Lobbying Relationship

Client

Healthsperien, LLC on behalf of Smarter Health Care Coalition

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Lobbying firm

Spangler Strategies LLC

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  • Legislative and regulatory issues including: improvements to Health Savings Accounts coupled with high deductible health plans, Medicare and Medicare Advantage, low-value care, and payment reform; S. 655, the Chronic Disease Management Act; H.R. 3800 / S. 3224, the Chronic Disease Flexible Coverage Act; Requested expansion of IRS Notice 2019-45; Requested expansion of IRS Notice 2013-57.

Duration: to

General Issues: Health Issues, Medicare/Medicaid, Taxation/Internal Revenue Code

Spending: about $580,000 (But it's complicated. Here's why.)

Agencies lobbied since 2018: U.S. Senate, House of Representatives, Treasury - Dept of, Internal Revenue Service (IRS), Health & Human Services - Dept of (HHS), Executive Office of the President (EOP), Centers For Medicare and Medicaid Services (CMS), Natl Economic Council (NEC), Council of Economic Advisers (CEA)

Bills mentioned

H.R.1892: Bipartisan Budget Act of 2018

Sponsor: John B. Larson (D-Conn.)

H.R.1625: Consolidated Appropriations Act, 2018

Sponsor: Edward Royce (R-Calif.)

S.403: Health Savings Act of 2017

Sponsor: Orrin G. Hatch (R-Utah)

H.R.1175: Health Savings Act of 2017

Sponsor: Erik Paulsen (R-Minn.)

S.2410: Chronic Disease Management Act of 2018

Sponsor: John Thune (R-S.D.)

H.R.4978: Chronic Disease Management Act of 2018

Sponsor: Diane Black (R-Tenn.)

H.R.5138: Bipartisan HSA Improvement Act of 2018

Sponsor: Mike Kelly (R-Pa.)

H.R.6305: Bipartisan HSA Improvement Act of 2018

Sponsor: Mike Kelly (R-Pa.)

H.R.6301: Promoting High-Value Health Care Through Flexibility for High Deductible...

Sponsor: Peter Roskam (R-Ill.)

H.R.6199: Restoring Access to Medication and Modernizing Health Savings Accounts...

Sponsor: Lynn Jenkins (R-Kan.)

S.1948: Chronic Disease Management Act of 2019

Sponsor: John Thune (R-S.D.)

H.R.3709: Chronic Disease Management Act of 2019

Sponsor: Earl Blumenauer (D-Ore.)

S.2543: Prescription Drug Pricing Reduction Act of 2019

Sponsor: Charles E. Grassley (R-Iowa)

H.R.4457: Chronic Condition Copay Elimination Act

Sponsor: Lauren Underwood (D-Ill.)

H.R.4716: I CAN Act

Sponsor: TJ Cox (D-Calif.)

H.R.1865: Further Consolidated Appropriations Act, 2020

Sponsor: Bill Pascrell Jr. (D-N.J.)

S.3200: Chronic Disease Management Act of 2020

Sponsor: John Thune (R-S.D.)

H.R.3539: Behavioral Intervention Guidelines Act of 2020

Sponsor: A. Drew Ferguson (R-Ga.)

H.R.6201: Families First Coronavirus Response Act

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.748: CARES Act

Sponsor: Joe Courtney (D-Conn.)

H.R.6800: The Heroes Act

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.925: The Heroes Act

Sponsor: Mike Thompson (D-Calif.)

H.R.133: Consolidated Appropriations Act, 2021

Sponsor: Henry Cuellar (D-Texas)

H.R.1319: American Rescue Plan Act of 2021

Sponsor: John Yarmuth (D-Ky.)

S.1424: Chronic Disease Management Act of 2021

Sponsor: John Thune (R-S.D.)

H.R.3563: Chronic Disease Management Act of 2021

Sponsor: Earl Blumenauer (D-Ore.)

H.R.5541: Primary and Virtual Care Affordability Act

Sponsor: Brad Schneider (D-Ill.)

H.R.5376: Inflation Reduction Act of 2022

Sponsor: John Yarmuth (D-Ky.)

H.R.2471: Consolidated Appropriations Act, 2022

Sponsor: Hakeem Jeffries (D-N.Y.)

S.596: Treat and Reduce Obesity Act of 2021

Sponsor: Thomas R. Carper (D-Del.)

H.R.1577: Treat and Reduce Obesity Act of 2021

Sponsor: Ron Kind (D-Wis.)

H.R.2617: Consolidated Appropriations Act, 2023

Sponsor: Gerald E. Connolly (D-Va.)

S.655: Chronic Disease Management Act of 2023

Sponsor: John Thune (R-S.D.)

H.R.3800: Chronic Disease Flexible Coverage Act

Sponsor: Brad Wenstrup (R-Ohio)

S.3224: Chronic Disease Flexible Coverage Act

Sponsor: John Thune (R-S.D.)

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Lobbyists

Lobbyists named here were listed on a filing related to this lobbying engagement. They may not be working on it now. Occasionally, a single lobbyist whose name is spelled two different ways on filings may be represented twice here.

Lobbyist Covered positions?
Kathryn Spangler Dep. Health Policy Director, Senate HELP Committee

Disclosures Filed

Once a lobbying engagement begins, the lobbyist or firm is required to file updates four times a year. Those updates sometimes change which lobbyists are involved or add new issues being discussed. When lobbyists stop working for a client, the firm is also supposed to file a report disclosing the end of the relationship.

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Registration

Source: Clerk of the U.S. House of Representatives and Secretary of the Senate

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