Indonesian Family Refugee Protection Act

Implementation of H.R. 3590-The Patient Protection and Affordable Care Act. Title X, Sec. 10104 (3) Treatment of Qualified Direct Primary Care Medical Home Plans. Title III-Improving the Quality and Efficiency of Health Care; S. 1031/H.R. 2194 The Family Retirement and Health Reinvestment Act of 2013, Sections 116, 203; S. 2000, H.R. 4015 The SGR Repeal and Medicare Provider Payment Modernization Act of 2014.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Science & Technology Policy (OSTP), SENATE

Implementation of H.R. 3590- The Patient Protection and Affordable Care Act, Title X., Sec. 10104 (3) Treatment of Qualified Direct Primary Care Medical Home Plans, Title III - Improving the Quality and Efficiency of Health Care; S. 1031/H.R. 2194 The Family Retirement and Health Reinvestment Act of 2013, Sections 116, 203; S. 2000, H.R. 4015 The SGR Repeal and Medicare Provider Payment Modernization Act of 2014.

Client expense: Not reported · Firm income: $10,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Office of Science & Technology Policy (OSTP), SENATE

Implementation of H.R. 3590, the Patient Protection and Affordable Care Act Sections (P.L. 111-148) Title III- Improving the Quality and Efficiency of Health Care, and H.R. 3590 provisions relating to Health Information Technology; Implementation of The American Recover and Reinvestment Act of 2009, P.L. 111-15) Title XIII the Health Information Technology Act of 2013, all provisions; H.R. 4015/S.2000 SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions, H.R. 3303, The Software Act, all provisions.

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. Con. Res. 12: Resolution on Retirement Savings Incentives. Issue: retirement security. H.R. 837: Savings for American Families' Future Act of 2013. Issue: retirement security. S. 606 - Shrinking Emergency Account Losses Act. Issue: limits borrowing from 401(k) plan. H.R. 2035: Automatic IRA Act of 2013. Issue: retirement security H.R. 2117: Retirement Plan Simplification and Enhancement Act of 2013. Issue: retirement security H.R. 837: Saving for American Families Future Act of 2013. Issue: Savers credit enhancement S. 1145/H.R. 2171: Lifetime Income Disclosure Act. Issue: lifetime income illustration S. 1270: Secure Annuities for Employee (SAFE) Act. Issue: retirement security S.1979: Universal, Secure, Adaptable Retirement Funds Act. Issue: retirement security H.R. 2171: Retirement Security Act of 2014. Issue: retirement security H.R. 5576, the USAccounts: Investing in Americas Future Act of 2014, Kid Save accounts. No bill number: Preserving Americas Transit & Highways Act of 2014, - tracking the stretch IRA provision in it. H.R. 5263-The Living Donor Protection Act, Issue: Underwriting for long-term care H.R. 3590-The Patient Protection and Affordable Care Act, Issue: Assessments under state-based insurance exchanges. S. 1970, Retirement Security Act : retirement security H.R. 5875, SAVE Act: retirement security

Client expense: $1,273,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3590, S 1790 (as enacted into PL 111-148 and PL 111-152) - Medicare and Medicaid reform incluiding issues related to the Part D program and those related to low income beneficiaries and protected medication classes.

Client expense: $460,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Patent & Trademark Office (PTO), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

H.R. 3590 - Patient Protection and Affordable Care Act (implementation and related regulations) H.R. 4872 - Health Care and Education Reconciliation Act (implementation and related regulations)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

H.R. 3590 - Patient Protection and Affordable Care Act (implementation and related regulations) H.R. 4872 - Health Care and Education Reconciliation Act (implementation and related regulations)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Tracking progress on the recommendations for changes in methodology for designating areas as underserved. Comments related to the OIG report on location requirments for Critical Access HospitalsRural issues included in the Craig Thomas Rural Hospital and Provider Equity Act Rural issues included in H.R. 3859, The Rural Hospital and Provider Equity Act Issues involving the development of alternative payment methodologies for rural hospitals, CAHs and other providers. Proposed changes in Critical Access Hospital location requirements Proposed limits on Critical Access Hospital payments Issues affecting Medicare and Medicaid payments to providers serving rural communities Qualified Health Plans and network advantage Alternative Payment models OIG reports on Critical Access Hospital location and payments Definition of Essential Community Provider under the Affordable Care Act

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Patient Protection and Affordable Care Act (Pub.L. 111-448, H.R. 3590); To amend section 1341 of the Patient Protection and Affordable Care Act to repeal the funding mechanism for the transitional reinsurance program in the individual market, and for other purposes (H.R. 3489); Health Care Fairness and Stability Act (H.R. 4735/S. 2253); and other issues relating to employer-sponsored health care

Client expense: $1,050,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Proposed Regulations affecting Rural Health Clinics Coverage of preventive services when provided in RHCs as stand-alone visitsRegulations establishing standards for the meaningful use of electronic health records Provider enrollment (PECOS) in Medicare and the ability to order or refer patients Possible cuts to Medicare bad debt payments for RHCs Sequestration related cuts in RHC payments H.R. 1331: Electronic Health Records Improvement Act Seniors Mental health Access Improvement Act Proposed Changes in RHC regulations dealing with employment of PAs and NPs Changes to the RHC manual by CMS Medicaid waiver applications submitted by Arkansas and Iowa Legislation to repeal/replace the SGR formula Medicare interpretation of "preventive services" as billable visits when performed in rural health clinic CMS reinterpretation of Island staffing exemption in RHCs The ability of RHC providers to serve as rendering provider for telehealth visits Medicaid waiver application submitted by Pennsylvania Medicaid changes made by West Virginia relative to Rural Health Clinic Services Craig Thomas R-Hope legislation CMS staffing requirements and ability of PAs and NPs to be contracted vs. W2 employees in RHCs Physician on-site availability requirements in RHCs Network adequacy Medicare coverage of preventive services as billable visits in the RHC setting Medicare coverage of Chronic Care Management when provided in the RHC setting

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Adoption of negotiated rulemaking committee recommendations on new methodology for designating areas as underserved. Standards for meaningful use of electronic health records.Issues related to network adequacy for Qualified Health Plans and the inclusion of Rural Health Clinics as essential providers. Definition of Essential Community Providers (inclusion of RHCs in the definition). Standards related to inclusion of ECPs in ACA Networks. Consumer ability to change plans when ACA Qualified Health Plans change network (drop providers) after individuals have enrolled in plan.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Implementation of H.R. 3590, the Patient Protection and Affordable Care Act.

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Regulations establishing meaningful use criteria for electronic health records Issues involving provider enrollment in Medicare and the ability to order or refer patientsICD-10 Code implementation and delay Issues affecting electronic claims transactions Legislation addressing the Sustainable Growth Rate reforms for physician payments under Medicare as well as legislation postponing proposed cuts in Medicare physician payments due to the Sustainable Growth Rate. Medicare changes in Place of Service and Date of Service policy Issues involving Medicare Enrollment and revalidation Medicare policies on overpayment of claims Issues involving sequestration and its impact on Medicare provider payments Legislation to repeal/replace the SGR formula for Medicare physician fee schedule payments Issues surrounding Medicare denial of payments when the ordering/referring physician is not enrolled in Medicare Legislation and regulations addressing Medicare Fraud and Abuse and the Recovery Audit Contracting program Issues involving Medicare recoupment of payments for patients classified as "incarcerated felons." Issues invoved in Medicare engaging in end-to-end testing as part of the preparations for ICD-10 implementation Proposed OIG changes to Medicare False Claims Act and fraud and abuse criteria and standards Medicare physician fee schedule proposed rule for CY 2015 Medicare physician fee schedule final rule for CY 2015 Continuing Resolution/Omnibus Appropriations legislation

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Regulations implementing Administrative Simplification reforms included in H.R. 3590. Issues involving Qualified Health Plans and Health Insurance MarketplacesIssues involving network adequacy and provider contracting within Qualified Health Plans

