SARAH JONES

Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act (ACA), ACA subsidies and tax credits; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023) H.R. 3305 - Black Maternal Health Momnibus Act To end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. Sponsor: Rep. Underwood, Lauren [D-IL-14] (Introduced 05/15/2023)

Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 7623 - Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024) H.R.8702 - Improving Seniors Timely Access to Care Act of 2024 To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Sponsor: Rep. Kelly, Mike [R-PA-16] (Introduced 06/12/2024)

Pharmacy Benefit Managers S.1339 - Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 - Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)

Affordability; Telehealth, Telehealth flexibilities, Mental Health; Maternal Health; Fair Hospital Billing; Site Neutrality/Site neutral payment reform; Prior Authorization; Health Equity; Affordable Care Act; Transparency in coverage. S.1869 - SITE Act To amend title XVIII of the Social Security Act and title XXVII of the Public Health Service Act to ensure fair billing practice for items and services furnished by off-campus hospital locations, to amend such title XVIII to provide for payments for graduate nursing education costs, and for other purposes. Sponsor: Sen. Braun, Mike [R-IN] (Introduced 06/07/2023) H.R.3417 - FAIR Act To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider. Sponsor: Rep. Hern, Kevin [R-OK-1] (Introduced 05/17/2023) H.R.5378 - Lower Costs, More Transparency Act A bill requiring health care providers and insurers to disclose certain information about health care costs. It also establishes requirements for certain payment methodologies under Medicare and Medicaid and extends several public health programs. Sponsor: Rep. McMorris Rodgers, Cathy [R-WA-5] (Introduced 09/08/2023) H.R.3838 - Preventing Maternal Deaths Reauthorization Act of 2023 To amend title III of the Public Health Service Act to reauthorize Federal support of States in their work to save and sustain the health of mothers during pregnancy, childbirth, and the postpartum period, to eliminate disparities in maternal health outcomes for pregnancy-related and pregnancy-associated deaths, to identify solutions to improve health care quality and health outcomes for mothers, and for other purposes. Sponsor: Rep. Burgess, Michael C. [R-TX-26] (Introduced 06/06/2023)

Medicaid; Medicaid Redeterminations; Medicare Advantage; Prior Authorization H.R.5385 - Medicare PBM Accountability Act To amend title XVIII of the Social Security Act to establish pharmacy benefit manager reporting requirements with respect to prescription drug plans and MA-PD plans under Medicare part D. Sponsor: Rep. Landsman, Greg [D-OH-1] (Introduced 09/12/2023) H.R. 2880-Protecting Patients Against PBM Abuses Act To amend title XVIII of the Social Security Act to establish certain requirements for pharmacy benefit managers under part D of the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 04/26/2023) H.R. 7623, Telehealth Modernization Act To amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program. Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (Introduced 03/12/2024)

Pharmacy Benefit Managers S.1339-Pharmacy Benefit Manager Reform Act To provide for increased oversight of entities that provide pharmacy benefit management services on behalf of group health plans and health insurance coverage. Sponsor: Sen. Sanders, Bernard [I-VT] (Introduced 04/27/2023) S.127 Pharmacy Benefit Manager Transparency Act of 2023 To prevent unfair and deceptive acts or practices and the dissemination of false information related to pharmacy benefit management services for prescription drugs, and for other purposes. Sponsor: Sen. Cantwell, Maria [D-WA] (Introduced 01/26/2023)

HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY

HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY

HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY