Enhanced Access to Medicaid Services Act of 2013

S. 755 / H.R. 1838: Enhanced Access to Medicaid Services Act of 2013: H.R.5364: CHIP Extension and Improvement Act of 2014: Sec. 304. Payment parity for Medicaid primary care services H.R.5353: Medicaid Parity Act of 2014 H.R. 5458: The Building a Health Care Workforce for the Future ActH.R. 5481, the Flexibility in Health IT Reporting (Flex-IT) Act HR 5723 / S. 2694: Ensuring Access to Primary Care for Women & Children Act S. 3007: Ensuring Enhanced Access to Primary Care Act Maintenance/expansion of Graduate Medical Education (GME); Permanent repeal to the sustainable growth rate (SGR) formula; Preservation of the in-office ancillary exception to the Stark law

Client expense: $173,880 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Children's Hospital GME Support Reauthorization Act of 2013 (HR 297, S 1557) Enhanced Access to Medicaid Services Act (HR 1838, S 755) CHIP Extension Act of 2014 (S 2461) CHIP Extension and Improvement Act of 2014 (HR 5364) Ensuring Access to Primary Care for Women & Children Act (S 2694) Medicaid Parity Act of 2014 (HR 5353)

Client expense: $43,400 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Juvenile Justice & Delinquency Prevention, Office of Natl Drug Control Policy (NDCP), Office of the Vice President of the United States, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S. 755/ H.R. 1838: Enhanced Access to Medicaid Services Act of 2013: H.R.5364: CHIP Extension and Improvement Act of 2014: Sec. 304. Payment parity for Medicaid primary care services H.R.5353: Medicaid Parity Act of 2014 S. 2694: Ensuring Access to Primary Care for Women & Children ActH.R. 5304: Audiology Patient Choice Act of 2014 Maintenance/expansion of Graduate Medical Education (GME); Permanent repeal to the sustainable growth rate (SGR) formula; Preservation of the in-office ancillary exception to the Stark law, Reimbursement and use of chronic care management codes; Elimination of global surgical periods; Retention of the CME exclusion in the Sunshine Act; Reimbursement and use of magnetoencephalography codes; Fair valuation, utilization and access to NCS/EMG services

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

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

H.R.351 - Protecting Seniors' Access to Medicare Act of 2013 H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1250 - Medicare Audit Improvement Act 2013H.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.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: $291,064 · Firm income: Not reported

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act, RINs regulated as a futures contract

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

Children's Hospital GME Support Reauthorization Act of 2013 (HR 297, S 1557) Enhanced Access to Medicaid Services Act (HR 1838, S 755) CHIP Extension Act of 2014 (S 2461)CHIP Extension and Improvement Act of 2014 (HR 5364) Ensuring Access to Primary Care for Women & Children Act (S 2694) Medicaid Parity Act of 2014 (HR 5353)

Client expense: $74,200 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institute of Mental Health (NIMH), Office of Juvenile Justice & Delinquency Prevention, Office of Natl Drug Control Policy (NDCP), Office of the Vice President of the United States, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Sustainable Growth Rate Formula Reform; Medicaid (general); Primary care payment bonuses.S. 351/H.R. 351, Protecting Seniors Access to Medicare Act; S. 1871, SGR Repeal and Medicare Beneficiary Access Act; H.R. 1838/S. 755, Enhanced Access to Medicaid Services Act; H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; H.R. 4015/S. 2000 SGR Repeal and Medicare Provider Payment Modernization Act; H.R. 4302, Protecting Access to Medicare Act; S. 2122, Responsible Medicare SGR Repeal and Beneficiary Access Improvement 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.

