Telehealth Modernization Act of 2013

H.R. 2, The Medicare Access and Childrens Health Insurance Program Reauthorization Act H.R. 6, The 21st Century CURES Act (Upton/DeGette) H.R. 2568 The Fair Medical Audits Act (Holding) H.R. 3077 Telemedicine Act (Nunes) H.R. 5380 Medicare Telehealth Parity Act (Thompson/Eshoo) H.R. 2725 21st Century Care for Military and Veterans Act (Peters) H.R. 3750 Telehealth Modernization Act (Matsui) H.R. 1925 Congressional Gold Medal to Dr. Ernie Bodai (Speier) H.R. 3309 (Ellmers) The Further Flexibility in HIT Reporting and Advancing Interoperability Act - FLEX IT 2 ACT S. 2141 (Cassidy/Whitehouse) The Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015 S. 2425 Patient Access and Medicare Protection Act H.R. 2568 (Holding) The Fair Medical Audits Act of 2015 H.R. 2247 (Black) The ICD-10 Act H.R. 6 (Upton/DeGette) The 21th Century CURES Act H.R. 3081 (Nunes/Pallone) The Tele-Med Act of 2015 H.R. 2029 The Consolidated Appropriations Act of 2016. FY 2016 Omnibus Appropriations Bill. H.R. 2725 (Peters) 21st Century Care for Military and Veterans Act Medicare Budget Sequestration Cuts Medicare Graduate Medical Education Funding ICD-10 Implementation for Medicare and Medicaid Medicaid Recoupment for Radiological Service Payments The Medicare Access and Childrens Health Insurance Program Reauthorization Act (MACRA-H.R. 2) Implementation Regulation CMS 33311-P: Medicare and Medicaid Programs Electronic Health Record Incentive Program- Modifications to Meaningful Use 2015-2017 Graduate Medical Education Funding CMS-3310-P Medicare & Medicaid Program; Electronic Health Records Incentive Program; Stage 3 CMS 3311-P Medicare & Medicaid Program; Medicare and Medicaid Program; Electronic Health Record Incentive Program-Modifications to Meaningful Use Stage 2 in 2015-2017. CMS Regulations related to EHR Meaningful Use Stage 2 and Stage 3 Meaningful Use Stage 3 correspondence ICD-10 Coding Implementation and Grace Period Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 3 and Modifications to Meaningful Use in 2015-2017. CMS 3310 and 3311-FC. ICD-10 Diagnosis Coding Program. CMS 2328-FC: Medicaid Program; Methods for Assuring Access to Covered Medicaid Services. California Medicaid Waive 42 CFR Part 414: Request for Information. Implementation of Merit-Based Incentive Payment System, Promotion of Alternative Payment Models, and Incentive Payments for Participation in Eligible Alternative Payment Models. CMS 3321-NC.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care, direct enrollment. Special needs plans reauthorization. H.R. 3750, Telehealth Modernization Act. S. 1099/ H.R. 1624, PACE Act. H.R. 1624, Protecting Coverage for Employees Act.

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

H.R. 2, The Medicare Access and Childrens Health Insurance Program Reauthorization Act H.R. 6, The 21st Century CURES Act (Upton/DeGette) H.R. 2568 The Fair Medical Audits Act (Holding) H.R. 3077 Telemedicine Act (Nunes) H.R. 5380 Medicare Telehealth Parity Act (Thompson/Eshoo) H.R. 2725 21st Century Care for Military and Veterans Act (Peters) H.R. 3750 Telehealth Modernization Act (Matsui) H.R. 1925 Congressional Gold Medal to Dr. Ernie Bodai (Speier) H.R. 3309 (Ellmers) The Further Flexibility in HIT Reporting and Advancing Interoperability Act - FLEX IT 2 ACT S. 2141 (Cassidy/Whitehouse) The Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015 H.R. 2568 (Holding) The Fair Medical Audits Act of 2015 H.R. 2247 (Black) The ICD-10 Act H.R. 6 (Upton/DeGette) The 21th Century CURES Act H.R. 3081 (Nunes/Pallone) The Tele-Med Act of 2015 H.R. 2725 (Peters) 21st Century Care for Military and Veterans Act Medicare Budget Sequestration Cuts Medicare Graduate Medical Education Funding ICD-10 Implementation for Medicare and Medicaid Medicaid Recoupment for Radiological Service Payments The Medicare Access and Childrens Health Insurance Program Reauthorization Act (MACRA-H.R. 2) Implementation Regulation CMS 33311-P: Medicare and Medicaid Programs Electronic Health Record Incentive Program- Modifications to Meaningful Use 2015-2017 Graduate Medical Education Funding CMS-3310-P Medicare & Medicaid Program; Electronic Health Records Incentive Program; Stage 3 CMS 3311-P Medicare & Medicaid Program; Medicare and Medicaid Program; Electronic Health Record Incentive Program-Modifications to Meaningful Use Stage 2 in 2015-2017. CMS Regulations related to EHR Meaningful Use Stage 2 and Stage 3 Meaningful Use Stage 3 correspondence ICD-10 Coding Implementation and Grace Period California Medicaid Waiver

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care, direct enrollment. Special needs plans reauthorization. H.R. 3750, Telehealth Modernization Act. S. 1099/ H.R. 1624, PACE Act. H.R. 1624, Protecting Coverage for Employees Act.

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

H.R. 2, The Medicare Access and Childrens Health Insurance Program Reauthorization Act H.R. 6, The 21st Century CURES Act (Upton/DeGette) H.R. 2568 The Fair Medical Audits Act (Holding) H.R. 3077 Telemedicine Act (Nunes) H.R. 5380 Medicare Telehealth Parity Act (Thompson/Eshoo) H.R. 2725 21st Century Care for Military and Veterans Act (Peters) H.R. 3750 Telehealth Modernization Act (Matsui) H.R. 1925 Congressional Gold Medal to Dr. Ernie Bodai (Speier) Graduate Medical Education Funding CMS-3310-P Medicare & Medicaid Program; Electronic Health Records Incentive Program; Stage 3 CMS 3311-P Medicare & Medicaid Program; Medicare and Medicaid Program; Electronic Health Record Incentive Program-Modifications to Meaningful Use Stage 2 in 2015-2017. ICD-10 Coding Implementation and Grace Period California Medicaid Waiver

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

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

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care, direct enrollment. Special needs plans reauthorization. H.R. 3750, Telehealth Modernization Act. S. 1099/ H.R. 1624, PACE Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care, direct enrollment. Special needs plans reauthorization. H.R. 3750, Telehealth Modernization Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) - medical liability reform S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; OPM data warehouse for FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges) and other issues relating to health care reform implementation.

Client expense: $2,010,000 · 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), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 2328 Introduced in House June 12, 2013 Rep. Rogers, Mike J. (R-MI) Access to Professional Health Insurance Advisors Act of 2013 - Amends the Public Health Service Act to exclude remuneration paid for licensed independent insurance producers from administrative cost calculations for purposes of calculating the medical-loss ratio of a health insurance plan. HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. S. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance.. Section 104 Substitute Amendment. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions. HR 1701 Introduced April 24, 2013 by Ted Poe (R-TX) Cutting Costly Codes Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from implementing, administering, or enforcing specified regulations insofar as they would replace International Classification of Diseases (ICD)-9 with ICD-10 as a standard for code sets for appropriate data elements for financial and administrative transactions involving the electronic exchange of health information. HR 3985 Introduced February 3, 2014 by Lynn Westmoreland (R-GA) Prohibits health insurance issuers and third-party administrators, for any period after December 31, 2014, from being required to make payments under the Patient Protection and Affordable Care Act (PPACA) for a transitional reinsurance program for the individual health insurance market in each state. Allows payments to issuers, as limited by this Act, only to the extent of available funds. Limits to 2014 the applicability of the program of risk corridors, under which a qualified health plan offered in the individual or small group market shall participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums . HR 4496 Introduced April 28, 2014 by Cory Gardner (R-CO) Covering People With Pre-Existing Conditions Act of 2014 - Requires each state to mitigate the health costs of high risk individuals in the state through a state reinsurance program or a state high risk pool HR 4777 Introduced May 30, 2014 by Michael Burgess (R-TX) To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 5214 Introduced July 28, 2014 by Pete Olsen (R-TX) To require the Secretary of Health and Human Services to provide for recommendations for the development and use of clinical data registries for the improvement of patient care. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history. HR 4633 Introduced May 9, 2014 by H. Griffith (R-VA) Insurance Rate Transparency Act - Amends the Public Health Service Act to require that specific health insurance premium increase information submitted to the Secretary of Health and Human Services (HHS) be disclosed to Congress no later than 30 days after receipt of the information. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

Client expense: $1,870,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, and ACA risk mitigation provisions. General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends,payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,640,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design,grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs. General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends, payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,640,000 · Firm income: Not reported

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

HR 1037/S 1815 - Occupational Therapy in Mental Health Act: Advocate passage to make occupational therapists eligible to participate in the National Health Services Corps' scholarship and loan repayment program as behavioral and mental health professionals. HR 1098 - Brain Injury Reauthorization Act of 2013: Support passage. HR 1236 - a bill to require inclusion of behavioral health professions on any physical evaluation board that considers issues of post-traumatic stress disorder; traumatic brain injury, or other mental health conditions: Support passage HR 3717/S 1517 - Helping Families in Mental Health Crisis Act of 2013: advocated for inclusion of occupational therapy services and including provisions of the Occupational Therapy in Mental Health Act (HR 1037/S 1815). HR 3306 - The Telehealth Enhancement Act of 2013: Educate about how occupational Therapy can be utilized in telehealth. HR 3750 - Telehealth Modernization Act of 2013: Educate about how occupational therapy an be utilized in telehealth. HR 4631/S 2449 - Combating Autism Reauthorization Act/Autism CARES: Support reauthorization before provisions expire. HR 4574 - Strengthening Mental Health in our Communities Act: Advocated for inclusion of occupational therapy services and including provisions of the Occupational Therapy Mental Health Act (HR 1037/S 1815). HR 702 - Access to Frontline Health Act: Support passage of bill including loan forgiveness for occupational therapy practitioners practicing in shortage areas. No bill# - Convention on the Rights of Persons with Disabilities: Support Senate ratification of the convention. Met with Paolo Del Vecchio, Deputy Administrator for Mental Health at the Substance Abuse and Mental Health Administration (SAMHSA), Cynthia Kemp, Chief of Community Support Programs Branch, as well as other staff from SAMHSA, to discuss the inclusion of occupational therapy services in forthcoming regulations that will establish the criteria for federally recognized and funded Community Behavioral Health Centers (CCBHC) (Sect. 223 of PL 113-93). Discussed the distinct value of occupational therapy in providing recovery-oriented mental and behavioral health services and why occupational therapy practitioners should be a required part of the interdisciplinary staff at the newly created CCDBHCs. Met with White House, Executive office of the President: Christen Linke Young, Adviser, Domestic Policy Council - discussed rehabilitation/habilitation benefit as it relates to ACA qualified health plans. Met with HHS, Administration for Community Living - Vikki Gottlich, Director of the Center for Policy and Evaluation: discussed rehabilitation/habilitation benefit as it relates to ACA qualified health plans.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care initiatives, Direct enrollment. Special needs plans reauthorization. H.R. 3750, Telehealth Modernization Act. Expat health insurance.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, and ACA risk mitigation provisions. General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends,payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,050,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design,grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs. General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends, payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,050,000 · Firm income: Not reported

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

H.R. 83, Consolidated and Further Continuing Appropriations Act - ACA risk corridor program, expatriate plans, HHS appropriations H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) - medical liability reform S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP;; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); financing for infectious disease such as Ebola; and other issues relating to health care reform implementation.

Client expense: $2,230,000 · 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), 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), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs. General Issues include: H.R. 3750 (Telehealth Modernization Act); H.R. 3367 (two-year repeal of ACA Health Insurer Fee); H.R. 4414 (Expatriate Health Coverage Clarification Act of 2014); Medicare Advantage; ICD-10; Telehealth Reform; TRICARE 2017. Specific Bills include: Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306.

Client expense: $1,730,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs. General Issues include: H.R. 3750 (Telehealth Modernization Act); H.R. 3367 (two-year repeal of ACA Health Insurer Fee); H.R. 4414 (Expatriate Health Coverage Clarification Act of 2014); Medicare Advantage; ICD-10; Telehealth Reform; TRICARE 2017. Specific Bills include: Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306.

Client expense: $1,730,000 · Firm income: Not reported

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

H.R. 83, Consolidated and Further Continuing Appropriations Act - ACA risk corridor program, expatriate plans, HHS appropriations. H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine. H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum pagePL 111-148 - The Patient Protection and Affordable Care Act, implementation S. 603 - The Jobs and Premium Protection Act, insurer excise tax S. 399/H.R. 903 - The American Job Protection Act H.R. 763 - to repeal the annual fee on health insurance providers H.R. 2667 - Authority For Mandate Delay Act H.R. 1726/H.R. 3541 - Obamacare Taxpayer Bailout Prevention Act, risk corridors H.R. 3750 - Telehealth Modernization Act of 2013, definition ***, no specific bill(s), Health Savings Accounts/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Risk Corridors and Reinsurance

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

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

Legislative issues related to insurance markets; H.R. 3350 Keep Your Health Plan Act of 2013; H.R. 4302; Medicare Advantage; H.R. 3750; Telehealth Modernization Act. ACA implementation issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 2328 Introduced in House June 12, 2013 Rep. Rogers, Mike J. (R-MI) HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Electronic Health Records (EHRs); Health IT Roadmap; HR 1701 Introduced April 24, 2013 by Ted Poe (R-TX) Cutting Costly Codes Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from implementing,administering, or enforcing specified regulations insofar as they would replace International Classification of Diseases (ICD)-9 with ICD-10 as a standard for code sets for appropriate data elements for financial and administrative transactions involving the electronic exchange of health information. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM. FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851, 4406 HR 2328 Introduced in House June 12, 2013 Rep. Rogers, Mike J. (R-MI) Access to Professional Health Insurance Advisors Act of 2013 - Amends the Public Health Service Act to exclude remuneration paid for licensed independent insurance producers from administrative cost calculations for purposes of calculating the medical-loss ratio of a health insurance plan. HR 3541 introduced by Tim Griffin November 19, 2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ration of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-Party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. S. 1486 Introduced August 1, 2013 by Sen. Carper,Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S.Postal Service (USPS) retirement and health care systems, operations, revenue, and governance. Section 104 Substitute Amendment. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from implementing, administering, or enforcing specified regulations insofar as they would replace International Classification of Diseases (ICD-9) with ICD-10 as a standard for code sets for appropriate data elements for financial and administrative transactions involving the electronic exchange of health information. HR 3985 Introduced February 3, 2014 by Lynn Westmoreland (R-GA) Prohibits health insurance issuers and third-party administrators, or any period after December 31, 2014, from being requirement to make payments under the Patient Protection and Affordable Care Act (PPACA) for a transitional reinsurance program for the individual health insurance market in each state. Allows payments to issuers, as limited by this Act, only to the extent of available funds. Limits to 2014 the applicability of the program of risk corridors, under which a qualified health plan offered in the individual or small group market shall participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. HR 4496 Introduced April 28, 2014 by Cory Gardner (R-CO) Covering People With Pre-Existing Conditions Act of 2014 - Requires each state to mitigate the health costs of high risk individuals in the state through a state reinsurance program or a state high risk pool. HR 4777 Introduced May 30, 2014 by Michael Burgess (R-TX) To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 5214 Introduced July 28, 2014 by Pete Olsen (R-TX) To require the Secretary of Health and Human Services to provide for recommendations for the development and use of clinical data registries for the improvement of patient care. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should have access to the individual's medical history. HR 4633 Introduced May 9, 2014 by H. Griffith (R-VA) Insurance Rate Transparency Act - Amends the Public Health Service Act to require that specific health insurance premium increase information submitted to the Secretary of Health and Human Services (HHS) be disclosed to Congress no later than 30 days after receipt of the information. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

Client expense: Not reported · Firm income: Not reported

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

Pediatric Subspeciality and Mental Health Workforce Reauthorization Act of 2013 (HR 1827) Helping Families in Mental Health Crisis Act (HR 3717) Strengthening Mental Health in Our Communities Act of 2014 (HR 4574) Excellence in Mental Health Act (S 264, HR 1263) Community-Based Mental Health Infrastructure Improvements Act (S 265) Mental Health First Act of 2013 (HR 274, S 153) Prescription Drug Abuse Prevention and Treatment Act of 2013 (HR 672) Healthy Families Act (S 631) Native American Psychiatric and Mental Health Care Improvement Act (HR 2037) AGE-IN Act (S 1259) Garrett Lee Smith Memorial Act Reauthorization of 2013 (HR 2734) Behavioral Health Information Technology Act of 2013 (HR 2957, S 1517) Telehealth Modernization Act of 2013 (HR 3750) Youth Mental Health Research Act (HR 4170) 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 (HR 794, S 1064) House & Senate HHS Appropriation Bills for FY15 (Pediatric Subspecialty Loan Repayment, BRAIN Initiative, National Mental Health Policy Laboratory, the Garrett Lee Smith Program, Children's Health GME funding) Autism Cares Act (HR 4631, S 2449) Caring for America's Hero's Act (HR 4656, S 2276) Health plan network adequacy for child and adolescent psychiatrists Funding for greater youth involvement to erase stigma

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

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

Legislative issues related to insurance markets; H.R. 3350 Keep Your Health Plan Act of 2013; H.R. 4302; Medicare Advantage; H.R. 3750; Telehealth Modernization Act. ACA implementation issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 2328 Introduced in House June 12, 2013 Rep. Rogers, Mike J. (R-MI) HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center,including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions. HR 1701 Introduced April 24, 2013 by Ted Poe (R-TX) Cutting Costly Codes Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from implementing,administering, or enforcing specified regulations insofar as they would replace International Classification of Diseases (ICD)-9 with ICD-10 as a standard for code sets for appropriate data elements for financial and administrative transactions involving the electronic exchange of health information. HR 4777 Introduced May 30, 2014 by Michael Burgess (R-TX) To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See next page.Expansion of the J-1 VISA Waiver Program (Senate, House); S 150 (Feinstein) Ban on Assault Weapons (Senate, House); Prescription Drug Abuse, Diversion and Overdose (Senate, House); Animal Drug User Reauthorization (Senate, House); H.R. 2131 Skills VISA Act J-1 Visa Physician Expansion (Senate, House); H.R. 1473 Standards of Care Protection Act (Senate, House); H.R. 2131 The Skills VISA Act (Immigration Reform) (Senate, House); HR # Draft (Thompson) The Telehealth Promotion Act of 2014; HR 3077 (Nunes) The Telemedicine for Medicare Act for 2013; HR 3507 (Peters) 21st Century Care for Military and Veterans Act; HR 3750 (Matsui) The Telehealth Modernization Act of 2013; REGULATORY: Payment Policies Under the Physician Fee Schedule Proposed Rule for CY 2014 (HHS/CMS); The Medicare Physician Payment Rule for 2015 (CMS-1612-P) (HHS/CMS); Medicare and Medicaid programs; Regulatory Provisions to Promote Program Efficiency, Transparency and Burden Reduction; Part II (CMS-3267-F) (HHS/CMS); 78 Fed Reg 43,281 (July 19, 2013); 1600-P; RIN 0938-AR56 (CMS); Reporting of Physician Ownership or Investment Interests: Physician Sunshine Act (HHS/CMS). Vaccine Injury Compensation Program. Opiod Abuse.

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

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, and ACA risk mitigation provisions.General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends, payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,050,000 · Firm income: Not reported

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, ACA risk mitigation provisions, and Military health programs.General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends, payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,050,000 · Firm income: Not reported

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

Issues pertaining to medical loss ratio, rate review regulation, Medicare Advantage, the individual mandate, exchanges, primary care initiatives, Direct enrollment. Special needs plans reauthorization. H.R. 3750, Telehealth Modernization Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

See attached addendum for General Lobbying Area; HCR - Healthcare H.R.H.R. 460 Introduced by Rep. David McKinley (02/04/2013) Patients' Access to Treatments Act of 2013 - Amends the Public Health Service Act to establish cost-sharing limits for health plans that cover prescription drugs and use a formulary or other tiered cost-sharing structure. Prohibits such a health plan from imposing cost-sharing requirements, including co-payment and co-insurance, applicable to prescription drugs in a specialty drug tier that exceed the dollar amount of cost-sharing requirements applicable to prescription drugs in a non-preferred brand drug tier. Applies the non-preferred brand drug tier for which beneficiary cost-sharing is lowest, if a formulary used by the health plan contains more than one non-preferred brand drug tier. Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 3541 introduced by Tim Griffin November 19, 2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Electronic Health Records (EHRs); Health IT Roadmap; Expatriate Legislation. See following page on Health Care Reform issuesS. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance.. Section 104 Substitute Amendment. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history.

Client expense: $94,700 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) - medical liability reform S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; OPM data warehouse for FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges) and other issues relating to health care reform implementation.

Client expense: $2,010,000 · 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), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Affordable Private Health Care: Effect of the Health Insurance Tax, defined Essential Health Benefits, and Age Rating on premiums; Healthcare Delivery System Reforms State-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions HR 2667 Introduced by Griffin (R-AR) on July 11, 2013 Authority for Mandate Delay Act HR 2668 Introduced by Young (R-IN) on July 17, 2013 Fairness for Families Act Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851, 4406 HR 3541 introduced by Tim Griffin November 19, 2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. S. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating nto the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance. Section 104 Substitute Amendment. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 762 Introduced in House February 15, 2013 by Rep. Blackburn, Marsha (R-TN) Health Care Choice Act of 2013 - Repeals the health insurance and health coverage expansion requirements of the Patient Protection and Affordable Care Act and related requirements of the Health Care and Education Reconciliation Act of 2010. Restores provisions of law amended or repealed by such provisions. HR 4496 Introduced April 28, 2014 by Cory Gardner (R-CO) Covering People With Pre-Existing Conditions Act of 2014 - Requires each state to mitigate the health costs of high risk individuals in the state through a state reinsurance program or a state high risk pool. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of

HR1037/S 1815 - Occupational Therapy in Mental Health Act: Advocate passage to make occupational therapists eligible to participate in the Natl. Health Services Corps scholarship and loan repayment program as behavioral and mental health professionals. HR 1098 - Brain Injury Reauthorization Act of 2013: Support passage. HR 1236 - a bill to require inclusion of behavioral health professions on any physical evaluation board that considers issues of post-traumatic stress disorder, traumatic brain injury, or other mental health conditions: Support passage. HR 3717/S1517 - Helping Families in Mental Health Crisis Act of 2013. Advocated for inclusion of occupational therapy services and including provisions of the Occupational Therapy in Mental Health Act (HR 1037/S 1815). HR 3306 - The Telehealth Enhancement Act of 2013: Educate about how occupational therapy can be utilized in telehealth. HR 3750 - Telehealth Modernization Act of 2013: Educate about how occupational therapy can be utilized in telehealth. HR 4631/S 2449 - Combatting Autism Reauthorization Act/Autism CARES: Supported reauthorization before provisions expired. HR 4574 - Strengthening Mental Health in our Communities Act: Advocated for inclusion of occupational therapy services and including provisions of the Occupational Therapy Mental Health Act (HR 1037/S 1815). HR 702 - Access to Frontline Health Act: Support passage of bill including loan forgiveness for occupational therapy practitioners practicing in shortage areas. No bill#: Convention on the Rights of Persons with Disabilities: Support Senate ratification of the convention.

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine. H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues. Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

**see addendum pagePL 111-148 - The Patient Protection and Affordable Care Act, implementation S. 603 - The Jobs and Premium Protection Act, insurer excise tax S. 399/H.R. 903 - The American Job Protection Act H.R. 763 - to repeal the annual fee on health insurance providers H.R. 2667 - Authority For Mandate Delay Act H.R. 1726/H.R. 3541 - Obamacare Taxpayer Bailout Prevention Act, risk corridors H.R. 3750 - Telehealth Modernization Act of 2013, definition ***, no specific bill(s), Health Savings Accounts/Medical Savings Accounts, Transparency, Health Information Technology, Electronic Prescribing, Insurance Market Reform, Uninsured, Employer Based Health System, Health Care Reform, Small Group Market Reform, Exchanges, Health Care Reform Implementation, Medical Loss Ratios, Risk Corridors and Reinsurance

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

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

General issues related to telehealth policy; HR 3750, Telehealth Modernization Act of 2013

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

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

See attached addendum for General Lobbying Issue Area: HCR - HealthcareState-based regulation: State Oversight of Rates; Properly designed state based health insurance exchanges to improve competition and maximize choice; federal exchanges; Multi-State Health Plans; Centralized All-Payer Database Medical Loss Ratios: Level Playing Field for MLRs; Consistent reporting requirements for all insurers; MLR Broker Fees: Health Care Quality: Delivery System Incentives to Promote Better Care; Payment Reforms; Patient-centered Primary Care/Medical Home; Evidence Based Care; Wellness; Chronic Care Management Federal Employee Health Benefit Program (FEHBP) regarding proposals to allow additional types of carriers including regional PPOs to be included in the coverage options offered by OPM FEHBP Modernization Act circulation draft President's budget, regional PPOs, government contributions Bailouts for Insurance Companies, S. 1726, H.R. 3541, 3812, 3851. 4406 HR 2328 Introduced in House June 12, 2013 Rep. Rogers, Mike J. (R-MI) Access to Professional Health Insurance Advisors Act of 2013 - Amends the Public Health Service Act to exclude remuneration paid for licensed independent insurance producers from administrative cost calculations for purposes of calculating the medical-loss ratio of a health insurance plan. HR 3541 introduced by Tim Griffin November 19,2013 Obamacare Taxpayer Bailout Prevention Act - Repeals the provision of the Patient Protection and Affordable Care Act that directs the Secretary of Health and Human Services (HHS) to establish and administer a program of risk corridors for calendar years 2014, 2015, and 2016 under which a qualified health plan offered in the individual or small group market is required to participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums. Other general Affordable Care Act topics related to multiple parts of legislation: ACA Implementation and back-end issues; Multi-State Plan Program Implementation; Risk Corridors and Risk Mitigation; Reinsurance; Small Business Health Options Program (SHOP) implementation; Third-party payment of premiums; Electronic Health Records (EHRs); Health IT Roadmap; Contraception Rule; Expatriate Legislation. S. 1486 Introduced August 1, 2013 by Sen. Carper, Thomas R. (D-DE) Postal Reform Act of 2013 - Amends provisions of federal law relating to the funding of the U.S. Postal Service (USPS) retirement and health care systems, operations, revenue, and governance.. Section 104 Substitute Amendment. HR 3362 Introduced October 29, 2013 by Rep. Terry, Lee (R-NE) Exchange Information Disclosure Act - Amends the Patient Protection and Affordable Care Act to expand reporting requirements related to health care exchanges. Requires the Secretary of Health and Human Services (HHS) to publish reports weekly through March 31, 2015, on: (1) consumer interactions with healthcare.gov or subsequent sites and any efforts undertaken to remedy problems that impact taxpayers and consumers, (2) calls to the federal customer service call center, including the number of calls received by the call center, problems identified by users, and referrals of those calls; (3) all navigators and certified application counselors that have been trained and certified by health care exchanges; and (4) all agents and brokers who have been trained and certified by the federal health care exchange. HR 1701 Introduced April 24, 2013 by Ted Poe (R-TX) Cutting Costly Codes Act of 2013 - Prohibits the Secretary of Health and Human Services (HHS) from implementing, administering, or enforcing specified regulations insofar as they would replace International Classification of Diseases (ICD)-9 with ICD-10 as a standard for code sets for appropriate data elements for financial and administrative transactions involving the electronic exchange of health information. See following page on Health Care Reform issuesHR 3985 Introduced February 3, 2014 by Lynn Westmoreland (R-GA) Prohibits health insurance issuers and third-party administrators, for any period after December 31, 2014, from being required to make payments under the Patient Protection and Affordable Care Act (PPACA) for a transitional reinsurance program for the individual health insurance market in each state. Allows payments to issuers, as limited by this Act, only to the extent of available funds. Limits to 2014 the applicability of the program of risk corridors, under which a qualified health plan offered in the individual or small group market shall participate in a payment adjustment system based on the ratio of the allowable costs of the plan to the plan's aggregate premiums . HR 4496 Introduced April 28, 2014 by Cory Gardner (R-CO) Covering People With Pre-Existing Conditions Act of 2014 - Requires each state to mitigate the health costs of high risk individuals in the state through a state reinsurance program or a state high risk pool HR 4777 Introduced May 30, 2014 by Michael Burgess (R-TX) To amend the Internal Revenue Code of 1986 to modify rules relating to health savings accounts. HR 3522 Introduced November 18, 2013 by Bill Cassidy (R-LA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes. HR 5214 Introduced July 28, 2014 by Pete Olsen (R-TX) To require the Secretary of Health and Human Services to provide for recommendations for the development and use of clinical data registries for the improvement of patient care. HR 3750 Introduced December 12, 2013 by Donna Matsui (D-CA) Telehealth Modernization Act of 2013 - Calls for states to authorize health care professionals to deliver health care to individuals through telehealth and to consider adopting conditions under which such a professional should: have access to the individual's medical history. HR 4633 Introduced May 9, 2014 by H. Griffith (R-VA) Insurance Rate Transparency Act - Amends the Public Health Service Act to require that specific health insurance premium increase information submitted to the Secretary of Health and Human Services (HHS) be disclosed to Congress no later than 30 days after receipt of the information. HR 5453 Introduced September 11, 2014 by Bruce Braley (D-IA) To authorize health insurance issuers to continue to offer for sale current group health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3350 Keep Your Health Plan Act of 2013; H.R. 4302; Medicare Advantage; H.R. 3750; Telehealth Modernization Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and regulation related to medical licensure, telemedicine, medical regulations, license portability, and other matters that might affect state-based health regulation. Development of state compact for licensure S.1123 - Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013 (PRIME ACT) H.R.2305 - Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013 (PRIME ACT) H.R. 3077 - The TELE-MED Act of 2013 S. 1277 - Combating Prescription Drug Abuse Act H.R. 2484 - Conrad State 30 and Physician Access Act H.R. 3750 - Telehealth Modernization Act of 2013 potential legislation: Telehealth Promotion Act of 2014

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Pediatric Subspeciality and Mental Health Workforce Reauthorization Act of 2013 (HR 1827) Helping Families in Mental Health Crisis Act (HR 3717) Strengthening Mental Health in Our Communities Act of 2014 (HR 4574) Excellence in Mental Health Act (S 264, HR 1263)Community-Based Mental Health Infrastructure Improvements Act (S 265) Mental Health First Act of 2013 (HR 274, S 153) Prescription Drug Abuse Prevention and Treatment Act of 2013 (HR 672) Healthy Families Act (S 631) Native American Psychiatric and Mental Health Care Improvement Act (HR 2037) AGE-IN Act (S 1259) Garrett Lee Smith Memorial Act Reauthorization of 2013 (HR 2734) Behavioral Health Information Technology Act of 2013 (HR 2957, S 1517) Telehealth Modernization Act of 2013 (HR 3750) Youth Mental Health Research Act (HR 4170) 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 (HR 794, S 1064) House & Senate HHS Appropriation Bills for FY15 (Pediatric Subspecialty Loan Repayment, BRAIN Initiative, National Mental Health Policy Laboratory, the Garrett Lee Smith Program, Chidlren's Health GME funding) Autism Cares Act (HR 4631, S 2449) Caring for America's Hero's Act (HR 4656, S 2276) Health plan network adequacy for child and adolescent psychiatrists

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

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

See next page.Expansion of the J-1 VISA Waiver Program (Senate, House); S 150 (Feinstein) Ban on Assault Weapons (Senate, House); Prescription Drug Abuse, Diversion and Overdose (Senate, House); Animal Drug User Reauthorization (Senate, House); H.R. 2131 Skills VISA Act J-1 Visa Physician Expansion (Senate, House); H.R. 1473 Standards of Care Protection Act (Senate, House); H.R. 2131 The Skills VISA Act (Immigration Reform) (Senate, House); HR # Draft (Thompson) The Telehealth Promotion Act of 2014; HR 3077 (Nunes) The Telemedicine for Medicare Act for 2013; HR 3507 (Peters) 21st Century Care for Military and Veterans Act; HR 3750 (Matsui) The Telehealth Modernization Act of 2013; REGULATORY: Payment Policies Under the Physician Fee Schedule Proposed Rule for CY 2014 (HHS/CMS); The Medicare Physician Payment Rule for 2015 (CMS-1612-P) (HHS/CMS); Medicare and Medicaid programs; Regulatory Provisions to Promote Program Efficiency, Transparency and Burden Reduction; Part II (CMS-3267-F) (HHS/CMS); 78 Fed Reg 43,281 (July 19, 2013); 1600-P; RIN 0938-AR56 (CMS); Reporting of Physician Ownership or Investment Interests: Physician Sunshine Act (HHS/CMS). Vaccine Injury Compensation Program.

Client expense: $75,000 · Firm income: Not reported

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

Inpatient and outpatient hospital payments Impact of the Sequester on Medicare/Medicaid payments Issues and Legislation related to the Medicare Sustainable Growth Rate H.R.3698, Two-Midnight Rule Delay Act of 2013S.2082, Two-Midnight Rule Coordination and Improvement Act of 2014 H.R.1250, Medicare Audit Improvement Act of 2013 S.1012, Medicare Audit Improvement Act of 2013 H.R.2801, Protecting Access to Rural Therapy Services (PARTS) Act S.1143, Protecting Access to Rural Therapy Services (PARTS) Act Issues Related to 340B Program Changes Issues Related to ICD-10 - No More Delay Issues Related to Reductions/Payment Cuts Re: Site-Neutral Payments & Graduate Medical Education Telehealth Issues & Legislation, Including: H.R. 3077, TELE-MED Act of 2013 H.R. 3306, Telehealth Enhancement Act of 2013 H.R. 3750, Telehealth Modernization Act of 2013

Client expense: Not reported · Firm income: $50,000

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

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, and ACA risk mitigation provisions.General Issues: Quality and care coordination, innovation, affordability, ICD-10, consumer engagement, utilization trends, payment reform, fraud and abuse prevention, cost-sharing, wellness, advanced imaging management, telehealth, sustainable growth rate, Watson, payment reconciliation and high cost drugs. Specific Bills include: H.R. 3367; H.R. 763; S. 603; S.2214; H.R. 3489; H.R. 3541; H.R. 3812; H.R. 3750; H.R. 3077; S. 1787 and, H.R. 3306

Client expense: $1,580,000 · Firm income: Not reported

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