Is there more of an appetite for regulating administrative burden?

Physicians Practice: A lot of the the horse trading to get this bill through. It seems like Congress has got a bit more of an appetite to touch these sort of third rail issues, things that were unthinkable in the past. Do you think this is going to open up any doors for administrative simplification, like the bills you guys have supported in the past? Do you think those might be able to get through now?

Anders Gilberg: I'm just not sure. I mean, the last Congress was the least productive Congress for potentially ever in terms of the number of bills that actually passed. And we're talking 200 bills, probably 10,000 were introduced. And so what we're seeing now is, again, individual bills don't pass. They're part of an amalgamation at the end, or as part of the Big, Beautiful Bill, something called the Reconciliation Act, which used, but we're still pursuing a number of legislative initiatives.

Chief among them would be prior authorization reform, and especially some of the problems we're seeing in Medicare Advantage right now, as Medicare Advantage becomes the prominent and the majority of Medicare beneficiaries receive Medicare on Medicare Advantage now, suddenly, they're subject to prior authorization, which they were not in traditional Medicare. So we're working on a number of bills to continue the reform efforts there, which has been interesting because.

Some of your folks might have heard about this voluntary pledge by the insurers to fix all this problem, doing it on their own. But you know, we've seen such massive abuses over the last couple of years, I think we still need the legislative approach. And one of the deep ironies that I would say in terms of that pledge is many of the things that the insurers pledge to do, they're actually required to do under law because the prior administration implemented several regulations that required a lot of those prior authorization reforms in Medicare Advantage, so they pledged to voluntarily follow the law that they have to follow.