Why It Matters
Point32Health Inc. is lobbying on Medicare as the Centers for Medicare & Medicaid Services (CMS) said Sept. 28 that Medicare Advantage and Part D programs are expected to remain stable in 2027.
Medicare Advantage is the private-plan option within Medicare, and Part D is its prescription drug benefit. CMS described Part D as returning to normal market conditions. The filing lists Medicare without naming a bill or rule.
By the Numbers
The in-house third-quarter report shows $125,972, signed Nov. 5, after the Oct. 20 deadline. That is unchanged from the second quarter and up $17,357 from the third quarter of 2025, when Point32Health reported $108,615.
Point32Health has no other registrants, so its client total matches each of those figures. Its fourth-quarter 2025 total was $116,318.
The filing names one lobbyist: Christina Nyquist, vice president, federal affairs.
Broader Context
The filing's issues text includes: "Medicare, Medicaid, Commercial related health requirements, ACA, Drugs, PBMs and other health care and Cyber Security." It names no bills.
The items below are policy developments on those topics, not statements of what Point32Health sought.
Medicare and drugs. CMS finalized contract year 2027 Medicare Advantage and Part D policies on April 2. They eliminate the coverage-gap phase and set a reduced annual out-of-pocket threshold. The Consolidated Appropriations Act, 2026 became Public Law 119-75 on Feb. 3, and the research ties it to enacted federal standards for pharmacy benefit manager (PBM) practices in Medicare Part D.
PBMs. Sen. Elizabeth Warren (D-MA) introduced S.4509, the PBM Act, on May 13. It sits in the Senate Judiciary Committee with three cosponsors. Supporters of a separate bill, H.R. 4317, include the American Medical Association and a 134-organization coalition. The coalition cites a Federal Trade Commission (FTC) finding of more than $7.3 billion in dispensing revenue above estimated acquisition costs for specialty generics, 2017 to 2022.
Medicaid. H.R. 1 became Public Law 119-21 on July 4, 2025, with changes to Medicaid funding. CMS issued an interim final rule on June 1 requiring certain applicants and enrollees to show 80 hours per month of qualifying community engagement.
ACA. The President announced the "Working Families Obamacare Refunds" in September. The White House said checks would begin in October.
Cyber security. Sen. Bill Cassidy (R-LA) sponsors S.3315, the Health Care Cybersecurity and Resiliency Act. It has five cosponsors, and the House is holding it at the desk.
The Bottom Line
Watch the Senate Judiciary Committee for any action on S.4509 and the House for S.3315, which waits at the desk. The Medicaid interim final rule has not been finalized, and the research gives no comment deadline.
Point32Health's operation has not changed across the complete quarters: one in-house lobbyist, no outside firm.
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