Improving Medicare Post-Acute Care Transformation Act of 2014

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing value-based purchasing program under the Medicare program) HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 7154 - Outpatient Therapy Modernization and Stabilization Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections)

Client expense: $316,000 · Firm income: Not reported

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

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Advocate on the Hill and with CMS around the release of the proposed rule on the Requirements of Participation Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018 S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act S.2943, Quality Care for Nursing Home Residents Act of 2019 HR 6800 HEROES Act S. 3768 Nursing Home COVID-19 Protection and Prevention Act of 2020. S. 4108 A bill to amend title XIX of the Social Security Act to increase Federal support to State Medicaid programs during economic downturns, and for other purposes. S.3644 Quality Care for Nursing Home Residents and Workers During COVID-19 Act of 2020. S.2943 Quality Care for Nursing Home Residents Act of 2019. H.R. 748 CARES Act H.R. 6201 Families First Coronavirus Response Act H.R. 7048 Nursing Home Pandemic Protection Act H.R.6872 - SOS Act of 2020 H.R. 6849 Nursing Facility Quality Reporting Act of 2020 H.R. 6847 COHORT Act of 2020 Public Health Fund Distribution to HHS as agency CMS on Public Health Waiver and other waivers

Client expense: $860,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Advocate on the Hill and with CMS around the release of the proposed rule on the Requirements of Participation Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018 S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act H.R.5897/S.3297 - Preventing Abuse and Neglect of Vulnerable Americans Act of 2020 Public Law 116-136, CARES Act Public Law 116-127 (H.R. 6201) Families First Coronavirus Response Act S.2943, Quality Care for Nursing Home Residents Act of 2019

Client expense: $920,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Advocate on the Hill and with CMS around the release of the proposed rule on the Requirements of Participation Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018 S. 2993- Ensuring Seniors Access to Quality Care Act S 2943/HR 5216 Quality Care for Nursing Home Residents Act of 2019 HR 5326 Fairness in Nursing Home Arbitration Act

Client expense: $980,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

S. 2574 Protects Act H.R. 3398 Pathways to Health Careers Act H.R.4468- Nursing Home Workforce Quality Act Outreach to Hill on GAO Report "Federal Requirements for Oversight in Nursing Homes and Assisted Living Facilities Differ" Outreach to CMS: PDPM Implementation The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Advocate on the Hill and with CMS around the release of the proposed rule on the Requirements of Participation Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $900,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Advocate on the Hill and with CMS around the release of the proposed rule on the Requirements of Participation Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $900,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the implementation of the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $1,060,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

Submitted comments in response to Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; Proposed Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Promoting Interoperability Programs Proposed Requirements for Eligible Hospitals and Critical Access Hospitals. Access to LTCHs for Medicare Advantage beneficiaries The Improving Medicare Post-Acute Care Transformation Act of 2014 or IMPACT Act of 2014 (HR 4994).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Medicare Payment Advisory Commission (MedPAC)

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the implementation of the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $1,060,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Veterans Affairs, Dept of (VA)

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $970,000 · Firm income: Not reported

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

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CAN bill)

Client expense: $980,000 · Firm income: Not reported

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

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- Access to LTCHs for Medicare Advantage beneficiaries - Implementation of the Improving Medicare Post-Acute Care Transformation Act of 2014 or IMPACT Act of 2014 (HR 4994).

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

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

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c).

Client expense: $920,000 · Firm income: Not reported

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

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141

Client expense: $990,000 · Firm income: Not reported

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

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process

Client expense: $1,040,000 · Firm income: Not reported

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

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process

Client expense: $900,000 · Firm income: Not reported

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

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Better Care Reconciliation Act American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Renacci/Hoeven Letters in House & Senate on CMS Requirements of Participation

Client expense: $900,000 · Firm income: Not reported

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

The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); the IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R. 6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P); CY 2018 Home Health Prospective Payment System Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1672-P).

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

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

The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); the IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R. 6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P); CY 2018 Home Health Prospective Payment System Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1672-P).

Client expense: Not reported · Firm income: $110,000

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

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Better Care Reconciliation Act American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

Client expense: $970,000 · Firm income: Not reported

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

The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); the IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R. 6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).

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

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

The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); the IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R. 6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).

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

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

The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); The IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).

Client expense: Not reported · Firm income: $80,000

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

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Matters pertaining to the American Health Care Act; Better Care Reconciliation Act; Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform. Notice and Information Collection, home health prior authorization policy.

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

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

Matters pertaining to the American Health Care Act; Better Care Reconciliation Act; Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform. Notice and Information Collection, home health prior authorization policy.

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

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

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Healthcare Act (H.R. 1628) The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994)

Client expense: $910,000 · Firm income: Not reported

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

Matters pertaining to the American Health Care Act; Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform. Notice and Information Collection, home health prior authorization policy.

Client expense: $410,000 · Firm income: Not reported

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

Matters pertaining to the American Health Care Act; Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform. Notice and Information Collection, home health prior authorization policy.

Client expense: $410,000 · Firm income: Not reported

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

The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); The IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).

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

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

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. H.R. 5926/S. 3040, Labor/Health and Human Services/Education Appropriations, FY2017, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 2389, Preserve Access to Medicare Rural Home Health Services Act of 2015. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). S. 2368, Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. Medicare Advantage hospice proposals. S. 2416, VERIFI Act. H.R. 2446, to amend the Social Security Act to require the use of electronic visit verification for Medicaid personal care services. H.R. 3119, Palliative Care and Hospice Education and Training Act. S. 2364, Medicare Home Health Flexibility Act of 2015. VA Home Care Services. Home Health Prior Authorization and Pre-Claim review. H.R. 4994 (Public Law 113-185), Improving Medicare Post-Acute Care Transformation (IMPACT) Act. H.R. 4111, Rural Healthcare Connectivity Act. H.R. 2646, Helping Families in Mental Health Crisis Act. H.R. 5799/S. 2786, Rural Access to Hospice Care Act. H.R. 6226, Pre-Claim Undermines Senior's Health (PUSH) Act. S. 2484, CONNECT for Health Care. H.R. 34, 21st Century Cures Act.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Matters pertaining to the Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform; Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R.3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Prospective Payment Proposed Rule; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298).

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

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

Matters pertaining to the Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform; Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R.3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Prospective Payment Proposed Rule; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298).

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

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

The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); The IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).

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

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

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare ACt of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increasd Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013. S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367 The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness for Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodology for short inpatient hospital stays. H.R.3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S.1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.157 - Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014 Advocacy work on HCBS proposed rule: passed in January S.1932 - A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program HR 1250 - The Medicare Audit Improvement Act of 2013 S.1012 - Medicare Audit Improvement Act of 2013 S.2082 - The two-midnight rule coordinator and Improvement Act of 2014 Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014) Protect and Preserve Medicaid funding for long Term Services and Supports Medicaid Provider Assessment Improving the CMS State Plan Amdt. Process Opposition to H.B. No. 5051 - An Act Improving Transparency of Nursing Home Operations Sustainable Growth Rate (SGR) and other reform proposals Reducing hospital readmissions from skilled nursing facility Department of VA (VA) Provider Agreement final rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors MedPAC site neutral payment system for post acute care CME proposed Rule for SNF Prospective Payment System (PPS) HR 4994, IMPACT Act of 2014 HR 5098 - to amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. HR 4232 - A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. HR 5373 - To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Matters pertaining to the Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform; Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R.3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Prospective Payment Proposed Rule.

Client expense: $250,000 · Firm income: Not reported

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

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. H.R. 5926/S. 3040, Labor/Health and Human Services/Education Appropriations, FY2017, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 2389, Preserve Access to Medicare Rural Home Health Services Act of 2015. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). S. 2368, Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. Medicare Advantage hospice proposals. S. 2416, VERIFI Act. H.R. 2446, to amend the Social Security Act to require the use of electronic visit verification for Medicaid personal care services. H.R. 3119, Palliative Care and Hospice Education and Training Act. S. 2364, Medicare Home Health Flexibility Act of 2015. VA Home Care Services. Home Health Prior Authorization and Pre-Claim review. H.R. 4994 (Public Law 113-185), Improving Medicare Post-Acute Care Transformation (IMPACT) Act. H.R. 4111, Rural Healthcare Connectivity Act. H.R. 2646, Helping Families in Mental Health Crisis Act. H.R. 5799/S. 2786, Rural Access to Hospice Care Act. H.R. 6226, Pre-Claim Undermines Senior's Health (PUSH) Act. S. 2484, CONNECT for Health Care.

Client expense: $110,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); The IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).

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

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