Client expense: $495,485 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

S. 577 / HR 1180, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training S. 755/ H.R. 1838, Enhanced Access to Medicaid Services Act of 2013: Amends title XIX (Medicaid) of the Social Security Act H.R. 1173, Personalize Your Care Act of 2013: Voluntary advance care planning consultation in Medicare H.R. 1201, Training Tomorrow's Doctors Today Act: Graduate medical education-residency trainingH.R. 4106, Saving Lives, Saving Costs Act: Provides safe harbors for practitioners following evidence based guidelines H.R. 4695, Amends title XVIII (Medicare) of the Social Security Act to include in the initial preventive physical examination covered under the Medicare program sleep apnea screening Permanent repeal to the sustainable growth rate (SGR) formula; CMS coverage for oxygen for cluster headaches; Preservation of the in-office ancillary exception to the Stark law, Advocate for reimbursement and use of advance care planning; Challenges developing meaningful quality of life measures, Episode of care document and early detection tools for mild cognitive impairment

Client expense: $280,000 · Firm income: Not reported

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act, RINs regulated as a futures contract

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

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

H.R.351 - Protecting Seniors' Access to Medicare Act of 2013 H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1250 - Medicare Audit Improvement Act 2013H.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 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: $646,873 · Firm income: Not reported

Children's Hospital GME Support Reauthorization Act of 2013 (HR 297, S 1557) Enhanced Access to Medicaid Services Act (HR 1838, S 755)

Client expense: $89,300 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institute of Mental Health (NIMH), Office of Juvenile Justice & Delinquency Prevention, Office of Natl Drug Control Policy (NDCP), Office of the Vice President of the United States, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare strategic growth rate (SGR) formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers; to implement a five-year period of stableMedicare physician payments; and transition to an array of new payment models designed to enhance care coordination, quality, appropriatess and cost. 2. Oppose any cuts in Medicare or Medicaid programs that would adversely impact children and adults with behavioral health disorders. 3. Support the "Enhanced Access to Medicaid Services Act" (H.R. 1838/S. 755) to amend Title XIX (Medicaid) of the Social Security Act to apply the Medicaid primary care payment rate in 2013 and 2014 to additional physicians with a primary specialty designation of neurology, psychiatry, or obstetrics and gynecology. 4. Support the "Health Outcomes, Planning, and Education Act" (S.709 / H.R.1307) to combine the existing Medicare benefits for diagnosis and care planning for individuals with Alzheimer's disease into a single package of services. 5. Support elimination of the Medicare 190-day lifetime limit for psychiatric hospital care. 6. Support bonus payments under Medicare to clinicians in geriatric specialties. 7. Support H.R. 2810 to provide a multi-year transition from the current Medicare Sustainable Growth Rate (SGR) formula to a new value-based program. 8. Oppose H.R. 4302, the "Protecting Access to Medicare Act of 2014" to postpone the 24 percent in Medicare physician payments for 12 monthw (which was being considered in lieu of a permanent solution to the SGR problem). 9. Support H.R.4015/S.2000, the "SGR Repeal and Medicare Provider Payment Modernization Act of 2014" to repeal Medicare's SGR formula and establish a transition to a stable Medicare payment policy.

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act, RINs regulated as a futures contract

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

H.R. 574, Medicare Physician Payment Innovation Act of 2013: Medicare physician payment-sustainable growth rate (SGR) reform S. 577 / HR 1180, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training S. 755/ H.R. 1838, Enhanced Access to Medicaid Services Act of 2013: Amends title XIX (Medicaid) of the Social Security Act H.R. 1173, Personalize Your Care Act of 2013: Voluntary advance care planning consultation in MedicareH.R. 1201, Training Tomorrow's Doctors Today Act: Graduate medical education-residency training S. 2000/ H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Medicare physician payment-sustainable growth rate (SGR) reform S. 2046 / H.R. 4035: To amend title XVIII of the Social Security Act to provide Medicare beneficiaries coordinated care and greater choice with regard to accessing hearing health services and benefits. S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 2810, Medicare Patient Access and Quality Improvement Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 4106, Saving Lives, Saving Costs Act: Provides safe harbors for practitioners following evidence based guidelines H.R. 4302, Protecting Access to Medicare Act of 2014: Changes to Medicare physician payment-sustainable growth rate (SGR) formula Preservation of the in-office ancillary exception to the Stark law; ACO exclusivity issues; Protected class status criteria; ICD 10 transition and implementation; Commented on CMS RFI on specialty practitioner payment model opportunities.

Client expense: $280,000 · Firm income: Not reported

Sustainable Growth Rate Formula Reform; Medicaid (general); Primary care payment bonuses.S. 351/H.R. 351, Protecting Seniors Access to Medicare Act; H.R. 1146/S. 642, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act; S. 1871, SGR Repeal and Medicare Beneficiary Access Act; H.R. 1838/S. 755, Enhanced Access to Medicaid Services Act; H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; H.R. 4015/S. 2000 SGR Repeal and Medicare Provider Payment Modernization Act; H.R. 4302, Protecting Access to Medicare Act; S. 2122, Responsible Medicare SGR Repeal and Beneficiary Access Improvement 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.

Client expense: $432,030 · 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.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

H.R.351-Protecting Seniors' Access to Medicare Act of 2013 H.R.574-Medicare Physician Payment Innovation Act of 2013 H.R.1179-Improving Access to Medicare Coverage Act of 2013 H.R.1250-Medicare Audit Improvement Act 2013H.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.4302 (P.L.113-93)-Protecting Access to Medicare 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

Client expense: $538,613 · Firm income: Not reported

S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 2019 Gabriella Miller Kids First Research Act H.R. 1037 Occupational Therapy in Mental Health Act H.R. 1178 Creating Access to Residency Education Act of 2013H.R. 1180 Resident Physician Shortage Reduction Act of 2013 H.R. 1201 Training Tomorrow's Doctors Act H.R. 1252 Physical Therapist Workforce and Patient Access Act of 2013 H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 1326 Health Care Price Transparency Promotion Act of 2013 H.R. 1339 Palliative Care and Hospice Education and Training Act H.R. 1427 Truth in Healthcare Marketing Act of 2013 H.R. 1790 Health IT Modernization for Underserved Communities Act of 2013 H.R. 1814 Equitable Access to Care and Health (EACH) Act H.R. 1821 Registered Nurse Safe Staffing Act of 2013 H.R. 1827 Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 H.R. 1874 Pro-Growth Budgeting Act H.R. 1907 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 1976 Access to Certified Professional Midwives Act of 2013 H.R. 2131 Supplying Knowledge-based Immigrants and Lifting Levels of STEM (SKILLS) Visas Act of 2013 H.R. 235 Veteran Emergency Medical Technician Support Act of 2013 H.R. 2415 Treat and Reduce Obesity Act H.R. 244 Physician Availability Act of 2013 H.R. 2453 Medicare Beneficiary Preservation of Choice Act of 2013 H.R. 2484 Conrad State 30 and Physician Access Act H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2663 Preventive Health Savings Act H.R. 2801 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R. 2843/S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 297 Children's Hospital GME Support Reauthorization Act of 2013 H.R. 2986 Protecting Access to Primary Care Act H.R. 3077 TELEmedicine for MEDicare Act of 2013 or TELE-MED Act of 2013 H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 3303 Sensible Oversight for Technology which Advances Regulatory Efficiency (SOFTWARE) Act H.R. 3306 Telehealth Enhancement Act of 2013 H.R. 3362, Exchange Information Disclosure Act H.R. 3392 Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013 H.R. 3474 Hire More Heroes Act of 2013 H.R. 3507 21st Century Care for Military and Veterans Act H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H.R. 3811, Health Exchange Security and Transparency Act H.R. 3979 Protecting Volunteer Firefighters and Emergency Responders Act of 2014 H.R. 4106, Barr-Bera Saving Lives, Saving Costs Act H.R. 4118, The SIMPLE Fairness Act H.R. 4160 - the "Keep the Promise to Seniors Act of 2014." H.R. 4177: a bill to amend the Internal Revenue Code of 1986 to Allow Medicare beneficiaries participating in a Medicare Advantage MSA to contribute their own money to their MSA. H.R. 4180: a bill to amend the Internal Revenue Code of 1986 to permit rollovers from health savings accounts to Medicare Advantage MSAs H.R. 4196: Seniors' Fairness Act of 2014H.R. 4201: Seniors' Rights to Know Act H.R. 487 Primary Care Workforce Access Improvement Act of 2013 H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 7, No Taxpayer Funding for Abortion Act H.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 962 Medicare Diabetes Prevention Act H.R. 2575, the "Save American Workers Act of 2014," H.R. 4064, FAIR ACT of 2014 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.RES.356 A resolution recognizing that access to hospitals and other health care providers for patients in rural areas of the United States is essential to the survival and success of communities in the United States. H.R.1024 The Medication Therapy Management Empowerment Act IMPACT Act of 2014 (Improving Medicare Post-Acute Care Transformation Act of 2014) S. 1060 Veterans to Paramedics Transition Act S. 1061 Veterans Access to Care Act S. 1064 Medicare Mental Health Access Act S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act S. 1152 Building a Health Care Workforce for the Future Act S. 1184 Treat and Reduce Obesity Act S. 1193 Data Security and Breach Notification Act of 2013 S. 1228 Medicare Better Health Rewards Program Act S. 1422 Preventive Health Savings Act S. 1439 Care Planning Act of 2013 S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1445 National Health Service Corps Improvement Act of 2013 S. 1475 National Nurse Act of 2013 S. 1517 Behavioral Health Information Technology Act of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1557 Children's Hospital GME Support Reauthorization Act of 2013 S. 1685 Behavioral Health Information Technology Coordination Act of 2013 S. 1729 - Expanded Consumer Choice Act S. 1758 Quality Data, Quality Healthcare Act of 2013 S. 1871, SGR Repeal and Medicare Beneficiary Improvement Act of 2013 S. 2000/H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2007, Preventing Regulatory Overreach To Enhance Care Technology Act of 2014 (PROTECT Act) S. 2110, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2166 Treating Families Fairly Act S. 2168 amends the definition from 50 100 employees for the purposes of the employer mandate S. 2173 the CHOICE Act S. 2175 Enhancing Access to Agents and Brokers Act S. 2240 The Medicare Choices Empowerment and Protection Act S. 236 Medicare Patient Empowerment Act S. 328 Strengthening Rural Access to Emergency Services Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.S. 452 Medicare Diabetes Prevention Act S. 557 The Medication Therapy Management Empowerment Act S. 577 The Resident Physician Shortage Reduction Act of 2013 S. 602 Physical Therapist Workforce and Patient Access Act of 2013 S. 616 Conrad State 30 and Physician Access Act S. 641 Palliative Care and Hospice Education and Training Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 945 Access to Quality Diabetes Education Act of 2013 S.1067 Innovation Inspiration School Grant Program Act S.1897 Personal Data Privacy and Security Act of 2014 S.1927 The Data Security Act of 2014 S.1932/H.R. 3890 The Better Care, Lower Cost Act S.1976 Data Security and Breach Notification Act of 2014 S.1995 Personal Data Protection and Breach Accountability Act S.2106, FAIR Act of 2014 S.236 / H.R. 1310 - Medicare Patient Empowerment Act of 2013 S.577 Resident Physician Shortage Reduction Act of 2013 S.RES.26 A resolution recognizing that access to hospitals and other health care providers for patients in rural areas of the United States is essential to the survival and success of communities in the United States.

S.236 / H.R. 1310 - Medicare Patient Empowerment Act of 2013 S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 641 Palliative Care and Hospice Education and Training Act S. 452 Medicare Diabetes Prevention ActS. 2240 The Medicare Choices Empowerment and Protection Act S. 236 Medicare Patient Empowerment Act S. 2110, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1932/H.R. 3890 The Better Care, Lower Cost Act S. 2000/H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 1871, SGR Repeal and Medicare Beneficiary Improvement Act of 2013 S. 1439 Care Planning Act of 2013 S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1228 Medicare Better Health Rewards Program Act S. 1064 Medicare Mental Health Access Act IMPACT Act of 2014 (Improving Medicare Post-Acute Care Transformation Act of 2014) H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 962 Medicare Diabetes Prevention Act H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 4160 - the "Keep the Promise to Seniors Act of 2014." H.R. 3392 Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013 H.R. 3077 TELEmedicine for MEDicare Act of 2013 (TELE-MED Act of 2013) H.R. 2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R. 2843/S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

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

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare strategic growth rate (SGR) formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers; to implement a five-year period of stableMedicare physician payments; and transition to an array of new payment models designed to enhance care coordination, quality, appropriatess and cost. 2. Oppose any cuts in Medicare or Medicaid programs that would adversely impact children and adults with behavioral health disorders. 3. Support the "Enhanced Access to Medicaid Services Act" (H.R. 1838/S. 755) to amend Title XIX (Medicaid) of the Social Security Act to apply the Medicaid primary care payment rate in 2013 and 2014 to additional physicians with a primary specialty designation of neurology, psychiatry, or obstetrics and gynecology. 4. Support the "Health Outcomes, Planning, and Education Act" (S.709 / H.R.1307) to combine the existing Medicare benefits for diagnosis and care planning for individuals with Alzheimer's disease into a single package of services. 5. Support elimination of the Medicare 190-day lifetime limit for psychiatric hospital care. 6. Support bonus payments under Medicare to clinicians in geriatric specialties. 7. Support H.R. 2810 to provide a multi-year transition from the current Medicare Sustainable Growth Rate (SGR) formula to a new value-based program. 8. Oppose H.R. 4302, the "Protecting Access to Medicare Act of 2014" to postpone the 24 percent in Medicare physician payments for 12 monthw (which was being considered in lieu of a permanent solution to the SGR problem). 9. Support H.R.4015/S.2000, the "SGR Repeal and Medicare Provider Payment Modernization Act of 2014" to repeal Medicare's SGR formula and establish a transition to a stable Medicare payment policy.

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act, RINs regulated as a futures contract

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act, RINs regulated as a futures contract

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act, RINs regulated as a futures contract

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

Sustainable Growth Rate Formula Reform (general); Medicaid (general); Strong Start Initiative; Primary care payment bonuses.S. 351/H.R. 351, Protecting Seniors Access to Medicare Act; H.R. 1146/S. 642, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act; S. 1871, SGR Repeal and Medicare Beneficiary Access Act; H.R. 1838/S. 755, Enhanced Access to Medicaid Services Act; H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; Primary care reimbursement.

Client expense: $356,100 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Support for permanent repeal and replacement of the Medicare SGR; Provided comments on payment reform to the House Ways and Means and Energy and Commerce Committees and Senate Finance Committee; Support payment reform to more accurately value cognitive care services; Support the preservation of the in-office ancillary exception to the Stark law;Supporting the Enhanced Access to Medicaid Services Act (HR 1838/ S 755) which would add neurology, psychiatry, and Ob/Gyn to the ACA Medicaid at Medicare rates provision; Submitted comments via signon letter raising concerns with Medicare Advantage health plans network adequacy and process for notifying physicians about contract terminations; Met with senior staff to discuss neurology specific issues such as cognitive reimbursement, quality measurement and new payment delivery models; Discussed stroke episode of care and other payment models with CMMI staff; Discussed early detection of measures for AD and dementia with quality and coverage staff.

Client expense: $203,000 · Firm income: Not reported

H.R.2775 Continuing Appropriations Act, 2014 H.J. Res 59 Bipartisan Budget Act of 2013 H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3077 TELE-MED Act of 2013H.R. 3303 Sensible Oversight for Technology which Advances Regulatory Efficiency (SOFTWARE) Act H.R. 2725 FDA Safety Over Sequestration Act H.R. 3204 Drug Quality and Security Act H.R. 2651 Critical Care Assessment and Improvement Act of 2013 S. 1439 Care Planning Act of 2013 S. 1193 Data Security and Breach Notification Act of 2013 S.1927 The Data Security Act of 2014 H.R. 3696 National Cybersecurity and Critical Infrastructure Protection Act of 2013 H.R. 3811 Healthcare Exchange Security and Transparency Act of 2014 S.1897 Personal Data Privacy and Security Act of 2014 H.R. 1326 Health Care Price Transparency Promotion Act of 2013 H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2843 Medicare Data Access for Transparency and Accountability Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1758 Quality Data, Quality Healthcare Act of 2013 H.R.3367 To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015 H.R. 1037 Occupational Therapy in Mental Health Act H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 3306 Telehealth Enhancement Act of 2013 H.R. 3507 21st Century Care for Military and Veterans Act H.R. 487 Primary Care Workforce Access Improvement Act of 2013 H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 1180 Resident Physician Shortage Reduction Act of 2013 H.R. 1201 Training Tomorrow's Doctors Act H.R. 1252 Physical Therapist Workforce and Patient Access Act of 2013 H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 1339 Palliative Care and Hospice Education and Training Act H.R. 1427 Truth in Healthcare Marketing Act of 2013 H.R. 1790 Health IT Modernization for Underserved Communities Act of 2013 H.R. 1821 Registered Nurse Safe Staffing Act of 2013 H.R. 1827 Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 H.R. 1907 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 1976 Access to Certified Professional Midwives Act of 2013 H.R. 2131 Supplying Knowledge-based Immigrants and Lifting Levels of STEM (SKILLS) Visas Act of 2013 H.R. 235 Veteran Emergency Medical Technician Support Act of 2013 H.R. 244 Physician Availability Act of 2013 H.R. 2484 Conrad State 30 and Physician Access Act H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 2801 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 297 Children's Hospital GME Support Reauthorization Act of 2013 H.R. 2986 Protecting Access to Primary Care ActH.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. S. 1060 Veterans to Paramedics Transition Act S. 1061 Veterans Access to Care Act S. 1064 Medicare Mental Health Access Act S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act S. 1152 Building a Health Care Workforce for the Future Act S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1445 National Health Service Corps Improvement Act of 2013 S. 1475 National Nurse Act of 2013 S. 1517 Behavioral Health Information Technology Act of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1557 Children's Hospital GME Support Reauthorization Act of 2013 S. 1685 Behavioral Health Information Technology Coordination Act of 2013 S. 236 Medicare Patient Empowerment Act S. 328 Strengthening Rural Access to Emergency Services Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 602 Physical Therapist Workforce and Patient Access Act of 2013 S. 616 Conrad State 30 and Physician Access Act S. 641 Palliative Care and Hospice Education and Training Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 945 Access to Quality Diabetes Education Act of 2013 S.577 Resident Physician Shortage Reduction Act of 2013 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act H.R. 2663 Preventive Health Savings Act S. 1422 Preventive Health Savings Act S. 1228 Medicare Better Health Rewards Program Act S. 1184 Treat and Reduce Obesity Act H.R. 2415 Treat and Reduce Obesity Act H.R. 2810 Medicare Patient Access and Quality Improvement Act H.R. 2642 Federal Agriculture Reform and Risk Management (FARRM) Act S. 954 Agriculture Reform, Food and Jobs Act

H.R.2775 Continuing Appropriations Act, 2014 H.J. Res 59 Bipartisan Budget Act of 2013 H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 2843 Medicare Data Access for Transparency and Accountability ActS. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 3077 TELEmedicine for MEDicare Act of 2013 or TELE-MED Act of 2013 S. 1064 Medicare Mental Health Access Act S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 236 Medicare Patient Empowerment Act S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 1228 Medicare Better Health Rewards Program Act

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

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare strategic growth rate (SGR) formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers; to implement a five-year period of stableMedicare physician payments; and transition to an array of new payment models designed to enhance care coordination, quality, appropriatess and cost. 2. Oppose any cuts in Medicare or Medicaid programs that would adversely impact children and adults with behavioral health disorders. 3. Support the "Enhanced Access to Medicaid Services Act" (H.R. 1838/S. 755) to amend Title XIX (Medicaid) of the Social Security Act to apply the Medicaid primary care payment rate in 2013 and 2014 to additional physicians with a primary specialty designation of neurology, psychiatry, or obstetrics and gynecology. 4. Support the "Health Outcomes, Planning, and Education Act" (S.709 / H.R.1307) to combine the existing Medicare benefits for diagnosis and care planning for individuals with Alzheimer's disease into a single package of services. 5. Support elimination of the Medicare 190-day lifetime limit for psychiatric hospital care. 6. Support bonus payments under Medicare to clinicians in geriatric specialties. 7. Support H.R. 2810/Senate draft the "Medicare Patient Access and Quality Improvement Act" to provide a multi-year transition from the current Medicare Sustainable Growth Rate (SGR) formula to a new value-based program.

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

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act, RINs regulated as a futures contract

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

Support permanent repeal and replacement of the Medicare SGR including HR 2810 as well as supporting HR 574 the Medicare Physician Payment Innovation Act of 2013; Support payment reform to more accurately value cognitive care services; Opposing automatic sequestration cuts to Medicare provider payments; Supporting the Enhanced Access to Medicaid Services Act (HR 1838/ S 755) which adds neurology, psychiatry, and Ob/Gyn to the ACA Medicaid at Medicare rates provision;Support for the preservation of the in-office ancillary exception to the stark law; Support for the Health Outcomes, Planning, and Education for Alzheimer's Act (S.709 /H.R.1507) which provides support for appropriate diagnosis and treatment of Alzheimers Disease; Sent a letter to CMS supporting their coverage decision regarding beta amyloid imaging along with some suggestions; Discuss stroke episode of care model with Centers for Medicare and Medicaid Innovation staff; Work with CMS to share concerns and offer an alternative proposal for the APC assignment of EMG and NCS codes in the 2014 OPPS proposed rule; Submitted comments to CMS on the 2014 MPFS and 2014 OPPS proposed rules; Advocated for improvements to complex chronic care coordination codes proposal; Participated on refinement panel to argue for higher work RVUs for EMG and NCS codes.

Client expense: $230,000 · Firm income: Not reported

Sustainable Growth Rate Formula Reform (general); Medicaid (general); Strong Start Initiative; Primary care payment bonuses.S. 351/H.R. 351, Protecting Seniors Access to Medicare Act; H.R. 1146/S. 642, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act; H.R. 1310, Medicare Patient Empowerment Act; H.R. 1838/S. 755, Enhanced Access to Medicaid Services Act; H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013.

Client expense: $394,826 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers.2. Oppose any cuts in Medicare or Medicaid programs that would adversely impact children and adults with behavioral health disorders. 3. Support the "Enhanced Access to Medicaid Services Act" (H.R. 1838/S. 755) to amend Title XIX (Medicaid) of the Social Security Act to apply the Medicaid primary care payment rate in 2013 and 2014 to additional physicians with a primary specialty designation of neurology, psychiatry, or obstetrics and gynecology. 4. Support the "Health Outcomes, Planning, and Education Act" (S.709 / H.R.1307) to combine the existing Medicare benefits for diagnosis and care planning for individuals with Alzheimer's disease into a single package of services. 5. Support elimination of the Medicare 190-day lifetime limit for psychiatric hospital care. 6. Support bonus payments under Medicare to clinicians in geriatric specialties.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market position limits on WTI) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Federal Motor Carrier Safety Administration, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)

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 House legislative framework to repeal the Medicare sustainable growth rate and reform fee-for-service payment Delay of the scheduled July 1 implementation of Medicare durable medical equipment documentation requirements Draft legislation to extend Medicaid incentive payments for primary care services to nurse practitioners Medicare home health certification and face-to-face examination 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. 1838/S. 755 - Enhanced Access to Medicaid Services Act H.R. 2504 - Home Health Care Planning Improvement Act

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 House legislative framework to repeal the Medicare sustainable growth rate and reform fee-for-service payment Delay of the scheduled July 1 implementation of Medicare durable medical equipment documentation requirements Draft legislation to extend Medicaid incentive payments for primary care services to nurse practitioners Medicare home health certification and face-to-face examination requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare hospice certification requirements Medicare skilled nursing facility conditions of participation 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. 1838/S. 755 - Enhanced Access to Medicaid Services Act H.R. 2504 - Home Health Care Planning Improvement Act

Sustainable Growth Rate Formula Reform (general); Medicaid (general); Strong Start Initiative; Primary care payment bonuses.S. 351/H.R. 351, Protecting Seniors Access to Medicare Act; H.R. 1146/S. 642, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act; H.R. 1310, Medicare Patient Empowerment Act; H.R. 1838/S. 755, Enhanced Access to Medicaid Services Act.

Client expense: $384,932 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Sustainable Growth Rate Formula Reform (general); Medicaid (general); Strong Start Initiative; Primary care payment bonuses.S. 351/H.R. 351, Protecting Seniors Access to Medicare Act; H.R. 1146/S. 642, Consistency, Accuracy, Responsibility, and Excellence in Medical Imaging and Radiation Therapy Act; H.R. 1310, Medicare Patient Empowerment Act; H.R. 1838/S. 755, Enhanced Access to Medicaid Services Act.

Client expense: $384,932 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

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 House legislative framework to repeal the Medicare sustainable growth rate and reform fee-for-service payment Delay of the scheduled July 1 implementation of Medicare durable medical equipment documentation requirements Draft legislation to extend Medicaid incentive payments for primary care services to nurse practitioners Medicare home health certification and face-to-face examination requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare hospice certification requirements Medicare skilled nursing facility conditions of participation 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. 1838/S. 755 Enhanced Access to Medicaid Services Act H.R. 2504 Home Health Care Planning Improvement Act

Support permanent repeal and replacement of the Medicare SGR including commenting on House Energy and Commerce/Ways and Means proposals and supporting HR 574 the Medicare Physician Payment Innovation Act of 2013; Support payment reform to more accurately value cognitive care services; Support repeal of the ACAs Independent Payment Advisory Board (H.R. 351/S. 351); Opposing automatic sequestration cuts to Medicare provider payments;Supporting the Enhanced Access to Medicaid Services Act (HR 1838/ S 755) which adds neurology, psychiatry, and Ob/Gyn to the ACA Medicaid at Medicare rates provision; Support for the preservation of the in-office ancillary exception to the stark law; Submitted recommendations to CMS on how to improve health information exchange physicians; Submitted comments to CMS on the Physician Part B filing proposed rule; Submitted comments to CMS in opposition of primary care only E/M codes; Submitted comments to CMS on the 2014 Inpatient Prospective Payment Systems proposed rule; Submitted comments to CMS on how clinical quality measures can be enhanced to better meet physicians needs; Met with CMS to discuss role of AAN in innovative delivery models and preparing our members for the changing healthcare landscape.

Client expense: $320,000 · Firm income: Not reported

1. Medicare Physician Fee Schedule - AAGP urges Congress to replace the current Medicare reimbursement formula with one that more accurately reflects the volume and intensity of services furnished to Medicare beneficiaries and to take action to avert future cuts in Medicare payments to physicians and other health care providers. AAGP also urges Congress to take action to avert allproposed reductions in Medicare physician reimbursements scheduled to take effect on January 1, 2014. 2. Oppose any cuts in Medicare or Medicaid programs that would adversely impact children and adults with behavioral health disorders. 3. Support the "Enhanced Access to Medicaid Services Act" (H.R. 1838/S. 755) to amend Title XIX (Medicaid) of the Social Security Act to apply the Medicaid primary care payment rate in 2013 and 2014 to additional physicians with a primary specialty designation of neurology, psychiatry, or obstetrics and gynecology.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rules implementation for the Dodd-Frank Wall Street Reform and Consumer Protection Act (Public Law No: 111-203) regarding interchange fees and derivatives (swaps and Futures market) overhaul; HR 1838 - A bill to repeal a provision of the Dodd-Frank Wall Street Reform and Consumer Protection Act prohibiting any federal bailout of swap dealers or participants. HR 3283 - Swap Jurisdiction Certainty Act

Client expense: $170,000 · Firm income: Not reported

Government targets: Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT)