Protect Patient Access to Quality Health Professionals Act of 2013

H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013, all sections relating to vision.

Client expense: $330,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 920, National Health Service Corps Improvement Act of 2013, all sections relating to vision. HR 1285, To amend the Controlled Substances Act to make any substance containing hydrocodone a schedule II drug, all sections relating to vision.HR 1427, the Truth in Healthcare Marketing Act, all sections relating to vision. HR 1617, Emergency Jobs to Restore the American Dream Act, all sections relating to vision. HR 2817, the Protect Patient Access to Quality Health Professionals Act of 2013, all sections relating to vision. S 621, Safe Prescribing Act of 2013, all sections relating to vision, all sections relating to vision. S 1152, Building a Health Care Workforce for the Future Act, all sections relating to vision. S 1445 National Health Service Corps Improvement Act of 2013, all sections relating to vision.

Client expense: $330,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PPACA implementation; Provider recognition; HR4435/S2410 National Defense Authorization for FY2015; HR 2817 A bill to repeal provider nondiscrimination; HR4874/S1444 Medicare Access to Rural Anesthesiology Act; S 2359 Craig Thomas Rural Hospital and Provider Equity Act; HR 4486 Military and VA Appropriations for FY2015; HR 83 Consolidated and Further Continuing Appropriations Act for FY2015;

Client expense: $260,000 · Firm income: Not reported

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

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, 2014 and 2015 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 Draft Hospital Improvement for Payment (HIP) Act H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement 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. 3698 - Two-Midnight Rule Delay 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 H.R. 4663 - Protect Patient Access and Promote Hospital Efficiency Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act H.R. 5780 - Protecting the Integrity of 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 S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2491 - Medicare Protection Act S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act S. 2694/H.R. 5723 - Ensuring Access to Primary Care for Women & Children 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, Veterans Affairs, Dept of (VA), White House Office

H.R. 1427, Truth in Healthcare Marketing Act of 2013 H.R. 1171, Palliative Care Bill H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 4106, Saving Lives, Saving Costs H.R. 1150, Preservation of Antibiotics for Medical Treatment Act of 2013 H.R. 3116, MODERN Cures Act (21st Century Cures) H.R. 3204, Drug Quality and Security Act Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Risk Evaluation and Mitigation Strategies FDA Safe Use Initiative Pain Management Proposed Federal CME requirements by ONDCP FTC Letters to states regarding Interventional Pain Medicine and Advanced Practice Nurses Propofol shortage - European Union export restrictions Scope of Practice FDA Operating Room fires State Exchanges pursuant to PPACA FDA Patient Prescriber working group Naloxone ICD-10-CM/PCS and proposed delay of implementation date HHS AIDE Action Plan FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS USP - US Pharmacopeia ESI- Epidural Steroid Injections

Client expense: $210,000 · 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), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Funding for Chiropractic programs within the budget of the Department of HHS. Regulatory issues relating to Medical Records Privacy (HIPAA). Patient Protection and Affordable Care Act. PL 111-148 H.R. 702 - Access to Frontline Health Care Act. H.R. 171 - Chiropractic Membership in the Public Health Service Commissioned Corps Act. PL 112-175 - Continuing Appropriations Act PL-113-6 - Department of Defense, Military Construction and Veterans Affairs, and Full-Year Continuing Appropriations Act H.R. 1427 - Truth in Healthcare Marketing Act S. 1284 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 HJ Res 59 - Continuing Appropriations Resolution, 2014 H.R. 2817 - Protect Patient Access To Quality Health Professionals Act H.R. 2775 - FY 2014 Continuing Resolution HJ Res 124 - Continuing Appropriations Resolution, 2015 H.R.83 - FY2015 Omnibus; Consolidated and Further Continuing Appropriations Act

Client expense: $53,625 · Firm income: Not reported

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

S. 1064: Medicares Physician Definition, Amends title XVIII (Medicare) of the Social Security Act to treat as a physician, for Medicare purposes, a clinical psychologist acting within the scope of a psychologist's license (or other state law authorization), but only with respect to the furnishing of clinical psychologists services which the psychologist is legally authorized to perform by the state. H.R. 794: Medicares Physician Definition, 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. 1184/H.R. 2415: Treat and Reduce Obesity Act of 2013. A bill to amend title XVIII of the Social Security Act to include information on the coverage of intensive behavioral therapy for obesity in the Medicare and You Handbook and to provide for the coordination of programs to prevent and treat obesity, and for other purposes. H.R. 2810: Medicare Patient Access and Quality Improvement Act of 2013. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes. H.R. 2817: Protect Patient Access to Quality Health Professionals Act of 2013. To amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers. H.R. 4015, S. 2000: The SGR Repeal and Medicare Provider Payment Modernization Act of 2014. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services, and for other purposes. H.R. 2110: Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 To amend titles XVIII and XIX of the Social Security Act to repeal the Medicare sustainable growth rate and to improve Medicare and Medicaid payments, and for other purposes. S. 1932: The Better Care, Lower Cost Act. To amend title XVIII of the Social Security Act to establish an integrated chronic care delivery programs.

Client expense: $250,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. Oppose H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013, that seeks to amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers. 2. Support H.R. 702, Access to Frontline Health Care Act of 2013, specifically areas of this legislation would offer loan repayments for health professionals (including audiologists) that work for 2 years in a pre-identified frontline shortage or scarcity area.

Client expense: $100,000 · 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 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. 2504/S. 1332 - Home Health Care Planning Improvement 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. 3698 - Two-Midnight Rule Delay 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 H.R. 4663 - Protect Patient Access and Promote Hospital Efficiency Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement 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 S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2491 - Medicare Protection Act S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act S. 2694 - Ensuring Access to Primary Care for Women & Children 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, Veterans Affairs, Dept of (VA), White House Office

Minimium Essential Coverage Provisions under the ACA Implementation/Expansion of CDC Falls Programs Direct Access under FEHBP Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance ExchangesAHRQ provisions pertaining to PT H.R. 1427 Truth in Health Care Marketing Act H.R. 1098 TBI Reauthorization Act H.R. 3113 and S. 1516 ConTACT Act H.R. 3352 and S. 1546 Protecting Student Athletes from Concussions Act H.R. 3334 Medicare Adult Day Services Act H.R. 3221 Adult Day Center Enhancement Act H.R. 2817 Protect Patient Access to Quality Health Professionals Act H.R. 702 Access to Frontline Healthcare Act H.R. 3391 Indian Health Service Health Professionals Tax Fairness Act SGR Repeal or extension Physician Self-referral, S2110 H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2115 American Cures Act H.R. 3877 Lymphadema Treatment Act White House Healthy Kids and Safe Sports Concussion Summit Health Information Technology Nominations to PCORI Methedology Committees Comments on GAO report on physician self-referral for physical therapy services CRPD Treaty S.2888 Excercise & Fitness for All Act

Client expense: $308,338 · 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), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

S. 153/H.R. 274 The Mental Health First Aid Act of 2013 S. 195/H.R. 628 The Mental Health in Schools Act of 2013 H.R. 1100 The Mental Health on Campus Improvement Act S. 264/H.R. 1263 The Excellence in Mental Health 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. 574 The Medicare Physician Payment Innovation Act of 2013 S. 577/H.R. 1201 Training Tomorrows Doctors Today Act S. 236/H.R. 1310 the Medicare Patient Empowerment Act of 2013 H.R. 1331 The Electronic Health Records Improvement Act H.R. 1427 The Truth in Healthcare Marketing Act of 2013 S. 351/H.R. 351 The Protecting Seniors Access to Medicare Act of 2013 H.R. 297 The Childrens Hospital GME Support Reauthorization Act of 2013 S. 265 Community-Based Mental Health Improvements Act S. 648 Helping Educators Support All Students Act S.162 Justice and Mental Health Collaboration Act of 2013; S. 649 Safe Communities, Safe Schools Act of 2013 S. 2461 The CHIP Extension Act of 2014 S. 2728 The Community Based Medical Education Act H.R. 1615 A bill to provide for a study by the Institute of Medicine on gaps in mental health services and how these gaps can increase the risk of violent acts. H.R. 2037 The Native American Psychiatric and Mental Health Care Improvement Act H.R. 2545 The Accuracy in Medicare Physician Payment Act of 2013 S. 1064 Medicare Mental Health Access Act H.R. 2775 No Subsidies Without Verification Act H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128 The Protect Patients Act of 2013 H.R. 2817 The Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 2734 The Garrett Lee Smith Memorial Act Reauthorization of 2013 H.R. 2910 The Gun Violence Prevention and Reduction Act H.R. 3717 The Helping Families in Mental Health Crisis Act of 2013 H Con Res 69 The Stop Harming Our Kids Resolution of 2013 H.R. 4302 The Protecting Access to Medicare Act of 2014 H.R. 4015 The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 The Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 The Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762 The Medicare Transitional Care Act of 2014 H.R. 4574 The Strengthening Mental Health in Our Communities Act H.R. 4783 The Promoting Healthy Minds for Safer Communities Act H.R. 4581 The Parental Control Act of 2014 H.R. 5353 The Medicaid Parity Act of 2014 H.R. 5136 The Breaking Addiction Act of 2014 H.R. 5587 The Opioid Abuse Prevention and Treatment Act of 2014 H.R. 5339 The Expanding Opportunities for Recovery Act of 2014 H.R. 5364 The CHIP Extension and Improvement Act of 2014

Client expense: $71,176 · Firm income: Not reported

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

Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 460, Patients' Access to Treatments Act of 2013). Advocate for truth in advertising for health care providers (H.R. 1427, Truth in Healthcare Marketing Act of 2013). Lobby Members of Congress to join the Congressional Skin Cancer Caucus. Lobby Congress to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription (H.R. 3204, Drug Quality and Security Act/Public Law No: 113-54). Lobby Congress on legislation to remove non-discrimination requirements relating to health care providers. (H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013). Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 1647, H.R. 2835, Restoring Access to Medication Act). Lobby Congress on legislation to create a transparent and predictable review process for sunscreen ingredients (S. 2141/H.R. 4250 Sunscreen Innovation Act). Lobby Congress on issues related to telemedicine. Advocate for adequate and accurate network coverage for dermatologic care within health insurance exchange networks. Advocate on on use and availability of health care data.

Client expense: $410,421 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 855, the Optometric Equity in Medicaid Act, all provisions. HR 920, National Health Service Corps Improvement Act of 2013, all sections relating to vision.HR 1285, To amend the Controlled Substances Act to make any substance containing hydrocodone a schedule II drug, all sections relating to vision. HR 1427, the Truth in Healthcare Marketing Act, all sections relating to vision. HR 1617, Emergency Jobs to Restore the American Dream Act, all sections relating to vision. HR 2817, the Protect Patient Access to Quality Health Professionals Act of 2013, all sections relating to vision. S 621, Safe Prescribing Act of 2013, all sections relating to vision, all sections relating to vision. S 907, Gestational Diabetes Act, all sections relating to vision. S 1152, Building a Health Care Workforce for the Future Act, all sections relating to vision. S 1445 National Health Service Corps Improvement Act of 2013, all sections relating to vision. S 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act, all sections relating to vision.

Client expense: $390,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 460, Patients' Access to Treatments Act of 2013). Advocate for truth in advertising for health care providers (H.R. 1427, Truth in Healthcare Marketing Act of 2013). Lobby Members of Congress to join the Congressional Skin Cancer Caucus.Lobby Congress to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription (H.R. 3204, Drug Quality and Security Act/Public Law No: 113-54). Lobby Congress on legislation to remove non-discrimination requirements relating to health care providers. (H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013). Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 1647, H.R. 2835, Restoring Access to Medication Act). Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2552/H.R. 4998, Medicare Advantage Participant Bill of Rights Act of 2014). Lobby Congress on legislation to create a transparent and predictable review process for sunscreen ingredients (S. 2141/H.R. 4250 Sunscreen Innovation Act). Lobby Congress on issues related to telemedicine (H.R. 5380, the Medicare Telehealth Parity Act). Advocate on on use and availability of health care data.

Client expense: $416,696 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PPACA implementation; Provider recognition; HR 1427 Truth in Healthcare Marketing Act of 2013; S 959 Pharmaceutical Compounding Quality & Accountability Act; HR4435/S2410 National Defense Authorization for FY2015; HR 2817 A bill to repeal provider nondiscrimination; HR 3204 Drug Quality & Security Act; HR4874/S1444 Medicare Access to Rural Anesthesiology Act; S 2359 Craig Thomas Rural Hospital and Provider Equity Act; HR 4486 Military and VA Appropriations for FY2015

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

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

S. 1064: Medicares Physician Definition, Amends title XVIII (Medicare) of the Social Security Act to treat as a physician, for Medicare purposes, a clinical psychologist acting within the scope of a psychologist's license (or other state law authorization), but only with respect to the furnishing of clinical psychologists services which the psychologist is legally authorized to perform by the state. H.R. 794: Medicares Physician Definition, 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. 1184/H.R. 2415: Treat and Reduce Obesity Act of 2013. A bill to amend title XVIII of the Social Security Act to include information on the coverage of intensive behavioral therapy for obesity in the Medicare and You Handbook and to provide for the coordination of programs to prevent and treat obesity, and for other purposes. H.R. 2810: Medicare Patient Access and Quality Improvement Act of 2013. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes. H.R. 2817: Protect Patient Access to Quality Health Professionals Act of 2013. To amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers. H.R. 4015, S. 2000: The SGR Repeal and Medicare Provider Payment Modernization Act of 2014. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services, and for other purposes. H.R. 2110: Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 To amend titles XVIII and XIX of the Social Security Act to repeal the Medicare sustainable growth rate and to improve Medicare and Medicaid payments, and for other purposes. S. 1932: The Better Care, Lower Cost Act. To amend title XVIII of the Social Security Act to establish an integrated chronic care delivery programs.

Client expense: $166,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013, that seeks to amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1427, Truth in Healthcare Marketing Act of 2013 H.R. 1173, Palliative Care Bill H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 4106, Saving Lives, Saving CostsDrug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Risk Evaluation and Mitigation Strategies FDA Safe Use Initiative Pain Management Proposed Federal CME requirements by ONDCP FTC Letters to States regarding Interventional Pain Medicine and Advanced Practice Nurses Propofol Shortage - European Union Export RestrictionsScope of Practice FDA Operating Room Fires State Exchanges pursuant to PPACA FDA SEDASYS FDA Patient Prescriber working group Naloxone ICD-10-CM/PCS and proposed delay of implementation date HHS AIDE Action Plan FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS H.R. 1150, Preservation of Antibiotics for Medical Treatment Act of 2013 H.R.3116 MODERN Cures Act (21st Century Cures) USP- US Pharmacopeia

Client expense: $240,000 · 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), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Funding for Chiropractic programs within the budget of the Department of HHS. Regulatory issues relating to Medical Records Privacy (HIPAA). Patient Protection and Affordable Care Act. PL 111-148 H.R. 702 - Access to Frontline Health Care Act. H.R. 171 - Chiropractic Membership in the Public Health Service Commissioned Corps Act. PL 112-175 - Continuing Appropriations Act PL-113-6 - Department of Defense, Military Construction and Veterans Affairs, and Full-Year Continuing Appropriations Act H.R. 1427 - Truth in Healthcare Marketing Act S. 1284 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 HJ Res 59 - Continuing Appropriations Resolution, 2014 H.R. 2817 - Protect Patient Access To Quality Health Professionals Act H.R. 2775 - FY 2014 Continuing Resolution HJ Res 124 - Continuing Appropriations Resolution, 2015

Client expense: $33,625 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

S. 1064: Medicares Physician Definition, Amends title XVIII (Medicare) of the Social Security Act to treat as a physician, for Medicare purposes, a clinical psychologist acting within the scope of a psychologist's license (or other state law authorization), but only with respect to the furnishing of clinical psychologists services which the psychologist is legally authorized to perform by the state.H.R. 794: Medicares Physician Definition, 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. 1184/H.R. 2415: Treat and Reduce Obesity Act of 2013. A bill to amend title XVIII of the Social Security Act to include information on the coverage of intensive behavioral therapy for obesity in the Medicare and You Handbook and to provide for the coordination of programs to prevent and treat obesity, and for other purposes. H.R. 2810: Medicare Patient Access and Quality Improvement Act of 2013. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes. S. 1871: The SGR Repeal & Medicare Beneficiary Access Improvement Act of 2013. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services, and for other purposes. H.R. 2817: Protect Patient Access to Quality Health Professionals Act of 2013. To amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers. H.R. 4015, S. 2000: The SGR Repeal and Medicare Provider Payment Modernization Act of 2014. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services, and for other purposes. H.R. 2110: Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 To amend titles XVIII and XIX of the Social Security Act to repeal the Medicare sustainable growth rate and to improve Medicare and Medicaid payments, and for other purposes. Public Law 113-93: H.R. 4032: Protecting Access to Medicare Act of 2014. To amend the Social Security Act to extend Medicare payments to physicians and other provisions of the Medicare and Medicaid programs, and for other purposes. S. 1932: The Better Care, Lower Cost Act. To amend title XVIII of the Social Security Act to establish an integrated chronic care delivery programs.

Client expense: $170,800 · 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 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. 2504/S. 1332 - Home Health Care Planning Improvement 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. 3698 - Two-Midnight Rule Delay 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 H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) 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 S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights 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, Veterans Affairs, Dept of (VA), White House Office

PPACA implementation; Provider recognition; HR 1427 Truth in Healthcare Marketing Act of 2013; S 959 Pharmaceutical Compounding Quality & Accountability Act; HR4435/S2410 National Defense Authorization for FY2015; HR 2817 A bill to repeal provider nondiscrimination; HR 3204 Drug Quality & Security Act; HR4874/S1444 Medicare Access to Rural Anesthesiology Act; S 2359 Craig Thomas Rural Hospital and Provider Equity Act.

Client expense: $220,000 · Firm income: Not reported

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

PPACA implementation; Provider recognition; HR 1427 Truth in Healthcare Marketing Act of 2013; S 959 Pharmaceutical Compounding Quality & Accountability Act; HR4435/S2410 National Defense Authorization for FY2015; HR 2817 A bill to repeal provider nondiscrimination; HR 3204 Drug Quality & Security Act; HR4874/S1444 Medicare Access to Rural Anesthesiology Act; S 2359 Craig Thomas Rural Hospital and Provider Equity Act.

