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Policy Snapshot

August 17, 2025

Bill Introduced to Strengthen Long-Term Care Ombudsman Program

The Strengthening Advocacy for Long-Term Care Residents Act, introduced by Sens. Tim Kaine (D-VA) and Andy Kim (D-NJ), would strengthen the Long-Term Care Ombudsman Program under the Older Americans Act. This program, which relies on trained staff and volunteers to advocate for nursing home and long-term c...
Policy Snapshot

December 15, 2023

Billing for Flu, Pneumococcal, and COVID-19 Vaccines

For flu, pneumococcal, and COVID-19 vaccines furnished on or after July 1, 2023, to patients staying in a Medicare Part A-covered skilled nursing facility (SNF), immunizers can no longer bill Medicare directly.
Policy Snapshot

May 4, 2026

Bipartisan Bill Introduced to Reform MIPS Physician Payment

On April 30, 2026, Reps. Mariannette Miller-Meeks, MD (R-IA) and Herb Conaway, MD (D-NJ) introduced the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622), a bipartisan bill that would replace the existing Merit-based Incentive Payment System (MIPS) with a new framework calle...
Policy Snapshot

May 30, 2025

Bipartisan Bill Reintroduced to Streamline Medicare Advantage Prior Authorization

Sens. Mark Warner (D-VA) and Roger Marshall, MD (R-KS), have reintroduced the Improving Seniors’ Timely Access to Care Act (S. 1816), a bipartisan, zero-cost bill designed to improve access to care for the 32.8 million Americans enrolled in Medicare Advantage (MA) plans. The legislation aims to simplify th...