Medicare Patient Access to Hospice Act of 2015

Primary care, Medicare reimbursement, PA Hospice (HR 1202/S 1354), Transparency, Mental Health Treatment (HR 2646/S. 2680), VA issues, GOOD Bill (S 2134/HR 3974), Treatment for Opioid Addiction(S 524, S 1455, HR 4981), Independence at Home Legislation (S.3130), Home Health (HR 1342/S 578), & PA Educational Program Funding (FY 17 L/HHS Appropriations), Promote Access to Diabetic Shoes (HR 4756).

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

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

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. H.R. 5926/S. 3040, Labor/Health and Human Services/Education Appropriations, FY2017, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 2389, Preserve Access to Medicare Rural Home Health Services Act of 2015. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). S. 2368, Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. Medicare Advantage hospice proposals. S. 2416, VERIFI Act. H.R. 2446, to amend the Social Security Act to require the use of electronic visit verification for Medicaid personal care services. H.R. 3119, Palliative Care and Hospice Education and Training Act. S. 2364, Medicare Home Health Flexibility Act of 2015. VA Home Care Services. Home Health Prior Authorization and Pre-Claim review. H.R. 4994 (Public Law 113-185), Improving Medicare Post-Acute Care Transformation (IMPACT) Act. H.R. 4111, Rural Healthcare Connectivity Act. H.R. 2646, Helping Families in Mental Health Crisis Act. H.R. 5799/S. 2786, Rural Access to Hospice Care Act. H.R. 6226, Pre-Claim Undermines Senior's Health (PUSH) Act. S. 2484, CONNECT for Health Care.

Hospice Medicare Advantage "carve-in"; S. 1549, Care Planning Act of 2015; S. 2786/H.R. 5799, Rural Access to Hospice Act of 2016; H.R. 1202, Medicare Patient Access to Hospice Act of 2015; H.R. 2208, Hospice CARE Act; H.R. 3037, Hospice Care Access Improvement Act of 2015; H.R. 3119, Palliative Care and Hospice Education and Training Act; H.R. 5555, Personalize Our Care Act 2.0; Notice of election/notice of termination/revocation; Medicare Choices Model

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Primary care; Medicare reimbursement; PA Hospice (HR 1202; S1354); Transparency; Mental health treatment; the chronic care workgroup; and Veterans health care; Opioid addiction treatment/chronic care. (S 524, S 1455, HR4396, HR 2646) Promoting access to diabetic shoes (HR 4756).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Primary care, Medicare reimbursement, PA Hospice (HR 1202/S 1354), Transparency, Mental Health Treatment (HR 2646/S. 2680), VA issues, GOOD Bill (S 2134/HR 3974), Treatment for Opioid Addiction (S 524, S 1455, HR 4981), Independence at Home Legislation (S.3130), Home Health (HR 1342/S 578), & PA Educational Program Funding (FY 17 L/HHS Appropriations).

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

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

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. Labor/Health and Human Services/Education Appropriations, FY2016, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 2389, Preserve Access to Medicare Rural Home Health Services Act of 2015. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. S. 141/H.R. 1190, Protecting Seniors' Access to Medicare Act. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). S. 2368, Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. Medicare Advantage hospice proposals. S. 2416, VERIFI Act. H.R. 2446, to amend the Social Security Act to require the use of electronic visit verification for Medicaid personal care services. H.R. 3119, Palliative Care and Hospice Education and Training Act. S. 2364, Medicare Home Health Flexibility Act of 2015. VA Home Care Services. Home Health Prior Authorization and Pre-Claim review. H.R. 2 (Public Law 114-10), Medicare Access & CHIP Reauthorization Act. H.R. 4994 (Public Law 113-185), Improving Medicare Post-Acute Care Transformation (IMPACT) Act. H.R. 4111, Rural Healthcare Connectivity Act. H.R. 2646, Helping Families in Mental Health Crisis Act. S. 2786, Rural Access to Hospice Care Act.

Hospice Medicare Advantage "carve-in"; S. 1549, Care Planning Act of 2015; S. 2786, Rural Access to Hospice Act; H.R. 1202, Medicare Patient Access to Hospice Act of 2015; H.R. 2208, Hospice CARE Act; H.R. 3037, Hospice Care Access Improvement Act of 2015; H.R. 3119, Palliative Care and Hospice Education and Training Act; H.R. 5555, Personalize our Care Act 2.0; Access to physicians in rural health clinics (RHCs) and Federally Qualified Health Centers (FQHCs); Notice of election/notice of termination/revocation; Medicare Choices Model

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Primary care, Medicare reimbursement, PA Hospice (HR 1202/S 1354), Transparency, Mental Health Treatment (HR 2646/S. 2680), VA issues, GOOD Bill (S 2134/HR 3974), Treatment for Opioid Addiction (S 524, S 1455, HR 4981), Chronic Care/Senate Finance Committee Chronic Care Working Group, PA Educational Program Funding (FY 17 L/HHS Appropriations), & Telemedicine.

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

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

Primary care; Medicare reimbursement; PA Hospice; Transparency; Mental health treatment; the chronic care workgroup; telemedicine; and Veterans health care. S 1354, HR 1202. Opioid addiction treatment/chronic care. (S 524, S 1455, HR4396)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. Labor/Health and Human Services/Education Appropriations, FY2016, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 1458, BACPAC Act of 2015. H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1021, Protecting the Integrity of Medicare Act (PIMA) of 2015, provisions on home health surety bond. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 2389, Preserve Access to Medicare Rural Home Health Services Act of 2015. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. S. 141/H.R. 1190, Protecting Seniors' Access to Medicare Act. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). S. 2368, Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. Medicare Advantage hospice proposals. S. 2416, VERIFI Act. H.R. 2446, to amend the Social Security Act to require the use of electronic visit verification for Medicaid personal care services. H.R. 3119, Palliative Care and Hospice Education and Training Act. S. 2364, Medicare Home Health Flexibility Act of 2015. VA Home Care Services. Home Health Prior Authorization.

Hospice Medicare Advantage "carve-in"; Medicare Hospice benefit payment reform; S. 1549, Care Planning Act of 2015; H.R. 1202, Medicare Patient Access to Hospice Act of 2015; H.R. 2208, Hospice CARE Act; H.R. 3037, Hospice Care Access Improvement Act of 2015; H.R. 3119, Palliative Care and Hospice Education and Training Act; Access to physicians in rural health clinics (RHCs) and Federally Qualified Health Centers (FQHCs); Notice of election/notice of termination/revocation; Medicare Choices Model

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Primary care, Medicare reimbursement, PA Hospice (HR 1202/S 1354), Transparency, Mental Health Treatment, VA issues, GOOD Bill (S 2134/HR 3974), Treatment for Opioid Addiction (S 524, S 1455, HR 4396), Chronic Care/Senate Finance Committee Chronic Care Working Group, PA Educational Program Funding (FY 17 L/HHS Appropriations), and Telemedicine.

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

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

Primary care; Medicare reimbursement; PA Hospice; Transparency; Mental health treatment; the chronic care workgroup; telemedicine; and Veterans health care. S 1354, HR 1202. Opioid addiction treatment/chronic care. (S 524, S 1455, HR4396).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. Labor/Health and Human Services/Education Appropriations, FY2016, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 1458, BACPAC Act of 2015. H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1021, Protecting the Integrity of Medicare Act (PIMA) of 2015, provisions on home health surety bond. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 2389, Preserve Access to Medicare Rural Home Health Services Act of 2015. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. S. 141/H.R. 1190, Protecting Seniors' Access to Medicare Act. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. H.R. 6, 21st Century Cures Act. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). S. 2368, Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. Medicare Advantage hospice proposals. S. 2416, VERIFI Act. H.R. 2446, to amend the Social Security Act to require the use of electronic visit verification for Medicaid personal care services. H.R. 3119, Palliative Care and Hospice Education and Training Act. S. 2364, Medicare Home Health Flexibility Act of 2015. VA Home Care Services.

hospice Medicare Advantage "carve-in"; Medicare Hospice benefit payment reform; issues related to FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements; S. 1549, Care Planning Act of 2015; H.R. 1202, Medicare Patient Access to Hospice Act of 2015; H.R. 2208, Hospice CARE Act; H.R. 3037, Hospice Care Access Improvement Act of 2015; H.R. 3119, Palliative Care and Hospice Education and Training Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PA Hospice (HR 1202/S 1354), VA GOOD bill (S 2134/HR 3974), Primary Care, Medicare Reimbursement, Transparency, Behavioral/Mental Healthcare, Treatment for Opioid Addiction, Chronic Care, Veterans' Healthcare, Telehealth, PA Education and Funding (HR 3943/ HR 3944), PA Federal Employment Issues.

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

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

Primary care; Medicare reimbursement; PA Hospice; Transparency; 21st Century Cures; Mental health treatment; and Veterans health care. S 1354, HR 1202. Opioid addiction treatment, chronic care.

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

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

The Home Health Care Planning Improvement Act of 2015 (H.R. 1342, S. 578) The Medicare Patient Access to Hospice Act of 2015 (H.R.1202) The Hospice CARE Act (H.R. 2208)

Client expense: $19,029 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. Labor/Health and Human Services/Education Appropriations, FY2016, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 1458, BACPAC Act of 2015. H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1021, Protecting the Integrity of Medicare Act (PIMA) of 2015, provisions on home health surety bond. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 839, a bill to extend home health rural add-on. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. S. 141/H.R. 1190, Protecting Seniors' Access to Medicare Act. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. H.R. 6, 21st Century Cures Act. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act (draft legislation). Medicare Advantage hospice proposals.

hospice Medicare Advantage "carve-in"; Medicare Hospice benefit payment; issues related to FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements; S. 1549, Care Planning Act of 2015; H.R. 1202, Medicare Patient Access to Hospice Act of 2015; H.R. 2208, Hospice CARE; H.R. 3037, Hospice Care Access Improvement Act of 2015; H.R. 3119, Palliative Care and Hospice Education and Training Act

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

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

Discussed the Protecting the Integrity of Medicare Act. (no bill) Discussed the Medicare Part D prescription drug benefit program and changes needed to further lower prescription drug costs and related agency proposed rule changes. (no bill) H.R. 2005, S. 1083, Medicare Drugs Savings Act, Discussed legislation to require drug manufacturers to provide rebates for drugs provided to Medicare Part D low-income subsidy beneficiaries, including those who are dually eligible for Medicare and Medicaid. House and Senate H.R. 2624, S.1488, Discussed the Part D Beneficiary Appeals Fairness Act, a bill that would allow seniors to appeal the placement of their medications on a Medicare Part D specialty tier. Discussed Medicare Part D fraud and abuse legislation including lock-in provisions for high risk enrollees. (no bill) Discussed legislation to require drug manufacturers to provide rebates for drugs provided to Medicare Part D low-income subsidy beneficiaries, including those who are dually eligible for Medicare and Medicaid. (no bill) Discussed pending U.S.Trade agreement negotiations on the Trans Pacific Partnership and their potential impact on prescription drug access and affordabillity.(no bill) H.R.919, S.522, Childrens's Health Insurance Program - Discussed Children's Health Insurance Program (CHIP) extension. Discussed Medicare coverage of hearing aids. (no bill) H.R. 1571, S.843, Improving Access to Medicare Coverage Act - Discussed the bill and urged movement of the bill. H.R.1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015 - Advocated for greater beneficiary protections. H.R.605, S.275, Home Infusion Site of Care Act - Sent letter of endorsement. H.R. 818, S. 861, Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME)Act - Sent letter of endorsement. H.R. 876, S.1349, Notice of Observation Treatment and Implication for Care Eligibility (NOTICE)Act - Sent letter of endorsement. Discussed changes to the Medicare benefit design, such as copays, premiums, and deductibles.(no bill) Discussed Medicare health information technology, data transparency, and Qualifying Entities. (no bill) Discussed health care quality and measurement. (no bill) H.R. 3020, S. 1695, S.2132, H.Con.Res.27, S.Con.Res.11, Labor, HHS, Education and Related Agencies Appropriations, FY2016 - Lobbied to protect vital health and social services programs, and to prevent repeal of certain financial and healthcare legislation. Discussed structural changes to Medicaid. (no bill) S. 1549, Care Planning Act, Discussed the bill which provides for advanced illness care coordination services. Met with Senate Finance Committee to discuss recommendations on chronic care, including independence at home expansion and family caregiving support. Discussed family caregiver assessment in Medicaid home and community-based services with CMS (no bill). Attended LTSS financing colloquium with HHS ASPE. (no bill) H.R. 1202, Discussed Medicare Patient Access to Hospice Act. Discussed nursing home care, staffing data, value-based purchasing for SNFs and nursing home quality measures. Attended HHS event on 50th anniversary of Medicare and Medicaid. (no bill) Shared comments on Medicaid and managed care and long-term care facility requirements proposed regulations. Discussed GAO report on Medicaid personal care services. H.R. 3220, S. 1871, Endorsed Medicare Smartcard legislation. H.R. 2948, Endorsed Telehealth Parity Act. Discussed Medicare telemedicine policy. Discussed Medicare Part B premiums and deductibles in 2016. Discussed the Medicare Part D prescription drug benefit program and changes needed to further lower prescription drug costs and related agency proposed rule changes (no bill number). Discussed legislation (no bill) to require drug manufacturers to provide rebates for drugs provided to Medicare Part D low-income subsidy beneficiaries, including those who are dually eligible for Medicare and Medicaid. H.R. 2624, S. 1488, Discussed the Part D Beneficiary Appeals Fairness Act, a bill that would allow seniors to appeal the placement of their medications on a Medicare Part D specialty tier. Discussed Medicare Part D fraud and abuse legislation including lock-in provisions for high risk enrollees (no bill). H.R.1220, S.624, Discussed the removing barriers to Colorectal Cancer Screening Act. Discussed legislation with staff regarding PRIME ACT-HR 818 Preventing and reducing improper Medicare expenditures act.

PA Hospice (HR 1202/ S 1346), PA Home Health (S 578/HR 1342), PA supervision of cardiac and pulmonary tests (S 488), Medicaid reimbursement (S 737), VA GOOD Pilot Program (S 2134), federal workers' compensation, treatment for opioid addiction, PA federal employment, 21st century cures, primary care, telehealth, behavioral healthcare, federal funding for PA education programs, OPM qualification and classification standards for PAs.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2016, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 1458, BACPAC Act of 2015. H.R. 2055, Telehealth Enhancement Act of 2015. Medicare Telehealth Parity Act (to be re-filed). SAVE Medicare Home Health Act (to be re-filed). Home health rural add on payment. H.R. 1021, Protecting the Integrity of Medicare Act (PIMA) of 2015, provisions on home health surety bond. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 839, a bill to extend home health rural add-on. Value Based Purchasing and Bundling. Therapy Cap. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. S. 1354, Medicare Patient Access to Hospice Act of 2015. H.R. 1919, Steve Gleason Act of 2015. H.R. 1516/S. 1013, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015. Qualified Individual (QI) Medicare Program. S. 141/H.R. 1190, Protecting Seniors' Access to Medicare Act.

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2016, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). BACPAC Act (to be re-filed). Telehealth Enhancement Act (to be re-filed). Medicare Telehealth Parity Act (to be re-filed). SAVE Medicare Home Health Act (to be re-filed). Home health rural add on payment. Protecting the Integrity of Medicare Act (PIMA) (draft legislation), provisions on home health surety bond. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 839, a bill to extend home health rural add-on. Value Based Purchasing. Therapy Cap. Qualified Individual (QI) Medicare Program. S. 141/H.R. 1190, Protecting Seniors' Access to Medicare Act.

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

The Home Health Care Planning Improvement Act of 2015 (H.R. 1342, S. 578) The Bundling and Coordinating Post-Acute Care (BACPAC) Act (H.R. 1458) The Care Planning Act Care Planning Act 2015 (S. 1549) The Home Health Documentation and Program Improvement Act of 2015 (S. 1650) Medicare Patient Access to Hospice Act of 2015 (H.R.1202) Hospice CARE Act (H.R. 2208)

Client expense: $26,508 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Home Health Care Planning Improvement Act of 2015 (H.R. 1342, S. 578) The Bundling and Coordinating Post-Acute Care (BACPAC) Act (H.R. 1458) The Care Planning Act Care Planning Act 2015 (S. 1549) The Home Health Documentation and Program Improvement Act of 2015 (S. 1650) Medicare Patient Access to Hospice Act of 2015 (H.R.1202) Hospice CARE Act (H.R. 2208)

Client expense: Not reported · Firm income: $26,508

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Primary care; Medicare reimbursement; PA Hospice; Transparency; 21st Century Cures; Mental health treatment; and Veterans health care. S 1354, HR 1202.

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

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

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2016, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 1458, BACPAC Act of 2015. H.R. 2055, Telehealth Enhancement Act of 2015. Medicare Telehealth Parity Act (to be re-filed). SAVE Medicare Home Health Act (to be re-filed). Home health rural add on payment. H.R. 1021, Protecting the Integrity of Medicare Act (PIMA) of 2015, provisions on home health surety bond. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 839, a bill to extend home health rural add-on. Value Based Purchasing and Bundling. Therapy Cap. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. S. 1354, Medicare Patient Access to Hospice Act of 2015. H.R. 1919, Steve Gleason Act of 2015. H.R. 1516/S. 1013, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015. Qualified Individual (QI) Medicare Program. S. 141/H.R. 1190, Protecting Seniors' Access to Medicare Act.

PA Hospice (HR 1202/ S 1346), PA Home Health (S 578/HR 1342), SGR (HR 2), PA supervision of cardiac and pulmonary tests (S 488), Medicaid EHR Incentive (HR 1345), Medicare DME face-to-face encounters (HR 1021), Medicaid reimbursement (S 737), DOD fellowship program for PAs in behavioral healthcare (S 714), federal workers' compensation, treatment for opioid addiction, PA federal employment, 21st century cures, telehealth, rural health, federal funding for PA education programs, FMCSA national registry of certified medical examiners, OPM qualification and classification standards for PAs.

Client expense: $210,000 · Firm income: Not reported

Government targets: Bureau of Labor Statistics (BLS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2016, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). BACPAC Act (to be re-filed). Telehealth Enhancement Act (to be re-filed). Medicare Telehealth Parity Act (to be re-filed). SAVE Medicare Home Health Act (to be re-filed). Home health rural add on payment. Protecting the Integrity of Medicare Act (PIMA) (draft legislation), provisions on home health surety bond. H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 839, a bill to extend home health rural add-on. Value Based Purchasing. Therapy Cap. Qualified Individual (QI) Medicare Program. S. 141/H.R. 1190, Protecting Seniors' Access to Medicare Act.

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

PA Hospice (HR 1202), PA Home Health (S 578/HR 1342), SGR (HR 2), PA supervision of cardiac and pulmonary tests (S 488), Medicaid EHR Incentive (HR 1345), Medicare DME face-to-face encounters (HR 1021), Medicaid reimbursement (S 737), DOD fellowship program for PAs in behavioral healthcare (S 714), federal workers' compensation, treatment for opioid addiction, PA federal employment, 21st century cures, telehealth, rural health, federal funding for PA education programs, FMCSA national registry of certified medical examiners, OPM qualification and classification standardsfor PAs.

Client expense: $210,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Army, Dept of (Other), Bureau of Labor Statistics (BLS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Motor Carrier Safety Administration, 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), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)