SUMMIT HEALTH CARE CONSULTING
Lobbying for AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY · Health care trade association
Support reform of the Medicare Access and CHIP Reauthorization Act, specifically reform of the Medicare Physician Fee Schedule (no specific legislation) Support the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) to codify CMS prior authorization regulations for MA plans and require greater transparency of prior authorization processes Support the Ensuring Medicare and Medicaid Beneficiaries Access to Timely Care Act of 2026 which reforms prior authorization processes and applies to Part D, CHIP, Medicaid. No specific legislation introduced in second quarter.
Oppose the Patients Deserve Price Tags Act (S. 2355), specifically Section 5. Support the Prior Authorization Reform for Autoimmune and Blood Disorders Act (H.R. 9192) which applies to ERISA / self-funded plans. Requires health plans to honor prior authorization for autoimmune and blood disorder treatments for a 12-month period.