Client expense: $220,000 · Firm income: Not reported

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

S. 153, H.R. 274, the Mental Health First Aid Act of 2013 S. 195, H.R. 628, the Mental Health in Schools Act of 2013 H.R. 1100, the Mental Health on Campus Improvement Act S. 264, H.R. 1263, the Excellence in Mental Health 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. 574, the Medicare Physician Payment Innovation Act of 2013 S. 577, H.R. 1201, Training Tomorrows Doctors Today Act S. 236, H.R. 1310, the Medicare Patient Empowerment Act of 2013 H.R. 1331, the Electronic Health Records Improvement Act H.R. 1427, the Truth in Healthcare Marketing Act of 2013 S. 351, H.R. 351, the Protecting Seniors Access to Medicare Act of 2013 H.R. 297, the Childrens Hospital GME Support Reauthorization Act of 2013 S. 265, Community-Based Mental Health Improvements Act S. 648, Helping Educators Support All Students Act S.162, Justice and Mental Health Collaboration Act of 2013; S. 649, Safe Communities, Safe Schools Act of 2013 H.R. 1615, A bill to provide for a study by the Institute of Medicine on gaps in mental health services and how these gaps can increase the risk of violent acts. H.R. 2037, the Native American Psychiatric and Mental Health Care Improvement Act H.R. 2545, the Accuracy in Medicare Physician Payment Act of 2013 S. 1064, Medicare Mental Health Access Act H.R. 2775, No Subsidies Without Verification Act H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128, the Protect Patients Act of 2013 H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 2734, the Garrett Lee Smith Memorial Act Reauthorization of 2013 H.R. 2910, the Gun Violence Prevention and Reduction Act H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H Con Res 69, the Stop Harming Our Kids Resolution of 2013 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4762, the Medicare Transitional Care Act of 2014 H.R. 4574, the Strengthening Mental Health in Our Communities Act H.R. 4783, the Promoting Healthy Minds for Safer Communities Act H.R. 4581, the Parental Control Act of 2014

Client expense: Not reported · Firm income: $196,673

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

Funding for Chiropractic programs within the budget of the Department of HHS. Regulatory issues relating to Medical Records Privacy (HIPAA). Patient Protection and Affordable Care Act. PL 111-148H.R. 702 - Access to Frontline Health Care Act. H.R. 171 - Chiropractic Membership in the Public Health Service Commissioned Corps Act. PL 112-175 - Continuing Appropriations Act PL-113-6 - Department of Defense, Military Construction and Veterans Affairs, and Full-Year Continuing Appropriations Act H.R. 1427 - Truth in Healthcare Marketing Act S. 1284 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 HJ Res 59 - Continuing Appropriations Resolution, 2014 H.R. 2817 - Protect Patient Access To Quality Health Professionals Act H.R. 2775 - FY 2014 Continuing Resolution

Client expense: $33,625 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Lobby in support of FDA examination of the current classification of indoor tanning beds. Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 460, Patients' Access to Treatments Act of 2013). Advocate for truth in advertising for health care providers (H.R. 1427, Truth in Healthcare Marketing Act of 2013).Lobby Congress to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription (H.R. 3204, Drug Quality and Security Act/Public Law No: 113-54). Lobby Congress on legislation to remove non-discrimination requirements relating to health care providers. (H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013). Lobby Members of Congress to join the Congressional Skin Cancer Caucus. Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 1647, H.R. 2835, Restoring Access to Medication Act). Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2552/H.R. 4998, Medicare Advantage Participant Bill of Rights Act of 2014). Lobby Congress on legislation to create a transparent and predictable review process for sunscreen ingredients (S. 2141/H.R. 4250 Sunscreen Innovation Act). Lobby Congress on issues related to telemedicine.

Client expense: $346,672 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

HR 2817, Protect Patient Access to Quality Health Professionals Act of 2013, all sections relating to vision.

Client expense: $560,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 855, the Optometric Equity in Medicaid Act, all provisions. HR 920, To amend the Public Health Service Act to provide for the participation of optometrists in the National Health Service Corps scholarship and loan repayment programs, and for other purposesHR 962, Medicare Diabetes Prevention Act of 2013, all sections relating to vision. HR 1074, National Diabetes Clinical Care Commission Act, all sections relating to vision. HR 1257, Preventing Diabetes in Medicare Act of 2013, all sections relating to vision. HR 1274, Access to Quality Diabetes Education Act of 2013, all sections relating to vision. HR 1285, To amend the Controlled Substances Act to make any substance containing hydrocodone a schedule II drug, all sections relating to vision. HR 1427, the Truth in Healthcare Marketing Act, all sections relating to vision. HR1915, Gestational Diabetes Act of 2013, all sections relating to vision. HR 2817, the Protect Patient Access to Quality Health Professionals Act of 2013, all sections relating to vision. S 452, Medicare Diabetes Prevention Act of 2013, all sections relating to vision. S 539, National Diabetes Clinical Care Commission Act, all sections relating to vision. S 621, Safe Prescribing Act of 2013, all sections relating to vision, all sections relating to visionS 907, Gestational Diabetes Act, all sections relating to vision. S 907, Gestational Diabetes Act, all sections relating to vision. S 945, Access to Quality Diabetes Education Act of 2013, all sections relating to vision. S 1445 National Health Service Corps Improvement Act of 2013, all sections relating to vision. S 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act, all sections relating to vision.

Client expense: $560,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Minimium Essential Coverage Provisions under the ACA Implementation/Expansion of CDC Falls Programs Direct Access under FEHBP Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance ExchangesAHRQ provisions pertaining to PT H.R. 1427 Truth in Health Care Marketing Act H.R. 1098 TBI Reauthorization Act H.R. 3113 and S. 1516 ConTACT Act H.R. 3352 and S. 1546 Protecting Student Athletes from Concussions Act H.R. 3334 Medicare Adult Day Services Act H.R. 3221 Adult Day Center Enhancement Act H.R. 2817 Protect Patient Access to Quality Health Professionals Act H.R. 702 Access to Frontline Healthcare Act H.R. 3391 Indian Health Service Health Professionals Tax Fairness Act Physician Self-referral, S2110 H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2115 American Cures Act & H.R. 4384 (America Heals Act) H.R. 3877 Lymphadema Treatment Act White House Healthy Kids and Safe Sports Concussion Summit Health Information Technology Nominations to PCORI Methedology Committees Comments on GAO report on physician self-referral for physical therapy services Provider Nondiscrimination under ACA H.R. 4251 - National TBI Research and Treatment Improvement Act Letter to Secretary Burwell, Lew, Perez: Intent of Sec. 2706 (a) [Provier non-discrimination] Letter to Secretary Burwell Re: FAQ issued on Sec. 2706 (a) Comments to Administrator Tavener RE: RFI on Provider non-discrimination

Client expense: $492,169 · 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), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 1427, Truth in Healthcare Marketing Act of 2013 H.R. 1173, Palliative Care Bill H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 4106, Saving Lives, Saving CostsDrug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management Proposed Federal CME requirements by ONDCP FTC Letters to States regarding Interventional Pain Medicine and Advanced Practice Nurses Propofol Shortage - European Union Export Restrictions Compounding USPScope of Practice FDA Operating Room Fires State Exchanges pursuant to PPACA FDA SEDASYS FDA Patient Prescriber working group Naloxone ICD-10-CM/PCS and proposed delay of implementation date HHS AIDE Action Plan FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS

Client expense: $190,000 · 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), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

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 HealthDraft 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 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 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. 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 S.1758 Quality Data, Quality Healthcare Act

Client expense: $117,584 · Firm income: Not reported

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

Minimium Essential Coverage Provisions under the ACA Implementation/Expansion of CDC Falls Programs Direct Access under FEHBP Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance ExchangesAHRQ provisions pertaining to PT H.R. 1427 Truth in Health Care Marketing Act H.R. 1098 TBI Reauthorization Act H.R. 3113 and S. 1516 ConTACT Act H.R. 3352 and S. 1546 Protecting Student Athletes from Concussions Act H.R. 3334 Medicare Adult Day Services Act H.R. 3221 Adult Day Center Enhancement Act H.R. 2817 Protect Patient Access to Quality Health Professionals Act H.R. 702 Access to Frontline Healthcare Act H.R. 3391 Indian Health Service Health Professionals Tax Fairness Act SGR Repeal or extension Physician Self-referral, S2110 H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2115 American Cures Act H.R. 3877 Lymphadema Treatment Act

Client expense: $454,968 · 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), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

HR 2817, Protect Patient Access to Quality Health Professionals Act of 2013, all sections relating to vision.

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 855, the Optometric Equity in Medicaid Act, all provisions. HR 920, To amend the Public Health Service Act to provide for the participation of optometrists in the National Health Service Corps scholarship and loan repayment programs, and for other purposesHR 962, Medicare Diabetes Prevention Act of 2013, all sections relating to vision. HR 1074, National Diabetes Clinical Care Commission Act, all sections relating to vision. HR 1257, Preventing Diabetes in Medicare Act of 2013, all sections relating to vision. HR 1274, Access to Quality Diabetes Education Act of 2013, all sections relating to vision. HR 1285, To amend the Controlled Substances Act to make any substance containing hydrocodone a schedule II drug, all sections relating to vision. HR 1427, the Truth in Healthcare Marketing Act, all sections relating to vision. HR 1617, To create an emergency jobs program that will fund 2,242,000 positions during fiscal years 2014 and 2015, all sections relating to vision. HR1915, Gestational Diabetes Act of 2013, all sections relating to vision. HR 2817, the Protect Patient Access to Quality Health Professionals Act of 2013, all sections relating to vision. S 539, National Diabetes Clinical Care Commission Act, all sections relating to vision. S 621, Safe Prescribing Act of 2013, all sections relating to vision, all sections relating to visionS 907, Gestational Diabetes Act, all sections relating to vision. S 945, Access to Quality Diabetes Education Act of 2013, all sections relating to vision. S 1152, Building a Health Care Workforce for the Future Act, all sections relating to vision. S 1445 National Health Service Corps Improvement Act of 2013, all sections relating to vision. S 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act, all sections relating to vision.

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 153, H.R. 274, the Mental Health First Aid Act of 2013 S. 195, H.R. 628, the Mental Health in Schools Act of 2013H.R. 1100, the Mental Health on Campus Improvement Act S. 264, H.R. 1263, the Excellence in Mental Health 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. 574, the Medicare Physician Payment Innovation Act of 2013 S. 577, H.R. 1201, Training Tomorrows Doctors Today Act S. 236, H.R. 1310, the Medicare Patient Empowerment Act of 2013 H.R. 1331, the Electronic Health Records Improvement Act H.R. 1427, the Truth in Healthcare Marketing Act of 2013 S. 351, H.R. 351, the Protecting Seniors Access to Medicare Act of 2013 H.R. 297, the Childrens Hospital GME Support Reauthorization Act of 2013 S. 265, Community-Based Mental Health Improvements Act S. 648, Helping Educators Support All Students Act S.162, Justice and Mental Health Collaboration Act of 2013; S. 649, Safe Communities, Safe Schools Act of 2013 H.R. 1615, A bill to provide for a study by the Institute of Medicine on gaps in mental health services and how these gaps can increase the risk of violent acts. H.R. 2037, the Native American Psychiatric and Mental Health Care Improvement Act H.R. 2545, the Accuracy in Medicare Physician Payment Act of 2013 S. 1064, Medicare Mental Health Access Act H.R. 2775, No Subsidies Without Verification Act H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3128, the Protect Patients Act of 2013 H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 2734, the Garrett Lee Smith Memorial Act Reauthorization of 2013 H.R. 2910, the Gun Violence Prevention and Reduction Act H.R. 3717, The Helping Families in Mental Health Crisis Act of 2013 H. Con Res 69, the Stop Harming Our Kids Resolution of 2013 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

Client expense: $120,576 · Firm income: Not reported

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

Lobby in support of FDA examination of the current classification of indoor tanning beds. Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 460, Patients' Access to Treatments Act of 2013). Advocate for truth in advertising for health care providers (H.R. 1427, Truth in Healthcare Marketing Act of 2013).Lobby Congress to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription (H.R. 3204, Drug Quality and Security Act/Public Law No: 113-54). Lobby Congress on legislation to remove non-discrimination requirements relating to health care providers. (H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013). Lobby Members of Congress to join the Congressional Skin Cancer Caucus Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 1647, H.R. 2835, Restoring Access to Medication Act). Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks.

Client expense: $351,315 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

PPACA implementation; Provider recognition; HR 1427 Truth in Healthcare Marketing Act of 2013; S 959 Pharmaceutical Compounding Quality & Accountability Act; HR 1960/HR 3304 National Defense Authorization for FY2014; HR 2817 A bill to repeal provider nondiscrimination; HR 3204 Drug Quality & Security Act

Client expense: $190,000 · Firm income: Not reported

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

H.R. 1427, Truth in Healthcare Marketing Act of 2013 H.R. 1173, Palliative Care Bill H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013 H.R. 4106, Saving Lives, Saving CostsDrug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Risk Evaluation and Mitigation Strategies FDA Safe Use Initiative Pain Management Proposed Federal CME requirements by ONDCP FTC Letters to States regarding Interventional Pain Medicine and Advanced Practice Nurses Propofol Shortage - European Union Export RestrictionsScope of Practice FDA Operating Room Fires State Exchanges pursuant to PPACA FDA SEDASYS FDA Patient Prescriber working group Naloxone ICD-10-CM/PCS and proposed delay of implementation date HHS AIDE Action Plan FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS H.R. 1150, Preservation of Antibiotics for Medical Treatment Act of 2013

Client expense: $250,000 · 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), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

H.R. 485 National Nurse Act of 2013 Letter to Congress and to Administration urging the need to address improved mental health funding and delivery of sensible gun control reform. Provisions related to Emergency Contraception as an over-the-counter product.Provisions related to the support of the Mental Health Awareness and Improvement Act S. 689. In opposition to the District of Columbia Pain-Capable Unborn Child Protection Act H.R. 1797. S. 649; Safe Communities, Safe Schools Act, - support for. Support for provisions related to BPA in Food Packaging Right to Know Act. Strengthening provisions in S. 1009 Chemical Safety Improvement Act. Support for a final unique device identifier rule. Support for provisions to reauthorize funding for quality initiatives. Support for Carol Romano, PhD, RN, BC, NEA, FAAN, FAC MI, RADM (Ret.) USPHS for the position of U.S. Surgeon General. Support for H.R. 2457 Women's Preventive Health Awareness Campaign Act Oppose H.R. 2817 - The Protect Patient Access to Quality Health Professionals Act of 2013. Oppose H.R. 7 No Taxpayer Funding for Abortion Act Support for provisions related to the SNAP Healthy Incentives Program related to rebates for spending on a defined list of fruits and vegetables. Provisions related to a National Nurses Week Resolution. Support for the Maternal Health Accountability Act of 2014, H.R.4216.

Client expense: $345,694 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Family and Reitrement Health Investment Act (HR 2194/S 1031) Protect Patient Access to Quality Health Professionals Act (HR 2817)

Client expense: $26,518 · Firm income: Not reported

Government targets: Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Oppose H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013, that seeks to amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers.

Client expense: $110,000 · 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 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

S. 1064: Medicares Physician Definition, Amends title XVIII (Medicare) of the Social Security Act to treat as a physician, for Medicare purposes, a clinical psychologist acting within the scope of a psychologist's license (or other state law authorization), but only with respect to the furnishing of clinical psychologists services which the psychologist is legally authorized to perform by the state.H.R. 794: Medicares Physician Definition, 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. 1184/H.R. 2415: Treat and Reduce Obesity Act of 2013. A bill to amend title XVIII of the Social Security Act to include information on the coverage of intensive behavioral therapy for obesity in the Medicare and You Handbook and to provide for the coordination of programs to prevent and treat obesity, and for other purposes. H.R. 2810: Medicare Patient Access and Quality Improvement Act of 2013. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes. S. 1871: The SGR Repeal & Medicare Beneficiary Access Improvement Act of 2013. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services, and for other purposes. H.R. 2817: Protect Patient Access to Quality Health Professionals Act of 2013. To amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers. H.R. 4015, S. 2000: The SGR Repeal and Medicare Provider Payment Modernization Act of 2014. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services, and for other purposes. H.R. 2110: Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 To amend titles XVIII and XIX of the Social Security Act to repeal the Medicare sustainable growth rate and to improve Medicare and Medicaid payments, and for other purposes. Public Law 113-93: H.R. 4032: Protecting Access to Medicare Act of 2014. To amend the Social Security Act to extend Medicare payments to physicians and other provisions of the Medicare and Medicaid programs, and for other purposes. S. 1932: The Better Care, Lower Cost Act. To amend title XVIII of the Social Security Act to establish an integrated chronic care delivery programs.

Client expense: $73,800 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Funding for Chiropractic programs within the budget of the Department of HHS. Regulatory issues relating to Medical Records Privacy (HIPAA). Patient Protection and Affordable Care Act. PL 111-148H.R. 702 - Access to Frontline Health Care Act. H.R. 171 - Chiropractic Membership in the Public Health Service Commissioned Corps Act. PL 112-175 - Continuing Appropriations Act PL-113-6 - Department of Defense, Military Construction and Veterans Affairs, and Full-Year Continuing Appropriations Act H.R. 1427 - Truth in Healthcare Marketing Act S. 1284 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 HJ Res 59 - Continuing Appropriations Resolution, 2014 H.R. 2817 - Protect Patient Access To Quality Health Professionals Act H.R. 2775 - FY 2014 Continuing Resolution

Client expense: $87,625 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Lobby in support of FDA examination of the current classification of indoor tanning beds. Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 460, Patients' Access to Treatments Act of 2013). Advocate for truth in advertising for health care providers (H.R. 1427, Truth in Healthcare Marketing Act of 2013).Lobby Congress to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription (H.R. 3204, Drug Quality and Security Act; S. 959, Pharmaceutical Compounding Quality and Accountability Act). Lobby Congress on legislation to remove non-discrimination requirements relating to health care providers. (H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013). Lobby Members of Congress to join the Congressional Skin Cancer Caucus

Client expense: $306,918 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE