Enhanced Premium Tax Credits - re: H.R. 247 / S. 46 - Health Care Affordability Act of 2025; H.R. 5145 - Bipartisan Premium Tax Credit Extension Act; and H.R. 1834 - Breaking the Gridlock Act; and ongoing legislative negotiations re: EPTC extension Physician-Owned Hospitals including H.R. 2191 - Physician Led and Rural Access to Quality Care Act; H.R. 3022 - Restoring Rights of Physicians to Own Hospitals Act - re: physician self-referral to physician owned hospitals S. 2355 - Patients Deserve Price Tags Act - re: hospital price transparency requirements Health plan compliance with the No Surprises Act independent dispute resolution process Health Care Affordability / Insurer Practices - re: federal policies impacting patient out-of-pocket costs, premium increases, medical loss ratio (MLR) requirements, and insurer transparency, including vertically integrated plan practices
Medicare Advantage - S.1816/H.R. 3514 Improving Seniors Timely Access to Care Act and similar legislative efforts re: prior authorization reform Medicare Advantage - payment delays, denials, downcoding, and network adequacy for post-acute care H.R. 5454 / S. 2879 - Medicare Advantage Prompt Pay Act re: MA payment policy H.R. 1805 - "The Assistance for Rural Community Hospitals (ARCH) Act" - re: Discussions on Medicare rural extenders (LVH/MDH) Medicaid Disproportionate Share Hospital (DSH) Cuts - re: reductions in Medicaid DSH funding Telehealth - re: extension of telehealth flexibilities Rural Health Transformation Fund - re: implementation of the fund Medicaid - re: implementation of state directed payment and provider tax programs and policies Post-Acute Care - discussions re: network adequacy, reimbursement updates for IRF, LTCH H.R. 3890 - Resident Physician Shortage Reduction Act of 2025 - re: GME funding Discussions on proposed expansions of site-neutral payment policies H.R. 7145 - Reinforcing Essential Health Systems for Communities Act - re: eligibility