Sandy Ahn Email & Phone Number

Washington, District Of Columbia, United States

• Identify short-term and long-term U.S. healthcare issues and policy trends affecting access, distribution, sales and marketing or innovation. • Interpret relevant legislation and regulations and develop policy positions for advocacy including through industry trade associations. • Support advocacy policymakers by providing and coordinating sound policy rationale and drafting external messaging.• Work collaboratively across functions to develop internal awareness and solutions to minimize risk.

Washington, District Of Columbia, United States

• Served as in-house counsel on issues affecting commercial market health insurance and prescription drug coverage including state-regulated health insurance and employer-sponsored health plans regulated under the Employee Retirement and Income Security Act (ERISA), reform of pharmacy benefit managers, protection manufacturer patient assistance. • Advocated on behalf of industry to Congress and agencies and provide, coordinate, and supervise the development of legal analysis relating to legislation, regulations, and sub-regulatory guidance.• Worked collaboratively across departments to develop policies and strategies for legislative and regulatory initiatives.• Managed and supervises external outside counsel on legal issues related to commercial market health insurance coverage. • Analyzed and provided legal analysis on federal and state bills impacting the biopharmaceutical industry with a focus on bills related to the commercial health insurance markets and state bills related to privacy.

Washington D.C. Metro Area

Served as legal counsel to support the District of Columbia’s health insurance marketplace for small businesses and individuals including serving as Interim Acting Privacy Officer.• Advised business teams on implementing federal and local requirements related to the individual and small group market. • Drafted and coordinated with Executive staff and HBX Board on comments to proposed federal and local regulations that would impact access to health insurance and HBX operations.• Served as the Privacy Officer implementing HBX’s Privacy program by developing and maintaining internal policies and procedures for the agency’s privacy program, responding to unauthorized disclosures and conducting risk assessments in accordance with HIPAA guidance, providing privacy-related training to staff and new employees, and reviewing contracts and memoranda of understanding related to data use agreements.

Washington D.C. Metro Area

Provided subject matter expertise on regulatory framework of the Affordable Care Act marketplaces and federal and state health insurance regulations. • Served as the technical lead on various projects for federal and state clients including review of state submissions of essential health benefit-benchmark plan, cost-sharing outlier reviews of qualified health plans, and oversight in insurer form filings for Mental Health Parity and Addiction Equity Act (MHPAEA) requirements. assistance

Washington D.C. Metro Area

Collaborated with stakeholders - insurers, state regulators, and consumer advocates - to conduct qualitative research on health insurance regulations. Tracked and analyzed implementation of federal and state legislation, including 50-state surveys, which affect private insurance markets and consumers’ access to care. Provided technical assistance to state insurance regulators on federal regulations and guidance related to the ACA and MHPAEA, and to non-profit clients working on ACA marketplace enrollment. Projects included:• Identifying policies to lower medical and prescription out-of-pocket costs for privately insured consumers.• Highlighting state regulations and approaches of using telemedicine to satisfy network adequacy requirements.• Reporting on state actions to protect consumers from unexpected charges or balance bills.

Washington D.C. Metro Area

Provided legal research and policy analysis to non-profit clients and state agencies on the effect of various federal laws on state and local authority. Translated technical legal language into policy documents such as one-page issue briefs and talking points. Managed client relationships and supervised 3 to 4 law students and their research. Deliverables included: • Legal authority, reimbursement and privacy issues related to third-party billing for local and state health departments, state procurement laws and federal funding requirements. • Contract negotiating tool outlining various contract issues with Pharmacy Benefit Managers.

Washington D.C. Metro Area

Administered compliance program for 900+ bed hospital with 6,000 employees and contractors. • Identified potential compliance risks and implemented corrective strategies and conducted training for new hires and employees.

Washington D.C. Metro Area

Delivered advisory and consulting services to large hospitals and health systems and directed company’s corporate compliance program for 25+ employees and contractors. • Conducted compliance program reviews, risk assessments, and advised on implementing compliance programs of health systems including for HIPAA Privacy Rule.• Drafted model policies and procedures for hospitals and health systems to comply with laws such as Anti-kickback, HIPAA, Sarbanes-Oxley, and EMTALA.

Master Of Laws - Llm, Advocacy

As part of successful completion of Georgetown University Law Center's Clinical Fellowship program.

Ll.M., Domestic And Global Health Law

J.D., Law

B.A., English & International Relations