Lisa Campbell > Groom Law Group, Chartered > Washington DC, United States > Lawyer Profile
Groom Law Group, Chartered Offices
1701 PENNSYLVANIA AVE, NW
WASHINGTON DC 20006
DISTRICT OF COLUMBIA
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Lisa Campbell is co-chair of the firm’s Health Services Practice. She advises clients on all aspects of the Affordable Care Act (ACA), including the insurance market reforms, qualified health plan standards, exchange rules, consumer assistance programs for the federal marketplace, and ACA section 1557 nondiscrimination rules.
Lisa also works with clients on the Federal Mental Health Parity and Addiction Equity Act (MHPAEA), state insurance law, and Medicare and Medicaid. She represents health insurance companies, employers, consultants, and trade associations on federal and state laws regulating health coverage. She also provides advice on advocacy with federal and state agencies, compliance programs, government enforcement, and regulatory initiatives.
Lisa is the former Director of the Compliance and Enforcement Division for the Oversight Group at the Center for Consumer Information and Insurance Oversight (CCIIO) at the Department of Health & Human Services (HHS), and immediately prior to joining Groom, she was the Group Director for the Consumer Support Group at CCIIO. In her positions at HHS, Lisa worked closely with all key stakeholders, including health insurance companies, state insurance regulators, the Departments of Labor and the Treasury, trade associations, and consumer groups.
As Director of the Compliance and Enforcement Division, Lisa managed the team responsible for compliance and enforcement of private health insurance coverage. Lisa directed the implementation of the enforcement program for the ACA market reform provisions, led work related to implementing program and policy initiatives for the requirements of the ACA and other federal requirements, and provided technical assistance to states, health insurance companies, trade associations, and consumer groups on the ACA.
As Group Director of the Consumer Support Group, Lisa was responsible for implementing consumer assistance programs for the federal Marketplace, including the Navigator, non-Navigator enrollment assistance personnel, and Certified Application Counselor programs, casework, and reporting of plan data. She was responsible for coordinating on the policy and implementation of the Summary of Benefits and Coverage (SBC) and Internal Appeal and External Review requirements.
Lisa speaks and writes regularly on MHPAEA and the ACA, including presentations relating to health care reform, enforcement and the ACA section 1557 nondiscrimination requirements from the perspective of health insurers and employer plan sponsors.
- Group Director, Consumer Support Group, Center for Consumer Information and Insurance Oversight, Centers for Medicare & Medicaid Services, U.S. Department of Health & Human Services
- Director, Compliance and Enforcement Division, Oversight Group, Center for Consumer Information and Insurance Oversight, Centers for Medicare & Medicaid Services, U.S. Department of Health & Human Services
- Senior Policy Analyst and Committee Counsel, Department of Legislative Services, Maryland General Assembly
- Regulation Attorney, Office of Health Plan Standards and Compliance Assistance, Employee Benefits Security Administration, Department of Labor
- Member, The Catholic University Law Review
Lawyer Rankings(Leading lawyers)
In the healthcare insurer space, Groom Law Group, Chartered stands out for its focus on providing expert regulatory advice, advising its clients on all aspects of federal and state regulations concerning healthcare delivery services and insurers. In particular, the firm regularly advises major health insurance companies on Medicare coverage rules, HIPAA privacy requirements, and insurer responsibilities under the Mental Health Parity Act. Additionally, 2022 has seen the firm advising employers, insurers, and health plan administrators on the full range of legal implications arising from federal and state law changes in the wake of the Dobbs decision. Jointly led by Jon Breyfogle and Lisa Campbell, who both have significant government experience, the team is based in Washington DC. They are supported by ACA specialists Seth Perretta and Ryan Temme, whose work focuses on the requirements of the Mental Health Parity and Addiction Equity Act, as well as ACA compliance.
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