1st Quarter - Report

INVARIANT LLC for CIGNA CORPORATION

Firm
Client
Income
$90,000
Expenses
—

What was lobbied

4 issue areas, each in the filer's own words, with who lobbied on it and where.

Defense DEF

Educate policymakers on pharmacy issues related to TRICARE and H.R. 2670, S.2226 Fiscal Year 2024 National Defense Authorization Act.

LobbyistCovered position, as disclosed
DREW GRIFFIN —
JESSICA HATCHER —
BENJAMIN KLEIN New Legislative Director, Senator Byron Dorgan (2007-2010); Legislative Assistant, Senator Byron Dorgan (2005-2007)
LINDLEY SHERER —
KATHRYN WISE —

Contacted: SENATE; HOUSE OF REPRESENTATIVES

Bills named: H.R. 2670 (118th), S. 2226 (118th)

Health Issues HCR

Educate policymakers on health care issues related to P.L. 118-42, the Consolidated Appropriations Act 2024, and P.L. 118-47, the Further Consolidated Appropriations Act; Issues related to P.L. , the Inflation reduction Act of 2022, including enhanced advance premium tax creidts (APTCs) and Medicare Part D redisign; S. 727, Inslulin for All Act of 2023; S.1269, Improving Needed Safeguards for Uses of Lifesaving Insulin Now (INSULIN) Act of 2023; S. 146 Cap Insulin Prices Act; S. 954 Affordable Insulin Now Act of 2023; H.R. 1488, Affordable Insulin Now Act; H.R. 1587, Making Insulin Affordable for All Children Act; HR 1485, Insulin for All Act of 2023; H.R. 3290, To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program; H.R. 1843 / S.1001, Telehealth Expansion Act; H.R. 824, Telehealth Benefit Expnsion for Workers Act of 2023; Issues related to artificial intelligence and health care issues; Issues related to the proposed rule on Advancing Interoperability and Improving Prior Authorization Processes for Mediare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-facilitated Exchanges, Merit-based Incentive Payment System (MIPS) Eligibile Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program

LobbyistCovered position, as disclosed
DREW GRIFFIN —
JESSICA HATCHER —
BENJAMIN KLEIN New Legislative Director, Senator Byron Dorgan (2007-2010); Legislative Assistant, Senator Byron Dorgan (2005-2007)
LINDLEY SHERER —
KATHRYN WISE —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: S. 146 (118th), S. 727 (118th), H.R. 824 (118th), H.R. 1488 (118th), S. 1001 (118th), S. 1269 (118th), H.R. 1843 (118th), H.R. 1587 (118th), H.R. 3290 (118th), H.R. 1485 (118th), S. 954 (118th)

Medicare/Medicaid MMM

Educate policymakers on S. 1967, the Patients Before Middlemen (PBM) Act, establishing new requirements relating to the responsibility of pharmacy benefit managers under Medicare part D; H.R. 2880, the Protecting Patients Against PBM Abuses Act; H.R. 5376, the Share the Savings with Seniors Act; H.R. 5385, the Medicare PBM Accountability Act; H.R. 5393, the Transparency and Fairness for Pharmacies Act; H.R. 5372, the Expanding Seniors' Access to Lower Cost Medicines Act of 2023; S. 3430, the Better Mental Health Care, Lower-Cost Drugs, and Extenders Act (the Better Act); Issues related to Pharmacy Direct and Indirect Remuneration (DIR), including the Contract Year (CY) 2023 Policy and Technical Changes to the Medicare Advantage (MA) and Medicare Prescription Drug Benefit (Part D) Programs proposed rule.

LobbyistCovered position, as disclosed
DREW GRIFFIN —
JESSICA HATCHER —
BENJAMIN KLEIN New Legislative Director, Senator Byron Dorgan (2007-2010); Legislative Assistant, Senator Byron Dorgan (2005-2007)
LINDLEY SHERER —
KATHRYN WISE —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: S. 3430 (118th), H.R. 5385 (118th), S. 1967 (118th), H.R. 2880 (118th), H.R. 5372 (118th), H.R. 5376 (118th), H.R. 5393 (118th)

Pharmacy PHA

Educate policymakers on issues related to S. 113, the Prescription Pricing for the People Act; S. 127, the Pharmacy Benefit Manager Transparency Act; S. 1339, Pharmacy Benefit Manager Reform Act; S.1542/H.R. 6283, the Delinking Revenue from Unfair Gouging (DRUG) Act; H.R. 1613, the Drug Price Transparency in Medicaid Act of 2023; H.R. 2666, the Medicaid VBPs for Patients (MVP) Act; H.R. 3561, the Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023 (previously H.R. 2691Transparent PRICE Act); H.R. 3281, To promote hospital and insurer price transparency; H.R.2880, ProtectingPatients Against PBM Abuses Act; H.R. 2679, The PBM Accountability Act; H.R.3285, the Fairness for Patient Medications Act, to establish patient protections with respect to highly rebated drugs; H.R. 3262, To amend title XI of the Social Security Act to increase transparency of certain health-related ownership information; H.R. 3290, To amend title Ill of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program; H.R. 2666, the Medicaid VBPs for Patients (MVP) Act; H.R. 3284, the Providers and Payers COMPETE Act; S. 1967 the Patients Before Middlemen (PBM) Act; Protect Patients' Access to Pharmacies Act; S. 2406, PBM Oversight Act of 2023; S. 2973, Modernizing and Ensuring PBM Accountability Act; S. 2436, the Neighborhood Options for Patients Buying Medicines (NO PBMs) Act; S. 2405, the Strengthening Pharmacy Access for Seniors Act; S.2254, the Medicare PBM Accountability Act; S. 2052, the Protect Patient Access to Pharmacies Act; H.R. 4822, the Health Care Price Transparency Act of2023; H.R. 3284, the Providers and Payers COMPETE Act; H.R. 4508, the Hidden Fee Disclosure Act H.R. 4507, the Transparency in Coverage Act of 2023; H.R. 4895, the Lowering Drug Costs for American Families Act; H.R. 5378 Lower Costs, More Transparency Act; H.R. 4527, Health Data Access, Transparency, and Affordability Act (DATA) Act; H.R. 4508, Hidden Fee Disclo sure Act; H.R.3285, Fairness for Patient Medications Act; S.2973 Modemizing and Ensuring PBM Accountability Act; S. 3548, Health Care Prices Revealed and Information to Consumers Explained Transparency Act (Health Care PRICE Transparency Act 2.0). Educate policymakers on H.R.3285 - Faimess for Patient Medications Act; H.R. 3008, the Drug Shortage Prevention Act of 2023; H.R. 3810, the Drug Origin Transparency Act of 2023; H.R. 3793, the Ensuring Access to Lifesaving Drugs Act of 2023; H.R. 167, the Patient Access to Urgent-Use Pharmacy Compounding Act of 2023; H.R. 6986/S.3583, to address patent thickets.

LobbyistCovered position, as disclosed
DREW GRIFFIN —
JESSICA HATCHER —
BENJAMIN KLEIN New Legislative Director, Senator Byron Dorgan (2007-2010); Legislative Assistant, Senator Byron Dorgan (2005-2007)
LINDLEY SHERER —
KATHRYN WISE —

Contacted: HOUSE OF REPRESENTATIVES; SENATE

Bills named: S. 2405 (118th), H.R. 2691 (118th), S. 3548 (118th), H.R. 4508 (118th), S. 2973 (118th), S. 1542 (118th), S. 2436 (118th), S. 113 (118th), H.R. 2679 (118th), H.R. 3262 (118th), S. 1967 (118th), H.R. 3793 (118th), H.R. 1613 (118th), H.R. 4527 (118th), H.R. 3281 (118th), H.R. 3284 (118th), S. 3583 (118th), H.R. 3008 (118th), S. 2406 (118th), S. 2052 (118th), H.R. 6283 (118th), H.R. 4507 (118th), H.R. 6986 (118th), H.R. 3810 (118th), H.R. 5378 (118th), H.R. 4895 (118th), S. 1339 (118th), H.R. 3290 (118th), H.R. 3285 (118th), H.R. 167 (118th), S. 2254 (118th), H.R. 3561 (118th), H.R. 4822 (118th), H.R. 2666 (118th), H.R. 2880 (118th), S. 127 (118th)

Shown as published by the Senate Office of Public Records and the House Clerk under the Lobbying Disclosure Act. The official filing is the record; open it for the full form.