Form 990 for tax year 2023

Totals

Total revenue

$24,537,024

Total expenses

$24,789,827

Contributions and grants received

$0

Grants paid

$23,696,848

Program service revenue

$24,506,925

Investment income

$29,233

Other revenue

$866

Total assets, end of year

$5,022,277

Total liabilities, end of year

$77,257

Net assets or fund balances, end of year

$4,945,020

Program services expenses (Part IX)

$24,512,688

Management and general expenses

$200,799

Fundraising expenses

$76,340

Program service expenses (Part III)

$24,512,688

Program services were 98.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2023

• DURING THE COURSE OF 2023, AMERICA'S AGENDA ("AAHCA") CONTINUED OUR ONGOING WORK IN BUILDING BROAD CITIZEN COALITIONS THAT UNITE BUSINESSES, LABOR UNIONS, AND OTHER STAKEHOLDERS IN EFFECTIVE ADVOCACY TO ACHIEVE REFORMS THAT WILL ASSURE THAT EVERY AMERICAN HAS AFFORDABLE ACCESS TO HIGH-QUALITY HEALTHCARE. AS THE COST OF PRESCRIPTION DRUGS HAS EMERGED AS THE FASTEST-GROWING COMPONENT OF OVERALL HEALTH COSTS, REDUCTION OF PRESCRIPTION DRUG COSTS HAS BECOME A PRIORITY AAHCA CONCERN. AAHCA-ORGANIZED ADVOCACY CAMPAIGNS HAVE RESULTED IN ENACTMENT OF AMERICA'S AGENDA-DESIGNED STRATEGIES TO REDUCE PRESCRIPTION DRUG COSTS AND CAPTURE SUBSTANTIAL SAVINGS FOR PATIENTS, TAXPAYERS, STATE GOVERNMENT, AND PUBLIC EMPLOYEES IN SEVERAL STATES ACROSS THE COUNTRY. EACH OF OUR AAHCA STATE CAMPAIGNS HAS BUILT ON THE SUCCESS OF OUR POLICY INITIATIVE IN NEW JERSEY, WHERE IMPLEMENTATION OF THE AMERICA'S AGENDA-DESIGNED PUBLIC POLICY STRATEGY FOR CREATING A DYNAMICALLY COMPETITIVE MARKETPLACE FOR PHARMACY BENEFIT MANAGERS CAPTURED $2.52 BILLION IN PRESCRIPTION DRUG SAVINGS OVER 5 YEARS FOR STATE TAXPAYERS AND THE NEW JERSEY STATE EMPLOYEES HEALTH PLAN. AAHCA'S FEDERAL MEDICARE REFORM ADVOCACY INITIATIVE AIMS TO ELIMINATE PERVERSE PRESCRIPTION BENEFIT MANAGER (PBM) INCENTIVES TO PROVIDE MEDICARE PARTICIPANTS HIGHER, RATHER THAN LOWER, PRICED DRUGS AND PREVENT PBM CONFLICTS OF INTEREST THAT DRIVE COSTS HIGHER FOR AMERICA'S SENIORS.THE FOLLOWING EXAMPLES HIGHLIGHT ACCOMPLISHMENTS OF AAHCA ADVOCACY OVER THE COURSE OF 2023: -IN COLORADO, FOLLOWING THE SUCCESS OF OUR ADVOCACY COALITION IN WINNING ENACTMENT OF COLORADO'S COMPETITIVE PHARMACY BENEFITS MANAGER MARKETPLACE ACT, AAHCA MAINTAINED MOMENTUM OF A COALITION OF LABOR UNIONS, PATIENT ADVOCATES, COMPETITIVE MARKET ADVOCATES, AND OTHER STAKEHOLDERS TO SUCCESSFULLY IMPLEMENT THE NEW PBM MARKET REFORM STATUTE, DESPITE ENTRENCHED OPPOSITION TO IT. DURING 2023, AAHCA PROVIDED TECHNICAL ASSISTANCE AND TRAINING TO MAKE STATE EMPLOYEE REPRESENTATIVES EFFECTIVE IN THEIR NEW ROLE AS PARTNERS WITH THE STATE IN COLORADO IN IMPLEMENTING THE PBM REVERSE AUCTION MANDATED BY THE NEW STATE LAW. PROCEDURES FOR CONDUCTING THE PBM REVERSE AUCTION PROCESS WERE ULTIMATELY AGREED UPON. THE REVERSE AUCTION PROCESS WAS COMPLETED AND THE INCUMBENT PBM PRESCRIPTION DRUG PLAN WAS REPLACED BY A HIGHER VALUE (LOWER COST DRUG PLAN) ALTERNATIVE. AS A RESULT, THE STATE OF COLORADO, ITS TAXPAYERS, AND PUBLIC EMPLOYEES ARE PROJECTED TO SAVE $17.5 MILLION IN REDUCED PRESCRIPTION DRUG COSTS OVER A 5-YEAR PERIOD. -IN IOWA, AAHCA PARTICIPATED ACTIVELY IN ORGANIZING AN IOWA ADVOCACY COALITION TO SUPPORT ENACTMENT DURING 2023 OF A STATE PRESCRIPTION DRUG MARKET REFORM LAW, SF554, THE IOWA COMPETITIVE PHARMACY BENEFIT MANAGER MARKETPLAE ACT, MODELED ON AAHCA PRESCRIPTION DRUG MARKET REFORM LEGISLATION ENACTED IN SEVERAL OTHER STATES. IN IOWA, ENACTMENT AND IMPLEMENTATION WAS PROJECTED TO SAVE STATE TAXPAYERS 20% OF PRESCRIPTION DRUG BENEFITS SPENDING FOR STATE EMPLOYEES WITHOUT CUTTING PRESCRIPTION BENEFITS. AAHCA MEDIATED ACCEPTANCE OF AMENDMENTS TO DRAFT LEGISLATION THAT BROADENED SUPPORT SUBSTANTIALLY. THE PROPOSED LEGISLATION HAS BEEN PASSED BY BOTH CHAMBERS OF THE IOWA STATE LEGISLATURE. -FOCUSING ON COST-SAVING CONGRESSIONAL LEGISLATION, AAHCA HAS ACTIVELY ORGANIZED A BROAD COALITION OF ADVOCATES FOR MEDICARE PRESCRIPTION DRUG MARKET REFORMS THAT WOULD REDUCE COST OF PRESCRIPTION DRUGS FOR AMERICA'S SENIORS BY PROHIBITING LINKAGE OF PHARMACY BENEFIT MANAGER (PBM) INCOME TO THE LIST PRICE OF PRESCRIPTION DRUGS PROVIDED THROUGH THE MEDICARE PART D BENEFIT. AAHCA ADVOCACY, WHICH INCLUDED A SUBSTANTIAL EARNED AND PAID MEDIA CAMPAIGN OVER THE COURSE OF 2023, CONTRIBUTED TO UNANIMOUS, BIPARTISAN PASSAGE OF THE MODERNIZING AND ENSURING PBM ACCOUNTABILITY ACT BY THE SENATE FINANCE COMMITTEE IN NOVEMBER 2023. AAHCA ADVOCACY CONTRIBUTED ALSO TO THE UNANIMOUS, BI-PARTISAN PASSAGE IN DECEMBER 2023 OF THE ALIGNED H.R. 2880, PROTECTING PATIENTS FROM PBM ABUSES ACT IN THE HOUSE OF REPRESENTATIVES BY BOTH THE ENERGY AND COMMERCE COMMITTEE AND THE WAYS AND MEANS COMMITTEE.

  Expenses $24,512,688 · Grants $23,696,848 · Revenue $24,506,925

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

• PBM ACCOUNTABILITY PROJECT

  $23,691,048

  PROGRAM SUPPORT

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• AMERICA'S AGENDA HEALTHCARE EDUCATION FUND

  501(C)(3) · POLICY DEV. & EDUCATION ON AFFORDABLE HIGH QUALITY HEALTHCARE · DC · controlled entity

Provenance

Return type

form_990

Tax year

2023

Filed

14 November 2024

IRS schema version

2023v5.1

Source object

202403209349302405

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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