National Clinical Care Commission Act

H.R. 1270, Restoring Access to Medication Act of 2015, all provisions S. 709, Restoring Access to Medication Act of 2015, all provisions H.R. 5395, Expanding Capacity for Health Outcomes (ECHO) Act, all provisions S. 2873, Expanding Capacity for Health Outcomes (ECHO) Act, all provisions H.R. 6, 21st Century Cures Act, all provisions H.R. 34, 21st Century Cures Act, all provisions H.R. 293, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes, all provisions S.2978, Protect Continuing Physician Education and Patient Care Act, all provisions H.R. 1877, Mental Health First Aid Act of 2016, all provisions H.R. 4365, Protecting Patient Access to Emergency Medications Act of 2016, all provisions H.R. 1217, Public Safety and Second Amendment Rights Protection Act of 2015, all provisions H.R.1192, National Clinical Care Commission Act, all provisions S. 586, National Clinical Care Commission Act, all provisions H.R. 1725, National All Schedules Prescription Electronic Reporting Reauthorization (NASPER) Act of 2015, all provisions S.480, National All Schedules Prescription Electronic Reporting Reauthorization (NASPER) Act of 2016, all provisions H.R.2536, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions S. 1455, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions S. 524, Comprehensive Addiction and Recovery Act (CARA) of 2016, all provisions S. 3077, Marijuana Effective Drug Studies (MEDS) Act of 2016, all provisions H.R. 1139, Detergent Poisoning And Child Safety Act of 2015, all provisions S. 588, Detergent Poisoning And Child Safety Act of 2015, all provisions H.R. 5926, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017, language relating to non-burning sunshine H.R.1217, Public Safety and Second Amendment Rights Protection Act of 2015, all provisions Health Savings Accounts - Prescription requirements for over-the-counter medications Telemedicine - Interstate Medical Licensure Compact Health Care Reform Sunshine Act Surprise Medical Billing Rep. Tom Price nomination for HHS Secretary Health Data Security Gun Violence TRUST IT EHR Interoperability Meaningful Use 21st Century Cures, Innovations Diabetes Zika funding FDA's blood donor deferral recommendations Nootropics or "Smart Drugs" At-risk children/elevated blood lead level early-intervention screening programs Race/ethnicity data collection standards Opioid epidemic National Practitioner Data Bank Laboratory developed tests Precision medicine Compounding Health Insurance Portability and Accountability Act (HIPAA) FDA - Physician practice issues FDA - Device innovation Telehealth - payment

Client expense: $3,990,000 · Firm income: Not reported

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

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards; H.R. 1192 and S. 586 National Diabetes Clinical Care Commission Act of 2015; P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for Special Diabetes Program, CHIP, and childhood obesity; H.R. 1190 and S. 141 Protecting Seniors' Access to Medicare Act of 2015 (IPAB repeal); H.R. 2651 Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 (EDDPAC); cost of diabetes generally; S. 320 and H.R. 744 Medical Innovation Act of 2015; S. 2023 and H.R. 3513 Prescription Drug Affordability Act of 2015; H.R. 3742, Access to Marketplace Insurance Act and general allowance for certain third party payments of cost sharing; H.R. 6, 21st Century Cures Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1622 FDA Device Accountability Act of 2015. S. 586 National Diabetes Clinical Care Commission Act. H.R. 6 21st Century CURES Act/Senate Innovation Package. H.R. 1192 National Diabetes Clinical Care Commission Act. H.R. 5009 Ensuring Patient Access to Critical Breakthrough Products Act of 2016. Proposals related to Affordable Care Act improvements/repeal and replace. Proposals to modify requirements for diabetes testing supplies. Proposals regarding payments across healthcare sites of service.

Client expense: $790,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, U.S. Trade Representative (USTR)

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards; diabetes issues in Healthy People 2020 and the Office of Disease Prevention and Health Promotion (ODPHP); H.R. 1192 and S. 586 National Diabetes Clinical Care Commission Act of 2015; P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for Special Diabetes Program, CHIP, and childhood obesity; S. 84 and H.R. 3658 Gestational Diabetes Act of 2015; H.R. 1190 and S. 141 Protecting Seniors' Access to Medicare Act of 2015 (IPAB repeal); H.R. 2651 Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 (EDDPAC); cost of diabetes generally; S. 320 and H.R. 744 Medical Innovation Act of 2015; S. 2023 and H.R. 3513 Prescription Drug Affordability Act of 2015; H.R. 3742, Access to Marketplace Insurance Act and general allowance for certain third party payments of cost sharing; Congressional recognition of World Hemophilia Day and Growth Awareness Week.

Client expense: $262,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

H.R. 34, the 21st Century Cures Act. The Association advocated for investment in diabetes research but didnt take a formal position on the legislation. H.R. 5003, the Improving Child Nutrition and Education Act of 2016. Oppose entire bill; reauthorizes child nutrition programs. S. 3136, the Improving Child Nutrition Integrity and Access Act of 2016. Support entire bill; reforms and reauthorizes child nutrition programs. H.R. 1192/S. 586, the National Clinical Care Commission Act. Support entire bill; creates a commission to integrate federal research, prevention, and clinical efforts on diabetes and related metabolic and autoimmune diseases. Issues worked on not yet reflected in legislation: Affordable Care Act (ACA) Repeal. The Association opposes efforts in the House and Senate to repeal the ACA without simultaneously enacting a replacement bill that offers equal or greater coverage and consumer protections. This includes, but is not limited to opposing forthcoming budget reconciliation legislation. Cost of prescription drugs. The Association is concerned about the rising cost of insulin and other diabetes medications. The Association has not endorsed any legislative proposal but has advocated for Congress to hold hearings with all parties in the insulin supply chain to increase transparency and ultimately make insulin more affordable for patients.

Client expense: $105,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

HR 34, HR 6 21st Century Cures Act, all issues HR5395, S.2873 ECHO Act, all issues. H.R. 2713/S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2015, all issues HR1192, National Clinical Care Commission Act, all issues

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

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

Health care quality; physician and hospital quality; health care reform implementation; medical liability reform; Physician Sunshine/Open Payments; informed consent and FDA-related research; unique device identifier policy and postmarket surveillance for medical devices; Medical Device User Fee Act reauthorization; clinical data registries; the Common Rule and registries; HIPAA and registries; federal funding/appropriations for HHS, NIH, AHRQ, CDC, HRSA, FDA, medical research, and prevention; healthy diet/lifestyle; 21st Century Cures Act and Senate HELP companion legislation, Healthier Americans; data blocking/interoperability of electronic data - Energy & Commerce Committee and Senate HELP Committee; S 2141, TRUST-IT Act; health disparities; HR 4152, the Cardiac Arrest Survival Act of 2015; HR 3952/S 2248, the Congenital Heart Futures Reauthorization Act of 2015; S 2511, the Improving Health Information Technology Act; HR 1859/S 2782, the Ensuring Childrens Access to Specialty Care Act; HR 1192/ S 586, the National Diabetes Clinical Care Commission Act.

Client expense: $450,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 3762, Restoring Americans Healthcare Freedom Reconciliation Act H.R. 592/S. 314, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 954, CO-OP Consumer Protection Act of 2016 H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1192, National Clinical Care Commission Act H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 1707, Access to Frontline Health Care Act of 2015 H.R. 1726, Access to Quality Diabetes Education Act H.R. 1807, Sickle Cell Disease Research, Surveillance, Prevention, and Treatment Act of 2015 H.R. 2102, Medicare Diabetes Prevention Act H.R. 2124/S. 1148, Resident Physician Shortage Act H.R. 2603/S. 1475, Saving Lives, Saving Costs Act H.R. 2646, Helping Families in Mental Crisis Act H.R. 2713/S. 3245, Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 3081/S. 1778, Telemedicine for Medicare Act H.R. 3119/S. 2748, Palliative Care and Hospice Education and Training Act H.R. 3660/S. 3126,Preventive Health Savings Act H.R. 3952/S. 2248, Congenital Heart Future Reauthorization Act of 2015 H.R. 4212/S. 704, Community Based Independence for Seniors Act of 2015 H.R. 4442/S. 2484, CONNECT for Health Act H.R. 4732/S. 2671, Advancing Medical Resident Training in Community Hospitals Act H.R. 4774, Training Tomorrows Doctors Today Act H.R. 4909/S. 2943, National Defense Authorization Act H.R. 5273, Helping Hospitals Improve Patient Care Act H.R. 5414, FDA Cross-Center Collaboration Act H.R. 5447/S. 3060, The Small Business Health Care Relief Act H.R. 5652,Access to Better Care Act H.R. 5681/S. 3137, Alzheimers Beneficiary and Caregiver Support Act H.R. 5713, Sustaining Healthcare Integrity and Fair Treatment Act of 2016 H.R.5926 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017 H.R. 6043/S. 3335, The Fair Accountability and Innovative Research Drug Pricing Act of 2016 H.R. 6109/S. 3371, Medicare Affordability and Enrollment Act S. 524, Comprehensive Addiction and Recovery Act S. 586, National Diabetes Clinical Care Commission Act S. 603, Jobs and Premium Protection Act S. 776,Medication Therapy Management Empowerment Act S. 1077,Advancing Breakthrough Medical Devices for Patients Act S. 1101,Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act S. 1622,FDA Device Accountability Act S. 2511,Improving Health Information Technology Act S. 2680,Mental Health Reform Act of 2016 S. 2864,Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2016 S. 3326,State Flexibility to Provide Affordable Health Options Act S. 3504, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Pub. L. 111-5, The American Recovery and Reinvestment Act of 2009 (Health Information Technology for Economic and Clinical Health Act (HITECH) Pub. L. 111-148, Patient Protection and Affordable Care Act (PPACA) Pub. L. 114-10, Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255,21st Century Cures Pub. L. 114-270, Expanding Capacity for Health Outcomes Act (ECHO) Pub. L. 114-328, National Defense Authorization Act for Fiscal Year 2017

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

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

General education about the pharmacy benefit manager/pharmacy industry, long-term care pharmacies, home infusion, and access and affordability of health care for veterans. Issues related to H.R. 6, The 21st Century Cures Act and the Senate Innovations for Healthier Americans Initiative. Affordability and pricing of pharmaceuticals. Issues related to drug disposal. H. R. 1192, National Diabetes Clinical Care Commission Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 314 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 592 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 1270 - Restoring Access to Medication Act of 2015 S. 709 - Restoring Access to Medication Act of 2015 S.776 - Medication Therapy Management Empowerment Act of 2015 H.R. 793 - Ensuring Seniors Access to Pharmacies Act of 2015 H.R. 1021, the Protecting the Integrity of Medicare Act (PIMA) of 2015 H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R.6 - 21st Century Cures Act S.1190 - Ensuring Seniors Access to Local Pharmacies Act of 2015 S. 1913 - Stopping Medication Abuse and Protecting Seniors Act of 2015 H.R.4878 - Better Care, Lower Cost Act S. 3094 - Price Relief, Innovation, and Competition for Essential Drugs Act HR 5573 - Price Relief, Innovation and Competition for Essential Drugs Act H. R. 4641 -To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. HR 5210-Patient Access to Durable Medical Equipment Act S 2736-Patient Access to Durable Medical Equipment Act of 2016 H.R. 1192 - National Diabetes Clinical Care Commission Act S. 3056 - Creating and Restoring Equal Access to Equivalent Samples Act H.R. 5951- Improving Transparency and Accuracy in Medicare Part B Spending

Client expense: $380,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

General healthcare including issues related to diabetes and hemophilia. H.R.1192, National Diabetes Clinical Care Commission Act. S.1509/H.R.2404, The Treat and Reduce Obesity Act of 2015; issues related to coverage and reimbursement of obesity.

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

Government targets: HOUSE OF REPRESENTATIVES

IPAB Repeal (HR 1190 / S 141); Medical Liability Reform (HR 4771); Medicare physician payment / SGR (HR 2); Medicare Therapeutic Shoes program for persons with diabetes (HR 1221 / S 626 / HR 4756); Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Medicaid program integrity (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425; S 2511); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526, S 2368); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661); budget reform (HR 3660)

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

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

S.804/HR.1427 MEDICARE CGM ACCESS ACT OF 2015, S.586/HR1192 NDCCA, S.1345/HR 1726 ACCESS TO QUALITY DIABETES EDUCATION ACT, S.1131/HR2102 MEDICARE NDPP, HR 771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, MEDICARE COMPETITIVE BIDDING PROGRAM,

Client expense: Not reported · Firm income: Not reported

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

IPAB Repeal (HR 1190 / S 141); Medical Liability Reform (HR 4771); Medicare physician payment / SGR (HR 2); Medicare Therapeutic Shoes program for persons with diabetes (HR 1221 / S 626 / HR 4756); Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Medicaid program integrity (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425; S 2511); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526, S 2368); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661); budget reform (HR 3660)

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

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

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions and prescription drug abuse. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 7.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 8.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 9.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 418) 11.National Diabetes Clinical Care Commission Act (H.R. 1192/S. 586) 12.Energy Consumers Relief Act (S. 156) 13.FIT Kids Act (S. 1075/H.R. 2013) 14.Climate Change Health Protection and Promotion Act (H.R. 1275) 15.Treat and Reduce Obesity Act (S. 1509/H.R. 2404) 16.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (H.R. 3660) 17.Developing a Reliable and Innovation Vision for the Economy (DRIVE) Act (S. 1647) 18.Summer Meals Act of 2014 (S. 613/H.R. 1728) 19.Long-Term SCORE Act (H.R. 282/S. 2260) 20.American Cures Act (S. 289) 21.School Food Modernization Act (S. 540) 22.Protecting Children from Electronic Cigarette Advertising Act of 2014 (S. 430/H.R. 478) 23.Bicycle and Pedestrian Infrastructure Improvement Act of 2015 (H.R. 199) 24.Waters of the United States Regulatory Overreach Protection Act of 2014 (H.R. 594) 25.Promise for Antibiotics and Therapeutics for Health Act (PATH Act, S. 185) 26.Helping Effective Antibiotics Last (HEAL) Act (H.R. 931) 27.Safe Food Act of 2015 (H.R. 609/S. 287) 28.21st Century Cures Act (H.R. 6) 29.Preservation of Antibiotics for Medical Treatment Act (H.R. 1552) 30.Preventing Antibiotic Resistance Act (S. 621) 31.Healthy Families Act (H.R. 932/S. 497) 32.Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act (H.R. 512) 33.Antibiotic Development to Advance Patient Treatment Act (not yet introduced) 34.Recognizing the importance of vaccinations and immunizations in the United States (H.Res. 117) 35.Good Samaritan Health Professionals Act (H.R. 865/S. 3101) 36.Head Start on Vaccinations Act (H.R. 933/S. 486) 37.Opioid Overdose Reduction Act (S. 707/H.R. 1821) 38.Comprehensive Addiction and Recovery Act (S. 524/H.R. 953) 39.CHIP Extension and Improvement Act of 2015 (S. 522/H.R. 919) 40.Secret Science Reform Act of 2015 (S. 544/H.R. 1030) 41.EPA Science Advisory Board Reform Act of 2015 (S. 543/H.R. 1029) 42.Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) 43.Student Success Act (H.R. 5) 44.Every Child Achieves Act (S. 1177) 45.Sugar-Sweetened Beverages Tax (SWEET) Act (H.R. 1687) 46.Transportation Alternatives Program Improvement Act (S. 705) 47.Jason Simcakoski Memorial Opioid Safety Act (S. 1641/H.R. 4063) 48.Recovery Enhancement for Treatment (TREAT) Act (S. 1455/H.R. 2536) 49.FDA Deeming Authority Clarification Act (H.R. 2058) 50.Pathogen Reduction and Testing Reform Act (H.R. 2303) 51.Medicare Diabetes Prevention Act (S. 1131/H.R. 2102) 52.Ratepayer Protection Act (H.R. 2042) 53.Affordable Reliable Electricity Now Act (S. 1324) 54.Protecting Seniors Access to Medicare Act (H.R. 1190/S. 141) 55.Family Asthma Act (S. 1064) 56.School Asthma Management Plan Act (S. 1065) 57.Healthy Relationships Act (H.R. 453/S. 923) 58.Healthy School Meals Flexibility Act (S. 1146/H.R. 2508) 59.Reducing Federal Mandates on School Lunch Act (H.R. 1504) 60.Safe Streets Act (H.R. 2071) 61.Healthy Kids Outdoors (S. 1078/H.R. 2014) 62.Highway and Transportation Funding Act (H.R. 2353) 63.Federal Water Quality Protection Act (S. 1140) 64.Friendly Airports for Mothers Act (H.R. 2530) 65.Overdose Prevention Act (S. 2092/H.R. 4288) 66.Stop Overdose Stat Act (H.R. 2850) 67.Stop Child Summer Hunger Act (S. 1539/H.R. 2715) 68.Promoting Physical Activity for Americans Act (S. 1793/H.R. 1499) 69.Defund Planned Parenthood Act of 2015 (H.R. 3134) 70.Continuing Appropriations Act, 2016 (H.R. 719) 71.Strengthening Public Health Emergency Response Act (H.R. 3299) 72.Consolidated Appropriations Act, 2016 (Public Law 114-113) 73.Restoring Americans Healthcare Freedom Reconciliation Act of 2015 (H.R. 3762/Senate Amendment) 74.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Corps of Engineers and the Environmental Protection Agency relating to the definition of "waters of the United States" under the Federal Water Pollution Control Act (S.J. Res 22) 75.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of a rule submitted by the Environmental Protection Agency relating to "Standards of Performance for Greenhouse Gas Emissions from New, Modified, and Reconstructed Stationary Sources: Electric Utility Generating Units" (S.J.Res. 23) 76.On the Joint Resolution: S.J.Res. 24; A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of a rule submitted by the Environmental Protection Agency relating to "Carbon Pollution Emission Guidelines for Existing Stationary Sources: Electric Utility Generating Units" (S.J.Res 24) 77.Common Sense Nutrition Disclosure Act (H.R. 2017/S. 2217) 78.Food Labeling Modernization Act (H.R. 4061/S. 2301) 79.Fixing Americas Surface Transportation Act (Public Law 114-93) 80.Every Student Succeeds Act (Public Law 114-95) 81.Puerto Rico Assistance Act, 2015 (S. 2381) 82.Full-Service Community Schools Act, 2015 (S. 1787) 83.FY2017 Commerce, Justice, State Appropriations Act (no bill number) 84.FY2017 Financial Services and General Government Appropriations Act (no bill number) 85.Energy Policy Modernization Act of 2015 (S. 2012) 86.Hallways to Health Act (S. 2590/H.R. 4621) 87.GET THE LEAD OUT Act of 2016 (S. 2588) 88.CLEAR Act (S. 2587) 89.TEST KIDS Act (S. 2586) 90.FUND Water Act (S. 2583) 91.NURSE Act (S. 2572) 92.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Corps of Engineers and the Environmental Protection Agency relating to the definition of "waters of the United States" under the Federal Water Pollution Control Act. (S.J.Res.22) 93.The Ozone Standards Implementation Act of 2016 (H.R. 4775) 94.Ozone National Ambient Air Quality Standard Deadline Harmonization Act of 2015 (H.R. 4000) 95.To repeal the Prevention and Public Health Fund (H.R. 1085) 96.Common Sense Savings Act of 2016 (H.R. 4725) 97.Establishing the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (H.Con.Res. 125) 98.Improving Child Nutrition Integrity and Access Act of 2016 (S. 3136) 99.Promoting Biomedical Research and Public Health for Patients Act (S. 2742) 100.Preventing Superbugs and Protecting Patients Act (S. 2503) 101.The Medical Countermeasures Innovation Act (S. 2055) 102.FY2016 emergency supplemental appropriations request for Zika preparedness and response (no bill number) 103.FY2016 Labor, Health and Human Services, and Education Appropriations Act (S. 1695/H.R. 3020) 104.FY2016 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act (S. 1800/H.R. 3049/S. 2129) 105.FY 2016 Financial Services and General Government Appropriations bill, in support of an appropriation for the National Alliance for Model State Drug Laws (H.R. 2995/S. 1910/S. 2132) 106.FY2016 Congressional Budget Resolution (S.Con.Res. 11/H.Con.Res 27) 107.FY2016 Homeland Security Appropriations Act (S. 1619/H.R. 3128/S.2131) 108.FY2017 Military Construction-VA Appropriations and Zika Supplemental (H.R. 2577) 109.Public Health Emergency Preparedness Act (H.R. 4525) 110.PREPARE Act (H.R. 3583) 111.Zika Response Appropriations Act (H.R. 5243) 112.Making Supplemental Appropriations for fiscal year 2016 to respond to Zika virus (H.R. 5044) 113.A bill to provide emergency supplemental appropriations to address the Zika crisis (S. 2843) 114.FY 2017 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act (S. 3040) 115.FY 2017 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act (S. 2956/H.R. 5054) 116.Health Equity and Accountability Act of 2016 (H.R. 5475) 117.SMASH Act (S. 3039) 118.Improving Child Nutrition and Education Act (H.R. 5003) 119.Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act (H.R. 5325) 120.Interior, Environment and Related Agencies Appropriations Bill, 2017 121.Ozone Standards Implementation Act (S. 2882) 122.National Defense Authorization Act for Fiscal Year 2017 (S. 2943) 123.Environmental Health Workforce Act of 2016 (H.R. 5543)

Client expense: $40,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

- Issues involving the Federal, Food, Drug and Cosmetic Act (FFDCA), including reauthorization of the Prescription Drug User Fee Act (PDUFA), Generic Drug User Fee Act (GDUFA), and Biosimilars User Fee Act (BsUFA) - National Diabetes Clinical Care Commission Act (H.R. 1192/S. 586) - Congressional recognition of World Hemophilia Day - Issues involving the implementation of the Food and Drug Safety and Innovation Act (FDASIA), including the Biologics Price Competition and Innovation Act (BPCIA) - Issues related to diabetes generally, and specifically diabetes screening, medical education, and AHRQ and USPSTF diabetes screening standards - National Diabetes Prevention Program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards; H.R. 1192 and S. 586 National Diabetes Clinical Care Commission Act of 2015; P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for Special Diabetes Program, CHIP, and childhood obesity; H.R. 1190 and S. 141 Protecting Seniors' Access to Medicare Act of 2015 (IPAB repeal); H.R. 2651 Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 (EDDPAC); cost of diabetes generally; S. 320 and H.R. 744 Medical Innovation Act of 2015; S. 2023 and H.R. 3513 Prescription Drug Affordability Act of 2015; H.R. 3742, Access to Marketplace Insurance Act and general allowance for certain third party payments of cost sharing.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care quality; physician and hospital quality; health care reform implementation; medical liability reform; Physician Sunshine/Open Payments; informed consent and FDA-related research; unique device identifier policy and postmarket surveillance for medical devices; Medical Device User Fee Act reauthorization; clinical data registries; the Common Rule and registries; HIPAA and registries; federal funding/appropriations for HHS, NIH, AHRQ, CDC, HRSA, FDA, medical research, and prevention; healthy diet/lifestyle; HR 6, 21st Century Cures Act and Senate HELP companion legislation, Healthier Americans; data blocking/interoperability of electronic data - Energy & Commerce Committee and Senate HELP Committee; S 2141, TRUST-IT Act; health disparities; HR 4152, the Cardiac Arrest Survival Act of 2015; HR 3952/S 2248, the Congenital Heart Futures Reauthorization Act of 2015; S 2511, the Improving Health Information Technology Act; HR 1859/S 2782, the Ensuring Childrens Access to Specialty Care Act; HR 1192/ S 586, the National Diabetes Clinical Care Commission Act.

Client expense: $850,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1427/S. 804 - Medicare CGM Access Act of 2015 H.R. 6 - 21st Century Cures Act S. 2700 - FDA and NIH Workforce Authorities Modernization Act H.R. 1192/S. 586 - National Diabetes Clinical Care Commission Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1622 FDA Device Accountability Act of 2015. S. 586 National Diabetes Clinical Care Commission Act. H.R. 6 21st Century CURES Act/Senate Innovation Package. H.R. 1192 National Diabetes Clinical Care Commission Act. H.R. 5009 Ensuring Patient Access to Critical Breakthrough Products Act of 2016. Proposals regarding payments across healthcare sites of service.

Client expense: $670,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, State, Dept of (DOS), U.S. Trade Representative (USTR)

S. 314 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 592 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 1270 - Restoring Access to Medication Act of 2015 S. 709 - Restoring Access to Medication Act of 2015 S.776 - Medication Therapy Management Empowerment Act of 2015 H.R. 793 - Ensuring Seniors Access to Pharmacies Act of 2015 H.R. 1021, the Protecting the Integrity of Medicare Act (PIMA) of 2015 H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R.6 - 21st Century Cures Act S.1190 - Ensuring Seniors Access to Local Pharmacies Act of 2015 S. 1913 - Stopping Medication Abuse and Protecting Seniors Act of 2015 H.R.4878 - Better Care, Lower Cost Act S. 3094 - Price Relief, Innovation, and Competition for Essential Drugs Act HR 5573 - Price Relief, Innovation and Competition for Essential Drugs Act H. R. 4641 -To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. HR 5210-Patient Access to Durable Medical Equipment Act S 2736-Patient Access to Durable Medical Equipment Act of 2016 H.R. 1192 - National Diabetes Clinical Care Commission Act S. 3056 - Creating and Restoring Equal Access to Equivalent Samples Act H.R. 5951- Improving Transparency and Accuracy in Medicare Part B Spending

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1192 / S. 586 - National Diabetes Clinical Care Commission Act: Legislation to establish within the Department of Health and Human Services a National Diabetes Clinical Care Commission to evaluate and make recommendations regarding better coordination and leveraging of federal programs that support appropriate clinical care for those with pre-diabetes and diabetes.

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

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

General education about the pharmacy benefit manager/pharmacy industry, long-term care pharmacies, home infusion, S.524 The Comprehensive Addiction and Recovery Act of 2015, and access and affordability of health care for veterans. Issues related to H.R. 6, The 21st Century Cures Act and the Senate Innovations for Healthier Americans Initiative. Affordability and pricing of pharmaceuticals. Issues related to drug disposal. H. R. 1192, National Diabetes Clinical Care Commission Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards; diabetes issues in Healthy People 2020 and the Office of Disease Prevention and Health Promotion (ODPHP); H.R. 1192 and S. 586 National Diabetes Clinical Care Commission Act of 2015; P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for Special Diabetes Program, CHIP, and childhood obesity; S. 84 and H.R. 3658 Gestational Diabetes Act of 2015; H.R. 1190 and S. 141 Protecting Seniors' Access to Medicare Act of 2015 (IPAB repeal); H.R. 2651 Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 (EDDPAC); cost of diabetes generally; S. 320 and H.R. 744 Medical Innovation Act of 2015; S. 2023 and H.R. 3513 Prescription Drug Affordability Act of 2015; H.R. 3742, Access to Marketplace Insurance Act and general allowance for certain third party payments of cost sharing; Congressional recognition of World Hemophilia Day and Growth Awareness Week.

Client expense: $590,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

General healthcare including issues related to diabetes and hemophilia. H.R.1192, National Diabetes Clinical Care Commission Act. S.1509/H.R.2404, The Treat and Reduce Obesity Act of 2015; issues related to coverage and reimbursement of obesity.

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

Government targets: HOUSE OF REPRESENTATIVES

H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1192, National Diabetes Clinical Care Commission Act H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 2102, Medicare Diabetes Prevention Act H.R. 5652,Access to Better Care Act S. 3326, State Flexibility to Provide Affordable Health Options Act

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

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

H.R. 6 ,21st Century Cares H.R. 592/S. 314, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1192, National Diabetes Clinical Care Commission Act H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 1726, Access to Quality Diabetes Education Act H.R. 2102, Medicare Diabetes Prevention Act H.R. 2124/S. 1148, Resident Physician Shortage Act H.R. 2603/S. 1475, Saving Lives, Saving Costs Act H.R. 2646, Helping Families in Mental Crisis Act H.R. 3081/S. 1778, Telemedicine for Medicare Act H.R. 3660/S. 3126,Preventive Health Savings Act H.R. 4212/S. 704, Community Based Independence for Seniors Act of 2015 H.R. 4442/S. 2484, CONNECT for Health Act H.R. 4732/S. 2671, Advancing Medical Resident Training in Community Hospitals Act H.R. 4774, Training Tomorrows Doctors Today Act H.R. 4909/S. 2943, National Defense Authorization Act H.R. 5273, Helping Hospitals Improve Patient Care Act H.R. 5395, Expanding Capacity for Health Outcomes Act H.R. 5414, FDA Cross-Center Collaboration Act H.R. 5447/S. 3060, The Small Business Health Care Relief Act H.R. 5652,Access to Better Care Act H.R. 5681/S. 3137, Alzheimers Beneficiary and Caregiver Support Act H.R. 6043/S. 3335, The Fair Accountability and Innovative Research Drug Pricing Act of 2016 S. 524, Comprehensive Addiction and Recovery Act S. 754, Cybersecurity Information Sharing Act (CISA) S. 776,Medication Therapy Management Empowerment Act S. 1077,Advancing Breakthrough Medical Devices for Patients Act S. 1101,Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act S. 1622,FDA Device Accountability Act S. 2511,Improving Health Information Technology Act S. 2680,Mental Health Reform Act of 2016 S. 2864,Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2016 S. 3326, State Flexibility to Provide Affordable Health Options Act

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

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

S.804/HR.1427 MEDICARE CGM ACCESS ACT OF 2015, S.586/HR1192 NDCCA, S.1345/HR 1726 ACCESS TO QUALITY DIABETES EDUCATION ACT, S.1131/HR2102 MEDICARE NDPP, HR 771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, MEDICARE COMPETITIVE BIDDING PROGRAM, Docket No. FDA-2016-N-0400 FDA LANCET DEVICES GUIDANCE DOCKET, Docket No. FDA-2016-N-0001 FDA DIABETES DEXCOM G5 LABELING CHANGE

Client expense: Not reported · Firm income: Not reported

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

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions and prescription drug abuse. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 7.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 8.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 9.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 418) 11.National Diabetes Clinical Care Commission Act (H.R. 1192/S. 586) 12.Energy Consumers Relief Act (S. 156) 13.FIT Kids Act (S. 1075/H.R. 2013) 14.Climate Change Health Protection and Promotion Act (H.R. 1275) 15.Treat and Reduce Obesity Act (S. 1509/H.R. 2404) 16.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (H.R. 3660) 17.Developing a Reliable and Innovation Vision for the Economy (DRIVE) Act (S. 1647) 18.Summer Meals Act of 2014 (S. 613/H.R. 1728) 19.Long-Term SCORE Act (H.R. 282/S. 2260) 20.American Cures Act (S. 289) 21.School Food Modernization Act (S. 540) 22.Protecting Children from Electronic Cigarette Advertising Act of 2014 (S. 430/H.R. 478) 23.Bicycle and Pedestrian Infrastructure Improvement Act of 2015 (H.R. 199) 24.Waters of the United States Regulatory Overreach Protection Act of 2014 (H.R. 594) 25.Promise for Antibiotics and Therapeutics for Health Act (PATH Act, S. 185) 26.Helping Effective Antibiotics Last (HEAL) Act (H.R. 931) 27.Safe Food Act of 2015 (H.R. 609/S. 287) 28.21st Century Cures Act (H.R. 6) 29.Preservation of Antibiotics for Medical Treatment Act (H.R. 1552) 30.Preventing Antibiotic Resistance Act (S. 621) 31.Healthy Families Act (H.R. 932/S. 497) 32.Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act (H.R. 512) 33.Antibiotic Development to Advance Patient Treatment Act (not yet introduced) 34.Recognizing the importance of vaccinations and immunizations in the United States (H.Res. 117) 35.Good Samaritan Health Professionals Act (H.R. 865/S. 3101) 36.Head Start on Vaccinations Act (H.R. 933/S. 486) 37.Opioid Overdose Reduction Act (S. 707/H.R. 1821) 38.Comprehensive Addiction and Recovery Act (S. 524/H.R. 953) 39.CHIP Extension and Improvement Act of 2015 (S. 522/H.R. 919) 40.Secret Science Reform Act of 2015 (S. 544/H.R. 1030) 41.EPA Science Advisory Board Reform Act of 2015 (S. 543/H.R. 1029) 42.Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) 43.Student Success Act (H.R. 5) 44.Every Child Achieves Act (S. 1177) 45.Sugar-Sweetened Beverages Tax (SWEET) Act (H.R. 1687) 46.Transportation Alternatives Program Improvement Act (S. 705) 47.Jason Simcakoski Memorial Opioid Safety Act (S. 1641/H.R. 4063) 48.Recovery Enhancement for Treatment (TREAT) Act (S. 1455/H.R. 2536) 49.FDA Deeming Authority Clarification Act (H.R. 2058) 50.Pathogen Reduction and Testing Reform Act (H.R. 2303) 51.Medicare Diabetes Prevention Act (S. 1131/H.R. 2102) 52.Ratepayer Protection Act (H.R. 2042) 53.Affordable Reliable Electricity Now Act (S. 1324) 54.Protecting Seniors Access to Medicare Act (H.R. 1190/S. 141) 55.Family Asthma Act (S. 1064) 56.School Asthma Management Plan Act (S. 1065) 57.Healthy Relationships Act (H.R. 453/S. 923) 58.Healthy School Meals Flexibility Act (S. 1146/H.R. 2508) 59.Reducing Federal Mandates on School Lunch Act (H.R. 1504) 60.Safe Streets Act (H.R. 2071) 61.Healthy Kids Outdoors (S. 1078/H.R. 2014) 62.Highway and Transportation Funding Act (H.R. 2353) 63.Federal Water Quality Protection Act (S. 1140) 64.Friendly Airports for Mothers Act (H.R. 2530) 65.Overdose Prevention Act (S. 2092/H.R. 4288) 66.Stop Overdose Stat Act (H.R. 2850) 67.Stop Child Summer Hunger Act (S. 1539/H.R. 2715) 68.Promoting Physical Activity for Americans Act (S. 1793/H.R. 1499) 69.Defund Planned Parenthood Act of 2015 (H.R. 3134) 70.Continuing Appropriations Act, 2016 (H.R. 719) 71.Strengthening Public Health Emergency Response Act (H.R. 3299) 72.Consolidated Appropriations Act, 2016 (Public Law 114-113) 73.Restoring Americans Healthcare Freedom Reconciliation Act of 2015 (H.R. 3762/Senate Amendment) 74.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Corps of Engineers and the Environmental Protection Agency relating to the definition of "waters of the United States" under the Federal Water Pollution Control Act (S.J. Res 22) 75.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of a rule submitted by the Environmental Protection Agency relating to "Standards of Performance for Greenhouse Gas Emissions from New, Modified, and Reconstructed Stationary Sources: Electric Utility Generating Units" (S.J.Res. 23) 76.On the Joint Resolution: S.J.Res. 24; A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of a rule submitted by the Environmental Protection Agency relating to "Carbon Pollution Emission Guidelines for Existing Stationary Sources: Electric Utility Generating Units" (S.J.Res 24) 77.Common Sense Nutrition Disclosure Act (H.R. 2017/S. 2217) 78.Food Labeling Modernization Act (H.R. 4061/S. 2301) 79.Fixing Americas Surface Transportation Act (Public Law 114-93) 80.Every Student Succeeds Act (Public Law 114-95) 81.Puerto Rico Assistance Act, 2015 (S. 2381) 82.Full-Service Community Schools Act, 2015 (S. 1787) 83.FY2017 Commerce, Justice, State Appropriations Act (no bill number) 84.FY2017 Financial Services and General Government Appropriations Act (no bill number) 85.Energy Policy Modernization Act of 2015 (S. 2012) 86.Hallways to Health Act (S. 2590/H.R. 4621) 87.GET THE LEAD OUT Act of 2016 (S. 2588) 88.CLEAR Act (S. 2587) 89.TEST KIDS Act (S. 2586) 90.FUND Water Act (S. 2583) 91.NURSE Act (S. 2572) 92.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Corps of Engineers and the Environmental Protection Agency relating to the definition of "waters of the United States" under the Federal Water Pollution Control Act. (S.J.Res.22) 93.The Ozone Standards Implementation Act of 2016 (H.R. 4775) 94.Ozone National Ambient Air Quality Standard Deadline Harmonization Act of 2015 (H.R. 4000) 95.To repeal the Prevention and Public Health Fund (H.R. 1085) 96.Common Sense Savings Act of 2016 (H.R. 4725) 97.Establishing the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (H.Con.Res. 125) 98.Improving Child Nutrition Integrity and Access Act of 2016 (S. 3136) 99.Promoting Biomedical Research and Public Health for Patients Act (S. 2742) 100.Preventing Superbugs and Protecting Patients Act (S. 2503) 101.The Medical Countermeasures Innovation Act (S. 2055) 102.FY2016 emergency supplemental appropriations request for Zika preparedness and response (no bill number) 103.FY2016 Labor, Health and Human Services, and Education Appropriations Act (S. 1695/H.R. 3020) 104.FY2016 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act (S. 1800/H.R. 3049/S. 2129) 105.FY 2016 Financial Services and General Government Appropriations bill, in support of an appropriation for the National Alliance for Model State Drug Laws (H.R. 2995/S. 1910/S. 2132) 106.FY2016 Congressional Budget Resolution (S.Con.Res. 11/H.Con.Res 27) 107.FY2016 Homeland Security Appropriations Act (S. 1619/H.R. 3128/S.2131) 108.FY2017 Military Construction-VA Appropriations and Zika Supplemental (H.R. 2577) 109.Public Health Emergency Preparedness Act (H.R. 4525) 110.PREPARE Act (H.R. 3583) 111.Zika Response Appropriations Act (H.R. 5243) 112.Making Supplemental Appropriations for fiscal year 2016 to respond to Zika virus (H.R. 5044) 113.A bill to provide emergency supplemental appropriations to address the Zika crisis (S. 2843) 114.FY 2017 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act (S. 3040) 115.FY 2017 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act (S. 2956/H.R. 5054) 116.Health Equity and Accountability Act of 2016 (H.R. 5475) 117.SMASH Act (S. 3039) 118.Improving Child Nutrition and Education Act (H.R. 5003)

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

S.2511 Improving Health Information Technology Act H.R. 6 21st Century Cures Act H.R 5447/S. 3060 Small Business Health Care Relief Act of 2016 S. 2744 Genetic Research Privacy Protection Act H.R. 5273 Helping Hospitals Improve Patient Care Act S. 2713 Advancing Precision Medicine Act S. 1878 The Advancing Hope Act S. 1767 Combination Products Innovation Act S. 1077 Advancing Breakthrough Medical Devices for Patients Act S. 2512 Adding Zika Virus to the FDA Priority Review voucher Program Act S. 1101 Medical Electronic Data Technology Enhancement for Consumers Health Act S. 1597 Patient Focused Impact Assessment Act S. 2055 Medical Countermeasures Innovation Act S. 2873 Expanding Capacity for Health Outcomes (ECHO) Act H.R. 3081/ S. 1778 TELEmedicine for MEDicare (TELE-MED) Act H.R. 4442/S. 2484 CONNECT for Health Act H.R. 1192 National Diabetes Clinical Care Commission Act S. 620, H.R. 1189 Preserving Employee Wellness Programs Act H.R. 4878 Better Care, Lower Cost Act H.R. 5273 Helping Hospitals Improve Patient Care Act H.R. 4774 Training Tomorrows Doctors Today Act S. 2671, H.R.4732 Advancing Medical Resident Training in Community Hospitals Act S. 314, H.R. 592 Pharmacy and Medically and Underserved Areas Enhancement Act H.R.1314 Bipartisan Budget Act H.R. 1190/S. 141 Protecting Seniors' Access to Medicare Act H.R. 160/S. 149 Protect Medical Innovation Act H.R. 4732/ S. 2671 Advancing Medical Resident Training in Community Hospitals Act H.R. 2061, Equitable Access to Care and Health (EACH) Act H.R. 2446 To amend title XIX of the Social Security Act to require the use of electronic visit verification for personal care services furnished under the Medicaid program, and for other purposes. H.R. 2603/S. 1475 Saving Lives, Saving Costs Act H.R. 2646 Helping Families in Mental Health Crisis Act H.R. 2704/H.R. 4212/S.704 Community Based Independence for Seniors Act H.R. 2878/S. 1461 To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015. H.R.2911/S. 1697 Small Business Healthcare Relief Act H.R. 3539 Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act H.R. 3660 Preventive Health Savings Act H.R. 3716 Ensuring Terminated Providers are Removed from Medicaid and CHIP Act H.R. 3762 Restoring Americans Healthcare Freedom Reconciliation Act H.R. 3821 Medicaid Directory of Caregivers Act H.R. 5380 Telehealth Parity Act S. 139 Ensuring Access to Clinical Trials Act S. 2023 Prescription Drug Affordability Act S. 2030 Advancing Targeted Therapies for Rare Diseases Act S. 2045 Middle Class Health Benefits Tax Repeal Act S. 2075 American Worker Health Care Tax Relief Act S. 2153 Provider Payment Sunshine Act S. 2187 FDA Regulatory Efficiency Act S. 754 Cyber security Information Sharing Act (CISA) S.2104 Preserving Medicare Advantage for all Medicare Beneficiaries Act

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

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

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards; H.R. 1192 and S. 586 National Diabetes Clinical Care Commission Act of 2015; P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for Special Diabetes Program, CHIP, and childhood obesity; S. 84 and H.R. 3658 Gestational Diabetes Act of 2015; H.R. 1190 and S. 141 Protecting Seniors' Access to Medicare Act of 2015 (IPAB repeal); H.R. 2651 Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 (EDDPAC); cost of diabetes generally; S. 320 and H.R. 744 Medical Innovation Act of 2015; S. 2023 and H.R. 3513 Prescription Drug Affordability Act of 2015; H.R. 3742, Access to Marketplace Insurance Act and general allowance for certain third party payments of cost sharing.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R. 1192 / S. 586 - National Diabetes Clinical Care Commission Act: Legislation to establish within the Department of Health and Human Services a National Diabetes Clinical Care Commission to evaluate and make recommendations regarding better coordination and leveraging of federal programs that support appropriate clinical care for those with pre-diabetes and diabetes.

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

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

IPAB Repeal (HR 1190 / S 141); Medical Liability Reform (HR 4771); Medicare physician payment / SGR (HR 2); Medicare Therapeutic Shoes program for persons with diabetes (HR 1221 / S 626 / HR 4756); Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Medicaid program integrity (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425; S 2511); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526, S 2368); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661); budget reform (HR 3660)

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

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

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards; diabetes issues in Healthy People 2020 and the Office of Disease Prevention and Health Promotion (ODPHP); H.R. 1192 and S. 586 National Diabetes Clinical Care Commission Act of 2015; P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for Special Diabetes Program, CHIP, and childhood obesity; S. 84 and H.R. 3658 Gestational Diabetes Act of 2015; H.R. 1190 and S. 141 Protecting Seniors' Access to Medicare Act of 2015 (IPAB repeal); H.R. 2651 Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 (EDDPAC); cost of diabetes generally; S. 320 and H.R. 744 Medical Innovation Act of 2015; S. 2023 and H.R. 3513 Prescription Drug Affordability Act of 2015; H.R. 3742, Access to Marketplace Insurance Act and general allowance for certain third party payments of cost sharing; Congressional recognition of World Hemophilia Day

Client expense: $690,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

General healthcare including issues related to diabetes and hemophilia. H.R.1192, National Diabetes Clinical Care Commission Act. S.1509/H.R.2404, The Treat and Reduce Obesity Act of 2015; issues related to coverage and reimbursement of obesity.

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

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES

S.804/HR.1427 MEDICARE CGM ACCESS ACT OF 2015, S.586/HR1192 NDCCA, S.1345/HR 1726 ACCESS TO QUALITY DIABETES EDUCATION ACT, S.1131/HR2102 MEDICARE NDPP, HR 771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, MEDICARE COMPETITIVE BIDDING PROGRAM, Docket No. FDA-2016-N-0400 FDA LANCET DEVICES GUIDANCE DOCKET, Docket No. FDA-2016-N-0001 FDA DIABETES DEXCOM G5 LABELING CHANGE

Client expense: Not reported · Firm income: Not reported

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

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards; diabetes issues in Healthy People 2020 and the Office of Disease Prevention and Health Promotion (ODPHP); H.R. 1192 and S. 586 National Diabetes Clinical Care Commission Act of 2015; P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for Special Diabetes Program, CHIP, and childhood obesity; S. 84 and H.R. 3658 Gestational Diabetes Act of 2015; H.R. 1190 and S. 141 Protecting Seniors' Access to Medicare Act of 2015 (IPAB repeal); H.R. 2651 Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 (EDDPAC); cost of diabetes generally; S. 320 and H.R. 744 Medical Innovation Act of 2015; S. 2023 and H.R. 3513 Prescription Drug Affordability Act of 2015; H.R. 3742, Access to Marketplace Insurance Act and general allowance for certain third party payments of cost sharing; Congressional recognition of World Hemophilia Day

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

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards; H.R. 1192 and S. 586 National Diabetes Clinical Care Commission Act of 2015; P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) for Special Diabetes Program, CHIP, and childhood obesity; S. 84 and H.R. 3658 Gestational Diabetes Act of 2015; H.R. 1190 and S. 141 Protecting Seniors' Access to Medicare Act of 2015 (IPAB repeal); H.R. 2651 Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2015 (EDDPAC); cost of diabetes generally; S. 320 and H.R. 744 Medical Innovation Act of 2015; S. 2023 and H.R. 3513 Prescription Drug Affordability Act of 2015; H.R. 3742, Access to Marketplace Insurance Act and general allowance for certain third party payments of cost sharing.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

H.R. 1192 / S. 586 - National Diabetes Clinical Care Commission Act: Legislation to establish within the Department of Health and Human Services a National Diabetes Clinical Care Commission to evaluate and make recommendations regarding better coordination and leveraging of federal programs that support appropriate clinical care for those with pre-diabetes and diabetes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE