ASSOCIATION FOR COMMUNITY AFFILIATED PLANS

Health Issues

Affordable Care Act implementation with respect to safety net health plans; Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care; Federally Facilitated Marketplace implementation; Network adequacy; Risk adjustment; Strategies to address substance use disorders; Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace; Basic Health Program; Health insurance providers fee; S.Con.Res.3, related to Health Insurance Exchanges; H.R.1628, American Health Care Act; Cost sharing reductions (CSR); S. 1354, Individual Health Insurance Marketplace Improvement Act; AINS Better Care Reconciliation Act

TargetedSENATE · HOUSE OF REPRESENTATIVES · Congressional Budget Office (CBO) · White House Office · Office of Management & Budget (OMB) · Health & Human Services, Dept of (HHS) · Centers For Disease Control & Prevention (CDC) · Centers For Medicare and Medicaid Services (CMS) · Medicare Payment Advisory Commission (MedPAC)

Medicare/Medicaid

340B drug discount program Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles High cost specialty medications Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Mental Health Parity Network adequacy Protecting Medicaid from reductions made during budget reconciliation Provider Directories Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Home and community based services Impact of enhanced state flexibility in managing Medicaid programs S.Con.Res.3, related to Medicaid H.R.1628, American Health Care Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) AINS, Better Care Reconciliation Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) S.870, the CHRONIC Care Act H.R.3168 re. Medicare Advantage D-SNP reauthorization