Home Health Care Planning Improvement Act of 2015

Affordable Care Act implementation; H.R. 1021, the Protecting Integrity of Medicare Act; H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Issues related to H.R. 2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; Issues related to H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; Issues related to H.R. 513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; Issues related to H.R. 1342, Home Health Care Planning and Improvement Act of 2015; Issues related to H.R. 6226, Pre-Claims Undermine Seniors Health Act of 2016.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Issues relating to home health care and hospice, including post-acute payment policy; H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Issues related to H.R. 2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; Issues related to H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; Issues related to H.R. 513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; Issues related to H.R. 1342, Home Health Care Planning and Improvement Act of 2015; Issues related to H.R. 6226, Pre-Claims Undermine Seniors Health Act of 2016.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

S. 578, H.R. 1342 Home Health Care Planning Improvement Act of 2015 S. 628, H.R. 1209 The Improving Access to Maternity Care Act S. 737, H.R. 2253 Ensuring Access to Primary Care and Children Act H.R. 34 - 21st Century Cures Act H.R. 2713/S. 3245 Title VIII Nursing Workforce Reauthorization Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 2153 Provider Payment Sunshine Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 5164, Rural Hospital Regulatory Relief Act of 2016 Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Opioid Abuse Epidemic Chronic Care Proposed Rule on Medicare Access and CHIP Reauthorization Act (MACRA)

Client expense: $40,248 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 H.R. 5164 - Rural Hospital Regulatory Relief Act H.R. 5122 - To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 5613/S. 3129 - Continuing Access to Hospitals Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act S. 2787 - States Achieve Medicaid Expansion (SAME) Act S. 3130 - Independence at Home Act of 2016

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

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

H.R. 1571/S. 843 - to require all time a Medicare beneficiary spends in a hospital to count toward the 3-day stay requirement for coverage of subsequent post-acute care - support. H.R. 1383, Medicare Adult Day Services Act, allowing home health care to be provided in a certified adult day services center - support. Support expansion of Medicare coverage of telehealth services Support H.R. 1342/S. 578, Home Health Planning Improvement Act, authorizing nurse practitioners, clinical nurse specialists and physician assistants to write orders for home health services to be covered by Medicare. Support H.R. 2704/S. 704, Community Based Independence for Seniors Act, to authorize demonstration programs under which Medicare Advantage programs could offer supplemental services. Support H.R. 3243/S. 1362, PACE Innovation Act, allowing CMS to test different PACE models, including those serving high-need individuals aged 55 and under. Oppose H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act, which would replace the present value-based purchasing initiative for skilled nursing facilities with a new system requiring larger payment withholds. Support reauthorization and expansion of Money Follows the Person

Client expense: $40,945 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/H.R.3355 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Medication Assisted Therapies (MATs) Accountable Care Organizations (ACOs) Opioid Abuse Epidemic

Client expense: Not reported · Firm income: Not reported

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

S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S.1641 Jason Simcakoski Memorial Opioid Safety Act S. 2259, H.R. 6261 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act Medication Assisted Therapies (MATs) S. 1455, H.R. 2536 Recovery Enhancement for Addiction Treatment Act (TREAT) Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act H.R.2948 Medicare Telehealth Parity Act of 2015 S.488, H.R. 3355 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 4981 Opioid Use Disorder Treatment Expansion and Modernization Act Opioid Abuse Epidemic Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Accountable Care Organization (ACO)

Client expense: $153,601 · Firm income: Not reported

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

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/H.R.3355 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Medication Assisted Therapies (MATs) Accountable Care Organizations (ACOs) Opioid Abuse Epidemic

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

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

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 Home Health Care Planning Improvement Act of 2015 S. 628, H.R. 1209 The Improving Access to Maternity Care Act S. 737, H.R. 2253 Ensuring Access to Primary Care and Children Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 2153 Provider Payment Sunshine Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 5164, Rural Hospital Regulatory Relief Act of 2016 Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Opioid Abuse Epidemic

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611; S.578/H.R.1342

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Home Health Care Planning Improvement Act of 2015 (H.R. 1342, S. 578) The Care Planning Act (S. 1549), Palliative Care Hospice Education and Training Act (H.R. 3119, S.2748), Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R. 3298), Pre-Claims Undermine Seniors' Health Act (H.R. 6226)

Client expense: $15,603 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for Home Health Planning Improvement Act, H.R. 1342/S. 578. Support for the Nurse and Health Care Worker Protection Act, H.R. 4266 Support for the Registered Nurse Safe Staffing Act, HR 2083/S.1132 Opposition to the Restoring America's Access to Freedom Reconciliation Act, H.R. 3762 Support for the CONNECT for Health Act, S. 2484/H.R. 4442 Support for H.R. 2948, the Medicare Telehealth Parity Act

Client expense: $478,462 · Firm income: Not reported

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

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

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

Issues relating to home health care and hospice, including post-acute payment policy; H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Issues related to H.R. 2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; Issues related to H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; Issues related to H.R. 513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; Issues related to H.R. 1342, Home Health Care Planning and Improvement Act of 2015.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Affordable Care Act implementation; H.R. 1021, the Protecting Integrity of Medicare Act; H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Issues related to H.R. 2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; Issues related to H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; Issues related to H.R. 513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; Issues related to H.R. 1342, Home Health Care Planning and Improvement Act of 2015.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 H.R. 5164 - Rural Hospital Regulatory Relief Act H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 5613/S. 3129 - Continuing Access to Hospitals Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act S. 2787 - States Achieve Medicaid Expansion (SAME) Act S. 3130 - Independence at Home Act of 2016

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

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

S. 578, H.R. 1342 Home Health Care Planning Improvement Act of 2015 S. 628, H.R. 1209 The Improving Access to Maternity Care Act S. 737, H.R. 2253 Ensuring Access to Primary Care and Children Act H.R. 6 - 21st Century Cures Act H.R. 2713/S. 3245 Title VIII Nursing Workforce Reauthorization Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 2153 Provider Payment Sunshine Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 5164, Rural Hospital Regulatory Relief Act of 2016 Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Opioid Abuse Epidemic Chronic Care Proposed Rule on Medicare Access and CHIP Reauthorization Act (MACRA)

Client expense: $36,799 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/H.R.3355 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care Accountable Care Organizations (ACOs)

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

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

S. 578, H.R. 1342 Home Health Care Planning Improvement Act of 2015 S. 628, H.R. 1209 The Improving Access to Maternity Care Act S. 737, H.R. 2253 Ensuring Access to Primary Care and Children Act H.R. 6 - 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 2153 Provider Payment Sunshine Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 5164, Rural Hospital Regulatory Relief Act of 2016 Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Opioid Abuse Epidemic Chronic Care

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/H.R.3355 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care Accountable Care Organizations (ACOs)

Client expense: Not reported · Firm income: Not reported

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

S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S.1641 Jason Simcakoski Memorial Opioid Safety Act S. 2259, H.R. 6261 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act Medication Assisted Therapies (MATs) S. 1455, H.R. 2536 Recovery Enhancement for Addiction Treatment Act (TREAT) S. 524, H.R. 953 Comprehensive Addiction and Recovery Act of 2015 (CARA) S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act H.R.2948 Medicare Telehealth Parity Act of 2015 S.488, H.R. 3355 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 4981 Opioid Use Disorder Treatment Expansion and Modernization Act Opioid Abuse Epidemic Chronic Care Accountable Care Organization (ACO)

Client expense: $125,547 · Firm income: Not reported

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

H.R. 1571/S. 843 - to require all time a Medicare beneficiary spends in a hospital to count toward the 3-day stay requirement for coverage of subsequent post-acute care - support. H.R. 1383, Medicare Adult Day Services Act, allowing home health care to be provided in a certified adult day services center - support. Support expansion of Medicare coverage of telehealth services Support H.R. 1342/S. 578, Home Health Planning Improvement Act, authorizing nurse practitioners, clinical nurse specialists and physician assistants to write orders for home health services to be covered by Medicare. Support H.R. 2704/S. 704, Community Based Independence for Seniors Act, to authorize demonstration programs under which Medicare Advantage programs could offer supplemental services. Support H.R. 3243/S. 1362, PACE Innovation Act, allowing CMS to test different PACE models, including those serving high-need individuals aged 55 and under. Oppose H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act, which would replace the present value-based purchasing initiative for skilled nursing facilities with a new system requiring larger payment withholds. Support reauthorization and expansion of Money Follows the Person

Client expense: $40,945 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611; S.578/H.R.1342

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 578, H.R. 1342 Home Health Care Planning Improvement Act of 2015 S. 628, H.R. 1209 The Improving Access to Maternity Care Act S. 737, H.R. 2253 Ensuring Access to Primary Care and Children Act S. Res. 467/H. Res. 724- Supporting the goals and ideals of National Nurses Week on May 6, 2016, through May 12, 2016 H.R. 6 - 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 2153 Provider Payment Sunshine Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 5164, Rural Hospital Regulatory Relief Act of 2016 S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Opioid Abuse Epidemic Chronic Care Proposed Rule on Medicare Access and CHIP Reauthorization Act (MACRA)

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

The Home Health Care Planning Improvement Act of 2015 (H.R. 1342, S. 578) The Care Planning Act (S. 1549), Palliative Care Hospice Education and Training Act (H.R. 3119, S.2748)

Client expense: $12,982 · 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. 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.

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 H.R. 5164 - Rural Hospital Regulatory Relief Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act S. 2787 - States Achieve Medicaid Expansion (SAME) Act

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

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

Support for Home Health Planning Improvement Act, H.R. 1342/S. 578. Support for the Nurse and Health Care Worker Protection Act, H.R. 4266 Support for the Registered Nurse Safe Staffing Act, HR 2083/S.1132 Opposition to the Restoring America's Access to Freedom Reconciliation Act, H.R. 3762 Support for the CONNECT for Health Act, S. 2484/H.R. 4442 Support for H.R. 2948, the Medicare Telehealth Parity Act

Client expense: $503,492 · Firm income: Not reported

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

S. 2832 - Fair Medicare Hospital Payments Act of 2016 H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 3299 - Strengthening Public Health Emergency Response Act of 2015 H.R. 4428 - To amend title XVIII of the Social Security Act to ensure fairness in Medicare hospital payments by establishing a floor for the area wage index applied with respect to certain hospitals. H.R. 3716 - Ensuring Terminated Providers are Removed from Medicaid and CHIP Act S.2467 - The Patient Safety Improvement Act H.R. 4725 - The Common Sense Savings Act H.R. 2156 - Medicare Audit Improvement Act H.R. 1342 / S.688 - Establishing Beneficiary Equity in the Hospital Readmission Program Act Critical Access Hospital Reimbursement CMS-5517-P, Medicare Program: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models; Proposed Rule, May 9, 2016 CMS-1645-P, Medicare Program: Skilled Nursing Facility Prospective Payment System for Federal Fiscal Year 2017; Proposed Rule, April 25, 2016 CMS-1647-P, Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2016; Proposed Rule, April 25, 2016 CMS-1655-P, Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Proposed Rule, April 27, 2016 (CMS-1655-P) CMS-1655-P, Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Proposed Rule, April 27, 2016 Public Law 114-74 CMS-1670-P, Medicare Program: Part B Drug Payment Model, Proposed Rule (Vol. 81, No. 48, March 11, 2016) CMS 10599; Home health prior authorization

Client expense: $285,512 · Firm income: Not reported

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

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S.1641 Jason Simcakoski Memorial Opioid Safety Act S. 2259 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care

Client expense: Not reported · Firm income: Not reported

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

H.R. 775 - to permanently repeal Medicare therapy caps. Support H.R. 1571/S. 843 - to require all time a Medicare beneficiary spends in a hospital to count toward the 3-day stay requirement for coverage of subsequent post-acute care - support. H.R. 1383, Medicare Adult Day Services Act, allowing home health care to be provided in a certified adult day services center - support. Support expansion of Medicare coverage of telehealth services Support H.R. 1342/S. 578, Home Health Planning Improvement Act, authorizing nurse practitioners, clinical nurse specialists and physician assistants to write orders for home health services to be covered by Medicare. Support H.R. 2704/S. 704, Community Based Independence for Seniors Act, to authorize demonstration programs under which Medicare Advantage programs could offer supplemental services. Support H.R. 3243/S. 1362, PACE Innovation Act, allowing CMS to test different PACE models, including those serving high-need individuals aged 55 and under. Oppose H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act, which would replace the present value-based purchasing initiative for skilled nursing facilities with a new system requiring larger payment withholds.

Client expense: $57,010 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 578, H.R. 1342 Home Health Care Planning Improvement Act of 2015 S. 628, H.R. 1209 The Improving Access to Maternity Care Act S. 737, H.R. 2253 Ensuring Access to Primary Care and Children Act S. Res. 467/H. Res. 724- Supporting the goals and ideals of National Nurses Week on May 6, 2016, through May 12, 2016 H.R. 6 - 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 2153 Provider Payment Sunshine Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 5164, Rural Hospital Regulatory Relief Act of 2016 S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Opioid Abuse Epidemic Chronic Care Proposed Rule on Medicare Access and CHIP Reauthorization Act (MACRA)

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care

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

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

S. 578, H.R. 1342 Home Health Care Planning Improvement Act of 2015 S. 628, H.R. 1209 The Improving Access to Maternity Care Act S. 737, H.R. 2253 Ensuring Access to Primary Care and Children Act S. Res. 467/H. Res. 724- Supporting the goals and ideals of National Nurses Week on May 6, 2016, through May 12, 2016 H.R. 6 - 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 2153 Provider Payment Sunshine Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 5164, Rural Hospital Regulatory Relief Act of 2016 S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Opioid Abuse Epidemic Chronic Care Proposed Rule on Medicare Access and CHIP Reauthorization Act (MACRA)

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S.1641 Jason Simcakoski Memorial Opioid Safety Act S. 2259 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act Medication Assisted Therapies (MATs) S. 1455, H.R. 2536 Recovery Enhancement for Addiction Treatment Act (TREAT) S. 524, H.R. 953 Comprehensive Addiction and Recovery Act of 2015 (CARA) S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act Opioid Abuse Epidemic Chronic Care

Client expense: $136,414 · Firm income: Not reported

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

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611; S.578/H.R.1342

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act

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

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

Support for Home Health Planning Improvement Act, H.R. 1342/S. 578. Support for the Nurse and Health Care Worker Protection Act, H.R. 4266 Support for the Registered Nurse Safe Staffing Act, HR 2083/S.1132 Opposition to the Restoring America's Access to Freedom Reconciliation Act, H.R. 3762 Support for the CONNECT for Health Act, S. 2484/H.R. 4442 Support for H.R. 2948, the Medicare Telehealth Parity Act

Client expense: $331,481 · Firm income: Not reported

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

H.R. 4428 - To amend title XVIII of the Social Security Act to ensure fairness in Medicare hospital payments by establishing a floor for the area wage index applied with respect to certain hospitals. H.R. 3716 - Ensuring Terminated Providers are Removed from Medicaid and CHIP Act S.2467 - The Patient Safety Improvement Act H.R. 4725 - The Common Sense Savings Act H.R. 2156 - Medicare Audit Improvement Act H.R. 1342 / S.688 - Establishing Beneficiary Equity in the Hospital Readmission Program Act

Client expense: $313,500 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), 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. 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.

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

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

The Home Health Care Planning Improvement Act of 2015 (H.R. 1342, S. 578) The Care Planning Act (S. 1549)

Client expense: $15,281 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1342, S.578 Home Health Planning Improvement Act of 2015 H.R. 6 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 2948 Medicare Telehealth Parity Act of 2015 H.R. 1209, S. 628, Improving Access to Maternity Care Act H.R. 2253, S. 737, Ensuring Access to Primary Care and Children Act H. Res 470, Resolution Commemorating the 30th Anniversary of the founding of NINR Opioid Abuse Epidemic Chronic Care S. 2153 Provider Payment Sunshine Act Lobbied Members of Congress regarding the demand for nurses and nurse faculty and the need for highly educated nurses to provide quality health care. Discussed with HHS agencies and lobbied Members of Congress to promote the role Advanced Practice Registered Nurses will play in a reformed healthcare delivery system. Discussed with HHS agencies and lobbied Members of Congress regarding quality initiatives and cost saving healthcare programs.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT)_ Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S.1641 Jason Simcakoski Memorial Opioid Safety Act S. 2259 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act Medication Assisted Therapies (MATs) S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act Opioid Abuse Epidemic Chronic Care

Client expense: Not reported · Firm income: Not reported

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