare Advantage prior authorization, provider directories, Medicaid redetermination.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Medicare; Prior Authorization; Medicare Advantage; Medicaid; Prescription Drug Costs/Part D; Medicaid Managed Care plans. Policies related to social determinants of health, health equity, maternal mortality. S. 3018 - Improving Seniors Timely Access to Care Act of 2021Sponsor: Sen. Roger Marshall (R-KS)
Affordable Care Act (ACA); Transparency; Surprise Billing, Telehealth; COVID-19; Extending ARPA Subsidies; Health Equity Issues; Mental Health Parity; Affordability; Inflation Reduction Act; No Surprises Act; Covid transition/PH.COVID-19 response in P.L. 117-103, The Consolidated Appropriations Act; Health care policies contained in P.L. 117-2, The American Rescue Plan Act; P.L. 117-169, Inflation Reduction Act of 2022 H.R. 2617 - Consolidated Appropriations Act, 2023; ACA subsidies, Medicaid redetermination, Medicaid Postpartum coverage, pharmacy benefit mangers H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 To amend the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 5218 Collaborate in an Orderly and Cohesive Manner Act H.R. 7767 - Strengthening Behavioral Health Benefits Act to amend the Employee Retirement Income Security Act of 1974 to provide for the enforcement of mental health and substance abuse disorder parity requirements, and for other purposes. Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 959 - Black Maternal Health Momnibus Act of 2021To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14)
Medicare; Prior Authorization; Medicare Advantage; Medicaid; Prescription Drug Costs/Part D; Medicaid Managed Care plans. Policies related to social determinants of health, health equity, maternal mortality. Health care policies contained P.L. 117-169, Inflation Reduction Act of 2022 H.R. 3173 - Improving Seniors Timely Access to Care Act of 2021 Sponsor: Rep. Suzan DelBene (D-WA-01) S. 3018 - Improving Seniors Timely Access to Care Act of 2021 Sponsor: Sen. Roger Marshall (R-KS) H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone (D-NJ-06) Insulin -the Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act H.R. 5376 Inflation Reduction Act Sponsor: John Yarmuth (D-KY)
Affordable Care Act (ACA); Transparency; Surprise Billing, Telehealth; COVID-19; Extending ARPA Subsidies; Health Equity Issues; Mental Health Parity; Affordability; Inflation Reduction Act; No Surprises Act; Covid transition/PH. COVID-19 response in P.L. 117-103, The Consolidated Appropriations Act; Health care policies contained in P.L. 117-2, The American Rescue Plan Act; P.L. 117-169, Inflation Reduction Act of 2022 H.R. 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 To amend the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes Sponsor: Rep. Frank Pallone (D-NJ-06) H.R. 5218 Collaborate in an Orderly and Cohesive Manner Act H.R. 7767 - Strengthening Behavioral Health Benefits Act To amend the Employee Retirement Income Security Act of 1974 to provide for the enforcement of mental health and substance abuse disorder parity requirements, and for other purposes. Sponsor: Rep. Joe Courtney (D-CT-02) H.R. 959 - Black Maternal Health Momnibus Act of 2021 To end preventable maternal mortality and severe maternal morbidity in the United States and close disparities in maternal health outcomes, and for other purposes. Sponsor: Rep. Lauren Underwood (D-IL-14) H.R. 5376 Inflation Reduction Act Sponsor: John Yarmuth (D-KY) H.R. 3 - Lower Drug Costs Now Act Sponsor: Rep. Frank Pallone (D-NJ-06) Insulin -the Improving Needed Safeguards for Users of Lifesaving Insulin Now (INSULIN) Act
Medicaid Cuts; Site neutral payment reform; Healthy Equity Index reward factor; Medicare Advantage Reform; General New Mexico healthcare landscape and access to care H.R.1 - One Big Beautiful Bill Act - This bill reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. S.1105 - No UPCODE Act - To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Medicaid Cuts; Site neutral payment reform; Healthy Equity Index reward factor
Filing targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Same-day billing restrictions in Medicaid; Medicare Advantage & MA Rate Notice H.R. 6860, Restore Protections for Dialysis Patients Act To amend title XVIII of the Social Security Act to clarify and preserve the breadth of the protections under the Medicare Secondary Payer Act. H.R. 5380 - To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. To amend title XVIII of the Social Security Act to increase data transparency for supplemental benefits under Medicare Advantage. S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. S.1339 - Pharmacy Benefit Manager Reform Act
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs H.R. 2880 - Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under Part D of the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D. Discussions regarding utilizing AI to combat fraud. Discussions regarding Dual Eligible Special Needs Plans (D-SNP 101).
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE
Medicare Advantage (MA) & ME Rate Notice; prescriptions and PBMs H.R. 2880 - Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under Part D of the Medicare program. H.R. 5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare Part D.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Provider Directories; Medicaid Redetermination and Renewals; Payment under the Informal Dispute Resolution (IDR) process; Medicare Advantage; Site Neutral Payments and Payment Accuracy; Medicare Advantage Advance Rate Notice; AI technology. S. 2973 - Modernizing and Ensuring PBM Accountability Act To amend Titles XVIII and XIX of the Social Security Act to establish requirements relating to pharmacy benefit managers under the Medicare and Medicaid programs, and for other purposes. Issues relating to mental health parity, access to vaccine, AI technology, and Medicare advantage access in Illinois.
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Provider Directories; Medicaid Redeterminations; Same-day billing restrictions in Medicaid S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act of 2023 To amend title XIX of the Social Security Act to improve transparency and prevent the use of abusive spread pricing and related practices in the Medicaid program. Issues supporting AI activities.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Filing targets: HOUSE OF REPRESENTATIVES, SENATE