National Institutes of Health Continuing Appropriations Resolution, 2014

H.R. 2216, Military Construction-Veterans Affairs Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research and research infrastructure. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programsIssue: Supporting the use of animals in medical research P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act Issue: Complete reauthorization of preparednesss legistaion. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II. H.J.Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Bypartisan Budget Act of 2013). Issues: Support funding for National Institutes of Health (NIH), Agency for Health Care Research and Quality (AHRQ), and Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. S. 1552, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. H.R. 2775/P.L. 113-46, Continuing Appropriations Act, 2014 Issue: Support ending the government shutdown. H.J. Res. 73, Research for Lifesaving Cures Issue: Support ending shutdown for entire federal government rather than specific agencies. Submitted Commetns: to FDA on demographic subgroup data. to NIH on genome data sharing policy.

Client expense: $620,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

S. 1284 and draft House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2014, Title II H.J.Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Bipartisan Budget Act of 2013).Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. H.R. 2216, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Titles II and III Issues: Support graduate/professional student aid programs. P.L. 111-148, Patient Protection and Affordable Care Act, Title V and Section 10503 Issue: Funding for Community Health Centers and the National Health Service Corps (NHSC). H.R. 297/S. 1557, Children's Hospital GME Support Reauthorization Act of 2013 Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (CHGME). Issue: Funding for the National Health Care Workforce Commission. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science funding. Issue: Oppose Medicare Graduate Medical Education (GME) cuts through sequestration. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. H.R. 2775/P.L. 113-46, Continuing Appropriations Act, 2014 Issue: Support ending the government shutdown. H.J. Res. 73, Research for Lifesaving Cures Issue: Support ending shutdown for entire federal government rather than specific agencies. H.J. Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Pathway for SGR Reform Act of 2013) Issues: Oppose two-year extension of Medicare sequestration through 2023. Support Medicare physician payment patch. Support two midnight rule delay. Support Medicare Disproportionate Share (DSH) delay until 2016. Support the addition of Medicare Graduate Medical Education (GME) expansion provisions. Oppose Medicaid DSH rebasing.

Client expense: $620,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

S. 1284 and draft House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014, Title II H.J.Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Bipartisan Budget Act of 2013).Issues: Support funding for National Institues of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Health Resources and Services Administration (HRSA), biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. H.R. 2216, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2014, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the National Health Service Corps. Debt in Health Education Loan programs (Debt HELP) bill (draft) Issue: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reducation Act of 2013 H.R. 1180, Resident Physician Shortage Reduction Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. P.L. 111-148, Patient Protection and Affordable Care Act, Title V Issue: Reauthorizing National Health Service Corps. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act, Sections 5503 and 5506 Issue: Redistribution of residency positions Issue: Implementation of and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 297/S. 1557, Children's Hospital GME Support Reauthorization Act Issue: Support reauthorization of Children's Hospitals Graduate Medical Education (GME). P.L. 113-5, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013. Issue: Complete reauthorization of preparedness legislation act. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013. Issue: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Support the use of animals in medical research. H.R. 1201, Training Tomorrow's Doctors Today Act Issue: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments and increase Graduate Medical Education(GME) accountability and transparency. S. 1555/H.R. 1920, DSH Reduction Act of 2013, repeal/delay cuts with Medicare/Medicaid DSHIssue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Support primary Care Workforce Development Issue: Draft legislation on protections for human subjects in research Issue: Draft legislation to reauthorize the Teaching Health Center Program and payments. Issue: Draft legislation on educating health professionals on prescribing pain medication. S. 1152, The Building A Health Care Workforce for the Future Act Issue: Support bill to increase scholarship opportunities for medical students and encourage primary care workforce development. Issue: Draft legislation to support health equity. Issue: Advocate Health/Insurance Exchanges mandated by the Affordable Care Act recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose inclusion of Medicare add-on payments on Hospital-Acquired Condition (HAC) reduction program. H.R. 3698, Two Midnight Rule Delay Act of 2013 Issue: Support delay of enforcement of new Centers for Medicare and Medicaid Services (CMS) inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Nutrition in education. Issue: Expanding AAMC member participation in CMMI's state innovation group activities. H.R. 2775/P.L. 113-46, Continuing Appropriations Act, 2014 Issue: Support ending the government shutdown. H.J. Res. 73, Research for Lifesaving Cures Issue: Support ending shutdown for entire federal government rather than specific agencies. H.J. Res. 59, Continuing Appropriations Resolution, 2014 (as amended by the Pathway for SGR Reform Act of 2013) Issues: Oppose two-year extension of Medicare sequestration through 2013. Support the addition of Medicare Graduate Medical Education (GME) expansion provisions. Support Medicare physician payment patch. Support two midnight rule delay. Support Medicaid Disproportionate Share (DSH) delay until 2016. Oppose Medicaid DSH rebasing. Issue: Support Medicare Graduate Medical Education (GME) technical corrections and administrative relief.Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. Submitted comments: to MedPAC on Graduate Medical Education (GME) and Accountable Care Organizations (ACOs). to FDA on demographic subgroup data. to NIH on genome data sharing policy.

Client expense: $620,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Reserve System, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office