Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013

Providing disability benefits for occupational illnesses contracted by federal fire fighters, including the Federal Fire Fighters Fairness Act (HR 3718 and S 2266). The Transitional Reinsurance Fee, including HR 3489 and S 2253. The excise tax on high cost health plans. Emergency Medical Services, including HR 809 and S 2400.

Client expense: $92,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Labor, Dept of (DOL), SENATE, Transportation, Dept of (DOT), White House Office

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act S. 2800: Patient Centered Quality Care for Life Act S. 641: Palliative Care and Hospice Education and Training Act S. 2348: Removing Barriers to Colorectal Cancer Screening Act of 2014 H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation H.R. 4384: America HEALS Act H.R. 3547: Consolidated Appropriations Act, 2014 Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Legal Liability Legislation National Trauma Institute Agenda 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering Device Tax Protecting Integrity in Medicare Act Misvalued Codes 10- and 90-Day Global Code Transition Pay-for-Performance Programs Hospital Improvements for Payment (HIP) Act of 2014 Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act S. 2800: Patient Centered Quality Care for Life Act S. 641: Palliative Care and Hospice Education and Training Act S. 2348: Removing Barriers to Colorectal Cancer Screening Act of 2014 H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation H.R. 4384: America HEALS Act H.R. 3547: Consolidated Appropriations Act, 2014 Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Legal Liability Legislation National Trauma Institute Agenda 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering Device Tax Protecting Integrity in Medicare Act Misvalued Codes 10- and 90-Day Global Code Transition Pay-for-Performance Programs Hospital Improvements for Payment (HIP) Act of 2014 Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act S. 2800: Patient Centered Quality Care for Life Act S. 641: Palliative Care and Hospice Education and Training Act S. 2348: Removing Barriers to Colorectal Cancer Screening Act of 2014 H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation H.R. 4384: America HEALS Act H.R. 3547: Consolidated Appropriations Act, 2014 Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Legal Liability Legislation National Trauma Institute Agenda 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering Device Tax Protecting Integrity in Medicare Act Misvalued Codes 10- and 90-Day Global Code Transition Pay-for-Performance Programs Hospital Improvements for Payment (HIP) Act of 2014 Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act S. 2800: Patient Centered Quality Care for Life Act S. 641: Palliative Care and Hospice Education and Training Act S. 2348: Removing Barriers to Colorectal Cancer Screening Act of 2014 H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation H.R. 4384: America HEALS Act H.R. 3547: Consolidated Appropriations Act, 2014 Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Legal Liability Legislation National Trauma Institute Agenda 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering Device Tax Protecting Integrity in Medicare Act Misvalued Codes 10- and 90-Day Global Code Transition Pay-for-Performance Programs Hospital Improvements for Payment (HIP) Act of 2014 Medical Electronic Data Technology Enhancement for Consumers' Health (MEDTECH) Act

Issues relating to the emergency medical service. H.R. 5460, the Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2014, provisions to permanently extend the add-on payments for Medicare-reimbursed ambulance transport. H.R. 1791, the Medical Preparedness Allowable Use Act, provisions that would allow FEMA's homeland security preparedness grant programs to be used for the distribution of medical countermeasures to first responders and their families. Issues relating to Ebola response preparedness and training for first responders. P.L. 113-235, the Fiscal Year (FY) 2015 Consolidated and Further Continuing Appropriations Act, provisions relating to funding for first responder preparedness and training for Ebola response. H.R. 5620, the First Responder Anthrax Preparedness Act, provisions relating to a voluntary anthrax vaccine program for first responders. H.R.809/S. 2400, the Field EMS Quality, Innovation and Cost Effectiveness Improvements Act of 2013, provisions relating to grant programs for EMS organizations.

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Defense Logistics Agency, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Security Council (NSC), Natl Telecommunications & Information Administration (NTIA), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, U.S. Forest Service

Issues relating to the emergency medical service (EMS). The extension of Medicare bonus payments for ambulance transport. H.R. 1791, the Medical Preparedness Allowable Use Act, provisions that would allow the Federal Emergency Management Agency's homeland security preparedness grant to be used for the distribution of medical countermeasures to first responders and their families, H.R. 809/S. 2400, the Field EMS Quality, Innovation and Cost Effectiveness Improvements Act of 2013, provisions relating to grant programs for the EMS organizations.

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

Government targets: Agriculture, Dept of (USDA), Defense Logistics Agency, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Justice, Dept of (DOJ), Natl Highway Traffic Safety Administration (NHTSA), Natl Telecommunications & Information Administration (NTIA), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT), U.S. Forest Service

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $195,098 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $195,098 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $52,423 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $52,423 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $195,098 · Firm income: Not reported

S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405/H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.1932: Better Care, Lower Cost Act H.R. 3230: Veterans Access, Choice, and Accountability Act of 2014 H.R. 4750: Standard of Care Protection Act of 2014 H.R. 4841/ S. 2450 Veterans' Access to Care through Choice, Accountability and Transparency Act of 2014 H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative HIT/Big Data CHIP reauthorization Colorectal cancer screening Legal Liability Legislation National Trauma Institute Agenda Global payments Palliative care 2015 Medicare Physician Fee Schedule Clinical Data Registries S-CAHPS Network adequacy Physician Tiering

Client expense: $195,098 · Firm income: Not reported

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3230 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 H.R.4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 Stop Overdose Stat Act H.R.4290 Wakefield Act of 2014 H.R.4574 Strengthening Mental Health in Our Communities Act of 2014 H.R.5460 Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act S.1871 SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 S.2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 Medicare Choices Empowerment and Protection Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014 S.2450 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 S.2501 Hospital Readmission Accuracy and Accountability Act S.2539 Traumatic Brain Injury Reauthorization Act of 2014

H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 S.328 - Strengthening Rural Access to Emergency Services Act

Client expense: $291,064 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.733 - Good Samaritan Health Professionals Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.5460 Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.328 - Strengthening Rural Access to Emergency Services Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014

Client expense: $291,064 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Providing disability benefits for occupational illnesses contracted by federal fire fighters, including the Federal Fire Fighters Fairness Act (HR 3718 and S 2266). The Transitional Reinsurance Fee, including HR 3489 and S 2253. The excise tax on high cost health plans. Emergency Medical Services, including HR 809 and S 2400.

Client expense: $96,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Federal Aviation Administration (FAA), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Labor, Dept of (DOL), SENATE, White House Office

HR 4745/S 2438, FY 2015 Transportation-HUD Appropriations, Funding for CDBG, HOME, Homeless Assistance Grants and Transportation Programs HR 4660/S 2437, FY 2015 Commerce-Justice-Science Appropriations, Funding for local law enforcement assistance and economic development programs S 743, Marketplace Fairness Act, Support HR 684, Marketplace Fairness Act, Support S 2609, Marketplace Fairness & Internet Tax Freedom Act, Support HR 4435/S 2410, FY 2015 Defense Authorization, Local Military Base Issues HR 809/S 1911, Workforce Investment & Opportunity Act, Support/Local job training programs Maintain tax exemption for municipal bonds Local surface transportation programs MAP-21 Reauthorization Local economic development projects Local housing and community development programs Telecommunications - oppose preemption of local rights-of-way, tax and zoning authority Oppose preemption of local government authority Local economic development projects

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for H.R. 809, the Field EMS Quality Innovation and Improvement Act, including introduction in the Senate of S.2400; Support for H.R. 4080 and S.2405 to reauthorize the Trauma Systems Planning Act & Regionalization of Emergency Care Pilot Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to the emergency medical services. H.R. 1791, the Medical Preparedness Allowable Use Act, provisions that would allow the FEMA preparedness grants to be used for the distribution of medical countermeasures to first responders and their families. H.R. 3685/H.R. 3979/S. 1798, the Protecting Firefighters and Emergency Responders Act, provisions to clarify that fire departments do not have to provide health insurance to volunteer firefighters under the Patient Protection and Affordable Care Act (P.L. 111-148). H.R. 809/S. 2400, the Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013, provisions relating to grant programs for the emergency medical service (EMS). The use of anthrax vaccine for first responders.

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

Government targets: Agriculture, Dept of (USDA), Defense Logistics Agency, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Natl Highway Traffic Safety Administration (NHTSA), Natl Telecommunications & Information Administration (NTIA), Natl Transportation Safety Board (NTSB), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT), U.S. Forest Service

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.297 - Children's Hospital GME Support Reauthorization Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R.3230 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3527 Poison Center Network Act H.R.3528 National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 Helping Families in Mental Health Crisis Act of 2013 H.R.4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 Stop Overdose Stat Act H.R.4290 Wakefield Act of 2014 H.R.4574 Strengthening Mental Health in Our Communities Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1719 Poison Center Network Act S.1871 SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 S.2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 Medicare Choices Empowerment and Protection Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014 S.2450 Veterans' Access to Care Through Choice, Accountability and Transparency Act of 2014 S.2501 Hospital Readmission Accuracy and Accountability Act

H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1733 - Good Samaritan Health Professionals Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.328 - Strengthening Rural Access to Emergency Services Act S.2400 Field EMS Innovation Act S.2405 Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 Improving Trauma Care Act of 2014

Client expense: $646,873 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 S.328 - Strengthening Rural Access to Emergency Services Act

Client expense: $646,873 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Providing disability benefits for occupational illnesses contracted by federal fire fighters, including the Federal Fire Fighters Fairness Act (HR 3718 and S 2266). The Transitional Reinsurance Fee, including HR 3489 and S 2253. The excise tax on high cost health plans. Emergency Medical Services, including HR 809 and S 2400.

Client expense: $101,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE, White House Office

See page three for specific Medicare/Medicaid issues.S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation S.Res.445: A resolution recognizing the importance of cancer research and the contributions of scientists, clinicians, and patient advocates across the United States who are dedicated to finding a cure for cancer, and designating May 2014 as "National Cancer Research Month". Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative

Client expense: $36,905 · Firm income: Not reported

See page five for specific Health issues.S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation S.Res.445: A resolution recognizing the importance of cancer research and the contributions of scientists, clinicians, and patient advocates across the United States who are dedicated to finding a cure for cancer, and designating May 2014 as "National Cancer Research Month". Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative

Client expense: $36,905 · Firm income: Not reported

See page 3 for specific Medicare/Medicaid issues.S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation S.Res.445: A resolution recognizing the importance of cancer research and the contributions of scientists, clinicians, and patient advocates across the United States who are dedicated to finding a cure for cancer, and designating May 2014 as "National Cancer Research Month". Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative

Client expense: $185,063 · Firm income: Not reported

See page five for specific Health issues.S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act S. 2405: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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. 1827: Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 2500: Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 3722/S. 2220: Sports liability legislation S.Res.445: A resolution recognizing the importance of cancer research and the contributions of scientists, clinicians, and patient advocates across the United States who are dedicated to finding a cure for cancer, and designating May 2014 as "National Cancer Research Month". Two midnights policy Cancer funding IOASE (In Office Ancillary Services Exemption) ICD-10 NIH research funding appropriations request 21st Century Cures Initiative

Client expense: $185,063 · Firm income: Not reported

Support for H.R. 809, the Field EMS Quality Innovation and Improvement Act, including introduction in the Senate of S.2400; Support for H.R. 4080 and S.2405 to reauthorize the Trauma Systems Planing Act & Regionalization of Emergency Care Pilot Program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to the emergency medical services. H.R. 1791, the Medical Preparedness Allowable Use Act, provisions that would allow the FEMA grants to be used for the distribution of medical countermeasures to first responders and their families. H.R.3685/H.R. 3979/S. 1798, the Protecting Volunteer Firefighters and Emergency Responders Act, provisions to clarify that fire departments do not have to provide health insurance to volunteer firefighters under the Patient Protection and AffordableCare Act (P.L. 111-148). H.R. 809, the Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013, provisions relating to grant programs for the emergency medical service (EMS).

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

Government targets: Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Natl Highway Traffic Safety Administration (NHTSA), Natl Telecommunications & Information Administration (NTIA), Natl Transportation Safety Board (NTSB), Office of the Vice President of the United States, Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT), U.S. Forest Service

H.R.235-Veteran Emergency Medical Technician Support Act of 2013 H.R.809-Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1733-Good Samaritan Health Professionals Act of 2013 H.R.3548-Improving Trauma Care Act of 2013H.R.4080-Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.328-Strengthening Rural Access to Emergency Services Act

Client expense: $538,613 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.235-Veteran Emergency Medical Technician Support Act of 2013 H.R.809-Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 S.328-Strengthening Rural Access to Emergency Services Act

Client expense: $538,613 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36-Health Care Safety Net Enhancement Act of 2013 H.R.235-Veteran Emergency Medical Technician Support Act of 2013 H.R.297-Children's Hospital GME Support Reauthorization Act of 2013 H.R.351-Protecting Seniors' Access to Medicare Act of 2013H.R.574-Medicare Physician Payment Innovation Act of 2013 H.R.809-Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098-Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201-Training Tomorrow's Doctors Today Act H.R.1263-Excellence in Mental Health Act H.R.1179-Improving Access to Medicare Coverage Act of 2013 H.R.1180-Resident Physician Shortage Reduction Act of 2013 H.R.1487-Improved Health Care Lower Cost Act of 2013 H.R.1838-Enhanced Access to Medicaid Services H.R.2186-Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900-Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300-Empowering Patients First Act of 2013 H.R.2810-Medicare Patient Access and Quality Improvement Act of 2013 H.R.3392-Patient Safety and Drug Abuse Prevention Act H.R.3527-Poison Center Network Act H.R.3528-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548-Improving Trauma Care Act of 2013 H.R.3717-Helping Families in Mental Health Crisis Act of 2013 H.R.4015-SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106-Saving Lives, Saving Costs Act H.R.4302 (P.L.113-93)-Protecting Access to Medicare Act of 2014 S.44-Medical Care Access Protection (MCAP) Act of 2013 S.264-Excellence in Mental Health Act S.265-Community-Based Mental Health Infrastructure Improvements Act S.328-Strengthening Rural Access to Emergency Services Act S.351-Protecting Seniors' Access to Medicare Act of 2013 S.569-Improving Access to Medicare Coverage Act of 2013 S.577-Resident Physician Shortage Reduction Act of 2013 S.755-Enhanced Access to Medicaid Services S.961-Health Care Safety Net Enhancement Act of 2013 S.1719-Poison Center Network Act S.1871-SGR Repeal and Medicare Beneficiary Access of 2013 S.2110-Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157-Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

See page three for specific Medicare/Medicaid issues.MMM Issues: S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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 Pediatric Subspecialty Loan Repayment program Appropriations Two midnights policy Cancer funding IOASE Safe harbor legislation

Client expense: $42,533 · Firm income: Not reported

See page five for specific HCR issues.HCR Issues: S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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 Pediatric Subspecialty Loan Repayment program Appropriations Two midnights policy Cancer funding IOASE Safe harbor legislation

Client expense: $42,533 · Firm income: Not reported

See page five for specific Health issues.HCR Issues: S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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 Pediatric Subspecialty Loan Repayment program Appropriations Two midnights policy Cancer funding IOASE Safe harbor legislation

Client expense: $180,913 · Firm income: Not reported

See page three for specific Medicare/Medicaid issues.MMM Issues: S. 2000/ S. 2110/H.R. 4015/H.R. 4302: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1769: Standard of Care Protection Act H.R. 4106: Saving Lives, Saving Costs Act H.R. 1427: Truth in Healthcare Marketing Act of 2013 H.R. 3991/S. 2037: Critical Access Hospital Relief Act of 2014 S.1932: Better Care, Lower Cost Act H.R. 2027: Expanding Patients' Access to Quality Care Act of 2013 H.R. 3796: Comprehensive Care Payment Innovation Act H.R. 4080: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 36: Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196: Good Samaritan Health Professionals Act H.R. 2810/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 Pediatric Subspecialty Loan Repayment program Appropriations Two midnights policy Cancer funding IOASE Safe harbor legislation

Client expense: $180,913 · Firm income: Not reported

Providing disability benefits for occupational illnesses contracted by federal fire fighters, including the Federal Fire Fighters Fairness Act, including HR 3718. Ambulance reimbursement. The Transitional Reinsurance Fee, including HR 3489. The excise tax on high cost health plans. Emergency Medical Services, including HR 809.

Client expense: $101,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Commerce, Dept of (DOC), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Interior, Dept of (DOI), SENATE, White House Office

Support for H.R. 809, the Field EMS Quality Innovation and Improvement Act, including introduction in the Senate.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for H.R. 809, the Field EMS Quality Innovation and Improvement Act, including introduction in the Senate.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

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

Implementation of health reform law affecting trauma centers PL 111-148; 111-152; support appropriations for trauma provisions in the Public Health Service Act pursuant to Labor/HHS appropriations legislation and discretionary funding within the Department of HHS; development of field EMS legislation (H.R. 809) that would establish a primary federal agency; development of new reimbursement model for trauma centers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1733 - Good Samaritan Health Professionals Act of 2013 S.328 - Strengthening Rural Access to Emergency Services Act

Client expense: $537,439 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE