Protecting Health Care Providers from Increased Administrative Burdens Act

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare ACt of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increasd Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013. S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367 The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays. H.R.3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S.1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.157 - Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014 Advocacy work on HCBS proposed rule: passed in January S.1932 - A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program HR 1250 - The Medicare Audit Improvement Act of 2013 S.1012 - Medicare Audit Improvement Act of 2013 S.2082 - The two-midnight rule coordinator and Improvement Act of 2014 Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid funding for long Term Services and Supports Medicaid Provider Assessment Improving the CMS State Plan Amdt. Process Opposition to H.B. No. 5051 - An Act Improving Transparency of Nursing Home Operations Sustainable Growth Rate (SGR) and other reform proposals Reducing hospital readmissions from skilled nursing facility Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors MedPAC site neutral payment system for post acute care CME proposed Rule for SNF Prospective Payment System (PPS) HR 4994, IMPACT Act of 2014 HR 5098 - to amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. HR 4232 - A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. HR 5373 - To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

Client expense: Not reported · Firm income: $120,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare ACt of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increasd Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013. S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367 The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays. H.R.3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S.1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.157 - Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014 Advocacy work on HCBS proposed rule: passed in January S.1932 - A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program HR 1250 - The Medicare Audit Improvement Act of 2013 S.1012 - Medicare Audit Improvement Act of 2013 S.2082 - The two-midnight rule coordinator and Improvement Act of 2014 Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid funding for long Term Services and Supports Medicaid Provider Assessment Improving the CMS State Plan Amdt. Process Opposition to H.B. No. 5051 - An Act Improving Transparency of Nursing Home Operations Sustainable Growth Rate (SGR) and other reform proposals Reducing hospital readmissions from skilled nursing facility Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors MedPAC site neutral payment system for post acute care CME proposed Rule for SNF Prospective Payment System (PPS) HR 4994, IMPACT Act of 2014 HR 5098 - to amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. HR 4232 - A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. HR 5373 - To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare ACt of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increasd Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013. S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367 The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays. H.R.3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S.1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.157 - Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014 Advocacy work on HCBS proposed rule: passed in January S.1932 - A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program HR 1250 - The Medicare Audit Improvement Act of 2013 S.1012 - Medicare Audit Improvement Act of 2013 S.2082 - The two-midnight rule coordinator and Improvement Act of 2014 Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid funding for long Term Services and Supports Medicaid Provider Assessment Improving the CMS State Plan Amdt. Process Opposition to H.B. No. 5051 - An Act Improving Transparency of Nursing Home Operations Sustainable Growth Rate (SGR) and other reform proposals Reducing hospital readmissions from skilled nursing facility Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors MedPAC site neutral payment system for post acute care CME proposed Rule for SNF Prospective Payment System (PPS) HR 4994, IMPACT Act of 2014 HR 5098 - to amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. HR 4232 - A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. HR 5373 - To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare ACt of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increasd Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013. S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367 The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays. H.R.3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S.1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.157 - Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014 Advocacy work on HCBS proposed rule: passed in January S.1932 - A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program HR 1250 - The Medicare Audit Improvement Act of 2013 S.1012 - Medicare Audit Improvement Act of 2013 S.2082 - The two-midnight rule coordinator and Improvement Act of 2014 Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid funding for long Term Services and Supports Medicaid Provider Assessment Improving the CMS State Plan Amdt. Process Opposition to H.B. No. 5051 - An Act Improving Transparency of Nursing Home Operations Sustainable Growth Rate (SGR) and other reform proposals Reducing hospital readmissions from skilled nursing facility Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors MedPAC site neutral payment system for post acute care CME proposed Rule for SNF Prospective Payment System (PPS) HR 4994, IMPACT Act of 2014 HR 5098 - to amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. HR 4232 - A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. HR 5373 - To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

Support HR 803 Supporting Knowledge and Investing in Lifelong Skills (SKILLS) Act, a bill to reform and strengthen the workforce investment system of the Nation to put Americans back to work and make the United States more competitive in the 21st century. Support HR 3633 Protecting Health Care Providers from Increased Administrative Burdens Act, clarifies Office of Federal Contract Compliance Programs (OFCCP) within the Department of Labor jurisdiction over hospitals participating in TRICARE ;Support HR 1406 Working Families Flexibility Act of 2013, a bill to amend the Fair Labor Standards Act of 1938 to provide compensatory time for employees in the private sector; Support HR 2346 Secret Ballot Protection Act, a bill to amend the National Labor Relations Act to ensure the right of employees to a secret ballot election conducted by the National Labor Relations Board; Urging IRS for purposes of section 4980H of the code to treat "on-call" hours consistent with the treatment of "on-call" under the Federal Fair Labor Standards Act; discussion with FTC Commission about the importance of clinical integration in the changing health care delivery environment and how that the FTCs current merger/acquisition model is not compatible with the clinical integration delivery model.

Client expense: $5,590,000 · Firm income: Not reported

Monitored legislation: HR 3633: Protecting Healthcare Providers from Increased Administrative Burdens Act (TRICARE providers' status as federal contractors).

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

H.R. 377 / S. 84 / S. 2199, Paycheck Fairness Act H.R. 1010 / S. 460, Fair Minimum Wage Act of 2013 H.R. 1120, Preventing Greater Uncertainty in Labor-Management Relations Act H.R. 1226, Tribal Labor Sovereignty Act of 2013 H.R. 1406, Working Families Flexibility Act of 2013 H.R. 1982, Medicare Secondary Payer and Workers Compensation Settlement Agreements Act of 2013 H.R. 2347 / S. 1166, Representation Fairness Restoration Act H.R. 3344, Fraudulent Overseas Recruitment and Trafficking Elimination Act of 2013 H.R. 3485 / S. 1712, Employee Rights Act H.R. 3633, Protecting Health Care Providers from Increased Administrative Burdens Act H.R. 4320 / S. 2178, Workforce Democracy and Fairness Act H.R. 4321, Employee Privacy Protection Act H.R. 4586, Fraudulent Overseas Recruitment and Trafficking Elimination Act of 2014 S. 1626, Family Friendly and Workplace Flexibility Act of 2013 S. 1737, Minimum Wage Fairness Act Fiscal Year 2015 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act, including provisions relating to funding of the Department of Labor and the National Labor Relations Board RIN 1210- AB53 DOL/EBSA Fee disclosure rule; Regulatory economic impact analysis RIN 1250-AA03 DOL/OFCCP Compensation reporting rule; Economic costs and benefits of proposed rule RIN 1250-AA06 DOL OFCCP Prohibitions against pay secrecy policies rule; Economic costs and benefits of proposed rule RIN 1210-AB59 DOL/EBSA standards re brokerage windows; Economic costs and benefits of proposed rule RIN 1545-BL62 Treasury Department Transitional Amendments Market rate of return rules hybrid retirement plans issues relating to Executive Order 12866 regulatory analysis compliance RIN 1545-BK08 Treasury Department Allocation rule for disbursement from Roth accounts issues relating to Executive Order 12866 regulatory analysis compliance RIN 0938-AS19 HHS Notice of benefit and payment parameters 2016; Compliance costs/ economic impact RIN 1210-AB62 DOL EBSA Electronic filing of notices; Compliance costs and benefits RIN 3142-AA08 NLRB representation case procedures; Compliance costs and benefits Proposed Regulation relating to Temporary Non-Agricultural Employment of H-2B Alients in the United States, including provisions relating to errors and omissions in cost and benefit analysis and in analysis of impacts on small entities (76 Fed. Reg. 15,129-15207, March 18, 2011) Proposed Regulation regarding the EBSA Definition of "Fiduciary," including provisions relating to errors and omissions in cost impact analysis (75 Fed. Reg. 65,263-65,278, October 22, 2010) Proposed OSHA regulation to reduce the exposure limit on respirable silica and impose other requirements (78 Fed. Reg. 56,273-56,504, September 12, 2013) Proposed OSHA regulation to require employers to submit injury and illness records electronically that will then be posted on the internet (78 Fed. Reg. 67,354-67,355, November 12, 2013) and supplemental proposed regulations (79 Fed. Reg. 47,605-47,610, August 14, 2014) Proposed Regulation related to the advice exemption under section 203 of the LMRDA (76 Fed. Reg. 36,177-36,230, June 21, 2011) Proposed Regulation related to election process by the NLRB (79 Fed. Reg. 7,317-7,364, February 6, 2014) Proposed regulation regarding recording and reporting of musculoskeletal disorders (75 Fed. Reg. 4,728-4,741, January 29, 2010) and reopening of comment period (76 Fed. Reg. 28,383-28,386, May 17, 2011) Proposed information collection request for survey on worker classification (78 Fed. Reg. 67,196-67,197, November 8, 2013) Proposed regulation regarding respirable coal dust (75 Fed. Reg. 64,411-64,506, October 19, 2010) Proposed OSHA regulation updating industry codes from SIC to NAICS (76 Fed. Reg. 36,414-36,438, June 22, 2011) Proposed regulations regarding the implementation of Executive Order 13658, Establishing a Minimum Wage for Contractors (79 Fed. Reg. 34,567-34,620, June 17, 2014) Nomination of members of the National Labor Relations Board Various issues relating to Fair Labor Standards Act amendments (P.L. 75-718), including Presidential memorandum directing the Secretary of Labor to revise regulations relating to overtime compensation, and Executive Order 13673, Fair Pay and Safe Workplaces; legislation and oversight of the National Labor Relations Board (NLRB), including implementation and oversight of the National Labor Relations Act (P.L. 74-198); NLRB decisions and regulatory agenda; NLRB jurisdiction and the preemption of conflicting state actions; potential use of electronic voting by the NLRB; ambush NLRB elections regulations; determining whether a collective bargaining unit is appropriate, including legislation involving the NLRBs Specialty Healthcare (357 No. 83) decision; Department of Labor (DOL) regulatory agenda; DOL implementation of a letter of interpretation allowing unions to accompany OSHA inspectors on walk-around inspections at non-union employer worksites; DOL persuader regulation; new overtime eligibility regulations by the DOL; silica exposure limit regulations by the DOL; DOL evaluation of effectiveness of ERISA disclosure requirements information collection notice; Executive Order 12866 compliance, including costs and benefits; United Nations Convention on Rights for Persons with Disabilities; spending of H-1B visa fees; minimum wage, including indexing; gender-based workplace discrimination

H.R. 377 / S. 84 / S. 2199, Paycheck Fairness Act H.R. 1755 / S. 815, Employment Non-Discrimination Act H.R. 1975 / S. 942, Pregnant Workers Fairness Act H.R. 3633, Protecting Health Care Providers from Increased Administrative Burdens Act H.R. 4959, EEOC Transparency and Accountability Act H.R. 5422, Litigation Oversight Act of 2014 H.R. 5423, Certainty in Enforcement Act of 2014 Fiscal Year 2015 Commerce, Justice, Science and Related Agencies Appropriations Act, including provisions relating to funding the Equal Employment Opportunity Commission Regulations implementing Executive Order 13672 Prohibiting Discrimination Based on Sexual Orientation and Gender Identity by Contractors and Subcontractors (79 Fed. Reg. 72,985-72,995, December 9, 2014) Proposed regulations relating to affirmative action for protected veterans (76 Fed. Reg. 23,358-23,425, April 26, 2011) Proposed regulations relating to affirmative action under section 503 of the Rehabilitation Act of 1973 (76 Fed. Reg. 77,055-77,105, December 9, 2011) Notice of Proposed Rulemaking relating to requirement to report summary data on employee compensation (79 Fed. Reg. 46,561-46,606, August 8, 2014) Notice of Proposed Rulemaking relating to Non-Retaliation for Disclosure of Compensation Information (79 Fed. Reg. 55,712-55,742, September 17, 2014) Proposed changes to OFCCP Scheduling Letter and Itemized Listing (76 Fed. Reg. 60,083-60,084, September 28, 2011) EEOC Enforcement Guidance on Employer Use of Criminal History (No. 915.002, adopted April 25, 2012) Nomination of members and general counsel of the Equal Employment Opportunity Commission Various issues relating to the Equal Employment Opportunity Commission (EEOC), including Strategic Plan, and Strategic Enforcement Plan; OFCCP interpretation of its jurisdiction; potential Senate ratification of the United Nations Convention on the Rights of Persons with Disabilities; employer use of employee credit history; employer consideration of applicant employment status

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare Act of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increased Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013.S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367: The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness For Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodalogy for short inpatient hospitals stays. H.R. 3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.2157: Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014. Advocacy work on HCBS proposed rule: passsed in January. S. 1932: A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program. H.R. 1250: The Medicare Audit Improvement Act of 2013. S. 1012: Medicare Audit Improvement Act of 2013. S. 2082: The two-midnight rule coordinator and Improvement Act of 2014. Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014). Protect and Preserve Medicaid funding for Long Term Services and Supports Medicaid Provider Assessement. Improving the CMS State Plan Amdt. Process. Opposition to H.B. No. 5051 An Act Improving Transparency of Nursing Home Operations. Sustainable Growth Rate (SGR) and other reform proposals. Reducing hospital readmissions from skilled nursing facility. Improving Medicare Post-Acute Care Transformation Act (IMPACT) Department of VA Provider Agreement proposaed rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors. MedPAC site neutral payment system for post acute care. CME proposed Rule for SNF Prospective Payment System (PPS). H.R. 4994, IMPACT Act of 2014.H.R. 5098: To amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. H.R. 5232: A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. H.R. 5373: To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare ACt of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increasd Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013.S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367 The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays. H.R.3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S.1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.157 - Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014 Advocacy work on HCBS proposed rule: passed in January S.1932 - A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program HR 1250 - The Medicare Audit Improvement Act of 2013 S.1012 - Medicare Audit Improvement Act of 2013 S.2082 - The two-midnight rule coordinator and Improvement Act of 2014 Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid funding for long Term Services and Supports Medicaid Provider Assessment Improving the CMS State Plan Amdt. Process Opposition to H.B. No. 5051 - An Act Improving Transparency of Nursing Home Operations Sustainable Growth Rate (SGR) and other reform proposals Reducing hospital readmissions from skilled nursing facility Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors MedPAC site neutral payment system for post acute care CME proposed Rule for SNF Prospective Payment System (PPS) HR 4994, IMPACT Act of 2014 HR 5098 - to amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. HR 4232 - A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. HR 5373 - To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

Support HR 803 Supporting Knowledge and Investing in Lifelong Skills (SKILLS) Act, a bill to reform and strengthen the workforce investment system of the Nation to put Americans back to work and make the United States more competitive in the 21st century. Support HR 3633 Protecting Health Care Providers from Increased Administrative Burdens Act, clarifies Office of Federal Contract Compliance Programs (OFCCP) within the Department of Labor jurisdiction over hospitals participating in TRICARE ;Support HR 1406 Working Families Flexibility Act of 2013, a bill to amend the Fair Labor Standards Act of 1938 to provide compensatory time for employees in the private sector; Support HR 2346 Secret Ballot Protection Act, a bill to amend the National Labor Relations Act to ensure the right of employees to a secret ballot election conducted by the National Labor Relations Board; Urging IRS for purposes of section 4980H of the code to treat "on-call" hours consistent with the treatment of "on-call" under the Federal Fair Labor Statndards Act; discussion with FTC Commission about the importance of clinical integration in the changing health care delivery environment and how that the FTCs current merger/acquisition model is not compatible with the clinical integration delivery model.

Client expense: $4,270,000 · Firm income: Not reported

H.R. 377 / S. 84 / S. 2199, Paycheck Fairness Act H.R. 1755 / S. 815, Employment Non-Discrimination Act H.R. 1975 / S. 942, Pregnant Workers Fairness Act H.R. 3633, Protecting Health Care Providers from Increased Administrative Burdens Act H.R. 4959, EEOC Transparency and Accountability Act H.R. 5422, Litigation Oversight Act of 2014 H.R. 5423, Certainty in Enforcement Act of 2014 Fiscal Year 2015 Commerce, Justice, Science and Related Agencies Appropriations Act, including provisions relating to funding the Equal Employment Opportunity Commission Proposed regulations relating to affirmative action for protected veterans (76 Fed. Reg. 23,358, April 26, 2011) Proposed regulations relating to affirmative action under section 503 of the Rehabilitation Act of 1973 (76 Fed. Reg. 77,056, December 9, 2011) Advanced Notice of Proposed Rulemaking related to a compensation data collection tool (76 Fed. Reg. 49,398, August 10, 2011) Notice of Proposed Rulemaking related to requirement to report summary data on employee compensation (79 Fed. Reg. 46,561, August 8, 2014) Notice of Proposed Rulemaking related to Non-Retaliation for Disclosure of Compensation Information (79 Fed. Reg. 55,712, September 17, 2014) Proposed changes to OFCCP Scheduling Letter and Itemized Listing (76 Fed. Reg. 60,083, September 28, 2011) Proposed withdrawal of Compensation Discrimination Interpretative Standards (71 Fed. Reg. 35,124, June 16, 2006) EEOC Enforcement Guidance on Employer Use of Criminal History (No. 915.002, adopted April 25, 2012) Various issues relating to employer use of employee credit history; employer consideration of applicant employment status; EEOC Strategic Plan; EEOC Strategic Enforcement Plan; OFCCP interpretation of its jurisdiction; potential Senate ratification of the United Nations Convention on the Rights of Persons with Disabilities

H.R. 377 / S. 84 / S. 2199, Paycheck Fairness Act H.R. 1010 / S. 460, Fair Minimum Wage Act of 2013 H.R. 1120, Preventing Greater Uncertainty in Labor-Management Relations Act H.R. 1226, Tribal Labor Sovereignty Act of 2013 H.R. 1406, Working Families Flexibility Act of 2013 H.R. 1982, Medicare Secondary Payer and Workers Compensation Settlement Agreements Act of 2013 H.R. 2347 / S. 1166, Representation Fairness Restoration Act H.R. 3344, Fraudulent Overseas Recruitment and Trafficking Elimination Act of 2013 H.R. 3485 / S. 1712, Employee Rights Act H.R. 3633, Protecting Health Care Providers from Increased Administrative Burdens Act H.R. 4320 / S. 2178, Workforce Democracy and Fairness Act H.R. 4321, Employee Privacy Protection Act H.R. 4586, Fraudulent Overseas Recruitment and Trafficking Elimination Act of 2014 H.R. 4959, EEOC Transparency and Accountability Act S. 1188, Forty Hours Is Full Time Act of 2013 S. 1626, Family Friendly and Workplace Flexibility Act of 2013 S. 1737, Minimum Wage Fairness Act Fiscal Year 2015 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act, including provisions relating to funding of the Department of Labor and the National Labor Relations Board Presidential Memorandum Updating and Modernizing Overtime Regulations, including provisions relating to Section 541 of the Fair Labor Standards Act (exempt vs. non-exempt employees) DOL RIN 1205-AB58 (H2B Temporary Workers): Errors and omissions in cost and benefit analysis and in analysis of impacts on small entities DOL RIN 1210-AB32 (EBSA Definition of "Fiduciary"): Errors and omissions in cost impact analysis, identifying research needs regarding economic costs and benefits of proposed rule DOL RIN 1218-AB70 (Occupational Exposure to Crystalline Silica): Estimated costs and benefits of the proposed regulation and alternatives; identified errors and omissions in OSHA economic impact estimates DOL RIN 1235-AA10 (NPRM for Executive Order 13658 on Federal Contractor Employee Minimum Wage); Analyzed costs and benefits of proposed regulation and identified errors and omissions in DOL economic impact estimates OSHA docket 2013-0023; RIN 1218-AC49 (Improve Tracking of Workplace Injuries & Illness): Incompleteness or inaccuracy of cost impact analyses, lack of quantified benefit analysis, and need for empirical data sources on which to base costs and benefits Proposed OSHA regulation to reduce the exposure limit on respirable silica and impose other requirements (78 Fed. Reg. 56,274, September 12, 2013) Proposed OSHA regulation to require employers to submit injury and illness records electronically that will then be posted on the internet (78 Fed. Reg. 67,354, November 8, 2013) and supplemental proposed regulations (79 Fed. Reg. 47,605, August 14, 2014) Proposed Regulation related to the advice exemption under section 203 of the LMRDA (76 Fed. Reg. 36,178, June 21, 2011) Proposed Regulation related to election process by the NLRB (79 Fed. Reg. 7,318, February 6, 2014) Proposed Regulation regarding recording and reporting of musculoskeletal disorders (75 Fed. Reg. 4,728, January 29, 2010) and reopening of comment period (76 Fed. Reg. 28,383, May 17, 2011) Proposed Regulation regarding information collection request for survey on worker classification (78 Fed. Reg. 67,196, November 8, 2013) Proposed Regulation regarding respirable coal dust (75 Fed. Reg. 64,412, October 19, 2010) Proposed OSHA Regulation updating industry codes from SIC to NAICS (76 Fed. Reg. 36,414, June 22, 2011) Proposed Regulations regarding the implementation of Executive Order 13658, Establishing a Minimum Wage for Contractors, 79 Fed. Reg. 34,568, June 17, 2014) Nomination of members and general counsel of the National Labor Relations Board Various issues relating to Executive Order 13658, Establishing a Minimum Wage for Contractors; Executive Order 13673, Fair Pay and Safe Workplaces; National Labor Relations Board, including legislation and oversight, decisions and regulatory agenda, jurisdiction and the preemption of conflicting state actions, potential use of electronic voting, ambush elections regulations, implementation and oversight of the National Labor Relations Act (P.L. 74-198); determining whether a collective bargaining unit is appropriate, including legislation involving the NLRBs Specialty Healthcare (357 No. 83) decision; issues relating to the DOL, including regulatory agenda, persuader regulation, new overtime eligibility regulations, silica exposure limit regulations, implementation of a letter of interpretation allowing unions to accompany OSHA inspectors on walk-around inspections at non-union employer worksites; United Nations Convention on Rights for Persons with Disabilities; spending of H-1B visa fees; minimum wage, including indexing; unemployment insurance; gender-based workplace discrimination

Monitor and advocate regarding Labor issues impacting Long Term Care and Post Acute Care providers. Monitor issues and Department of Labor and National Labor Relations Board. Protecting Health Care Providers from Increased Administrative Burdens Act, H.R. 3633.

Client expense: $95,997 · Firm income: Not reported

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), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), SENATE, Veterans Affairs, Dept of (VA)

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare Act of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increased Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013.S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367: The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness For Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodalogy for short inpatient hospitals stays. H.R. 3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.2157: Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014. Advocacy work on HCBS proposed rule: passsed in January. S. 1932: A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program. H.R. 1250: The Medicare Audit Improvement Act of 2013. S. 1012: Medicare Audit Improvement Act of 2013. S. 2082: The two-midnight rule coordinator and Improvement Act of 2014. Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014). Protect and Preserve Medicaid funding for Long Term Services and Supports Medicaid Provider Assessement. Improving the CMS State Plan Amdt. Process. Opposition to H.B. No. 5051 An Act Improving Transparency of Nursing Home Operations. Sustainable Growth Rate (SGR) and other reform proposals. Reducing hospital readmissions from skilled nursing facility. Improving Medicare Post-Acute Care Transformation Act (IMPACT) Department of VA Provider Agreement proposaed rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors. MedPAC site neutral payment system for post acute care. CME proposed Rule for SNF Prospective Payment System (PPS). H.R. 4994, IMPACT Act of 2014.H.R. 5098: To amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. H.R. 5232: A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. H.R. 5373: To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare Act of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increased Administrative Burdens Act H.R. 1179: Improving Access to Medicare Coverage Act of 2013 S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367 The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays. H.R.3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S.1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.2157 - Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014 Advocacy work on HCBS proposed rule: passed in January S.1932 - A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program HR 1250 - The Medicare Audit Improvement Act of 2013 S.1012 - Medicare Audit Improvement Act of 2013 S.2082 - The two-midnight rule coordinator and Improvement Act of 2014 Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid funding for long Term Services and Supports Medicaid Provider Assessment Improving the CMS State Plan Amdt. Process Opposition to H.B. No. 5051 - An Act Improving Transparency of Nursing Home Operations Sustainable Growth Rate (SGR) and other reform proposals Reducing hospital readmissions from skilled nursing facility Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors MedPAC site neutral payment system for post acute care CME proposed Rule for SNF Prospective Payment System (PPS) HR 4994, IMPACT Act of 2014 HR 5098 - to amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. HR 4232 - A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. HR 5373 - To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

Monitored HR 3633: Protecting Healthcare Providers from Increased Administrative Burdens Act (TRICARE providers' status as federal contractors).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Work on HR 3633, a Bill to reform the administration of the Office of Federal Contract Compliance Programs.

Client expense: Not reported · Firm income: $90,000

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

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare ACt of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increasd Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013.S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367 The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays. H.R.3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S.1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.157 - Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014 Advocacy work on HCBS proposed rule: passed in January S.1932 - A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program HR 1250 - The Medicare Audit Improvement Act of 2013 S.1012 - Medicare Audit Improvement Act of 2013 S.2082 - The two-midnight rule coordinator and Improvement Act of 2014 Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid funding for long Term Services and Supports Medicaid Provider Assessment Improving the CMS State Plan Amdt. Process Opposition to H.B. No. 5051 - An Act Improving Transparency of Nursing Home Operations Sustainable Growth Rate (SGR) and other reform proposals Reducing hospital readmissions from skilled nursing facility IMPACT Act Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors MedPAC site neutral payment system for post acute care CME proposed Rule for SNF Prospective Payment System (PPS)

Support HR 803 Supporting Knowledge and Investing in Lifelong Skills (SKILLS) Act, a bill to reform and strengthen the workforce investment system of the Nation to put Americans back to work and make the United States more competitive in the 21st century. Support HR 3633 Protecting Health Care Providers from Increased Administrative Burdens Act, clarifies Office of Federal Contract Compliance Programs (OFCCP) within the Department of Labor jurisdiction over hospitals participating in TRICARE ;Support HR 1406 Working Families Flexibility Act of 2013, a bill to amend the Fair Labor Standards Act of 1938 to provide compensatory time for employees in the private sector; Support HR 2346 Secret Ballot Protection Act, a bill to amend the National Labor Relations Act to ensure the right of employees to a secret ballot election conducted by the National Labor Relations Board; Urging IRS for purposes of section 4980H of the code to treat "on-call" hours consistent with the treatment of "on-call" under the Federal Fair Labor Statndards Act; discussion with FTC Commission about the importance of clinical integration in the changing health care delivery environment and how that the FTCs current merger/acquisition model is not compatible with the clinical integration delivery model.

Client expense: $4,370,000 · Firm income: Not reported

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare Act of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increased Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013.S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367: The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness For Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodalogy for short inpatient hospitals stays. H.R. 3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.2157: Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014. Advocacy work on HCBS proposed rule: passsed in January. S. 1932: A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program. H.R. 1250: The Medicare Audit Improvement Act of 2013. S. 1012: Medicare Audit Improvement Act of 2013. S. 2082: The two-midnight rule coordinator and Improvement Act of 2014. Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014). Protect and Preserve Medicaid funding for Long Term Services and Supports Medicaid Provider Assessement. Improving the CMS State Plan Amdt. Process. Opposition to H.B. No. 5051 An Act Improving Transparency of Nursing Home Operations. Sustainable Growth Rate (SGR) and other reform proposals. Reducing hospital readmissions from skilled nursing facility. IMPACT Act. Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors. MedPAC site neutral payment system for post acute care. CME proposed Rule for SNF Prospective Payment System (PPS).

HR 3633: Protecting Healthcare Providers from Increased Administrative Burdens Act: TRICARE providers' status as federal contractors.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 337 / S. 84 / S. 2199, Paycheck Fairness Act H.R. 803, Workforce Innovation and Opportunity Act H.R. 1010 / S. 460, Fair Minimum Wage Act of 2013 H.R. 1120, Preventing Greater Uncertainty in Labor-Management Relations Act H.R. 1226, Tribal Labor Sovereignty Act of 2013 H.R. 1406, Working Families Flexibility Act of 2013 H.R. 1982, Medicare Secondary Payer and Workers Compensation Settlement Agreements Act of 2013 H.R. 2347 / S. 1166, Representation Fairness Restoration Act H.R. 3344, Fraudulent Overseas Recruitment and Trafficking Elimination Act of 2013 H.R. 3485 / S. 1712, Employee Rights Act H.R. 3633, Protecting Health Care Providers from Increased Administrative Burdens Act H.R. 4019, Small Business Investment Act of 2014 H.R. 4320 / S. 2178, Workforce Democracy and Fairness Act H.R. 4321, Employee Privacy Protection Act H.R. 4586, Fraudulent Overseas Recruitment and Trafficking Elimination Act of 2014 H.R. 4959, EEOC Transparency and Accountability Act S. 1188, Forty Hours Is Full Time Act of 2013 S. 1498, Small Business Tax Fairness Act S. 1626, Family Friendly and Workplace Flexibility Act of 2013 S. 1737 / S. 2223, Minimum Wage Fairness Act Fiscal Year 2015 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act, including provisions relating to funding of the Department of Labor and the National Labor Relations Board White House Memorandum to Examine Overtime Regulations: Exempt vs. Non-exempt employees DOL RIN 1205-AB58 (H2B Temporary Workers): Errors and omissions in cost and benefit analysis and in analysis of impacts on small entities DOL RIN 1210-AB32 (EBSA Definition of "Fiduciary"): Errors and omissions in cost impact analysis DOL RIN 1218-AB70 (Occupational Exposure to Crystalline Silica): Estimated costs and benefits of the proposed regulation and alternatives; identified errors and omissions in OSHA economic impact estimates NLRB RIN 3142-AA08: Errors and omissions in economic impact analysis of proposed rule regarding representation election case procedures OSHA docket 2013-0023; RIN 1218-AC49 (Improve Tracking of Workplace Injuries & Illness): Incompleteness or inaccuracy of cost impact analyses, lack of quantified benefit analysis, and need for empirical data sources on which to base costs and benefits Proposed OSHA regulation to reduce the exposure limit on respirable silica and impose other requirements (78 Fed. Reg. 56,274, September 12, 2013) Proposed OSHA regulation to require employers to submit injury and illness records electronically that will then be posted on the internet (78 Fed. Reg. 67,354, November 8, 2013) Final regulation related to a posting of labor rights (76 Fed. Reg. 54,006, August 30, 2011) Proposed Regulation related to the advice exemption under section 203 of the LMRDA (76 Fed. Reg. 36,178, June 21, 2011) Proposed Regulation related to election process by the NLRB (76 Fed. Reg. 36,812, June 22, 2011) Final Regulation related to election process by the NLRB (76 Fed. Reg. 80,138, December 22, 2011) Proposed regulation regarding recording and reporting of musculoskeletal disorders (75 Fed. Reg. 4,728, January 29, 2010) and reopening of comment period (76 Fed. Reg. 28,383, May 17, 2011) Proposed information collection request for survey on worker classification (78 Fed. Reg. 67,196, November 8, 2013) Proposed regulation regarding respirable coal dust (75 Fed. Reg. 64,412, October 19, 2010) Proposed OSHA regulation updating industry codes from SIC to NAICS (76 Fed. Reg. 36,414, June 22, 2011) Proposed regulation regarding the companionship exemption from the Fair Labor Standards Act (76 Fed. Reg. 81,190, December 27, 2011) Nomination of members and general counsel of the National Labor Relations Board Various issues relating to Executive Order 13658, Establishing a Minimum Wage for Contractors, proposal to raise the minimum wage for government contractors; issues relating to National Labor Relations Board, including legislation and oversight, decisions and regulatory agenda, jurisdiction and the preemption of conflicting state actions, potential use of electronic voting, ambush elections regulations, implementation and oversight of the National Labor Relations Act (P.L. 74-198); determining whether a collective bargaining unit is appropriate, including legislation involving the NLRBs Specialty Healthcare (357 No. 83) decision; issues relating to the DOL, including regulatory agenda, persuader regulation, new overtime eligibility regulations, silica exposure limit regulations, implementation of a letter of interpretation allowing unions to accompany OSHA inspectors on walk-around inspections at non-union employer worksites; United Nations Convention on Rights for Persons with Disabilities; spending of H-1B visa fees; minimum wage, including indexing; unemployment insurance; gender-based workplace discrimination; 40 hour work week

Monitor and advocate regarding Labor issues impacting Long Term Care and Post Acute Care providers. Monitor issues and Department of Labor and National Labor Relations Board. Protecting Health Care Providers from Increased Administrative Burdens Act, H.R. 3633.

Client expense: $95,997 · Firm income: Not reported

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), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), SENATE, Veterans Affairs, Dept of (VA)

Work on H.R. 3633, a bill to reform the administration of the Office of Federal Contract Compliance Programs.

Client expense: Not reported · Firm income: $90,000

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

HR 3633: TRICARE providers' status as federal contractors.

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

Government targets: HOUSE OF REPRESENTATIVES

Support HR 803 Supporting Knowledge and Investing in Lifelong Skills (SKILLS) Act, a bill to reform and strengthen the workforce investment system of the Nation to put Americans back to work and make the United States more competitive in the 21st century. Support HR 3633 Protecting Health Care Providers from Increased Administrative Burdens Act, clarifies Office of Federal Contract Compliance Programs (OFCCP) within the Department of Labor jurisdiction over hospitals participating in TRICARE ;Support HR 1406 Working Families Flexibility Act of 2013, a bill to amend the Fair Labor Standards Act of 1938 to provide compensatory time for employees in the private sector; Support HR 2346 Secret Ballot Protection Act, a bill to amend the National Labor Relations Act to ensure the right of employees to a secret ballot election conducted by the National Labor Relations Board; Urging IRS for purposes of section 4980H of the code to treat "on-call" hours consistent with the treatment of "on-call" under the Federal Fair Labor Statndards Act.

Client expense: $4,060,000 · Firm income: Not reported

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare Act of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increased Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013.S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367: The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness For Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodalogy for short inpatient hospitals stays. H.R. 3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.2157: Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014. Advocacy work on HCBS proposed rule: passsed in January. S. 1932: A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program. H.R. 1250: The Medicare Audit Improvement Act of 2013. S. 1012: Medicare Audit Improvement Act of 2013. S. 2082: The two-midnight rule coordinator and Improvement Act of 2014. Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014). Protect and Preserve Medicaid funding for Long Term Services and Supports Medicaid Provider Assessement. Improving the CMS State Plan Amdt. Process. Opposition to H.B. No. 5051 An Act Improving Transparency of Nursing Home Operations. Sustainable Growth Rate (SGR) and other reform proposals. Reducing hospital readmissions from skilled nursing facility.

Client expense: $880,000 · Firm income: Not reported

P.L. 111-148:The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare Act of 2014 (PL 113-93) on 4.1.2014. H.R. 3633: Protecting Health Care Providers from Increased Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013.S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367: The Medicare Access to Rehabilitation Services Act. H.R. 3144 Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inhospital stays until the implementation of a new Medicare payment methodalogy for short inpatient hospitals stays. H.R. 3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S. 2157: Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014. Advocacy work on HCBS proposed rule: passed in January. S. 1932: A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program. H.R. 1250: The Medicare Audit Improvement Act of 2013. S. 1012: Medicare Audit Improvement Act of 2013. S. 2082: The two-midnight rule coordinator and Improvement Act of 2014. Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014). Protect and Preserve Medicaid Funding for Long Term Services and Supports Medicaid Provider Assessment. Improving the CMS State Plan Amdt. Process. Opposition to H.B. No.5051 An Act Improving Transparency of Nursing Home Operations. Sustainable Growth Rate (SGR) and other reform proposals. Reducing hospital readmissions from skilled nursing facility.

Client expense: $880,000 · Firm income: Not reported

Monitor and advocate regarding Labor issues impacting Long Term Care and Post Acute Care providers. Monitor issues and Department of Labor and National Labor Relations Board. Protecting Health Care Providers from Increased Administrative Burdens Act, H.R. 3633.

Client expense: $95,997 · Firm income: Not reported

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), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), SENATE, Veterans Affairs, Dept of (VA)

PL 111-148 - The Patient Protection and Affordable Care Act; HR 1179 & S. 569 - Improving Access to Medicare Coverage Act of 2013; S.367 & HR 713- The Medicare Access to Rehabilitation Services Act; monitoring Post Acute Care Payment and reform issues; monitor issues related to reducing Hospital Readmission from Skilled Nursing facilities; monitor Sustainable Growth Rate (SGR) repeal and reform proposals; HR 3144 - Fairness for Beneficiaries Act of 2013;H.R. 4302: Protecting Access to Medicare Act of 2014 (PL 113-93) on 4.1.2014. H.R. 3633: Protecting Health Care Providers from Increased Administrative Burdens Act. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short in hospital stays until the implementation of a new Medicare payment methodology for short inpatient hospitals stays. H.R. 3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. Advocacy work on HCBS proposed rule: passed in January. S. 1932: A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program. H.R. 1250: The Medicare Audit Improvement Act of 2013. S. 1012: Medicare Audit Improvement Act of 2013. S. 2082: The two-midnight rule coordinator and Improvement Act of 2014. Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid Funding for Long Term Services and Supports Medicaid Provider Assessment. Improving the CMS State Plan Amdt. Process. Opposition to H.B. No.5051 An Act Improving Transparency of Nursing Home Operations. Reducing hospital readmissions form skilled nursing facility.

Client expense: Not reported · Firm income: $90,000

Work on H.R. 3633, a bill to reform the administration of the Office of Federal Contract Compliance Programs.

Client expense: Not reported · Firm income: $90,000

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

Support HR 803 Supporting Knowledge and Investing in Lifelong Skills (SKILLS) Act, a bill to reform and strengthen the workforce investment system of the Nation to put Americans back to work and make the United States more competitive in the 21st century. Support HR 3633 Protecting Health Care Providers from Increased Administrative Burdens Act, clarifies Office of Federal Contract Compliance Programs (OFCCP) within the Department of Labor jurisdiction over hospitals participating in TRICARE ;Support HR 1406 Working Families Flexibility Act of 2013, a bill to amend the Fair Labor Standards Act of 1938 to provide compensatory time for employees in the private sector; Support HR 2346 Secret Ballot Protection Act, a bill to amend the National Labor Relations Act to ensure the right of employees to a secret ballot election conducted by the National Labor Relations Board; Urging IRS for purposes of section 4980H of the code to treat "on-call" hours consistent with the treatment of "on-call" under the Federal Fair Labor Statndards Act.

Client expense: $4,560,000 · Firm income: Not reported