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Bill #SponsorTopicWhat It DoesActionBiBHC PositionLink
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Bill #SponsorShort TitleWhat It DoesStatusBipartisanBHC PositionLinkUpdated
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Proposed RegulationCenters for Medicare and Medicaid Services (CMS) Regulation42 CFR Parts 433, 438, 447 and 456requires value-based drug purchasingPublished in Federal Register June 19, 2020n/amonitorhttps://www.federalregister.gov/documents/2020/06/19/2020-12970/medicaid-program-establishing-minimum-standards-in-medicaid-state-drug-utilization-review-dur-andJune 26, 2020
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Proposed IRS RegulationDepartment of Treasury, Internal Revenue ServiceInternal Revenue Service 26 CFR Part 1 [REG-109755-19] RIN 1545-BP31 Certain Medical Care Arrangements. 85 FR 35398Holds that (1) direct primary care arrangements (DPCAs) and health sharing ministries (HSMs) are reimbursable by health reimbursement accounts (HRAs) under Section 213 and deductible; and (2) render DPCA and HSM participants ineligible to make contributions to health savings accounts (HSAs) unless the PCAs or HSMs are solely for preventive or disregarded coverage." A DPCA is defined in the proposed regulations as "a contract between an individual and one or more primary care physicians under which the physician or physicians agree to provide medical care (as defined in section 213(d)(1)(A)) for a fixed annual or periodic fee without billing a third party." "Disregarded coverage" which includes only limited insurance such as that covers accidents, disability, dental care, vision care, long-term care, or certain health flexible spending arrangement care.Proposed Rule. Comment due by August 10, 2020. Published in the
Federal Register on 06/10/2020 and available online at:
federalregister.gov/d/2020-12213. The Treasury Department and the IRS request comments on: whether to expand the definition of a DPCA to include a contract between an individual and a nurse practitioner, clinical nurse specialist, or physician assistant how to define primary care services provided by a non-physician practitioner, and whether the final regulations should clarify the treatment of other types of arrangements that are similar to direct primary care arrangements but do not meet the definition in the proposed regulations. 		n/amonitorhttps://www.govinfo.gov/content/pkg/FR-2020-06-10/pdf/2020-12213.pdfJuly 14, 2020
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S. 3677Baldwin (D-WI) (no short title) A bill to require the Occupational Safety and Health Administration to promulgate an emergency temporary standard to protect employees from occupational exposure to SARS-CoV-2, and for other purposes.May 11, 2020 Introduced. Read twice and referred to the Committee on Health, Education, Labor, and Pensions.Not really: 31 Democrats, 2 Independentmonitorhttps://www.congress.gov/bill/116th-congress/senate-bill/3677/textJuly 23, 2020
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S. 3548McConnell (R-KY)Coronavirus Aid, Relief, and Economic Security (CARES) ActPaycheck Protection Program: providing payroll, rent, mortgage, utilities assistance to small employers (<500 employees) and "small business concerns. Small Business Administration Economic Injury Disaster Relief (EIDL) loans and </= $10k advances for small businesses; expansion of COVID-19/coronavirus testing without cost-sharing. Deferral of certain payroll taxes.Introduced 3/19/2020. Yes.monitorhttps://www.congress.gov/bill/116th-congress/house-bill/748/textn/a
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S. 3216Blunt (R-MO)--sole sponsorCancer Diagnosis ParityAccess to Breast Cancer Diagnosis Act of 2020Introduced 1/16/2019; 01/16/2020 Read twice and referred to the Committee on Health, Education, Labor, and Pensions.Noopposehttps://www.congress.gov/bill/116th-congress/senate-bill/3216?q=%7B%22search%22%3A%5B%22S.+3216%22%5D%7D&s=2&r=1July 23, 2020
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S. 2999Cassidy (R-Louisiana), bipartisan cosponsorshipPrimary CareAllows HSA funds to be used to pay for employer-sponsored direct primary care cost-sharing.12/09/2019 Read twice and referred to the Committee on Finance.Yes. 5 Democrats, 11 Republicans.supporthttps://www.congress.gov/bill/116th-congress/house-bill/3708/text?q=%7B%22search%22%3A%5B%22H.R.+3708%22%5D%7D&r=1&s=1July 23, 2020
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S. 1895Sen. L. Alexander (R-TN)/Sen. P. Murray (D-WA) with Sen. Erst (R-IA)Lower Health Care Costs ActStop predatory surprise billing practices; make generics and biosimilars more available; establish a federal all-payer claims database and make APCD grants to states. 06/19/2019 introduced; 07/08/2019 Placed on Senate Legislative Calendar under General Orders. Calendar No. 133. Not included in spending package of 12/23/19.Yessupporthttps://www.congress.gov/bill/116th-congress/senate-bill/1895/actions?q={%22search%22:[%22Lower+Health+Care+Costs+Act%22]}&r=1&s=3&KWICView=falseJuly 23, 2020
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HR. 266McCollum (D-MN)Parameters for 2021; Notice Requirement for Non-Federal Governmental PlansAfter funding for the PPP and EIDL programs ran out shortly after the 3/27/2020 enactment of the CARES Act, Congress passed this legislation to appropriate $484 billion and replenish funding for those programs, with $310 billion going to PPP (designating $60 billin for small, medium and community lenders will assets under $50 billion); $60 billion for EIDL; $75 billion for hospitals; and $25 billion to provide for more COVID-19 testing. $14 billion goes for administrative costs at SBA and other agencies.Introduced House 1/08/2019. Amended, passed by Huose 1/11/2019. Amended, passed by Senate 04/21/2020. Reconciled in House 4/23/2020. Enacted: Signed by President 04/24/2020.Yes.monitorhttps://www.congress.gov/bill/116th-congress/house-bill/266/text?q=%7B%22search%22%3A%5B%22H.R.+266%22%5D%7D&r=1&s=1n/a
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H.R. 965Sen. Patrick Leahy, with bipartisan co-sponsorshipCREATES Act (Creating and Restoring Equal Access to Equivalent Samples Act of 2019)Manufacturers of brand-name pharmaceuticals to allow generic drug manufacturers access to brand-name samples.Victory! CREATES Act passed 12/23/19 as part of spending package.Yessupportedhttps://docs.house.gov/billsthisweek/20191216/BILLS-116HR1865SA-RCP116-44.PDFn/a
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H.R. 748Rep. Joe Courtney (D-CT); Rep. Mike Kelly (R-PA) and Senators Martin Heinrich (D-NM) and Mike Rounds (R-SD)Cadillac TaxHouse budget package repeals Cadillac TaxVictory! Cadillac Tax repealed 12/23/19 as part of spending package.Yessupportedhttps://docs.house.gov/billsthisweek/20191216/BILLS-116HR1865SA-RCP116-44.PDFn/a
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H.R. 6800Lowey (D-NY) Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act$3 trillion in funding (in 1,815-page bill) to provide $200 billion in "hazard pay" for essential workers; provide $1,200 in direct payments to individuals, w/$6k limit per household; aid unemployed with $600 weekly supplement through January 2021; increase SNAP (food stamps) funding by 15%; provide $1 trillion funding to help states, tribes, and municipalities avoid layoffs; add $10 billion for Paycheck Protection Program; provide $175 billion in housing assistance; fund coronavirus testing further with $75 billion; shore up the US Postal Service with $25 billion; and fund elections wtih $3.6 billion.May 12, 2020 introduced & referred to House Committees on Appropriations; Budgets; and Ways and Means. May 15: passed House 208:199 w/207 Demcrats, 1 Republican, 23 abstaining. Senate - 06/01/2020 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 455No. 11 Democrats cosponsor.monitorhttps://www.congress.gov/bill/116th-congress/house-bill/6800?s=1&r=48July 23, 2020
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H.R. 6644Schrier (D-WA)Health Care at Home ActRequires payment parity between telehealth and non-telehealth services and audio-only visits. Prohibits plans from restricting the conditions that can be managed remotely--regardless of clinical considerations.4/28/2020: Introduced and referred to the Committees on Energy and Commerce, Ways and Means, and Education and Labor.Yes. 4 Republicans and 18 Democratsoppose - Correspondence to Missouri and Illinois Delegationshttps://www.congress.gov/bill/116th-congress/house-bill/6644/text?q=%7B%22search%22%3A%5B%226644%22%5D%7D&r=1&s=1July 23, 2020
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H.R. 6201Lowey (D-NY) Families First Coronavirus Response ActFree coronavirus testing for all, paid sick leave, expansion of food assistance and unemployment benefits, and requirement that employers provide additional protections for health care workers.Introduced 3/11/2020. Passed House 3/17/2020. Passed Senate March 18, 2020. Signed into law March 18, 2020.Yes.monitorhttps://docs.house.gov/billsthisweek/20200309/BILLS-116hr6201-SUS.pdfn/a
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H.R. 5826Rep .Richard Neal (D-Massachusetts); 21 Republicans & 16 Democrats co-sponsoringSurprise Billing: the Consumer Protections against Surprise Medical Bills ActAddresses surprise billing for out-of-network providers or out-of-network facilities. Provides for independent dispute resolution between insurers and providers if surprise bill rate not resolved within 30 days. Holds enrollees harmless with in-network rate for out-of-network bills.Passed out of House Ways & Means Committee 2/12/2020Yesoppose: arbitration will entail delays and effort that will drive up health costshttps://www.congress.gov/bill/116th-congress/house-bill/5826/text?q=%7B%22search%22%3A%5B%22the+Consumer+Protections+against+Surprise+Medical+Bills+Act%22%5D%7D&r=1&s=1July 23, 2020
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H.R. 5800Rep. Robert C. "Bobby" Scott (D-Virginia), with Rep. Virginia Foxx (R-North Carolina)Surprise Billing: Ban Surprise Billing ActAddresses surprise billing for out-of-network providers or out-of-network facilities. Provides for independent dispute resolution between insurers and providers if surprise bill rate exceeds $750 for most services and $25,000 for air ambulance services.Passed out of Education & Labor Committee 2/12/2020Yesoppose: arbitration will entail delays and effort that will drive up health costshttps://www.congress.gov/bill/116th-congress/house-bill/5826/text?q=%7B%22search%22%3A%5B%22the+Consumer+Protections+against+Surprise+Medical+Bills+Act%22%5D%7D&r=1&s=1July 23, 2020
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H.R. 5741Sewell (D-AL)Strengthening Innovation in Medicare and Medicaid ActSubjects new alternative payment models (APMs) that the Center for Medicare and Medicaid Innovation to extensive congressional, administrative, and judicial review that will slow down the approval of these models. Emphasizes greater transparency and APMs' impact on health disparities.Introduced 02/03/2020. Referred to the Committee on Energy and Commerce and the Committees on Ways and Means, and Rules.Yes. BHC notes that sponsor and cosponsors combined have received over a half million in campaign contributions from health care industry.oppose most provisions; joined Primary Care Collaborative in opposing: click here to view letter.https://www.congress.gov/bill/116th-congress/house-bill/5741/committees?q=%7B%22search%22%3A%5B%22h.r.+5741%22%5D%7D&r=1&s=1n/a
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H.R. 3708Bluemnauer (D-Oregon), with bipartisan cosponsorshipPrimary CareAllows HSA funds to be used to pay for employer-sponsored direct primary care cost-sharing.Heard in House Ways & Mean 10/23/2019Yes. 11 Republicans, 5 Democratssupporthttps://www.congress.gov/bill/116th-congress/house-bill/3708?q=%7B%22search%22%3A%5B%22H.R.+3708%22%5D%7D&s=1&r=1July 23, 2020
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H.R. 3Pallone (D-NJ)Prescription Drug Prices(1) HHS negotiates rates on a maximum of 250 single-source drugs; and (2) international reference pricingPassed House. No action since received in Senate 12/16/2019.No. 106 Democratssupporthttps://www.congress.gov/bill/116th-congress/house-bill/3/text?q=%7B%22search%22%3A%5B%22H.R.+3%22%5D%7D&r=1&s=3July 23, 2020
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H. 6670Eshoo (D-CA)Prescription for American Drug Independence Act of 2020Requires HHS to appoint a National Academies committee of drug supply experts to review drug and drug ingredient supply chain and make recommendations for securing supply of critical drugs.Introduced May 1, 2020. Referred to Referred to the House Committee on Energy and Commerce May 1, 2020.Yes. 4 Republicans, 3 Democratsmonitorhttps://www.congress.gov/bill/116th-congress/house-bill/6670July 23, 2020
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Final Rule: Centers for Medicare and Medicaid Services (CMS)Patient Protection and Affordable Care Act; HHS Notice of Benefit and PaymentApplicable to insurance plans on health insurance exchanges or "marketplaces." Among other things, the Final Rule will allow employers to decide whether to allow drug manufacturer coupons to apply towards deductibles for pharmacy benefits. When insurers or PBMs receive drug manfacturer rebates, these must be deducted from medical loss ratios.Final Rule: May 7, 2020 still unpublishedn/amonitorhttps://s3.amazonaws.com/public-inspection.federalregister.gov/2020-02021.pdf (unpublished rule)
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