Protecting the Integrity of Medicare Act of 2014

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; implementation of IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298); managed care related issues.

Client expense: Not reported · Firm income: $150,000

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298)

Client expense: Not reported · Firm income: $150,000

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298)

Client expense: Not reported · Firm income: $150,000

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298)

Client expense: Not reported · Firm income: $150,000

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298)

Client expense: Not reported · Firm income: $150,000

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015

Client expense: Not reported · Firm income: $150,000

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015

Client expense: Not reported · Firm income: $150,000

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

H.R. 1179/S 569 Improving Access to Medicare Coverage Act of 2013 (observation stay) H.R. 713/S 367 Medicare Access to Rehabilitative Services Act of 2013 (all sections) H.R. 4994/S 2553 Improving Medicare Post Acute Transformation Act of 2014 (all sections) H.R. 647/S 313 Achieving a Better Life Experience Act of 2013 (all sections) S 1871 Medicare Payment for Therapy Services SGR Repeal and Medicare Provider Payment Modernization Act of 2014, Title II, Section 202 H.R. 5110 SAVE Medicare Home Health Act of 2014 (all sections) H.R. 3245 Medicare Home Health Fraud Reduction Act (all sections) H.R. 5780 Protecting the Integrity of the Medicare Act of 2014, Sec 15 Modification of Medicare Home Health Surety Bond Condition of Participation Requirement H.R. 2 Medicare Access and CHIP Reauthorization Act of 2015 (all sections) H.R. 1458 BACPAC of 2015 (all sections) H.R. 1250/S 1211 A bill to amend title XVIII of the Social Security Act to provide that payment under the Medicare program to a long-term care hospital for inpatient services shall not be made at the applicable site neutral payment rate for certain discharges involving severe wounds, and for other purposes (all sections) H.R. 2208 Hospice CARE (all sections) H.R. 6 21st Century Cures Act H.R. 2196/S 971 Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015 (all sections) H.R. 441/S 202 To provide for a technical change to the Medicare long-term care hsopital moratorium exception (all sections) S 1549 Care Planning Act of 2015 (all sections) Other Issues Related to Post-Acute Care Policy

Client expense: $412,000 · Firm income: Not reported

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

Issues relating to prescription drugs in health care bills; orphan drug and rare disease bill; Cancer Drug Coverage Parity Act of 2013 (H.R. 1801); Patients' Access to Treatment Act of 2013 (H.R. 460); MODDERN Cures Act (H.R. 3116); H.R. 5657, the FAST Generics Act of 2014; tax extenders package; 21st Century Cures; H.R. 5780, the Protecting the Integrity of Medicare Act.

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

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013; Protecting Access to Medicare Act (P.L. 113-93); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act, S. 2157; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015

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

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013; Protecting Access to Medicare Act (P.L. 113-93); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act, S. 2157; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015

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

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

HR 1179/S 569 Improving Access to Medicare Coverage Act of 2013 (observation stay) HR 713/S 367 Medicare Access to Rehabilitative Services Act of 2013 (all sections) HR 4994/S2553 Improving Medicare Post Acute Transformation Act of 2014 (all sections) HR 647/S 313 Achieving a Better Life Experience Act of 2013 (all sections) S1871 Medicare Payment for Therapy Services SGR Repeal and Medicare Provider Payment Modernization Act of 2014, Ttile II, Section 202 HR 5110 SAVE Medicare Home Health Act of 2014 (all sections) HR 3245 Medicare Home Health Fraud Reduction Act (all sections) Other Issues Related to Post-Acute Care Policy HR 5780 Protecting the Integrity of the Medicare Act of 2014, Sec 15 Modification of Medicare Home Health Surety Bond Condition of Participation Requirement HR2 Medicare Access and CHIP Reauthorization Act of 2015 (all sections) HR1458 BACPAC of 2015 (all sections)

Client expense: $630,000 · Firm income: Not reported

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

Medicare Part D (general education, no specific bill), changes to low-income subsidy structure in Medicare Part D (general education, no specific bill), sustainable growth rate (general education, no specific bill), Medicare Part B (general education, no specific bill), Preserving the Integrity of Medicare Act (H.R. 5780)

Client expense: $490,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Post-acute care policy. Medicare reimbursement. H.R. 4994, IMPACT Act of 2014. H.R.647, Achieving a Better Life Experience (ABLE) Act of 2014.H.R. 3245, Medicare Home Health Fraud Reduction Act. H.R. 5780, Protecting the Integrity of the Medicare Act of 2014. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R.4015 / S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions H.R. 647, Achieving a Better Life Experience Act of 2014 (ABLE Act of 2014), provisions relating to Misvalued Codes S. 313, Achieving a Better Life Experience Act of 2013 (ABLE Act of 2013), provisions relating to Misvalued Codes H.R. 962, Medicare Diabetes Prevention Act of 2013, all provisions S. 452, Medicare Diabetes Prevention Act of 2013, all provisions H.R. 4282, Creating Access to Residency Education Act of 2014, all provisions H.R. 4843, Native Contract and Rate Expenditure Act of 2014 (Native CARE Act of 2014), all provisions H.R. 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 purposes, all provisions H.R. 4998, Medicare Advantage Participant Bill of Rights Act of 2014, all provisions S. 2552, Medicare Advantage Participant Bill of Rights Act of 2014, all provisions H.R. 1180, Resident Physician Shortage Reduction Act of 2013, all provisions S. 577, Resident Physician Shortage Reduction Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions S. 2501, Hospital Readmissions Program Accuracy and Accountability Act of 2014, all provisions H.R. 5723, Ensuring Access to Primary Care for Women & Children Act, all provisions S. 2694, Ensuring Access to Primary Care for Women & Children Act, all provisions H.R. 5780, Protecting the Integrity of Medicare Act (PIMA) of 2014, all provisions H.R. 4302, Protecting Access to Medicare Act of 2014, provisions relating to coding and pricing issues Medicare program: SGR Repeal Medicare program: Independent Payment Advisory Board (IPAB) Repeal Medicare program: Medicare Patient Empowerment Act Medicare program: Graduate Medical Education Medicare program: ICD-10 Repeal Medicare program: Overlapping Medicare incentive programs Medicare program: HIPAA including ICD-10 Medicare program: Electronic Health Records (EHR) - Meaningful Use Medicare program: EHR Certification Medicare program: Physician Quality Reporting System (PQRS) Medicare program: Laboratory Developed Tests Medicare program: Alternative Payment Models/quality performance measures Medicare program: Physician payment and delivery reform issues Medicare program: Hospital short stay Medicare program: Medicare funding for quality measure development Medicare program: Value-Based Modifiers Medicare program: Global Surgical Codes Medicare program: In-Office Ancillary Services Exception Medicare program: RUC - Misvalued and Care Coordination Codes Medicare program: Diabetes Medicare program: Recovery Audit Contractors Medicare program: Program Integrity - Meaningful Use Audits Medicare program: Program Integrity - Modifiers Medicare program: Program Integrity - Electronic Health Records Medicare and Medicaid programs: Coverage of lung cancer screening for high-risk patients

Client expense: $4,390,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R.5780, Protecting the Integrity of Medicare Act of 2014, entire bill Hospital prospective payment system issues Monitor the following: Sustainable Growth Rate (SGR) issues, generally Graduate Medical Education (GME); Indirect Medical Education (IME) issues; and Cancer hospitals Payment issues generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Children's health insurance program Monitor the following: Liver transplant regional allocation issues H.R.5780, Protecting the Integrity of Medicare Act of 2014, Hospital issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor the following: Liver transplant regional allocation issues Translational research related issues 21st Century Cures Initiative, generally Graduate Medical Education (GME) and Indirect Medical Education related issues as follows: Hospital inpatient prospective payment system Sustainable Growth Rate (SGR) issues, generally Medicare policies, generally H.R.5780, Protecting the Integrity of Medicare Act of 2014, Hospital issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Bundled Payments for Care Improvement Initiative at Center for Medicare & Medicaid Innovation; issues related to hospital quality measures. Issues related to the Hospital Prospective Payment System. Issues related to new Graduate Medical Education Residency programs. Protecting the Integrity of Medicare Act of 2014 (H.R. 5780); provisions related to healthcare providers. Bundled Payments for Care Improvement (BPCI) Program at Center for Medicare & Medicaid Innovation (CMMI); issues related to program implementation. General issues regarding Medicare claims and associated reimbursements. The Medicare Audit Improvement Act (S. 1012/H.R. 1250); provisions related to provider reimbursements. Hospital Improvements for Payment (HIP) Act of 2014; section related to the Prospective Payment System.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbying with regard to the implementation of the SMART Act (Public Law 112-242) generally. Lobbying with regard to the Medicare Secondary Payer program generally.Lobbying with regard to the Medicaid Third Party Liability program generally. H.R. 1982 (Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2013); to amends title XVIII (Medicare) of the Social Security Act to: (1) create an exception to Medicare secondary payer requirements for certain workers' compensation settlement agreements, and (2) provide for the satisfaction of such requirements through use of qualified Medicare set-asides under workers' compensation settlement agreements. H.R.36 (Health Care Safety Net Enhancement Act of 2013); To improve access to emergency medical services, and for other purposes H.R.5780; To amend title XVIII of the Social Security Act to improve the integrity of the Medicare program, and for other purposes.

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

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

Education on the importance of maintaining the competitive elements of the Part D prescription drug program and to oppose legislative efforts to impose mandatory government rebates in that program. H.R. 5780: Protecting the Integrity of Medicare Act of 2014.

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

Government targets: HOUSE OF REPRESENTATIVES

H.R. 5780: Protecting the Integrity of Medicare Act of 2014. H.R. 4920: Medicare DMEPOS Competitive Bidding Improvement Act of 2014.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Part D (general education, no specific bill), changes to low-income subsidy structure in Medicare Part D (general education, no specific bill), sustainable growth rate (general education, no specific bill), Medicare Part B (general education, no specific bill), Preserving the Integrity of Medicare Act (H.R. 5780)

Client expense: $460,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to the Independent Payment Advisory Board H.R. 460, Patients Access to Treatments Act: Provisions related to cost sharing in the specialty tier H.R. 928, Medicare Prescription Drug Savings and Choice Act of 2013: Provisions related to Part D issues H.R. 1024, Medication Therapy Management Empowerment Act of 2013: Provisions related to medication therapy management in Part D H.R. 1102, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference H.R. 1588, Medicare Drug Savings Act of 2013: Provisions related to Part D issues H.R. 2753 Securing Care for Seniors Act: Provisions related to Value Based Insurance Design H.R. 2810, Medicare Patient Access and Quality Improvement Act: Provisions related to SGR reform H.R. 2827, To amend title XVIII of the Social Security Act to allow for fair application of the exceptions process for drugs in tiers in formularies in prescription drug plans under Medicare part D: Provisions related to Medicare Part D Drug Tier Formularies H.R. 2925, Strengthening Medicare Anti-Fraud Measures Act of 2013: Provisions related to Office of Inspector General (OIG) enforcement of fraud and abuse laws H.R. 3392, Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013: Provisions related to lock-in programs H.R. 3796, Comprehensive Care Payment Innovation Act: Provisions related to alternative payment models H.R. 3890 Better Care, Lower Cost Act: Provisions related to Part D, value-based insurance design, and chronic disease H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Provisions related to sustainable growth rate (SGR) and Medicare provider payment reform H.R. 4160, Keep the Promise to Seniors Act of 2014: Provisions related to Part D issues H.R. 4302, Protecting Access to Medicare Act of 2014: Provisions related to the biopharmaceutical industry H.R. 4577, Ensuring Seniors Access to Local Pharmacies Act of 2014: Provisions related to Part D preferred pharmacy networks H.R. 5183, Value Based Insurance Design for Better Care Act of 2014: Provisions related to valued base insurance design demonstration program H.R. 5558 ACO Improvement Act: Provisions related to alternate payment models H.R. 5780, Protecting Integrity in Medicare Act of 2014: Provisions related to addressing fraud and prescription drug abuse S. 117, Medicare Prescription Drug Price Negotiation Act of 2013: Provisions related to Part D issues and non-interference S. 351, Protecting Seniors Access to Medicare Act of 2013: Provisions related to Independent Payment Advisory Board S. 408, Medicare Prescription Drug Savings and Choice Act of 2013: Provision related to Part D issues S. 557, Medication Therapy Management Empowerment Act of 2013: Provisions related to Part D and medication therapy management S. 740, Medicare Drug Savings Act of 2013: Provisions related to Part D issues Deficit reduction policy issues S. 882, Stop Trafficking of Pills (STOP) Act: Provisions related to lock-in programs (112th Congress) S. 1365, Part D Beneficiary Appeals Fairness Act: Provisions related to the specialty tier in Part D S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013: Provisions related to reforming Medicare physician payments S. 1932, Better Care, Lower Cost Act: Provisions related to Part D, value-based insurance design, and chronic disease S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014: Provisions related to SGR reform S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014: Provisions related to SGR reform Hospital Improvements for Payment (HIP) Act of 2014: Provisions related to Medicare reform (no bill number) Medicare Prescription Drug Diversion and Abuse Prevention Act: Provisions related to diversion and abuse (no bill number) Contract Year 2015 Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefits Programs: Provisions related to Part D Proposals to increase co-payments for Part D beneficiaries receiving the low-income subsidy Medicaid Program, Covered Outpatient Drugs rulemaking Medicare sustainable growth rate policy issues Implementation issues relating to the Physician Payment Sunshine Act, including Medicare, Medicaid, Childrens Health Insurance Programs; Transparency Reports and Reporting of Physician Ownership or Investment Interests rulemaking Issues related to better use of medicine and adherence

Client expense: $3,960,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Patent & Trademark Office (PTO), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR)

Legislation repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. H.R. 5780, Protecting the Integrity of Medicare Act of 2014 (PIMA) Hospital Improvements for Payment (HIP) Act of 2014 Permanent Sustainable Growth Rate (SGR) efforts Physician owned hospital issues

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

Issues related to scientific, technical and medical publications. Issues related to fraud prevention in Medicare and Medicaid programs. Issues related to CMS Sunshine Act Final rule. HR 5339, amending Title XI of the Social Security Act. S 2757, America COMPETES Reauthorization Act of 2014, provisions related to scientific research. HR 5780, Protecting the Integrity of Medicare Act, provisions related to fraud and abuse in Medicare and Medicaid. HR 4186, Frontiers in Innovation, Research, Science & Technology Act, provisions related to scientific research.

Client expense: $390,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Copyright Office

H.R.3833 To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S.2694/H.R. 5723 - Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts H.R. 5780, Protecting the Integrity of Medicare Act of 2014 (PIMA) Hospital Improvements for Payment (HIP) Act of 2014 Protecting the Public and Healthcare Workers from Ebola

Client expense: $135,715 · Firm income: Not reported

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

Legislation and policies related to: Graduate Nursing Education and Community-Based Workforce Development pilot project Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Draft Hospital Improvement for Payment (HIP) Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act H.R. 5780 - Protecting the Integrity of Medicare Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2694/H.R. 5723 - Ensuring Access to Primary Care for Women and Children Act

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Delay of implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013, 2014 and 2015 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3698 - Two-Midnight Rule Delay Act H.R. 3796 - Comprehensive Care Payment Innovation Act H.R. 3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302 - Protecting Access to Medicare Act H.R. 4663 - Protect Patient Access and Promote Hospital Efficiency Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act H.R. 5780 - Protecting the Integrity of Medicare Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act S. 1954/H.R. 4067 - To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S. 1980 - Medicaid and CHIP Continuous Quality Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2491 - Medicare Protection Act S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act S. 2694/H.R. 5723 - Ensuring Access to Primary Care for Women & Children Act

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

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

H.R. 3024, "Medicare Common Access Card Act of 2013," all sections S.2586, "Medicare Common Access Card Act of 2014," all sections H.R. 3547, FY'14 Omnibus, Labor-HHS-Education title, HHS/CMS section, language regarding medicare fraud prevention GAO study (explanatory statement) H.R. 5780, "PIMA Act of 2014," regarding medicare fraud and beneficiary smart cards, Section 4

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

(1) H.R. 3024, "Medicare Common Access Card Act of 2013" - all sections; (2) S.2586, "Medicare Common Access Card Act of 2014" - all sections; (3) H.R. 3457, "FY14 Omnibus Labor-HHS-Education Title, HHS/CMS Section, language regarding medicare fraud prevention GAO study (explanatory statement); (4) H.R.5780, PIMA Act of 2014, regarding Medicare fraud and beneficiary smart cards, Section 4

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

CY 2015 Medicare proposed rule for hospital outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) payment system: Provisions related to packaging of drugs and biologicals.Comprehensive Care Payment Innovation Act (H.R. 3796). Protecting Access to Medicare Act of 2014 (H.R. 4302), in regard to ICD-10. Issues related to Medicare coverage and payment for durable medical equipment. SGR Repeal and Medicare Beneficiary Access Act (S. 1871) Medicare Drug Savings Act (H.R. 1588, S. 740) Protecting the Integrity of Medicare Act of 2014 (H.R. 5780)

Client expense: $415,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity, H.R. 713/S. 367; Medicare Access to Rehabilitation Services Act of 2013; post-acute care reform; H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013; Protecting Access to Medicare Act (P.L. 113-93); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act, S. 2157; H.R. 4994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014

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

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity, H.R. 713/S. 367; Medicare Access to Rehabilitation Services Act of 2013; post-acute care reform; H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013; Protecting Access to Medicare Act (P.L. 113-93); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act, S. 2157; H.R. 4994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014

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

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

Issues relating to prescription drugs in health care bills; orphan drug and rare disease bill; Cancer Drug Coverage Parity Act of 2013 (H.R. 1801); Patients' Access to Treatment of 2013 (H.R. 460); MODDERN Cures Act (H.R. 3116); H.R. 5657, the FAST Generics Act of 2014; tax extenders package; 21st Century Cures; H.R. 5780, the Protecting the Integrity of Medicare Act.

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

HR 1179/S 569 Improving Access to Medicare Coverage Act of 2013 (observation stay) HR 713/S 367 Medicare Access to Rehabilitative Services Act of 2013 (all sections) HR 4994/S 2553 Improving Medicare Post Acute Transformation Act of 2014 (all sections) HR 647/S 313 Achieving a Better Life Experience Act of 2013 (all sections) S1871 Medicare Payment for Therapy Services SGR Repeal and Medicare Provider Payment Modernization Act of 2014, Title II, Section 202 HR 5110 SAVE Medicare Home Health Act of 2014 (all sections) HR 3245 Medicare Home Health Fraud Reduction Act (all sections) Other issues related to Post-Acute Care Policy HR 5780 Protecting the Integrity of the Medicare Act of 2014, Sec 15 modification of Medicare Home Health surety bond condition of participation requirement

Client expense: $490,000 · Firm income: Not reported

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

H.R.5780, Protecting Integrity of Medicare Act of 2014 (PIMA) H.R. 5860, the Small Business Healthcare Relief Act H.R. 83, CRomnibus - Consolidated & Further Continuing Appropriations Act, 2015 H.J. Res 124, Continuing Appropriations Resolution, 2015 H.R. 4015/S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2966, Critical Care Assessment and Improvement Act of 2014 H.R. 4067, to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S.2240, Medicare Choices Empowerment and Protection Act H.R. 4190, To amend title XVIII of the Social Security Act to provide for coverage under the Medicare program of pharmacist services H.R. 2663/S. 1422 Preventive Health Savings Act H.R. 5644 Medicare CGM Access Act of 2014

Client expense: $140,000 · Firm income: Not reported

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

H.R.5780, Protecting Integrity of Medicare Act of 2014 (PIMA) H.R. 83, CRomnibus - Consolidated & Further Continuing Appropriations Act, 2015 H.J. Res 124, Continuing Appropriations Resolution, 2015 H.R. 4015/S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4067, to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S.2240, Medicare Choices Empowerment and Protection Act H.R. 4190, To amend title XVIII of the Social Security Act to provide for coverage under the Medicare program of pharmacist services H.R. 5644 Medicare CGM Access Act of 2014

Client expense: $140,000 · Firm income: Not reported

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

Expand the authority and types of services that can be reimbursed to doctors of chiropractic under Medicare. PL -111-148 - Patient Protection and Affordable Care Act. PL -111-152 - Patient Protection and Affordable Care Act. PL -111-5 - America Recovery and Reinvestment Act. PL-113-6 - Department of Defense, Military Construction and Veterans Affairs, and Full-Year Continuing Appropriations Act H.R. 574 - Medicare Physician Payment Innovation Act H.R. 351 - Protecting Seniors' Access to Medicare Act S. 351 - Protecting Seniors' Access to Medicare Act H.R. 2810 - Medicare Patient Access And Quality Improvement Act PL 113-76 - Consolidated Appropriations Act for Fiscal Year 2014 H.R. 4302 - Protecting Access to Medicare Act of 2014 H.R. 5780 - Protecting the Integrity of Medicare Act of 2014

Client expense: $53,625 · Firm income: Not reported

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

H.R.3833 To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 Craig Thomas Rural Hospital and Provider Equity Act of 2014 S.2694/H.R. 5723 Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts H.R. 5780, Protecting the Integrity of Medicare Act of 2014 (PIMA) Hospital Improvements for Payment (HIP) Act of 2014 Protecting the Public and Healthcare Workers from Ebola

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

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

Physician Payment Reform and SGR repeal; Medicare observation status and the two midnight Rule; H.R. 1179/S.569, Improving Access to Medicare Coverage Act of 2013; H.R. 4188, "Establishing Beneficiary Equity in the Hospital Readmission Program Act;" H.R. 1173, "Personalize Your Care Act of 2013"; "Ensuring Access to Primary Care for Women & Children Act," H.R. 5723, S. 2694. Meaningful use and hospitalists. H.R. 5780, Protecting the Integrity of Medicare Act of 2014, gainsharing provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Optional Federal Charter (Generally) Cyber Insurance (Generally) H.R. 1155 National Association of Registered Agents and Brokers Act (All provisions) S. 534 National Association of Registered Agents and Brokers Act (All provisions) H.R. 240 Homeowners Insurance Protection Act (All provisions) H.R. 508 TRIA Authorization Act (All provisions) H.R. 549 Homeowners Catastrophe Protection Act (All provisions) P.L. 112-141 Flood Insurance Reform Act of 2012 (Implementation) H.R. 737 Homeowners Defense Act (All provisions) H.R. 2374 Retail Protection Investor Act (All provisions) H.R. 1878, S. 905 Safe Building Codes Incentive Act (All provisions) H.R. 1194 National Flood Insurance Program Termination Act (All provisions) H.R. 1945 Fostering Resilience to Terrorism Act (All provisions) H.R. 2146 Terrorism Risk Insurance Program Reauthorization Act of 2013 (All provisions) S. 1369 A bill to provide additional flexibility to the Board of Governors of the Federal Reserve System to establish capital standards that are properly tailored to the unique characteristics of insurance, and for other purposes (No official title yet). (All provisions) S. 2137 Second Home Refund Prohibition Act (All provisions) S. 2102 A bill to clarify the application of certain leverage and risk-based requirements under the Dodd-Frank Wall Street Reform and Consumer Protection Act (All provisions) H.R. 4510 Insurance Capital Standards Clarification Act (All provisions) S. 2270 Insurance Capital Standards Clarification Act (All provisions) H.R. 4669 Servicemembers Insurance Relief Act (All provisions) P.L. 113-89 Homeowner Flood Insurance Affordability Act of 2014 (All provisions) Draft: Insurance Data Protection Act (All provisions) Draft: Risk Retention Modernization Act of 2014 (All provisions) H.R. 4745 Transportation, Housing, and Urban Development & Related Agencies Appropriations Act of 2015 (Insurance provisions) H.R. 5471 The TRIA Reform Act of 2014 (All provisions) H.R. 4871 The TRIA Reform Act of 2014 (All provisions) S. 2244 Terrorism Risk Insurance Program Reauthorization Act of 2014 (All provisions) H.R. 4557 Policy Holder Protection Act (All provisions) S. 2726 Captive Insurers Clarification Act (All provisions) H.R. 5388 Captive Insurers Clarification Act (All provisions) H.R. 5780 Financial Stability Oversight Council Improvement (All provisions) H.R. 5067 To require the FIO to carry out a study on illegal steering and redlining in the insurance industry (All provisions) H.R. 5461 To clarify the application of certain leverage and risk-based requirements of Dodd-Frank (Insurance provisions) S. Res 561 and H. Res 735 Disapproving of the IIAS Measure to Reduce Transparency & Public Participation in IAIS Meetings

Client expense: $350,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Federal Emergency Management Agency (FEMA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of

Optional Federal Charter (Generally) H.R. 1155 National Association of Registered Agents and Brokers Act (All Provisions) S. 534 National Association of Registered Agents and Brokers Act (All Provisions) H.R. 240 Homeowners Insurance Protection Act (All Provisions) H.R. 508 TRIA Authorization (All Provisions) H.R. 549 Homeowner Catastrophe Protection Act (All Provisions) P.L. 112-141 Flood Insurance Reform Act of 2012 (Implementation) H.R. 737 Homeowners Defense Act (All Provisions) H.R. 2374 Retail Protection Investor Act (All Provisions) H.R. 1878, S. 905 Safe Building Codes Incentive Act (All Provisions) H.R. 1194 National Flood Insurance Program Termination Act (All Provisions) H.R. 1945 Fostering Resilience to Terrorism Act (All Provisions) H.R. 2146 Terrorism Risk Insurance Program Reauthorization Act of 2013 (All Provisions) S. 1369 A bill to provide additional flexibility to the Board of Governors of the Federal Reserve System to establish capital standards that are properly tailored to the unique characteristics of insurance, and for other purposes (No official title yet.) (All Provisions) S. 2137 Second Home Refund Prohibition Act (All Provisions) S. 2102 A bill to clarify the application of certain leverage and risk-based requirements under the Dodd-Frank Wall Street Reform and Consumer Protection Act (All Provisions) H.R. 4510 Insurance Capital Standards Clarification Act (All Provisions) S. 2270 Insurance Capital Standards Clarification Act (All Provisions) H.R. 4669 Servicemembers Insurance Relief Act (All Provisions) P.L. 113-89 Homeowner Flood Insurance Affordability Act of 2014 (All Provisions) Draft: Insurance Data Protection Act (All Provisions) Draft: Risk Retention Modernization Act of 2014 (All Provisions) H.R. 4745 Transportation, Housing, & Urban Development & Related Agencies Appropriations Act of 2015 (Insurance Provisions) H.R. 5471 The TRIA Reform Act of 2014 (All Provisions) H.R. 4871 The TRIA Reform Act of 2014 (All Provisions) S. 2244 Terrorism Risk Insurance Program Reauthorization Act of 2014 (All Provisions) H.R. 4557 Policy Holder Protection Act (All Provisions S. 2726 Captive Insurers Clarification Act (All Provisions) H.R. 5388 Captive Insurers Clarification Act (All Provisions) H.R. 5780 Financial Stability Oversight Council Improvement (All Provisions) H.R. 5067 To require the FIO to carry out a study on illegal steering and redlining in the insurance industry (All Provisions) H.R. 5461 To clarify the application of certain leverage and risk-based requirements of Dodd-Frank (Insurance Provisions)

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

Government targets: Agriculture, Dept of (USDA), Federal Emergency Management Agency (FEMA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of