Stabilize Medicaid and CHIP Coverage Act

H.R.1698, Stabilize Medicaid and CHIP Coverage Act of 2013; S.1980, Medicaid and CHIP Continuous Quality Act of 2014. Issues related to Medicaid expansion and enrollment. Issues related to payment and delivery reforms. Issues relating to extension of the Childrens Health Insurance Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1555, DSH Reduction Relief Act of 2013; H.R.1920, DSH Reduction Relief Act of 2013; H.R.1698, Stabilize Medicaid and CHIP Coverage Act of 2013; S.1980, Medicaid and CHIP Continuous Quality Act of 2014. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4930 - Advancing Care for Exceptional Kids Act of 2014 S. 2461 - The CHIP Extension Act of 2014 H.R. 5364 - The CHIP Extension and Improvement Act of 2014 Issues regarding The Childrens Health Insurance Program (CHIP) H.R. 297/S. 1557 - Acts to reauthorize and establish funding levels for the Children's Hospital Graduate Medical Education program H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid Issues regarding pediatric quality measures program reauthorization generally (no bill number) S. 2154 - The Emergency Medical Services for Children Reauthorization Act of 2014 H.R. 4290 - The Wakefield Act, reauthorizes Emergency Medical Services for Children S. 2694 - Ensuring Access to Primary Care for Women and Children Act S. 2434 - Family Coverage Act 21st Century Cures Initiative House Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs 340B Drug Discount Program H.R. 225/S.424 - Pediatric Research Network Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 S. 957 - Drug Supply Chain Security Act

Client expense: $790,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

H.R. 4930, the Advancing Care for Exceptional Kids Act of 2014, all provisions; Extension of sec.1202 (Payments to Primary Care Physicians) of the Affordable Care Act, regarding payment for primary care services provided by qualifying physicians under Medicaid;H.R. 1698, the Stabilize Medicaid and CHIP Coverage Act, all provisions; S. 1980, the Medicaid and CHIP Continuous Quality Act, all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Promoting education of dual eligible demonstration projects; Consideration of coordinated care alternatives for dual eligibles; H.R. 1698; S.1980;Reauthorization of the Medicare Advantage Special Needs Plans program; Modification of the MA SNP program with respect to STARS bonuses, risk adjustment, treatment of beneficiaries newly entering the Medicare program, and other issues; Medicare Sustainable Growth Rate Reform, Offsets with respect to Sustainable Growth Rate reform; Medicaid MLRs; Regulatory and systemic impact of Medicaid continuous coverage; Risk adjustment; Implementation of MedPAC recommendations with respect to dual eligibles; Creation of federal studies examining and applying learnings from the Financial Alignment Demonstrations; Creation of a study to examine the appropriateness of applying to Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a Fully Integrated Dual Eligible SNP program; Introduction of Senate legislation establishing continuous enrollment and quality improvement programs in Medicaid; Passage of Legislation reforming the Medicare Sustainable Growth Rate; H.R.4484; Promoting legislation to establish a quality reporting and improvement system in Medicaid and CHIP; Adequate reimbursement for the price of specialty drugs in health plan reimbursement under Medicare and Medicaid; CHIP reauthorization; Updated Medicaid Managed Care Regulations; Actuarial Soundness; Network adequacy; Medicaid managed care best practices

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Impact of changes in Medicare and Medicaid policy on UAHN within the context of deficit reduction; Opportunities for improved care coordination with dual eligibiles; Graduate Medical Education; Medicaid expansion under the Affordable Care Act; Continuous Eligibility in Medicaid; CMS Dual Eligible Demonstration projects; Medicare Advantage Special Needs Plans contracting; Implementation of the Affordable Care Act; H.R.1698

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Children's Health Insurance Program; Pediatric issues in health care reform implementation; 340B Program; Children's Hospitals Graduate Medical Education Payment Program; Medicaid and CHIP coverage and payment; Pediatric research issues and funding; H.R. 4930, ACE Kids Act all provisions; H.R.1698, Stabilize Medicaid and CHIP Act, all provisions; S.1980, Medicaid and CHIP Continuous Quality Act, all provisions; policy related to child welfare, access to health care, and child well-being

Client expense: Not reported · 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 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

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

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

H.R. 4930 - Advancing Care for Exceptional Kids Act of 2014 S. 2461 - The CHIP Extension Act of 2014 H.R. 5364 - The CHIP Extension and Improvement Act of 2014 Issues regarding The Childrens Health Insurance Program (CHIP) H.R. 297/S. 1557 - Acts to reauthorize and establish funding levels for the Children's Hospital Graduate Medical Education program H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid Issues regarding pediatric quality measures program reauthorization generally (no bill number) S. 2154 - The Emergency Medical Services for Children Reauthorization Act of 2014 H.R. 4290 - The Wakefield Act, reauthorizes Emergency Medical Services for Children S. 2694 - Ensuring Access to Primary Care for Women and Children Act S. 2434 - Family Coverage Act House Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs 340B Drug Discount Program H.R. 225/S.424 - Pediatric Research Network Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act S. 689 - Mental Health Awareness and Improvement Act of 2013 H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 S. 957 - Drug Supply Chain Security Act

Client expense: $800,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; H.R. 4484; S. 2491; Medicaid Quality Measurement and Improvement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; High cost specialty medications; Medicaid health plans serving as qualified health plans in the exchange; Risk adjustment; CHIP Reauthorization

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

H.R.1698, Stabilize Medicaid and CHIP Coverage Act of 2013; S.1980, Medicaid and CHIP Continuous Quality Act of 2014. Issues related to Medicaid expansion and enrollment. Issues related to payment and delivery reforms. Issues relating to extension of the Childrens Health Insurance Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1555, DSH Reduction Relief Act of 2013; H.R.1920, DSH Reduction Relief Act of 2013; H.R.1698, Stabilize Medicaid and CHIP Coverage Act of 2013; S.1980, Medicaid and CHIP Continuous Quality Act of 2014. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Promoting education of dual eligible demonstration projects; Consideration of coordinated care alterantives for dual eligibles; H.R. 1698; S.1980;Reauthorization of the Medicare Advantage Special Needs Plans program; Modification of the MA SNP program with respect to STARS bonuses, risk adjustment, treatment of beneficiaries newly entering the Medicare program, and other issues; Medicare Sustainable Growth Rate Reform, Offsets with respect to Sustainable Growth Rate reform; Legislation to provide Medicaid coverage for newborns; Medicaid MLRs; Regulatory and systemic impact of Medicaid continuous coverage; Counter-cyclical federal funding of Medicaid; Risk adjustment; Modifications to the TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Creation of federal studies examining and applying learnings from the Financial Alignment Demonstrations; Creation of a study to exame the appropriateness of appying to Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a Fully Integrated Dual Eligible SNP program; Introduction of Senate legislation establishing continuous enrollment and quality improvement programs in Medicaid; Passage of Legislation reforming the Medicare Sustainable Growth Rate; H.R.4484; Promoting legislation to establish a quality reporting and improvement system in Medicaid and CHIP; Adequate reimburement for the price of specialty drugs in health plan reimbursement under Medicare and Medicaid; CHIP reauthorization

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

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

Client expense: $300,000 · Firm income: Not reported

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

H.R. 4930 - Advancing Care for Exceptional Kids Act of 2014 H.R. 297/S. 1557 - Children's Hospital Graduate Medical Education - acts to reauthorize and establish funding levels for the program H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid S. 2461 - CHIP Extension Act of 2014, and House companion bill (no bill number) S. 2434 Family Coverage Act House Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs S. 957 - Drug Supply Chain Security Act Issues related to prescription drug shortages Issues related to prescription drug compounding 340B Drug Discount Program Tax issues related to non-profit hospitals H.R. 225/S.424 - Pediatric Research Network Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act S. 689 - Mental Health Awareness and Improvement Act of 2013 H.R. 2019 - Kids First Research Act H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 Pharmacy Compounding S.959/House Companion

Client expense: $1,020,000 · Firm income: Not reported

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

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; Regulatory and systematic impact of Medicaid continuous coverage; H.R. 1698; S. 1980; Expanding Medicaid managed care for duals; Coordinated Care Alternatives for dual eligibles; Appropriate payment including changes to risk adjustment for MA/SNPs; SNP reauthorization; Integrated care options for dual eligibles;Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Education on dual eligible demonstration projects; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans ; Home and Community Based Services; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; Actuarial soundness; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Significant budget cuts in Medicaid; Medical loss ratio for Medicaid managed care plans; Enhanced state flexibility in managing Medicaid programs; PCP payment increase; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; EQR standards; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; TMA program and continuous enrollment; CHIP Reauthorization; H.R. 4484; Medicaid Quality Measurement; Updated Medicaid Managed Care Regulations; Medicaid eligibility and enrollment issues; High cost specialty medications

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

H.R.1698, Stabilize Medicaid and CHIP Coverage Act of 2013; S.1980, Medicaid and CHIP Continuous Quality Act of 2014. Issues related to Medicaid expansion and enrollment. Issues related to payment and delivery reforms.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1555, DSH Reduction Relief Act of 2013; H.R.1920, DSH Reduction Relief Act of 2013; H.R.1698, Stabilize Medicaid and CHIP Coverage Act of 2013; S.1980, Medicaid and CHIP Continuous Quality Act of 2014. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE

Impact of changes in Medicare and Medicaid policy on UAHN within the context of deficit reduction; Opportunities for improved care coordination with dual eligibiles; Graduate Medical Education; Medicaid expansion under the Affordable Care Act; Continuous Eligibility in Medicaid; CMS Dual Eligible Demonstration projects; Medicare Advantage Special Needs Plans contracting; Implementation of the Affordable Care Act; H.R.1698

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Promoting education of dual eligible demonstration projects; Consideration of coordinated care alterantives for dual eligibles; H.R. 1698; S.1980;Reauthorization of the Medicare Advantage Special Needs Plans program; Modification of the MA SNP program with respect to STARS bonuses, risk adjustment, treatment of beneficiaries newly entering the Medicare program, and other issues; Medicare Sustainable Growth Rate Reform, Offsets with respect to Sustainable Growth Rate reform; Legislation to provide Medicaid coverage for newborns; Medicaid MLRs; Regulatory and systemic impact of Medicaid continuous coverage; Counter-cyclical federal funding of Medicaid; Risk adjustment; Modifications to the TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Creation of federal studies examining and applying learnings from the Financial Alignment Demonstrations; Creation of a study to exame the appropriateness of appying to Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a Fully Integrated Dual Eligible SNP program; Introduction of Senate legislation establishing continuous enrollment and quality improvement programs in Medicaid; Passage of Legislation reforming the Medicare Sustainable Growth Rate; H.R.4484; Promoting legislation to establish a quality reporting and improvement system in Medicaid and CHIP

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPsRegulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans; S. 1980; Medicaid extender provisions in Medicare Sustainable Growth Reform legislation; Home and Community Based Services; CHIP Reauthorization

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

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

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPsRegulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Promotion of federal studies and applying learnings from the Financial Alignment Demonstrations; Promotion of a study to examine the appropriateness of applying the Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a fully integrated dual eligible SNP program; roll-out issues of duals demo and MMP plans; S. 1980; Medicaid extender provisions in Medicare Sustainable Growth Reform legislation; Home and Community Based Services; CHIP Reauthorization

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

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

H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid H.R. 297/S. 1557 - Children's Hospital Graduate Medical Education - acts to reauthorize and establish funding levels for the programHouse Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Childrens Health Insurance Program (no bill number) H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act S. 689 - Mental Health Awareness and Improvement Act of 2013 H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 225/S.424 - Pediatric Research Network Act H.R. 2019 - Kids First Research Act H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act Pharmacy Compounding S.959/House Companion S. 957 - Drug Supply Chain Security Act Issues related to prescription drug shortages Issues related to prescription drug compounding 340B Drug Discount Program Tax issues related to non-profit hospitals

Client expense: $590,000 · Firm income: Not reported

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

H.R.1698, Stabilize Medicaid and CHIP Coverage Act of 2013; S.1980, Medicaid and CHIP Continuous Quality Act of 2014. Issues related to Medicaid expansion and enrollment. Issues related to payment and delivery reforms.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid and CHIP Continuous Quality Act of 2014 (S. 1980/H.R. 1698), all provisions related to amending title XIX (Medicaid) of the Social Security Act to require a state Medicaid plan to provide 12-month continuous enrollment for an eligible individual, regardless of age.Quality Foster Care Services Act of 2014 (S. 1992/H.R. 4016), all provisions related to amending title XIX (Medicaid) of the Social Security Act to extend medical assistance coverage to therapeutic foster care services. Protecting Access to Medicare Act of 2014 (H.R. 4302), all provisions related to establishing an 8-state demonstration program to support and enhance community behavioral health services, modeled after the Excellence in Mental Health Act

Client expense: $87,419 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1555, DSH Reduction Relief Act of 2013; H.R.1920, DSH Reduction Relief Act of 2013; H.R.1698, Stabilize Medicaid and CHIP Coverage Act of 2013; S.1980, Medicaid and CHIP Continuous Quality Act of 2014. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), 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/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

Client expense: $180,000 · Firm income: Not reported

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

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Promoting education of dual eligible demonstration projects; Consideration of coordinated care alterantives for dual eligibles; H.R. 1698; S.1980;Reauthorization of the Medicare Advantage Special Needs Plans program; Modification of the MA SNP program with respect to STARS bonuses, risk adjustment, treatment of beneficiaries newly entering the Medicare program, and other issues; Medicare Sustainable Growth Rate Reform, Offsets with respect to Sustainable Growth Rate reform; Legislation to provide Medicaid coverage for newborns; Medicaid MLRs; Regulatory and systemic impact of Medicaid continuous coverage; Counter-cyclical federal funding of Medicaid; Risk adjustment; Modifications to the TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Creation of federal studies examining and applying learnings from the Financial Alignment Demonstrations; Creation of a study to exame the appropriateness of appying to Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a Fully Integrated Dual Eligible SNP program; Introduction of Senate legislation establishing continuous enrollment and quality improvement programs in Medicaid; Passage of Legislation reforming the Medicare Sustainable Growth Rate

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Impact of changes in Medicare and Medicaid policy on UAHN within the context of deficit reduction; Opportunities for improved care coordination with dual eligibiles; Graduate Medical Education; Medicaid expansion under the Affordable Care Act; Continuous Eligibility in Medicaid; CMS Dual Eligible Demonstration projects; Medicare Advantage Special Needs Plans contracting; Implementation of the Affordable Care Act; H.R.1698

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Delay of implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013 and 2014 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 574 - Medicare Physician Payment Innovation Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2524/S. 1228 - Medicare Better Health Rewards Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3796 - Comprehensive Care Payment Innovation Act H.R. 3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302 - Protecting Access to Medicare Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act S. 1954/H.R. 4067 - To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S. 1980 - Medicaid and CHIP Continuous Quality Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid H.R. 297/S. 1557 - Children's Hosital Graduate Medical Education - acts to reauthorize and establish funding levels for the programHouse Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations, S.1284 - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs H.Con Res. 25 (House budget) - provisions impacting Medicaid and children's health S. Con. Res. 8 (Senate/Murray budget) - provisions impacting Medicaid and children's health Childrens Health Insurance Program (no bill number) H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act S. 689 - Mental Health Awareness and Improvement Act of 2013 H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 225/S.424 - Pediatric Research Network Act H.R. 2019 Kids First Research Act H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act H.R. 669 - Sudden Unexpected Death Data Enhancement and Awareness Act Pharmacy Compounding S.959/House Companion S. 957 - Drug Supply Chain Security Act Issues related to prescription drug shortages Issues related to prescription drug compounding 340B Drug Discount Program Tax issues related to non-profit hospitals

Client expense: $820,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid H.R. 297/S. 1557 - Children's Hosital Graduate Medical Education - acts to reauthorize and establish funding levels for the programHouse Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations, S.1284 - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs H.Con Res. 25 (House budget) - provisions impacting Medicaid and children's health S. Con. Res. 8 (Senate/Murray budget) - provisions impacting Medicaid and children's health Childrens Health Insurance Program (no bill number) H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act S. 689 - Mental Health Awareness and Improvement Act of 2013 H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 225/S.424 - Pediatric Research Network Act H.R. 2019 Kids First Research Act H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act H.R. 669 - Sudden Unexpected Death Data Enhancement and Awareness Act Pharmacy Compounding S.959/House Companion S. 957 - Drug Supply Chain Security Act Issues related to prescription drug shortages Issues related to prescription drug compounding 340B Drug Discount Program Tax issues related to non-profit hospitals

Client expense: $820,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), 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

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

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Promoting education of dual eligible demonstration projects; Consideration of coordinated care alterantives for dual eligibles; H.R. 1698;Reauthorization of the Medicare Advantage Special Needs Plans program; Modification of the MA SNP program with respect to STARS bonuses, risk adjustment, treatment of beneficiaries newly entering the Medicare program, and other issues; Medicare Sustainable Growth Rate Reform, Offsets with respect to Sustainable Growth Rate reform; Legislation to provide Medicaid coverage for newborns; Medicaid MLRs; Regulatory and systemic impact of Medicaid continuous coverage; Counter-cyclical federal funding of Medicaid; Risk adjustment; Modifications to the TMA program and continuous enrollment; Implementation of MedPAC recommendations with respect to dual eligibles; Creation of federal studies examining and applying learnings from the Financial Alignment Demonstrations; Creation of a study to exame the appropriateness of appying to Coding Intensity Factor to D-SNPs; Providing sufficient time for implementation of a Fully Integrated Dual Eligible SNP program; Introduction of Senate legislation establishing continuous enrollment and quality improvement programs in Medicaid

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Draft legislation to repeal the Medicare sustainable growth rate and reform fee-for-service payment Delay of the scheduled implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 574 - Medicare Physician Payment Innovation Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2524/S. 1228 - Medicare Better Health Rewards Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1758 - Quality Data, Quality Healthcare Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Legislative solution to address "churning" in Medicaid/CHIP eligibility and improve quality measurement in both programs; H.R. 1698; Changes in Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Expanding Medicaid managed care for duals; Significant budget cuts in Medicaid; Coordinated Care Alternatives for dual eligibles; Medical loss ratio for Medicaid managed care plans; Appropriate payment including changes to risk adjustment for MA/SNPs;Regulatory and systematic impact of Medicaid continuous coverage; Marketing rule consistency across Medicaid and the exchange; Medicaid health plans serving as qualified health plans in the exchange; SNP reauthorization; Integrated care options for dual eligibles; Appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects; Discussed Medicaid and Medicare reforms related to dual eligibles and other populations with MACPAC and MedPAC; Actuarial soundness; Education on dual eligible demonstration projects; PCP payment increase; Safety net health plan loan guarantee - reserve and solvency; Risk adjustment; "State of Medicaid" Congressional briefing and related advocacy and policy documents; Medicare Sustainable Growth Rate reform, offsets with respect to SGR reform; TMA program and continuous enrollment

Client expense: $35,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), SENATE, Treasury, Dept of

H.R. 1698 H.R.2988 - Forty Hours Is Full Time Act of 2013 ACA Regulations H.R. 3102

Client expense: $538,489 · Firm income: Not reported

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

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

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

Supported all provisions: H.R. 1698, the Stabilize Medicaid and CHIP Coverage ActOpposed all Provisions: H.R.2668, Fairness for American Families Act H.R.2667, Authority for Mandate Delay Act Opposed Some Health Related Provisions: H.J. Res. 59, Continuing Appropriations Resolution, 2014

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Draft legislation to repeal the Medicare sustainable growth rate and reform fee-for-service payment Delay of the scheduled implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Regulations on Medicare and Medicaid regulatory reform Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 574 - Medicare Physician Payment Innovation Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2524/S. 1228 - Medicare Better Health Rewards Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1698 H.R.2988 - Forty Hours Is Full Time Act of 2013 ACA Regulations H.R. 3102

Client expense: Not reported · Firm income: $538,489

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1698 H.R.2988 - Forty Hours Is Full Time Act of 2013 ACA Regulations H.R. 3102

Client expense: Not reported · Firm income: $538,489

Government targets: Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, White House Office

H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid H.R. 297/S. 1557 - Children's Hosital Graduate Medical Education - acts to reauthorize and establish funding levels for the programHouse Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations, S.1284 - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs H.Con Res. 25 (House budget) - provisions impacting Medicaid and children's health S. Con. Res. 8 (Senate/Murray budget) - provisions impacting Medicaid and children's health Childrens Health Insurance Program (no bill number) H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act S. 689 - Mental Health Awareness and Improvement Act of 2013 H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 225/S.424 - Pediatric Research Network Act H.R. 2019 Kids First Research Act H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act H.R. 669 - Sudden Unexpected Death Data Enhancement and Awareness Act Pharmacy Compounding S.959/House Companion S. 957 - Drug Supply Chain Security Act Issues related to prescription drug shortages Issues related to prescription drug compounding 340B Drug Discount Program Tax issues related to non-profit hospitals

Client expense: $980,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Support for legislative solution to address "churning" in Medicaid eligibility and to improve quality measurement in Medicaid; Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts; Promoting expansion of the use of Medicaid managed care for dually eligible populations; Opposition to significant budget cuts in Medicaid; Promoting education of dual eligible demonstration projects; Consideration of coordinated care alterantives for dual eligibles; H.R. 1698;Reauthorization of the Medicare Advantage Special Needs Plans program; Modification of the MA SNP program with respect to STARS bonuses, risk adjustment, treatment of beneficiaries newly entering the Medicare program, and other issues; Medicare Sustainable Growth Rate Reform, Offsets with respect to Sustainable Growth Rate reform; Legislation to provide Medicaid coverage for newborns; Medicaid MLRs; Regulatory and systemic impact of Medicaid continuous coverage; Counter-cyclical federal funding of Medicaid; Risk adjustment;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for legislative solution to address "churning" in Medicaid/CHIP eligibility and to improve quality measurement in both programs, Promote HR 1698, Changes in Medicare/Medicaid program as part of entitlement reform and deficit reduction efforts, Promoting Expanding Medicaid Managed care for Duals, Opposition to significant budget cuts in Medicaid, Consideration of Coordinated Care Alternatives for Dual eligibles, Legislation establishing MLR for Medicaid Managed Care Plans,Modification of payment systems for MA/SNPs, Requested the regulatory and systematic impact of Medicaid continuous coverage, Promoted marketing rule consistency across Medicaid and the Exchange, Promoting counter-cyclical federal financing of Medicaid in economic downturns, Medicaid Health Plans serving as qualified Health plans in the Exchange, SNP Reauthorization, Promoted integrated care options for dual eligibles, Advocated for appropriate quality measurement (e.g., the Stars program) for Medicare D-SNPs and in duals demonstration projects, Advocated for Medicaid reforms related to dual eligibles and other populations to MACPAC and MedPAC, Actuarial Soundness, Promoting education on dual eligible demonstration projects, PCP Payment Increase, Advocated for best practices to support mental and behavioral health treatment in Medicaid and Medicare, Promoted SNHP Loan Guarantee- Reserve and Solvency, Risk Adjustment, Consulted with members of congress concerning Federalization for Dual eligibles, Provided advice on Medicaid eligibility for newborns, "State of Medicaid" Congressional Briefing and related advocacy and policy documents

Client expense: $45,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office