Comprehensive Care Payment Innovation Act

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Gun safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues

Client expense: $22,111 · Firm income: Not reported

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

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Gun safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Gun safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Gun safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. GME Surgical Workforce Shortages/Issues 21st Century Cures ICD-10 HEALTH Act Standard of Care protection act Response to Senate FDA report Bonus Payments for Rural General Surgery Providers HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system

Client expense: $22,567 · Firm income: Not reported

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. GME Surgical Workforce Shortages/Issues 21st Century Cures ICD-10 HEALTH Act Standard of Care protection act Response to Senate FDA report Bonus Payments for Rural General Surgery Providers HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system

Client expense: $22,567 · Firm income: Not reported

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. GME Surgical Workforce Shortages/Issues 21st Century Cures ICD-10 HEALTH Act Standard of Care protection act Response to Senate FDA report Bonus Payments for Rural General Surgery Providers HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system

Client expense: $138,863 · Firm income: Not reported

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. GME Surgical Workforce Shortages/Issues 21st Century Cures ICD-10 HEALTH Act Standard of Care protection act Response to Senate FDA report Bonus Payments for Rural General Surgery Providers HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system

Client expense: $138,863 · Firm income: Not reported

S. 31: Medicare Prescription Drug Price Negotiation Act of 2015 - Provisions related to Secretary negotiation authority in Part D program S. 141: Protecting Seniors' Access to Medicare Act of 2015 - Provisions related to Independent Payment Advisory Board (IPAB) repeal S. 648: Medicare Formulary Improvement Act - Provisions related to codification of six protected classes in Part D program S. 861: Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2014 -Provisions related to anti-fraud proposals affecting federal programs H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015 - Provisions related to Sustainable Growth Rate (SGR) reform and other Medicare, Medicaid, and CHIP amendments H.R. 1021: Protecting the Integrity of Medicare Act of 2015 - Provisions related to Part D lock-in program and other Medicare anti-fraud provisions H.R. 1190: Protecting Seniors' Access to Medicare Act of 2015 - Provisions related to IPAB repeal H.R. 1470: SGR Repeal and Medicare Provider Payment Modernization Act of 2015 - Provisions related to SGR reform and other Medicare, Medicaid, and CHIP amendments H.R. 3796: Comprehensive Care Payment Innovation Act - Provisions related to ensuring access to innovative treatments in delivery reform model (113th Congress) H.R. 4857: Ensuring Access to Treatment Act (discussion draft) - Provisions related to changes to Part B hospital outpatient drug payment policy (113th Congress) H.R. 5183: Value Based Insurance Design for Better Care Act of 2014 - Provisions related to changes to the Medicare Advantage Program (113th Congress) Hospital Improvements for Payment Act (discussion draft) - Provisions related to Medicare Parts A and B reform Cancer Care Payment Reform Act (discussion draft): Provisions related to oncology medical home demonstration Department of Health and Human Services (HHS) delivery system reform issues and regulatory barriers to innovation Medicare Part B Average Sales Price (ASP) issues Part D lock-in related legislation Medicare exclusion issues Medicare Part D rebates issues

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S.258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act GME Surgical Workforce Shortages/Issues 21st Century Cures ICD-10 HEALTH Act Standard of Care protection act Response to Senate FDA report Saving Lives, Saving Costs Act Bonus Payments for Rural General Surgery Providers

Client expense: $43,429 · Firm income: Not reported

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S.258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act GME Surgical Workforce Shortages/Issues 21st Century Cures ICD-10 HEALTH Act Standard of Care protection act Response to Senate FDA report Saving Lives, Saving Costs Act Bonus Payments for Rural General Surgery Providers

Client expense: $43,429 · Firm income: Not reported

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S.258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act GME Surgical Workforce Shortages/Issues 21st Century Cures ICD-10 HEALTH Act Standard of Care protection act Response to Senate FDA report Saving Lives, Saving Costs Act Bonus Payments for Rural General Surgery Providers

Client expense: $212,946 · Firm income: Not reported

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S.258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act GME Surgical Workforce Shortages/Issues 21st Century Cures ICD-10 HEALTH Act Standard of Care protection act Response to Senate FDA report Saving Lives, Saving Costs Act Bonus Payments for Rural General Surgery Providers

Client expense: $212,946 · Firm income: Not reported

P.L.112-25, The Budget Control Act (Sections regarding the impact of Medicare sequestration on hospitals) H.R.351, Protecting Seniors Access to Medicare Act of 2013 (All sections of full text) H.R.2027, Expanding Patients Access to Quality Care Act of 2013 (All sections of full text) H.R.3121, American Health Care Reform Act of 2013 (All sections of full text)H.R.3698, Two-Midnight Rule Delay Act of 2013 (All sections of full text) H.R.3796, Comprehensive Care Payment Innovation Act (All sections of full text) S.2082, Two-Midnight Rule Coordination and Improvement Act of 2014 (All sections of full text) Draft Senate legislation known as the Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act. Discussions involving group purchasing organizations. Discussions regarding the status of construction of new veteran's affairs facility in the Denver metro area.

Client expense: Not reported · Firm income: $130,000

P.L.112-25, The Budget Control Act (Sections regarding the impact of Medicare sequestration on hospitals) H.R.351, Protecting Seniors' Access to Medicare Act of 2013 (All sections of full text) H.R.2027, Expanding Patients' Access to Quality Care Act of 2013 (All sections of full text) H.R.3121, American Health Care Reform Act of 2013 (All sections of full text) H.R.3698, Two-Midnight Rule Delay Act of 2013 (All sections of full text) H.R.3796 Comprehensive Care Payment Innovation Act (All sections of full text) S.2082, Two-Midnight Rule Coordination and Improvement Act of 2014 (All sections of full text) Draft Senate legislation known as the Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act Discussions involving group purchasing organizations Discussions regarding the status of construction of new veteran's affairs facility in the Denver metro area. P.L.113-146, Veterans Access, Choice, and Accountability Act of 2014 (Section 105. Prompt Payment by Department of Veterans Affairs) Monitored legislative branch oversight of executive branch-led Ebola treatment protocol for hospitals. Monitored draft House Ways and Means legislation entitled "The Hospital Improvements for Payment Act of 2014."

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

H.R. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to the Independent Payment Advisory Board H.R. 460, Patients Access to Treatments Act: Provisions related to cost sharing in the specialty tier H.R. 928, Medicare Prescription Drug Savings and Choice Act of 2013: Provisions related to Part D issues H.R. 1024, Medication Therapy Management Empowerment Act of 2013: Provisions related to medication therapy management in Part D H.R. 1102, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference H.R. 1588, Medicare Drug Savings Act of 2013: Provisions related to Part D issues H.R. 2753 Securing Care for Seniors Act: Provisions related to Value Based Insurance Design H.R. 2810, Medicare Patient Access and Quality Improvement Act: Provisions related to SGR reform H.R. 2827, To amend title XVIII of the Social Security Act to allow for fair application of the exceptions process for drugs in tiers in formularies in prescription drug plans under Medicare part D: Provisions related to Medicare Part D Drug Tier Formularies H.R. 2925, Strengthening Medicare Anti-Fraud Measures Act of 2013: Provisions related to Office of Inspector General (OIG) enforcement of fraud and abuse laws H.R. 3392, Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013: Provisions related to lock-in programs H.R. 3796, Comprehensive Care Payment Innovation Act: Provisions related to alternative payment models H.R. 3890 Better Care, Lower Cost Act: Provisions related to Part D, value-based insurance design, and chronic disease H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Provisions related to sustainable growth rate (SGR) and Medicare provider payment reform H.R. 4160, Keep the Promise to Seniors Act of 2014: Provisions related to Part D issues H.R. 4302, Protecting Access to Medicare Act of 2014: Provisions related to the biopharmaceutical industry H.R. 4577, Ensuring Seniors Access to Local Pharmacies Act of 2014: Provisions related to Part D preferred pharmacy networks H.R. 5183, Value Based Insurance Design for Better Care Act of 2014: Provisions related to valued base insurance design demonstration program H.R. 5558 ACO Improvement Act: Provisions related to alternate payment models H.R. 5780, Protecting Integrity in Medicare Act of 2014: Provisions related to addressing fraud and prescription drug abuse S. 117, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference S. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to Independent Payment Advisory Board S. 408, Medicare Prescription Drug Savings and Choice Act of 2013: Provision related to Part D issues S. 557, Medication Therapy Management Empowerment Act of 2013: Provisions related to Part D and medication therapy management S. 740, Medicare Drug Savings Act of 2013: Provisions related to Part D issues Deficit reduction policy issues S. 882, Stop Trafficking of Pills (STOP) Act: Provisions related to lock-in programs (112th Congress) S. 1365, Part D Beneficiary Appeals Fairness Act: Provisions related to the specialty tier in Part D S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013: Provisions related to reforming Medicare physician payments S. 1932, Better Care, Lower Cost Act: Provisions related to Part D, value-based insurance design, and chronic disease S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Provisions related to SGR reform S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014: Provisions related to SGR reform Hospital Improvements for Payment (HIP) Act of 2014: Provisions related to Medicare reform (no bill number) Medicare Prescription Drug Diversion and Abuse Prevention Act: Provisions related to diversion and abuse (no bill number) Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefits Programs: Provisions related to Part D Proposals to increase co-payments for Part D beneficiaries receiving the low-income subsidy Medicaid Program, Covered Outpatient Drugs rulemaking Medicare sustainable growth rate policy issues Implementation issues relating to the Physician Payment Sunshine Act, including Medicare, Medicaid, Childrens Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests rulemaking Issues related to better use of medicine and adherence

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Delay of implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013, 2014 and 2015 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3698 - Two-Midnight Rule Delay Act H.R. 3796 - Comprehensive Care Payment Innovation Act H.R. 3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302 - Protecting Access to Medicare Act H.R. 4663 - Protect Patient Access and Promote Hospital Efficiency Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act H.R. 5780 - Protecting the Integrity of Medicare Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act S. 1954/H.R. 4067 - To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S. 1980 - Medicaid and CHIP Continuous Quality Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2491 - Medicare Protection Act S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act S. 2694/H.R. 5723 - Ensuring Access to Primary Care for Women & Children Act

CY 2015 Medicare proposed rule for hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system: Provisions related to packaging of drugs and biologicals.Comprehensive Care Payment Innovation Act (H.R. 3796). Protecting Access to Medicare Act of 2014 (H.R. 4302), in regard to ICD-10. Issues related to Medicare coverage and payment for durable medical equipment. SGR Repeal and Medicare Beneficiary Access Act (S. 1871) Medicare Drug Savings Act (H.R. 1588, S. 740) Protecting the Integrity of Medicare Act of 2014 (H.R. 5780)

Client expense: $415,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act S. 2800: Patient Centered Quality Care for Life Act S. 641: Palliative Care and Hospice Education and Training Act S. 2348: Removing Barriers to Colorectal Cancer Screening Act of 2014 H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation H.R. 4384: America HEALS Act H.R. 3547: Consolidated Appropriations Act, 2014 Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Legal Liability Legislation National Trauma Institute Agenda 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering Device Tax Protecting Integrity in Medicare Act Misvalued Codes 10- and 90-Day Global Code Transition Pay-for-Performance Programs Hospital Improvements for Payment (HIP) Act of 2014 Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act S. 2800: Patient Centered Quality Care for Life Act S. 641: Palliative Care and Hospice Education and Training Act S. 2348: Removing Barriers to Colorectal Cancer Screening Act of 2014 H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation H.R. 4384: America HEALS Act H.R. 3547: Consolidated Appropriations Act, 2014 Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Legal Liability Legislation National Trauma Institute Agenda 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering Device Tax Protecting Integrity in Medicare Act Misvalued Codes 10- and 90-Day Global Code Transition Pay-for-Performance Programs Hospital Improvements for Payment (HIP) Act of 2014 Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act S. 2800: Patient Centered Quality Care for Life Act S. 641: Palliative Care and Hospice Education and Training Act S. 2348: Removing Barriers to Colorectal Cancer Screening Act of 2014 H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation H.R. 4384: America HEALS Act H.R. 3547: Consolidated Appropriations Act, 2014 Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Legal Liability Legislation National Trauma Institute Agenda 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering Device Tax Protecting Integrity in Medicare Act Misvalued Codes 10- and 90-Day Global Code Transition Pay-for-Performance Programs Hospital Improvements for Payment (HIP) Act of 2014 Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act S. 2800: Patient Centered Quality Care for Life Act S. 641: Palliative Care and Hospice Education and Training Act S. 2348: Removing Barriers to Colorectal Cancer Screening Act of 2014 H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation H.R. 4384: America HEALS Act H.R. 3547: Consolidated Appropriations Act, 2014 Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Legal Liability Legislation National Trauma Institute Agenda 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering Device Tax Protecting Integrity in Medicare Act Misvalued Codes 10- and 90-Day Global Code Transition Pay-for-Performance Programs Hospital Improvements for Payment (HIP) Act of 2014 Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Delay of implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013 and 2014 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3698 - Two-Midnight Rule Delay Act H.R. 3796 - Comprehensive Care Payment Innovation Act H.R. 3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302 - Protecting Access to Medicare Act H.R. 4663 - Protect Patient Access and Promote Hospital Efficiency Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act S. 1954/H.R. 4067 - To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S. 1980 - Medicaid and CHIP Continuous Quality Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2491 - Medicare Protection Act S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act S. 2694 - Ensuring Access to Primary Care for Women & Children Act

CY 2015 Medicare proposed rule for hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system: (1) Provisions related to reassignment of disposable negative pressure wound therapy to APC 0015; (2) Provisions related to packaging of drugs and biologicals.Comprehensive Care Payment Innovation Act (H.R. 3796). Protecting Access to Medicare Act of 2014 (H.R. 4302), in regard to ICD-10. Issues related to Medicare coverage and payment for durable medical equipment. SGR Repeal and Medicare Beneficiary Access Act (S. 1871) Medicare Drug Savings Act (H.R. 1588, S. 740)

Client expense: $375,000 · Firm income: Not reported

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

H.R. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to the Independent Payment Advisory Board H.R. 460, Patients Access to Treatments Act: Provisions related to cost sharing in the specialty tier H.R. 928, Medicare Prescription Drug Savings and Choice Act of 2013: Provisions related to Part D issues H.R. 1024, Medication Therapy Management Empowerment Act of 2013: Provisions related to medication therapy management in Part D H.R. 1102, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference H.R. 1588, Medicare Drug Savings Act of 2013: Provisions related to Part D issues H.R. 2753 Securing Care for Seniors Act: Provisions related to Value Based Insurance Design H.R. 2810, Medicare Patient Access and Quality Improvement Act: Provisions related to SGR reform H.R. 2827, To amend title XVIII of the Social Security Act to allow for fair application of the exceptions process for drugs in tiers in formularies in prescription drug plans under Medicare part D: Provisions related to Medicare Part D Drug Tier Formularies H.R. 2925, Strengthening Medicare Anti-Fraud Measures Act of 2013: Provisions related to fraud and abuse H.R. 3392, Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013: Provisions related to lock-in programs H.R. 3796, Comprehensive Care Payment Innovation Act: Provisions related to alternative payment models H.R. 3890 Better Care, Lower Cost Act: Provisions related to Part D, value-based insurance design, and chronic disease H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Provisions related to sustainable growth rate (SGR) and Medicare provider payment reform H.R. 4160, Keep the Promise to Seniors Act of 2014: Provisions related to Part D issues H.R. 4302, Protecting Access to Medicare Act of 2014: Provisions related to the biopharmaceutical industry H.R. 4577, Ensuring Seniors Access to Local Pharmacies Act of 2014: Provisions related to Part D preferred pharmacy networks H.R. 5183, Value Based Insurance Design for Better Care Act of 2014: Provisions related to valued base insurance design demonstration program H.R. 5558 ACO Improvement Act: Provisions related to alternate payment models S. 117, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference S. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to Independent Payment Advisory Board S. 408, Medicare Prescription Drug Savings and Choice Act of 2013: Provision related to Part D issues S. 557, Medication Therapy Management Empowerment Act of 2013: Provisions related to Part D and medication therapy management S. 740, Medicare Drug Savings Act of 2013: Provisions related to Part D issues Deficit reduction policy issues S. 882, Stop Trafficking of Pills (STOP) Act: Provisions related to lock-in programs (112th Congress) S. 1365, Part D Beneficiary Appeals Fairness Act: Provisions related to the specialty tier in Part D S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013: Provisions related to reforming Medicare physician payments S. 1932, Better Care, Lower Cost Act: Provisions related to Part D, value-based insurance design, and chronic disease S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Provisions related to SGR reform S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014: Provisions related to SGR reform Medicare Prescription Drug Diversion and Abuse Prevention Act: Provisions related to diversion and abuse (no bill number) Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefits Programs: Provisions related to Part D Proposals to increase co-payments for Part D beneficiaries receiving the low-income subsidy Medicaid Program, Covered Outpatient Drugs rulemaking Medicare sustainable growth rate policy issues Implementation issues relating to the Physician Payment Sunshine Act, including Medicare, Medicaid, Childrens Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests rulemaking Issues related to better use of medicine and adherence Protecting Integrity in Medicare Act of 2014 (no bill number): Provisions related to addressing fraud, prescription drug abuse, and other issues Lock-in concepts generally

P.L.113-146, Veterans Access, Choice, and Accountability Act of 2014 (Section 105. Prompt Payment by Department of Veterans Affairs) H.R.2450, Veterans Access to Care through Choice, Accountability, and Transparency (All sections of full text) H.R.4810, Veterans Access to Care Act of 2014 (All sections of full text) Discussions pertaining to hospital-centric U.S. job creation as tabulated by DOL Bureau of Labor Statistics. Discussions regarding FAA regulations impacting a health care facility in Virginia P.L.112-25, The Budget Control Act (Sections regarding the impact of Medicare sequestration on hospitals) H.R.351, Protecting Seniors Access to Medicare Act of 2013 (All sections of full text) H.R.2027, Expanding Patients Access to Quality Care Act of 2013 (All sections of full text) H.R.3121, American Health Care Reform Act of 2013 (All sections of full text) H.R.3698, Two-Midnight Rule Delay Act of 2013 (All sections of full text) H.R.3796, Comprehensive Care Payment Innovation Act (All sections of full text) S.2082, Two-Midnight Rule Coordination and Improvement Act of 2014 (All sections of full text) Draft Senate legislation known as the Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act. Monitored discussions involving group purchasing organizations

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

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $195,098 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $195,098 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $52,423 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $52,423 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $195,098 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $195,098 · Firm income: Not reported

Provisions related to packaging of drugs and biologicals in the Medicare proposed rule for hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system (CMS-1601-P), published on July 8, 2013 SGR Repeal and Medicare Beneficiary Access Act (S. 1871) Medicare Drug Savings Act (H.R. 1588, S. 740)Comprehensive Care Payment Innovation Act (H.R. 3796). Protecting Access to Medicare Act of 2014 (H.R. 4302), in regard to ICD-10.

Client expense: $430,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3698 Two-Midnight Rule Delay Act of 2013 (all sections of full text) (support) S 2082 Two-Midnight Rule Coordination and Improvement Act of 2014 (all sections of full text)(support) PL 112-25 The Budget Control Act (sections regarding the impact of Medicare sequestration on hospitals) Draft Senate legislation known as the Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act Monitored discussions involving group purchasing organizations HR 351 Protecting Seniors' Access to Medicare Act of 2013 (all sections of full text) HR 3796 Comprehensive Care Innovation Act (all sections of full text) HR 3121 American Health Care Reform Act of 2013 (all sections of full text) S 1845 Emergency Unemployment Compensation Extension Act (sections pertaining to pay-for proposals) HR 2027 Expanding Patients' Access to Quality Care Act of 2013 (all sections of full text)(Oppose) S. 2450 Veterans' Access to Care through Choice, Accountability, and Transparency (sections pertaining to prompt-pay provisions for non-VA providers) HR 3230 Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 (sections pertaining to prompt-pay provisions for non-VA providers) HR 4810 Veteran Access to Care Act of 2014 (sections pertaining to prompt-pay provisions for non-VA providers) Discussions pertaining to hospital centric U.S. job creation as tabulated by DOL Bureau of Labor Statistics

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

H.R. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to the Independent Payment Advisory Board H.R. 460, Patients Access to Treatments Act: Provisions related to cost sharing in the specialty tier H.R. 928, Medicare Prescription Drug Savings and Choice Act of 2013: Provisions related to Part D issuesH.R. 1024, Medication Therapy Management Empowerment Act of 2013: Provisions related to medication therapy management in Part D H.R. 1102, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference H.R. 1588, Medicare Drug Savings Act of 2013: Provisions related to Part D issues H.R. 2810, Medicare Patient Access and Quality Improvement Act: Provisions related to SGR reform H.R. 2827, To amend title XVIII of the Social Security Act to allow for fair application of the exceptions process for drugs in tiers in formularies in prescription drug plans under Medicare part D: Provisions related to Medicare Part D Drug Tier Formularies H.R. 2925, Strengthening Medicare Anti-Fraud Measures Act of 2013: Provisions related to fraud and abuse H.R. 3392, Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013: Provisions related to lock-in programs H.R. 3796, Comprehensive Care Payment Innovation Act: Provisions related to alternative payment models H.R. 4160, Keep the Promise to Seniors Act of 2014: Provisions related to Part D issues H.R. 4302, Protecting Access to Medicare Act of 2014: Provisions related to the biopharmaceutical industry S. 117, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference S. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to Independent Payment Advisory Board S. 408, Medicare Prescription Drug Savings and Choice Act of 2013: Provision related to Part D issues S. 740, Medicare Drug Savings Act of 2013: Provisions related to Part D issues Deficit reduction policy issues S. 882, Stop Trafficking of Pills (STOP) Act: Provisions related to lock-in programs (112th Congress) S. 1365, Part D Beneficiary Appeals Fairness Act: Provisions related to the specialty tier in Part D S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013: Provisions related to reforming Medicare physician payments S. 1932, Better Care, Lower Cost Act: Provisions related to Part D, value-based insurance design, and chronic disease S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Provisions related to SGR reform S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014: Provisions related to SGR reform Medicare Prescription Drug Diversion and Abuse Prevention Act: Provisions related to diversion and abuse (no bill number) Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefits Programs: Provisions related to Part D Proposals to increase co-payments for Part D beneficiaries receiving the low-income subsidy Medicaid Program, Covered Outpatient Drugs rulemaking Medicare sustainable growth rate policy issues Implementation issues relating to the Physician Payment Sunshine Act, including Medicare, Medicaid, Childrens Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests rulemaking Issues related to better use of medicine and adherence

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Delay of implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013 and 2014 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3698 - Two-Midnight Rule Delay Act H.R. 3796 - Comprehensive Care Payment Innovation Act H.R. 3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302 - Protecting Access to Medicare Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act S. 1954/H.R. 4067 - To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S. 1980 - Medicaid and CHIP Continuous Quality Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act

See page three for specific Medicare/Medicaid issues.S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation S.Res.445: A resolution recognizing the importance of cancer research and the contributions of scientists, clinicians, and patient advocates across the United States who are dedicated to finding a cure for cancer, and designating May 2014 as "National Cancer Research Month". Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative

Client expense: $36,905 · Firm income: Not reported

See page five for specific Health issues.S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation S.Res.445: A resolution recognizing the importance of cancer research and the contributions of scientists, clinicians, and patient advocates across the United States who are dedicated to finding a cure for cancer, and designating May 2014 as "National Cancer Research Month". Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative

Client expense: $36,905 · Firm income: Not reported

See page 3 for specific Medicare/Medicaid issues.S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation S.Res.445: A resolution recognizing the importance of cancer research and the contributions of scientists, clinicians, and patient advocates across the United States who are dedicated to finding a cure for cancer, and designating May 2014 as "National Cancer Research Month". Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative

Client expense: $185,063 · Firm income: Not reported

See page five for specific Health issues.S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H.R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation S.Res.445: A resolution recognizing the importance of cancer research and the contributions of scientists, clinicians, and patient advocates across the United States who are dedicated to finding a cure for cancer, and designating May 2014 as "National Cancer Research Month". Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative

Client expense: $185,063 · Firm income: Not reported

General provisions related to Tennessees Medicaid DSH programGeneral provisions related to Medicare/Medicaid cuts to VUMC Issues related to potential offsets for SGR reform and short-term patch for SGR Issues related to HOPD payments Issues related to CMS Two Midnights Rule Issues related to proposed Medicare/Medicaid provider cuts including extension of 2 percent sequester provider cut Issues related to the RAC program Issues related to GME Issues related to TennCare enrollment changes Issues related to Medicaid medically complex children program Issues related to the CMS area wage index H.R.3698, Two-Midnight Rule Delay Act provisions related to the potential delay of CMS' Two Midnight rule H.R.3796, the Comprehensive Care Payment Innovation Act provisions related to bundled payment reforms H.R. 4302, Medicare Physician Payment patch - provisions related to SGR patch and potential DSH payments

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose efforts to repeal certain provisions of the Patient Protection and Affordable Care Act relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests.Oppose efforts to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. Bad Debt Payments to Hospitals Lawmakers have proposed lowering the amount of Medicare Bad Debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. Direct and Indirect Graduate Medical Education Payments Lawmakers have proposed changes to the way that hospitals are reimbursed for the costs of training physicians and other medical professionals. Advocate for the extension the Medicare Dependent Hospital (MDH) and current Low-Volume Hospital (LVH) programs. S. 842, the Rural Hospital Access Act of 2013 and H.R. 1787, the Rural Hospital Access Act of 2013 Oppose the lowering of Medicare outpatients rates for Evaluation and Management visits in a hospital S. 1680 - Craig Thomas Rural Hospital and Provider Equity Act of 2011 - A bill to amend title XVIII of the Social Security Act to protect and preserve access of Medicare beneficiaries in rural areas to health care providers under the Medicare program, and for other purposes. Support transition to revised Medicare DSH policy Oppose any cuts to the Medicaid DSH funds above and beyond what was legislated in the Affordable Care Act Support a long-term patch or full repeal of the Sustainable Growth Rate for Physician payments in Medicare that does not cut hospitals. Oppose the proposal of lowering Medicare reimbursements to Inpatient Rehabilitation Facilities. Support a reasonable one-time budget neutrality adjustment for long-term care hospitals. Sequestration - against extending the Medicare Sequester to pay for extensions of unemployment insurance or other non-health care programs. Advocate in support of reauthorization of funding for quality measure development, endorsement, pre-rulemaking review and recommendations, and collection of data analyzing measure implementation under MIPPA (P.L. 110-275, Section 1980 ) and ACA (P.L. 111-148, Section 3014) for the consensus-based entity (National Quality Forum). H.R.1250 and S. 1012, "Medicare Audit Improvement Act of 2013" -- supports legislation to improve Medicare audits. Advocate for lower hospital Medicare/ Medicaid cuts in any Entitlement Reform package. Price Transparency - advocate for meaningful price transparency for consumers by ensuring they have access to out of pocket price information. Medicare IPPS- advocate for favorable IPPS and OPPS hospital reimbursement policies. CMS "2 Midnight" Policy - advocate for policy to allow for physician judgment on whether a patient should be considered inpatient or outpatient status; oppose Administration's proposed rule on "2 Midnight." H.R. 3796, "The Comprehensive Care Payment Innovation Act" - Establishes a voluntary bundle payment model. FAH was asked to review.

HR 3698 Two-Midnight Rule Delay Act of 2013 (all sections of full text) S 2082 Two-Midnight Rule Coordination and Improvement Act of 2014 (all sections of full text) HR 4302 Protecting Access to Medicare Act of 2014 (all sections of full text) Draft legislation pertaining to the Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act Monitored discussions involving group purchasing organizations HR 351 Protecting Seniors' Access to Medicare Act of 2013 (all sections of full text) HR 3796 Comprehensive Care Innovation Act (all sections of full text) HR 3121 American Health Care Reform Act of 2013 (all sections of full text) S 1845 Emergency Unemployment Compensation Extension Act (all sections of full text) HR 2027 Expanding Patients' Access to Quality Care Act of 2013 (all sections of full text)(Oppose) Discussions related to Medicare Administrative Contractors (MACs) and Recovery Audit Contractors (RACs) under the jurisdiction of CMS Discussions involving trauma care

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare post-acute care reform, chronic care reform, Home Health Prospective Payment System Rate Update for CY 2014 (CMS-1450-F), S.1932/H.R. 3890: Better Care, Lower Cost Act, H.R. 3796: Comprehensive Care Payment Innovation Act, S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013, H.R. 4015: SGR Repeal and Medicare Provider Payment Modernization Act of 2014, S. 596: Fostering Independence Through Technology (FITT) Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to the Independent Payment Advisory Board H.R. 928, Medicare Prescription Drug Savings and Choice Act of 2013: Provisions related to Part D issues H.R. 1024, Medication Therapy Management Empowerment Act of 2013: Provisions related to medication therapy management in Part DH.R. 1102, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference H.R. 1588, Medicare Drug Savings Act of 2013: Provisions related to Part D issues H.R. 2810, Medicare Patient Access and Quality Improvement Act: Provisions related to SGR reform H.R. 2827, Part D Beneficiary Appeals Fairness Act: Provisions related to the specialty tier in Part D H.R. 2925, Strengthening Medicare Anti-Fraud Measures Act of 2013: Provisions related to fraud and abuse H.R. 3392, Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013: Provisions related to lock-in programs H.R. 3796, Comprehensive Care Payment Innovation Act: Provisions related to alternative payment models H.R. 4160, Keep the Promise to Seniors Act of 2014: Provisions related to Part D issues H.R. 4302, Protecting Access to Medicare Act of 2014: Provisions related to the biopharmaceutical industry S. 117, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference S. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to Independent Payment Advisory Board S. 408, Medicare Prescription Drug Savings and Choice Act of 2013: Provision related to Part D issues S. 740, Medicare Drug Savings Act of 2013: Provisions related to Part D issues Deficit reduction policy issues S. 882, Stop Trafficking of Pills (STOP) Act: Provisions related to lock-in programs (112th Congress) S. 1365, Part D Beneficiary Appeals Fairness Act: Provisions related to the specialty tier in Part D S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013: Provisions related to reforming Medicare physician payments S. 1932, Better Care, Lower Cost Act: Provisions related to Part D, value-based insurance design, and chronic disease S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Provisions related to SGR reform S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014: Provisions related to SGR reform Medicare Prescription Drug Diversion and Abuse Prevention Act: Provisions related to diversion and abuse (no bill number) Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefits Programs: Provisions related to Part D Proposals to increase co-payments for Part D beneficiaries receiving the low-income subsidy Medicaid Program, Covered Outpatient Drugs rulemaking Medicare sustainable growth rate policy issues Implementation issues relating to the Physician Payment Sunshine Act, including Medicare, Medicaid, Childrens Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests rulemaking

Provisions related to packaging of drugs and biologicals in the Medicare proposed rule for hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system (CMS-1601-P), published on July 8, 2013 SGR Repeal and Medicare Beneficiary Access Act (S. 1871) Medicare Drug Savings Act (H.R. 1588, S. 740)Comprehensive Care Payment Innovation Act (H.R. 3796)

Client expense: $520,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE