Medicaid HOME Improvement Act

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical Education Medicaid provider taxes Medicare bad debt payments Medicare and Medicaid payment H.R.2 the Medicare Access and CHIP Reauthorization Act of 2015, all provisions H.R.1343/S.688 Establishing Equity in the Hospital Readmissions Program Act of 2015, all provisions Medicaid Waivers Medicaid Expansion Issues Medicaid disproportionate share hospital payments Medicare disproportionate share hospital payments Medicare hospital readmissions program Funding for the Children's Health Insurance Program Medicaid primary care payment parity Issues related to Medicaid reform including Medicaid block grants and per capita caps Medicare evaluation and management codes and other Medicare outpatient codes/ Medicare site neutral documents Meaningful Use stage 2 and 3 Medicare Shared Savings Program HR2151 Improving Oversight and Accountability in Medicaid Non-DSH Supplemental Payments Act HR1362 Medicaid Reports Act HR1400 Medicaid Tax Fairness Act HR1361 Medicaid Home Improvement HR2119 To amend title XI of the Social Security Act to require that state applications for state plan waivers under the Medicaid program be approved only if such applications are budget neutral, and for other purposes Legislation related to chronic care treatment H.R. 3292 Medicare IME Pool Act of 2015 H.R. 3288 Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act H.R. 3291 Medicare Crosswalk Hospital Code Development Act Medicaid data and transparency Medicaid Managed Care Policies/ rulemaking Medicaid supplemental payments Medicare Site Neutral payments for hospital outpatient departments H.R.4442/S.2484 Connect for Health Act H.R.3309 Flex-It 2 Act H.R.4774 Training tomorrow's doctors today act H.R.4588 Incentivizing Medicaid expansion act S.2787 States achieve Medicaid expansion act

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

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

Legislation allowing individuals to establish their own special needs trusts including H.R. 670 and S. 349, the Special Needs Trust Fairness Act of 2015, H.R.1771, which would alter how income from annuities is counted towards Medicaid eligibility, H.R.1361, which would eliminate the state option to increase the home equity threshold for purposes of Medicaid eligibility, and S. 2427, the Disability Integration Act of 2015, and other policies related to Medicaid coverage.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical Education Medicaid provider taxes Medicare bad debt payments Medicare and Medicaid payment H.R.2 the Medicare Access and CHIP Reauthorization Act of 2015, all provisions H.R.1343/S.688 Establishing Equity in the Hospital Readmissions Program Act of 2015, all provisions Medicaid Waivers Medicaid Expansion Issues Medicaid disproportionate share hospital payments Medicare disproportionate share hospital payments Medicare hospital readmissions program Funding for the Children's Health Insurance Program Medicaid primary care payment parity Continuation of the Tennessee DSH allotment Issues related to Medicaid reform including Medicaid block grants and per capita caps Medicare evaluation and management codes and other Medicare outpatient codes/ Medicare site neutral documents Meaningful Use stage 2 and 3 Medicare Shared Saving Program HR2151 Improving Oversight and Accountability in Medicaid Non-DSH Supplemental Payments Act HR1362 Medicaid Reports Act HR1400 Medicaid Tax Fairness Act HR1361 Medicaid Home Improvement HR2119 To amend title XI of the Social Security Act to require that state applications for state plan waivers under the Medicaid program be approved only if such applications are budget neutral, and for other purposes Legislation related to chronic care treatment H.R. 3292 Medicare IME Pool Act of 2015 H.R. 3288 Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act H.R. 3291 Medicare Crosswalk Hospital Code Development Act Medicaid data and transparency Medicaid Managed Care Policies/ rulemaking Medicaid supplemental payments Medicare Site Neutral payments for hospital outpatient departments

Client expense: $290,000 · Firm income: Not reported

Legislation allowing individuals to establish their own special needs trusts including H.R. 670 and S. 349, the Special Needs Trust Fairness Act of 2015, H.R.1771, which would alter how income from annuities is counted towards Medicaid eligibility, and H.R.1361, which would eliminate the state option to increase the home equity threshold for purposes of Medicaid eligibility.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Passage of HR. 670/S. 349, Special Needs Trust Fairness Act. Guidance on Pooled Trusts for ages 65+ Potential impact of H.R. 1771, to amend title XIX (Medicaid) of the Social Security Act with respect to the payment of income from a qualifying annuity in determining the Medicaid eligibility of an institutionalized spouse. Potential impact of H.R. 1361, the Medicaid Home Improvement Act

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

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

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical Education Medicaid provider taxes Medicare bad debt payments Medicare and Medicaid payment H.R.2 the Medicare Access and CHIP Reauthorization Act of 2015, all provisions H.R.1343/S.688 Establishing Equity in the Hospital Readmissions Program Act of 2015, all provisions Medicaid Waivers Medicaid Expansion Issues Medicaid disproportionate share hospital payments Medicare disproportionate share hospital payments Medicare hospital readmissions program Funding for the Children's Health Insurance Program Medicaid primary care payment parity Continuation of the Tennessee DSH allotment Issues related to Medicaid reform including Medicaid block grants and per capita caps Medicare evaluation and management codes and other Medicare outpatient codes/ Medicare site neutral documents Meaningful Use stage 2 and 3 Medicare Shared Saving Program HR2151 Improving Oversight and Accountability in Medicaid Non-DSH Supplemental Payments Act HR1362 Medicaid Reports Act HR1400 Medicaid Tax Fairness Act HR1361 Medicaid Home Improvement HR2119 To amend title XI of the Social Security Act to require that state applications for state plan waivers under the Medicaid program be approved only if such applications are budget neutral, and for other purposes Legislation related to chronic care treatment H.R. 3292 Medicare IME Pool Act of 2015 H.R. 3288 Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act H>R. 3291 Medicare Crosswalk Hospital Code Development Act

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

Issues pertaining to Medicaid reform, block grant proposals, per capita caps Medicare and Medicaid Graduate Medical Education Medicaid provider taxes, Medicare bad debt payments Medicare and Medicaid payment H.R.2 the Medicare Access and CHIP Reauthorization Act of 2015, all provisions H.R.919 CHIP extension and Improvement Act of 2015, all provisions S.522 Protecting and Retaining our Children's Health Insurance Program Act of 2015 (PRO-CHIP-ACT), all provisions H.R.1343/S.688 Establishing Equity in the Hospital Readmissions Program Act of 2015, all provisions Medicaid Waivers Support Medicaid Expansion Medicaid disproportionate share hospital payments Medicare disproportionate share hospital payments Medicare hospital readmissions program Funding for the Children's Health Insurance Program Medicaid primary care payment parity Continuation of the Tennessee DSH allotment Issues related to Medicaid reform including Medicaid block grants and per capita caps Medicare evaluation and management codes and other Medicare outpatient codes Meaningful Use stage 2 and 3 Medicare Shared Saving Program HR2151 Improving Oversight and Accountability in Medicaid Non-DSH Supplemental Payments Act HR1362 Medicaid Reports Act HR1400 Medicaid Tax Fairness Act HR1361 Medicaid Home Improvement HR2119 To amend title XI of the Social Security Act to require that state applications for state plan waivers under the Medicaid program be approved only if such applications are budget neutral, and for other purposes

Client expense: $240,000 · Firm income: Not reported