Medicare Telehealth Parity Act of 2014

HR 5380 - Medicare Telehealth Parity Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 713/S. 367-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of/alternatives to the Sustainable Growth Rate (SGR) Formula H.R. 574 Medicare Physician Payment Innovation Act Opposition of Multiple Procedure Payment Reduction for PT Services Physician Quality Reporting System H.R. 2914 Promoting Integrity in Medicare Act H.R. 1310 and S. 236 Medicare Patient Empowerment Act Prevention Initiatives for Fraud and Abuse in the Medicare program Accountable Care Organizations/Patient Centered Medical Homes Electronic Health Records/ Health Information Technology incentives for Physical Therapists Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform Local Coverage Determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National Priority for Research and Research Agenda Health Information Technology Medicare Physician Payment Innovation Act Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform H.R. 1179/S. 569 Improving Access to Medicare Coverage Act Medicaid Essential Health Benefits EHR/LTPAC Settings: Transitions of Care Medicare Improvement Standards Bundled Payment Models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 3426 Prevent Interruptions in Physical Therapy Act/S.2818 H.R. 942 and S. 948 Ensuring Access to Quality Complex Rehabilitation Technology H.R. 2810 Medicare Patient Access and Quality Improvement Act Inclusion of physical therapists in quality programs in SGR Reform H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 FTC Anti-competition Self-referral S.1871 SGR Repeal and Medicare Beneficiary Access Act S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act H.R.4302 Protecting Access to Medicare Act Statement for the record on Ways and Means Health Subcommittee Current Hospital Issues in Medicare H.R. 4755 Access to In-patient Rehabilitation Therapy Act H.R. 4994/S.2553 IMPACT Act Able Act Comments on CY2015 OPPS rule H.R. 5380 Medicare Telehealth Parity Act Comments on draft Fraud & Abuse Legislation Hospital Improvements for Payment Act H.R. 5380 Medicare Telehealth Parity Act

Client expense: $308,338 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

SGR Reform Home Health Care Planning Improvement Act H.R. 5380 - Medicare Telehealth Parity Act of 2014

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Face to Face Physician Encounter Requirement. Hospice/Part D Coordination of Care. H.R. 4994/S. 2553, IMPACT Act of 2014. H.R. 4625, Medicare Home Health Rebasing Relief and Reassessment Act. S. 2491, Medicare Protection Act H.R. 4673, BACPAC Act of 2014 H.R. 5558, ACO Improvement Act of 2014 H.R. 3306, Telehealth Enhancement Act of 2013 H.R. 5380, Medicare Telehealth Parity Act of 2014 H.R. 5110, SAVE Medicare Home Health Act of 2014 Home health rural add on payment. Protecting the Integrity of Medicare Act (PIMA) (draft legislation), provisions on home health surety bond.

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

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

HR 2619 Medicare Respiratory Therapist Access Act HR 5380 - Medicare Telehealth Parity Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 367/HR 713 - Medicare Access to Rehabilitation Services Act: Advocate for removal of cap on occupational therapy services and passage. HR 942/S 948 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2013: Advocate for inclusion of occupational therapy professionals as providers of complex rehabilitation technology. No bill# - Educate about role of occupational therapy in primary care. HR 2810 - The Medicare Patient Access and Quality Improvement Act of 2013: Advocated regarding sustainable growth rate and educate about the role of occupational therapy in health care and need for improving Medicare to assure that patients receive appropriate care, especially occupational therapy services, and that payment is fair and equitable. No bill# - Multiple Procedure Payment Reduction (MPPR): Advocate the separation of occupational therapy from physical therapy/speech language pathology in application of MPPR policy. No bill# - Manual Medicare Review (MMR: Advocate for improved MMR procedures including electronic submission and 10 day turn around. S 1871/S 2110 - the Sustainable Growth Rate (SGR) Repeal and Medicare Beneficiary Access Improvement Act of 2013 AND HR 4015/S 2000 - SGR Repeal and Medicare Provider payment Modernization Act of 2014: Advocated for improvements to the bills that address policies that pertain to beneficiaries' access to occupational therapy services and how occupational therapy services are reimbursed under the Medicare program. Advocate for repeal of the Medicare Part B outpatient therapy cap on occupational therapy services. HR 3749 - The Medicare Demonstration of Coverage for Low Vision Devices Act: Support for greater attention to low vision coverage and highlight role of occupational therapy in ensuring the devices are utilized properly and to their full potential. S 1932/HR 3890 - Better Care, Lower Cost Act: Educate about role of occupational therapy in helping people with chronic conditions. Support including occupational therapy in the chronic care innovation centers. HR 4994/S 2553 0 The Improving Medicare post-Acute Care transformation Act of 2014 "IMPACT Act of 2014": Advocated for improvements in the bill that would help ensure Medicare beneficiaries' access to quality post-acute care in the right setting is preserved. Advocated to ensure data collection program includes elements that reflect the contributions of occupational therapy across the various post-acute settings. HR 5380 - Medicare Telehealth Parity Act: Support passage and inclusion of occupational therapy services. HR 3306 - The Telehealth Enhancement Act of 2013: educate about how occupational therapy can be utilized in telehealth. HR 3877 - Lymphedema Treatment Act: Support passage and educate about role of occupational therapy services. No. bill# (PL 113-93) - Advocate for inclusion of occupational therapy in the Excellence in Mental Health Act's Medicaid Demonstration by encouraging Members of Congress to send a letter of support to the Substance Abuse and Mental Health Administration. HR 5547/S 2515 - Community Integration Act: Discussed Act's aims to strengthen Medicaid beneficiaries' opportunities to receive home and community-based services. Met with staff from the Health Resources and Services Administration (HRSA), including Dr. Marcia Brand, HRSA Deputy Administrator, along with other representatives of allied health professionals, to discuss recent restructuring of HRSA that appears to deemphasize allied health professions and lack of funding for allied health training programs. Also discussed the need to clearly define "allied health professionals" both for existing policies and new programs being developed at the Centers for Medicare and Medicaid Innovation; and the role of allied health professionals in the changing health care landscape.

Client expense: $200,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

Support legislation to eliminate the Independent Payment Advisory Board (S.351, H.R. 351, Protecting Seniors' Access to Medicare Act of 2013). Support legislation to increase residency slots for Graduate Medical Education (H.R. 1201, Training Tomorrow's Doctors Today Act). Lobby in support of legislation to enact a permanent repeal to the Medicare sustainable growth rate (S.2000/H.R. 4015; SGR Repeal and Medicare Provider Payment Modernization Act of 2014 ). Lobby in support of a cap on the amount CMS can decrease payment to physician services in a given year. (related provision included in S.2000/H.R. 4015; SGR Repeal and Medicare Provider Payment Modernization Act of 2014 and H.R. 4302, Protecting Access to Medicare Act). Lobby Congress in opposition to proposed legislation to repeal in-office ancillary and physician services for anatomic pathology services (H.R. 2914, Promoting Integrity in Medicare Act of 2013, FY 15 President's Budget). Lobby Congress on impact of Health Information Technology. Lobby Congress to stop sequestration cuts to Medicare physician payments (Bipartisan Budget Act of 2013). Lobby in support of increased transparency and adequate response time from CMS when setting values for misvalued codes. Oppose legislation allowing non-physician providers direct access to Medicare patients without a referral (H.R. 5304, Audiology Patient Choice Act of 2014). Advocate on issues related to waste, fraud and abuse in Medicare. Lobby in support of legislation to extend the 90 day reporting period for demonstration meaningful use in 2015 (H.R. 5481, Flexibility in Health IT Reporting (Flex-IT) Act) Lobby Congress to rescind or delay policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global period codes to 0-day global period codes in 2017 and 2018. Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2552/H.R. 4998, Medicare Advantage Participant Bill of Rights Act of 2014). Lobby Congress on issues related to telemedicine (H.R. 5380, the Medicare Telehealth Parity Act).

Client expense: $307,164 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to continuous glucose monitoring Issues related to competitive bidding for DME products including HR 2375 - the Transparency and Accountability in Medicare Bidding Act of 2013 Issues related to HHS office of Inspector General (OIG) and Senate Finance Committee investigations of Physician-Owned EntitiesIssues relating to remote patient management and telehealth S. 2689 & H.R. 5644 - Medicare CGM Access Act of 2014 - provisions related to continuous glucose monitoring H.R. 5380 - Medicare Telehealth Parity Act of 2014 - provisions that expand definition of telehealth into remote patient monitoring in chronic conditions

Client expense: $950,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 713/S. 367-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of/alternatives to the Sustainable Growth Rate (SGR) Formula H.R. 574 Medicare Physician Payment Innovation ActOpposition of Multiple Procedure Payment Reduction for PT Services Physician Quality Reporting System H.R. 2914 Promoting Integrity in Medicare Act H.R. 1310 and S. 236 Medicare Patient Empowerment Act Prevention Initiatives for Fraud and Abuse in the Medicare program Accountable Care Organizations/Patient Centered Medical Homes Electronic Health Records/ Health Information Technology incentives for Physical Therapists Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform Local Coverage Determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National Priority for Research and Research Agenda Health Information Technology Medicare Physician Payment Innovation Act Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform H.R. 1179/S. 569 Improving Access to Medicare Coverage Act Medicaid Essential Health Benefits EHR/LTPAC Settings: Transitions of Care Medicare Improvement Standards Bundled Payment Models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 3426 Prevent Interruptions in Physical Therapy Act/S.2818 H.R. 942 and S. 948 Ensuring Access to Quality Complex Rehabilitation Technology H.R. 2810 Medicare Patient Access and Quality Improvement Act Inclusion of physical therapists in quality programs in SGR Reform H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 FTC Anti-competition Self-referral S.1871 SGR Repeal and Medicare Beneficiary Access Act S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act H.R.4302 Protecting Access to Medicare Act Statement for the record on Ways and Means Health Subcommittee Current Hospital Issues in Medicare H.R. 4755 Access to In-patient Rehabilitation Therapy Act H.R. 4994/S.2553 IMPACT Act Able Act Comments on CY2015 OPPS rule H.R. 5380 Medicare Telehealth Parity Act Comments on draft Fraud & Abuse Legislation Hospital Improvements for Payment Act H.R. 5380 Medicare Telehealth Parity Act

Client expense: $308,338 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

HR 45-To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010: entire bill HR 132: ObamaCare Repeal Act: entire bill Public Law No. 111-148- Patient Protection and Affordable Care Act: entire law Public Law No. 111-152- Health Care and Education Reconciliation Act of 2010: entire law HR 2457- Womens Preventive Health Awareness Campaign Act: entire bill HR 1975- Pregnant Workers Fairness Act: entire bill S. 942- Pregnant Workers Fairness Act: entire bill HR 2632- School-based Health Centers Program Reauthorization Act of 2013: entire bill HR 2676- Medicaid Information Technology to Enhance Community Health Act of 2013: entire bill S. 1286- Medicaid Information Technology to Enhance Community Health Act of 2013: entire bill HR 2810- To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes: amendments and provisions related to and affecting reproductive health and family planning S. 1871- SGR Repeal and Medicare Beneficiary Access Act of 2013: amendments and provisions related to and affecting reproductive health and family planning S. 1871- SGR Repeal and Medicare Beneficiary Access Act of 2013: amendments and provisions related to and affecting reproductive health and family planning S. 1009 - Chemical Safety Improvement Act: entire bill HR 4302- Protecting Access to Medicare Act: amendments and provisions related to and affecting reproductive health and family planning HR 3723 - Viral Hepatitis Testing Act of 2013: entire bill HR 5364/S 2461 - Amend title XXI of the Social Security Act to extend and improve the CHIP Program: entire bill HR 5353 - Amend title XIX of the Social Security Act to extend for 5 years payment parity with Medicare for primary care services: Entire bill HR 5380 - Medicare Parity Act: entire bill S 2662 - Telehealth Enhancement Act of 2014: entire bill HR 5481 - To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs, and for other purpose (Flexibility in Health IT Reporting (Flex-IT) Act of 2014"): entire bill S 2629 - Preventive Care Coverage Notification Act: entire bill S 2694 - Ensuring Access to Primary Care for Women & Children Act: entire bill S 2908 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan, and for other purposes: entire bill S 2578/ HR 5150 - Protect Women's Health From Corporate Interference Act: entire bill HR 5294 - Health Equity and Accountability Act HR 5723 - Ensuring Access to Primary Care for Women & Children Act

Client expense: $73,680 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), Peace Corps, SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Inpatient and outpatient hospital payments Issues and Legislation related to the Medicare Sustainable Growth Rate H.R.3698, Two-Midnight Rule Delay Act of 2013 S.2082, Two-Midnight Rule Coordination and Improvement Act of 2014Issues Related to 340B Program Changes Issues Related to ICD-10 - No More Delay Issues Related to Reductions/Payment Cuts Re: Site-Neutral Payments & Graduate Medical Education Telehealth Issues & Legislation, Including: H.R. 3077, TELE-MED Act of 2013 H.R.5380, Latest Title: Medicare Telehealth Parity Act of 2014

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

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

H.J. RES 59, as related to the amendment, the Pathway for SGR Reform Act of 2013. H.R. 713/S.367, the Medicare Access to Rehabilitation Services Act of 2013, as related to the Medicare Part B cap on outpatient therapy services. Public Law No: 113-93, Protecting Access to Medicare Act of 2014, as related to extending the Medicare Part B cap on outpatient therapy services exceptions process. S.2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 2330, the Medicare Audiology Services Enhancement Act of 2013, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to ensuring access to speech-generating devices (SGDs) needed to supplement or replace speech or writing for individuals with severe speech impairments. H.R. 5380, the Medicare Telehealth Parity Act of 2014, as related to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services. Various issues related to the provision and payment for Part A therapy. Various issues related to the reimbursement under the Outpatient Prospective Payment System (OPPS).

Client expense: $260,000 · Firm income: Not reported

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

HR 2190 & S 1206 - Medicare Drug Savings Act of 2011: To amend title XVIII of the Social Security Act to require drug manufacturers to provide drug rebates for drugs dispensed to low-income individuals under the Medicare prescription drug benefit program. HR 2753 - Securing Care for Seniors Act of 2013: To amend title XVIII of the Social Security Act to improve Medicare Advantage and for other purposes. HR 2810 - Medicare Patient Access and Quality Improvement Act of 2013: Amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services and for other purposes. HR 3077 - TELE-MED Act of 2013: Amend title XVIII of the Social Security Act to permit certain Medicare providers licensed in a state to provide telemedicine services to Medicare beneficiaries in a different state. HR 3890 - Better Care Lower Cost Act: To amend title XVIII of the Social Security Act to establish a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions. HR 4160 - Keep the Promise to Seniors Act of 2014: To prohibit further action on the proposed rule regarding change to the Medicare prescription drug benefit program. HR 4998 - Medicare Advantage Participation Bill of Rights Acts of 2014: To enhance beneficiary and provider protections and improve transparency in the Medicare Advantage market and for other purposes. HR 5183 & S 2783 - Value Based Insurance Design for Better Care Act of 2011: To establish a demonstration program requiring the utilization of value based insurance design to demonstrate that reducing the copayment or co-insurance charged to Medicare beneficiaries for selected high-value prescription medications and clinical services can increase their utilization and ultimately improve clinical outcomes and lower health care expenditures. HR 5380 - Medicare Telehealth Parity Act of 2014: To amend title XVIII of the Social Security Act to provide for a phased in expansion of telehealth coverage under Medicare program. S 1932 - Better Care and Lower Costs Act: Amend title XVIII of the Social Security Act to establish a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions, and for other purposes. S 2000 - The SGR Repeal and Medicare Provider Payment Modernization Act: Amend title XVIII of the Social Security Act to repeal the Medicare sustainable growth rate and improve Medicare payments for physicians and other professionals and for other purposes. S 2552 - Medicare Advantage Participant Bill of Rights Act of 2014: To enhance beneficiary & provider protections and improve transparency in the Medicare Advantage market and for other purposes.

Client expense: $1,510,000 · Firm income: Not reported

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

End-stage renal disease reimbursement and policies related to the Medicare End Stage Renal Disease Prospective Payment System; and issues related to state-based health insurance exchanges and patient protections for patients under the Affordable Care Act (Public Law 112-25). Final Regulations issued by CMS regading Medicare payments for services for people living with ESRD. Proposal at the Center for Medicare and Medicaid Innovation to develop a coordinated kidney care pilot program that would integrate care for Medicare beneficiaries with ESRD. CMS call letter for Medicare Advantage plans with a focus on rate setting and risk adjustment issues. H.R. 4814: The Chronic Kidney Disease Improvement in Research and Treatment Act of 2014 (All provisions) CMS regulations related to the treatment of Medicare Part C and D. CMS regulations pretaining to reimbursement rates for ESRD-related services. S. 2501: Hospital Readmissions Program Accuracy and Accountability Act (All provisions) H.R. 5380: Medicare Telehealth Parity Act of 2014 (All provisions)

Client expense: $1,000,000 · 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)

HR 45-To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010: entire bill HR 132: ObamaCare Repeal Act: entire bill Public Law No. 111-148- Patient Protection and Affordable Care Act: entire law Public Law No. 111-152- Health Care and Education Reconciliation Act of 2010: entire law HR 2457- Womens Preventive Health Awareness Campaign Act: entire bill HR 1975- Pregnant Workers Fairness Act: entire bill S. 942- Pregnant Workers Fairness Act: entire bill HR 2632- School-based Health Centers Program Reauthorization Act of 2013: entire bill HR 2676- Medicaid Information Technology to Enhance Community Health Act of 2013: entire bill S. 1286- Medicaid Information Technology to Enhance Community Health Act of 2013: entire bill HR 2810- To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes: amendments and provisions related to and affecting reproductive health and family planning S. 1871- SGR Repeal and Medicare Beneficiary Access Act of 2013: amendments and provisions related to and affecting reproductive health and family planning S. 1871- SGR Repeal and Medicare Beneficiary Access Act of 2013: amendments and provisions related to and affecting reproductive health and family planning S. 1009 - Chemical Safety Improvement Act: entire bill HR 4302- Protecting Access to Medicare Act: amendments and provisions related to and affecting reproductive health and family planning HR 3723 - Viral Hepatitis Testing Act of 2013: entire bill HR 5364/S 2461 - Amend title XXI of the Social Security Act to extend and improve the CHIP Program: entire bill HR 5353 - Amend title XIX of the Social Security Act to extend for 5 years payment parity with Medicare for primary care services: Entire bill HR 5380 - Medicare Parity Act: entire bill S 2662 - Telehealth Enhancement Act of 2014: entire bill HR 5481 - To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs, and for other purpose (Flexibility in Health IT Reporting (Flex-IT) Act of 2014"): entire bill S 2629 - Preventive Care Coverage Notification Act: entire bill S 2694 - Ensuring Access to Primary Care for Women & Children Act: entire bill S 2908 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan, and for other purposes: entire bill S 2578/ HR 5150 - Protect Women's Health From Corporate Interference Act: entire bill HR 5294 - Health Equity and Accountability Act

Client expense: $484,122 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), Peace Corps, SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Issues related to continuous glucose monitoring Issues related to competitive bidding for DME products including HR 2375 - the Transparency and Accountability in Medicare Bidding Act of 2013 Issues related to HHS office of Inspector General (OIG) and Senate Finance Committee investigations of Physician-Owned EntitiesIssues relating to remote patient management and telehealth S. 2689 & H.R. 5644 - Medicare CGM Access Act of 2014 - provisions related to continuous glucose monitoring H.R. 5380 - Medicare Telehealth Parity Act of 2014 - provisions that expand definition of telehealth into remote patient monitoring in chronic conditions

Client expense: $1,420,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 713/S. 367-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of/alternatives to the Sustainable Growth Rate (SGR) Formula H.R. 574 Medicare Physician Payment Innovation ActOpposition of Multiple Procedure Payment Reduction for PT Services Physician Quality Reporting System H.R. 2914 Promoting Integrity in Medicare Act H.R. 1310 and S. 236 Medicare Patient Empowerment Act Prevention Initiatives for Fraud and Abuse in the Medicare program Accountable Care Organizations/Patient Centered Medical Homes Electronic Health Records/ Health Information Technology incentives for Physical Therapists Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform Local Coverage Determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National Priority for Research and Research Agenda Health Information Technology Medicare Physician Payment Innovation Act Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform H.R. 1179/S. 569 Improving Access to Medicare Coverage Act Medicaid Essential Health Benefits EHR/LTPAC Settings: Transitions of Care Medicare Improvement Standards Bundled Payment Models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 3426 Prevent Interruptions in Physical Therapy Act/S.2818 H.R. 942 and S. 948 Ensuring Access to Quality Complex Rehabilitation Technology H.R. 2810 Medicare Patient Access and Quality Improvement Act Inclusion of physical therapists in quality programs in SGR Reform H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 FTC Anti-competition Self-referral S.1871 SGR Repeal and Medicare Beneficiary Access Act S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act H.R.4302 Protecting Access to Medicare Act Statement for the record on Ways and Means Health Subcommittee Current Hospital Issues in Medicare H.R. 4755 Access to In-patient Rehabilitation Therapy Act H.R. 4994/S.2553 IMPACT Act Able Act Comments on CY2015 OPPS rule H.R. 5380 Medicare Telehealth Parity Act Comments on draft Fraud & Abuse Legislation

Client expense: $308,338 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

Inpatient and outpatient hospital payments Issues and Legislation related to the Medicare Sustainable Growth Rate H.R.3698, Two-Midnight Rule Delay Act of 2013S.2082, Two-Midnight Rule Coordination and Improvement Act of 2014 Issues Related to 340B Program Changes Issues Related to ICD-10 - No More Delay Issues Related to Reductions/Payment Cuts Re: Site-Neutral Payments & Graduate Medical Education Telehealth Issues & Legislation, Including: H.R. 3077, TELE-MED Act of 2013 H.R.5380, Latest Title: Medicare Telehealth Parity Act of 2014

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

Government targets: Federal Communications Commission (FCC), 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. S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Face to Face Physician Encounter Requirement. Hospice/Part D Coordination of Care. H.R. 4994/S. 2553, IMPACT Act of 2014. H.R. 4625, Medicare Home Health Rebasing Relief and Reassessment Act. S. 2491, Medicare Protection Act H.R. 4673, BACPAC Act of 2014 H.R. 5558, ACO Improvement Act of 2014 H.R. 3306, Telehealth Enhancement Act of 2013 H.R. 5380, Medicare Telehealth Parity Act of 2014 H.R. 5110, SAVE Medicare Home Health Act of 2014 Home health rural add on payment. Hospice cost report.

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

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

Support legislation to eliminate the Independent Payment Advisory Board (S.351, H.R. 351, Protecting Seniors' Access to Medicare Act of 2013). Support legislation to increase residency slots for Graduate Medical Education (H.R. 1201, Training Tomorrow's Doctors Today Act). Lobby in support of legislation to enact a permanent repeal to the Medicare sustainable growth rate (S.2000/H.R. 4015; SGR Repeal and Medicare Provider Payment Modernization Act of 2014 ). Lobby in support of a cap on the amount CMS can decrease payment to physician services in a given year. (related provision included in S.2000/H.R. 4015; SGR Repeal and Medicare Provider Payment Modernization Act of 2014 and H.R. 4302, Protecting Access to Medicare Act). Lobby Congress in opposition to proposed legislation to repeal in-office ancillary and physician services for anatomic pathology services (H.R. 2914, Promoting Integrity in Medicare Act of 2013, FY 15 President's Budget). Lobby Congress on impact of Health Information Technology. Lobby Congress to stop sequestration cuts to Medicare physician payments (Bipartisan Budget Act of 2013). Lobby in support of increased transparency and adequate response time from CMS when setting values for misvalued codes. Oppose legislation allowing non-physician providers direct access to Medicare patients without a referral (H.R. 5304, Audiology Patient Choice Act of 2014). Advocate on issues related to waste, fraud and abuse in Medicare. Advocate regarding use and release of Medicare data regarding services provide by physicians. Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage networks (S. 2552/H.R. 4998, Medicare Advantage Participant Bill of Rights Act of 2014). Lobby Congress on issues related to telemedicine (H.R. 5380, the Medicare Telehealth Parity Act).

Client expense: $410,421 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 367/HR 713 - Medicare Access to Rehabilitation Services Act: Advocate for removal of cap on occupational therapy services and passage of bills. HR 942/S 948 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2013: Advocate for inclusion of occupational therapy professionals as providers of Complex Rehabilitation Technology. No bill# - Educate about role of occupational therapy in primary care. HR 2810 - The Medicare Patient Access and Quality Improvement Act of 2013: Advocated regarding Sustainable growth rate and educate about the role of occupational therapy in health care and need for improving Medicare to assure that patients receive appropriate care, especially occupational therapy services, and that payment is fair and equitable. No bill# - Multiple Procedure Payment Reduction (MPPR): Advocate for separation of occupational therapy from physical therapy/speech language pathology in application of MPPR policy. No bill# Manual Medicare Review (MMR): Advocate for improved MMR procedures including electronic submission and 10 day turn around. S 1871/S 2110 - the Sustainable Growth Rate (SGR) Repeal and Medicare Beneficiary Access Improvement Act of 2013 AND HR 4015/S 2000 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Advocated for improvements to the bills that address policies that pertain to beneficiaries' access to occupational therapy services and how occupational therapy services are reimbursed under the Medicare program. Advocate for repeal of the Medicare Part B outpatient therapy cap on occupational therapy services. HR 3749 - The Medicare Demonstration of Coverage for Low Vision Devices Act: Support for greater attention to low vision coverage and highlight role of occupational therapy in ensuring the devices are utilized properly and to their full potential. S 1932/HR 3890 - Better Care, Lower Cost Act: Educate about role of occupational therapy in helping people with chronic conditions. Support including occupational therapy in the chronic care innovation centers. HR 4994/S 2553 - The Improving Medicare Post-Acute Care Transformation Act of 2014 "IMPACT Act of 2014": Advocated for improvements in the bill that would help ensure Medicare beneficiaries' access to quality post-acute care in the right setting is preserved. Advocated to ensure data collection program included elements that reflected the contributions of occupational therapy across the various post-acute settings. HR 5380 - Medicare Telehealth Parity Act: Support passage and inclusion of occupational therapy services. HR 3306 - The Telehealth Enhancement Act of 2013: Educate about how occupational therapy can be utilized in telehealth. HR 3877 - Lymphedema Treatment Act - support passage and educate about role of occupational therapy services. No bill# (PL 113-93) - Advocate for inclusion of occupational therapy in the Excellence in Mental Health Act's Medicaid Demonstration by encouraging Members of Congress to send a letter of support to the Substance Abuse and Mental Health Administration.

Client expense: $170,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

"H.R. 3077, TELEmedicine for MEDicare Act of 2013"; "H.R. 5380, the Medicare Telehealth Parity Act of 2014"; and "H.R.713/S. 367, Medicare Access to Rehabilitation Services Act of 2013."

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.J. RES 59, as related to the amendment, the Pathway for SGR Reform Act of 2013. H.R. 713/S.367, the Medicare Access to Rehabilitation Services Act of 2013, as related to the Medicare Part B cap on outpatient therapy services.Public Law No: 113-93, Protecting Access to Medicare Act of 2014, as related to extending the Medicare Part B cap on outpatient therapy services exceptions process. S.2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, as related to repealing the Medicare Part B cap on outpatient therapy services. H.R. 2330, the Medicare Audiology Services Enhancement Act of 2013, as related to comprehensive Medicare coverage of audiology services. Various issues related to SGR reform proposals. Various issues related to CMS actions surrounding Medicare physician supervision requirements. Various issues related to CMS actions surrounding the therapy cap and the institution of a manual medical review process for therapy services. Various issues related to CMS actions surrounding Medicare coverage of intraoperative monitoring services. Various issues related to CMS actions surrounding Medicare coverage of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. Various issues related to CMS actions surrounding audits of medical records and claims for Part A and Part B services. Various issues related to the Physician Quality Reporting System for audiology and speech-language pathology participation. Various issues related to the Medicare Physician Fee Schedule (MPFS), as related to fees for audiology and speech-language pathology services. Various issues related to preservation of Medicaid funding. Various issues regarding CMMI demonstration projects/episodic payment models. Various issues related to ensuring access to speech-generating devices (SGDs) needed to supplement or replace speech or writing for individuals with severe speech impairments. H.R. 5380, the Medicare Telehealth Parity Act of 2014, as related to allowing audiologists and speech-language pathologists to be reimbursed by Medicare for providing telehealth services.

Client expense: $190,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), SENATE

Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 460, Patients' Access to Treatments Act of 2013). Advocate for truth in advertising for health care providers (H.R. 1427, Truth in Healthcare Marketing Act of 2013). Lobby Members of Congress to join the Congressional Skin Cancer Caucus.Lobby Congress to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription (H.R. 3204, Drug Quality and Security Act/Public Law No: 113-54). Lobby Congress on legislation to remove non-discrimination requirements relating to health care providers. (H.R. 2817, Protect Patient Access to Quality Health Professionals Act of 2013). Advocate for legislation that would allow for Flexible Spending Accounts (FSAs) to be used to cover over-the-counter (OTC) drugs (S. 1647, H.R. 2835, Restoring Access to Medication Act). Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2552/H.R. 4998, Medicare Advantage Participant Bill of Rights Act of 2014). Lobby Congress on legislation to create a transparent and predictable review process for sunscreen ingredients (S. 2141/H.R. 4250 Sunscreen Innovation Act). Lobby Congress on issues related to telemedicine (H.R. 5380, the Medicare Telehealth Parity Act). Advocate on on use and availability of health care data.

Client expense: $416,696 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3077 Nurse License Compact, Telemedicine, State based licensure HR 2001 Nurse License Compact, Dept of Veterans Affairs, telemedicine HR 5380 Nurse License Compact, Telemedicine, VA reporting to state licensing boards

Client expense: $6,745 · Firm income: Not reported

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

HR 2190 & S 1206 - Medicare Drug Savings Act of 2011: To amend title XVIII of the Social Security Act to require drug manufacturers to provide drug rebates for drugs dispensed to low-income individuals under the Medicare prescription drug benefit program. HR 2753 - Securing Care for Seniors Act of 2013: To amend title XVIII of the Social Security Act to improve Medicare Advantage and for other purposes. HR 2810 - Medicare Patient Access and Quality Improvement Act of 2013: Amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services and for other purposes. HR 3077 - TELE-MED Act of 2013: Amend title XVIII of the Social Security Act to permit certain Medicare providers licensed in a state to provide telemedicine services to Medicare beneficiaries in a different state. HR 3890 - Better Care Lower Cost Act: To amend title XVIII of the Social Security Act to establish a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions. HR 4160 - Keep the Promise to Seniors Act of 2014: To prohibit further action on the proposed rule regarding change to the Medicare prescription drug benefit program. HR 4998 - Medicare Advantage Participation Bill of Rights Acts of 2014: To enhance beneficiary and provider protections and improve transparency in the Medicare Advantage market and for other purposes. HR 5183 & S 2783 - Value Based Insurance Design for Better Care Act of 2011: To establish a demonstration program requiring the utilization of value based insurance design to demonstrate that reducing the copayment or co-insurance charged to Medicare beneficiaries for selected high-value prescription medications and clinical services can increase their utilization and ultimately improve clinical outcomes and lower health care expenditures. HR 5380 - Medicare Telehealth Parity Act of 2014: To amend title XVIII of the Social Security Act to provide for a phased in expansion of telehealth coverage under Medicare program. S 1932 - Better Care and Lower Costs Act: Amend title XVIII of the Social Security Act to establish a Medicare Better Care Program to provide integrated care for Medicare beneficiaries with chronic conditions, and for other purposes. S 2000 - The SGR Repeal and Medicare Provider Payment Modernization Act: Amend title XVIII of the Social Security Act to repeal the Medicare sustainable growth rate and improve Medicare payments for physicians and other professionals and for other purposes. S 2552 - Medicare Advantage Participant Bill of Rights Act of 2014: To enhance beneficiary & provider protections and improve transparency in the Medicare Advantage market and for other purposes.

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

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

H.R. 5380 The Medicare Telehealth Parity Act of 2014 S. 2552 The Medicare Advantage Participants Bill of Rights Act H.R. 4998, The Medicare Advantage Participants Bill of Rights Act S. 2553 The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) H.R. 4994, The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) S. 1932 The Better Care, Lower Cost Act H.R. 3890, The Better Care, Lower Cost Act S. 1422 The Preventive Health Savings Act H.R. 2663, The Preventive Health Savings Act H.R. 5279, The Sugar-Sweetened Beverages Tax (SWEET) Act S.2574, The Healthy Families Act of 2014 H.R. 1024, The Medication Therapy Management Empowerment Act S. 2240, The Medicare Choices Empowerment and Protection Act S. 2000 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 HR. 4418, the Expanding the Availability of Medicare Data Act H.R. 2843 Medicare Data Access for Transparency and Accountability Act S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 3077, TELEmedicine for MEDicare (TELE-MED) Act H.R. 4190, a bill that would will allow Medicare reimbursement for Part B services performed by a pharmacist in underserved communities, among other activities. H.R.1070, Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 1074 National Diabetes Clinical Care Commission Bill S. 539, National Diabetes Clinical Care Commission Bill

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

The importance of state-based licensure; Telehealth; H.R. 3077 - TELE-MED Act of 2013 H.R. 5380 - Medicare Telehealth Parity Act of 2014

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The importance of state-based licensure; Telehealth; H.R. 3077 - TELE-MED Act of 2013 H.R. 5380 - Medicare Telehealth Parity Act of 2014

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE