Trauma Systems and Regionalization of Emergency Care Reauthorization Act

Issues pertaining to implementation of the Affordable Care Act, particularly Medicaid expansion and state marketplaces Medical tort reformIssues related to 340B program integrity, oversight, program intent, contract pharmacies Issues relate to Drug Shortages Issues related to the 340B program clarification around group purchasing organizations Veterans Administration private sector health insurance plan Issues around gun violence prevention and mental health S.744 Border Security, Economic Opportunity and Immigration Modernization Act, provisions relating to immigrant healthcare coverage and access H.R. 2494 Health Equity & Accountability Act Issues related to beneficiaries payment of health coverage and copays in the health insurance marketplace Issues related to the ability of essential community providers to contract in health insurance exchanges H.R. 4106 Saving Lives, Saving Costs Act H.R. 4302 Protecting Access to Medicare Act - all sections H.R. 4080 Trauma Systems and Regionalization of Emergency Care Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Support for reauthorization of trauma care programs, including S. 2405, H.R. 4080, H.R. 3548; support for appropriations for trauma programs in Parts A-D and H of Title XII of Public Health Service Act; development of new reimbursement models for trauma care under Medicare.

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

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

Support for H.R. 809, the Field EMS Quality Innovation and Improvement Act, including introduction in the Senate of S.2400; Support for H.R. 4080 and S.2405 to reauthorize the Trauma Systems Planning Act & Regionalization of Emergency Care Pilot Program.

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

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

Client expense: $21,375 · 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)

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

Client expense: $21,375 · 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)

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

Client expense: $54,750 · 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)

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

Client expense: $54,750 · 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)

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryS. 2196, Good Samaritan Health Professionals Act: medical liability protections for physician volunteers in a disaster S.2220, Liability protections for sports medicine professionals S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1098, Traumatic Brain Injury Reauthorization Act: Funding for traumatic brain injury H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program H.R.3532: Protecting Student Athletes from Concussions: education and preventio nof concussions in students H.R. 3722, Liability protections for sports medicine professionals H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 4106, Saving Lives, Saving Costs Act: medical liability reform H.R. 4750, Standard of Care Protection Act of 2013: Medical liability reform H. R. 522: National Brain Aneurysm Awareness Month No bill: Medical liability reform modeled after California's MICRA (Draft) Facilitating Participation in Clinical Data Registries Act of 2014: Requires OHRP to issue definitive guidance about the Common Rule, vis-a-vis registries, within a year of enactment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryS. 2196, Good Samaritan Health Professionals Act: medical liability protections for physician volunteers in a disaster S.2220, Liability protections for sports medicine professionals S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1098, Traumatic Brain Injury Reauthorization Act: Funding for traumatic brain injury H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program H.R.3532: Protecting Student Athletes from Concussions: education and preventio nof concussions in students H.R. 3722, Liability protections for sports medicine professionals H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 4106, Saving Lives, Saving Costs Act: medical liability reform H.R. 4750, Standard of Care Protection Act of 2013: Medical liability reform H. R. 522: National Brain Aneurysm Awareness Month No bill: Medical liability reform modeled after California's MICRA (Draft) Facilitating Participation in Clinical Data Registries Act of 2014: Requires OHRP to issue definitive guidance about the Common Rule, vis-a-vis registries, within a year of enactment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to implementation of the Affordable Care Act, particularly Medicaid expansion and state marketplaces Medical tort reformIssues related to 340B program integrity, oversight, program intent, contract pharmacies Issues relate to Drug Shortages Issues related to the 340B program clarification around group purchasing organizations Veterans Administration private sector health insurance plan Issues around gun violence prevention and mental health S.744 Border Security, Economic Opportunity and Immigration Modernization Act, provisions relating to immigrant healthcare coverage and access H.R. 2494 Health Equity & Accountability Act Issues related to beneficiaries payment of health coverage and copays in the health insurance marketplace Issues related to the ability of essential community providers to contract in health insurance exchanges H.R. 4106 Saving Lives, Saving Costs Act H.R. 4302 Protecting Access to Medicare Act - all sections H.R. 4080 Trauma Systems and Regionalization of Emergency Care Reauthorization Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

HR4080 - Trauma Care Planning Grant Authorization

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

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 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

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)

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

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)

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

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)

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

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)

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

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)

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

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.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3230 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 H.R.4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 Stop Overdose Stat Act H.R.4290 Wakefield Act of 2014 H.R.4574 Strengthening Mental Health in Our Communities Act of 2014 H.R.5460 Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act S.1871 SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 S.2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 Medicare Choices Empowerment and Protection Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014 S.2450 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 S.2501 Hospital Readmission Accuracy and Accountability Act S.2539 Traumatic Brain Injury Reauthorization Act of 2014

Client expense: $291,064 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR4080 - Trauma Care Planning Grant Authorization

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for reauthorization of trauma care programs, including S.2405, H.R. 4080, H.R. 3548; support for appropriations for trauma programs in Parts A-D and H of Title XII of Public Health Service Act; development of new reimbursement models for trauma care under Medicare.

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

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

Support for H.R. 809, the Field EMS Quality Innovation and Improvement Act, including introduction in the Senate of S.2400; Support for H.R. 4080 and S.2405 to reauthorize the Trauma Systems Planning Act & Regionalization of Emergency Care Pilot Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4080/ S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act; H.R. 4290,the Wakefield Act; S. 2154, the EMSC Reauthorization Act of 2014; H.R. 2174, S. 153, the Mental Health First Aid Act; patient safety and medical errors; H.R. 3548, Improving Trauma Care Act of 2014

Client expense: $23,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to implementation of the Affordable Care Act, particularly Medicaid expansion and state marketplaces Medical tort reform The Confirmation of Sylvia Buwell for Secretary of Health and Human ServicesIssues related to 340B program integrity, oversight, program intent, contract pharmacies Issues relate to Drug Shortages S.2257 - Excellence In Mental Health act & introduced as S. Amdt.733 to S.649 - concerning certified community behavioral health clinics in particular provisions concerning Disproportionate Share Hospital Rebaing allotments Issues related to the 340B program clarification around group purchasing organizations Veterans Administration private sector health insurance plan Issues around gun violence prevention and mental health S.744 Border Security, Economic Opportunity and Immigration Modernization Act, provisions relating to immigrant healthcare coverage and access Health care disparities (Health Equity & Accountability Act, not yet introduced) Issues related to beneficiaries payment of health coverage and copays in the health insurance marketplace Issues related to the ability of essential community providers to contract in health insurance exchanges H.R. 4106 Saving Lives, Saving Costs Act H.R. 4302 Protecting Access to Medicare Act - all sections H.R. 4080 Trauma Systems and Regionalization of Emergency Care Reauthorization Act

Client expense: $300,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryS. 2196, Good Samaritan Health Professionals Act: medical liability protections for physician volunteers in a disaster S.2220, Liability protections for sports medicine professionals S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1098, Traumatic Brain Injury Reauthorization Act: Funding for traumatic brain injury H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program H.R.3532: Protecting Student Athletes from Concussions: education and preventio nof concussions in students H.R. 3722, Liability protections for sports medicine professionals H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 4106, Saving Lives, Saving Costs Act: medical liability reform H.R. 4750, Standard of Care Protection Act of 2013: Medical liability reform H. R. 522: National Brain Aneurysm Awareness Month No bill: Medical liability reform modeled after California's MICRA (Draft) Facilitating Participation in Clinical Data Registries Act of 2014: Requires OHRP to issue definitive guidance about the Common Rule, vis-a-vis registries, within a year of enactment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 44, Medical Care Access Protection Act of 2013: Medical liability reform S.961 - Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections S. 1152: Building a Health Care Workforce for the Future Act: grants to train more physicians S. 1516, the Concussion Treatment and Care Tools Act: Guidelines for mild traumatic brain injuryS. 2196, Good Samaritan Health Professionals Act: medical liability protections for physician volunteers in a disaster S.2220, Liability protections for sports medicine professionals S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 307, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013: emergency and trauma care improvements H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1098, Traumatic Brain Injury Reauthorization Act: Funding for traumatic brain injury H.R.1733 - Good Samaritan Health Professionals Act of 2013: medical liability protections for physician volunteers in a disaster H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act: pediatric loan repayment program H.R.3532: Protecting Student Athletes from Concussions: education and preventio nof concussions in students H.R. 3722, Liability protections for sports medicine professionals H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: grants for improving trauma and emergency care H.R. 4106, Saving Lives, Saving Costs Act: medical liability reform H.R. 4750, Standard of Care Protection Act of 2013: Medical liability reform H. R. 522: National Brain Aneurysm Awareness Month No bill: Medical liability reform modeled after California's MICRA (Draft) Facilitating Participation in Clinical Data Registries Act of 2014: Requires OHRP to issue definitive guidance about the Common Rule, vis-a-vis registries, within a year of enactment

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3230 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 H.R.4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 Stop Overdose Stat Act H.R.4290 Wakefield Act of 2014 H.R.4574 Strengthening Mental Health in Our Communities Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act S.1871 SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 S.2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 Medicare Choices Empowerment and Protection Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014 S.2450 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 S.2501 Hospital Readmission Accuracy and Accountability Act

Client expense: $646,873 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4080/ S. 2405, Trauma Systems and Regionalization of Emergency Care Reauthorization Act; H.R. 4290, S. 2154, the Wakefield Act; H.R. 2174, S. 153, the Mental Health First Aid Act; Advanced Practice Registered Nurses (APRNs) full practice authority within the Veterans Health Administration system

Client expense: $56,500 · Firm income: Not reported

Government targets: Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

HR 4080 - Trauma Care Planning Grant Reauthorization

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

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

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

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

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

Support for H.R. 809, the Field EMS Quality Innovation and Improvement Act, including introduction in the Senate of S.2400; Support for H.R. 4080 and S.2405 to reauthorize the Trauma Systems Planing Act & Regionalization of Emergency Care Pilot Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for reauthorization of trauma care programs, including H.R. 4080, H.R. 3548; support for appropriations for trauma programs in Parts A-D and H of Title XII of Public Health Service Act; development of new reimbursement models for trauma care under Medicare.

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

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

H.R.3527/S.1719, Poison Center Network Act; H.R.1263/S. 264, Excellence in Mental Health Act; H.R. 4080, Trauma Systems and Regionalization of Emergency Care Reauthorization Act; Advanced Practice Registered Nurses (APRNs) full practice authority within the Veterans Health Administration system

Client expense: $22,700 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2154, the Wakefield Act of 2014: funding for Childrens' EMS program H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 297, Children's Hospital GME Support Reauthorization Act: Graduate medical education-residency training H.R. 1098, the Traumatic Brain Injury Reauthorization Act of 2013: Funding for TBI researchH.R. 1473, Standard of Care Protection Act of 2013: Medical liability reform H.R. 4080, the Trauma Systems and Regionalization of Emergency Care Reauthorization Act: Trauma care funding H.R. 4106, the Saving Lives, Saving Costs Act: medical liability reform H.R. 4290, the Wakefield Act of 2014: funding for Childrens' EMS program No bill: Medical liability reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2154, the Wakefield Act of 2014: funding for Childrens' EMS program H.R. 36, Health Care Safety Net Enhancement Act of 2013: EMTALA medical liability protections H.R. 297, Children's Hospital GME Support Reauthorization Act: Graduate medical education-residency training H.R. 1098, the Traumatic Brain Injury Reauthorization Act of 2013: Funding for TBI researchH.R. 1473, Standard of Care Protection Act of 2013: Medical liability reform H.R. 4080, the Trauma Systems and Regionalization of Emergency Care Reauthorization Act: Trauma care funding H.R. 4106, the Saving Lives, Saving Costs Act: medical liability reform H.R. 4290, the Wakefield Act of 2014: funding for Childrens' EMS program No bill: Medical liability reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36-Health Care Safety Net Enhancement Act of 2013 H.R.235-Veteran Emergency Medical Technician Support Act of 2013 H.R.297-Children's Hospital GME Support Reauthorization Act of 2013 H.R.351-Protecting Seniors' Access to Medicare Act of 2013H.R.574-Medicare Physician Payment Innovation Act of 2013 H.R.809-Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098-Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201-Training Tomorrow's Doctors Today Act H.R.1263-Excellence in Mental Health Act H.R.1179-Improving Access to Medicare Coverage Act of 2013 H.R.1180-Resident Physician Shortage Reduction Act of 2013 H.R.1487-Improved Health Care Lower Cost Act of 2013 H.R.1838-Enhanced Access to Medicaid Services H.R.2186-Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900-Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300-Empowering Patients First Act of 2013 H.R.2810-Medicare Patient Access and Quality Improvement Act of 2013 H.R.3392-Patient Safety and Drug Abuse Prevention Act H.R.3527-Poison Center Network Act H.R.3528-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548-Improving Trauma Care Act of 2013 H.R.3717-Helping Families in Mental Health Crisis Act of 2013 H.R.4015-SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106-Saving Lives, Saving Costs Act H.R.4302 (P.L.113-93)-Protecting Access to Medicare Act of 2014 S.44-Medical Care Access Protection (MCAP) Act of 2013 S.264-Excellence in Mental Health Act S.265-Community-Based Mental Health Infrastructure Improvements Act S.328-Strengthening Rural Access to Emergency Services Act S.351-Protecting Seniors' Access to Medicare Act of 2013 S.569-Improving Access to Medicare Coverage Act of 2013 S.577-Resident Physician Shortage Reduction Act of 2013 S.755-Enhanced Access to Medicaid Services S.961-Health Care Safety Net Enhancement Act of 2013 S.1719-Poison Center Network Act S.1871-SGR Repeal and Medicare Beneficiary Access of 2013 S.2110-Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157-Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See page three for specific Medicare/Medicaid issues.MMM 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 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 Pediatric Subspecialty Loan Repayment program Appropriations Two midnights policy Cancer funding IOASE Safe harbor legislation

Client expense: $42,533 · 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

See page five for specific HCR issues.HCR 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 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 Pediatric Subspecialty Loan Repayment program Appropriations Two midnights policy Cancer funding IOASE Safe harbor legislation

Client expense: $42,533 · 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

See page five for specific Health issues.HCR 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 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 Pediatric Subspecialty Loan Repayment program Appropriations Two midnights policy Cancer funding IOASE Safe harbor legislation

Client expense: $180,913 · 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

See page three for specific Medicare/Medicaid issues.MMM 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 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 Pediatric Subspecialty Loan Repayment program Appropriations Two midnights policy Cancer funding IOASE Safe harbor legislation

Client expense: $180,913 · 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

Issues pertaining to implementation of the Affordable Care Act, particularly Medicaid expansion and state marketplaces Medical tort reformIssues related to 340B program integrity, oversight, program intent, contract pharmacies Issues relate to Drug Shortages S.2257 - Excellence In Mental Health act & introduced as S. Amdt.733 to S.649 - concerning certified community behavioral health clinics in particular provisions concerning Disproportionate Share Hospital Rebaing allotments Issues related to the 340B program clarification around group purchasing organizations Veterans Administration private sector health insurance plan Issues around gun violence prevention and mental health S.744 Border Security, Economic Opportunity and Immigration Modernization Act, provisions relating to immigrant healthcare coverage and access Health care disparities (Health Equity & Accountability Act, not yet introduced) Issues related to beneficiaries payment of health coverage and copays in the health insurance marketplace Issues related to the ability of essential community providers to contract in health insurance exchanges H.R. 4106 Saving Lives, Saving Costs Act H.R. 4302 Protecting Access to Medicare Act - all sections H.R. 4080 Trauma Systems and Regionalization of Emergency Care Reauthorization Act

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Support for reauthorization of trauma care programs, including H.R. 4080, H.R. 3548; support for appropriations for trauma programs in Parts A-D and H of Title XII of Public Health Service Act; development of new reimbursement models for trauma care under Medicare.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE