• SNP sustainability and improvements to MMPs RADV audits Enact the D-SNP Administrative Alignment Authority to Improve Medicare and Medicaid Integration Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE H.R. 4995 Maternal Health Quality Improvement Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Enact legislation establishing a Social Determinants Loss Ratio pilot project Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Actuarial soundness for Medicaid managed care payments Medicaid managed care regulations Ensure adequate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emergency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pandemic emergency period (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Impact of Medicaid Maintenance of Effort in FFCRA on protecting Medicaid coverage during COVID pandemic Prevent Medicaid waivers of actuarial soundness through coronavirus pandemic emergency Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs Support for Hazard Pay for Certain Home Health Workers and Personal Care Attendants HR 133, Consolidated Appropriations Act, 2021 Protecting Section 6008 of the FFCRA regarding Medicaid Maintenance of Effort requirements Restoration of Medicaid Coverage for Freely Associated States Allow optional coverage without cost-sharing requirements under Medicaid of COVID-19 treatment and vaccines for uninsured individuals (Section 30105 of the HEROES Act) Allow Medicaid coverage for citizens of Freely Associated states (Section 30107 of the HEROES Act) HR 6800, the HEROES Act
• Premium tax credits for enrollees in the Federally Facilitated Marketplace Association Health Plans Short-term, limited-duration insurance Surprise Billing Special Enrollment Period for Marketplace Support for the Extension of HHS-designated Public Health Emergency (PHE) Reinsurance and risk corridors
• Including legislation to require adult core quality reporting in Medicaid HR 133, Consolidated Appropriations Act, 2021 H.R.6201, the Families First Coronavirus Response Act H.R.6379, Take Responsibility for Workers and Families Act H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act

Duration: January 1, 2008 to December 31, 2020

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

Spending: about $2,428,967 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2008: U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), House of Representatives, White House Office, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Substance Abuse & Mental Health Services Administration (SAMHSA), Medicare Payment Advisory Commission (MedPAC), Congressional Budget Office (CBO), Office of Management & Budget (OMB), Centers For Disease Control & Prevention (CDC), Administration on Aging, Internal Revenue Service (IRS), Treasury - Dept of, U.S. Senate,, Agency for Health Care Policy & Research, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB),, Executive Office of the President (EOP)