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Marshall Reintroduces Bill To Streamline MA Prior Auth With Zero Cost Estimate From CBO

Long-stalled legislation requiring Medicare Advantage plans to overhaul their prior authorization processes got a jumpstart Wednesday (June 12) when bipartisan groups of lawmakers in both chambers reintroduced the bill after the Congressional Budget Office (CBO) reduced its price from $16 billion to zero, drawing fanfare from dozens of provider groups that have lobbied to rein in insurers’ coverage hurdles.

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E&C Passes PBM Reforms & Stark Law Bill; Rare Disease Bill Still A Priority

The House Energy & Commerce Committee on Wednesday (June 12) unanimously voted to advance a bill that would ban pharmacy benefit managers from engaging in spread pricing to help pay for a bill streamlining enrollment of out-of-state providers in Medicaid to support children with complex medical needs.

E&C Slots PBM Spread Pricing Ban In Medicaid To Pay For Streamlining Out-of-State Kids Care

E&C Unanimously Advances Medicaid Bills To Clamp Down On Fraud

Rodgers Confirms Telehealth Extension Markup Likely Before Aug, E&C Passes 2 Smaller Bills

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Senators Maggie Hassan (D-NH) and Marsha Blackburn (R-TN) allege United HealthGroup continues to violate HIPAA and demand the insurer notify patients and the administration by next Friday (June 21) of cases where sensitive personal health data was breached in the February Change Healthcare cyberattack.

Legislation that would ban American companies and federal agencies from contracting with some foreign-owned biotechnology firms failed to make the House Rules Committee’s list of floor amendments to the fiscal 2025 National Defense Authorization Act (NDAA), cutting off a route for passage of a bill that has already had an impact of the biologics industry.

Sen. John Hickenlooper (D-CO) is renewing his call for a privacy law, arguing that setting national standards on the use of data should be a first step toward establishing broader requirements for responsible and safe uses of artificial intelligence, as Senate leaders consider what is possible for final passage this year in the face of a bruising election season.