Federal Policy and Legislative Advocacy – Successes

This chart includes policy and legislative successes at the federal level.

Year IntroducedIssueType (Letter, Regulation Comments, Legislation)Bill Number & TitleDescriptionPosition Statements & Coalition and Triage Cancer Letter of SupportStatus
2025Access to CareLegislationhttps://www.congress.gov/bill/119th-congress/house-bill/946H.R.946/S.1862 - ORPHAN Cures ActThis bill would expand the drugs that are excluded from the Medicare Drug Price Negotiation Program to apply to orphan drugs with multiple rare disease indications.SupportPassed in Reconciliation Package of H.R.1
2024Access to CareLetterhttps://www.disabilityscoop.com/2024/11/21/disability-advocates-sound-alarm-over-possible-medicaid-cuts/31179/Letter Opposing Medicaid Funding CutsMembers of the Disability and Aging Collaborative (DAC), the Health and Long-Term Services and Supports Task Forces of the Consortium for Constituents with Disabilities(CCD), and allied organizations write to urge you to exclude Medicaid cuts, work requirements,or any changes that limit funding or eligibility, from budget reconciliation or other legislation.People with disabilities, older adults, family caregivers and their children, direct care workers,and other low-income individuals and families depend on Medicaid every day for their health,safety, and independence. Medicaid enables them to go to work and to care for their lovedones. It is our communities' lifeline, and we cannot afford for any part of it to be cut.Opposehttps://triagecancer.org/wp-content/uploads/2025/01/Disability-Aging-Sign-On-No-Cuts-to-Medicaid-December-2024.pdfFunding Was Not Cut in FY 2024
2024MedicareLetterhttps://www.cms.gov/inflation-reduction-act-and-medicareMedicare Part D Low-Income SubsidyLetter to thank the Biden Administration for implementingCongress’ expansion starting in January 2024 of the full Medicare Part D Low-Income Subsidy (LIS, or “ExtraHelp”)Supporthttps://triagecancer.org/wp-content/uploads/2025/01/NCOA-letter-to-CMS-on-LIS-recommendations.pdfPassed into Law
2024MedicareLetterhttps://www.congress.gov/event/118th-congress/house-event/117503FY 2025 AllocationsLetter to ask Congress to includereport language in the Fiscal Year 2025 Labor, Health, and Human Services Subcommitteereport regarding the implementation of the Medicare Prescription Payment Plan thatbegins on January 1, 2025.Supporthttps://triagecancer.org/wp-content/uploads/2025/01/FY2025-Senate-LHHS-Report-Language-Sign-on-Letter.pdfBecame Public Law No: 118-83.
2024Access to CareLetterhttps://debbiesdream.org/advocacy/#:~:text=November%201%2C%202024%20%2D%20Debbie's%20Dream,below%20to%20read%20the%20letter.Stomach Cancer Awareness Letter form President BidenIn this letter Triage Cancer joined our partners in requesting that President Biden issue a proclamation for national stomach cancer awareness monthSupporthttps://triagecancer.org/wp-content/uploads/2025/01/10.1.24-Request-to-WH-for-Stomach-Cancer-Proclamation.pdfPresident Biden wrote back to Debbie's Dream acknowledging stomach cancer awareness month.
2024Research and developmentLetterhttps://www.congress.gov/bill/118th-congress/house-bill/4366H.R.4366 - Consolidated Appropriations Act, 2024Letter requesting that the NationalInstitutes of Health (NIH) receive no less than $47.7 billion, including $7.38 billion for the National Cancer Institute (NCI), plus $1.5 billion for the Advanced Research Program Agency for Health (ARPA-H).Supporthttps://triagecancer.org/wp-content/uploads/2025/01/Ad-Hoc-Group-FY-25-NIH-Appropriations-Conference-Letter-11.18.24-_Final.pdf03/09/2024 Became Public Law No: 118-42.
2023Access to CareLetterhttps://www.hhs.gov/sites/default/files/ocr-dcl-section-504-section-1557-disability.pdfSection 504 of the Rehabilitation Act and Section 1557 of the Affordable Care ActLetter in support of expanding the Affordable Care Act’s (ACA) ban on the use of the quality adjusted life year (QALY).Supporthttps://triagecancer.org/wp-content/uploads/2025/01/OCR-504-Sign-on-FINAL-11.13.23.pdfFinal Rule Announced 1/7/2025
2024Research and developmentLetterhttps://www.congress.gov/bill/118th-congress/house-bill/4366H.R.4366 - Consolidated Appropriations Act, 2024Letter requesting that the NationalInstitutes of Health (NIH) receive no less than $47.7 billion, including $7.38 billion for theNational Cancer Institute (NCI), plus $1.5 billion for the Advanced Research Program Agencyfor Health (ARPA-H).Supporthttps://triagecancer.org/wp-content/uploads/2025/01/FY24.final_.1.24.pdf03/09/2024 Became Public Law No: 118-42.
2023Research and developmentLetterhttps://www.congress.gov/bill/118th-congress/senate-bill/2140S.2140 - Patent Eligibility Restoration Act of 2023This bill would overturn established Supreme Court precedent and expand patent-eligible subject matter to encompass abstract ideas, laws of nature, and natural phenomena.Opposehttps://triagecancer.org/wp-content/uploads/2025/01/Stakeholder-Letter-Opposing-PERA-2024-3.12.24.pdfSenate - 06/22/2023 Read twice and referred to the Committee on the Judiciary.
2024MedicareLetterN/AN/ALetter commending the Department of Health & Human Services inclusion of provisions in the FY2025 budget that rein in harmful practices of some MA plans.Supporthttps://triagecancer.org/wp-content/uploads/2025/01/MA-Final-Rule-Sign-On.pdfPassed
2024MedicareLetterN/ACancer Support Community Letter in support of Medicare Prescription Payment PlanSupporthttps://triagecancer.org/wp-content/uploads/2025/01/CSC-Sign-On-Letter-Medicare-Prescription-Payment-Plan-Model-Documents-FINAL.pdfPassed
2024MedicareLetterN/AN/AAlliance for Aging Research Support Letter FY2025 Medicare Prescription Payment PlanSupporthttps://triagecancer.org/wp-content/uploads/2025/01/FY25-Medicare-Prescription-Payment-Plan-Report-Language-Letter.pdfPassed
2024MedicareLetterN/AN/AMapRx Letter of support for FY2025 Medicare Prescription Payment PlanSupporthttps://triagecancer.org/wp-content/uploads/2025/01/MAPRx_MPPP-Model-Documents-Comment-Letter_2024-04-29-Final.pdfPassed
2023Disability InsuranceProposed Regulationshttps://www.regulations.gov/document/SSA-2021-0014-4327SA-2021-0014-0001SSA proposal to stop reducing SSI payments when someone receives food as a gift or donation.Supporthttps://triagecancer.org/wp-content/uploads/2023/05/Comments-Submitted-on-Proposed-Regulation.pdfFinal Rule effective 9/30/24
2022Curb Utilization Management PoliciesProposed Rulehttps://www.regulations.gov/document/CMS-2022-0190-090187 FR 76238 Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Children's Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability ProgramWill improve the efficiency of the Prior Authorization processes, reduce delays in care and alleviate the burden associated with prior authorization for Medicare Advantage, some Medicaid programs, and Qualified Health Plans.SupportFinal Rule effective 4/8/24
2023Health Insurance AccessProposed Regulationshttps://www.federalregister.gov/documents/2023/04/26/2023-08635/clarifying-eligibility-for-a-qualified-health-plan-through-an-exchange-advance-payments-of-the88 FR 25313 Clarifying Eligibility for a Qualified Health Plan Through an Exchange, Advance Payments of the Premium Tax Credit, Cost-Sharing Reductions, a Basic Health Program, and for Some Medicaid and Children's Health Insurance ProgramsProposal to allow DACA recipients to access health insurance on the MarketplaceSupportFinal Rule effective 11/1/24
2023Access to CareProposed Regulationshttps://www.federalregister.gov/documents/2023/11/16/2023-24184/medicare-and-medicaid-programs-cy-2024-payment-policies-under-the-physician-fee-schedule-and-other88 Fed. Reg. 52262 Groups expressing support to allow for reimbursment of navigation servicesSupportFinal Rule effective 1/1/24
2023Insurance CoverageLetterhttps://www.cms.gov/files/document/2023-hcpcs-application-summary-biannual-1-2023-non-drug-and-non-biological-items-and-services.pdfGroup request to CMS to reverse the decision to eliminate S code covering DIEP flap surgerySupporthttps://triagecancer.org/wp-content/uploads/2023/05/Group-Letters-DIEP-Flap-Surgery.pdfCMS decision reversed; S codes covering DIEP flap surgery remain in effect
2023Insurance CoverageCommentshttps://www.cms.gov/files/document/hcpcs-public-meeting-agenda-non-drug-and-non-biological-items-and-services-june-1-2023-updated-05/09.pdfCenters for Medicare & Medicaid Services’ (CMS’) First Biannual 2023 Healthcare Common Procedure Coding System (HCPCS) Public Meeting AgendaCMS to revisit the decision to remove S codes for FLAP reconstructive surgeries from the HCPCS.Support keeping the S codeshttps://triagecancer.org/wp-content/uploads/2023/06/Triage-Cancer-Comments-on-HCP210813XRPKE.pdfCMS decision reversed; S codes covering DIEP flap surgery remain in effect
2023Medical DebtLetter from Patient Advocacy Groupshttps://kffhealthnews.org/news/article/advocates-urging-biden-medical-debt-health-costs/?utm_campaign=KHN%3A%20Daily%20Health%20Policy%20Report&utm_medium=email&_hsmi=249132270&_hsenc=p2ANqtz-9tkopwbsCqd7coFUapOqU4Oupn-WYJbel4-qON6MRBMa8Xjr-TtI-2nc9H8Ke9oAdpcyiioDzrVhWe094KFPKISJFJMQ&utm_content=249132270&utm_source=hs_emailGroups asked the Biden Administration to do more to help alleviate medical debtSupportThe Biden administration announced a major initiative to protect Americans from medical debt outlining plans to develop federal rules barring unpaid medical bills from affecting patients’ credit scores.

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