Access to Frontline Health Care Act of 2013

H.R. 1252/S.602 PT Workforce and Patient Access Act H.R. 702 Access to Frontline Health Care Act (Student Loan Repayment for Physical Therapists) IDEA Full Funding Act S.108/H.R. 4136 H.R. 3532 and S. 1546 Protecting Student Athletes from Concussions ActPrevention of cuts to IDEA Personnel Preperation Program H.R. 3113 and S. 1516 ConTACT Act: Concussion Treatment and Care Tools Act of 2013 IDEA Reauthorization Higher Education Act Reauthorization Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model Support of allied health professions in federal programs H.R. 5324, S.2718 SAFE PLAY 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

Minimium Essential Coverage Provisions under the ACA Implementation/Expansion of CDC Falls Programs Direct Access under FEHBP Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance ExchangesAHRQ provisions pertaining to PT H.R. 1427 Truth in Health Care Marketing Act H.R. 1098 TBI Reauthorization Act H.R. 3113 and S. 1516 ConTACT Act H.R. 3352 and S. 1546 Protecting Student Athletes from Concussions Act H.R. 3334 Medicare Adult Day Services Act H.R. 3221 Adult Day Center Enhancement Act H.R. 2817 Protect Patient Access to Quality Health Professionals Act H.R. 702 Access to Frontline Healthcare Act H.R. 3391 Indian Health Service Health Professionals Tax Fairness Act SGR Repeal or extension Physician Self-referral, S2110 H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2115 American Cures Act H.R. 3877 Lymphadema Treatment Act White House Healthy Kids and Safe Sports Concussion Summit Health Information Technology Nominations to PCORI Methedology Committees Comments on GAO report on physician self-referral for physical therapy services CRPD Treaty S.2888 Excercise & Fitness for All 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

H.R. 855 - Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 702, Access to Frontline Health Care Act, all sections H.R. 1427, Truth in Health Marketing Act, all sections H.R. 351, Protecting Seniors Access to Medicare Act, all sections S. 351, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 920, National Health Service Corps Improvement Act H.R. 1331, Electronic Health Records Improvement Act P.L. 113-54, Drug Quality & Security Act, all sections H.R. 4015/S 2000, the SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302, Protecting access to Medicare Act ASC Quality Reporting Program Medicare Advantage Participant Bill of Rights Act (S2552/HR4998), all sections 2015 Physician Schedule Rule, Issues pertaining to clinical data regional/global surgery payments

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

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

H.R. 1317, Hearing Aid Assistance Tax Credit Act 2013, as related to approval of a tax credit for the purchase of hearing aids. H.R. 702, Access to Frontline Health Care Act of 2013, as related to student loan forgiveness. S. 1546/H.R 3532, Protecting Student Athletes from Concussions Act of 2013, as related to the creation of a multidisciplinary concussion management team which may include audiologists and speech-language pathologists. S. 2311/H.R. 3508, To amend title 38, United States Code, to clarify the qualifications of hearing aid specialists of the Veterans Health Administration of the Department of Veterans Affairs, and for other purposes as related to hearing aid specialists independently providing hearing aid evaluations, fittings and orientation, verification and clinical outcomes measurements, and customary after care services. Various issues related to the Congressional Hearing Health Caucus regarding advising on issues and legislation concerning hearing health. Various issues at the Federal Communications Commission related to speech and communications. Various issues related to the Food and Drug Administrations draft guidance on Personal Sound Amplification Products (PSAPs). Various issues related to section 2706(A) of the Public Health Service Act regarding nondiscrimination legislation.

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

Funding for Chiropractic programs within the budget of the Department of HHS. Regulatory issues relating to Medical Records Privacy (HIPAA). Patient Protection and Affordable Care Act. PL 111-148 H.R. 702 - Access to Frontline Health Care Act. H.R. 171 - Chiropractic Membership in the Public Health Service Commissioned Corps Act. PL 112-175 - Continuing Appropriations Act PL-113-6 - Department of Defense, Military Construction and Veterans Affairs, and Full-Year Continuing Appropriations Act H.R. 1427 - Truth in Healthcare Marketing Act S. 1284 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 HJ Res 59 - Continuing Appropriations Resolution, 2014 H.R. 2817 - Protect Patient Access To Quality Health Professionals Act H.R. 2775 - FY 2014 Continuing Resolution HJ Res 124 - Continuing Appropriations Resolution, 2015 H.R.83 - FY2015 Omnibus; Consolidated and Further Continuing Appropriations Act

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)

Access to Frontline Health Care Act (HR 702); IPAB Repeal; Medical Liability Reform; Medicare physician payment / SGR; Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform; Veterans Admin. provider reimbursement; Medicaid access to podiatry (HR 1761 / S 1318); Physician Payments Sunshine Act; electronic health records (EHR) implementation; health care provider marketing and advertising; Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / audit reform; Medicare private contracting; public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform; physician scope of practice; pneumatic compression devices

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

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

1. Oppose H.R. 2817, the Protect Patient Access to Quality Health Professionals Act of 2013, that seeks to amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers. 2. Support H.R. 702, Access to Frontline Health Care Act of 2013, specifically areas of this legislation would offer loan repayments for health professionals (including audiologists) that work for 2 years in a pre-identified frontline shortage or scarcity area.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1252/S.602 PT Workforce and Patient Access Act H.R. 702 Access to Frontline Health Care Act (Student Loan Repayment for Physical Therapists) IDEA Full Funding Act S.108/H.R. 4136 H.R. 3532 and S. 1546 Protecting Student Athletes from Concussions ActPrevention of cuts to IDEA Personnel Preperation Program H.R. 3113 and S. 1516 ConTACT Act: Concussion Treatment and Care Tools Act of 2013 IDEA Reauthorization Higher Education Act Reauthorization Inclusion of allied health in HRSA Education & Workforce Programs

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

Minimium Essential Coverage Provisions under the ACA Implementation/Expansion of CDC Falls Programs Direct Access under FEHBP Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance ExchangesAHRQ provisions pertaining to PT H.R. 1427 Truth in Health Care Marketing Act H.R. 1098 TBI Reauthorization Act H.R. 3113 and S. 1516 ConTACT Act H.R. 3352 and S. 1546 Protecting Student Athletes from Concussions Act H.R. 3334 Medicare Adult Day Services Act H.R. 3221 Adult Day Center Enhancement Act H.R. 2817 Protect Patient Access to Quality Health Professionals Act H.R. 702 Access to Frontline Healthcare Act H.R. 3391 Indian Health Service Health Professionals Tax Fairness Act SGR Repeal or extension Physician Self-referral, S2110 H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2115 American Cures Act H.R. 3877 Lymphadema Treatment Act White House Healthy Kids and Safe Sports Concussion Summit Health Information Technology Nominations to PCORI Methedology Committees Comments on GAO report on physician self-referral for physical therapy services CRPD Treaty S.2888 Excercise & Fitness for All 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 702 - Access to Frontline Health Care Act of 2013: Advocate for passage to provide loan repayments to occupational therapists in exchange for providing services for two years in designated scarcity area and to address health care workforce shortages. S. 1026 - Return to Work Act - A bill to assist survivors of stroke in returning to work: Support passage. HR 803 - Workforce Innovation and Opportunity Act: Support passage. HR 702 - Access to Frontline Health Act: Support passage of bill including loan forgiveness for occupational therapy practitioners practicing in shortage areas. Met with Becky Spitzgo, Associate Administrator, Bureau of Health Professions (BHP), Health Resources and Services Administration (HRSA) to discuss issues of importance to health professionals including Title VII training funds and loan forgiveness programs under the Public Health Services Act, with specific emphasis on occupational therapy.

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

HR1037/S 1815 - Occupational Therapy in Mental Health Act: Advocate passage to make occupational therapists eligible to participate in the Natl. Health Services Corps scholarship and loan repayment program as behavioral and mental health professionals. HR 1098 - Brain Injury Reauthorization Act of 2013: Support passage. HR 1236 - a bill to require inclusion of behavioral health professions on any physical evaluation board that considers issues of post-traumatic stress disorder, traumatic brain injury, or other mental health conditions: Support passage. HR 3717/S1517 - Helping Families in Mental Health Crisis Act of 2013. Advocated for inclusion of occupational therapy services and including provisions of the Occupational Therapy in Mental Health Act (HR 1037/S 1815). HR 3306 - The Telehealth Enhancement Act of 2013: Educate about how occupational therapy can be utilized in telehealth. HR 3750 - Telehealth Modernization Act of 2013: Educate about how occupational therapy can be utilized in telehealth. HR 4631/S 2449 - Combatting Autism Reauthorization Act/Autism CARES: Supported reauthorization before provisions expired. HR 4574 - Strengthening Mental Health in our Communities Act: Advocated for inclusion of occupational therapy services and including provisions of the Occupational Therapy Mental Health Act (HR 1037/S 1815). HR 702 - Access to Frontline Health Act: Support passage of bill including loan forgiveness for occupational therapy practitioners practicing in shortage areas. No bill#: Convention on the Rights of Persons with Disabilities: Support Senate ratification of the convention.

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. 1317, Hearing Aid Assistance Tax Credit Act 2013, as related to approval of a tax credit for the purchase of hearing aids. H.R. 702, Access to Frontline Health Care Act of 2013, as related to student loan forgiveness.S. 1546/H.R 3532, Protecting Student Athletes from Concussions Act of 2013, as related to the creation of a multidisciplinary concussion management team which may include audiologists and speech-language pathologists. S. 2311/H.R. 3508, To amend title 38, United States Code, to clarify the qualifications of hearing aid specialists of the Veterans Health Administration of the Department of Veterans Affairs, and for other purposes as related to hearing aid specialists independently providing hearing aid evaluations, fittings and orientation, verification and clinical outcomes measurements, and customary after care services. Various issues related to the Congressional Hearing Health Caucus regarding advising on issues and legislation concerning hearing health. Various issues at the Federal Communications Commission related to speech and communications. Various issues related to the Food and Drug Administrations draft guidance on Personal Sound Amplification Products (PSAPs). Various issues related to section 2706(A) of the Public Health Service Act regarding nondiscrimination legislation.

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

H.R. 855 - Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 702, Access to Frontline Health Care Act, all sections H.R. 1427, Truth in Health Marketing Act, all sections H.R. 351, Protecting Seniors Access to Medicare Act, all sections S. 351, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 920, National Health Service Corps Improvement Act H.R. 1331, Electronic Health Records Improvement Act P.L. 113-54, Drug Quality & Security Act, all sections H.R. 4015/S 2000, the SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302, Protecting access to Medicare Act ASC Quality Reporting Program Medicare Advantage Participant Bill of Rights Act (S2552/HR4998), all sections Qualified Clinical Data Registry Issues - Proposed 2015 Physician Schedule Rule

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

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

Access to Frontline Health Care Act (HR 702); IPAB Repeal; Medical Liability Reform; Medicare physician payment / SGR; Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform; Veterans Admin. provider reimbursement; Medicaid access to podiatry (HR 1761 / S 1318); Physician Payments Sunshine Act; health care provider marketing and advertising; Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / audit reform; Medicare private contracting; public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform; Electronic health records / meaningful use issues

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

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

Funding for Chiropractic programs within the budget of the Department of HHS. Regulatory issues relating to Medical Records Privacy (HIPAA). Patient Protection and Affordable Care Act. PL 111-148 H.R. 702 - Access to Frontline Health Care Act. H.R. 171 - Chiropractic Membership in the Public Health Service Commissioned Corps Act. PL 112-175 - Continuing Appropriations Act PL-113-6 - Department of Defense, Military Construction and Veterans Affairs, and Full-Year Continuing Appropriations Act H.R. 1427 - Truth in Healthcare Marketing Act S. 1284 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 HJ Res 59 - Continuing Appropriations Resolution, 2014 H.R. 2817 - Protect Patient Access To Quality Health Professionals Act H.R. 2775 - FY 2014 Continuing Resolution HJ Res 124 - Continuing Appropriations Resolution, 2015

Client expense: $33,625 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

H.R. 1317, Hearing Aid Assistance Tax Credit Act 2013, as related to approval of a tax credit for the purchase of hearing aids. H.R. 702, Access to Frontline Health Care Act of 2013, as related to student loan forgiveness. S. 1546/H.R 3532, Protecting Student Athletes from Concussions Act of 2013, as related to the creation of a multidisciplinary concussion management team which may include audiologists and speech-language pathologists.S. 2311/H.R. 3508, To amend title 38, United States Code, to clarify the qualifications of hearing aid specialists of the Veterans Health Administration of the Department of Veterans Affairs, and for other purposes as related to hearing aid specialists independently providing hearing aid evaluations, fittings and orientation, verification and clinical outcomes measurements, and customary after care services. Various issues related to the Congressional Hearing Health Caucus regarding advising on issues and legislation concerning hearing health. Various issues at the Federal Communications Commission related to speech and communications. Various issues related to the Food and Drug Administrations draft guidance on Personal Sound Amplification Products (PSAPs). Various issues related to section 2706(A) of the Public Health Service Act regarding non discrimination legislation. 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.

Client expense: $220,000 · 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

HR 1037/S 1815 - Occupational Therapy in Mental Health Act: advocate passage to make occupational therapists eligible to participate in the Natl. Health Service Corps scholarship and loan repayment program as behavioral and mental health professionals. HR 1098 - Brain Injury Reauthorization Act of 2013: Support passage.HR 1236 - a bill to require inclusion of behavioral health professions on any physical evaluation board that considers issues of post-traumatic stress disorder, traumatic brain injury, or other mental health conditions: support passage. HR 3717 - Helping Families in Mental Health Crisis Act of 2013. Advocated for inclusion of occupational therapy services including provisions in OT in Mental Health Act (HR 1037/S 1815). HR 3306 - The Telehealth Enhancement Act of 2013: Educate about how occupational therapy can be utilized in telehealth. HR 3750 - Telehealth Modernization Act of 2013: Educate about how occupational therapy can be utilized in telehealth. HR 4631 - Autism CARES: Supported reauthorization before provisions sunset. HR 4574 - Strengthening Mental Health in our Communities Act: advocated for inclusion of occupational therapy services, including provisions of the Occupational Therapy Mental Health Act (HR 1037/S 1815). No bill#: Convention on the Rights of Persons with Disabilities: Support Senate ratification of the convention. HR 702 - Access to Frontline Health Act: support passage of bill including loan forgiveness for OT practitioners practicing in shortage areas.

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

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

HR 702 - Access to Frontline Health Care Act of 2013: Advocate for passage to provide loan repayments to occupational therapists in exchange for providing services for two years in designated scarcity area and to address health care workforce shortages.S. 1026 - Return to Work Act - A bill to assist survivors of stroke in returning to work: support passage. HR 803 - Workforce Innovation and Opportunity Act: Support passage. HR 702 - Access to Frontline Health Act: support passage of bill including loan forgiveness for OT practitioners practicing in shortage areas. Met with Becky Spitzgo, Associate Administrator, Bureau of Health Professions (BHPf), Health Resources and Services Administration (HRSA) to discuss issues of importance to health professionals including Title VII training funds and loan forgiveness programs under the Public Health Services Act, with specific emphasis on occupational therapy.

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

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

Minimium Essential Coverage Provisions under the ACA Implementation/Expansion of CDC Falls Programs Direct Access under FEHBP Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance ExchangesAHRQ provisions pertaining to PT H.R. 1427 Truth in Health Care Marketing Act H.R. 1098 TBI Reauthorization Act H.R. 3113 and S. 1516 ConTACT Act H.R. 3352 and S. 1546 Protecting Student Athletes from Concussions Act H.R. 3334 Medicare Adult Day Services Act H.R. 3221 Adult Day Center Enhancement Act H.R. 2817 Protect Patient Access to Quality Health Professionals Act H.R. 702 Access to Frontline Healthcare Act H.R. 3391 Indian Health Service Health Professionals Tax Fairness Act Physician Self-referral, S2110 H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2115 American Cures Act & H.R. 4384 (America Heals Act) H.R. 3877 Lymphadema Treatment Act White House Healthy Kids and Safe Sports Concussion Summit Health Information Technology Nominations to PCORI Methedology Committees Comments on GAO report on physician self-referral for physical therapy services Provider Nondiscrimination under ACA H.R. 4251 - National TBI Research and Treatment Improvement Act Letter to Secretary Burwell, Lew, Perez: Intent of Sec. 2706 (a) [Provier non-discrimination] Letter to Secretary Burwell Re: FAQ issued on Sec. 2706 (a) Comments to Administrator Tavener RE: RFI on Provider non-discrimination

Client expense: $492,169 · 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

H.R. 1252/S.602 PT Workforce and Patient Access Act H.R. 702 Access to Frontline Health Care Act (Student Loan Repayment for Physical Therapists) IDEA Full Funding Act S.108/H.R. 4136 H.R. 3532 and S. 1546 Protecting Student Athletes from Concussions ActPrevention of cuts to IDEA Personnel Preperation Program H.R. 3113 and S. 1516 ConTACT Act: Concussion Treatment and Care Tools Act of 2013 IDEA Reauthorization Higher Education Act Reauthorization Elementary and Secondary Education Act Reauthorization Recognition of Specialized Instructional Support Personnel (SISP) within the Dept. of Education

Client expense: $492,169 · 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

H.R. 855 - Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 702, Access to Frontline Health Care Act, all sectionsH.R. 1427, Truth in Health Marketing Act, all sections H.R. 351, Protecting Seniors Access to Medicare Act, all sections S. 351, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 920, National Health Service Corps Improvement Act H.R. 1331, Electronic Health Records Improvement Act P.L. 113-54, Drug Quality & Security Act, all sections H.R. 4015/S 2000, the SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302, Protecting access to Medicare Act ASC Quality Reporting Program Medicare Advantage Participant Bill of Rights Act (S2552/HR4998), all sections

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

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

Access to Frontline Health Care Act (HR 702); IPAB Repeal; Medical Liability Reform; Medicare physician payment / SGR; Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform; Veterans Admin. provider reimbursement; Medicaid access to podiatry (HR 1761 / S 1318); Physician Payments Sunshine Acthealth care provider marketing and advertising; Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / audit reform; Medicare private contracting; public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform

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

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

H.R. 702, Access to Frontline Health Care Act of 2013, specifically areas of this legislation would offer loan repayments for health professionals (including audiologists) that work for 2 years in a pre-identified frontline shortage or scarcity area.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 702 - Access to Frontline Health Care Act of 2013: Advocate for passage to provide loan repayments to occupational therapists in exchange for providing services for two years in designated scarcity area and to address health care workforce shortages.S. 1026 - Return to Work Act - A bill to assist survivors of stroke in returning to work: support passage.

Client expense: $180,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Minimium Essential Coverage Provisions under the ACA Implementation/Expansion of CDC Falls Programs Direct Access under FEHBP Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance ExchangesAHRQ provisions pertaining to PT H.R. 1427 Truth in Health Care Marketing Act H.R. 1098 TBI Reauthorization Act H.R. 3113 and S. 1516 ConTACT Act H.R. 3352 and S. 1546 Protecting Student Athletes from Concussions Act H.R. 3334 Medicare Adult Day Services Act H.R. 3221 Adult Day Center Enhancement Act H.R. 2817 Protect Patient Access to Quality Health Professionals Act H.R. 702 Access to Frontline Healthcare Act H.R. 3391 Indian Health Service Health Professionals Tax Fairness Act SGR Repeal or extension Physician Self-referral, S2110 H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.2115 American Cures Act H.R. 3877 Lymphadema Treatment Act

Client expense: $454,968 · 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

H.R. 1252/S.602 PT Workforce and Patient Access Act H.R. 702 Access to Frontline Health Care Act (Student Loan Repayment for Physical Therapists) IDEA Full Funding Act S.108/H.R. 4136 H.R. 3532 and S. 1546 Protecting Student Athletes from Concussions ActPrevention of cuts to IDEA Personnel Preperation Program H.R. 3113 and S. 1516 ConTACT Act IDEA Reauthorization Higher Education Act Reauthorization

Client expense: $454,968 · 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

H.R. 1317, Hearing Aid Assistance Tax Credit Act 2013, as related to approval of a tax credit for the purchase of hearing aids. H.R. 702, Access to Frontline Health Care Act of 2013, as related to student loan forgiveness.S. 1546/H.R 3532, Protecting Student Athletes from Concussions Act of 2013, as related to the creation of a multidisciplinary concussion management team which may include audiologists and speech-language pathologists. H.R. 3508, To amend title 38, United States Code, to clarify the qualifications of hearing aid specialists of the Veterans Health Administration of the Department of Veterans Affairs, and for other purposes as related to hearing aid specialists independently providing hearing aid evaluations, fittings and orientation, verification and clinical outcomes measurements, and customary after care services. Various issues related to the Congressional Hearing Health Caucus regarding advising on issues and legislation concerning hearing health. Various issues at the Federal Communications Commission related to speech and communications. Various issues related to the Food and Drug Administrations draft guidance on Personal Sound Amplification Products (PSAPs).

Client expense: $240,000 · 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

H.R. 855 - Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 702, Access to Frontline Health Care Act, all sectionsH.R. 1427, Truth in Health Marketing Act, all sections H.R. 351, Protecting Seniors Access to Medicare Act, all sections S. 351, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 920, National Health Service Corps Improvement Act H.R. 1331, Electronic Health Records Improvement Act H.R. 3204, Drug Quality & Security Act, all sections H.R. 4015/S 2000, the SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302, Protecting access to Medicare Act ASC Quality Reporting Program

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

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

Access to Frontline Health Care Act (HR 702); IPAB Repeal; Medical Liability Reform; Medicare physician payment / SGR; Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform; Veterans Affairs provider access issues; TRICARE reimbursement issues; Medicaid access to podiatry (HR 1761 / S 1318); Physician Payments Sunshine Acthealth care provider marketing and advertising; Affordable Care Act implementation as it pertains to physicians and providers; RAC / audit reform

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

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

HR 702 - Access to Frontline Health Care Act of 2013: Advocate for passage to provide loan repayments to occupational therapists in exchange for providing services for two years in designated scarcity area and to address health care workforce shortages.No bill #: To amend title 10, US Code to modify the Apointment and Grade of the Chief of the Army Medical Specialist Corp. - Advocate to elevate the Chief of the Medical Specialist Corps to the rank of Brigadier (1 star) General under the Army Medical Specialist Corps S. 1026 - Return to Work Act - A bill to assist survivors of stroke in returning to work: support passage.

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

See pg 5 for specific HCR issues.HCR Health Care Issues H.R. 1331: the Electronic Health Records Improvement Act H.R. 36/S. 961: Health Care Safety Net Enhancement Act H.R. 1201: Training Tomorrow's Doctors Today Act H.R. 1180/S. 577: Resident Physician Shortage Reduction Act of 2013 H.R. 351/S. 351: Protecting Seniors' Access to Medicare Act of 2013 (IPAB) H.R. 1733: Good Samaritan Health Professionals Act of 2013 H.R. 984: Task Force on Urotrauma H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 1473: Standard of Care Protection Act of 2013 S. 616: Conrad State 30 and Physician Access Act S. 1137: Ambulatory Surgical Center Quality and Access Act S. 959: Pharmaceutical Compounding Quality and Accountability Act S. 150: The Assault Weapons Ban of 2013 S. 1769: Standard of Care Protection Act S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H. Res 307: "American College of Surgeons Days"/Centennial Resolution H. R. 2660: Trauma Relief Access for Universal Medical Assistance Act H. R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H. R. 702: Access to Frontline Health Care Act of 2013 H. R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 H. R. 2914: Promoting Integrity in Medicare Act of 2013 H. R. 3204: Drug Quality and Security Act 96 Hour Rule Medicare Physician Payment Health Care Reform HEALTH Act Liability Medicare Sustainable Growth Rate (SGR)/ Value Based Update (VBU) proposal Trauma Funding Physician Quality Reporting System Physician Payment Sunshine Act Palliative Care Surgical Quality Improvement and Registries Surgical Workforce Issues Inpatient Rule HIPAA 2013 Medicare Physician Fee Schedule IOASE: In-Office Ancillary Services

Client expense: $27,785 · Firm income: Not reported

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

See pg. 3 for specific MMM issues.MMM Medicare/Medicaid H.R. 1331: the Electronic Health Records Improvement Act H.R. 36/S. 961: Health Care Safety Net Enhancement Act H.R. 1201: Training Tomorrow's Doctors Today Act H.R. 1180/S. 577: Resident Physician Shortage Reduction Act of 2013 H.R. 351/S. 351: Protecting Seniors' Access to Medicare Act of 2013 (IPAB) H.R. 1733: Good Samaritan Health Professionals Act of 2013 H.R. 984: Task Force on Urotrauma H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 1473: Standard of Care Protection Act of 2013 S. 616: Conrad State 30 and Physician Access Act S. 1137: Ambulatory Surgical Center Quality and Access Act S. 959: Pharmaceutical Compounding Quality and Accountability Act S. 1769: Standard of Care Protection Act S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H. R. 2660: Trauma Relief Access for Universal Medical Assistance Act H. R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H. R. 702: Access to Frontline Health Care Act of 2013 H. R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 H. R. 2914: Promoting Integrity in Medicare Act of 2013 H. R. 3204: Drug Quality and Security Act 96 Hour Rule Medicare Physician Payment Reform Health Care Reform HEALTH Act Liability Medicare Sustainable Growth Rate (SGR)/Value Based Update (VBU) proposal Trauma Funding Physician Quality Reporting System Physician Payment Sunshine Act Palliative Care Surgical Quality Improvement and Registries Surgical Workforce Issues Inpatient Rule HIPAA 2013 Medicare Physician Fee Schedule IOASE: In-Office Ancillary Services

Client expense: $27,785 · Firm income: Not reported

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

See pg. 3 for specific Medicare/Medicaid issues.MMM Medicare/Medicaid H.R. 1331: the Electronic Health Records Improvement Act H.R. 36/S. 961: Health Care Safety Net Enhancement Act H.R. 1201: Training Tomorrow's Doctors Today Act H.R. 1180/S. 577: Resident Physician Shortage Reduction Act of 2013 H.R. 351/S. 351: Protecting Seniors' Access to Medicare Act of 2013 (IPAB) H.R. 1733: Good Samaritan Health Professionals Act of 2013 H.R. 984: Task Force on Urotrauma H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 1473: Standard of Care Protection Act of 2013 S. 616: Conrad State 30 and Physician Access Act S. 1137: Ambulatory Surgical Center Quality and Access Act S. 959: Pharmaceutical Compounding Quality and Accountability Act S. 1769: Standard of Care Protection Act S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H. R. 2660: Trauma Relief Access for Universal Medical Assistance Act H. R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H. R. 702: Access to Frontline Health Care Act of 2013 H. R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 H. R. 2914: Promoting Integrity in Medicare Act of 2013 H. R. 3204: Drug Quality and Security Act 96 Hour Rule Medicare Physician Payment Reform Health Care Reform HEALTH Act Liability Medicare Sustainable Growth Rate (SGR)/Value Based Update (VBU) proposal Trauma Funding Physician Quality Reporting System Physician Payment Sunshine Act Palliative Care Surgical Quality Improvement and Registries Surgical Workforce Issues Inpatient Rule HIPAA 2013 Medicare Physician Fee Schedule IOASE: In-Office Ancillary Services

Client expense: $174,145 · Firm income: Not reported

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

See page 5 for specific Health Issues.HCR Health Care Issues H.R. 1331: the Electronic Health Records Improvement Act H.R. 36/S. 961: Health Care Safety Net Enhancement Act H.R. 1201: Training Tomorrow's Doctors Today Act H.R. 1180/S. 577: Resident Physician Shortage Reduction Act of 2013 H.R. 351/S. 351: Protecting Seniors' Access to Medicare Act of 2013 (IPAB) H.R. 1733: Good Samaritan Health Professionals Act of 2013 H.R. 984: Task Force on Urotrauma H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 1473: Standard of Care Protection Act of 2013 S. 616: Conrad State 30 and Physician Access Act S. 1137: Ambulatory Surgical Center Quality and Access Act S. 959: Pharmaceutical Compounding Quality and Accountability Act S. 150: The Assault Weapons Ban of 2013 S. 1769: Standard of Care Protection Act S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 809: Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R. 3548: Improving Trauma Care Act of 2013 H. Res 307: "American College of Surgeons Days"/Centennial Resolution H. R. 2660: Trauma Relief Access for Universal Medical Assistance Act H. R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H. R. 702: Access to Frontline Health Care Act of 2013 H. R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 H. R. 2914: Promoting Integrity in Medicare Act of 2013 H. R. 3204: Drug Quality and Security Act 96 Hour Rule Medicare Physician Payment Health Care Reform HEALTH Act Liability Medicare Sustainable Growth Rate (SGR)/ Value Based Update (VBU) proposal Trauma Funding Physician Quality Reporting System Physician Payment Sunshine Act Palliative Care Surgical Quality Improvement and Registries Surgical Workforce Issues Inpatient Rule HIPAA 2013 Medicare Physician Fee Schedule IOASE: In-Office Ancillary Services

Client expense: $174,145 · Firm income: Not reported

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

H.R. 1252/S.602 PT Workforce and Patient Access Act H.R. 702 Access to Frontline Health Care Act (Student Loan Repayment for Physical Therapists) IDEA Full Funding Act S.108 ESEA ReautorizationH.R. 3391 Indian Health Service Professions Tax Fairness Act Prevention of cuts to IDEA Personnel Preperation Program H.R. 3113 and S. 1516 ConTACT Act H.R. 3532 and S. 1546 Protecting Student Athletes from Concussions Act IDEA Reauthorization Higher Education Act Reauthorization

Client expense: $455,858 · 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

H.R. 351/ S.351 Opposition to IPAB Minimium Essential Coverage Provisions under the ACA Implementation/Expansion of CDC Falls Programs Direct Access under FEHBPImplementation of Affordable Care Act - provisions pertaining to Essential Health Benefits and Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 1427 Truth in health Care Marketing Act H.R. 1098 TBI Reauthorization Act H.R. 3113 and S. 1516 ConTACT Act S. 1546 Protecting Student Athletes from Concussions Act H.R. 3334 Medicare Adult Day Services Act H.R. 3221 Adult Day Center Enhancement Act H.R. 2817 Protect Patient access to Quality Health Professionals Act H.R. 702 Access to Frontline Healthcare Act H.R. 3391 Indian Health Service Health Professionals Tax Fairness Act

Client expense: $455,858 · 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

H.R. 855 - Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 702, Access to Frontline Health Care Act, all sectionsH.R. 1427, Truth in Health Marketing Act, all sections H.R. 351, Protecting Seniors Access to Medicare Act, all sections S. 351, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 920, National Health Service Corps Improvement Act H.R. 1331, Electronic Health Records Improvement Act S. 959, Pharmaceutical Compounding Quality and Accountability Act, all sections H.R. 3089, Compounding Clarity Act, all sections H.R. 3204, Drug Quality & Security Act, all sections

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

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

H.R. 1317, Hearing Aid Assistance Tax Credit Act 2013, as related to approval of a tax credit for the purchase of hearing aids. H.R. 702, Access to Frontline Health Care Act of 2013, as related to student loan forgiveness. S. 1546, Protecting Student Athletes from Concussions Act of 2013, as related to the creation of a multidisciplinary concussion management team which may include audiologists and speech-language pathologists.Various issues related to the Congressional Hearing Health Caucus regarding advising on issues and legislation concerning hearing health Various issues at the Federal Communications Commission related to speech and communications

Client expense: $200,000 · 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

Access to Frontline Health Care Act (HR 702); IPAB Repeal; Medical Liability Reform; Medicare physician payment / SGR; Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform; Veterans Affairs provider access issues; TRICARE reimbursement issues; Medicaid access to podiatry (HR 1761 / S 1318); Physician Payments Sunshine Acthealth care provider marketing and advertising; Affordable Care Act implementation as it pertains to physicians and providers

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

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

H.R. 1201, H.R. 1180, H.R. 702 - Resident Physican Shortage Act and Loan Repayment

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See page 3 for specific Health Issues.HCR Health Care Issues H.R. 1331: the Electronic Health Records Improvement Act H.R. 36/S. 961: Health Care Safety Net Enhancement Act H.R. 1201: Training Tomorrow's Doctors Today Act H.R. 1180/S. 577: Resident Physician Shortage Reduction Act of 2013 H.R. 351/S. 351: Protecting Seniors' Access to Medicare Act of 2013 (IPAB) H.R. 1733: Good Samaritan Health Professionals Act of 2013 H.R. 984: Task Force on Urotrauma H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 1473: Standard of Care Protection Act of 2013 S. 616: Conrad State 30 and Physician Access Act S. 1137: Ambulatory Surgical Center Quality and Access Act S. 959: Pharmaceutical Compounding Quality and Accountability Act S. 150: The Assault Weapons Ban of 2013 H. Res 307: "American College of Surgeons Days"/Centennial Resolution H. R. 2660: Trauma Relief Access for Universal Medical Assistance Act H. R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H. R. 702: Access to Frontline Health Care Act of 2013 H. R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 H. R. 2914: Promoting Integrity in Medicare Act of 2013 H. R. 3204: Drug Quality and Security Act Medicare Physician Payment Health Care Reform HEALTH Act Liability Medicare Sustainable Growth Rate (SGR)/ Value Based Update (VBU) proposal Trauma Funding Physician Quality Reporting System Physician Payment Sunshine Act Palliative Care Surgical Quality Improvement and Registries Surgical Workforce Issues Inpatient Rule HIPAA 2013 Medicare Physician Fee Schedule IOASE: In-Office Ancillary Services

Client expense: $44,714 · Firm income: Not reported

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

See page 5 for specific Medicare/Medicaid issues.MMM Medicare/Medicaid H.R. 1331: the Electronic Health Records Improvement Act H.R. 36/S. 961: Health Care Safety Net Enhancement Act H.R. 1201: Training Tomorrow's Doctors Today Act H.R. 1180/S. 577: Resident Physician Shortage Reduction Act of 2013 H.R. 351/S. 351: Protecting Seniors' Access to Medicare Act of 2013 (IPAB) H.R. 1733: Good Samaritan Health Professionals Act of 2013 H.R. 984: Task Force on Urotrauma H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 1473: Standard of Care Protection Act of 2013 S. 616: Conrad State 30 and Physician Access Act S. 1137: Ambulatory Surgical Center Quality and Access Act S. 959: Pharmaceutical Compounding Quality and Accountability Act H. R. 2660: Trauma Relief Access for Universal Medical Assistance Act H. R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H. R. 702: Access to Frontline Health Care Act of 2013 H. R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 H. R. 2914: Promoting Integrity in Medicare Act of 2013 H. R. 3204: Drug Quality and Security Act Medicare Physician Payment Reform Health Care Reform HEALTH Act Liability Medicare Sustainable Growth Rate (SGR)/Value Based Update (VBU) proposal Trauma Funding Physician Quality Reporting System Physician Payment Sunshine Act Palliative Care Surgical Quality Improvement and Registries Surgical Workforce Issues Inpatient Rule HIPAA 2013 Medicare Physician Fee Schedule IOASE: In-Office Ancillary Services

Client expense: $44,714 · Firm income: Not reported

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

See page three for specific Medicare/Medicaid issues.MMM Medicare/Medicaid H.R. 1331: the Electronic Health Records Improvement Act H.R. 36/S. 961: Health Care Safety Net Enhancement Act H.R. 1201: Training Tomorrow's Doctors Today Act H.R. 1180/S. 577: Resident Physician Shortage Reduction Act of 2013 H.R. 351/S. 351: Protecting Seniors' Access to Medicare Act of 2013 (IPAB) H.R. 1733: Good Samaritan Health Professionals Act of 2013 H.R. 984: Task Force on Urotrauma H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 1473: Standard of Care Protection Act of 2013 S. 616: Conrad State 30 and Physician Access Act S. 1137: Ambulatory Surgical Center Quality and Access Act S. 959: Pharmaceutical Compounding Quality and Accountability Act H. R. 2660: Trauma Relief Access for Universal Medical Assistance Act H. R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H. R. 702: Access to Frontline Health Care Act of 2013 H. R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 H. R. 2914: Promoting Integrity in Medicare Act of 2013 H. R. 3204: Drug Quality and Security Act Medicare Physician Payment Reform Health Care Reform HEALTH Act Liability Medicare Sustainable Growth Rate (SGR)/Value Based Update (VBU) proposal Trauma Funding Physician Quality Reporting System Physician Payment Sunshine Act Palliative Care Surgical Quality Improvement and Registries Surgical Workforce Issues Inpatient Rule HIPAA 2013 Medicare Physician Fee Schedule IOASE: In-Office Ancillary Services

Client expense: $147,963 · Firm income: Not reported

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

See page 5 for specific Health Issues.HCR Health Care Issues H.R. 1331: the Electronic Health Records Improvement Act H.R. 36/S. 961: Health Care Safety Net Enhancement Act H.R. 1201: Training Tomorrow's Doctors Today Act H.R. 1180/S. 577: Resident Physician Shortage Reduction Act of 2013 H.R. 351/S. 351: Protecting Seniors' Access to Medicare Act of 2013 (IPAB) H.R. 1733: Good Samaritan Health Professionals Act of 2013 H.R. 984: Task Force on Urotrauma H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 1473: Standard of Care Protection Act of 2013 S. 616: Conrad State 30 and Physician Access Act S. 1137: Ambulatory Surgical Center Quality and Access Act S. 959: Pharmaceutical Compounding Quality and Accountability Act S. 150: The Assault Weapons Ban of 2013 H. Res 307: "American College of Surgeons Days"/Centennial Resolution H. R. 2660: Trauma Relief Access for Universal Medical Assistance Act H. R. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H. R. 702: Access to Frontline Health Care Act of 2013 H. R. 2810: Medicare Patient Access and Quality Improvement Act of 2013 H. R. 2914: Promoting Integrity in Medicare Act of 2013 H. R. 3204: Drug Quality and Security Act Medicare Physician Payment Health Care Reform HEALTH Act Liability Medicare Sustainable Growth Rate (SGR)/ Value Based Update (VBU) proposal Trauma Funding Physician Quality Reporting System Physician Payment Sunshine Act Palliative Care Surgical Quality Improvement and Registries Surgical Workforce Issues Inpatient Rule HIPAA 2013 Medicare Physician Fee Schedule IOASE: In-Office Ancillary Services

Client expense: $147,963 · Firm income: Not reported

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

H.R. 1252/S.602 PT Workforce and Patient Access Act H.R. 702 Access to Frontline Health Care Act (Student Loan Repayment for Physical Therapists) IDEA Full Funding Act S.108 ESEA ReautorizationIndian Health Service loan Forgiveness Student Loan Interest Rates Prevention of cuts to IDEA Personnel Preperation Program Higher Education Act Reauthorization Youth Sports COncussion Mangement Legislation

Client expense: $552,813 · 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