JOSEPH MUSKER

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928 and S 183 to repeal the ACA annual insurer fee.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 5376, Build Back Better Act; provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, and repeal the prescription drug rebate rule Issues related to Coverage gap solutions to the Medicaid gap populations for states that did not expand Medicaid; Medicare Advantage program; specifically, the impact of adding new dental benefits to the traditional Medicare program

Registrant: CENTENE CORPORATION · Health Issues

H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations, Affordability Fund provision, Home and Community Based Services

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 5376, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Medicare Fee-For-Service expansion to include dental, vision, and hearing, Home and Community-based Services, Part D Prescription Drug reform through benefit redesign, repeal the prescription drug rebate rule and other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to delay in sequestration and Physician-Fee-Schedule

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 5376, Inflation Reduction Act of 2022, provisions relating to, Extension of enhanced APTC subsidies, Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal the prescription drug rebate rule, Part D benefit Redesign, Insulin Cap, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies Issues relating to Medicare Advantage and educating on the value of the program

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 5860, Continuing Appropriations Act, 2024 and Other Extensions Act, including provisions related to health care Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and marketing practices. Issues related to Pharmacy Benefit Management (PBM). Issues related to behavioral health.

Registrant: CENTENE CORPORATION · Health Issues

H.R. 5378, Lower Costs, More Transparency Act H.R. 5860, Continuing Appropriations Act, 2024 and Other Extensions Act, including provisions related to health care Issues related to long-term strategy related to stability and affordability of the Marketplace.

Registrant: CENTENE CORPORATION · Health Issues

HR 1839 Health Insurance Tax Relief Act of 2019 S 172 Health Insurance Tax Relief Act of 2019 S 80 Jobs and Premium Protection Act of 2019 ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization Prescription Drug Costs Out of Network Payment (Surprise billing) S 684 Middle Class Health Benefits Tax Repeal Act of 2019 HR 748 Middle Class Health Benefits Tax Repeal Act of 2019

Registrant: CENTENE CORPORATION · Health Issues

HR 1398 Health Insurance Tax Relief Act of 2019 S 172 Health Insurance Tax Relief Act of 2019 S 80 Jobs and Premium Protection Act of 2019 ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) S 684 Middle Class Health Benefits Tax Repeal Act of 2019 HR 748 Middle Class Health Benefits Tax Repeal Act of 2019 HR 2447 "Jobs and Premium Protection Act of 2019"

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Protection Act" to repeal the ACA annual insurer fee.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Protection Act" to repeal the ACA annual insurer fee. Advocated for introduction of legislation to make SEC 3024 of the Affordable Care Act- Independence at Home Demonstration Project- into a permanent Medicare benefit.

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Also advocated for cash sharing reduction funding stability. HR 1628, The American Health Care Act of 2017- Medicaid Health Insurance Market Stability and Tax provisions (including the ACA Health Insurance Tax). Better Care Reconciliation Act of 2017;(amendment to HR 1628)- Medicaid, Health Insurance Market Stability and tax provisions. Amendment to HR 1628 (Obamacare Repeal and Reconciliation Act)-Medicaid, Health Insurance Market Stability, and Tax provisions. Amendment to HR 1628 (Healthcare Freedom Act)-Medicaid, Health Insurance Market Stability, and Tax provisions. Amendment to HR 1628 (Graham/Cassidy/Heller/Johnson proposal)-Medicaid, Health Insurance Market Stability and Tax provisions. HR 246, Jobs and Premium Protection Act.

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Also advocated for cash sharing reduction funding stability. HR 1628, The American Health Care Act of 2017- Medicaid Health Insurance Market Stability and Tax provisions (including the ACA Health Insurance Tax). Better Care Reconciliation Act of 2017; Discussion Draft (related to HR 1628)- Medicaid, Health Insurance Market Stability and tax provisions. HR 246, Jobs and Premium Protection Act.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Car Act" and Public Law 111-52, "Health Care and Education Reconciliation Act 2010"--monitored implementation of key Medicaid and health insurance market provisions. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act". S 831, "Jobs and Premium Protection Act" S 3130, "Independence at Home Act of 2016" HR 546 and S 298 "Advancing Care for Exceptional Kids Act of 2015 (ACE Kids Act of 2015)

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Also advocated for cash sharing reduction funding stability. HR 246, Jobs and Premium Protection Act. Issues related to the opioid epidemic. HR 4620, The Protecting Families and Small Business Act of 2017. S 3063, Health Insurance Tax Relief Act of 2018. HR 2, Agriculture Improvement Act of 2018 (association health plan provision). HR 6, Support for Patients and Communities Act. ACA Marketplace and Medicaid Reform

Registrant: CENTENE CORPORATION · Health Issues

H.R. 5376, Build Back Better Act; provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations Issues related to Impact of enhanced tax credits on ACA exchange program and enrollees; Use of marketplace for Medicaid gap population

Registrant: CENTENE CORPORATION · Health Issues

ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) HR 3630 "No Surprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial market issues) Marketplace grace period regulatory policy

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act". S 183 "Jobs and Premium Protection Act"

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Protection Act" to repeal the ACA annual insurer fee. Lobbied for the inclusion of the 1 year suspension of the ACA Annual Insurer fee in HR 2029 that passed both the House and Senate (this bill contains both the "Consolidated Appropriations Act, 2016" and the "Protecting Americans from Tax Hikes Act of 2015.").

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and Public Law 111-52, "Health Care and Education Reconciliation Act of 2010"- monitored implementation of key Medicaid and health insurance market provisions. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act". S. 2803 "Taxpayers Before Insurers Act" H.R. 5904 "Taxpayers Before Insurers Act" S. 3297 "Relief from ObamaCare Mandate Act of 2016" S.3296 "Protecction from ObamaCare Monopolies Act" S 183 "Jobs and Premium Protection Act"

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Protection Act" to repeal the ACA annual insurer fee.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. HR 246, Jobs and Premium Protection Act. S3063, Health Insurance Tax Relief Act of 2018. HR 4620, The Protecting Families and Small Businesses Act of 2017 (health insurer fee suspension). Issues related to the opioid epidemic pertinent to Medicaid and Medicare. HR 6, Support for Patients and Communities Act and related Opioid Bills. HR 3325/S 428, Advancing Care for Exceptional Kids Act. HR 5306/S 2227, Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources and Care Act. ACA Marketplace and Medicaid Reform

Registrant: CENTENE CORPORATION · Health Issues

HR 1398 Health Insurance Tax Relief Act of 2019 S 172 Health Insurance Tax Relief Act of 2019 S 80 Jobs and Premium Protection Act of 2019 ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) S 684 Middle Class Health Benefits Tax Repeal Act of 2019 HR 748 Middle Class Health Benefits Tax Repeal Act of 2019 HR 2447 "Jobs and Premium Protection Act of 2019" HR 3630 "No Suprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions)

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 2617, Consolidated Appropriations Act, 2023, provisions relating to, Medicare and Medicaid H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 8487/S. 3018, Improving Seniors Timely Access to Care Act of 2022 Senate Finance Committee Draft Parity Legislation, provisions relating to expanded reporting requirements for MA and Medicaid plans. Issues relating to educating on changes to Medicaid Maintenance of Effort (MOE); Medicare Advantage and educating on the value of the program.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 3746, Fiscal Responsibility Act of 2023, including provisions related to Medicaid. S. 1002, No Unreasonable Payments, Coding, Or Diagnoses for the Elderly (No UPCODE) Act, including provisions that would alter MA payment model by requiring the use of two years of diagnostic data instead of one year in calculating health status data, excluding the ability of plans to solely use chart reviews and health risk assessments in calculating adjustments in payment based on health status, and evaluating the coding intensity at the plan or contract level and making adjustments to make it more in-line with the coding intensity for FFS. Issues related to implications of the Medicare Advantage rate notice and proposed alternatives. Issues related to the status of state-based Medicaid redetermination process. Issues related to Medicaid Redetermination unwinding process. Issues related to Medicare Advantage and staying connected on impact info on the new MA risk adjustment model.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2062, Overdose Prevention and Patient Safety Act, including provisions relating to 42 CFR Part 2 issues H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections S. 2012, Protecting Jessica Grubb's Legacy Act, including provisions relating to 42 CFR Part 2 issues S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage

Registrant: CENTENE CORPORATION · Health Issues

H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to ACA Marketplace (advanced premium tax credits, special enrollment period, Marketplace unemployment disregard) and commercial market (COBRA) and Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; Implementation of P.L. 116-260, Consolidated Appropriations Act, 2021, including provisions relating to COVID-19 provisions (FMAP) and health extenders (IAH), prescription drug issues and PBMs

Registrant: CENTENE CORPORATION · Medicare/Medicaid

HR 1226 ACE Kids Act of 2019 HR 259 Medicaid Extenders Act of 2019 (Money Follows the Person program extension; Medicaid spousal impoverishment protections extension; ACE Kids Act) HR 1839 Medicaid Services Investment and Accountability Act of 2019 (Money Follows the Person program extension; Medicaid spousal impoverishment protections extension; ACE Kids Act) HR 1839 Health Insurance Tax Relief Act of 2019 S 172 Health Insurance Tax Relief Act of 2019 S 80 Jobs and Premium Protection Act of 2019 Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage

Registrant: CENTENE CORPORATION · Health Issues

H.R. 5376, Inflation Reduction Act of 2022, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations, provisions affecting the ACA exchanges and Medicaid Issues relating to Consolidated Appropriations Act, 2021 (P.L. 116-260), implementation/final rule for the No Surprises Act; Mental health issues, including parity enforcement Infant formula shortage and contraception policies

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Proction Act" to repeal the ACA annual insurer fee. Lobbied to request that CMS (a) place a moratorium on plan terminations of Medicare Advantage (MA) dual eligible special needs plans (SNP) related to Star ratings; and (b) propose a solution to inequities in the Star ratings system as it applies to MA dual-SNP plans.

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Protection Act" to repeal the ACA annual insurer fee. Recommended guidance to the Center for Consumer and Information and Insurance Oversight (CCIIO) on treatment of cost sharing reductions in the medical loss ratio and risk corridor reporting instructions.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Protection Act" to repeal the ACA annual insurer fee. Lobbied House and Senate to introduce legislation proposing a solution to inequities in the Star ratings system as it applies to MA (Medicare Advantage) dual-SNP (Special Needs Plans) plans. Lobbied House and Senate to request that CMS retain its proposed CMS-Hierarchical Condition Category (HCC) Risk Adjustment Model changes in the MA Draft 2017 Call Letter as it relates to predicting risk for full benefit duals. Lobbied House and Senate to request that CMS broaden the scope of its proposed changes in the Draft Call Letter to the Star quality ratings system as it relates to socioeconomic factors.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Protection Act" to repeal the ACA annual insurer fee. Lobbied House and Senate to introduce legislation proposing a solution to inequities in the Star ratings system as it applies to MA (Medicare Advantage) dual-SNP (Special Needs Plans) plans. Lobbied for inclusion of the 1 year suspension of the ACA Annual Insurer fee in HR 2029 that passed both the House and Senate (this bill contains both "Consolidated Appropriations Act, 2016" and the "Protecting Americans from Tax Hikes Act of 2015.").

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Protection Act" to repeal the ACA annual insurer fee.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act". S 183, "Jobs and Premium Protection Act" S 3130, "Independence at Home Act of 2016" HR 546 and S 298 "Advancing Care for Exceptional Kids Act of 2015 (ACE Kids Act of 2015)"

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. HR 1628, The American Health Care Act of 2017- Medicaid, Health Insurance Market Stability ,and Tax provisions (including the ACA Health Insurance Tax). Better Care Reconciliation Act of 2017 Discussion Draft (related to HR 1628) - Medicaid, Health Insurance Market Stability, and tax provisions. HR 246, Jobs and Premium Protection Act.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Proction Act" to repeal the ACA annual insurer fee. Lobbied House and Senate to introduce legislation proposing a solution to inequities in the Star ratings system as it applies to MA (Medicare Advantage) dual-SNP (Special Needs Plans) plans. Requested changes to CMS 2016 Final Payment Notice and Final Call Letter impacting MA dual-SNP Star ratings.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage Medicare Part D Issues HR 3253 "Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019" " (Money follows the person, spousal impoverishment protections) Senate Finance Prescription Drug Pricing Reduction Act of 2019. HR 6201: Families First Coronavirus Response Act (Medicaid and Marketplace issues) HR 6074: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (Medicaid and Marketplace issues) HR 748: Coronavirus Aid Relief and Economic Security Act (Medicaid and Marketplace issues)

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Also advocated for cash sharing reduction funding stability. HR 246, Jobs and Premium Protection Act. Issues related to the opioid epidemic. HR 4620, The Protecting Families and Small Business Act of 2017. S 3063, Health Insurance Tax Relief Act of 2018. HR 2, Agriculture Improvement Act of 2018 (association health plan provision).

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. HR 1628, The American Health Care Act of 2017- Medicaid, Health Insurance Market Stability ,and Tax provisions (including the ACA Health Insurance Tax). Better Care Reconciliation Act of 2017(amendment to HR 1628) - Medicaid, Health Insurance Market Stability, and tax provisions. Amendment to HR 1628 (Obamacare Repeal and Reconciliation Act)- Medicaid, Health Insurance Market Stability, and Tax provisions. Amendment to HR 1628 (Healthcare Freedom Act)-Medicaid, Health Insurance Market Stability, and Tax provisions. Amendment to HR 1628 (Graham/Cassidy/Heller/Johnson proposal)- Medicaid, Health Insurance Market Stability, and Tax provisions. Helping Ensure Access for Little Ones, Toddlers and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017 or the HEALTHY KIDS ACT- HR 3921- Children's Health Insurance Program reauthorization provisions. Keep Kid's Insurance Dependable and Secure Act of 2017 - S. 1827-Children's Health Insurance Program reauthorization provisions. Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017- S.870- Medicare Advantage (MA) and MA SNP reauthorization provisions; Independence at Home provision. Special Needs Plan Reauthorization Act of 2017- HR 3168. HR 246, Jobs and Premium Protection Act.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. HR 246, Jobs and Premium Protection Act. S3063, Health Insurance Tax Relief Act of 2018. HR 4620, The Protecting Families and Small Businesses Act of 2017 (health insurer fee suspension). Issues related to the opioid epidemic pertinent to Medicaid and Medicare. HR 6, Support for Patient and Communities Act and related Opioid Bills

Registrant: CENTENE CORPORATION · Medicare/Medicaid

HR 1398 Health Insurance Tax Relief Act of 2019 S 172 Health Insurance Tax Relief Act of 2019 S 80 Jobs and Premium Protection Act of 2019 HR 2447 "Jobs and Premium Protection Act of 2019" Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage Medicare Part D Issues HR 3253 "Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019" " (Money follows the person, spousal impoverishment protections) Senate Finance Prescription Drug Pricing Reduction Act of 2019. CMCS Informational Bulletin Medical loss Ratio (MLR) Requirements Related to Third- Party Vendors.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. HR 246, Jobs and Premium Protection Act. S3063, Health Insurance Tax Relief Act of 2018. HR 4620, The Protecting Families and Small Businesses Act of 2017 (health insurer fee suspension). Issues related to the opioid epidemic pertinent to Medicaid and Medicare. HR 6, Support for Patients and Communities Act and related Opioid Bills. HR 3325/S 428, Advancing Care for Exceptional Kids Act. HR 5306/S 2227, Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources and Care Act. ACA Marketplace and Medicaid Reform

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017- S.870- Medicare Advantage (MA) and MA SNP reauthorization provisions; Independence at Home provision. Special Needs Plan Reauthorization Act of 2017- HR 3168. HR 246, Jobs and Premium Protection Act. HR 1370, Continuing Appropriations Act, Department of Defense Missile Defeat and Defense Enhancements Appropriations Act, CHIP and Public Health Funding Extension Act, 2018. HR 4620, The Protecting Families and Small Businesses Act of 2017 (health insurer fee suspension). Issues related to the permanent reauthorization of Medicare Advantage Special Needs Plans and issues related to the further extension of the reauthorization of the Children's Health Insurance Program in the following bills: -HR 195, Extension of Continuing Appropriations of 2018 passed 1/22/18. -HR 1892, Bipartisan Budget Act of 2018 passed 2/9/18. -HR 1625, Consolidated Appropriations Act of 2018 passed 3/22/18. Issues related to the opioid epidemic pertinent to Medicaid and Medicare.

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Also advocated for cash sharing reduction funding stability. HR 246, Jobs and Premium Protection Act. HR 1, Tax Cut and Jobs Act of 2017 (ACA individual mandate; ACA Health Insurer Fee). Market place stabilization provisions (cost-sharing reductions and reinsurance and waiver reforms) in bills: -S___ (no bill number) Alexander/Murray Bipartisan Health Care Stabilization Act of 2017. -HR 4695, Bipartisan Market Stabilization and Innovation Act of 2017. -HR 4200/S 2052, Health Care Market Certainty and Mandate Relief Act of 2017. -S 1835, Lower Premiums Through Reinsurance Act of 2017. HR 4620, The Protecting Families and Small Businesses Act of 2017 (ACA Annual health insurer fee suspension).

Registrant: CENTENE CORPORATION · Health Issues

HR 1398 Health Insurance Tax Relief Act of 2019 S 172 Health Insurance Tax Relief Act of 2019 S 80 Jobs and Premium Protection Act of 2019 ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) S 684 Middle Class Health Benefits Tax Repeal Act of 2019 HR 748 Middle Class Health Benefits Tax Repeal Act of 2019 HR 2447 "Jobs and Premium Protection Act of 2019" HR 3630 "No Suprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions) HR 1865; HR 1158 Fiscal year (FY) 2020 spending package, including two appropriation minibuses

Registrant: CENTENE CORPORATION · Medicare/Medicaid

HR 1226 ACE Kids Act of 2019 HR 259 Medicaid Extenders Act of 2019 (Money Follows the Person program extension; Medicaid spousal impoverishment protections extension; ACE Kids Act) HR 1839 Medicaid Services Investment and Accountability Act of 2019 (Money Follows the Person program extension; Medicaid spousal impoverishment protections extension; ACE Kids Act) HR 1398 Health Insurance Tax Relief Act of 2019 S 172 Health Insurance Tax Relief Act of 2019 S 80 Jobs and Premium Protection Act of 2019 HR 2447 "Jobs and Premium Protection Act of 2019" Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage Medicare Part D Issues HR 3253 "Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019" " (Money follow the person, spousal impoverishment protections)

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Also advocated for cash sharing reduction funding stability. HR 246, Jobs and Premium Protection Act. Market place stabilization provisions (cost-sharing reductions and reinsurance and waiver reforms) in bills: -S___ (no bill number) Alexander/Murray Bipartisan Health Care Stabilization Act of 2017. -HR 4695, Bipartisan Market Stabilization and Innovation Act of 2017. -HR 4200/S 2052, Health Care Market Certainty and Mandate Relief Act of 2017. -S 1835, Lower Premiums Through Reinsurance Act of 2017. -HR 1625, Consolidated Appropriations Act of 2018 passed 3/22/18. -HR 195, Extension of Continuing Appropriations of 2018 passed 1/22/18. -HR 1892, Bipartisan Budget Act of 2018 passed 2/9/18. -HR 4666, The Premium Relief Act of 2017. (Rep. Costello). Issues related to the opioid epidemic.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 19/S. 2164, Lower Costs, More Cures Act of 2021, including provisions relating to drug pricing through policy changes including reforms to Medicare Part D and benefit redesign H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension S. 748, Medicare Sequester Relief Act Draft legislation titled American Families Plan, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations FY2022 Budget Proposal including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund and Medicaid non-expansion state coverage gap and eligibility redeterminations Medicare Part D Plan Innovation Proposal (not yet introduced therefore, no bill number). The proposal would require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to Development of duals and supplemental benefits documents; Medical Loss Ratio (MLR) documents; Star ratings; Medicare Advantage (MA) payment.

Registrant: CENTENE CORPORATION · Health Issues

H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) Draft legislation titled American Families Plan, including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) FY2022 Budget Proposal including provisions relating to the Affordable Care Act (ACA) marketplace, including advanced premium tax credits, special enrollment period, Marketplace unemployment disregard and commercial market (COBRA) Issues related to the Consolidated Appropriations Act, 2021 (P.L. 116-260) including provisions relating to Div. BB, Title I, No Surprises Act

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Issues related to Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies. Issues related to status of state-based Medicaid redetermination process. Issues related to impact of advance rate notice proposed methodology on Medicare Advantage program. Issues related to the status of Medicaid redetermination/PHE unwinding process. Issues related to Medicare Advantage and educating on the value of the program, and focus on annual Medicare Advantage Congressional support letter Draft legislation titled No Unreasonable Payments, Coding, or Diagnoses for the Elderly (No UPCODE) Act, including provisions relating to altering the Medicare Advantage payment model by requiring the use of two years of diagnostic data instead of one year in calculating health status data, excluding the ability of plans to solely use chart reviews and health risk assessments in calculating adjustments in payment based on health status, and evaluating the coding intensity at the plan or contract level and making adjustments to make it more in-line with the coding intensity for FFS.

Registrant: CENTENE CORPORATION · Health Issues

H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to No Surprises Act, COVID-19 provisions (FMAP), health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH), prescription drug issues, and PBMs H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to commercial market and surprise billing Issues related to, ACA marketplace stabilization

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 1319, American Rescue Plan Act of 2021, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund H.R.1868, To prevent across-the-board direct spending cuts, and for other purposes, including provisions relating to Medicare sequester suspension extension H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 S. 748, Medicare Sequester Relief Act S. 150, Ensuring Parity in MA for Audio-Only Telehealth Act of 2021 H.Res. 101, Providing for the adoption of the concurrent resolution (S. Con. Res. 5) setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund S.Con.Res. 5, A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2021 and setting forth the appropriate budgetary levels for fiscal years 2022 through 2030, including provisions relating to Medicaid (FMAP incentive and enhancement provisions, postpartum coverage), state and local funding, provider relief fund Potential legislation similar to H.R. 3644, Independence at Home Demonstration Act of 2019, including provisions to improve and extend the Independence at Home medical practice demonstration program under the Medicare program Potential legislation similar to H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions to medical practice demonstration program under the Medicare program Potential legislation similar to S. 1202, Independence at Home Act of 2019, including provisions to improve and provide for a permanent Independence at Home medical practice program under the Medicare program Potential legislation regarding Medicare Part D Plan innovation proposal to require CMS to issue new guidance increasing the maximum number of plan options to at least for four in each region, allowing part D sponsors to offer two additional plans provided that at least of the two plans passes on at least 10% of aggregate rebates to consumers Issues related to, Budget reconciliation instructions from Ways and Means, Energy and Commerce, Education and Labor, Oversight and Reform Committees; COVID 19 - Sequestration, MLR, Audio only risk adjustment; Medicare Advantage Medical Loss Ratio issues (no bill number).

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 133, Consolidated Appropriations Act of 2021, including provisions relating to the No Surprises Act, COVID-19 provisions (FMAP) and health extenders (Money Follows the Person, Medicaid spousal impoverishment protections, IAH) H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 3644/S. 1202, Independence at Home Act of 2019, including provisions relating to improve and provide for a permanent Independence at Home medical practice program under the Medicare program H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act H.R. 7659/S. 4840, Ensuring Parity in MA for Audio-Only Telehealth Act of 2020, including provisions relating to (MA audio-only visits are currently not included in risk adjustment calculations H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act including provisions relating to Medicaid, Medicare issues H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act, including provisions included in the section titled, Money Follows the Person, Medicaid Spousal Impoverishment Protections H.R. 8834, Independence at Home Demonstration Improvement Act of 2020, including provisions relating to title XVII of the Social Security Act to extend and improve the Independence at Home Medical Practice Demonstration Program under the Medicare program S. 3013, Encouraging Innovative Benefit Design to Lower Costs for Seniors Act, including provisions relating to prescription drug plans under Medicare Part D (allows for additional drug plan offerings) Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Medicaid Medicare issues Issues relating to, Medicaid Fiscal Accountability Regulation; Medicare Part D Issues; Medicare Advantage

Registrant: CENTENE CORPORATION · Health Issues

H.R. 5396, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits), Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies H.R. 2471, Consolidated Appropriations Act, 2022, provisions relating to, ACA Marketplace (advanced premium tax credits), changes to third-party liability modifications to Medicaid as well as extending certain telehealth flexibilities under Medicare Potential Mental and Behavioral health legislation, provisions relating to, Medicare coverage and payment, Workforce enhancement, Mental health parity, Telehealth expansion, Behavioral health integration, Network adequacy Issues relating to Letter in support of CMMI Direct Contracting model; Medicare advantage congressional letter of support; Redetermination of Medicaid eligibility and impact of the expiration of the enhanced ACA tax credits; Health care regulatory issues especially the process for Medicaid eligibility redeterminations and enrollment in Marketplace coverage

Registrant: CENTENE CORPORATION · Health Issues

H.R. 5376, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits) and Medicaid non-expansion state coverage gap and eligibility redeterminations H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 (and potential draft legislation), including provisions relating to Medicare coverage and payment, Workforce enhancement, Mental health parity, Telehealth expansion, Behavioral health integration, and Network adequacy Issues relating to Consolidated Appropriations Act, 2021 (P.L. 116-260), implementation/final rule for the No Surprises Act; Reconciliation legislation including provisions relating to ACA Marketplace (advanced tax credits); and, Medicaid non-expansion state coverage gap, mitigation language, and eligibility determinations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 5396, Build Back Better Act, provisions relating to, ACA Marketplace (advanced premium tax credits), Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal of the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, Money Follows the Person/Spousal Impoverishment program permanencies, and Medicaid non-expansion state coverage gap and eligibility redeterminations Issues relating to Medicare Advantage and educating on the value of the program

Registrant: CENTENE CORPORATION · Medicare/Medicaid

H.R. 5396, Build Back Better Act, provisions relating to, Medicaid non-expansion state coverage gap and eligibility redeterminations, Home and Community-based Services, Repeal the prescription drug rebate rule, Other Medicaid/CHIP provisions such as CHIP program permanency, Medicaid postpartum care, Medicaid inmate coverage, and Money Follows the Person/Spousal Impoverishment program permanencies H.R. 2471, Consolidated Appropriations Act, 2022, provisions relating to, ACA Marketplace (advanced premium tax credits) Issues relating to Medicare Advantage Congressional letter of support; Medicare Part D Rule- DIR Fees (pharmacy fees); eligibility redeterminations; Home and Community-based Services; Part D Prescription Drug reform through benefit redesign; Repeal the prescription drug rebate rule; Changes to Medicare Advantage financing for Rx drugs

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions; and advocated for repeal of annual insurer fee. (PL 111-48, Sec. 9010 & PL 111-152, Sec. 10905). Advocated for passage of HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act" and S 183, "Jobs and Premium Proction Act" to repeal the ACA annual insurer fee. Lobbied House and Senate to introduce legislation proposing a solution to inequities in the Star ratings system as it applies to MA (Medicare Advantage) dual-SNP (Special Needs Plans) plans.

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Also advocated for cash sharing reduction funding stability. HR 246, Jobs and Premium Protection Act. Issues related to the opioid epidemic. HR 4620, The Protecting Families and Small Business Act of 2017. S 3063, Health Insurance Tax Relief Act of 2018. HR 2, Agriculture Improvement Act of 2018 (association health plan provision). HR 6, Support for Patients and Communities Act. ACA Marketplace and Medicaid Reform

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. Helping Ensure Access for Little Ones, Toddlers and Hopeful Youth by Keeping Insurance Delivery Stable Act of 2017 or the HEALTHY KIDS ACT- HR 3921- Children's Health Insurance Program (CHIP) reauthorization provisions. Keep Kid's Insurance Dependable and Secure Act of 2017 - S. 1827-Children's Health Insurance Program (CHIP) reauthorization provisions. Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017- S.870- Medicare Advantage (MA) and MA SNP reauthorization provisions; Independence at Home provision. Special Needs Plan Reauthorization Act of 2017- HR 3168. HR 246, Jobs and Premium Protection Act. HR 1370, Continuing Appropriations Act, Department of Defense Missile Defeat and Defense Enhancements Appropriations Act, CHIP and Public Health Funding Extension Act, 2018. HR 3759 and S 1029, Recognize, Assist, Include,Support and Engage (RAISE) Family Caregivers Act of 2017. HR 4620, The Protecting Families and Small Businesses Act of 2017 (health insurer fee suspension).

Registrant: CENTENE CORPORATION · Health Issues

H.R. 925, The Heroes Act, including provisions related to House Amendment to the Senate Amendments updated Heroes Act; specifically provisions related to provisions related to access to healthcare including FMAP, testing, protections for public health workers, and benefits to children and families impacted by the coronavirus, Federal Medical Assistance Percentages (FMAP) H.R. 1425, ACA Patient Protection and Affordable Care Act Marketplace Stabilization ACA Enhancement Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019, including provisions relating to Title IV surprise billing provisions H.R. 3630, No Surprises Act H.R. 6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act, including provisions relating to Marketplace, Commercial market issues S. 1895, Lower Health Care Costs Act, including issues relating to surprise billing, prescription drug costs, transparency, interoperability Potential legislation titled Health, Education Assistance, Liability Protections, Schools Act (HEALS Act) including provisions relating to Marketplace, Commercial market issues Issues related to, Out of Network Payment Surprise billing; Flexibility for programs during pandameic and national emergency such as telehealth flexibility; Discussion on Future of TRICARE Program over coming years

Registrant: CENTENE CORPORATION · Health Issues

H.R. 3799, Custom Health Option and Individual Care Expense (CHOICE) Arrangement Act, including provisions related codifying into law a 2019 Administration rule that expanded HRAs to allow employees to purchase their own health insurance plan on the individual market through CHOICE Arrangements. Issues related to provider directories.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. HR 1628, The American Health Care Act of 2017- Medicaid Health Insurance Market Stability and Tax provisions (including the ACA Health Insurance Tax). HR 246, Jobs and Premium Protection Act.

Registrant: CENTENE CORPORATION · Medicare/Medicaid

HR 1398 Health Insurance Tax Relief Act of 2019 S 172 Health Insurance Tax Relief Act of 2019 S 80 Jobs and Premium Protection Act of 2019 HR 2447 "Jobs and Premium Protection Act of 2019" Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage Medicare Part D Issues HR 3253 "Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019" " (Money follows the person, spousal impoverishment protections) Senate Finance Prescription Drug Pricing Reduction Act of 2019. CMCS Informational Bulletin Medical loss Ratio (MLR) Requirements Related to Third- Party Vendors. HR 1865; HR 1158 Fiscal year (FY) 2020 spending package, including two appropriation minibuses

Registrant: CENTENE CORPORATION · Health Issues

Public Law 111-48, "Patient Protection and Affordable Care Act" and "Public Law 111-52, "Health Care and Education Reconciliation Act 2010"-monitored implementation of key Medicaid and health insurance market provisions. HR 1628, The American Health Care Act of 2017- Medicaid Health Insurance Market Stability and Tax provisions (including the ACA Health Insurance Tax). HR 246, Jobs and Premium Protection Act.

Registrant: CENTENE CORPORATION · Health Issues

ACA (Patient Protection and Affordable Care Act) Marketplace Stabilization S. 1895 "Lower Health Care Costs Act" (Surprise billing, prescription drug costs, transparency, interoperability) Prescription Drug Costs Out of Network Payment (Surprise billing) HR 3630 "No Surprises Act" HR 2328 "Community Health Investment Modernization and Excellence Act of 2019" (Title IV surprise billing provisions) HR 6201: Families First Coronavirus Response Act (Medicaid and Marketplace issues) HR 6074: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (Medicaid and Marketplace issues) HR 748: Coronavirus Aid Relief and Economic Security Act (Medicaid and Marketplace issues)

Registrant: CENTENE CORPORATION · Medicare/Medicaid

Prescription Drug Costs ACA stabilization issues HR 2062 Overdose Prevention and Patient Safety Act (42 CFR Part2 issues) S 2012 Protecting Jessica Grubb's Legacy Act (42 CFR Part 2 issues) Medicare Advantage Medicare Part D Issues 6800 Health and Economic Recovery Omnibus Emergency Solutions Act (Marketplace, Commercial Market Issues.