BLUECROSS BLUESHIELD OF TENNESSEE

PHA · Pharmacy

Pharmacy Benefit Managers; Prescription Drug Cost; Delinking of Pharmacy H.R. 3839 - To amend the Federal Food, Drug, and Cosmetic Act to provide for increased transparency in generic drug applications S. 150- Affordable Prescriptions for Patients Act To amend the Federal Trade Commission Act to prohibit product hopping, and for other purposes.

Literal federal measure citations: H.R. 3839, S. 150

MMM · Medicare/Medicaid

Medicare Advantage (MA) and MA Rate Notice; Medicaid Cuts; Site Neutral Payment reform; Health Equity Index/Excellent Health Outcomes for All reward factor; Value Base Care; Transparency; MA Reform H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces or increases spending for various federal programs, increases the debt limit and addresses other programs throughout the federal government. S. 1105 - No UPCODE Act To amend title XVIII of the Social Security Act to improve risk adjustment under Medicare Advantage 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. H.R. 2433 - Reducing Medically Unnecessary Delays in Care Act of 2025 To ensure that prior authorization medical decisions under Medicare are determined by physicians

Literal federal measure citations: H.R. 1, S. 1105, H.R. 7623, H.R. 2433

HCR · Health Issues

Affordable Care Act (ACA), ACA subsidies and tax credits; Telehealth/telehealth flexibilities, ACA Fraud; Transparency in Coverage; Exchanges; Rural Healthcare; Prior Authorization (PA); Managed Care Organizations; Health Equity; Federal Budget Process; Hosptial Billing/Consolidation; Maternal Health H.R. 1 - One Big Beautiful Bill Act This bill reduces taxes, reduces spending for various federal programs, increases the debt limit and addresses programs throughout the federal government H.R. 1843/S. 1001 Telehealth Expansion Act of 2023 To Amend the Internal Revenue Code of 1986 to permanently extend the exemption for telehealth services from certain high deductible plans S. 1869 Site Act To amend title XVII of the Social Security Act and title XXVII of the Public Health Services 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 H.R. 3417 - FAIR ACT To ensure fair billing practices for items and services furnished by off-campus outpatient departments of a provider H.R. 5378 Lower Costs, More Transparency Act To promote price transparency in the health care sector, and for other purposes H.R. 4189 - CONNECT for Health Act To amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes. S. 891 - Bipartisan Health Care Act A bill to extend expiring health provisions and improve health care delivery. H.R. 247/S.46 - Health Care Affordability Act of 2025 To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan H.R.3237 - To amend title XVIII of the Social Security Act to require each off-campus outpatient department of a provider to include a unique identifier on claims for items and services, and to require providers with a department of a provider to submit to the Centers for Medicare and Medicaid Services an attestation with respect to each such department.

Literal federal measure citations: H.R. 1, H.R. 1843, S. 1001, S. 1869, H.R. 3417, H.R. 5378, H.R. 4189, S. 891, H.R. 247, S.46, H.R.3237