Client expense: Not reported · Firm income: $50,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Medicare regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Medicare regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Regulations dealing with physician ownership of hospitals Medicare Regulations affecting Rural Health ClinicsLegislation affecting Medicare payments for physician owned hospitals The Rural Health Clinic Patient Access Improvement Act Sequester related reductions in physician and hospital payments Payment equalization between physicians offices and hospital outpatient departments Issues involving legislation to repeal/replace the SGR formula Medicaid reform efforts Provider payment reforms under Medicare

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 Regulations dealing with physician ownership of hospitals Regulations dealing with changes in how hospitals and physicians are paidIssues involving drug shortages and federal legislation aimed at alleviating drug shortages. Issues involving drug compounding and disposal of unused controlled substances Issues related to network adequacy for Qualified Health Plans Definition of Essential Community Providers under the ACA

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Monitor and track issues and legislation affecting Community Health Centers and youth service centers. Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act & H.R. 4872, The Reconciliation Act. Regulations implementing ACA, HIT, ACOs, Centers for Innovations, Navigators.

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

PL 111-148 (HR 3590): PATIENT PROTECTION AND AFFORDABLE CARE ACT; PROVISIONS RELATED TO IMPLEMENTATION AND FULL TIME WORKER DEFINITIONS

Client expense: $380,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), White House Office

H.R. 4435 Defense Authorization Act; H.R. 3590/ S. 1335 Sportsman's Act; S2777 Surface Transportation Board Reauthorization; H.R. 5771 Tax Extenders; S638 Railroad Antitrust Enforcement Act; H.R. 4007 Chemical Facilities Anti-Terrorism Standards Act;

Client expense: Not reported · Firm income: Not reported

H.R. 4435 Defense Authorization Act; H.R. 3590/ S. 1335 Sportsman's Act; S2777 Surface Transportation Board Reauthorization; H.R. 5771 Tax Extenders; S638 Railroad Antitrust Enforcement Act; H.R. 4007 Chemical Facilities Anti-Terrorism Standards Act;

Client expense: Not reported · Firm income: Not reported

H.R. 4435 Defense Authorization Act; H.R. 3590/ S. 1335 Sportsman's Act; S2777 Surface Transportation Board Reauthorization; H.R. 5771 Tax Extenders; S638 Railroad Antitrust Enforcement Act; H.R. 4007 Chemical Facilities Anti-Terrorism Standards Act;

Client expense: Not reported · Firm income: Not reported

H.R. 4435 Defense Authorization Act; H.R. 3590/ S. 1335 Sportsman's Act; S2777 Surface Transportation Board Reauthorization; H.R. 5771 Tax Extenders; S638 Railroad Antitrust Enforcement Act; H.R. 4007 Chemical Facilities Anti-Terrorism Standards Act;

Client expense: Not reported · Firm income: Not reported

H.R. 4435 Defense Authorization Act; H.R. 3590/ S. 1335 Sportsman's Act; S2777 Surface Transportation Board Reauthorization; H.R. 5771 Tax Extenders; S638 Railroad Antitrust Enforcement Act; H.R. 4007 Chemical Facilities Anti-Terrorism Standards Act;

Client expense: Not reported · Firm income: Not reported

H.R. 4435 Defense Authorization Act; H.R. 3590/ S. 1335 Sportsman's Act; S2777 Surface Transportation Board Reauthorization; H.R. 5771 Tax Extenders; S638 Railroad Antitrust Enforcement Act; H.R. 4007 Chemical Facilities Anti-Terrorism Standards Act;

Client expense: Not reported · Firm income: Not reported

H.R. 4435 Defense Authorization Act; H.R. 3590/ S. 1335 Sportsman's Act; S2777 Surface Transportation Board Reauthorization; H.R. 5771 Tax Extenders; S638 Railroad Antitrust Enforcement Act; H.R. 4007 Chemical Facilities Anti-Terrorism Standards Act;

Client expense: Not reported · Firm income: Not reported

H.R. 4435 Defense Authorization Act; H.R. 3590/ S. 1335 Sportsman's Act; S2777 Surface Transportation Board Reauthorization; H.R. 5771 Tax Extenders; S638 Railroad Antitrust Enforcement Act; H.R. 4007 Chemical Facilities Anti-Terrorism Standards Act;

Client expense: Not reported · Firm income: Not reported

Regulations under the Patient Protection and Affordable Care Act (HR 3590) related to calorie disclosure on products sold through vending machines (Federal Register/ vol. 78, No. 5/Page 1376 Tuesday, January 8, 2013) Food Safety Modernization Act (21 USC CHAPTER 27) proposed regulations restated to issue of food safety of imported food. Regulations for Competitive Foods sold in schools pursuant to the Nation School Lunch Program and School Breakfast Program: Nutrition Standards for All Foods Sold in Schools as required by the Healthy Hunger-Free Kids Act of 2010, (Pub.L. 11-296) and First Lady Michelle Obama's Let's Move Campaign. Meetings held with Food, Nutrition, and Consumer Services in the USDA and FDAs office of Food and Veterinary Medicine at the end of the sentence. Tracking issues related to the US Food Code and its application to the micro market channel. Specifically, discussion surrounding state health department regulations, which mostly reflect the US Food Code related to food safety and micro markets and the Council For Food Protection. Meeting held with FDAs Office of Food and Veterinary Medicine on micro markets and naturally occurring caffeine. FY 2015 House Agriculture Appropriation Bill language related to the Patient Protection and Affordable Care Act (HR 3590) calorie disclosure rules for vended products. Specifically House Appropriations Amendment to the Agriculture and Rural Development Appropriations Bill which provided report language regarding front of pack and front of vending machine labeling. Support of House Amendment to the Senate Amendment to H.R. 83 Consolidated and Further Continuing Appropriations Act of 2015. Report language in H.R. 83 related to calorie disclosure of vended products.

Client expense: $20,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Engraving & Printing, Centers For Disease Control & Prevention (CDC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA), U.S. Mint

Support a robust Antiquities Act. Oppose HR 250. oppose HR 382, oppose HR 432, oppose HR 758 oppose HR 1512 oppose HR 1434 oppose HR 1439, oppose HR 1459, oppose HR 885. Support Harriet Tubman National Park, Support HR 664 / HR 513 / S 247Support ensuring that our national parks, monuments, forests and other public lands protect and honor the stories of all Americans. This incldes landmarks which celebrate the contributions of women, American Indians, Latinos, Asian-Americans, African-Americans, LGBT Americans, or other historically disenfranchised communities. Support the Antiquities Act. Oppose H.R. 1459 Oppose the Endangered Species Litigation Reasonableness Act (H.R. 4318). Support H.R. 4119, the West Hunter Street Baptist Church Study Act. Oppose HR 3590

Client expense: $68,750 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Support Manchin, Leahy, Feinstein and Lautenberg amendments to S. 649. Support cloture of S 649. Support H.R. 141, S. 150, H.R. 437, S. 374, H.R. 137, H.R. 138, H.R. 142, S. 54, H.R. 955 Oppose funding for additional resource officers in schools.Oppose "Stand your ground" laws. Support the nomination of Mr. B. Todd Jones to lead the Bureau of Alcohol, Tobacco, Firearms, & Explosives Oppose the exemption in H.R. 3590 to certain requirements under NEPA. Oppose HR 3590. Support Thompson (CA) amendment to H.R. 4660.

Client expense: $68,750 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Finalize the DSW (Definition of Solid Waste) rule. Oppose the "Federal and State Partnership for Environmental Protection Act of 2013." Support basing policies on the impact the would have on climaate change.Oppose H.R. 2218, The Coal Residuals Reuse and Management Act of 2013. Oppose The Reducing Excessive Deadline Obligations Act of 2013. Support nomination of Gina McCarthy to serve as Administrator of the US EPA. Oppose H.R. 367. Oppose HR. 1582. Oppose H.R. 1493, the Sunshine for Regulatory Decrees and Settlements Act of 2013. Support the EPA taking afffirmative steps to prevent a chemical disaster by issuing new rules and guidance under section 112r of the Clean Air Act to ensure those obligations are met. Oppose H.R. 2279; oppose H.R. 2226; oppose H.R.2318 Oppose HR 3826 Oppose 2641. Support federal action to address Climate Change; support the Holt (NJ) amendment to HR 3590; Oppose McKinley amendment to HR 4435; Oppose Meadows amendment to HR 4660 Support petition for reconsideration of EPA rule regarding chlorodifluoromethane, HCFC-22, R-22 a hydrochlorofluorocarbon (HCFC). Oppose HR 3590 Oppose HR 4318 Oppose HR 3826 Oppose HR 2641 Oppose Meadows (NC) Greenhouse Gas Emmission amendment to HR 4660. Oppose HR 2824. Support the Capps (CA) motion to recommit H.R. 935. Oppose H.R. 935 Support Johnson (GA)namendment to HR 2641 Oppose HR 1459

Client expense: $68,750 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

HR 2801/S 1143: Protecting Access to Rural Therapy Services (PARTS) Act HR 1250/S 1012: The Medicare Audit Improvement Act of 2013 HR 4067/S 1954: Extension of Moratorium on Direct Supervision HR 3769: Extension of Moratorium on Direct Supervision HR 4015/ S 2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 HR 3698: Two Midnight Rule Delay Act of 2013 S 2082: Two Midnight Rule Coordination and Improvement Act of 2014 H.R. 3991/ S. 2037 Critical Access Hospital Relief Act of 2014 (96 Hour Rule) H.R. 4188, the Establishing beneficiary Equity in the Hospital Readmission Program Act H.R. 4668 Protect Patient Access and Promote Hospital Efficiency Act HR 4015/ S 2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014; HR 4302: Protecting Access to Medicare Act 2014 S. 25: Repealing the Reduction in the Cost of Living Adjustment (COLA) for Retired Members of the Armed Services Bureau By Extending the Medicare Sequester. S.540 - Temporary Debt Limit Extension Act and preceding potential proposals for raising the debt limit and funding. S. 2359 Craig Thomas Rural Hospital and Provider Equity Act (R-HoPE) H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to hospitals, hospice and physicians including: Section 3001: hospital value-based purchasing; Section 3125: low-volume hospital payment; Section 3401: productivity adjustments; Section 3121: outpatient hold harmless for hospitals; Sections 7101-7103: 340B Program; Section 3401: Independent Payment Advisory Board; Section 3015: hospital readmissions program; Section 3124: Extension of Medicare Dependent Hospital program; Section 3137: Section 508 Reclassification; Section 9007: non-profit hospital provision; Section 3105: ambulance services; Section 3008 and Section 2702: payment adjustment for hospital acquired conditions; Section 3133: Medicare DSH; Section 2551: Disproportionate Share Hospitals; Section 5501: Primary Care Provisions; Section 5503: Graduate Medical Education; Sections 2001-2081: Expansion of Medicaid, CHIP; Sections 1311- 1343: CO-OPs and Exchanges; Section 3022: Accountable Care Organizations; Section 3023: Hospital Bundling Provision; Section 6401- 6402: Program Integrity Provisions; Section 6501-6503, 6505, 6508: Medicaid Program Integrity Provisions; Section 3141: Changes to the Rural Floor of the Hospital Wage Index. H.R. 4872, Health Care & Education Affordability Reconciliation Act of 2010: provisions relating to hospitals and physicians, including: Section 2302: 340B program; Section 1104 and Section 1203: Medicare and Medicaid DSH Payments; Sections 1108 and 1109 involving geographic disparities in Medicare payment; Section 1105: Market basket updates; Section 1201: Federal funding for States. Other issues: Medicaid DSH Reduction rule, entire rule. Medicare and Medicaid Recovery Audit Contractor programs, including CMS' proposed changes to the rebilling policy for hospitals, CMS1455P. Medicare and Medicaid Electronic Health Record Payment Incentive Programs. Simpson/Bowles Budget proposal released in April 2013, entire proposal. Implementation of the state health insurance exchanges. 340B Drug Discount Program. Critical Access Hospitals/OIG report and potential changes to CAH designation and payment. Proposals involving site-neutral payment policies impacting payments to hospitals. Medicare Part D pre-authorization policy affecting hospices. Effects of expanded sequestration on hospital, payment issues for hospitals Two-midnight rule effects on patients and facilities 96 hour rule effects on patients and facilities

Client expense: $60,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Sportsmen's Public Outdoor Recreation Traditions Act (S. 1996) - conservation provisions Sportsmen's Heritage and Recreation Enhancement Act ((H.R. 3590) - conservation provisions Acre In, Acre Out Act (H.R. 4423) Land and Water Conservation Fund Reauthorization Act (S. 338) National Defense Authorization Act (H.R. 4435) - land conservation provisions

Client expense: Not reported · Firm income: $10,000

Government targets: Agriculture, Dept of (USDA), Bureau of Land Management (BLM), Council on Environmental Quality (CEQ), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Natl Park Service (NPS), Office of Management & Budget (OMB), SENATE, U.S. Fish & Wildlife Service (USFWS), U.S. Forest Service

Provisions dealing with Follow on Biologics Implementation of Public Law No: 111-148 (formerly HR3590): Patient Protection and Affordable Care Act,

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of HR 3590, the Patient Protection and Affordable Care Act, issues pertaining to pediatric dental and the Health Insurance Exchange and essential benefits; taxation of health and dental insurance; dental benefits in general.

Client expense: $200,000 · Firm income: Not reported

Government targets: Health & Human Services, Dept of (HHS)

Health care reform. Special needs plans. HR3590 and HR 4872.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform--HR 3590, Patient Protection and Affordable Care Act. HR 4872.

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health Care Reform. HR 3590 Patient Protection and Affordable Care Act.

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Technology research; telemedicine and connected care; remote patient monitoring; community health centers and school health; implementation of Patient Protection and Affordable Care Act (H.R. 3590/P.L. 111-148); Health Care and Education Reconciliation Act (H.R. 4872/P.L. 111-152); the Protect Medical Innovation Act (H.R. 523); accountable care organizations; implementation of S. 3187, the Food and Drug Administration Safety and Innovation Act; Safeguarding America's Pharmaceuticals Act (H.R. 1919); SGR reform; FY 2015 budget; Protecting Access to Medicare Act (H.R. 4302); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act (S. 2157); Sunshine Act/Open Payment implementation

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical device tax; implementation of Patient Protection and Affordable Care Act (H.R. 3590/Pub. L. 111-148); telemedicine and connected care; remote patient monitoring; Health Care and Education Reconciliation Act (H.R. 4872/Pub. L. 111-152); Protect Medical Innovation of 2015 (H.R. 523), FY 2015 budget; Protecting Access to Medicare Act (H.R. 4302); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act (S. 2157); Sunshine Act/Open Payment implementation

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HIT funding; community health center and school health funding; implementation of Patient Protection and Affordable Care Act (H.R. 3590/P.L. 111-148); Health Care and Education Reconciliation Act (H.R. 4872/P.L. 111-152); FY 2015 budget; Ebola funding

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical device tax; IC-DISC; implementation of Patient Protection and Affordable Care Act (H.R. 3590/Pub. L. 111-148); Health Care and Education Reconciliation Act (H.R. 4872/Pub. L. 111-152); H.R. 523, Protect Medical Innovation of 2013; FY 2015 budget; implementation of S. 3187, the Food and Drug Administration Safety and Inovation Act

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health information technology issues; telemedicine and connected care; remote patient monitoring; rural telemedicine; implementation of Patient Protection and Affordable Care Act (H.R. 3590/Pub. L. 111-148); Health Care and Education Reconciliation Act (H.R. 4872/Pub. L. 111-152); FY 2015 budget; remote patient monitoring

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-148/H.R. 3590, Patient Protection and Affordable Care Act; P.L. 111-152, Health Care and Education Reconciliation Act of 2010

Client expense: Not reported · Firm income: $100,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Ambulatory Surgery Center payment issues; Supporting Colorectal Examination and Education Now (SCREEN) Act, S. 608/H.R. 1320; implementation of the Patient Protection & Affordable Care Act (H.R. 3590/Pub. L. 111-148); health IT issues, SGR reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE