Medicare Patient Empowerment Act of 2015

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling H.R. 2948 Medicare Telehealth Parity Act S. 2484/H.R. CONNECT for Health Act New evaluation and reevaluation CPT codes & misvalued codes EMG

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

HR556/S313, Prevent Interruptions to Physical Therapy: adding physical therapists to the Medicare locum tenens program HR775/S539, Medicare Access to Rehabilitation Services: to repeal the monetary cap on physical therapy for Medicare beneficiaries. HR2948, Medicare Telehealth Parity to allow for Medicare to reimburse all eligible providers--including physical therapists--for care provided via telehealth. HR1650/S1849, Medicare Patient Empowerment Act: to allow Medicare providers to opt out of Medicare on a case-by-case basis to empower patients to chose their provider and how to pay for care. HR2712, Commonsense Reporting and Verification Act and S1996, Commonsense Reporting Act: simplify the process for employer reporting of employees using the ACA Marketplace to purchase health insurance while increasing transparency and disclosure for employees. HR2799/S1465; Furthering Access to Stroke Telemedicine (FAST) Act: to allow for stroke assessment via telehealth regardless of location of the originating site. HR4442/S2484, CONNECT for Health Act of 2016: telehealth reform bill in three parts: 1. allowing for Medicare Advantage to provide telehealth coverage as a basic benefit; 2. allowing stroke assessment via telehealth regardless of originating site; and 3. allow for MIPS providers to be covered for use of telehealth, and allows for HHS Secretary to add additional providers such as physical therapists; Medicare Telehealth Parity Act (H.R.2948) to allow for complete access to care via telehealth for Medicare beneficiaries. Supporting the Promoting Integrity in Medicare Act (H.R.5088)to remove physical therapists from the in-office ancillary services exception. Also lobbying for any reforms to veterans health coverage to ensure continued access to community based providers.

Client expense: Not reported · Firm income: Not reported

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

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313). Support grassroots efforts of practitioner members to ask for their representatives to support locum tenens legislation. Advocated for the inclusion of the permanent repeal of the therapy cap as well as support for HR1650 and S1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries. Also lobbying two bills that PPS has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

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

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

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling H.R. 2948 Medicare Telehealth Parity Act S. 2484/H.R. CONNECT for Health Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

HR556/S313, Prevent Interruptions to Physical Therapy: adding physical therapists to the Medicare locum tenens program HR775/S539, Medicare Access to Rehabilitation Services: to repeal the monetary cap on physical therapy for Medicare beneficiaries. HR2948, Medicare Telehealth Parity to allow for Medicare to reimburse all eligible providers--including physical therapists--for care provided via telehealth. HR1650/S1849, Medicare Patient Empowerment Act: to allow Medicare providers to opt out of Medicare on a case-by-case basis to empower patients to chose their provider and how to pay for care. HR2712, Commonsense Reporting and Verification Act and S1996, Commonsense Reporting Act: simplify the process for employer reporting of employees using the ACA Marketplace to purchase health insurance while increasing transparency and disclosure for employees. HR2799/S1465, Furthering Access to Stroke Telemedicine (FAST) Act: to allow for stroke assessment via telehealth regardless of location of the originating site. HR4442/S2484, CONNECT for Health Act of 2016: telehealth reform bill in three parts: 1. allowing for Medicare Advantage to provide telehealth coverage as a basic benefit; 2. allowing stroke assessment via telehealth regardless of originating site; and 3. allow for MIPS providers to be covered for use of telehealth, and allows for HHS Secretary to add additional providers such as physical therapists also lobbying for any reforms to veterans health coverage to ensure continued access to community based providers.

Client expense: Not reported · Firm income: Not reported

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

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling H.R. 2948 Medicare Telehealth Parity Act S. 2484/H.R. CONNECT for Health Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

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

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

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

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

P.L. 111-148 Patient Protection and Affordable Care Act: Employer responsibility requirements, treatment of excepted benefits P.L. 111-152 Health Care and Education Reconciliation Act of 2010: Employer responsibility requirements, treatment of excepted benefits Repeal of the Affordable Care Act excise tax on high cost plans; provisions repealing the excise tax on employer-based high cost health plans, H.R. 3999 FMLA 2014 Prescription drug prices H.R. 2712 Common Sense Reporting Act OSHA's Infections Disease Rulemaking Regulatory: safety and health H.R. 1786/S.928 James Zadroga 9/11 Health and Compensation Reauthorization Act: coverage, funding H.R.2050 Middle Class Health Benefits Tax Repeal Act of 2015: Provisions repealing the tax on high cost health care plans H.R.30/ S. 30 Save American Workers Act of 2015: Change of hours threshold from 30 to 40 for required offer of health coverage by employer S.Con.Res.11 An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2016 and setting forth the appropriate budgetary levels for fiscal years 2017 through 2025: Amendments that would allow for a change in the definition of full time employee for the purposes of the ACA and exempting educational employers from the employer mandate S.568 Trade Adjustment Assistance Act of 2015: Provisions related to extension of the Health Coverage Tax Credit S.1005 A bill to amend the Internal Revenue Code of 1986 to extend and modify the credit for health insurance costs of certain eligible individuals, and for other purposes: Provisions related to extension of the Health Coverage Tax Credit S.1083/ H.R. 2005 Medicare Drug Savings Act of 2015: Provisions that would apply the Medicaid drug rebate to drugs for Medicare LIS beneficiaries H.R.2712 Commonsense Reporting and Verification Act of 2015: Provisions reducing employers' requirements to report compliance with the ACA employer responsibility requirement H.R.1974 HEAL for Immigrant Women and Families Act of 2015: Provisions expanding Medicaid and ACA premium subsidy eligibility for immigrants H.R.1571 Improving Access to Medicare Coverage Act of 2015: Provisions defining inpatient stay for Medicare reimbursement H.R.1650 Medicare Patient Empowerment Act of 2015: Provisions allowing physicians to charge Medicare beneficiaries fees that exceed Medicare's reimbursement for services

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

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313). Support grassroots efforts of practitioner members to ask for their representatives to support locum tenens legislation. Advocated for the inclusion of the permanent repeal of the therapy cap as well as support for HR1650 and S1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries. Also lobbying two bills that PPS has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1650, Medicare Patient Empowerment Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H.R. 1892, Trade Adjustment Assistance (TAA) Reauthorization Act of 2015, provisions relating to Medicare Sequestration Offset S. 1268, Trade Adjustment Assistance (TAA) Reauthorization Act of 2015, provisions relating to Medicare Sequestration Offset H.R. 1295, Trade Preferences Extension Act of 2015, provisions relating to Medicare cuts H.R. 1314, Trade Act of 2015, provisions relating to Medicare sequester H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, provisions relating to IPAB repeal H.R. 1220, Removing Barriers to Colorectal Cancer Screening Act of 2015, all provisions S. 624, Removing Barriers to Colorectal Cancer Screening Act of 2015, all provisions S. 1549, Care Planning Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 2126, Cutting Costly Codes Act of 2015, all provisions H.R. 1571, Improving Access to Medicare Coverage Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 2404, Treat and Reduce Obesity Act of 2015, all provisions S. 1509, Treat and Reduce Obesity Act of 2015, all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions S. 1549, Care Planning Act of 2015, all provisions H.R. 2247, ICD-TEN Act, all provisions S. 488, 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, all provisions H.R. 1021, Protecting the Integrity of Medicare Act of 2015, provisions relating to Medicare pharmacy and physician lock-in Stopping Medication Abuse and protecting Seniors Act of 2015 draft legislation, provisions related to Medicare lock-in Audit and Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015 draft legislation Medicare program: Alternate payment models, merit-based incentive payment systems Medicare program: Two Midnights rule Medicare program: Private Contracting Medicare program: ICD-10 Repeal Medicare program: SGR Repeal Medicare program: ICD-10 transition Medicare program: Payment Reform - Means Testing; Medigap Reform Medicare program: EHR - Meaningful Use/Interoperability Medicare program: Meaningful Use, Stage 3 Medicare program: Meaningful Use - Certification, Physician Quality Reporting System, Physician Compare, penalties Medicare program: Advance care planning Medicare program: Medicare Appeals Backlog Medicare program: Recovery Audit Contractors Medicare program: Part D Coverage Medicare program: Part D Beneficiary Lock-in Medicare program: Part B drug payment policies Medicare program: Value-based Modifier Medicare program: Relative Value Update Committee (RUC) Medicare program: ICD-10 Implementation Medicare program: Chronic Care Medicare program: In-office Ancillary Services Exception Medicare program: Program Integrity Medicare program: Laboratory Developed Tests (LDTs) Medicare program: Shared Savings Program - ACO regulations Medicare program: Annual Wellness Visit Medicare program: Telehealth Medicare program: Quality measure development funding Medicare program: Medicare Advantage/transparency and beneficiary and provider protections Medicare program: Data Release Medicare program: HIPAA Administrative simplification (ICD-10, EFT, virtual credit cards) Medicare program: CLIA modernization Medicare program: Graduate Medical Education Medicare program: Global surgical services unbundling Medicare program: Physician-owned hospitals Medicare program: Sequester Medicare program: Alternative payment models Medicare program: Prescription drug diversion Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act implementation Medicare and Medicaid programs: Primary care payment

Client expense: $5,680,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

Protecting Seniors' Access to Medicare Act (HR 1190/S 141) Medicare Patient Empowerment Act (HR 1650) Medical Practice Freedom Act of 2015(HR 3100) Further Flexibility in HIT Reporting and Advancing Interoperability Act (HR 3309) Meaningful Use Hardship Relief Act of 2015 (HR 3940)

Client expense: $22,384 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

IPAB Repeal (HR 1190 / S 141); Medical Liability Reform; Medicare physician payment / SGR (HR 2; HR 1470; S 810); Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661)

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

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

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313) as well as prepared and responded to congressional inquiry during hearing of HR557 by the House Energy and Commerce Health Subcommittee. Advocated for the inclusion of the permanent repeal of the therapy cap and increasing cosponsors of the bill as well as support for HR1650 and S1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries. Also lobbying on two bills PTPN has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313) as well as prepared and responded to congressional inquiry during hearing of HR556 in the Energy & Commerce, Health Subcommittee. Support grassroots efforts of practitioner members to ask for their representatives to support locum tenens legislation. Advocated for the inclusion of the permanent repeal of the therapy cap as well as support for HR1650 and S1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries. Also lobbying two bills that PPS has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1945- Mental Health Reform Act of 2015 Improving access to mental health care S 599- Improving access to emergency inpatient psychiatric care Improving access and quality to developmental health care services HR 1650, S 1849- Medicare Patient Empowerment Act Holding beneficiaries harmless for Part B premium increase and the deductible HR 3160- The Health Insurance for Former Foster Care Youth Act of 2015 HR 2635, S 1961- Improving the Treatment of US Territories Under Federal Health Programs Act Puerto Rico Fiscal situation Medicaid funding and benefits Medicare funding, benefits, policy, eligibility age, means tests

Client expense: $610,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, White House Office

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015: To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 1650, Medicare Patient Empowerment Act: Private contracting in Medicare H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2126, Cutting Costly Codes Act: ICD-10 coding H.R. 2247, ICD-TEN Act: ICD-10 coding H.R. 2519, Audiology Patient Choice Act: Audiology scope of practice in Medicare H.R. 2652, Protecting Patients and Physicians Against Coding Act: ICD-10 coding H.R. 3018, Code-FLEX Act: ICD-10 coding H.R.3292, Medicare IME Pool Act: Reduce graduate medical education funding H.R. 3309, Flex-IT 2 Act: Electronic health records meaningful use programs under the Medicare and Medicaid programs No bill, ICD-10 Coding: CMS advocacy No bill, Electronic health records: CMS advocacy

Client expense: $45,000 · Firm income: Not reported

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

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015: To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 1650, Medicare Patient Empowerment Act: Private contracting in Medicare H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2126, Cutting Costly Codes Act: ICD-10 coding H.R. 2247, ICD-TEN Act: ICD-10 coding H.R. 2519, Audiology Patient Choice Act: Audiology scope of practice in Medicare H.R. 2652, Protecting Patients and Physicians Against Coding Act: ICD-10 coding H.R. 3018, Code-FLEX Act: ICD-10 coding H.R.3292, Medicare IME Pool Act: Reduce graduate medical education funding H.R. 3309, Flex-IT 2 Act: Electronic health records meaningful use programs under the Medicare and Medicaid programs No bill, ICD-10 coding: CMS advocacy No bill, Electronic health records: CMS advocacy

Client expense: $45,000 · Firm income: Not reported

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

Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks. Support legislation to eliminate the Independent Payment Advisory Board (S.141/ H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015). Advocate on issues related to waste, fraud and abuse in Medicare Advocate for increased funding and reforms to Graduate Medical Education. Lobby Congress on improvements to Health Information Technology implementation. Lobby Congress in opposition to repeal of the in-office ancillary and physician services exception for anatomic pathology services. Lobby Congress on issues related to telemedicine and Medicare reimbursement. Advocate on use and availability of health care data. Lobby in support of legislation to provide more flexibility in the Meaningful Use program and extend the 90 day reporting period for demonstration meaningful use in 2015 (H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act and H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability (Flex IT 2) Act). Advocate for EHR interoperability with clinical data registries for quality improvement purposes in the 21st Century Cures Act (H.R. 6). Lobby in support of legislation to require the Secretary of Health and Human Services to issue guidance on the application of the Common Rule to clinical data registries (H.R. 965, Facilitating Participation in Clinical Data Registries Act of 2015). Support for legislation to enhance Medicare beneficiaries access to the physician of their choice (H.R. 1650, the Medicare Patient Empowerment Act). Support legislation to protect physicians and provide flexibility during the ICD-10 transition (H.R. 2126), the Cutting Costly Codes Act, (H.R. 2247), the Increasing Clarity for Doctors by Transitioning Effectively Now (ICD-TEN) Act, (H.R. 2652), the Protecting Patients and Physicians against Coding Act and (H.R. 3018), the Code FLEX Act. Advocate for changes that would improve health outcomes for Medicare patients with chronic conditions. Support legislation to improve transparency and due process in the Medicare RAC audit and appeals process (H.R. 2568, Fair Medical Audits Act). Support legislation to reduce Medicare fraud and improve access to Death Master File, S. 1073, the Stopping Improper Payments to Deceased People Act

Client expense: $442,136 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

S 1945- Mental Health Reform Act of 2015 Improving access to mental health care S 599- Improving access to emergency inpatient psychiatric care Improving access and quality to developmental health care services HR 1650, S 1849- Medicare Patient Empowerment Act Holding beneficiaries harmless for Part B premium increase and the deductible HR 3160- The Health Insurance for Former Foster Care Youth Act of 2015 HR 2635, S 1961- Improving the Treatment of US Territories Under Federal Health Programs Act Puerto Rico Fiscal situation Medicaid funding and benefits Medicare funding, benefits, policy, eligibility age, means tests

Client expense: $600,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, White House Office

Protecting Seniors' Access to Medicare Act (HR 1190/S 141) Medicare Patient Empowerment Act (HR 1650)

Client expense: $24,735 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

IPAB Repeal (HR 1190 / S 141); Medical Liability Reform; Medicare physician payment / SGR (HR 2; HR 1470; S 810); Medicare Therapeutic Shoes program for persons with diabetes; Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661)

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

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

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313) as well as prepared and responded to congressional inquiry during markup of S.313 in Senate Finance Committee. Supported a fly-in Hill day where practitioner members asked for their representatives to support locum tenens legislation, the reform and repeal of the sustainable growth rate as well as the Medicare therapy cap in the same bill. Advocated for the inclusion of the permanent repeal of the therapy cap as well as support for HR1650 and HR 1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 2, Medicare Access and CHIP Reauthorization Act: To repeal the Medicare sustainable growth rate and reauthorize the Children's Health Insurance Program. H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015: To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 1650, Medicare Patient Empowerment Act: Private contracting in Medicare H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2126, Cutting Costly Codes Act: ICD-10 coding H.R. 2247, ICD-TEN Act: ICD-10 coding H.R. 2652, Protecting Patients and Physicians Against Coding Act: ICD-10 coding H.R. 3018, Code-FLEX Act: ICD-10 coding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 2, Medicare Access and CHIP Reauthorization Act: To repeal the Medicare sustainable growth rate and reauthorize the Children's Health Insurance Program. H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015: To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 1650, Medicare Patient Empowerment Act: Private contracting in Medicare H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2126, Cutting Costly Codes Act: ICD-10 coding H.R. 2247, ICD-TEN Act: ICD-10 coding H.R. 2652, Protecting Patients and Physicians Against Coding Act: ICD-10 coding H.R. 3018, Code-FLEX Act: ICD-10 coding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 2, Medicare Access and CHIP Reauthorization Act: To repeal the Medicare sustainable growth rate and reauthorize the Children's Health Insurance Program. H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015: To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 1650, Medicare Patient Empowerment Act: Private contracting in Medicare H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2126, Cutting Costly Codes Act: ICD-10 coding H.R. 2247, ICD-TEN Act: ICD-10 coding H.R. 2652, Protecting Patients and Physicians Against Coding Act: ICD-10 coding H.R. 3018, Code-FLEX Act: ICD-10 coding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks. Support legislation to eliminate the Independent Payment Advisory Board (S.141, H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015). Lobby in support of legislation to enact a permanent repeal to the Medicare sustainable growth rate (H.R. 2, Medicare Access and CHIP Reauthorization Act ). Lobby in support of legislation to rescind or delay policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global period codes to 0-day global period codes in 2017 and 2018. (H.R. 2 Medicare Access and CHIP Reauthorization Act ). Advocate on issues related to waste, fraud and abuse in Medicare Advocate for increased funding and reforms to Graduate Medical Education. Lobby Congress on impact of Health Information Technology. Lobby Congress in opposition to repeal of the in-office ancillary and physician services exception for anatomic pathology services. Lobby Congress on issues related to telemedicine and Medicare reimbursement. Advocate on use and availability of health care data. Lobby in support of legislation to extend the 90 day reporting period for demonstration meaningful use in 2015 (H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act) Advocate for EHR interoperability with clinical data registries for quality improvement purposes in the 21st Century Cures Act (H.R. 6). Lobby in support of legislation to require the Secretary of Health and Human Services to issue guidance on the application of the Common Rule to clinical data registries (H.R. 965, Facilitating Participation in Clinical Data Registries Act of 2015). Support for legislation to enhance Medicare beneficiaries access to the physician of their choice (H.R. 1650, the Medicare Patient Empowerment Act). Support legislation to protect physicians and provide flexibility during the ICD-10 transition (H.R. 2126), the Cutting Costly Codes Act, (H.R. 2247), the Increasing Clarity for Doctors by Transitioning Effectively Now (ICD-TEN) Act and (H.R. 2652), the Protecting Patients and Physicians against Coding Act). Advocate for changes that would improve health outcomes for Medicare patients with chronic conditions.

Client expense: $377,934 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 1650, Medicare Patient Empowerment Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H.R. 1892, Trade Adjustment Assistance (TAA) Reauthorization Act of 2015, provisions relating to Medicare Sequestration Offset S. 1268, Trade Adjustment Assistance (TAA) Reauthorization Act of 2015, provisions relating to Medicare Sequestration Offset H.R. 1295, Trade Preferences Extension Act of 2015, provisions relating to Medicare cuts H.R. 1314, Trade Act of 2015, provisions relating to Medicare sequester H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, provisions relating to IPAB repeal H.R. 1220, Removing Barriers to Colorectal Cancer Screening Act of 2015, all provisions S. 624, Removing Barriers to Colorectal Cancer Screening Act of 2015, all provisions S. 1549, Care Planning Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 2126, Cutting Costly Codes Act of 2015, all provisions H.R. 1571, Improving Access to Medicare Coverage Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 2404, Treat and Reduce Obesity Act of 2015, all provisions S. 1509, Treat and Reduce Obesity Act of 2015, all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions S. 1549, Care Planning Act of 2015, all provisions H.R. 2247, ICD-TEN Act, all provisions S. 488, 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, all provisions H.R. 1021, Protecting the Integrity of Medicare Act of 2015, provisions relating to Medicare pharmacy and physician lock-in Stopping Medication Abuse and protecting Seniors Act of 2015 draft legislation, provisions related to Medicare lock-in Audit and Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015 draft legislation Medicare program: Alternate payment models, merit-based incentive payment systems Medicare program: Two Midnights rule Medicare program: Private Contracting Medicare program: ICD-10 Repeal Medicare program: SGR Repeal Medicare program: ICD-10 transition Medicare program: Payment Reform - Means Testing; Medigap Reform Medicare program: EHR - Meaningful Use/Interoperability Medicare program: Meaningful Use, Stage 3 Medicare program: Meaningful Use - Certification, Physician Quality Reporting System, Physician Compare, penalties Medicare program: Advance care planning Medicare program: Medicare Appeals Backlog Medicare program: Recovery Audit Contractors Medicare program: Part D Coverage Medicare program: Part D Beneficiary Lock-in Medicare program: Part B drug payment policies Medicare program: Value-based Modifier Medicare program: Relative Value Update Committee (RUC) Medicare program: ICD-10 Implementation Medicare program: Chronic Care Medicare program: In-office Ancillary Services Exception Medicare program: Program Integrity Medicare program: Laboratory Developed Tests (LDTs) Medicare program: Shared Savings Program - ACO regulations Medicare program: Annual Wellness Visit Medicare program: Telehealth Medicare program: Quality measure development funding Medicare program: Medicare Advantage/transparency and beneficiary and provider protections Medicare program: Data Release Medicare program: HIPAA Administrative simplification (ICD-10, EFT, virtual credit cards) Medicare program: CLIA modernization Medicare program: Graduate Medical Education Medicare program: Global surgical services unbundling Medicare program: Physician-owned hospitals Medicare program: Sequester Medicare program: Alternative payment models Medicare program: Prescription drug diversion Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act implementation Medicare and Medicaid programs: Primary care payment

Client expense: $12,400,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office