BLUE CROSS AND BLUE SHIELD ASSOCIATION for BLUE CROSS AND BLUE SHIELD ASSOCIATION

Pharmacy PHA

Insulin Out of Pocket Charges; Finance PBNM Framework Proposals; S. 150 - Affordable Prescriptions for Patients Act of 2023 A bill to amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes. Sponsor: Sen. John Cornyn (R-TX) S. 127 - Pharmacy Benefit Manager Transparency Act of 2023 A bill to prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Maria Cantwell (D-WA) S.1067 - Ensuring Timely Access to Generics Act of 2023 To amend the Federal Food, Drug, and Cosmetic Act with respect to citizen petitions. Sponsor: Sen. Shaheen, Jeanne [D-NH] S.1114 - Expanding Access to Low-Cost Generics Act of 2023 To amend the Federal Food, Drug, and Cosmetic Act with respect to the 180-day exclusivity period. Sponsor: Sen. Smith, Tina [D-MN] S.1269 - INSULIN Act of 2023 To reduce the price of insulin and provide for patient protections with respect to the cost of insulin. Sponsor: Sen. Shaheen, Jeanne [D-NH] S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] S. 6 - Biosimilar Red Tape Elimination Act To improve the requirements for making a determination of interchangeability of a biological product and its reference product. Sponsor: Sen. Lee, Mike [R-UT]

Contacted: SENATE; Health & Human Services, Dept of (HHS); HOUSE OF REPRESENTATIVES; Executive Office of the President (EOP); White House Office; Centers For Medicare and Medicaid Services (CMS)

Bills named: S. 150 (118th), S. 127 (118th), S. 1269 (118th), S. 1339 (118th), S. 6 (118th), S. 1067 (118th), S. 1114 (118th)

Health Issues HCR

Affordability; COVID commercialization; Affordable Care Act; Telehealth - extending flexibilities; Youth Mental Health - timing of legislation introduction, school-based solutions; Health Equity; Site Neutrality and Fair Hospital Billing; Appropriations; Labor HHS Funding; Health Savings Accounts; Employee Retirement Income Security Act; Prior Authorization; Transparency in coverage; Surprise Billing; OPM Federal Employee Health Benefits Program; Association Health Plans (AHPs), Maternal Health S. 1001 Telehealth Expansion Act of 2023 To amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible health plan rules. Sponsor: Sen. Daines, Steve [R-MT] H.R. 485 - Protecting Health Care for All Patients Act of 2023 To amend title XI of the Social Security Act to prohibit the use of quality-adjusted life years and similar measures in coverage and payment determinations under Federal health care programs. Sponsor: Rep. Cathy McMorris Rodgers (R-WA-05) S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] S.2016 - CONNECT for Health Act of 2023 To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. Sponsor: Sen. Schatz, Brian [D-HI] H.R. 3561, The Patient Act of 2023 To promote hospital and insurer price transparency, and for other purposes. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] H.R.7702/S.754 - Ensuring Lasting Smiles Act Sponsor: Rep. Dunn, Neal P. [R-FL-2] - To provide health insurance benefits for outpatient and inpatient items and services related to the diagnosis and treatment of a craniofacial, oral, or maxillofacial congenital anomaly or birth defect. Sponsor: Sen. Baldwin, Tammy [D-WI] - To provide health insurance benefits for outpatient and inpatient items and services related to the diagnosis and treatment of a congenital anomaly or birth defect.

Contacted: Health & Human Services, Dept of (HHS); SENATE; Executive Office of the President (EOP); Office of Management & Budget (OMB); Centers For Medicare and Medicaid Services (CMS); HOUSE OF REPRESENTATIVES; Labor, Dept of (DOL); White House Office

Bills named: H.R. 3417 (118th), S. 1869 (118th), S. 2016 (118th), H.R. 3561 (118th), H.R. 7702 (118th), S. 1001 (118th), S. 754 (118th), H.R. 485 (118th)

Medicare/Medicaid MMM

Medicaid same-day billing; Provider Directories; RADV Rule & Rate Notice; Medicare Advantage Advance Rate Notice and Prior Authorization Legislation; Medicaid Redeterminations; Medicare Wage Index Proposal; Draft Duals legislation; Medicaid work requirements; IRA Implementation S.1038/H.R.1613 - Drug Price Transparency in Medicaid Act of 2023 Sponsor: Sen. Welch, Peter [D-VT]; Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] - 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. 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. Sponsor: Sen. Menendez, Robert [D-NJ]

Contacted: Office of Management & Budget (OMB); Centers For Medicare and Medicaid Services (CMS); HOUSE OF REPRESENTATIVES; SENATE; Health & Human Services, Dept of (HHS)

Bills named: S. 4750 (118th), H.R. 1613 (118th), S. 1038 (118th)