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Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
To prevent across-the-board direct spending cuts, and for other purposes.
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; benchmark reform, and program integrity audits. Advocated for legislation suspending the Medicare sequester through December 31, 2021 including H.R. 1868, "To prevent across-the-board direct spending cuts, and for other purposes." and H.R.315, the "Medicare Sequester COVID Moratorium Act." Advocated for increased Medicaid funding during the Public Health Emergency. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores. Telehealth - Allow more clinicians to provide virtual care, ensure all telehealth encounters, including audio-only, are eligible for risk adjustment. Audio-only advocacy included on H.R. 2166, To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes. and S.150, the Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2021 · second_quarter · Q2
Advocated for addressing the cost of out of network COVID-19 testing, further guidance and public funding for COVID-19 testing, and vaccine availability. Advocated for permanent subsidies for the ACA insurance exchanges. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; benchmark reform, and program integrity audits. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores. Telehealth - Allow more clinicians to provide virtual care, ensure all telehealth encounters, including audio-only, are eligible for risk adjustment. Audio-only advocacy included on H.R. 2166, S.150, the Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Source: Senate LDA
Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; benchmark reform, and program integrity audits. Advocated for legislation suspending the Medicare sequester through December 31, 2021 including H.R. 1868, "To prevent across-the-board direct spending cuts, and for other purposes." and H.R.315, the "Medicare Sequester COVID Moratorium Act." Advocated for increased Medicaid funding during the Public Health Emergency. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores. Telehealth - Allow more clinicians to provide virtual care, ensure all telehealth encounters, including audio-only, are eligible for risk adjustment. Audio-only advocacy included on H.R. 2166, To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes. and S.150, the Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; benchmark reform, and program integrity audits. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores. Telehealth - Allow more clinicians to provide virtual care, ensure all telehealth encounters, including audio-only, are eligible for risk adjustment. Audio-only advocacy included on H.R. 2166, S.150, the Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Medicare Sequester COVID Moratorium Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; benchmark reform, and program integrity audits. Advocated for legislation suspending the Medicare sequester through December 31, 2021 including H.R. 1868, "To prevent across-the-board direct spending cuts, and for other purposes." and H.R.315, the "Medicare Sequester COVID Moratorium Act." Advocated for increased Medicaid funding during the Public Health Emergency. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores. Telehealth - Allow more clinicians to provide virtual care, ensure all telehealth encounters, including audio-only, are eligible for risk adjustment. Audio-only advocacy included on H.R. 2166, To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes. and S.150, the Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; benchmark reform, and program integrity audits. Advocated for legislation suspending the Medicare sequester through December 31, 2021 including H.R. 1868, "To prevent across-the-board direct spending cuts, and for other purposes." and H.R.315, the "Medicare Sequester COVID Moratorium Act." Advocated for increased Medicaid funding during the Public Health Emergency. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores. Telehealth - Allow more clinicians to provide virtual care, ensure all telehealth encounters, including audio-only, are eligible for risk adjustment. Audio-only advocacy included on H.R. 2166, To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes. and S.150, the Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; benchmark reform, and program integrity audits. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores. Telehealth - Allow more clinicians to provide virtual care, ensure all telehealth encounters, including audio-only, are eligible for risk adjustment. Audio-only advocacy included on H.R. 2166, S.150, the Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Protecting Consumer Access to Generic Drugs Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
Overdose Prevention and Patient Safety Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012) Legislation related to the COVID-19 Public Health Emergency - the Paycheck Protection Program and Health Care Enhancement Act (H.R. 266, "Phase 3.5") and the Health and Economic Recovery Omnibus Emergency Solutions Act (H.R.6800, the "HEROES" Act). Issues included premium support for small businesses, establishing a federal reinsurance pool, risk corridors for the health insurance exchanges, the Health Coverage Tax Credits program, COBRA subsidies, opening a special enrollment period for federal exchanges. Lobbied Administration regarding further guidance and public funding for COVID-19 testing. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool. Advocated for delaying the interoperability final rule compliance deadlines.
Overdose Prevention and Patient Safety Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
SPIKE Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality bonus payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, and suspending the Medicare sequester.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated to allow audio-only telehealth services for risk adjustment in Medicare Advantage plans, including support for H.R. 7659, the "Ensuring Parity in MA for Audio-Only Telehealth Act of 2020." Advocated for suspending the Medicare sequester for Rural Hospitals, other providers, and health plans. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, suspending Medicare sequester, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated for additional guidance about financial responsibility for COVID-19 testing and additional public funding for COVID-19 testing.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated for additional guidance about financial responsibility for COVID-19 testing and additional public funding for COVID-19 testing. Advocated to allow audio-only telehealth services for risk adjustment in Medicare Advantage plans, including support for H.R. 7659, the "Ensuring Parity in MA for Audio-Only Telehealth Act of 2020." Advocated for rural health issues including suspending the Medicare sequester for Rural Hospitals, other providers, and health plans for 5 years.
Paycheck Protection Program and Health Care Enhancement Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012) Legislation related to the COVID-19 Public Health Emergency - the Paycheck Protection Program and Health Care Enhancement Act (H.R. 266, "Phase 3.5") and the Health and Economic Recovery Omnibus Emergency Solutions Act (H.R.6800, the "HEROES" Act). Issues included premium support for small businesses, establishing a federal reinsurance pool, risk corridors for the health insurance exchanges, the Health Coverage Tax Credits program, COBRA subsidies, opening a special enrollment period for federal exchanges. Lobbied Administration regarding further guidance and public funding for COVID-19 testing. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool. Advocated for delaying the interoperability final rule compliance deadlines.
Elijah E. Cummings Lower Drug Costs Now Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
The Heroes Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012) Legislation related to the COVID-19 Public Health Emergency - the Paycheck Protection Program and Health Care Enhancement Act (H.R. 266, "Phase 3.5") and the Health and Economic Recovery Omnibus Emergency Solutions Act (H.R.6800, the "HEROES" Act). Issues included premium support for small businesses, establishing a federal reinsurance pool, risk corridors for the health insurance exchanges, the Health Coverage Tax Credits program, COBRA subsidies, opening a special enrollment period for federal exchanges. Lobbied Administration regarding further guidance and public funding for COVID-19 testing. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool. Advocated for delaying the interoperability final rule compliance deadlines.
Ensuring Parity in MA for Audio-Only Telehealth Act of 2020
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated for additional guidance about financial responsibility for COVID-19 testing and additional public funding for COVID-19 testing. Advocated to allow audio-only telehealth services for risk adjustment in Medicare Advantage plans, including support for H.R. 7659, the "Ensuring Parity in MA for Audio-Only Telehealth Act of 2020." Advocated for rural health issues including suspending the Medicare sequester for Rural Hospitals, other providers, and health plans for 5 years.
Ensuring Parity in MA for Audio-Only Telehealth Act of 2020
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated to allow audio-only telehealth services for risk adjustment in Medicare Advantage plans, including support for H.R. 7659, the "Ensuring Parity in MA for Audio-Only Telehealth Act of 2020." Advocated for suspending the Medicare sequester for Rural Hospitals, other providers, and health plans. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores.
Protecting Jessica Grubb’s Legacy Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
Protecting Jessica Grubb’s Legacy Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012) Legislation related to the COVID-19 Public Health Emergency - the Paycheck Protection Program and Health Care Enhancement Act (H.R. 266, "Phase 3.5") and the Health and Economic Recovery Omnibus Emergency Solutions Act (H.R.6800, the "HEROES" Act). Issues included premium support for small businesses, establishing a federal reinsurance pool, risk corridors for the health insurance exchanges, the Health Coverage Tax Credits program, COBRA subsidies, opening a special enrollment period for federal exchanges. Lobbied Administration regarding further guidance and public funding for COVID-19 testing. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool. Advocated for delaying the interoperability final rule compliance deadlines.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality bonus payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, and suspending the Medicare sequester.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, suspending Medicare sequester, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated for additional guidance about financial responsibility for COVID-19 testing and additional public funding for COVID-19 testing.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated for additional guidance about financial responsibility for COVID-19 testing and additional public funding for COVID-19 testing. Advocated to allow audio-only telehealth services for risk adjustment in Medicare Advantage plans, including support for H.R. 7659, the "Ensuring Parity in MA for Audio-Only Telehealth Act of 2020." Advocated for rural health issues including suspending the Medicare sequester for Rural Hospitals, other providers, and health plans for 5 years.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated to allow audio-only telehealth services for risk adjustment in Medicare Advantage plans, including support for H.R. 7659, the "Ensuring Parity in MA for Audio-Only Telehealth Act of 2020." Advocated for suspending the Medicare sequester for Rural Hospitals, other providers, and health plans. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores.
Fair Accountability and Innovative Research Drug Pricing Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
Second Look at Drug Patents Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
Lower Health Care Costs Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
CARES Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality bonus payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, and suspending the Medicare sequester.
CARES Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
Protecting Consumer Access to Generic Drugs Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS staff regarding health data interoperability.
Protecting Consumer Access to Generic Drugs Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; surprise billing; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS and OMB staff regarding health data innovation, and SAMHSA regarding 42 CFR Part 2 reform.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. H.R.3, the "Lower Drug Costs Now Act," including the Part D restructuring components of the bill.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. H.R.3, the "Lower Drug Costs Now Act," including the Part D restructuring components of the bill.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114.
Elijah E. Cummings Lower Drug Costs Now Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. H.R.3, the "Lower Drug Costs Now Act," including the Part D restructuring components of the bill.
Elijah E. Cummings Lower Drug Costs Now Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; surprise billing; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS and OMB staff regarding health data innovation, and SAMHSA regarding 42 CFR Part 2 reform.
Elijah E. Cummings Lower Drug Costs Now Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. H.R.3, the "Lower Drug Costs Now Act," including the Part D restructuring components of the bill.
Elijah E. Cummings Lower Drug Costs Now Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS staff regarding health data interoperability.
CREATES Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS staff regarding health data interoperability.
CREATES Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; surprise billing; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS and OMB staff regarding health data innovation, and SAMHSA regarding 42 CFR Part 2 reform.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. H.R.3, the "Lower Drug Costs Now Act," including the Part D restructuring components of the bill.
Medicare Advantage Quality Payment Relief Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. H.R.3, the "Lower Drug Costs Now Act," including the Part D restructuring components of the bill.
Fair Accountability and Innovative Research Drug Pricing Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; surprise billing; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS and OMB staff regarding health data innovation, and SAMHSA regarding 42 CFR Part 2 reform.
Fair Accountability and Innovative Research Drug Pricing Act of 2019
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS staff regarding health data interoperability.
Lower Health Care Costs Act
Client: ALLIANCE OF COMMUNITY HEALTH PLANS, INC. · Firm: ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; surprise billing; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS and OMB staff regarding health data innovation, and SAMHSA regarding 42 CFR Part 2 reform.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2021 · first_quarter · Q1
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; benchmark reform, and program integrity audits. Advocated for legislation suspending the Medicare sequester through December 31, 2021 including H.R. 1868, "To prevent across-the-board direct spending cuts, and for other purposes." and H.R.315, the "Medicare Sequester COVID Moratorium Act." Advocated for increased Medicaid funding during the Public Health Emergency. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores. Telehealth - Allow more clinicians to provide virtual care, ensure all telehealth encounters, including audio-only, are eligible for risk adjustment. Audio-only advocacy included on H.R. 2166, To amend title XVIII of the Social Security Act to require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs, and for other purposes. and S.150, the Ensuring Parity in MA for Audio-Only Telehealth Act of 2021
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Issues related to the COVID-19 Public Health Emergency: COBRA subsidies, opening a special enrollment period for federal exchanges, increasing funding for testing, limiting costs of out-of-network testing, and vaccine availability. Lobbied Administration regarding further guidance and public funding for COVID-19 testing. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for rural health issues including rebasing supervision requirements to incentivize Alternative Practice Providers, and eliminating originating site requirements for telehealth. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2020 · fourth_quarter · Q4
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Issues related to the COVID-19 Public Health Emergency: Premium support for small businesses, establishing a federal reinsurance pool, risk corridors for the health insurance exchanges, the Health Coverage Tax Credits program, COBRA subsidies, opening a special enrollment period for federal exchanges. Lobbied Administration regarding further guidance and public funding for COVID-19 testing. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for rural health issues including rebasing supervision requirements to incentivize Alternative Practice Providers, and eliminating originating site requirements for telehealth. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool.
Advocated for amending testing language in Section 3201 of the CARES Act to clarify responsibility for diagnostic testing related to COVID-19. Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated to allow audio-only telehealth services for risk adjustment in Medicare Advantage plans, including support for H.R. 7659, the "Ensuring Parity in MA for Audio-Only Telehealth Act of 2020." Advocated for suspending the Medicare sequester for Rural Hospitals, other providers, and health plans. Advocated for access to CDCs data lake to determine whether a patient has received a COVID-19 vaccination, which vaccine they received, and when they will need to receive a second dose. Advocated for allowing MA organizations to use a 24-month look-back period to supplement 2020 data for the calculation of 2021 risk scores.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2020 · third_quarter · Q3
Issues related to the COVID-19 Public Health Emergency: Premium support for small businesses, establishing a federal reinsurance pool, risk corridors for the health insurance exchanges, the Health Coverage Tax Credits program, COBRA subsidies, opening a special enrollment period for federal exchanges. Lobbied Administration regarding further guidance and public funding for COVID-19 testing. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for rural health issues including rebasing supervision requirements to incentivize Alternative Practice Providers, and eliminating originating site requirements for telehealth. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated for additional guidance about financial responsibility for COVID-19 testing and additional public funding for COVID-19 testing. Advocated to allow audio-only telehealth services for risk adjustment in Medicare Advantage plans, including support for H.R. 7659, the "Ensuring Parity in MA for Audio-Only Telehealth Act of 2020." Advocated for rural health issues including suspending the Medicare sequester for Rural Hospitals, other providers, and health plans for 5 years.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2020 · second_quarter · Q2
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and star ratings; quality bonus payments; prescription drug costs; and program integrity audits. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency - Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, suspending Medicare sequester, establishing a Medicaid Stabilization Fund. Advocated for making telehealth regulatory flexibilities during the COVID-19 Public Health Emergency permanent. Advocated for additional guidance about financial responsibility for COVID-19 testing and additional public funding for COVID-19 testing.
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012) Legislation related to the COVID-19 Public Health Emergency - the Paycheck Protection Program and Health Care Enhancement Act (H.R. 266, "Phase 3.5") and the Health and Economic Recovery Omnibus Emergency Solutions Act (H.R.6800, the "HEROES" Act). Issues included premium support for small businesses, establishing a federal reinsurance pool, risk corridors for the health insurance exchanges, the Health Coverage Tax Credits program, COBRA subsidies, opening a special enrollment period for federal exchanges. Lobbied Administration regarding further guidance and public funding for COVID-19 testing. Advocated for making COVID-19 related telehealth regulatory flexibilities permanent. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan comparison tool. Advocated for delaying the interoperability final rule compliance deadlines.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2020 · first_quarter · Q1
HIPAA and 42 CFR Part 2 patient confidentiality reforms (H.R.2062/S.1012); H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391); the SPIKE Act (H.R.2069); Second Look at Drug Patents Act (S.1617); and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included premium support for small businesses, establishing a federal reinsurance pool, and risk corridors for the health insurance exchanges. Advocated for immediately opening a special enrollment period for the health insurance exchanges and for delay of health data interoperability final rule deadlines until at least January 1, 2022. Advocated for more prominent display of quality metrics on the Federal Employee Health Benefits Program plan finder.
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2019 · fourth_quarter · Q4
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; surprise billing; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill, and "The Lower Health Care Costs Act", S. 1895. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS and OMB staff regarding health data innovation, and SAMHSA regarding 42 CFR Part 2 reform.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. H.R.3, the "Lower Drug Costs Now Act," including the Part D restructuring components of the bill.
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2019 · third_quarter · Q3
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability; HIPAA and 42CFR Part 2 patient confidentiality reforms; H.R.3, the "Lower Drug Costs Now Act of 2019," all sections of the bill. Drug pricing legislation including the CREATES act (H.R.965); the Protecting Consumer Access to Generic Drugs Act of 2019 (H.R. 1499); FAIR drug pricing act (S.1391) and legislation/language incentivizing transparent pharmacy benefit managers (PBMs). Met with HHS staff regarding health data interoperability.
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. H.R.3, the "Lower Drug Costs Now Act," including the Part D restructuring components of the bill.
ALLIANCE OF COMMUNITY HEALTH PLANS, INC. via ALLIANCE OF COMMUNITY HEALTH PLANS, INC.
2019 · second_quarter · Q2
Legislation pertaining to the Patient Protection and Affordable Care Act; stability of the individual market; tax credits and cost-sharing reduction subsidies; insurer taxes; affordability
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality incentive payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Medicare Advantage (Part C) and Prescription Drug (Part D) programs including: quality measures and ratings systems; quality bonus payments; and prescription drug costs. Medicare Advantage Quality Payments, including H.R.2131 the "Medicare Advantage Quality Payment Relief Act," corresponding Senate bill is S.1114. Legislation related to the COVID-19 Public Health Emergency: S.3548, the Coronavirus Aid, Relief and Economic Security (CARES) Act. Issues included risk corridors for Medicare Advantage, maintaining payment parity between Medicare Advantage and traditional fee-for-service Medicare, and suspending the Medicare sequester.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE