Veteran Access to Care Act of 2014

Appropriations; education related to Hepatitis C treatment guidelines and funding issues. Issues related to coverage, access and reimbursement of pharmaceuticals for veterans. Education related to Implementation of Veterans Access to Care Act, HR 4810/3230 and PL 113-146.

Client expense: $890,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)

Education related to Hepatitis C treatment guidelines and funding issues. Education related to Implementation of Veterans Access to Care Act, HR 4810/3230 and PL 113-146.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Education related to Hepatitis C treatment guidelines and funding issues. Education related to Implementation of Veterans Access to Care Act, HR 4810/3230 and PL 113-146.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Education related to Hepatitis C treatment guidelines and funding issues. Education related to Implementation of Veterans Access to Care Act, HR 4810/3230 and PL 113-146.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Education related to Hepatitis C treatment guidelines. Education related to Implementation of Veterans Access to Care Act, HR 4810.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improving survivor benefits for widows of deceased servicemembers and to restore and improve veterans' benefits. HR 32, HR 235, HR 241, HR 258, HR 288, HR 318, HR 333, HR 357, HR 543, HR 562, HR 679, HR 690, HR 813, HR 883, HR 958, HR 1357, HR 2366, HR 2527, HR 2794, HR 2942, HR 3230, HR 3395, HR 3474, HR 4031, HR 4478, HR 4486, HR 4489, HR 4630, HR 4693, HR 4741, HR 4760, HR 4778, HR 4793, HR 4810, S 6, S 140, S 200, S 210, S 234, S 257, S 262, S 294, S 325, S 373, S 430, S 492, S 495, S 514, S 515, S 572, S 629, S 674, S 690, S 695, S 705, S 734, S 735, S 748, S 778, S 819, S 851, S 863, S 868, S 889, S 893, S 894, S 922, S 927, S 928, S 930, S 932, S 935, S 938, S 939, S 944, S 1039, S 1042, S 1058, S 1291, S 1564, S 1591, S 1624, S 1950, S 1982, S 2182, S 2243, S 2300, S 2333, S 2448, S 2450

Client expense: $523,000 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Commissary Agency, Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Guard, Natl Oceanic & Atmospheric Administration (NOAA), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Secretary of Defense, SENATE, Transportation Security Administration (TSA), U.S. Coast Guard (USCG), U.S. Marines, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

H.R. 1725,Veterans Mental Health Accessibility Act H.R. 5059, Clay Hunt SAV Act S. 628, Service Member Mental Health Review Act S. 2182 Suicide Prevention for American Veterans Act H.R. 4234, Ensuring Veterans Resiliency Act S. 2425, Ensuring Veterans Resiliency Act H.R. 4951 Doctors Helping Heroes Act H.R. 4942 Underserved Veterans Access to Health Care Act S. 2413 Restoring Veterans Trust Act S. 2424 Veterans Choice Act S. 2013/H.R. 4031 Department of Veterans Affairs Management Accountability Act of 2014 H.R. 4841/ S. 2450, Veterans Access to Care through Choice, Accountability and Transparency Act H.R. 4810, Veterans Access to Care Act S.2422, Ensuring Veterans Access to Care Act of 2013 S.2930 Clay Hunt SAV Act

Client expense: $72,153 · Firm income: Not reported

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

Discussed: transportation difficulties experienced by veterans needing to travel to VA healthcare appointments. draft legislation that would improve benefits and services for veterans and their families. how to transform VAs vocational rehabilitation program into a 21st century vocational rehabilitation program. Department of Veterans Affairs Expiring Authorities Act of 2014 (H.R. 5404). Restore Trust in Veterans Access to Health Care Act (H.R. 5007). Guarantee Housing for Terminally Ill Veterans Act (H.R. 4674). Rural Veterans Improvement Act of 2014 (S. 2009). Veteran Voting Support Act (S. 2145). Veterans Appeals Improvement Act of 2014 (S. 2296). 21st Century Veterans Benefits Delivery Act (S. 2091). This legislation would seek to improve the VA claims process. S. 2316, which would require the VAs Inspector General to submit a report on wait times for veterans seeking medical care from VA and to prohibit closure of VA medical facilities. S. 2362, which would prohibit the payment of performance awards in fiscal year 2015 to Veterans Health Administration employees. Increasing Medical Oversight in the Department of Veterans Affairs Act of 2014 (S. 2401). Veterans Access to Care Act of 2014 (H.R. 4810). H.R. 4037, the Improving Veterans Access to Vocational Rehabilitation and Employment Act of 2014. H.R. 2119, the Veterans Access to Speedy Review Act. H.R. 3876, the Burial with Dignity for Heroes Act of 2014. S. 1584 which would provide replacement automobiles for certain disabled veterans and servicemembers. with VAs Prosthetic and Sensory Aids Service standards for installation of adaptive auto equipment paid for by VA. legislation to provide a presumption of service connection for mental health conditions related to military sexual trauma. legislation regarding telework for certain VA employees. H.R. 2088 which would direct VA to carry out a pilot program to establish claims adjudication centers of excellence. H.R. 2726 which would authorize VA to enter into contracts and agreements for the transfer of veterans to non-VA medical foster homes for certain veterans who are unable to live independently. Veterans Health and Benefits Improvement Act of 2013, as amended (S. 944). Access to Appropriate Immunizations for Veterans Act of 2013 (S. 1165). Improving the Lives of Children with Spina Bifida Act (S. 832). VA Claims Efficiency Through Information Act (H.R. 1623). H.R. 2189 which would establish a commission or task force to evaluate the backlog of disability claims. Veterans Pension Protection Act (H.R. 2341). Ending VA Claims Disability Backlog and Accountability Act (H.R. 2138). reforming the VAs claims process to ensure that it is veteran-centered. with advocates a legislative proposal to expand the approved uses of the Post 9/11 GI Bill. access to VA mental health services with the Department of Veterans Affairs, Veterans Health Administration. VetSuccess Enhancement Act (H.R. 844). This legislation would extend from 12 to 17 years the authorized period for an eligible veteran to receive vocational training and rehabilitation from VA. H.R. 894 which would reform VAs fiduciary program. Reducing Barriers to Veterans Benefits Act (H.R. 369). Opposed the Access to Veterans Benefits Improvement Act (H.R. 733). Signed on to a letter to the Chairs and Ranking Members of the Senate and House Veterans Affairs Committee supporting additional resources for VA as it seeks to meet its healthcare obligations. Supported: the Protect Veterans Employment and Training Services Act (Protect VETS Act) (S. 2834). the Creating Options for Veterans Expedited Recovery Act (H.R. 4977). the Clay Hunt Suicide Prevention for American Veterans Act (H.R. 5059). Also discussed the Suicide Prevention for American Veterans Act (S. 2182). Toxic Exposure Research Act of 2014 (H.R. 5484). Wounded Warrior Employment Improvement Act (H.R. 5032). H.R. 4971, the Ask Veterans Act. This legislation would solicit veterans opinions regarding their experiences with VA health care. S. 1659, the POST Act. This legislation would allow for-profit schools to receive no more than 85% of their revenues from federal sources and include DoD Tuition Assistance and G.I. Bill funds in the 85% calculation. S. 2115, the American Cures Act. This legislation would create a biomedical trust fund to sustain federal investment in four leading federal agencies and programs dedicated to mental health and prosthetic research for veterans. Military and Veteran Caregiver Services Improvement Act of 2014 (S. 2243/H.R. 4892). This legislation would increase access to caregiver benefits and make other critical changes needed to ensure improved services for significantly disabled veterans and servicemembers and their caregivers. Disabled Veterans Jobs Opportunity Act (H.R. 4247). This legislation would increase preference in federal hiring for veterans who have disability ratings of 70 percent or greater from VA. Express Appeals Act (H.R. 4616). This legislation would provide veterans with the opportunity to have their appeals of claims for disability compensation benefits reviewed using an expedited review process. Serving Americas Veterans Effectively Act (SAVE Act) (H.R. 5332). This legislation would promote greater awareness of the health care needs of our nations veterans by requiring health care providers who participate in the Medicare and Medicaid programs to ask about a patients veteran status. Veterans Access to Care Through Choice, Accountability, and Transparency Act of 2014 (S. 2450). This legislation represents an important step toward ensuring that veterans have timely access to health care and that VA employees who gamed the system for scheduling care will be held accountable. S. 2450 was inserted into H.R. 3230 (Veterans Access to Care through Choice, Accountability, and Transparency Act of 2014) as an amendment in the nature of a substitute. S. 1950/S. 1982, the Comprehensive Veterans Health and Benefits and Military and Retirement Pay Restoration Act. Also supported Amendment 2755 to add advance appropriations for additional VA accounts to S. 1982. H.R. 2527 which expands access to counseling and treatment for sexual trauma that occurred while a service member was on inactive duty for training status. H.R. 2974 which expands beneficiary travel for veterans seeking treatment or care for military sexual assault at a specialized outpatient or residential facility. H.R. 3958, the Healing our Heroes Act. This legislation would prevent veterans who have sustained a traumatic brain injury (TBI) from being forced to prematurely end their rehabilitation due to the expiration of the Assisted Living Pilot Program for Veterans with TBI. In addition, we supported H.R. 4276 and S. 2607 which would also extend the authorization of the program. H.R. 4234, the Ensuring Veterans Resiliency Act. This legislation would encourage psychiatrists to dedicate their careers to serving our veterans by authorizing a select number of full-time hires to be offered loan repayment incentives commensurate with other federal entities. H.R. 4150, the Veterans Employment and Training Service Longitudinal Study Act of 2014. H.R. 4151, the Veterans Education Survey Act of 2014. H.R. 2018, the Honor Those Who Served Act of 2013. H.R. 2529, the Veteran Spouses Equal Treatment Act. H.R. 3671 which would furnish a medallion to signify the veteran status of a deceased individual. H.R. 4095/S. 2258, the Veterans Compensation Cost-of-Living Adjustment Act of 2014. H.R. 4102 which would allow the estates of deceased veterans to receive accrued benefits. H.R. 4141 which would allow enhanced-use leases for excess property of the National Cemetery Administration. S. 2311/H.R. 3508 which would clarify qualifications of hearing aid specialist of the VHA. Services to Veterans Caregivers (SOS Veterans Caregivers) Act (H.R. 3672). Protecting Those Who Protected Us Act of 2013 (S. 1564). Quicker Veterans Benefits Delivery Act (H.R. 1980/H.R. 4191). House efforts to increase DOD and VA support for Joint Centers of Excellence. Homeless Veterans Assistance Fund Act of 2013 (H.R. 2797). Veterans Independent Living Enhancement Act (H.R. 3330). American Heroes COLA Act (H.R. 570). Veterans Second Amendment Protection Act (H.R. 602). Ruth Moore Act of 2013 (H.R. 671). Honor Americas Guard-Reserve Retirees Act (H.R. 679). VA Claims, Operations, and Records Efficiency Act (H.R. 1729). World War II Merchant Mariner Service Act (H.R. 1288). Blue Water Navy Ship Accountability Act (H.R. 1494). Pay As You Rate Act (H.R. 2086). H.R. 1809 which would require VA to provide notice of average times for processing claims and percentage of claims approved. Prioritizing Urgent Claims for Veterans Act (H.R. 2382). Disabled Veterans Access to Medical Exams Improvement Act (H.R. 2423). Putting Veterans Funding First Act of 2013 (H.R. 813/S. 932). Wounded Warrior Workforce Enhancement Act (S. 522). Veterans Affairs Research Transparency Act (S. 877). legislation authorizing VA to transport individuals to and from VA facilities in connection with rehabilitation, counseling, examination, treatment, and care (H.R. 1702/S. 455). Caregivers Expansion and Improvement Act of 2013 (H.R. 33

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

HR 487, Primary Care Workforce Access Improvement Act, Urge House to cosponsor bill that would create GME pilot project to train primary care doctors, urge Senate offices to sponsor bill, GME reform increase primary care physician training, Pilot test alternatives to GME payment in order to increase primary care physician training.HR 2415, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. HR 3306, Telehealth Enhancement Act, Defining the home base for telehealth reimbursement to incluse family medicine offices. HR 4299, Improving Regulatory Transparency for New Medical Therapies Act, Improving DEA's process for scheduling new drugs approved by the FDA. HR 4709, Ensuring Patient Access and Effective Drug Enforcement Act, Allowing supply chain stakeholders for prescription drugs to collaborate. HR 4810, VA Health Reform, Improve access for veterans to primary care services, both inside the VA and outside. S. 1184, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. S. 1759, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 1994, TRICARE Moms Improvement Act, Supporting TRICARE payment for breastfeeding support and supplies and counseling. S. 1978, Increasing Primary Care Access Act, Family physician workforce, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program, increase family physician workforce. S. 2229, Expanding Primary Care Access and Workforce Act, Reauthorizing Title VII primary care programs, Teaching Health Centers and the NHSC, Reauthorizing Teaching Health Center GME program, Teaching Health Centers Graduate Medical Education, Reauthorizing Title VII primary care programs, Teaching Health Centers and the NHSC. S. 2450, VA Health Reform, Improve access for veterans to primary care services, both inside the VA and outside No Bill Number, Extend Medicare/Medicare parity for primary care services, Extend Medicaid pay increase to Medicare levels beyond 2015. H. Con. Res. 96, House Budget Resolution, Protecting access to primary care in Medicaid. No Bill Number, Children's Health, Advocate for reauthorization of CHIP and children's mental health issues via coalition group meetings. No Bill Number, First Friday & Health Care Provider Meetings, Provider outreach groups for ACA, provider, and open enrollment issues. No Bill Number, SGR Repeal and Replacement process, Advocate for SGR repeal and new physician payment system that pays for value and primary care. No Bill Number, Medicaid Primary Care Bonus, Advocate for extension of the Medicaid bonus which expires at the end of 2014; advocate for members to mention at E&C hearing. No Bill Number, Medicare Primary Care Incentive Payment, Urge Ways and Means members to discuss at annual MedPac hearing. No Bill Number, Telemedicine,advocate for AAFP policies to be included in a potential bipartisan telehealth bill. No Bill Number, Teaching Health Centers, advocate for introduction of bipartisan bill to reauthorize the program. No Bill Number, FY funding increses in AHRQ, Title VII 747, NHSC, Teaching Health Center planning grants, Federal spending priorities to support workforce, research. No Bill Number, Veterans Health Care, advocate for inclusion of policies in final bill that allow family doctors to easily contract with the VA; advocate for primary-care GME slots in the VA. No Bill Number, FDA regulation of tobacco products, Oppose any limits or amendments that would limit FDA ability to regulate cigars. No Bill Number, E-Cigarettes impact on public health; Support FDA regulation of e-cigarettes, still urging FDA to regulate all tobacco. No Bill Number, National Health Service Corps trust fund reauthorization, appropriation, NHSC provides scholarships & debt relief as well as physicians for underserved communities.No Bill Number, Rural workforce, Comments on FQHC final rule. No Bill Number, VA committee on Woman Veterans, Nominated to FPs to the VA committee. No Bill Number, HHS Appropriations, Funding for health professions training grants, AHRQ research, and National Health Service Corps (NHSC). No Bill Number, Enhanced Medicaid payment for primary care, Extending the enhanced Medicaid payment for primary care. No Bill Number, Site-neutral payment for medical services, Support site-neutral payment by CMS for medical services. No Bill Number, White House's Health Kids and Save Sports Concussion Summit, Providing family physicians with latest information about sports concussions. No Bill Number, Veterans Health Administration, Allowing community physicians to charge VA for services to Vets. No Bill Number, Direct Primary Care, Primary care model of retainer-based practice. No Bill Number, Medicare physician payment reform of the Sustainable Growth Rate, 2014 conversion factor. No Bill Number, Graduate Medical Education, comments on 2015 proposed IPPS. No Bill Number, Health IT, asking CMS to delay MU2. No Bill Number, Non-discrimination, Advocate for correct use of non-discrimination clause in Affordable Care Act. No Bill Number, Extend Medicare/Medicare parity for primary services, extend Medicaid pay increase to Medicare levels beyond 2015. No Bill Number, First Fridays Meetings, Provider outreach group for Affordable Care Act, provider and open enrollment issues.

Client expense: $627,558 · 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), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

HR 4810, Veterans Health Care, Improve access for veterans to primary care services, both inside the VA and outside. S. 2450, Veterans Health Care, Improve access for veterans to primary care services, both inside the VA and outside. No Bill Number, Veterans Health Administration improvements, allowing community physicians to charge VA for services to vets.No Bill Number, Veterans Health Care, advication for inclusion of policies in final bill that allow family doctors to easitly contract with the VA; advocate for primary care GME slots in the VA.

Client expense: $627,558 · 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), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

Support The Importance of Rural Health Access for American Communities and the need for rural hospitals and their value to rural areas; Support of HR 1326 Health Care Price Transparency Promotion Act of 2013, to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; Support CMS proposed rule aimed at reducing burden and promoting efficiency for hospitals,critical access hospitals and other providers. The rule addresses stakeholder concerns about governance-related provisions in the most recent changes to the Medicare Conditions of Participation; Support S 689 Mental Health Awareness and Improvement Act of 2013, a bill to reauthorize and improve programs related to mental health and substance use disorders; Support S 961 Health Care Safety Net Enhancement Act of 2013, a bill to improve access to emergency medical services; Oppose HR 2027 Expanding Patients' Access to Quality Care Act of 2013, a bill to amend section 1877 of the Social Security Act to modify the requirements for hospitals to qualify for the rural provider and hospital exception to physician ownership or investment prohibition in order to take into account hospitals that were under construction or development at the time of imposing such requirements, hospital expansions, and hospitals in financial distress; Support 340B Drug Program; Support Rep. Lynn Jenkins(R-KS) H. Res 356 in support of rural hospitals and rural health care providers. The resolution calls access to rural hospitals and other health care providers essential to the survival and success of communities; Support for the current October 1, 2014 implementation date for adoption of the International Classification of Diseases, Tenth Revision, Clinical Modifications (ICD-10-CM) for all health care providers, as well as the adoption of the Procedure Coding System of ICD-10 for hospital reporting of inpatient procedures; Encourage HHS to speed up processing of CAC applications and discussed questions about the new Marketplaces; Participated in the White House National Mental Health Conference and had several discussions on how hospitals can help raise awareness about mental health in their communities with ACA; Discussions with the Senate Finance Committee in response to the Committees outreach to behavioral health stakeholders seeking input to help improve the behavioral health care system; Helping to shape agencys forthcoming compliance initiative related to hospitals reporting obligations to the National Practitioner Data Bank; Support S. 2196 Good Samaritan Health Professional Act, by extending to licensed, volunteer health professionals the same protective standards included in the Volunteer Protection Act of 1997, this legislation takes critical steps to help victims have access to critical onsite medical attention during declared federal disasters; Support S 2501 Hospital Readmissions Program Accuracy and Accountability Act of 2014, to amend title XVIII (Medicare) of the Social Security Act, with respect to the Hospital Readmissions Reduction Program, to direct the Secretary of Health and Human Services (HHS), in determining a hospital's excess readmission ratio for purposes of making payments for discharges starting in FY2016, to risk adjust readmissions to account for patient socioeconomic status; Requested that the Secretary issue a written statement on behalf of the entire department confirming that the HHS is not discouraging hospital-affiliated or other charitable foundations from subsidizing premiums purchased through the new Health Insurance Marketplaces (exchanges) or cost-sharing expenses for needy enrollees; Support HR 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; HR 4810 Veteran Access to Care Act of 2014 and H.R.3230 Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014, support specific provisions in the two bills and to address this issue and allow veterans to more easily secure care from civilian providers. We urge Congress to move expeditiously to resolve differences between the House and Senate bills and look forward to working with our VA colleagues, Congress and the Administration to ensure veterans receive the care they need when they need it. Discussed with the VA the implementation of the Act. Discussed with HHS the use of electronically-readable smart cards by hospitals and health systems; Discussed with HHS meaningful use program, certification program for EHRs and interoperability of health information.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), SENATE, Veterans Affairs, Dept of (VA)

Took position in support of: HJRES78-113 HJRES88-113 HJRES91-113 HR1014-113 HR1132-113 HR1134-113 HR1171-113 HR1223-113 HR1236-113 HR1238-113 HR1251-113 HR1284-113 HR1305-113 HR1316-113 HR1333-113 HR1344-113 HR1357-113 HR1402-113 HR1405-113 HR1412-113 HR1438-113 HR1443-113 HR1453-113 HR1463-113 HR1464-113 HR1490-113 HR1497-113 HR1521-113 HR152-113 HR153-113 HR154-113 HR1593-113 HR1620-113 HR1623-113 HR1631-113 HR164-113 HR1702-113 HR1725-113 HR1729-113 HR1742-113 HR1759-113 HR1770-113 HR1774-113 HR179-113 HR1792-113 HR1796-113 HR1804-113 HR1805-113 HR1809-113 HR1824-113 HR183-113 HR1842-113 HR1864-113 HR1938-113 HR1957-113 HR1980-113 HR1987-113 HR2001-113 HR2002-113 HR2011-113 HR2016-113 HR2038-113 HR2039-113 HR2055-113 HR2056-113 HR2059-113 HR2065-113 HR2072-113 HR2079-113 HR2086-113 HR2088-113 HR2118-113 HR2119-113 HR2150-113 HR2151-113 HR2153-113 HR2157-113 HR2169-113 HR2185-113 HR2187-113 HR2189-113 HR2209-113 HR2210-113 HR2216-113 HR2227-113 HR2230-113 HR2272-113 HR2284-113 HR2327-113 HR235-113 HR241-113 HR2423-113 HR2481-113 HR2485-113 HR2510-113 HR2527-113 HR2528-113 HR2540-113 HR258-113 HR274-113 HR288-113 HR2882-113 HR2942-113 HR2974-113 HR303-113 HR3045-113 HR3056-113 HR3210-113 HR32-113 HR3230-113 HR3232-113 HR3237-113 HR3241-113 HR3246-113 HR3274-113 HR331-113 HR333-113 HR3337-113 HR3384-113 HR3387-113 HR340-113 HR3456-113 HR357-113 HR3593-113 HR3600-113 HR368-113 HR369-113 HR3790-113 HR385-113 HR401-113 HR4031-113 HR4037-113 HR4038-113 HR4085-113 HR411-113 HR4147-113 HR4150-113 HR4151-113 HR42-113 HR4261-113 HR430-113 HR4305-113 HR4435-113 HR4446-113 HR4486-113 HR449-113 HR4504-113 HR4594-113 HR4628-113 HR4977-113 HR5059-113 HR5589-113 HR562-113 HR569-113 HR570-113 HR577-113 HR602-113 HR631-113 HR635-113 HR671-113 HR679-113 HR683-113 HR697-113 HR733-113 HR806-113 HR813-113 HR821-113 HR833-113 HR834-113 HR844-113 HR894-113 HR897-113 HR921-113 HR933-113 HR958-113 HR975-113 HR984-113 HRES104-113 HRES32-113 S1015-113 S1034-113 S1039-113 S1042-113 S1046-113 S1050-113 S1058-113 S1060-113 S1061-113 S1076-113 S1081-113 S1089-113 S1092-113 S1148-113 S1255-113 S131-113 S1387-113 S1399-113 S1411-113 S153-113 S1558-113 S1578-113 S1581-113 S1582-113 S1583-113 S1585-113 S1586-113 S1588-113 S1589-113 S1591-113 S162-113 S1637-113 S1643-113 S1662-113 S1668-113 S1717-113 S1728-113 S1752-113 S1755-113 S1956-113 S1963-113 S1982-113 S1985-113 S1993-113 S1999-113 S2013-113 S2035-113 S2075-113 S2091-113 S2095-113 S210-113 S2190-113 S2231-113 S2300-113 S234-113 S2424-113 S2450-113 S25-113 S257-113 S2730-113 S2834-113 S2837-113 S287-113 S2930-113 S373-113 S412-113 S422-113 S430-113 S444-113 S46-113 S49-113 S492-113 S495-113 S515-113 S522-113 S529-113 S543-113 S572-113 S573-113 S6-113 S62-113 S629-113 S674-113 S695-113 S700-113 S734-113 S735-113 S748-113 S759-113 S778-113 S800-113 S810-113 S819-113 S825-113 S832-113 S851-113 S852-113 S863-113 S871-113 S875-113 S877-113 S889-113 S893-113 S894-113 S928-113 S932-113 S935-113 S938-113 S939-113 S964-113 S967-113 S990-113 S992-113 S995-113 Reviewed and/or monitored the following: HJRES72-113 HR1288-113 HR1492-113 HR1494-113 HR1605-113 HR1714-113 HR1816-113 HR1832-113 HR1855-113 HR1867-113 HR1885-113 HR1898-113 HR1904-113 HR1960-113 HR1988-113 HR2138-113 HR2207-113 HR2237-113 HR2249-113 HR2257-113 HR2310-113 HR2319-113 HR2341-113 HR2354-113 HR2358-113 HR2362-113 HR2377-113 HR2382-113 HR2397-113 HR2412-113 HR2470-113 HR247-113 HR2519-113 HR2522-113 HR2590-113 HR2642-113 HR2654-113 HR2661-113 HR2693-113 HR2704-113 HR2726-113 HR2743-113 HR2749-113 HR2785-113 HR2797-113 HR2841-113 HR2859-113 HR2876-113 HR2906-113 HR2907-113 HR2913-113 HR2941-113 HR2953-113 HR3007-113 HR3053-113 HR3087-113 HR3098-113 HR3106-113 HR3120-113 HR3145-113 HR3152-113 HR3164-113 HR3180-113 HR3181-113 HR3207-113 HR3214-113 HR3225-113 HR3276-113 HR3287-113 HR3310-113 HR3330-113 HR3352-113 HR3368-113 HR3369-113 HR3383-113 HR3395-113 HR3396-113 HR3397-113 HR3399-113 HR3405-113 HR3408-113 HR3418-113 HR3422-113 HR3441-113 HR3442-113 HR3443-113 HR3451-113 HR3453-113 HR3459-113 HR3469113 HR3474-113 HR3477-113 HR3493-113 HR3499-113 HR3506-113 HR3507-113 HR3508-113 HR3514-113 HR3515-113 HR3516-113 HR3521-113 HR3569-113 HR3576-113 HR3615-113 HR3646-113 HR3647-113 HR3671-113 HR3672-113 HR3725-113 HR3743-113 HR3775-113 HR3788-113 HR3789-113 HR3792-113 HR3794-113 HR3797-113 HR3798-113 HR3801-113 HR3804-113 HR3807-113 HR3808-113 HR3810-113 HR3831-113 HR3843-113 HR3852-113 HR3858-113 HR3876-113 HR3958-113 HR3974-113 HR4004-113 HR4005-113 HR4023-113 HR4050-113 HR4068-113 HR4095-113 HR4096-113 HR4101-113 HR4102-113 HR4110-113 HR4134-113 HR4141-113 HR4149-113 HR4184-113 HR4191-113 HR4198-113 HR4217-113 HR4232-113 HR4234-113 HR4235-113 HR4247-113 HR4248-113 HR4274-113 HR4276-113 HR4314-113 HR4335-113 HR4344-113 HR4356-113 HR4359-113 HR4370-113 HR4374-113 HR4394-113 HR4399-113 HR4408-113 HR4422-113 HR4485-113 HR4488-113 HR4489-113 HR4492-113 HR4516-113 HR4517-113 HR4561-113 HR4574-113 HR4580-113 HR4616-113 HR4629-113 HR4630-113 HR4656-113 HR4669-113 HR4674-113 HR4682-113 HR4688-113 HR4712-113 HR4720-113 HR4723-113 HR4725-113 HR4730-113 HR4741-113 HR4760-113 HR4766-113 HR4774-113 HR4778-113 HR4779-113 HR4793-113 HR4807-113 HR4810-113 HR4816-113 HR4818-113 HR4841-113 HR4852-113 HR4861-113 HR4862-113 HR4863-113 HR4875-113 HR4887-113 HR4892-113 HR4898-113 HR4900-113 HR4942-113 HR4971-113 HR4974-113 HR4999-113 HR5007-113 HR5009-113 HR5022-113 HR5023-113 HR5032-113 HR5042-113 HR5045-113 HR5046-113 HR5047-113 HR5048-113 HR5054-113 HR5061-113 HR5088-113 HR5094-113 HR5097-113 HR5112-113 HR5131-113 HR5157-113 HR5172-113 HR5193-113 HR5195-113 HR5229-113 HR5254-113 HR5273-113 HR5286-113 HR5290-113 HR5323-113 HR5332-113 HR5333-113 HR5336-113 HR5342-113 HR5349-113 HR5351-113 HR5369-113 HR5375-113 HR5391-113 HR5398-113 HR5432-113 HR5441-113 HR5475-113 HR5480-113 HR5484-113 HR5500-113 HR55-113 HR5518-113 HR5524-113 HR5618-113 HR5686-113 HR5708-113 HR5730-113 HR5731-113 HR5740-113 HR5762-113 HR604-113 HR748-113 HR883-113 HRES13-113 S1032-113 S1041-113 S1078-113 S1119-113 S1174-113 S1190-113 S1197-113 S1211-113 S1216-113 S1246-113 S1262-113 S1281-113 S1295-113 S1296-113 S1320-113 S1361-113 S1367-113 S140-113 S1403-113 S1434-113 S1471-113 S1486-113 S1540-113 S1547-113 S1556-113 S1559-113 S1580-113 S1593-113 S1624-113 S1644-113 S1659-113 S1669-113 S1682-113 S1684-113 S1688-113 S1703-113 S1736-113 S1740-113 S1741-113 S1751-113 S1760-113 S1775-113 S1844-113 S1856-113 S1863-113 S1869-113 S1892-113 S1917-113 S1919-113 S1950-113 S1977-113 S1987-113 S2009-113 S2014-113 S2053-113 S2138-113 S2145-113 S2179-113 S2243-113 S2258-113 S2259-113 S2264-113 S2281-113 S2296-113 S2298-113 S2312-113 S2316-113 S2333-113 S2341-113 S2350-113 S2357-113 S2358-113 S2362-113 S2368-113 S2393-113 S2395-113 S2396-113 S2410-113 S2413-113 S2419-113 S2422-113 S2423-113 S2425-113 S2428-113 S2448-113 S2467-113 S2468-113 S2507-113 S2545-113 S2606-113 S2639-113 S2654-113 S2687-113 S2700-113 S2707-113 S2738-113 S2740-113 S2782-113 S2810-113 S2822-113 S2843-113 S2950-113 S2951-113 S2958-113 S2965-113 S922-113 S927-113 S930-113 S944-113 SRES323-113 Took position in opposition to: HR1739-113 HR3614-113 HR595-113 HR803-113 S262-113

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

Discussed: transportation difficulties experienced by veterans needing to travel to VA healthcare appointments. draft legislation that would improve benefits and services for veterans and their families. how to transform VAs vocational rehabilitation program into a 21st century vocational rehabilitation program. Department of Veterans Affairs Expiring Authorities Act of 2014 (H.R. 5404). Restore Trust in Veterans Access to Health Care Act (H.R. 5007). Guarantee Housing for Terminally Ill Veterans Act (H.R. 4674). Rural Veterans Improvement Act of 2014 (S. 2009). Veteran Voting Support Act (S. 2145). Veterans Appeals Improvement Act of 2014 (S. 2296). 21st Century Veterans Benefits Delivery Act (S. 2091). This legislation would seek to improve the VA claims process. S. 2316, which would require the VAs Inspector General to submit a report on wait times for veterans seeking medical care from VA and to prohibit closure of VA medical facilities. S. 2362, which would prohibit the payment of performance awards in fiscal year 2015 to Veterans Health Administration employees. Increasing Medical Oversight in the Department of Veterans Affairs Act of 2014 (S. 2401). Veterans Access to Care Act of 2014 (H.R. 4810). H.R. 4037, the Improving Veterans Access to Vocational Rehabilitation and Employment Act of 2014. H.R. 2119, the Veterans Access to Speedy Review Act. H.R. 3876, the Burial with Dignity for Heroes Act of 2014. S. 1584 which would provide replacement automobiles for certain disabled veterans and servicemembers. with VAs Prosthetic and Sensory Aids Service standards for installation of adaptive auto equipment paid for by VA. legislation to provide a presumption of service connection for mental health conditions related to military sexual trauma. legislation regarding telework for certain VA employees. H.R. 2088 which would direct VA to carry out a pilot program to establish claims adjudication centers of excellence. H.R. 2726 which would authorize VA to enter into contracts and agreements for the transfer of veterans to non-VA medical foster homes for certain veterans who are unable to live independently. Veterans Health and Benefits Improvement Act of 2013, as amended (S. 944). Access to Appropriate Immunizations for Veterans Act of 2013 (S. 1165). Improving the Lives of Children with Spina Bifida Act (S. 832). VA Claims Efficiency Through Information Act (H.R. 1623). H.R. 2189 which would establish a commission or task force to evaluate the backlog of disability claims. Veterans Pension Protection Act (H.R. 2341). Ending VA Claims Disability Backlog and Accountability Act (H.R. 2138). reforming the VAs claims process to ensure that it is veteran-centered. with advocates a legislative proposal to expand the approved uses of the Post 9/11 GI Bill. access to VA mental health services with the Department of Veterans Affairs, Veterans Health Administration. VetSuccess Enhancement Act (H.R. 844). This legislation would extend from 12 to 17 years the authorized period for an eligible veteran to receive vocational training and rehabilitation from VA. H.R. 894 which would reform VAs fiduciary program. Reducing Barriers to Veterans Benefits Act (H.R. 369). Opposed the Access to Veterans Benefits Improvement Act (H.R. 733). Signed on to a letter to the Chairs and Ranking Members of the Senate and House Veterans Affairs Committee supporting additional resources for VA as it seeks to meet its healthcare obligations. Supported: the Protect Veterans Employment and Training Services Act (Protect VETS Act) (S. 2834). the Creating Options for Veterans Expedited Recovery Act (H.R. 4977). the Clay Hunt Suicide Prevention for American Veterans Act (H.R. 5059). Also discussed the Suicide Prevention for American Veterans Act (S. 2182). Toxic Exposure Research Act of 2014 (H.R. 5484). Wounded Warrior Employment Improvement Act (H.R. 5032). H.R. 4971, the Ask Veterans Act. This legislation would solicit veterans opinions regarding their experiences with VA health care. S. 1659, the POST Act. This legislation would allow for-profit schools to receive no more than 85% of their revenues from federal sources and include DoD Tuition Assistance and G.I. Bill funds in the 85% calculation. S. 2115, the American Cures Act. This legislation would create a biomedical trust fund to sustain federal investment in four leading federal agencies and programs dedicated to mental health and prosthetic research for veterans. Military and Veteran Caregiver Services Improvement Act of 2014 (S. 2243/H.R. 4892). This legislation would increase access to caregiver benefits and make other critical changes needed to ensure improved services for significantly disabled veterans and servicemembers and their caregivers. Disabled Veterans Jobs Opportunity Act (H.R. 4247). This legislation would increase preference in federal hiring for veterans who have disability ratings of 70 percent or greater from VA. Express Appeals Act (H.R. 4616). This legislation would provide veterans with the opportunity to have their appeals of claims for disability compensation benefits reviewed using an expedited review process. Serving Americas Veterans Effectively Act (SAVE Act) (H.R. 5332). This legislation would promote greater awareness of the health care needs of our nations veterans by requiring health care providers who participate in the Medicare and Medicaid programs to ask about a patients veteran status. Veterans Access to Care Through Choice, Accountability, and Transparency Act of 2014 (S. 2450). This legislation represents an important step toward ensuring that veterans have timely access to health care and that VA employees who gamed the system for scheduling care will be held accountable. S. 2450 was inserted into H.R. 3230 (Veterans Access to Care through Choice, Accountability, and Transparency Act of 2014) as an amendment in the nature of a substitute. S. 1950/S. 1982, the Comprehensive Veterans Health and Benefits and Military and Retirement Pay Restoration Act. Also supported Amendment 2755 to add advance appropriations for additional VA accounts to S. 1982. H.R. 2527 which expands access to counseling and treatment for sexual trauma that occurred while a service member was on inactive duty for training status. H.R. 2974 which expands beneficiary travel for veterans seeking treatment or care for military sexual assault at a specialized outpatient or residential facility. H.R. 3958, the Healing our Heroes Act. This legislation would prevent veterans who have sustained a traumatic brain injury (TBI) from being forced to prematurely end their rehabilitation due to the expiration of the Assisted Living Pilot Program for Veterans with TBI. In addition, we supported H.R. 4276 and S. 2607 which would also extend the authorization of the program. H.R. 4234, the Ensuring Veterans Resiliency Act. This legislation would encourage psychiatrists to dedicate their careers to serving our veterans by authorizing a select number of full-time hires to be offered loan repayment incentives commensurate with other federal entities. H.R. 4150, the Veterans Employment and Training Service Longitudinal Study Act of 2014. H.R. 4151, the Veterans Education Survey Act of 2014. H.R. 2018, the Honor Those Who Served Act of 2013. H.R. 2529, the Veteran Spouses Equal Treatment Act. H.R. 3671 which would furnish a medallion to signify the veteran status of a deceased individual. H.R. 4095/S. 2258, the Veterans Compensation Cost-of-Living Adjustment Act of 2014. H.R. 4102 which would allow the estates of deceased veterans to receive accrued benefits. H.R. 4141 which would allow enhanced-use leases for excess property of the National Cemetery Administration. S. 2311/H.R. 3508 which would clarify qualifications of hearing aid specialist of the VHA. Services to Veterans Caregivers (SOS Veterans Caregivers) Act (H.R. 3672). Protecting Those Who Protected Us Act of 2013 (S. 1564). Quicker Veterans Benefits Delivery Act (H.R. 1980/H.R. 4191). House efforts to increase DOD and VA support for Joint Centers of Excellence. Homeless Veterans Assistance Fund Act of 2013 (H.R. 2797). Veterans Independent Living Enhancement Act (H.R. 3330). American Heroes COLA Act (H.R. 570). Veterans Second Amendment Protection Act (H.R. 602). Ruth Moore Act of 2013 (H.R. 671). Honor Americas Guard-Reserve Retirees Act (H.R. 679). VA Claims, Operations, and Records Efficiency Act (H.R. 1729). World War II Merchant Mariner Service Act (H.R. 1288). Blue Water Navy Ship Accountability Act (H.R. 1494). Pay As You Rate Act (H.R. 2086). H.R. 1809 which would require VA to provide notice of average times for processing claims and percentage of claims approved. Prioritizing Urgent Claims for Veterans Act (H.R. 2382). Disabled Veterans Access to Medical Exams Improvement Act (H.R. 2423). Putting Veterans Funding First Act of 2013 (H.R. 813/S. 932). Wounded Warrior Workforce Enhancement Act (S. 522). Veterans Affairs Research Transparency Act (S. 877). legislation authorizing VA to transport individuals to and from VA facilities in connection with rehabilitation, counseling, examination, treatment, and care (H.R. 1702/S. 455). Caregivers Expansion and Improvement Act of 2013 (H.R. 33

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

Lobbied for advance appropriations for VA health care to shield most employees during in anticipation of furloughs. Lobbied on Veterans Benefits Continuing Appropriations Resolution to fund benefits paid to veterans and personnel costs for processing disability payments, GI Bill, education training, and VA home loans.HR 813/S 932 - to extend advance appropriations to benefits, cemeteries, and other VA operations to further stabilize VA operations and staffing. Incorporate into S 1950 and S 1982. HR 1907 - the Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013. HR 2785 - to extend veterans' preference rights to over 80,000 VA health care employees (both HR 2785 and S 1320). S 928, Claims Processing Improvement Act of 2013 - lobbying to establish a working group to improve work credit and work management systems of the Veterans Benefits Administration (VBA) and mandate of additional help to veterans to secure federal records. S932, Putting Veterans Funding First Act. to ensure more stable funding by extending advance appropriations to the Veterans Benefits Administration (VBA), National Cemetery Administration (NCA), and other VA programs, services, and benefits. Lobbied for HR 3230/S 2450, Veterans' Access to Care Through Choice, Accountability, and Transparency Act of 2014, in particular emergency funding for the VA. These bills provide a comprehensive, balanced, and evidence-based approach to improving health care access to our veterans and ensure fair evaluation of VA frontline physicians' performance and the critical emergency funding necessary. HR 4399, Comprehensive Department of Veterans' Affairs Performance Management and Accountability Reform Act of 2014 - lobbied against its drastic changes to market pay and performance pay elements that would adversely affect recruitment and retention of front-line clinicians providing direct care to our veterans. HR 4810, the Veterans Access to Care Act of 2014, specifically, lobbied against the portion requiring VA utilize a single approach to expanding access by allowing contractors to handle inpatient and outpatient veterans' care. Also against provisions to ban all bonuses and awards to VA employees. Lobbied for S 1556/HR 4580, Improving Clinical Care Workforce for Our Vets - provisions restoring equal bargaining rights, significantly strengthening VA's ability to recruit and retain health care professionals, and cutting down on turnover and contract care costs. HR 5229, the Wounded Warriors Federal Leave Act of 2015, to ensure veterans with a service connected disability rating of 30 percent or more with 104 hours of "disabled veteran leave (leave)" at the beginning of their employment. Continue lobbying efforts on legislation to: --Provide and expand title 38 bargaining rights; --Provide emergency funding for VA health care. --Provide VA Canteen Service employees with Title 5 rights to appeal terminations. --Request for oversight of VA health care personnel issues, including recruitment and retention of VA physicians and registered nurses. --Expand veterans preference rights for Title 38 employees. --Mandate a new work credit system for VBA employees based on a data driven time motion study. --Issue a moratorium on VA spending on any downgrades of employees before a study can be done to determine the impact on protected EEO classes. --Introduction of a resolution designating September 22-28 as Federal Nurses Week.

Client expense: $510,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Bureau of Citizenship & Immigration Services (BCIS), Defense Commissary Agency, Defense Contract Audit Agency (DCAA), Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation Security Administration (TSA), U.S. Customs & Border Protection, U.S. Marines, Veterans Affairs, Dept of (VA)

S 2410/HR 4435/HR 3979 - National Defense Authorization Act for Fiscal Year 2015 including issues related to space and missile defense programs, procurement, Research Develop Test & Evaluation (RDTE) for Army, Navy, Air Force and Missile Defense Agency, Overseas Contingency Operations (OCO), Opportunity Growth and Security Initiative (OGSI), Operations & Maintenance (O&M); S (not yet introduced)/HR 4870 and HJRes 124, 130, 131 - Department of Defense Appropriations Act, 2015 including issues related to aircraft and technology programs, fair pay and safe workplace legislation, procurement, RDTE for Army, Navy, Air Force and Missile Defense Agency, OCO, OGSI, O&M, Coast Guard aircraft programs, federal firefighting aircraft programs; S 1317/HR 4412 - National Aeronautics and Space Administration Authorization Act of 2013 including issues related to space programs; HR 83 - Consolidated and Further Continuing Appropriations Act, 2015, Division C and F, Interior, Environment, Defense, Commerce, Justice, Science and Related Agencies, including issues related to Veterans Affairs and Export Import Bank and the United States Forest Service aviation assets for wild lands fire suppression, aircraft and technology programs, shipbuilding programs, remote mine hunting programs, missile defense programs, space programs, funding bills, continuing resolution stopgap to fund the Department of Homeland Security through February 27, 2015; S 4660/HR 2437 and H.Rept 113-448 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2015 including issues related to biometric programs, information technology programs, space programs and science programs; S (bill not yet introduced)/HR 4486 and House report-113-416 and Senate report-113-174 - Military Construction and Veterans Affairs, and Related Agencies Appropriations Act, 2015 including issues relating to Veterans Healthcare information technology programs, electronic patient care records, compensation and pension examinations; S 2438/HR 4745 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2015 including issues related to aviation, airport security, and Housing and Urban Development (HUD) Information Technology Fund, and Federal Housing Administration (FHA) Transformation Fund Initiatives; S (bill not yet introduced)/HR 5016 - Financial Services and General Government Appropriations Act, 2015 including issues related to the Treasury and Financial Systems; and the Internal Revenue Service (IRS); S (bill not yet introduced)/HR (bill not yet introduced) - Labor, HHS, Education Appropriations including issues related to the Social Security Administration Information technology infrastructure; Centers for Medicare/Medicaid Services and the Department of Education; S 2534/HR 4903 - Department of Homeland Security Appropriations Act, 2015 including issues related to Coast Guard funding; S 2091 - 21st Century Veterans Benefits Delivery Act including issues related to Compensation and Pensions Disability Claims; HR 2189 - To improve the processing of disability claims by the Department of Veterans Affairs, and for other purposes; HR 4810 - Veteran Access to Care Act of 2014 including issues related to disability claims

Client expense: $3,740,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Natl Aeronautics & Space Administration (NASA), Navy, Dept of, Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

H.R. 1725,Veterans Mental Health Accessibility Act H.R. 5059, Clay Hunt SAV Act S. 628, Service Member Mental Health Review Act S. 2182 Suicide Prevention for American Veterans Act H.R. 4234, Ensuring Veterans Resiliency Act S. 2425, Ensuring Veterans Resiliency Act H.R. 4951 Doctors Helping Heroes Act H.R. 4942 Underserved Veterans Access to Health Care Act S. 2413 Restoring Veterans Trust Act S. 2424 Veterans Choice Act S. 2013/H.R. 4031 Department of Veterans Affairs Management Accountability Act of 2014 H.R. 4841/ S. 2450, Veterans Access to Care through Choice, Accountability and Transparency Act H.R. 4810, Veterans Access to Care Act S.2422, Ensuring Veterans Access to Care Act of 2013 S.2930 Clay Hunt SAV Act

Client expense: $72,153 · Firm income: Not reported

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

H.R.5464 and draft Senate legislation, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division G, Title II Issues: Support funding for NIH, Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Children's Hospitals Graduate Medical Education program (CHGME), HRSA, biodefense and public health preparedness programs, and CDC's National Healthcare Safety Network (NHSN) and the Prevention Epicenters Program. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Support emergency supplemental funding to prepare and respond to Ebola and to reimburse for Ebola Virus Disease treatment. H.R. 4486 and draft Senate legislation, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division I, Title II President's Budget, FY 2016 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Funding for Community Health Centers and the NHSC. Debt in Health Education Loan programs (DebtHELP) bill (draft) Issues: Expand National Health Service Corps State Loan Repayment program, align Department of Education and Health Resources and Services Administration student loan programs. S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction Act of 2013 Issue: Support lifting the cap on the number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education and Indirect Medical Education payments. H.R. 1201, Training Tomorrow's Doctors Today Act Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments and increase Graduate Medical Education (GME) accountability and transparency. H.R. 487, Primary Care Workforce Access Improvement Act Issue: Residency training in community-based settings. P.L. 111-148, Affordable Care Act, Sections 5503 and 5506 Issue: Redistribution of residency positions. Issue: Implementation of and funding for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the Affordable Care Act. H.R. 2810/S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform. Issue: Support the use of animals in medical research. S. 2553/H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014 Issue: Standardization of post-acute care assessment data for quality, payment, and discharge planning. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Implementation of Health Insurance Exchanges mandated by the Affordable Care Act (ACA) to recognize and not penalize the unique missions of medical schools and teaching hospitals. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose discretionary spending cuts through sequestration, including NIH, Titles VII and VIII health professions and nursing education programs, and other science programs. Issue: Support primary care workforce development S. 1759, Teaching Health Center Reauthorization Act Issue: Legislation to reauthorize the Teaching Health Center Program and payments. Issue: Draft legislation on pain education in undergraduate and graduate medical education. H.R.548/S. 1152, The Building A Health Care Workforce for the Future Act Issue: Support bill to increase scholarship opportunities for medical students and encourage primary care workforce development. H.R. 5294, Health Equity and Accountability Act of 2014 Issue: Support bill to improve health equity. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. H.R. 3698, Two Midnight Rule Delay Act of 2013 S. 2082, Two Midnight Rule Coordination and Improvement Act of 2014 Issue: Support delay of enforcement of new CMS inpatient criteria (e.g., "Two-Midnight" rule) in FY 2014 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare GME per Resident Amount and cap trigger technical corrections and administrative relief. H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmissions Program Act. S. 2501, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. Issue: Educating health professionals regarding prescription drug abuse and appropriate use of antibiotics. Issue: Support report language and efforts of HHS agencies to support efforts of urban-based institutions to improve health equity. Support use of holistic review in admissions. Issue: Support ACA consumer outreach and enrollment efforts. Issue: Implementation of the 340B drug discount program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Support preservation of funding for the Primary Care Residency Expansion program. S. 2229, Expanding Primary Care Access and Workforce Act Issue: Offer comments on primary care workforce legislation. H.R. 5411, Trafficking Awareness Training for Health Care Act of 2014 Issue: Medical education curricula content pertaining to human trafficking. S. 2658/H.R.5580, Accelerating Biomedical Research Act Issue: To increase discretionary spending cap to increase funding for the National Institutes of Health (NIH). S. 2450, Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4810, Veteran Access to Care Act Issue: Addressing VA backlogs by increasing care for veterans provided by non-VA facilities. S. 2115, American Cures Act H.R. 4384, America HEALS ACT Issue: Support establishment of a fund to provide an expanded and sustained investment in biomedical research. H.R. 4879, Research for All Act Issues: Support inclusion of male and female cells, tissues and animals in basic biomedical research. Support update of NIH guidelines to increase participation of women in clinical trials. Issue: FDA regulation of Laboratory Developed Tests (LDTs) S. 2728, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments S. 2645, The Recovery Enhancement for Addiction Treatment (TREAT) Act Issue: Support legislation to increase access to care for patients addicted to opioids S. 2942, The Infectious Disease Hospitals Hubs Act Issue: Support legislation to establish a network of hospitals in preparing for and responding to infectious diseases. Issue: Support nomination of Dr. Vivek Murthy as U.S. Surgeon General Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Submitted comments to: U.S. Census Bureau on the American Community Survey CMS on the Hospital Acquired Conditions Reduction Program (HAC)s technical expert panel (TEP)s report regarding the scoring of hospitals in the HAC program CMS on final rule regarding definition of uninsured for purposes of Medicaid DSH limits HHS on revisions to the safe harbors under the anti-kickback statute and civil monetary penalty rules (gainsharing, etc.) FDA on strategies for increasing patient involvement in regulatory processes. White House Ebola Response Coordinator offering to work with federal and state officials to prepare and respond to Ebola cases. NIH in response to an RFI related to the development of grant program to help facilitate the transition from training to independence. NIH on the consideration of sex as a biological variable in biomedical research The Patient-Centered Outcomes Research Institute (PCORI) on the proposed process for peer review and public release of its primary research finding. DEA on delaying the Disposal of Controlled Substances Final Rule.

Client expense: $1,540,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 4486 and draft Senate legislation, Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2015, Title II H.R. 83, P.L.113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division I, Title II President's Budget FY 2016 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and health care. H.R. 4942, Underserved Veterans Access to Health Care Act Issue: Increasing funding for VA GME and Medicare GME. S. 2450, Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4810, Veteran Access to Care Act P.L. 113-564, Veterans Access, Choice, and Accountability Act of 2014 Issues: Addressing VA backlogs by increasing care for veterans provided by non-VA facilities. Support improved contracting with academic affiliates and increased VA and Medicare GME funding. S. 577, Resident Physician Shortage Reduction Act of 2013 H.R. 1180, Resident Physician Shortage Reduction of 2013 H.R. 1201, Training Tomorrow's Doctors Today Act Issue: Support adding a priority for teaching hospitals that have residency affiliations with VA medical centers Issue: Explaining the relationship between VA GME and Medicare GME

Client expense: $1,540,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Implementation of PL111-148; S. 2450, HR 4810, Veterans Affairs Policy for Organ Transplant; specialty drugs' effect on health care premiums; long-term care policies

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Support more Veterans' Courts. Support H.R. 2654 / S 1281. Support H.R. 384. Support H.R. 1412. Support HR 357. Support HR 4810. Support H.R. 3230. Support the Connolly (VA) amendment to HR 4660. Support conference Report to HR 3230.

Client expense: $68,750 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Oppose sequestration cuts which will disproportionately affect family planning services for low income women. Oppose budget cuts that threaten services to populations with unequal access to high quality health care. Support full implemantation of the 2010 Affordable Care Act; oppose efforts to repeal it. Oppose Cruz amendment to S Con Res 8 Support the inclusion of the Healthy Food Financing Initiative (HFFI) amendment in H. R. 1947 / S. 954Support $600 million from oil and gas revenues be invested in the Land and Water Conservation Fund and that the program be fully funded by 2015. Support continued funding for federal programs that are aimed at addressing racial and ethnic health disparities, including the Racial and Ethnic Approaches to Community Health (REACH) Program ($8.59 million increase of $63.49 million for the REACH program); the Office of Minority Health (OMH) at the U.S. Department of Health and Human Services ($55.8 million in FY 2014); the Area Health Education Centers (AHEC) program ($42.5 million in FY 2014); and the Health Careers Opportunity Program (HCOP). Also support $42.5 million for the HSS Office of Civil Rights in FY 2014; $283.3 million for the National Institute on Minority Health and Health Disparities in FY 2014; $520 million for Title VII and Title VIII of the Public Health Service Act n FY 2014; $327 million for Title X of the Public Health Service Act in FY 2014; $1.58 billion level discretionary funding in addition to maintaining all funds available through the mandatory Health Center Fund for Community Health Centers in FY 2014; $2.668 billion for the Ryan White Program in FY 2014; and a sufficient in amount to meet data collection objectives across HHS agencies, divisions, and programs in FY 2014. Support $7.9 billion in FY 2014 from the Department of Health and Human Services for Head Start activities. Oppose H.R. 2667. Oppose H.R. 2668. Support full implememntation of the 2010 Affordable Care Act. Oppose H.R. 45. Oppose Schweikert amendment to H.R. 1947 striking funds for the Healthy Food Financing Inititative. Ensure the full implememtation of the Affordable Care Act in Mississippi. Oppose H.R. 2775. Oppose H.R. 2009. Oppose H.R. 367. Stated that in response to questions regarding Section 1557 of the Afordable Care Act that the burdens of costly health care are not distributed evenly. Rather, they fall disproportionately on communities of color, which are more likely to experience higher rates of unemployment, to have jobs that do not have health insurance, and to have lower incomes that put higher insurance premiums out of their financial reach. Support Health Care Equity, especially as it applies to racial and ethnic minorities. Support the recommendation by the US Preventative Services Task Force on Lung Cancer Screening, giving such screening a favorable grade of B. Urged the Department of Health and Human Service's Office of Civil Rights (OCR) to administer section 1557 of the Affordable Care Act, through robust implementation and enforcement mechanisms, in the final regulations that OCR promulgates. Support data about how new drugs and devices work in women, minorities, and older Americans be publicly available to patients, clinicians, and researchers on a consistent and reliable basis.Support for including the following programs in any year-end health extenders package: the Qualified Individual (QI) program, the Transitional Medical Assistance (TMA) program, and Express Lane Eligibility (ELE) as well as the state incentive payment provisions and funding for quality improvement in the Childrens Health Insurance Reauthorization Act (CHIPRA). Support Protecting Seniors from Medication Labeling Mistakes. Oppose HR 4118. Support a release of the enrollment in the Affordable Care Act disaggregated by age, race, ethnicity, and primary language. Support improving the Tax Code to advance cost-effective policies that can bolster healthy lifestyles in key populations, and hold promise for halting or reversing the nations costly and unsustainable obesity epidemic. Support bringing the Affordable Care Act into compliance with the National Voter Registration Act of 1993 (NVRA). Support coverage of lung cancer screening as a Medicare benefit consistent with the final favorable recommendation of the US Preventive Services Task Force (USPSTF) issued December 31, 2013. Support lifting the ban on federal funding for syringe services programs (SSPs). Support President Obama's Boys and Young Men of Color Initiave, amd urge the initiative to focus on the following principals: Promoting Healthy Children, Families and Communities; Ensuring Educational Opportunity; Decriminalizing Young People of Color; Creating ; Economic Opportunity; and Promoting and Protecting Civic and Community Engagement. Support H.R. 4765. Support coverage of lung cancer screening as a Medicare benefit consistent with the final favorable recommendation of the US Preventive Services Task Force (USPSTF) , which gave the process a "B" grade. Support requested funding for the Ryan White HIV / AIDS Program, which offers health services for people living with HIV / AIDS, be set at $2.32 billion. Support HR 4810. Support the Nadler (NY) Housing for Persons with AIDS amendment to HR 4745. Oppose H. Res. 676. Support the Capps (CA) motion to recommit H.R. 935. Oppose H.R. 935. Oppose HR 3522. Support the request to the FDA to extend the comment period in Docket No.FDA-2013-N-0500, RIN 0910-AG94, in order to hear from healthcare and other stakeholders including providers and leaders who serve female, racial and ethnic minority populations, constituencies and consumers and who could offer expertise, experience, and perspective. Support H.R. 5294.Support full funding in FY15 for the Racial and Ethnic Approaches to Community Health (REACH) Program, the Office of Minority Health (OMH) at the U.S. Department of Health and Human Services, the Area Health Education Centers (AHEC) program, and the Health Careers Opportunity Program (HCOP). Support S. 2841 / H.R. 5507. Support a four-year extension of the Childrens Health Insurance Program (CHIP). Support HR 4765. Oppose funding cuts to programs which provide care and treatment, prevention, housing and support services for people with HIV/AIDS. Support nomination of Vivek Hallegere Murthy to be the next Surgeon General of the United States. Support a reallocation of the payroll tax to support the Social Security disability fund. Oppose HR 4118 Support HR 3474 Support HR 3979 Oppose HR 2575 Oppose HR 3522

Client expense: $68,750 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Deposit Insurance Corporation (FDIC), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Credit Union Administration (NCUA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Commission on Civil Rights, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Organ donation issues, including the liver transplant allocation system and in support of new proposed UNOS system, advocated in support of House and Senate letters in support; H.R.83, Consolidated and Further Continuing Appropriations Act of 2015, support Ebola funding for hospital preparedness and treatment activities; sepsis (ensuring that if new Federal rules are put into place they are not inconsistent with what NY hospitals are required to do under NYS law); Flexibility in Health IT Reporting Act of 2014 (H.R.5481) - support; educating members of Congress about hospital price transparency issues; Affordable Care Act - support for coverage expansions and delivery system reforms; veterans health care, support for prompt payment provisions (H.R.3230/H.R.4810)

Client expense: $290,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), SENATE, White House Office

Public Law 111-148, Patient Protection and Affordable Care Act, Provisions relating to Community Health Centers Monitor the following: H.R.4810, Veteran Access to Care Act of 2014 H.R.3230, Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 S.2229, Expanding Primary Care Access and Workforce Act S.1759, Teaching Health Center Reauthorization Act S.2728, Community-Based Medical Education Act of 2014

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

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

Legislation and policies relating to: Revision of the Veterans Health Administration nursing handbook regarding full practice authority for advanced practice nurses Contracting of non-VA health care providers to furnish primary and specialized health care to veterans H.R. 3230/S. 2450 - Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4031 - Department of Veterans Affairs Management Accountability Act H.R. 4810 - Veterans Access to Care Act S. 1982 - Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act S. 2013 - Department of Veterans Affairs Management Accountability Act

Client expense: Not reported · Firm income: $9,000

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

Legislation and policies relating to: Revision of the Veterans Health Administration nursing handbook regarding full practice authority for advanced practice nurses Contracting of non-VA health care providers to furnish primary and specialized health care to veterans H.R. 3230/S. 2450 - Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4031 - Department of Veterans Affairs Management Accountability Act H.R. 4810 - Veterans Access to Care Act S. 1982 - Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act S. 2013 - Department of Veterans Affairs Management Accountability 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

Veterans Health Care; funding to construct new VA clinic; HR5042 - Jumpstart VA Construction Act: HR4810 - Veterans Access to Care Act

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

Government targets: Administration for Children & Families (ACF), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

VHA Directive 2009-053 - Pain Care Re-Authorization Directive - work for increased Veteran access to pain specialists, and alternative treatments in the VA VA Vendor Credentialing - Establishing a National Credentialing System for the VA S.2450/H.R. 4810 - Bills to allow Veterans access to healthcare from non-VA facilities if unable to receive care from the VA in a timely manner. Public Law No. 113-146 - Veterans Access, Choice, and Accountability Act: Implementation of law to allow Veterans access to healthcare from non-VA facilities if unable to receive care from the VA in a timely manner.

Client expense: $420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Addressing problems with the US Department of Veteran Affairs National Acquisition Center (NAC) S2450 - HR4810 - HR4031 Conference Committee

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE

Veterans Health Care; funding to construct new VA clinic; HR5042 - Jumpstart VA Construction Act: HR4810 - Veterans Access to Care Act

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

Government targets: Administration for Children & Families (ACF), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Education related to Hepatitis C. HR 4810 Access to Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Eduction related to Hepatitis C. Access to Care Act, HR 4810

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussed the following: how to transform VAs vocational rehabilitation program into a 21st century vocational rehabilitation program. Department of Veterans Affairs Expiring Authorities Act of 2014 (H.R. 5404). Restore Trust in Veterans Access to Health Care Act (H.R. 5007). Guarantee Housing for Terminally Ill Veterans Act (H.R. 4674).Rural Veterans Improvement Act of 2014 (S. 2009). Veteran Voting Support Act (S. 2145). Veterans Appeals Improvement Act of 2014 (S. 2296). S. 2316 requires the VAs Inspector General to submit a report on wait times for veterans seeking medical care from VA and to prohibit closure of VA medical facilities. S. 2362 prohibits the payment of performance awards in fiscal year 2015 to Veterans Health Administration employees. Increasing Medical Oversight in the Department of Veterans Affairs Act of 2014 (S. 2401). Veterans Access to Care Act of 2014 (H.R. 4810).H.R. 4037, the Improving Veterans Access to Vocational Rehabilitation and Employment Act of 2014.21st Century Veterans Benefits Delivery Act (S. 2091). This legislation would seek to improve the VA claims process. H.R. 2119, the Veterans Access to Speedy Review Act. H.R. 3876, the Burial with Dignity for Heroes Act of 2014. S. 1584 which would provide replacement automobiles for certain disabled veterans and servicemembers. VAs Prosthetic and Sensory Aids Service standards for installation of adaptive auto equipment paid for by VA. legislation to provide a presumption of service connection for mental health conditions related to military sexual trauma. legislation regarding telework for certain VA employees. H.R. 2088 which would direct VA to carry out a pilot program to establish claims adjudication centers of excellence. H.R. 2189 which would establish a commission or task force to evaluate the backlog of disability claims. reforming the VAs claims process to ensure that it is veteran-centered. H.R. 2726 which would authorize VA to enter into contracts and agreements for the transfer of veterans to non-VA medical foster homes for certain veterans who are unable to live independently. Veterans Health and Benefits Improvement Act of 2013, as amended (S. 944). Access to Appropriate Immunizations for Veterans Act of 2013 (S. 1165). Improving the Lives of Children with Spina Bifida Act (S. 832). Ending VA Claims Disability Backlog and Accountability Act (H.R. 2138). VA Claims Efficiency Through Information Act (H.R. 1623). Veterans Pension Protection Act (H.R. 2341). a legislative proposal, with advocates to expand the approved uses of the Post 9/11 GI Bill. access to VA mental health services with the Department of Veterans Affairs, Veterans Health Administration. VetSuccess Enhancement Act (H.R. 844). This legislation would extend from 12 to 17 years the authorized period for an eligible veteran to receive vocational training and rehabilitation from VA. H.R. 894 which would reform VAs fiduciary program. Reducing Barriers to Veterans Benefits Act (H.R. 369). Supported the following: Protect Veterans Employment and Training Services Act (Protect VETS Act) (S. 2834). Creating Options for Veterans Expedited Recovery Act (H.R. 4977). Clay Hunt Suicide Prevention for American Veterans Act (H.R. 5059). Also discussed the Suicide Prevention for American Veterans Act (S. 2182). Toxic Exposure Research Act of 2014 (H.R. 5484). Wounded Warrior Employment Improvement Act (H.R. 5032). H.R. 4971, the Ask Veterans Act. This legislation would solicit veterans opinions regarding their experiences with VA health care. S. 1659, the POST Act. This legislation would allow for-profit schools to receive no more than 85% of their revenues from federal sources and include DoD Tuition Assistance and G.I. Bill funds in the 85% calculation. S. 2115, the American Cures Act. This legislation would create a biomedical trust fund to sustain federal investment in four leading federal agencies and programs dedicated to mental health and prosthetic research for veterans. Military and Veteran Caregiver Services Improvement Act of 2014 (S. 2243/H.R. 4892). This legislation would increase access to caregiver benefits and make other critical changes needed to ensure improved services for significantly disabled veterans and servicemembers and their caregivers. Disabled Veterans Jobs Opportunity Act (H.R. 4247). This legislation would increase preference in federal hiring for veterans who have disability ratings of 70 percent or greater from VA. Express Appeals Act (H.R. 4616). This legislation would provide veterans with the opportunity to have their appeals of claims for disability compensation benefits reviewed using an expedited review process. Serving Americas Veterans Effectively Act (SAVE Act) (H.R. 5332). This legislation would promote greater awareness of the health care needs of our nations veterans by requiring health care providers who participate in the Medicare and Medicaid programs to ask about a patients veteran status. Veterans Access to Care Through Choice, Accountability, and Transparency Act of 2014 (S. 2450). This legislation represents an important step toward ensuring that veterans have timely access to health care and that VA employees who gamed the system for scheduling care will be held accountable. S. 2450 was inserted into H.R. 3230 (Veterans Access to Care through Choice, Accountability, and Transparency Act of 2014) as an amendment in the nature of a substitute. S. 1950/S. 1982, the Comprehensive Veterans Health and Benefits and Military and Retirement Pay Restoration Act. Also supported Amendment 2755 to add advance appropriations for additional VA accounts to S. 1982. H.R. 2527 which expands access to counseling and treatment for sexual trauma that occurred while a service member was on inactive duty for training status. H.R. 2974 which expands beneficiary travel for veterans seeking treatment or care for military sexual assault at a specialized outpatient or residential facility. H.R. 3958, the Healing our Heroes Act. This legislation would prevent veterans who have sustained a traumatic brain injury (TBI) from being forced to prematurely end their rehabilitation due to the expiration of the Assisted Living Pilot Program for Veterans with TBI. In addition, we supported H.R. 4276 and S. 2607 which would also extend the authorization of the program. H.R. 4234, the Ensuring Veterans Resiliency Act. This legislation would encourage psychiatrists to dedicate their careers to serving our veterans by authorizing a select number of full-time hires to be offered loan repayment incentives commensurate with other federal entities. H.R. 4150, the Veterans Employment and Training Service Longitudinal Study Act of 2014. H.R. 4151, the Veterans Education Survey Act of 2014. H.R. 2018, the Honor Those Who Served Act of 2013. H.R. 2529, the Veteran Spouses Equal Treatment Act. H.R. 3671 which would furnish a medallion to signify the veteran status of a deceased individual. H.R. 4095/S. 2258, the Veterans Compensation Cost-of-Living Adjustment Act of 2014. H.R. 4102 which would allow the estates of deceased veterans to receive accrued benefits. H.R. 4141 which would allow enhanced-use leases for excess property of the National Cemetery Administration. S. 2311/H.R. 3508 which would clarify qualifications of hearing aid specialist of the VHA. Support our Services to Veterans Caregivers (SOS Veterans Caregivers) Act (H.R. 3672). Protecting Those Who Protected Us Act of 2013 (S. 1564). Quicker Veterans Benefits Delivery Act (H.R. 1980/H.R. 4191). House efforts to increase DOD and VA support for Joint Centers of Excellence. Homeless Veterans Assistance Fund Act of 2013 (H.R. 2797). Veterans Independent Living Enhancement Act (H.R. 3330). American Heroes COLA Act (H.R. 570). Veterans Second Amendment Protection Act (H.R. 602). Ruth Moore Act of 2013 (H.R. 671). Honor Americas Guard-Reserve Retirees Act (H.R. 679). VA Claims, Operations, and Records Efficiency Act (H.R. 1729). World War II Merchant Mariner Service Act (H.R. 1288). Blue Water Navy Ship Accountability Act (H.R. 1494). Pay As You Rate Act (H.R. 2086). H.R. 1809 which would require VA to provide notice of average times for processing claims and percentage of claims approved. Prioritizing Urgent Claims for Veterans Act (H.R. 2382). Disabled Veterans Access to Medical Exams Improvement Act (H.R. 2423). Putting Veterans Funding First Act of 2013 (H.R. 813/S. 932). Wounded Warrior Workforce Enhancement Act (S. 522). Veterans Affairs Research Transparency Act (S. 877). legislation authorizing VA to transport individuals to and from VA facilities in connection with rehabilitation, counseling, examination, treatment, and care (H.R. 1702/S. 455). Caregivers Expansion and Improvement Act of 2013 (H.R. 3383/S. 851). H.R. 1284/S. 633 which would provide coverage under the beneficiary travel program of VA of certain disabled veterans for travel in connection with certain special disabilities rehabilitation. H.R. 1405 which would require VA to include an appeals form in any notice of decision issued for the denial of a benefit. Servicemembers Choice in Transition Act of 2013 (H.R. 631/S. 889) and recommended an amendment that would ensure inclusion of information about disabi

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation, Dept of (DOT), White House Office

Discussed the following: how to transform VAs vocational rehabilitation program into a 21st century vocational rehabilitation program. Department of Veterans Affairs Expiring Authorities Act of 2014 (H.R. 5404). Restore Trust in Veterans Access to Health Care Act (H.R. 5007). Guarantee Housing for Terminally Ill Veterans Act (H.R. 4674).Rural Veterans Improvement Act of 2014 (S. 2009). Veteran Voting Support Act (S. 2145). Veterans Appeals Improvement Act of 2014 (S. 2296). S. 2316 requires the VAs Inspector General to submit a report on wait times for veterans seeking medical care from VA and to prohibit closure of VA medical facilities. S. 2362 prohibits the payment of performance awards in fiscal year 2015 to Veterans Health Administration employees. Increasing Medical Oversight in the Department of Veterans Affairs Act of 2014 (S. 2401). Veterans Access to Care Act of 2014 (H.R. 4810).H.R. 4037, the Improving Veterans Access to Vocational Rehabilitation and Employment Act of 2014.21st Century Veterans Benefits Delivery Act (S. 2091). This legislation would seek to improve the VA claims process. H.R. 2119, the Veterans Access to Speedy Review Act. H.R. 3876, the Burial with Dignity for Heroes Act of 2014. S. 1584 which would provide replacement automobiles for certain disabled veterans and servicemembers. VAs Prosthetic and Sensory Aids Service standards for installation of adaptive auto equipment paid for by VA. legislation to provide a presumption of service connection for mental health conditions related to military sexual trauma. legislation regarding telework for certain VA employees. H.R. 2088 which would direct VA to carry out a pilot program to establish claims adjudication centers of excellence. H.R. 2189 which would establish a commission or task force to evaluate the backlog of disability claims. reforming the VAs claims process to ensure that it is veteran-centered. H.R. 2726 which would authorize VA to enter into contracts and agreements for the transfer of veterans to non-VA medical foster homes for certain veterans who are unable to live independently. Veterans Health and Benefits Improvement Act of 2013, as amended (S. 944). Access to Appropriate Immunizations for Veterans Act of 2013 (S. 1165). Improving the Lives of Children with Spina Bifida Act (S. 832). Ending VA Claims Disability Backlog and Accountability Act (H.R. 2138). VA Claims Efficiency Through Information Act (H.R. 1623). Veterans Pension Protection Act (H.R. 2341). a legislative proposal, with advocates to expand the approved uses of the Post 9/11 GI Bill. access to VA mental health services with the Department of Veterans Affairs, Veterans Health Administration. VetSuccess Enhancement Act (H.R. 844). This legislation would extend from 12 to 17 years the authorized period for an eligible veteran to receive vocational training and rehabilitation from VA. H.R. 894 which would reform VAs fiduciary program. Reducing Barriers to Veterans Benefits Act (H.R. 369). Supported the following: Protect Veterans Employment and Training Services Act (Protect VETS Act) (S. 2834). Creating Options for Veterans Expedited Recovery Act (H.R. 4977). Clay Hunt Suicide Prevention for American Veterans Act (H.R. 5059). Also discussed the Suicide Prevention for American Veterans Act (S. 2182). Toxic Exposure Research Act of 2014 (H.R. 5484). Wounded Warrior Employment Improvement Act (H.R. 5032). H.R. 4971, the Ask Veterans Act. This legislation would solicit veterans opinions regarding their experiences with VA health care. S. 1659, the POST Act. This legislation would allow for-profit schools to receive no more than 85% of their revenues from federal sources and include DoD Tuition Assistance and G.I. Bill funds in the 85% calculation. S. 2115, the American Cures Act. This legislation would create a biomedical trust fund to sustain federal investment in four leading federal agencies and programs dedicated to mental health and prosthetic research for veterans. Military and Veteran Caregiver Services Improvement Act of 2014 (S. 2243/H.R. 4892). This legislation would increase access to caregiver benefits and make other critical changes needed to ensure improved services for significantly disabled veterans and servicemembers and their caregivers. Disabled Veterans Jobs Opportunity Act (H.R. 4247). This legislation would increase preference in federal hiring for veterans who have disability ratings of 70 percent or greater from VA. Express Appeals Act (H.R. 4616). This legislation would provide veterans with the opportunity to have their appeals of claims for disability compensation benefits reviewed using an expedited review process. Serving Americas Veterans Effectively Act (SAVE Act) (H.R. 5332). This legislation would promote greater awareness of the health care needs of our nations veterans by requiring health care providers who participate in the Medicare and Medicaid programs to ask about a patients veteran status. Veterans Access to Care Through Choice, Accountability, and Transparency Act of 2014 (S. 2450). This legislation represents an important step toward ensuring that veterans have timely access to health care and that VA employees who gamed the system for scheduling care will be held accountable. S. 2450 was inserted into H.R. 3230 (Veterans Access to Care through Choice, Accountability, and Transparency Act of 2014) as an amendment in the nature of a substitute. S. 1950/S. 1982, the Comprehensive Veterans Health and Benefits and Military and Retirement Pay Restoration Act. Also supported Amendment 2755 to add advance appropriations for additional VA accounts to S. 1982. H.R. 2527 which expands access to counseling and treatment for sexual trauma that occurred while a service member was on inactive duty for training status. H.R. 2974 which expands beneficiary travel for veterans seeking treatment or care for military sexual assault at a specialized outpatient or residential facility. H.R. 3958, the Healing our Heroes Act. This legislation would prevent veterans who have sustained a traumatic brain injury (TBI) from being forced to prematurely end their rehabilitation due to the expiration of the Assisted Living Pilot Program for Veterans with TBI. In addition, we supported H.R. 4276 and S. 2607 which would also extend the authorization of the program. H.R. 4234, the Ensuring Veterans Resiliency Act. This legislation would encourage psychiatrists to dedicate their careers to serving our veterans by authorizing a select number of full-time hires to be offered loan repayment incentives commensurate with other federal entities. H.R. 4150, the Veterans Employment and Training Service Longitudinal Study Act of 2014. H.R. 4151, the Veterans Education Survey Act of 2014. H.R. 2018, the Honor Those Who Served Act of 2013. H.R. 2529, the Veteran Spouses Equal Treatment Act. H.R. 3671 which would furnish a medallion to signify the veteran status of a deceased individual. H.R. 4095/S. 2258, the Veterans Compensation Cost-of-Living Adjustment Act of 2014. H.R. 4102 which would allow the estates of deceased veterans to receive accrued benefits. H.R. 4141 which would allow enhanced-use leases for excess property of the National Cemetery Administration. S. 2311/H.R. 3508 which would clarify qualifications of hearing aid specialist of the VHA. Support our Services to Veterans Caregivers (SOS Veterans Caregivers) Act (H.R. 3672). Protecting Those Who Protected Us Act of 2013 (S. 1564). Quicker Veterans Benefits Delivery Act (H.R. 1980/H.R. 4191). House efforts to increase DOD and VA support for Joint Centers of Excellence. Homeless Veterans Assistance Fund Act of 2013 (H.R. 2797). Veterans Independent Living Enhancement Act (H.R. 3330). American Heroes COLA Act (H.R. 570). Veterans Second Amendment Protection Act (H.R. 602). Ruth Moore Act of 2013 (H.R. 671). Honor Americas Guard-Reserve Retirees Act (H.R. 679). VA Claims, Operations, and Records Efficiency Act (H.R. 1729). World War II Merchant Mariner Service Act (H.R. 1288). Blue Water Navy Ship Accountability Act (H.R. 1494). Pay As You Rate Act (H.R. 2086). H.R. 1809 which would require VA to provide notice of average times for processing claims and percentage of claims approved. Prioritizing Urgent Claims for Veterans Act (H.R. 2382). Disabled Veterans Access to Medical Exams Improvement Act (H.R. 2423). Putting Veterans Funding First Act of 2013 (H.R. 813/S. 932). Wounded Warrior Workforce Enhancement Act (S. 522). Veterans Affairs Research Transparency Act (S. 877). legislation authorizing VA to transport individuals to and from VA facilities in connection with rehabilitation, counseling, examination, treatment, and care (H.R. 1702/S. 455). Caregivers Expansion and Improvement Act of 2013 (H.R. 3383/S. 851). H.R. 1284/S. 633 which would provide coverage under the beneficiary travel program of VA of certain disabled veterans for travel in connection with certain special disabilities rehabilitation. H.R. 1405 which would require VA to include an appeals form in any notice of decision issued for the denial of a benefit. Servicemembers Choice in Transition Act of 2013 (H.R. 631/S. 889) and recommended an amendment that would ensure inclusion of information about disabi

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation, Dept of (DOT), White House Office

Support The Importance of Rural Health Access for American Communities and the need for rural hospitals and their value to rural areas; Support of HR 1326 Health Care Price Transparency Promotion Act of 2013, to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs; Support CMS proposed rule aimed at reducing burden and promoting efficiency for hospitals,critical access hospitals and other providers. The rule addresses stakeholder concerns about governance-related provisions in the most recent changes to the Medicare Conditions of Participation; Support S 689 Mental Health Awareness and Improvement Act of 2013, a bill to reauthorize and improve programs related to mental health and substance use disorders; Support S 961 Health Care Safety Net Enhancement Act of 2013, a bill to improve access to emergency medical services; Oppose HR 2027 Expanding Patients' Access to Quality Care Act of 2013, a bill to amend section 1877 of the Social Security Act to modify the requirements for hospitals to qualify for the rural provider and hospital exception to physician ownership or investment prohibition in order to take into account hospitals that were under construction or development at the time of imposing such requirements, hospital expansions, and hospitals in financial distress; Support 340B Drug Program; Support Rep. Lynn Jenkins(R-KS) H. Res 356 in support of rural hospitals and rural health care providers. The resolution calls access to rural hospitals and other health care providers essential to the survival and success of communities; Support for the current October 1, 2014 implementation date for adoption of the International Classification of Diseases, Tenth Revision, Clinical Modifications (ICD-10-CM) for all health care providers, as well as the adoption of the Procedure Coding System of ICD-10 for hospital reporting of inpatient procedures; Encourage HHS to speed up processing of CAC applications and discussed questions about the new Marketplaces; Participated in the White House National Mental Health Conference and had several discussions on how hospitals can help raise awareness about mental health in their communities with ACA; Discussions with the Senate Finance Committee in response to the Committees outreach to behavioral health stakeholders seeking input to help improve the behavioral health care system; Helping to shape agencys forthcoming compliance initiative related to hospitals reporting obligations to the National Practitioner Data Bank; Support S. 2196 Good Samaritan Health Professional Act, by extending to licensed, volunteer health professionals the same protective standards included in the Volunteer Protection Act of 1997, this legislation takes critical steps to help victims have access to critical onsite medical attention during declared federal disasters; Support S 2501 Hospital Readmissions Program Accuracy and Accountability Act of 2014, to amend title XVIII (Medicare) of the Social Security Act, with respect to the Hospital Readmissions Reduction Program, to direct the Secretary of Health and Human Services (HHS), in determining a hospital's excess readmission ratio for purposes of making payments for discharges starting in FY2016, to risk adjust readmissions to account for patient socioeconomic status; Requested that the Secretary issue a written statement on behalf of the entire department confirming that the HHS is not discouraging hospital-affiliated or other charitable foundations from subsidizing premiums purchased through the new Health Insurance Marketplaces (exchanges) or cost-sharing expenses for needy enrollees; Support HR 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; HR 4810 Veteran Access to Care Act of 2014 and H.R.3230 Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014, support specific provisions in the two bills and to address this issue and allow veterans to more easily secure care from civilian providers. We urge Congress to move expeditiously to resolve differences between the House and Senate bills and look forward to working with our VA colleagues, Congress and the Administration to ensure veterans receive the care they need when they need it.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), SENATE

Legislation and policies relating to: Revision of the Veterans Health Administration nursing handbook regarding full practice authority for advanced practice nurses Contracting of non-VA health care providers to furnish primary and specialized health care to veterans H.R. 3230/S. 2450 - Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4031 - Department of Veterans Affairs Management Accountability Act H.R. 4810 - Veterans Access to Care Act S. 1982 - Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act S. 2013 - Department of Veterans Affairs Management Accountability Act

Client expense: Not reported · Firm income: $9,000

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

Legislation and policies relating to: Revision of the Veterans Health Administration nursing handbook regarding full practice authority for advanced practice nurses Contracting of non-VA health care providers to furnish primary and specialized health care to veterans H.R. 3230/S. 2450 - Veterans' Access to Care through Choice, Accountability, and Transparency Act H.R. 4031 - Department of Veterans Affairs Management Accountability Act H.R. 4810 - Veterans Access to Care Act S. 1982 - Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act S. 2013 - Department of Veterans Affairs Management Accountability 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

Participation in State State Drug Monitoring Programs. H.R. 4810 (Miller) and S. 2450 (Sanders/McCain): Veterans Administration Health Care Reform (Senate, House). Conference Report Veterans Administration Reform HR 3230 H.R. 3507 (Peters). 21st Century Care for Military and Veterans Act.

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

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

H.R. 1725 Veterans Mental Health Accessibility Act H.R. 5059 Clay Hunt SAV Act S. 628 Service Member Mental Health Review Act S. 2182 Suicide Prevention for American Veterans Act H.R. 4234 Ensuring Veterans Resiliency Act S. 2425 Ensuring Veterans Resiliency Act H.R. 4951 Doctors Helping Heroes Act H.R. 4942 Underserved Veterans Access to Health Care Act S. 2413 Restoring Veterans Trust Act S. 2424 Veterans Choice Act S. 2013/H.R. 4031 Department of Veterans Affairs Management Accountability Act of 2014 H.R. 4841/ S. 2450 Veterans Access to Care through Choice, Accountability and Transparency Act H.R. 4810 Veterans Access to Care Act S.2422 Ensuring Veterans Access to Care Act of 2013 Proposed Rule: Health Care for Homeless Veterans Program; Vol 79, No. 94 Federal Register 27826 (RIN 2900-A071)

Client expense: $71,176 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Lobbied for advance appropriations for VA health care to shield most employees during in anticipation of furloughs. Lobbied on Veterans Benefits Continuing Appropriations Resolution to fund benefits paid to veterans and personnel costs for processing disability payments, GI Bill, education training, and VA home loans.HR 813/S 932 - to extend advance appropriations to benefits, cemeteries, and other VA operations to further stabilize VA operations and staffing. Incorporate into S 1950 and S 1982. HR 1907 - the Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013. HR 2785 - to extend veterans' preference rights to over 80,000 VA health care employees (both HR 2785 and S 1320). S 928, Claims Processing Improvement Act of 2013 - lobbying to establish a working group to improve work credit and work management systems of the Veterans Benefits Administration (VBA) and mandate of additional help to veterans to secure federal records. Lobbied for HR 3230/S 2450, Veterans' Access to Care Through Choice, Accountability, and Transparency Act of 2014, in particular emergency funding for the VA. These bills provide a comprehensive, balanced, and evidence-based approach to improving health care access to our veterans and ensure fair evaluation of VA frontline physicians' performance and the critical emergency funding necessary. HR 4399, Comprehensive Department of Veterans' Affairs Performance Management and Accountability Reform Act of 2014 - lobbied against its drastic changes to market pay and performance pay elements that would adversely affect recruitment and retention of front-line clinicians providing direct care to our veterans. HR 4810, the Veterans Access to Care Act of 2014, specifically, lobbied against the portion requiring VA utilize a single approach to expanding access by allowing contractors to handle inpatient and outpatient veterans' care. Also against provisions to ban all bonuses and awards to VA employees. Lobbied for S 1556/HR 4580, Improving Clinical Care Workforce for Our Vets - provisions restoring equal bargaining rights, significantly strengthening VA's ability to recruit and retain health care professionals, and cutting down on turnover and contract care costs. HR 5229, the Wounded Warriors Federal Leave Act of 2014, to ensure disabled veterans do not have to choose between their health care needs and their employment. Continue lobbying efforts on legislation to: --Provide and expand title 38 bargaining rights; --Provide emergency funding for VA health care. --Provide VA Canteen Service employees with Title 5 rights to appeal terminations. --Request for oversight of VA health care personnel issues, including recruitment and retention of VA physicians and registered nurses. --Expand veterans preference rights for Title 38 employees. --Mandate a new work credit system for VBA employees based on a data driven time motion study. --Issue a moratorium on VA spending on any downgrades of employees before a study can be done to determine the impact on protected EEO classes. --Introduction of a resolution designating September 22-28 as Federal Nurses Week.

Client expense: $402,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Bureau of Citizenship & Immigration Services (BCIS), Defense Commissary Agency, Defense Contract Audit Agency (DCAA), Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Transportation Security Administration (TSA), U.S. Customs & Border Protection, U.S. Marines, Veterans Affairs, Dept of (VA)

Veterans Health Care; funding to construct new VA clinic; HR5042 - Jumpstart VA Construction Act; HR4810 - Veterans Access to Care Act

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

Government targets: Administration for Children & Families (ACF), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1985 and S 2095: Veterans Health Care Access Received Closer to Home Act of 2014 (All Provisions). HR 3230: Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 (All Provisions). HR 4810: Veteran Access to Care Act of 2014 (All Provisions).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4810: Veteran Access to Care Act of 2014.

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

Government targets: HOUSE OF REPRESENTATIVES

H.R. 4810: Veteran Access to Care Act of 2014.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE