Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system.

H.R.3354- Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018; H.Con.Res.80- Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Defending duly enacted state and local laws, like D.C.'s Death with Dignity Act, from federal interference. As such, we monitored bills including HR 6258 and S. 3107: Financial Services and General Government Appropriations Act, 2019​ and H. Con. Res. 80.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Defending duly enacted state and local laws, like D.C.'s Death with Dignity Act, from federal interference. As such, we monitored bills including HR 6258 and S. 3107: Financial Services and General Government Appropriations Act, 2019​ and H. Con. Res. 80.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

For activity pertaining to budget reconciliation legislation, see also the BUD (Budget/Appropriations) page. Contacts in support of certain provisions for incorporation into health care reform ("repeal and replace") legislation, including: elimination of multiple abortion-subsiding and abortion-expanding components of PL 111-148; inclusion of strong language to prevent federal subsidies of elective abortion coverage; retention of untaxed and uncapped private health insurance coverage, including postponement or nullification of the so-called "Cadillac tax" of PL 111-148; no limitation on what Americans can spend from private resources on health care; and strengthen provisions in PL 111-148 to enforce the segregation of funds for abortion services. Contacts regarding advance care planning legislation (not introduced) to (1) ensure the legislation provides for adequate oversight regarding the creation of advance planning materials, websites, etc. in order to protect against the materials being crafted in a way that persuades patients to reject treatment they might otherwise choose, (2) ensure that there are not Federally funded unmonitored practitioner consultations could lead to patients forgoing treatment they would otherwise have wanted, (3) ensure that there are not adverse changes to the Assisted Suicide Funding and Restriction Act, (4) include oversight for grant approval for physician orders for life-sustaining treatment, and (5) protect the right of states to ensure informed consent in choosing and rejecting treatment. Contacts regarding potential legislation related to strengthening Federal policy against physician-assisted suicide. Contacts in support of H.Con.Res. 80, expressing the sense of the Congress that assisted suicide puts vulnerable patients at risk and undermines the integrity of the health care system. Contacts in support of eliminating "advance care planning services" from the CMS list of services in the Medicare Physician Fee Schedule payment rule. Contacts in support of H.R. 4131 (Pittenger) to amend the Internal Revenue Code to impose federal taxes on bonds used to provide facilities owned by abortion providers. Contacts in support of regulatory changes to enforce the fund-segregation requirements of the 2010 "Affordable Care Act" with respect to abortion and to adopt penalties for noncompliance. Contacts regarding H.R. 3119, the "Palliative Care and Hospice Education and Training Act," as to whether provisions of the Assisted Suicide Funding Restriction Act would be impacted or if there were potential involuntary denial-of-treatment issues.

H.R.3354- Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018; H.Con.Res.80- Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

For activity pertaining to budget reconciliation legislation, see also the BUD (Budget/Appropriations) page. Contacts in support of certain provisions for incorporation into health care reform ("repeal and replace") legislation, including: elimination of multiple abortion-subsiding and abortion-expanding components of PL 111-148; inclusion of strong language to prevent federal subsidies of elective abortion coverage; retention of untaxed and uncapped private health insurance coverage, including postponement or nullification of the so-called "Cadillac tax" of PL 111-148; no limitation on what Americans can spend from private resources on health care; and strengthen provisions in PL 111-148 to enforce the segregation of funds for abortion services. Contacts regarding advance care planning legislation (not introduced) to (1) ensure the legislation provides for adequate oversight regarding the creation of advance planning materials, websites, etc. in order to protect against the materials being crafted in a way that persuades patients to reject treatment they might otherwise choose, (2) ensure that there are not Federally funded unmonitored practitioner consultations could lead to patients forgoing treatment they would otherwise have wanted, (3) ensure that there are not adverse changes to the Assisted Suicide Funding and Restriction Act, (4) include oversight for grant approval for physician orders for life-sustaining treatment, and (5) protect the right of states to ensure informed consent in choosing and rejecting treatment. Contacts regarding potential legislation related to strengthening Federal policy against physician-assisted suicide. Contacts in support of H.Con.Res. 80, expressing the sense of the Congress that assisted suicide puts vulnerable patients at risk and undermines the integrity of the health care system. Contacts in support of eliminating "advance care planning services" from the CMS list of services in the Medicare Physician Fee Schedule payment rule. Contacts in support of H.R. 4131 (Pittenger) to amend the Internal Revenue Code to impose federal taxes on bonds used to provide facilities owned by abortion providers. Contacts regarding H.R. 3922 to extend community health center funding and potential impact on funding for elective abortion. Contacts in support of adding "Hyde Amendment" protections to prevent allowing funds to flow to health plans that cover elective abortions to the Bipartisan Health Care Stabilization Act of 2017 and the Lower Premiums Through Reinsurance Act of 2017(S.1835). Contacts in support of regulatory changes to enforce the fund-segregation requirements of the 2010 "Affordable Care Act" with respect to abortion and to adopt penalties for noncompliance. Contacts in support of Graham-Cassidy proposal to convert the Obama Health law federal subsidies to state block grants that would be protected by the Hyde amendments restriction on funding elective abortion.

Defending duly enacted state and local laws, like D.C.'s Death with Dignity Act, from federal interference. As such, we monitored bills including H.R.3280: Financial Services and General Government Appropriations Act, 2018​; H.R.1625: Vehicle for Consolidated Appropriations Act 2018; and H. Con. Res. 80: Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Defending duly enacted state and local laws, like D.C.'s Death with Dignity Act, from federal interference. As such, we monitored bills including H.R.3280: Financial Services and General Government Appropriations Act, 2018​; H.R.1625: Vehicle for Consolidated Appropriations Act 2018; and H. Con. Res. 80: Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.3354- Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018; H.Con.Res.80- Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Con.Res.80 - Expressing the sense of the Congress that assisted suicide puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Defending duly enacted state and local laws, like D.C.'s Death with Dignity Act, from federal interference. As such, we monitored bills including H.R.3280: Financial Services and General Government Appropriations Act, 2018​; H.R.1625: Vehicle for Consolidated Appropriations Act 2018; and H. Con. Res. 80: Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Defending duly enacted state and local laws, like D.C.'s Death with Dignity Act, from federal interference. As such, we monitored bills including H.R.3280: Financial Services and General Government Appropriations Act, 2018​; H.R.1625: Vehicle for Consolidated Appropriations Act 2018; and H. Con. Res. 80: Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

For activity pertaining to budget reconciliation legislation, see also the BUD (Budget/Appropriations) page. Contacts in support of certain provisions for incorporation into health care reform ("repeal and replace") legislation, including: elimination of multiple abortion-subsiding and abortion-expanding components of PL 111-148; inclusion of strong language to prevent federal subsidies of elective abortion coverage; retention of untaxed and uncapped private health insurance coverage, including postponement or nullification of the so-called "Cadillac tax" of PL 111-148; no limitation on what Americans can spend from private resources on health care; and strengthen provisions in PL 111-148 to enforce the segregation of funds for abortion services. Contacts regarding advance care planning legislation (not introduced) to (1) ensure the legislation provides for adequate oversight regarding the creation of advance planning materials, websites, etc. in order to protect against the materials being crafted in a way that persuades patients to reject treatment they might otherwise choose, (2) ensure that there are not Federally funded unmonitored practitioner consultations could lead to patients forgoing treatment they would otherwise have wanted, (3) ensure that there are not adverse changes to the Assisted Suicide Funding and Restriction Act, (4) include oversight for grant approval for physician orders for life-sustaining treatment, and (5) protect the right of states to ensure informed consent in choosing and rejecting treatment. Contacts regarding potential legislation related to strengthening Federal policy against physician-assisted suicide. Contacts in support of H.Con.Res. 80, expressing the sense of the Congress that assisted suicide puts vulnerable patients at risk and undermines the integrity of the health care system. Contacts in support of eliminating "advance care planning services" from the CMS list of services in the Medicare Physician Fee Schedule payment rule. Contacts in support of H.R. 4131 (Pittenger) to amend the Internal Revenue Code to impose federal taxes on bonds used to provide facilities owned by abortion providers. Contacts in support of Protecting Seniors' Access to Medicare Act of 2017 (H.R.849/S.260) to repeal the Independent Payment Advisory Board, a component of PL 111-148 with power to suppress nongovernmental health care spending by limiting treatments that doctors are allowed to give their patients including a letter to the House dated October 30, 2017 (the measure passed the House 11/02/2017). Contacts in support of the inclusion of this legislation in the Bipartisan Budget Act and the CR for FY for FY 18, including a letter to Congress dated February 8, 2018 (this measure became law). Contacts regarding H.R. 3922 to extend community health center funding and potential impact on funding for elective abortion. Contacts in support of adding "Hyde Amendment" protections to prevent allowing funds to flow to health plans that cover elective abortions to the Bipartisan Health Care Stabilization Act of 2017 and the Lower Premiums Through Reinsurance Act of 2017(S.1835). Contacts in support of regulatory changes to enforce the fund-segregation requirements of the 2010 "Affordable Care Act" with respect to abortion and to adopt penalties for noncompliance. Contacts in support of Graham-Cassidy proposal to convert the Obama Health law federal subsidies to state block grants that would be protected by the Hyde amendments restriction on funding elective abortion.

H.R.3354- Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018; H.Con.Res.80- Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Con.Res.80 - Expressing the sense of the Congress that assisted suicide puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

For activity pertaining to budget reconciliation legislation, see also the BUD (Budget/Appropriations) page. Contacts in support of certain provisions for incorporation into health care reform ("repeal and replace") legislation, including the Senate Better Care Replacement Act, including: elimination of multiple abortion-subsiding and abortion-expanding components of PL 111-148; inclusion of strong language to prevent federal subsidies of elective abortion coverage; retention of untaxed and uncapped private health insurance coverage, including postponement or nullification of the so-called "Cadillac tax" of PL 111-148; no limitation on what Americans can spend from private resources on health care; and strengthen provisions in PL 111-148 to enforce the segregation of funds for abortion services. Contacts regarding advance care planning legislation (not introduced) to (1) ensure the legislation provides for adequate oversight regarding the creation of advance planning materials, websites, etc. in order to protect against the materials being crafted in a way that persuades patients to reject treatment they might otherwise choose, (2) ensure that there are not Federally funded unmonitored practitioner consultations could lead to patients forgoing treatment they would otherwise have wanted, (3) ensure that there are not adverse changes to the Assisted Suicide Funding and Restriction Act, (4) include oversight for grant approval for physician orders for life-sustaining treatment, and (5) protect the right of states to ensure informed consent in choosing and rejecting treatment. Contacts regarding potential legislation related to strengthening Federal policy against physician-assisted suicide. Contacts in support of H.Con.Res. 80, expressing the sense of the Congress that assisted suicide puts vulnerable patients at risk and undermines the integrity of the health care system. Contacts in support of eliminating "advance care planning services" from the CMS list of services in the Medicare Physician Fee Schedule payment rule. Contacts in support of strengthening regulations surrounding implementation of certain elements of PL 111-148 related to the segregation of funds for elective abortion. Contacts in support of H.R.4131 (Pittenger) to amend the Internal Revenue Code to impose federal taxes on bonds used to provide facilities owned by abortion providers. Contacts regarding the Protecting Access to Care Act of 2017 (H.R. 1215), pertaining to caps to damages arising from the intentional denial of treatment along with possible preemption issues related to state law; no position taken this quarter. Contacts in support of Protecting Seniors' Access to Medicare Act of 2017 (H.R.849/S.260) to repeal the Independent Payment Advisory Board, a component of PL 111-148 that has power to suppress nongovernmental health care spending by limiting treatments that doctors are allowed to give their patients including a letter to the House dated October 30 (the measure passed the House 11/02/2017) Contacts regarding H.R. 3922 to extend community health center funding and potential impact on funding for elective abortion. Contacts in support of adding "Hyde Amendment" protections to prevent allowing funds to flow to health plans that cover elective abortions to the Bipartisan Health Care Stabilization Act of 2017 and the Lower Premiums Through Reinsurance Act of 2017(S.1835). Contacts in support of regulatory changes to enforce the fund-segregation requirements of the 2010 "Affordable Care Act" with respect to abortion and to adopt penalties for noncompliance. Contacts in support of Graham-Cassidy proposal to convert the Obama Health law federal subsidies to state block grants that would be protected by the Hyde amendments restriction on funding elective abortion.

H.R.3354- Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018; H.Con.Res.80- Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system

Client expense: Not reported · Firm income: $30,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Con.Res.80 - Expressing the sense of the Congress that assisted suicide puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

For activity pertaining to budget reconciliation legislation, see also the BUD (Budget/Appropriations) page. Contacts in support of certain provisions for incorporation into health care reform ("repeal and replace") legislation, including the Senate Better Care Replacement Act, including: elimination of multiple abortion-subsiding and abortion-expanding components of PL 111-148; inclusion of strong language to prevent federal subsidies of elective abortion coverage; retention of untaxed and uncapped private health insurance coverage, including postponement or nullification of the so-called "Cadillac tax" of PL 111-148; no limitation on what Americans can spend from private resources on health care; and strengthen provisions in PL 111-148 to enforce the segregation of funds for abortion services. Contacts regarding advance care planning legislation (not introduced) to (1) ensure the legislation provides for adequate oversight regarding the creation of advance planning materials, websites, etc. in order to protect against the materials being crafted in a way that persuades patients to reject treatment they might otherwise choose, (2) ensure that there are not Federally funded unmonitored practitioner consultations could lead to patients forgoing treatment they would otherwise have wanted, (3) ensure that there are not adverse changes to the Assisted Suicide Funding and Restriction Act, (4) include oversight for grant approval for physician orders for life-sustaining treatment, and (5) protect the right of states to ensure informed consent in choosing and rejecting treatment. Contacts regarding potential legislation related to strengthening Federal policy against physician-assisted suicide. Contacts in support of H.Con.Res. 80, expressing the sense of the Congress that assisted suicide puts vulnerable patients at risk and undermines the integrity of the health care system. Contacts in support of eliminating "advance care planning services" from the CMS list of services in the Medicare Physician Fee Schedule payment rule. Contacts in support of strengthening regulations surrounding implementation of certain elements of PL 111-148 related to the segregation of funds for elective abortion. Contacts in support of H.R.4131 (Pittenger) to amend the Internal Revenue Code to impose federal taxes on bonds used to provide facilities owned by abortion providers. Contacts regarding the Protecting Access to Care Act of 2017 (H.R. 1215), pertaining to caps to damages arising from the intentional denial of treatment along with possible preemption issues related to state law; no position taken this quarter. Contacts in support of Protecting Seniors' Access to Medicare Act of 2017 (H.R.849/S.260) to repeal the Independent Payment Advisory Board, a component of PL 111-148 that has power to suppress nongovernmental health care spending by limiting treatments that doctors are allowed to give their patients.

Signed onto letters to Congress, and engaged in multiple Hill visits, opposing the ADA Education and Reform Act H.R. 620 which would create significant obstacles for people with disabilities to enforce their rights under Title III of the ADA. Title III (public accommodations) was intended to balance the interests of small businesses along with the accessibility concerns of people with disabilities. Title III does not require any action with respect to existing buildings that would cause an undue burden on businesses or that is not readily achievable. Supports S. 910/H.R. 2472 - Disability Integration Act United Spinal endorsed H.Con.Res.80 - Expressing the sense of the Congress that assisted suicide (sometimes referred to as death with dignity, end-of-life options, aid-in-dying, or similar phrases) puts everyone, including those most vulnerable, at risk of deadly harm and undermines the integrity of the health care system.

Client expense: Not reported · Firm income: $75,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT)