Truth in Healthcare Marketing Act of 2015

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

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

Funding for Chiropractic programs within the budget of the Department of HHS Regulatory issues relating to Medical Records Privacy (HIPAA). H.R.1707 Access to Frontline Health Care Act H.R.1741 Truth in Healthcare Marketing Act H.R. 542 National Service Corps Improvement Act H.R. 921 Sports Medicine Licensure Clarity Act S.689 Sports Medicine Licensure Clarity Act H.R. 3851 Chiropractic Membership in the Public Health Service Corps Act

Client expense: $33,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2603, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs H.R.3014, Medical Controlled Substances Transportation Act of 2015 S. 524, Comprehensive Addiction & Recovery Act of 2016 H.R. 1725, National All Schedules Prescription Electronic Reporting Act S. 2873, Expanding Capacity for Health Outcomes (ECHO) Act 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

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

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 3770, End Surprise Billing Act of 2015 Hospital Improvements for Payment Act Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling- Medicare sequestration QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

A bill providing for comprehensive tax reform (Not introduced) H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 4565, Responsibility in Drug Advertising Act of 2016 S. 2623, Protecting Americans from Drug Marketing Act H.R. 6043/S. 3335, FAIR Drug Pricing Act FTC Reauthorization Act of 2016 (Not introduced)

Client expense: Not reported · Firm income: $170,000

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

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

HR 6, 21st Century Cures Act. HR 1312, National Health Service Corps Improvement Act of 2015. HR 1741, Truth in Healthcare Marketing Act of 2015. HR 5926 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017. S 586, the National Diabetes Clinical Care Commission Act of 2016. S 898, National Health Service Corps Improvement Act of 2015. S 2371, Physician Shortage Minimization Act of 2015. S 2777, the Contact Lens Consumer Health Protection Act of 2016.

Client expense: $370,000 · Firm income: Not reported

HR 1741, Truth in Healthcare Marketing Act.

Client expense: $370,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Funding for Chiropractic programs within the budget of the Department of HHS Regulatory issues relating to Medical Records Privacy (HIPAA). H.R.1707 Access to Frontline Health Care Act H.R.1741 Truth in Healthcare Marketing Act H.R. 542 National Service Corps Improvement Act H.R. 921 Sports Medicine Licensure Clarity Act S.689 Sports Medicine Licensure Clarity Act H.R. 3851 Chiropractic Membership in the Public Health Service Corps Act

Client expense: $33,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

Comments to the Institute of Medicine's Committee on Accessible and Affordable Hearing Health Care for Adults regarding the delivery of hearing healthcare services in the United States. Encourage USP to maintain current rules applicable to allergen extracts with sterile compounding. H.R. 1741, the "Truth in Healthcare Marketing Act of 2015," all provisions. H.R. 1859/S. 2782, the "Ensuring Childrens Access to Specialty Care Act," all provisions. S. 2978, the Protect Continuing Physician Education and Patient Care Act," all provisions. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re:Docket No. FDA-2015-N-4602 for Streamlining Regulations for Good Manufacturing Practices for Hearing Aids; Public Workshop; Request for Comments.

Client expense: $190,000 · 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

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2603, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs H.R.3014, Medical Controlled Substances Transportation Act of 2015 S. 524, Comprehensive Addiction & Recovery Act of 2016 H.R. 1725, National All Schedules Prescription Electronic Reporting Act 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Client expense: $190,000 · Firm income: Not reported

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 3770, End Surprise Billing Act of 2015 Hospital Improvements for Payment Act Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling- Medicare sequestration QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

Client expense: $190,000 · Firm income: Not reported

A bill providing for comprehensive tax reform (Not introduced) H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 4565, Responsibility in Drug Advertising Act of 2016 S. 2623, Protecting Americans from Drug Marketing Act FTC Reauthorization Act of 2016 (Not introduced)

Client expense: Not reported · Firm income: $170,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1707, Access to Frontline Health Care Act, all sections H.R. 1741, Truth in Health Marketing Act, all sections H.R. 1190, Protecting Seniors Access to Medicare Act, all sections S. 141, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 4. Independent Payment Advisory Board H.R. 1312, National Health Service Corps Improvement Act Meaningful Use/EHR program issues P.L. 113-54, Drug Quality & Security Act, all sections Protecting Access to Medicare Act (P.L. 113-93) ASC Quality Reporting Program Medicare Advantage plan network adequacy H.R. 270, FlexIT Act, all sections H.R. 3309, Flex IT 2 Act, all sections S. 2141, Trust IT Act 2016 Physician Schedule Rule, sections pertaining to fee cuts Drug Price Increases Medicare Part B Drug Demonstration Medicare Access and CHIP Reauthorization Act (PL114-10) S.2777, Contact Lens Consumer Health Protection Act H.R. 6, 21st Century Cures Proposed 2017 Physician Fee Schedule. Section pertaining to global surgery data collection proposal

Client expense: $170,000 · Firm income: Not reported

HR 6, 21st Century Cures Act. HR 1312, National Health Service Corps Improvement Act of 2015. HR 1741, Truth in Healthcare Marketing Act. S 898, National Health Service Corps Improvement Act. S 2371, Physician Shortage Minimization Act of 2015. S 2777, the Contact Lens Consumer Health Protection Act of 2016.

Client expense: $790,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1741, Truth in Healthcare Marketing Act.

Client expense: $790,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Comments to the Institute of Medicine's Committee on Accessible and Affordable Hearing Health Care for Adults regarding the delivery of hearing healthcare services in the United States. Encourage USP to maintain current rules applicable to allergen extracts with sterile compounding. H.R. 1741, the "Truth in Healthcare Marketing Act of 2015," all provisions. H.R. 1859/S. 2782, the "Ensuring Childrens Access to Specialty Care Act," all provisions. S. 2978, the Protect Continuing Physician Education and Patient Care Act," all provisions. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re:Docket No. FDA-2015-N-4602 for Streamlining Regulations for Good Manufacturing Practices for Hearing Aids; Public Workshop; Request for Comments.

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

Funding for Chiropractic programs within the budget of the Department of HHS Regulatory issues relating to Medical Records Privacy (HIPAA). H.R.1707 Access to Frontline Health Care Act H.R.1741 Truth in Healthcare Marketing Act H.R. 542 National Service Corps Improvement Act H.R. 921 Sports Medicine Licensure Clarity Act S.689 Sports Medicine Licensure Clarity Act H.R. 3851 Chiropractic Membership in the Public Health Service Corps Act

Client expense: $33,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2603, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs H.R. 1152, Preservation of Antibiotics for Medical Treatment Act of 2015 S.621, Preventing Antibiotic Resistance Act of 2015 H.R. 1455, Speeding Access to Already Improved Pharmaceuticals Act of 2015 H.R.3014, Medical Controlled Substances Transportation Act of 2015 S. 524, Comprehensive Addiction & Recovery Act of 2016 H.R. 1725, National All Schedules Prescription Electronic Reporting Act 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination FDA Sugammadex Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

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

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2603, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs H.R. 1152, Preservation of Antibiotics for Medical Treatment Act of 2015 S.621, Preventing Antibiotic Resistance Act of 2015 H.R. 1455, Speeding Access to Already Improved Pharmaceuticals Act of 2015 H.R.3014, Medical Controlled Substances Transportation Act of 2015 S. 524, Comprehensive Addiction & Recovery Act of 2016 H.R. 1725, National All Schedules Prescription Electronic Reporting Act 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Pediatric Anesthesia Research Funding Scope of Practice FDA Operating Room Fires State Exchanges pursuant to PPACA Naloxone ICD-10-CM/PCS and proposed delay of implementation date FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination FDA Sugammadex Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding

Client expense: $260,000 · Firm income: Not reported

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act H.R. 1470, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 S.810, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 1247, Improving Access to Quality Care Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

H.R. 1707, Access to Frontline Health Care Act, all sections H.R. 1741, Truth in Health Marketing Act, all sections H.R. 1190, Protecting Seniors Access to Medicare Act, all sections S. 141, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 1312, National Health Service Corps Improvement Act Meaningful Use/EHR program issues P.L. 113-54, Drug Quality & Security Act, all sections Protecting Access to Medicare Act (P.L. 113-93) ASC Quality Reporting Program Medicare Advantage plan network adequacy H.R. 270, FlexIT Act, all sections H.R. 3309, Flex IT 2 Act, all sections H.R. 3940, Meaningful Use Hardship Relief Act S. 2141, Trust IT Act 2016 Physician Schedule Rule, sections pertaining to fee cuts Drug Price Increases Medicare Part B Drug Demonstration Medicare Access and CHIP Reauthorization Act (PL114-10) S.2777, Contact Lens Consumer Health Protection Act H.R. 6, 21st Century Cures

Client expense: $230,000 · 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

A bill providing for comprehensive tax reform (Not introduced) H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 4565, Responsibility in Drug Advertising Act of 2016 S. 2623, Protecting Americans from Drug Marketing Act FTC Reauthorization Act of 2016 (Not introduced)

Client expense: Not reported · Firm income: $170,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1741, Truth in Healthcare Marketing Act, all sections relating to vision.

Client expense: $300,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1312, National Health Service Corps Improvement Act of 2015, all sections relating to vision. HR 1741, Truth in Healthcare Marketing Act, all sections relating to vision. S 898, National Health Service Corps Improvement Act, all sections relating to vision.

Client expense: $300,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Comments to the Institute of Medicine's Committee on Accessible and Affordable Hearing Health Care for Adults regarding the delivery of hearing healthcare services in the United States. Encourage USP to maintain current rules applicable to allergen extracts with sterile compounding. H.R. 1741, the Truth in Healthcare Marketing Act of 2015, all provisions.

Client expense: $130,000 · 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), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

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

Funding for Chiropractic programs within the budget of the Department of HHS Regulatory issues relating to Medical Records Privacy (HIPAA). H.R.1707 Access to Frontline Health Care Act H.R.1741 Truth in Healthcare Marketing Act H.R. 542 National Service Corps Improvement Act H.R. 921 Sports Medicine Licensure Clarity Act S.689 Sports Medicine Licensure Clarity Act H.R. 3851 Chiropractic Membership in the Public Health Service Corps Act

Client expense: $33,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 1707, Access to Frontline Health Care Act, all sections H.R. 1741, Truth in Health Marketing Act, all sections H.R. 1190, Protecting Seniors Access to Medicare Act, all sections S. 141, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 1312, National Health Service Corps Improvement Act Meaningful Use/EHR program issues P.L. 113-54, Drug Quality & Security Act, all sections Protecting Access to Medicare Act (P.L. 113-93) ASC Quality Reporting Program Medicare Advantage plan network adequacy H.R. 270, FlexIT Act, all sections H.R. 3309, Flex IT 2 Act, all sections H.R. 3940, Meaningful Use Hardship Relief Act S. 2141, Trust IT Act 2016 Physician Schedule Rule, sections pertaining to fee cuts Drug Price Increases Medicare Part B Drug Demonstration

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

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2603, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs H.R. 1152, Preservation of Antibiotics for Medical Treatment Act of 2015 S.621, Preventing Antibiotic Resistance Act of 2015 H.R. 1455, Speeding Access to Already Improved Pharmaceuticals Act of 2015 H.R.3014, Medical Controlled Substances Transportation Act of 2015 S. 524, Comprehensive Addiction & Recovery Act of 2016 H.R. 1725, National All Schedules Prescription Electronic Reporting Act 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Pediatric Anesthesia Research Funding Scope of Practice FDA Operating Room Fires State Exchanges pursuant to PPACA Naloxone ICD-10-CM/PCS and proposed delay of implementation date FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination FDA Sugammadex Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding

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

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act H.R. 1470, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 S.810, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 1247, Improving Access to Quality Care Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

A bill providing for comprehensive tax reform (Not introduced) H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 4565, Responsibility in Drug Advertising Act of 2016 S. 2623, Protecting Americans from Drug Marketing Act FTC Reauthorization Act of 2016 (Not introduced)

Client expense: Not reported · Firm income: $170,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

A bill providing for comprehensive tax reform (Not introduced) H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 4565, Responsibility in Drug Advertising Act of 2016 S. 2623, Protecting Americans from Drug Marketing Act FTC Reauthorization Act of 2016 (Not introduced)

Client expense: Not reported · Firm income: $170,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

A bill providing for comprehensive tax reform (Not introduced) H.R. 1741, Truth in Healthcare Marketing Act of 2015 FTC Reauthorization Act of 2015 (Not introduced)

Client expense: Not reported · 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

H.R. 1741 truth in Health Care Marketing Act H.R. 33 Protecting Volunteer Firefighters and Emergency Responder Act H.R. 2366 To Provide Improvement of field emergency medical services, and for other purposes

Client expense: Not reported · Firm income: Not reported

H.R. 1741 truth in Health Care Marketing Act H.R. 33 Protecting Volunteer Firefighters and Emergency Responder Act H.R. 2366 To Provide Improvement of field emergency medical services, and for other purposes

Client expense: Not reported · Firm income: Not reported

Optometric Equity in Medicaid Act, Federal mandates for Medicaid of optometric medical & surgical coverage, all sections SGR - Medicare Physician Payment Reform H.R. 1707, Access to Frontline Health Care Act, all sections H.R. 1741, Truth in Health Marketing Act, all sections H.R. 1190, Protecting Seniors Access to Medicare Act, all sections S. 141, Protecting Seniors Access to Medicare Act, all sections P.L. 111-192, Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010, all sections related to physicians and vision P.L. 111-148 Affordable Care Act, modifications: 1. Reducing regulatory/costly burdens on medical practices - relief from regulatory penalties 2. Preserving patient access to office ancillary testing services 3. Essential Benefits - Children's Vision 4. Independent Payment Advisory Board H.R. 1312, National Health Service Corps Improvement Act Meaningful Use/EHR program issues P.L. 113-54, Drug Quality & Security Act, all sections H.R. 2, Medicare Access & CHIP Reauthorization Act Protecting Access to Medicare Act (P.L. 113-93) ASC Quality Reporting Program Medicare Advantage plan network adequacy 2015 Physician Schedule Rule, Issues pertaining to clinical data regional/global surgery payments H.R. 270, FlexIT Act, all sections H.R. 3309, Flex IT 2 Act, all sections H.R. 3940, Meaningful Use Hardship Relief Act S. 2141, Trust IT Act 2016 Physician Schedule Rule, sections pertaining to fee cuts Drug Price Increases

Client expense: $160,000 · 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

HR 1741, Truth in Healthcare Marketing Act, all sections relating to vision.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE