ASSOCIATION FOR COMMUNITY AFFILIATED PLANS

Health Issues

Continuous eligibility and coordination between Medicaid and Marketplace to support continuous care Availability of premium tax credits for enrollees in the Federally Facilitated Marketplace S.1210/S.3374, Protecting Jessica Grubbs Legacy Act H.R.2062, the Overdose Prevention and Patient Safety Act Addressing bureaucratic hurdles to treating substance use disorder in care coordinated systems created by 42 CFR Part 2 Marketplace Stabilization Short-term, limited-duration insurance H.R.3630, No Suprises Act S. 1895 Lower Health Care Costs Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 S. 1556, No Junk Plans Act Lower Health Care Costs Act (S. 1895) Elijah E. Cummings Lower Drug Costs Now Act (H.R. 3) HR 1010, reversing the Administration's rule on short-term, limited-duration insurance Surprise Billing Reinsurance

TargetedSENATE · HOUSE OF REPRESENTATIVES · White House Office · Health & Human Services, Dept of (HHS) · Centers For Medicare and Medicaid Services (CMS) · Substance Abuse & Mental Health Services Administration (SAMHSA) · Medicare Payment Advisory Commission (MedPAC)

Medicare/Medicaid

SNP sustainability and improvements to MMPs RADV audits S.1012/H.R.3374, The Protecting Jessica Grubb's Legacy Act H.R. 2062, Overdose Prevention and Patient Safety Act (OPPS Act) Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility 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 quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage Jessie's Law Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid Provider Payments Network adequacy Risk adjustment Medicaid state financing mechanisms Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act Protecting repeal of Medicaid MOE requirements in H.R.748, the CARES Act Supporting Enhanced FMAP in H.R.6201, Families First Coronavirus Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Prevent Medicaid waivers of actuarial soundness through coronavirus pendemic emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748)