Improved Health Care at Lower Cost Act of 2013

Liquefied natural gas export policy; H.R. 3301/S. 2823-North American Energy Infrastructure Act (113th); H.R. 1587-Energy Infrastructure Improvement Act (113th); H.R. 161-Natural Gas Pipeline Permitting Reform Act; H.R. 1616/S. 411-Natural Gas Gathering Enhancement Act; S. 791/H.R. 1487-American Energy Renaissance Act of 2014; Issues related to the Quadrennial Energy Review (QER); H.R. 89-Domestic Prosperity and Global Freedom Act; H.R. 287-American Job Creation and Strategic Alliances Liquefied Natural Gas Act; Issues related to workforce development in the oil and gas sector; H.R. 3301/S. 2823-North American Energy Infrastructure Act; H.R. 4526/S. 2907-The 21st Century Energy Workforce Development Jobs Initiative Act of 2014; S. 33-Liquefied Natural Gas Permitting Certainty and Transparency Act; H.R. 531-Liquefied Natural Gas Permitting Certainty and Transparency Act; H.R. 287-American Job Creation and Strategic Alliances Liquefied Natural Gas Act; S. 720-Energy Savings and Industrial Competitiveness Act of 2015; "Architecture of Abundance" draft legislation; H.R. 2295-National Energy Security Corridors Act; H.R 702-Legislation removing restrictions on the export of crude oil; S. 1312-Energy Supply and Distribution Act of 2015 (crude oil exports); S. 1146-to amend the Mineral Leasing Act to authorize the Secretary of the Interior to grant rights-of-way on federal land; S. 1228-the North American Infrastructure Act; S.1237-A bill to amend the Natural Gas Act to limit the authority of the Secretary of Energy to approve certain proposals relating to export activities of liquefied natural gas terminals; S.1242-Regional Gas Consumer Protection Act; S. 1210, the Oil and Gas Production and Distribution Act.

Client expense: $350,000 · Firm income: Not reported

Government targets: Bureau of Land Management (BLM), Commerce, Dept of (DOC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Energy Regulatory Commission (FERC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Maritime Administration (MARAD), SENATE, Transportation, Dept of (DOT), U.S. Coast Guard (USCG)

Issues related to export of liquefied natural gas; H.R. 3301/S. 2823-North American Energy Infrastructure Act (113th); H.R. 1587-Energy Infrastructure Improvement Act (113th); H.R. 161-Natural Gas Pipeline Permitting Reform Act; H.R. 1616/S. 411-Natural Gas Gathering Enhancement Act; S. 791/H.R. 1487-American Energy Renaissance Act of 2014; Issues related to the Quadrennial Energy Review (QER); H.R. 89-Domestic Prosperity and Global Freedom Act; H.R. 287-American Job Creation and Strategic Alliances Liquefied Natural Gas Act; Issues related to workforce development in the oil and gas sector; H.R. 3301/S. 2823-North American Energy Infrastructure Act; H.R. 4526/S. 2907-The 21st Century Energy Workforce Development Jobs Initiative Act of 2014; S. 33-Liquefied Natural Gas Permitting Certainty and Transparency Act (Sen. Barrasso); H.R. 531-Liquefied Natural Gas Permitting Certainty and Transparency Act (Cong. Johnson); H.R. 287-American Job Creation and Strategic Alliances Liquefied Natural Gas Act (Cong. Turner); Senate budget amendments related to Liquefied Natural Gas exports (Gardner) and natural gas pipeline infrastructure (Markey) (S. Con. Res. 11); S. 720, Energy Savings and Industrial Competitiveness Act of 2015; Amendments to S.1, Keystone XL Pipeline Approval Act, related to natural gas pipeline permitting reform; "Architecture of Abundance" draft legislation.

Client expense: $400,000 · Firm income: Not reported

Accountable Care Organizations Stark/Antikickback HR 3776 Stark Administrative Simplification Act HR 1487 McDermott Gainsharing Protecting the Integrity of Medicare Act of 2014

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.351 - Protecting Seniors' Access to Medicare Act of 2013 H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.647 - Achieving a Better Life Experience (ABLE) Act of 2014 H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1250 - Medicare Audit Improvement Act 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 - Enhanced Access to Medicaid Services H.R.2810 - Medicare Patient Access and Quality Improvement Act of 2013 H.R.3144 - Fairness for Beneficiaries Act of 2013 H.R.4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.5460 - Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.313 - Achieving a Better Life Experience (ABLE) Act of 2014 S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.755 - Enhanced Access to Medicaid Services S.1012 - Medicare Audit Improvement Act 2013 S.1871 - SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 - Medicare Choices Empowerment and Protection Act S.2501 - Hospital Readmission Accuracy and Accountability Act

Client expense: $228,645 · Firm income: Not reported

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013 H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.647 - Achieving a Better Life Experience (ABLE) Act of 2014 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 - Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 - Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 - Medicare Patient Access and Quality Improvement Act of 2013 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3528 - National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 - Helping Families in Mental Health Crisis Act of 2013 H.R.4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 - Stop Overdose Stat Act H.R.4574 - Strengthening Mental Health in Our Communities Act of 2014 H.R.5460 - Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.313 - Achieving a Better Life Experience (ABLE) Act of 2014 S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 - Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1871 - SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 - Medicare Choices Empowerment and Protection Act S.2400 - Field EMS Innovation Act S.2405 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 - Improving Trauma Care Act of 2014 S.2501 - Hospital Readmission Accuracy and Accountability Act S.2539 - Traumatic Brain Injury Reauthorization Act of 2014 S.2755 - Overdose Prevention Act

Accountable Care Organizations; Stark/Anti-Kickback; PIMA Act of 2014; H.R. 3776, Stark Administrative Simplification Act; H.R. 1487, McDermott Gainsharing; Recovery Audit Contractors; Veterans Choice Act

Client expense: Not reported · Firm income: Not reported

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

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical education, Medicaid provider taxes, Medicare bad debt payments Medicare and Medicaid paymentMedicaid Waivers Extension of Medicare Sustainable Growth Rate Medicare Evaluation and Management Reimbursement Reduction Proposal Issues related to waste, fraud, and abuse in Medicaid Medicare Disproportionate Share Hospital Payments H.R. 574 Medicare Physician Payment Innovation Act of 2013, all provisions H.R. 1853 Medicaid Accountability and Care Act, all provisions H.R. 574 Medicare Physician Payment Act, all provisions 5.577/HR 1180 Resident Physician Shortage Reduction Act , all provisions H.R. 1201 Training Tomorrow's Doctors Act, all provisions H.R. 1250/5.1012 Medicare Audit Improvement Act, all provisions H.R. 1487 Improved Healthcare at a Lower Cost Act, all provisions H.R. 1698 Stabilize Medicaid and CHIP Coverage, all provisions H.R. 1326 Health Care Price Transparency Promotion Act, all provisions H.R. 1920 DSH Reduction Relief Act, all provisions Issues related to Medicaid enrollment of newborns CMS FY2014 Hospital Inpatient Prospective Payment System Rule Issues related to admission and medical review criteria for inpatient services ("two midnights rule") S.1555 DSH Reduction Relief Act of 2013, all provisions S.1871 SGR Repeal and Medicare Beneficiary Access Act - all sections H.R. 2810 Medicare Patient Access and Quality Improvement Act - all sections H.R. 4302 Protecting Access to Medicare Act - all sections H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act S. 1980 Medicaid and CHIP Continuous Quality Act H.R. 3678 Two-Midnight Rule Delay Act - all sections H.R. 4188 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 2082 Two-Midnight Rule Coordination and Improvement Act S. 2501 Hospitals Readmissions Program Accuracy and Accountability Act, all sections Issues related to quality measures reporting in Medicaid S. 2461 CHIP Extension act of 2014, all provisions Issues related to Medicare payment for patients in "observation status" in hospitals CMS FY 2014 Outpatient Prospective Payment System Rule Issues related to Medicare Recovery Audit Contractors S. 2941 Medicare Protection Act, all Provisions Extension of SSA 1902 (a) (b) (c) - Medicaid Primary Care payment parity Childrens Health Insurance Program Medicare Hospital Re-admissions Program Meaningful Use Stage 2 H.R. 5481 The Flexibility in Health IT Reporting Act H.R. 5364 CHIP Extension and Improvement Act, All provisions Hospital Improvements for Payment Act of 2014 (generally and specific sections) Section 101: Hospital Prospective Payment System 102: Per Diem payment rate for short lengths of stay 103: Repeal of the Two- Midnights payment reduction 104 and 105: Monitoring performance of and improvements to the RAC program 109: Hospital assessment data 110: Cost information on hospital payments 201: Repeal of the moratorium on physician owned hospitals 214: Tennessee DSH allotment for FY2015 and succeeding fiscal years 216: NOTICE Act 217: Establishing equity in the Hospital Readmissions Program Act

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical education, Medicaid provider taxes, Medicare bad debt payments Medicare and Medicaid paymentMedicaid Waivers Extension of Medicare Sustainable Growth Rate Medicare Evaluation and Management Reimbursement Reduction Proposal Issues related to waste, fraud, and abuse in Medicaid Medicare Disproportionate Share Hospital Payments H.R. 574 Medicare Physician Payment Innovation Act of 2013, all provisions H.R. 1853 Medicaid Accountability and Care Act, all provisions H.R. 574 Medicare Physician Payment Act, all provisions 5.577/HR 1180 Resident Physician Shortage Reduction Act , all provisions H.R. 1201 Training Tomorrow's Doctors Act, all provisions H.R. 1250/5.1012 Medicare Audit Improvement Act, all provisions H.R. 1487 Improved Healthcare at a Lower Cost Act, all provisions H.R. 1698 Stabilize Medicaid and CHIP Coverage, all provisions H.R. 1326 Health Care Price Transparency Promotion Act, all provisions H.R. 1920 DSH Reduction Relief Act, all provisions Issues related to Medicaid enrollment of newborns CMS FY2014 Hospital Inpatient Prospective Payment System Rule Issues related to admission and medical review criteria for inpatient services ("two midnights rule") S.1555 DSH Reduction Relief Act of 2013, all provisions S.1871 SGR Repeal and Medicare Beneficiary Access Act - all sections H.R. 2810 Medicare Patient Access and Quality Improvement Act - all sections H.R. 4302 Protecting Access to Medicare Act - all sections H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act S. 1980 Medicaid and CHIP Continuous Quality Act H.R. 3678 Two-Midnight Rule Delay Act - all sections H.R. 4188 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 2082 Two-Midnight Rule Coordination and Improvement Act S. 2501 Hospitals Readmissions Program Accuracy and Accountability Act, all sections Issues related to quality measures reporting in Medicaid S. 2461 CHIP Extension act of 2014, all provisions Issues related to Medicare payment for patients in "observation status" in hospitals CMS FY 2014 Outpatient Prospective Payment System Rule Issues related to Medicare Recovery Audit Contractors S. 2941 Medicare Protection Act, all Provisions Extension of SSA 1902 (a) (b) (c) - Medicaid Primary Care payment parity Childrens Health Insurance Program Medicare Hospital Re-admissions Program Meaningful Use Stage 2 H.R. 5481 The Flexibility in Health IT Reporting Act H.R. 5364 CHIP Extension and Improvement Act, All provisions

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3230 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 H.R.4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 Stop Overdose Stat Act H.R.4290 Wakefield Act of 2014 H.R.4574 Strengthening Mental Health in Our Communities Act of 2014 H.R.5460 Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act S.1871 SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 S.2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 Medicare Choices Empowerment and Protection Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014 S.2450 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 S.2501 Hospital Readmission Accuracy and Accountability Act S.2539 Traumatic Brain Injury Reauthorization Act of 2014

Accountable Care Organizations Stark/Antikickback HR 3776 Stark Administrative Simplification Act HR 1487 McDermott GainsharingHR 1250 RAC Protecting the Integrity of Medicare Act of 2014

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical education, Medicaid provider taxes, Medicare bad debt payments Medicare and Medicaid paymentMedicaid Waivers Extension of Medicare Sustainable Growth Rate Medicare Evaluation and Management Reimbursement Reduction Proposal Issues related to waste, fraud, and abuse in Medicaid Medicare Disproportionate Share Hospital Payments H.R. 574 Medicare Physician Payment Innovation Act of 2013, all provisions H.R. 1853 Medicaid Accountability and Care Act, all provisions H.R. 574 Medicare Physician Payment Act, all provisions 5.577/H.R. 1180 Resident Physician Shortage Reduction Act, all provisions H.R. 1201 Training Tomorrow's Doctors Act, all provisions H.R. 1250/S.1012 Medicare Audit Improvement Act, all provisions H.R. 1487 Improved Healthcare at a Lower Cost Act, all provisions H.R. 1698 Stabilize Medicaid and CHIP Coverage, all provisions H.R. 1326 Health Care Price Transparency Promotion Act, all provisions H.R. 1920 DSH Reduction Relief Act, all provisions Issues related to Medicaid enrollment of newborns CMS FY2014 Hospital Inpatient Prospective Payment System Rule S.1555 DSH Reduction Relief Act of 2013, all provisions S.1871 SGR Repeal and Medicare Beneficiary Access Act, all sections H.R. 2810 Medicare Patient Access and Quality Improvement Act, all sections H.R. 4302 Protecting Access to Medicare Act, all sections H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act S. 1980 Medicaid and CHIP Continuous Quality Act H.R. 3678 Two-Midnight Rule Delay Act - all sections H.R. 4188 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 2082 Two-Midnight Rule Coordination and Improvement Act S. 2501 Hospitals Readmissions Program Accuracy and Accountability Act, all sections Issues related to quality measures reporting in Medicaid S. 2461 CHIP Extension act of 2014, all provisions Issues related to Medicare payment for patients in "observation status" in hospitals CMS FY 2014 Outpatient Prospective Payment System Rule Issues related to Medicare Recovery Audit Contractors S. 2941 Medicare Protection Act, all Provisions Extension of SSA 1902 (a) (b) (c) - Medicaid Primary Care payment parity

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3230 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 H.R.4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 Stop Overdose Stat Act H.R.4290 Wakefield Act of 2014 H.R.4574 Strengthening Mental Health in Our Communities Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act S.1871 SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 S.2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 Medicare Choices Empowerment and Protection Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014 S.2450 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 S.2501 Hospital Readmission Accuracy and Accountability Act

Accountable Care Organizations Stark/Antikickback H.R. 3776 Stark Administrative Simplication Act H.R. 1487 McDermott GainsharingH.R. 1250 RAC

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Physician Payment Reform and SGR repeal, including H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4015/S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014; S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; S. 2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; H.R. 4302, Protecting Access to MedicareAct of 2014. Medicare Observation Status and Three-Day Rule: H.R. 1179/S. 569, Improving Access to Medicare Coverage Act of 2013. H.R. 1487, Improved Health Care at Lower Cost Act of 2013. H.R. 1173, Personalize Your Care Act of 2013.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), HOUSE OF REPRESENTATIVES, SENATE

H.R.36-Health Care Safety Net Enhancement Act of 2013 H.R.235-Veteran Emergency Medical Technician Support Act of 2013 H.R.297-Children's Hospital GME Support Reauthorization Act of 2013 H.R.351-Protecting Seniors' Access to Medicare Act of 2013H.R.574-Medicare Physician Payment Innovation Act of 2013 H.R.809-Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098-Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201-Training Tomorrow's Doctors Today Act H.R.1263-Excellence in Mental Health Act H.R.1179-Improving Access to Medicare Coverage Act of 2013 H.R.1180-Resident Physician Shortage Reduction Act of 2013 H.R.1487-Improved Health Care Lower Cost Act of 2013 H.R.1838-Enhanced Access to Medicaid Services H.R.2186-Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900-Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300-Empowering Patients First Act of 2013 H.R.2810-Medicare Patient Access and Quality Improvement Act of 2013 H.R.3392-Patient Safety and Drug Abuse Prevention Act H.R.3527-Poison Center Network Act H.R.3528-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548-Improving Trauma Care Act of 2013 H.R.3717-Helping Families in Mental Health Crisis Act of 2013 H.R.4015-SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106-Saving Lives, Saving Costs Act H.R.4302 (P.L.113-93)-Protecting Access to Medicare Act of 2014 S.44-Medical Care Access Protection (MCAP) Act of 2013 S.264-Excellence in Mental Health Act S.265-Community-Based Mental Health Infrastructure Improvements Act S.328-Strengthening Rural Access to Emergency Services Act S.351-Protecting Seniors' Access to Medicare Act of 2013 S.569-Improving Access to Medicare Coverage Act of 2013 S.577-Resident Physician Shortage Reduction Act of 2013 S.755-Enhanced Access to Medicaid Services S.961-Health Care Safety Net Enhancement Act of 2013 S.1719-Poison Center Network Act S.1871-SGR Repeal and Medicare Beneficiary Access of 2013 S.2110-Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157-Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical education, Medicaid provider taxes, Medicare bad debt payments Medicare and Medicaid paymentMedicaid Waivers Extension of Medicare Sustainable Growth Rate Medicare Evaluation and Management Reimbursement Reduction Proposal Issues related to waste, fraud, and abuse in Medicaid Medicare Disproportionate Share Hospital Payments H.R. 574 Medicare Physician Payment Innovation Act of 2013, all provisions H.R. 1853 Medicaid Accountability and Care Act, all provisions H.R. 574 Medicare Physician Payment Act, all provisions 5.577/HR 1180 Resident Physician Shortage Reduction Act , all provisions H.R. 1201 Training Tomorrow's Doctors Act, all provisions H.R. 1250/5.1012 Medicare Audit Improvement Act, all provisions H.R. 1487 Improved Healthcare at a Lower Cost Act, all provisions H.R. 1698 Stabilize Medicaid and CHIP Coverage, all provisions H.R. 1326 Health Care Price Transparency Promotion Act, all provisions H.R. 1920 DSH Reduction Relief Act, all provisions Issues related to Medicaid enrollment of newborns CMS FY2014 Hospital Inpatient Prospective Payment System Rule Issues related to admission and medical review criteria for inpatient services ("two midnights rule") S.1555 DSH Reduction Relief Act of 2013, all provisions S.1871 SGR Repeal and Medicare Beneficiary Access Act - all sections H.R. 2810 Medicare Patient Access and Quality Improvement Act - all sections H.R. 4302 Protecting Access to Medicare Act - all sections H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act S. 1980 Medicaid and CHIP Continuous Quality Act H.R. 3678 Two-Midnight Rule Delay Act - all sections H.R. 4188 Establishing Beneficiary Equity in the Hospital Readmission Program Act S. 2082 Two-Midnight Rule Coordination and Improvement Act

H.R. 1487 Accountable Care Organizations S. 2007 Fisher's FDA Legislation H.R. 2810 SGR/Physician PaymentH. R. 1250 Recovery Audit Contractors Stark/Antikickback Delivery Reform S. 1871 "SGR Repeal and Medicare Beneficiary Access Act of 2013" H. R. 3303 "A bill to amend the Federal Food, Drug, and Cosmetic Act to provide regulating medical software, and for other purposes" H. R. 1487 Regulation Relief/Gain Sharing

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical education, Medicaid provider taxes, Medicare bad debt paymentsMedicaid Waivers Extension of Medicare Sustainable Growth Rate Medicare Evaluation and Management Reimbursement Reduction Proposal Issues related to waste, fraud, and abuse in Medicaid Medicare Disproportionate Share Hospital Payments H.R. 574 Medicare Physician Payment Innovation Act of 2013, all provisions H.R. 1853 Medicaid Accountability and Care Act, all provisions H.R. 574 Medicare Physician Payment Act, all provisions 5.577/HR 1180 Resident Physician Shortage Reduction Act , all provisions H.R. 1201 Training Tomorrow's Doctors Act, all provisions H.R. 1250/5.1012 Medicare Audit Improvement Act, all provisions H.R. 1487 Improved Healthcare at a Lower Cost Act, all provisions H.R. 1698 Stabilize Medicaid and CHIP Coverage, all provisions H.R. 1326 Health Care Price Transparency Promotion Act, all provisions H.R. 1920 DSH Reduction Relief Act, all provisions Issues related to Medicaid enrollment of newborns CMS FY2014 Hospital Inpatient Prospective Payment System Rule Issues related to admission and medical review criteria for inpatient services ("two midnights rule") S.1555 DSH Reduction Relief Act of 2013, all provisions S.1871 SGR Repeal and Medicare Beneficiary Access Act - all sections H.R. 2810 Medicare Patient Access and Quality Improvement Act - all sections

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

HR 487, Primary Care Workforce Access Improvement Act, Urge House to cosponsor bill that would create GME pilot project to train primary care doctors, urge Senate to sponsor bill. HR 1173, Personalize Your Care Act, Payment for discussion with patients of advance health care planning. HR 1184, Treat and Reduce Obesity Act, Payment for chronic obesity management.HR 1487, Improved Health Care at Lower Cost Act, Creation of exception to the physician self referral prohibition that would allow gain sharing arrangements with hospitals. HR 2545, Accuracy Medicare Physician Payment Act, Reform of CMS relationship to AMA Relative Value Scale Update Committee (RUC). HR 2775, Continuing Appropriations Act for 2014, Prevent cuts in primary care training grants and research. HR 2810, Repeal of Medicare SGR formula, Repeal of SGR to be replaced by a positive payment update and higher rate for primary care. HR 2817, Protect Patient Access to Quality Health Professionals Act, Remove the non -discrimination requirements relating to health care providers. HR 3204, Drug Supply Safety, followed the Compounding and Track and Trace legislation in both bodies. S. 1180, Medicare Data Access for Transparency and Accountability Act, Creation of database for public use of Medicare claims. S. 1238, Keep Student Loans Affordable Act, Extension of reduced interest rate for undergraduate Federal Direct Stafford Loans for medical students. S. 1284, Promoting Teaching Health Centers, AHRQ, Title VII primary care grants and NHSC appropriations, AAFP budget priorities, Title VII Sec 747, Teaching Health Center grants, NHSC, AHRQ. S. 1759, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medicare Education program. No Bill Number, SGR Repeal and Replacement process, Advocate for SGR repeal and new physician payment system that pays for value and primary care. No Bill Number, Medicaid Primary Care Bonus, Advocate for extension of the Medicaid bonus which expires at the end of 2014. No Bill Number, Three month SGR patch, Urge Congress to pass budget deal which includes a three month SGR patch. No Bill Number, Corp Community Day Outreach, NHSC. No Bill Number, Urge sequestration be replaced, Protect funds for NHSC, CHC primary care research and training. No Bill Number, Met new director of the AHRQ, Primary care research. No Bill Number, Comprehensive Primary care, Medicare and private payments to primary care. No Bill Number, Medicare physician payment reform of the SGR, 2014 Proposed Medicare physician fee schedule. No Bill Number, Primary care payment, specialized Medicare codes for primary care. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Primary care meeting, Medical Home and Health Care Reform. No Bill Number, E-Cigarettes, Urge FDA to regulate all tobacco products. No Bill Number, Independent nurse practitioners in the VA health system, Opposing designating Advanced practice nurses as independent in the VHA by means of amending the nursing handbook. No Bill Number, Access to Primary Care, Increase number of primary care physicians available to underserved areas such as loan repayment changes. No Bill Number, Emergency contraception availability, Support for emergency contraceptives more easily available. No Bill Number, Modernization of primary care graduate medical education, Support legislation to implement a budget neutral pilot project to test innovative models for distribution of GME funding.

HR 487, Primary Care Workforce Access Improvement Act, Urge House to cosponsor bill that would create GME pilot project to train primary care doctors, urge Senate to sponsor bill. HR 1173, Personalize Your Care Act, Payment for discussion with patients of advance health care planning. HR 1184, Treat and Reduce Obesity Act, Payment for chronic obesity management.HR 1487, Improved Health Care at Lower Cost Act, Creation of exception to the physician self referral prohibition that would allow gain sharing arrangements with hospitals. HR 2545, Accuracy Medicare Physician Payment Act, Reform of CMS relationship to AMA Relative Value Scale Update Committee (RUC). HR 2775, Continuing Appropriations Act for 2014, Prevent cuts in primary care training grants and research. HR 2810, Repeal of Medicare SGR formula, Repeal of SGR to be replaced by a positive payment update and higher rate for primary care. HR 2817, Protect Patient Access to Quality Health Professionals Act, Remove the non -discrimination requirements relating to health care providers. HR 3204, Drug Supply Safety, followed the Compounding and Track and Trace legislation in both bodies. HJRes59, Bipartisan Budget Act, Provide increased allocation for AAFP funding priorities in HHS. Oppose cuts or funding delays of ACA programs. S. 1238, Keep Student Loans Affordable Act, Extension of reduced interest rate for undergraduate Federal Direct Stafford Loans for medical students. S. 1284, Promoting Teaching Health Centers, AHRQ, Title VII primary care grants and NHSC appropriations, AAFP budget priorities, Title VII Sec 747, Teaching Health Center grants, NHSC, AHRQ. S. 1759, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medicare Education program. No Bill Number, SGR Repeal and Replacement process, Advocate for SGR repeal and new physician payment system that pays for value and primary care. No Bill Number, Medicaid Primary Care Bonus, Advocate for extension of the Medicaid bonus which expires at the end of 2014. No Bill Number, Three month SGR patch, Urge Congress to pass budget deal which includes a three month SGR patch. No Bill Number, Corp Community Day Outreach, NHSC. No Bill Number, Urge sequestration be replaced, Protect funds for NHSC, CHC primary care research and training. No Bill Number, Met new director of the AHRQ, Primary care research. No Bill Number, Comprehensive Primary care, Medicare and private payments to primary care. No Bill Number, Medicare physician payment reform of the SGR, 2014 Proposed Medicare physician fee schedule. No Bill Number, Primary care payment, specialized Medicare codes for primary care. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Primary care meeting, Medical Home and Health Care Reform. No Bill Number, E-Cigarettes, Urge FDA to regulate all tobacco products. No Bill Number, Independent nurse practitioners in the VA health system, Opposing designating Advanced practice nurses as independent in the VHA by means of amending the nursing handbook. No Bill Number, Access to Primary Care, Increase number of primary care physicians available to underserved areas such as loan repayment changes. No Bill Number, Emergency contraception availability, Support for emergency contraceptives more easily available. No Bill Number, Modernization of primary care graduate medical education, Support legislation to implement a budget neutral pilot project to test innovative models for distribution of GME funding.

Physician Payment Reform and SGR repeal, including H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. Medicare Observation Status and Three-Day Rule: H.R. 1179/S. 569, Improving Access to Medicare Coverage Act of 2013. H.R. 1487, Improved Health Care at Lower Cost Act of 2013. H.R. 1173, Personalize Your Care Act of 2013.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), HOUSE OF REPRESENTATIVES, SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.2186 - Verifying Authority & Legality in Drug Compounding Act (Griffin Discussion Draft) H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R. 2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.242 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.959 - Pharmaceutical Compounding Quality and Accountability Act S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act Senate Finance Committee Draft of the "SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013"

HR 2810 SGR/Physician Payment HR 1250 Recovery Audit Contractors Stark/Antikickback Delivery ReformS. 1871 "SGR Repeal and Medicare Beneficiary Access Act of 2013" H.R. 3303 "A bill to amend the Federal Food, Drug, and Cosmetic Act to provide regulating medical software, and for other purposes" H.R. 1487 Regulation Relief/Gain Sharing

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1173, Personalize Your Care Act, Payment for discussion with patients of advance health care planning. HR 1487, Improved Health Care at Lower Cost Act, Creation of exception to the physician self referral prohibition that would allow gain sharing arrangement with hospitals.HR 1911, Smarter Solutions for Students Act, Opposing increased student loan rate. HR 2810, Repeal of Medicare Physician Reimbursement Fee Schedule, Implementation of care coordination and transitional care payment codes. HR 2817, Protect Patient Access to Quality Health Professionals Act, Removing the non discrimination requirements relating to health care providers. HR 3667, GME Medicare Reform, Increase support for primary care physician training. S. 1180, Medicare Data Access for Transparency and Accountability Act, Creation of data base for public use of Medicare claims. S 1184, Treat and Reduce Obesity, Payment for chronic obesity management. S. 1238, Keep Student Loans Affordable Act, Extension of reduced interest rate for undergraduate Federal Direct Stafford Loans, applies to medical students. S. 1284, Promoting Teaching Health Centers, AHRQ, Title VII primary care grants and NHSC appropriations, AAFP budget priorities, Title VII Sec 747, Teaching Health Center grants, NHSC, AHRQ. No Bill Number, Primary Care physician workforce development, Robert Graham Center Primary Care Forum. No Bill Number, Title VII primary care medicine training grants, 50th anniversary of health professions training grant programs. No Bill Number, Comprehensive Primary Care, Medicare and private payments to primary care. No Bill Number, Medicare physician payment reform of SGR, 2014 proposed Medicare physician fee schedule. No Bill Number, Meaningful use of meetings, use of funds and quality improvement. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Primary Care Meeting, medical home and health care reform. No Bill Number, Primary Care Payment Codes, Call for specialized Medicare payment codes for primary care. No Bill Number, Medicaid Expansion, Instructional materials for state chapters in avocation for Medicaid expansions. No Bill Number, Enhanced Medicaid Payment for Primary Care Services, Implementation of ACA provision to boost payment for primary care services. No Bill Number, ACA Marketplace Enrollment, Worked with CMS/HHS leader to promote AAFP work regarding health insurance enrollment via marketplaces. No Bill Number, ACA Implementation Medicaid Medicare primary care parity payment extension, advocated to extend Medicaid and Medicare increased primary care payment under Section 1202 of the ACA. No Bill Number, Finding co-sponsors for repeal or non-discrimination in health care providers section in ACA. No Bill Number, Emergency Contraception, Shared support of legislation making emergency contraceptives more easily available. No Bill Number, Drug Supply Safety, Followed the compounding and track and trace legislation in both legislative bodies. No Bill Number, Lift restrictions on prescribing, Urge increased number of patients for physicians licensed to prescribe Suboxone. No Bill Number, Oppose CME mandates, FDA REMS implementation forum. No Bill Number, Prevent opioid abuse, ONDCP overdose awareness day promotion. No Bill Number, Promote Teaching Health Centers GME program and call for reauthorization, Support Family Medicine training programs. No Bill Number, Primary Care research and promotion, Request meetings with legislators and officials for AAFP leaders. No Bill Number, E-cigarettes, Urge FDA to regulate all tobacco products. No Bill Number, Access to Primary Care, Discussed ways to increase numbers of primary care physicians available to under-served areas such as loan repayment changes. No Bill Number, Implementation of Affordable Care Act, Monitored implementation of law and provisions of importance to our members.

HR 1173, Personalize Your Care Act, Payment for discussion with patients of advance health care planning. HR 487, Primary Care Workforce Access Improvement Act, Support the budget neutral pilot project to test innovative GMR models. HR 574, SGR Medicare Physician Payment Innovation Act, Medicare SGR draft repeal; differential payment rate for primary care.HR 1173, Personalize Your Care Act, Payment for discussion with patients of advance health care planning. HR 1180, Medicare Data Access for Transparency and Accountability Act, Creation of database for public use of Medicare Claims. HR 1487, Improved Health Care at Lower Cost Act, Creation of exception to the physician self referral prohibition that would allow gain sharing arrangement with hospitals. HR 2810, Repeal of Medicare Physician Reimbursement Fee Schedule, Implementation of care coordination and transitional care payment codes. HR 2817, Protect Patient Access to Quality Health Professionals Act, Removing the non discrimination requirements relating to health care providers. HR 3667, GME Medicare Reform, Increase support for primary care physician training. S 1184, Treat and Reduce Obesity, Payment for chronic obesity management. S. 1284, Promoting Teaching Health Centers, AHRQ, Title VII primary care grants and NHSC appropriations, AAFP budget priorities, Title VII Sec 747, Teaching Health Center grants, NHSC, AHRQ. No Bill Number, Title VII primary care medicine training grants, 50th anniversary of health professions training grant programs. No Bill Number, Primary Care physician workforce development, Robert Graham Center Primary Care Forum. No Bill Number, Comprehensive Primary Care, Medicare and private payments to primary care. No Bill Number, Medicare physician payment reform of SGR, 2014 proposed Medicare physician fee schedule. No Bill Number, Meaningful use of meetings, use of funds and quality improvement. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Primary Care Meeting, medical home and health care reform. No Bill Number, Primary Care Payment Codes, Call for specialized Medicare payment codes for primary care. No Bill Number, Medicaid Expansion, Instructional materials for state chapters in avocation for Medicaid expansions. No Bill Number, Enhanced Medicaid Payment for Primary Care Services, Implementation of ACA provision to boost payment for primary care services. No Bill Number, ACA Marketplace Enrollment, Worked with CMS/HHS leader to promote AAFP work regarding health insurance enrollment via marketplaces. No Bill Number, ACA Implementation Medicaid Medicare primary care parity payment extension, advocated to extend Medicaid and Medicare increased primary care payment under Section 1202 of the ACA. No Bill Number, Emergency Contraception, Shared support of legislation making emergency contraceptives more easily available. No Bill Number, Access to Primary Care, Discussed ways to increase numbers of primary care physicians available to underserved areas such as loan repayment changes. No Bill Number, Implementation of Affordable Care Act, Monitored implementation of law and provisions of importance to our members.

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical education, Medicaid provider taxes, Medicare bad debt paymentsMedicaid Waivers Extension of Medicare Sustainable Growth Rate Medicare Evaluation and Management Reimbursement Reduction Proposal Issues related to waste, fraud, and abuse in Medicaid Medicare Disproportionate Share Hospital Payments H.R. 574 Medicare Physician Payment Innovation Act of 2013, all provisions H.R. 1853 Medicaid Accountability and Care Act, all provisions H.R. 574 Medicare Physician Payment Act, all provisions 5.577/HR 1180 Resident Physician Shortage Reduction Act , all provisions H.R. 1201 Training Tomorrow's Doctors Act, all provisions H.R. 1250/5.1012 Medicare Audit Improvement Act, all provisions H.R. 1487 Improved Healthcare at a Lower Cost Act, all provisions H.R. 1698 Stabilize Medicaid and CHIP Coverage, all provisions H.R. 1326 Health Care Price Transparency Promotion Act, all provisions H.R. 1920 DSH Reduction Relief Act, all provisions Issues related to Medicaid enrollment of newborns CMS FY2014 Hospital Inpatient Prospective Payment System Rule Issues related to admission and medical review criteria for inpatient services ("two midnights rule") S.1555 DSH Reduction Relief Act of 2013, all provisions

Client expense: $210,000 · Firm income: Not reported

Medicare Physician Payment and Quality Issues/SGR Repeal: H.R. 574, the Medicare Physician Payment Innovation Act of 2013; H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. Medicare Observation Status and Three-Day Rule: H.R. 1179/S. 569, Improving Access to Medicare Coverage Act of 2013. H.R. 1487; Improved Health Care at Lower Cost Act of 2013. H.R. 1173: Personalize Your Care Act of 2013.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.307 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2013H.R.351 - Protecting Seniors' Access to Medicare Act of 2013 H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.2186 - Verifying Authority & Legality in Drug Compounding Act (Griffin Discussion Draft) H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 (Rep. Tom Price) S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.242 - Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.959 - Pharmaceutical Compounding Quality and Accountability Act S.961 - Health Care Safety Net Enhancement Act of 2013

Client expense: $609,421 · Firm income: Not reported

H.R.351 - Protecting Seniors' Access to Medicare Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.1179 - Improving Access to Medicare Coverage Act of 2013H.R.1250 - Medicare Audit Improvement Act 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.2810 - Medicare Patient Access & Quality Improvement Act H.R.3144 - Fairness for Beneficiaries Act of 2013 S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.1012 - Medicare Audit Improvement Act 2013

Client expense: $609,421 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1285 - To amend the Controlled Substances Act to make any substance containing hydrocodone a Schedule II drug H.R.1487 - Improved Health Care Lower Cost Act of 2013 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.621 - Safe Prescribing Act of 2013 S.959 - Pharmaceutical Compounding Quality and Accountability Act S.961 - Health Care Safety Net Enhancement Act of 2013

Client expense: $644,140 · Firm income: Not reported

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1285 - To amend the Controlled Substances Act to make any substance containing hydrocodone a Schedule II drug H.R.1487 - Improved Health Care Lower Cost Act of 2013 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.621 - Safe Prescribing Act of 2013 S.959 - Pharmaceutical Compounding Quality and Accountability Act S.961 - Health Care Safety Net Enhancement Act of 2013

Client expense: $363,861 · Firm income: Not reported

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical education, Medicaid provider taxes, Medicare bad debt paymentsMedicaid Waivers, Extension of Medicare Sustainable Growth Rate Medicare Evaluation and Management Reimbursement Reduction Proposal Medicaid Disproportionate Share Hospital Payments Issues related to waste, fraud, and abuse in Medicaid Medicare Disproportionate Share Hospital Payments H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 1853 Medicaid Accountability and Care Act, all provisions H.R. 574 Medicare Physician Payment Act, all provisions 5.577/HR 1180 Resident Physician Shortage Reduction Act , all provisions H.R. 1201 Training Tomorrow's Doctors Act, all provisions H.R. 1250/5.1012 Medicare Audit Improvement Act, all provisions H.R 1487 Improved Healthcare at a Lower Cost Act, all provisions H.R. 1698 Stabilize Medicaid and CHIP Coverage, all provisions H.R. 1326 Health Care Price Transparency Promotion Act, all provisions HR 1920 DSH Reduction Relief Act, all provisions Issues related to Medicaid enrollment of newborns

Client expense: $160,000 · Firm income: Not reported

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1285 - To amend the Controlled Substances Act to make any substance containing hydrocodone a Schedule II drug H.R.1487 - Improved Health Care Lower Cost Act of 2013 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.621 - Safe Prescribing Act of 2013 S.959 - Pharmaceutical Compounding Quality and Accountability Act S.961 - Health Care Safety Net Enhancement Act of 2013

Client expense: $363,861 · Firm income: Not reported

Medicare Physician Payment and Quality Issues/SGR Repeal: House Ways and Means/Energy and Commerce Committee draft proposals; H.R. 574, the Medicare Physician Payment Innovation Act of 2013. Medicare Observation Status and Three-Day Rule: H.R. 1179/S. 569, Improving Access to Medicare Coverage Act of 2013. H.R. 1487; Improved Health Care at Lower Cost Act of 2013.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE