Medicare Adult Day Services Act of 2015

Issues related to Title IV-E foster care contracts, H.R. 4212, Community-Based Independence for Seniors Act and H.R. 1383, Medicare Adult Day Services Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Title IV-E foster care contracts, H.R. 4212, Community-Based Independence for Seniors Act and H.R. 1383, Medicare Adult Day Services Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Title IV-E foster care contracts, H.R. 4212, Community-Based Independence for Seniors Act and H.R. 1383, Medicare Adult Day Services Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Title IV-E foster care contracts, H.R. 4212, Community-Based Independence for Seniors Act and H.R. 1383, Medicare Adult Day Services Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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: $34,176 · Firm income: Not reported

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

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referra/Stark Law American Cures Act H.R. 1608/S. 2373 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Flexibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters H.R. 4641 To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. S. 524/H.R. 953 Comprehensive Addiction & Recovery Act of 2015 H.R. 5088 PIMA H.R. 5045 Preserving Access to Modern Prosthetic Limbs Act of 2016 H.R. 4266 Nurse & Health Care Worker Protection Act H.R. 1516 Ensuring Access to Quality CRT H.R. 1530 Medicare O&P Improvement Act H.R. 1420 National TBI Research & Treatment Improvement Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 800/H.R. 1631 Enhancing the Stature and Visibility of Medicare Research at NIH Act

Client expense: $258,406 · Firm income: Not reported

Issues related to Title IV-E foster care contracts, H.R. 4212, Community-Based Independence for Seniors Act and H.R. 1383, Medicare Adult Day Services Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries. S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans. H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program. H.R.2460 - State Veterans Home Adult Day Health Care Improvement Act of 2016 - Provides support for HCBS health care services for veterans who otherwise would be housed in a state veterans home.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referra/Stark Law American Cures Act H.R. 1608/S. 2373 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Flexibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters H.R. 4641 To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. S. 524/H.R. 953 Comprehensive Addiction & Recovery Act of 2015 H.R. 5088 PIMA H.R. 5045 Preserving Access to Modern Prosthetic Limbs Act of 2016 H.R. 4266 Nurse & Health Care Worker Protection Act H.R. 1516 Ensuring Access to Quality CRT H.R. 1530 Medicare O&P Improvement Act H.R. 1420 National TBI Research & Treatment Improvement Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 800/H.R. 1631 Enhancing the Stature and Visibility of Medicare Research at NIH Act

Client expense: $258,406 · Firm income: Not reported

Issues related to Title IV-E foster care contracts, H.R. 4212, Community-Based Independence for Seniors Act and H.R. 1383, Medicare Adult Day Services Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries. S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans. H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program. H.R.2460 - State Veterans Home Adult Day Health Care Improvement Act of 2016 - Provides support for HCBS health care services for veterans who otherwise would be housed in a state veterans home.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), 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

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608/S. 2373 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Flexibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters H.R. 4641 To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. S. 524/H.R. 953 Comprehensive Addiction & Recovery Act of 2015 H.R. 5088 PIMA H.R. 5045 Preserving Access to Modern Prosthetic Limbs Act of 2016 H.R. 4266 Nurse & Health Care Worker Protection Act H.R. 1516 Ensuring Access to Quality CRT H.R. 1530 Medicare O&P Improvement Act H.R. 1420 National TBI Research & Treatment Improvement Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 800/H.R. 1631 Enhancing the Stature and Visibility of Medicare Research at NIH Act

Client expense: $253,752 · Firm income: Not reported

S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries. S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans. H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Felixibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit paramaters

Client expense: $197,103 · Firm income: Not reported

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: $25,866 · Firm income: Not reported

S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries. S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans. H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion

Client expense: $302,185 · Firm income: Not reported

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

Client expense: Not reported · Firm income: Not reported

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

Client expense: Not reported · Firm income: Not reported

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

Client expense: Not reported · Firm income: Not reported

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

Client expense: Not reported · Firm income: Not reported

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

Client expense: Not reported · Firm income: Not reported

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

Client expense: Not reported · Firm income: Not reported

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

Client expense: Not reported · Firm income: Not reported

Increased Funding For FY 2016 Appropriations for NIH and report language Increased Funding for Falls Prevention Programs in CDC FY 2016 Appropriations for CDC Programs, HRSA Programs, IDEA,Arthritis Funding ConTACT Act: H.R. 582/S. 307 Inclusion of allied health in HRSA Education & Workforce Programs HRSA Workforce Model ESEA Reauthorization, provisions relating to specialized instructional support personnel Workoad approach for SISPs Improving Interprofessional Education ESEA - Military Children Implementation/Expansion of CDC Falls Programs ConTACT Act H.R. 582/S. 307 H.R. 1383 H.R. 263 H.R. 1707 H.R. 395/S. 536

Client expense: Not reported · Firm income: Not reported

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: $16,662 · Firm income: Not reported

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships

Client expense: $186,092 · Firm income: Not reported

S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries. S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans. H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 3099, S.1719, Discussed RAISE Family Caregivers Act and urged cosponsorship. Sent endorsement letter. Discussed proposed tax credit for family caregivers. (no bill) Discussed a national strategy to support family caregiving bill. S.192, Discussed support for Older Americans Act Reauthorization Act. Urged joining the Assisting Caregivers Today (ACT) Caucus. (no bill) H.R. 2668, Discussed National Care Corps Act. Discussed hosting CMS Family Caregiving meeting and possible dates. (no bill) H.R. 2894, Discussed the CARE for All Veterans Act. Lobbying to secure a bipartisan Social Security Disability Insurance funding solution in 2015. H.R. 3020, S. 1695, S.2132, Labor, HHS, Education and Related Agencies Appropriations, FY2016 - Lobbies to protect Older Americans Act program funding. Shared invitations for family caregiving forum (ACL, CMS, VA, House and Senate). Discussed participation of Members of Congress in national forum on family caregiving. (no bill) Extended invitations to Portraits of Care reception and discussed room/event logistics. (no bill) Reached out to VA and CMS to participate in virtual caregiving fair. (no bill) Shared policy ideas on family caregiving and LTSS including the Care Planning Act (S.1599), Community Based Independence for Seniors Act (S. 704), Medicare Adult Day Services Act (H.R. 1383), National Care Corps Act (H.R. 2668), RAISE Family Caregivers Act (no bill), and the Long Term Care Veterans Choice Act (H.R. 294).

Client expense: $1,930,000 · Firm income: Not reported

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: $42,371 · Firm income: Not reported

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act

Client expense: $243,884 · Firm income: Not reported

S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries. S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans. H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal

Client expense: $292,701 · Firm income: Not reported

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion

Client expense: $302,185 · Firm income: Not reported

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal

Client expense: $302,185 · Firm income: Not reported

H.R. 2 - supported permanent reform of Medicare physician payment system. Urged Congress not to make post-acute care a pay-for. 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 H.R. 1295 - advocated for removal of provisions that would have extended Medicare sequestration to offset the costs of trade adjustment assistance benefits. 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.

Client expense: $80,008 · Firm income: Not reported

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion

Client expense: Not reported · Firm income: $302,185

H.R. 2 - Supported passage of H.R.2 to repeal the sustainable growth rate formula for Medicare physician reimbursement. Trade Adjustment Assistance (H.R. 1314) - Opposed inclusion of extension of sequestration cuts in TAA legislation. Medicare Audit Improvement Act (H.R. 2156) - Supported passage of HR 2156 to make modifications to the Medicare Recovery Audit Contractor Program. Physician-Owned Hospitals (H.R. 2513) - Opposed passage of H.R. 2513 which would repeal prohibitions on expanding or opening new physician owned hospitals. Medicare Hospital Readmissions Reduction Program (H.R. 1383, S. 688) - Supported passage of legislation that would incorporate sociodemographic status in determining readmissions penalties.

Client expense: $125,000 · Firm income: Not reported

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

S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries. S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans. H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Veterans Affairs, Dept of (VA), White House Office

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal

Client expense: Not reported · Firm income: $38,036

H.R. 2 - supported permanent reform of Medicare physician payment system. Urged Congress not to make post-acute care a pay-for. 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

Client expense: $116,187 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries. S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans. H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), White House Office