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

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.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. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 Craig Thomas Rural Hospital and Provider Equity Act of 2014 S.2694/H.R. 5723 Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts H.R. 5780, Protecting the Integrity of Medicare Act of 2014 (PIMA) Hospital Improvements for Payment (HIP) Act of 2014 Protecting the Public and Healthcare Workers from Ebola

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

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

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

H.R. 4302 Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 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. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 Protecting the Integrity of Medicare Act of 2014 (PIMA) S.2694 - Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts

Client expense: $122,011 · Firm income: Not reported

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

H.R. 485 National Nurse Act of 2013 Provisions related to Emergency Contraception as an over-the-counter product. In opposition to the District of Columbia Pain-Capable Unborn Child Protection Act H.R. 1797. S. 649; Safe Communities, Safe School Act, - support for.Pregnant Workers Fairness Act (S. 942/H.R. 1975) Support for provisions related to BPA in Food Packaging Right to Know Act. Strengthening provisions in S. 1009 Chemical Safety Improvement Act. Support for a final unique device identifier rule. Support for provisions to reauthorize funding for quality initiatives. Support for H.R. 2457 Women's Preventive Health Awareness Campaign Act. In opposition of House Chemicals in Commene Act Discussion Draft. Support for S. 1944 TRICARE Moms Improvement Act, Support for H.R. 4663. Protect patient access and promote hospital efficiency act. Ban Poisonous Additives Act of 2014. Pregnant Workers Fairness Act (H.R. 1975) Letter to Sec. Burwell congratulating her on her new position Thank you letter for introducing S. Res. 514 designating the week of August 10 through 16, 2014, as National Nurse-Managed Health Clinic Week. Essential Health Benefits (EHB).

Client expense: $405,196 · Firm income: Not reported

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. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4385 Improving Access to Maternity Care Act of 2014 H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S. 2694 Ensuring Access to Primary Care for Women & Children Act S. 2154 Emergency Medical Services for Children Reauthorization Act of 2014 Lobbied Members of Congress regarding the demand for nurses and nurse faculty and the need for highly educated nurses to provide quality health care. Discussed with HHS agencies and lobbied Members of Congress to promote the role Advanced Practice Registered Nurses will play in a reformed healthcare delivery system. Discussed with HHS agencies and lobbied Members of Congress regarding quality initiatives and cost saving healthcare programs.

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

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

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. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 Protecting the Integrity of Medicare Act of 2014 (PIMA) S.2694 - Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts

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

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

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. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act S.2694 Ensuring Access to Primary Care for Women & Children Act S. 2658 Accelerating Biomedical Research Act S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 H.R. 4385 Improving Access to Maternity Care Act of 2014 H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act

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

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

H.R. 2986, the Protecting Access to Primary Care Act Certification for Inpatient Hospital Services Non-Discrimination Provisions of the ACA S. 1932/H.R. 3890 - Better Care, Lower Cost Act H.R. 4663, the Protect Patient Access and Promote Hospital Efficiency Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

H.R. 4302 Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 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. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014

Client expense: $118,293 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

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. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4385 Improving Access to Maternity Care Act of 2014 H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act Lobbied Members of Congress regarding the demand for nurses and nurse faculty and the need for highly educated nurses to provide quality health care. Discussed with HHS agencies and lobbied Members of Congress to promote the role Advanced Practice Registered Nurses will play in a reformed healthcare delivery system. Discussed with HHS agencies and lobbied Members of Congress regarding quality initiatives and cost saving healthcare programs.

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

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

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Health care coverage and payment options in tax reform discussions Policies affecting nurse practitioner education and workforce Definition of essential health benefits Health information technology and electronic health records Mental health services and violence prevention Draft legislation on reauthorization of the National Quality Forum Coverage and payment for health care services furnished to undocumented immigrant children H.R. 297/S. 1557 - Childrens Hospital GME Support Reauthorization Act H.R. 628/S. 195 - Mental Health in Schools Act H.R. 669 - Sudden Unexpected Death Data Enhancement and Awareness Act H.R. 1249/S. 1756 - Common Sense Nutrition Disclosure Act H.R. 1281/S. 1417 - Newborn Screening Saves Lives Reauthorization Act H.R. 1427 - Truth in Healthcare Marketing Act H.R. 1791 - Medical Preparedness Allowable Use Act H.R. 1947/H.R. 2642 - Federal Agriculture Reform and Risk Management (FARRM) Act H.R. 2019 - Gabriella Miller Kids First Research Act H.R. 2285 - Strategies to Address Antimicrobial Resistance Act H.R. 2575 - Save American Workers Act H.R. 2663/S. 1422 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings H.R. 2833/S. 2278 - Safeguarding Care of Patients Everywhere (SCOPE) Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3102 - Nutrition Reform and Work Opportunity Act H.R. 3121 - American Health Care Reform Act H.R. 3147 - Food Labeling Modernization Act H.R. 3306 - Telehealth Enhancement Act H.R. 3527 - Poison Center Network Act H.R. 3717 - Helping Families in Mental Health Crisis Act H.R. 3742 - Antibiotic Development to Advance Patient Treatment (ADAPT) Act H.R. 4118 - Suspending the Individual Mandate Penalty Law Equals (SIMPLE) Fairness Act H.R. 4290 - Wakefield Act H.R. 4574 - Strengthening Mental Health in Our Communities Act H.R. 4631/S. 2449 - Autism Collaboration, Accountability, Research, Education and Support (Autism CARES) Act H.R. 4663 - Protect Patient Access and Promote Hospital Efficiency Act H.R. 4673 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 4783 - Promoting Healthy Minds for Safer Communities Act H.R. 4888 - Coordinated Recovery Initiative for Babies (CRIB) Act S. 264/H.R. 1263 - Excellence in Mental Health Act S. 689 - Mental Health Awareness and Improvement Act S. 696 - Safe Chemicals Act S. 744/H.R. 15 - Border Security, Economic Opportunity, and Immigration Modernization Act S. 954 - Agriculture Reform, Food, and Jobs Act S. 1009 - Chemical Safety Improvement Act S. 1014 - Youth Sports Concussion Act S. 1086 - Safe Child Care Act/Child Care and Development Block Grant Reauthorization Act S. 1152 - Building a Health Care Workforce for the Future Act S. 1417 - Newborn Screening Saves Lives Act S. 1697 - Strong Start for Americas Children Act S. 1758 - Quality Data, Quality Healthcare Act S. 1932/H.R. 3890 - Better Care, Lower Cost Act S. 2154 - Emergency Medical Services for Children Reauthorization Act S. 2229 - Expanding Primary Care Access and Workforce Act S. 2434/H.R. 4865 - Family Coverage Act S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2491 - Medicare Protection Act

H.R. 4302 Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 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. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014

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

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

H.R. 485 National Nurse Act of 2013 Provisions related to Emergency Contraception as an over-the-counter product. In opposition to the District of Columbia Pain-Capable Unborn Child Protection Act H.R. 1797. S. 649; Safe Communities, Safe School Act, - support for.Provisions related /the House Resolution to commemorate National Nurses Week (H.R. Res. 540). Support for provisions related to BPA in Food Packaging Right to Know Act. Strengthening provisions in S. 1009 Chemical Safety Improvement Act. Support for a final unique device identifier rule. Support for provisions to reauthorize funding for quality initiatives. Support for Carol Romano, PhD, RN, BC, NEA, FAAN, FAC MI, RADM (Ret.) USPHS for the position of U.S. Surgeon General. Support for H.R. 2457 Women's Preventive Health Awareness Campaign Act. In opposition of House Chemicals in Commene Act Discussion Draft. Support for S. 1944 TRICARE Moms Improvement Act, Support for H.R. 4663. Protect patient access and promote hospital efficiency act. Support Maternal Health Accountability Act.

Client expense: $405,196 · Firm income: Not reported

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