Trade Adjustment Assistance Reauthorization Act of 2015

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

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

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

Agriculture/food-related provisions of: H.R.1567 Global Food Security Act of 2016 H.R.1890 Bipartisan Congressional Trade Priorities and Accountability Act of 2015 H.R.1892 Trade Adjustment Assistance Reauthorization Act of 2015 H.R.1907 Trade Facilitation and Trade Enforcement Act of 2015 H.R.1916 Trade Enforcement and Trade Facilitation Act of 2015 H.R.274United States-Cuba Normalization Act of 2015 H.R.3238 Cuba Trade Act of 2015 H.R.3687 Cuba Agricultural Exports Act H.R.403Free Trade With Cuba Act H.R.635Promoting American Agricultural and Medical Exports to Cuba Act of 2015 H.R.735Cuba Reconciliation Act S.1252 Global Food Security Act of 2016 S.1543 Cuba Trade Act of 2015 S.491 FreedomtoExporttoCubaActof2015 S.525 Food for Peace Reform Act of 2015 Issues other than legislation: Trade (domestic/foreign) Agricultural trade issues for the World Trade Organization. Revisions to U.S. sanctions policy. Export licensing requirements for agricultural sales. Implementation of Trade Adjustment Assistance to agricultural producers. Impact of domestic agricultural policy on trade agreements. Inclusion of labor and environmental standards in agricultural trade negotiations. International food assistance. Mechanisms to address impact of exchange rate fluctuations on trade. Implementation of Byrd Amendment. Agricultural imports. Harmonization of environmental regulations. Bilateral and regional trade negotiations and agreements. Misaligned currency.

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

Government targets: Agriculture, Dept of (USDA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

General Free Trade Issues: Trans-Pacific Partnership discussions (no specific legislation at this time); Transatlantic Trade and Investment Partnership with the European Union (no specific legislation at this time); H.R. 1314, Trade Act of 2015; H.R. 1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; S.995, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; H.R. 1892, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 2146, Defending Public Safety Employees' Retirement Act; S. 1268, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 644, Trade Facilitation and Trade Enforcement Act of 2015; proposals pertaining to a value added tax or border adjustment tax (no specific legislation at this time).

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

Government targets: Consumer Financial Protection Bureau (CFPB), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

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

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

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

Agriculture/food-related provisions of: H.R.1567 Global Food Security Act of 2016 H.R.1890 Bipartisan Congressional Trade Priorities and Accountability Act of 2015 H.R.1892 Trade Adjustment Assistance Reauthorization Act of 2015 H.R.1907 Trade Facilitation and Trade Enforcement Act of 2015 H.R.1916 Trade Enforcement and Trade Facilitation Act of 2015 H.R.274United States-Cuba Normalization Act of 2015 H.R.3238 Cuba Trade Act of 2015 H.R.3687 Cuba Agricultural Exports Act H.R.403Free Trade With Cuba Act H.R.635Promoting American Agricultural and Medical Exports to Cuba Act of 2015 H.R.735Cuba Reconciliation Act S.1252 Global Food Security Act of 2016 S.1543 Cuba Trade Act of 2015 S.491 FreedomtoExporttoCubaActof2015 S.525 Food for Peace Reform Act of 2015 Issues other than legislation: Trade (domestic/foreign) Agricultural trade issues for the World Trade Organization. Revisions to U.S. sanctions policy. Export licensing requirements for agricultural sales. Implementation of Trade Adjustment Assistance to agricultural producers. Impact of domestic agricultural policy on trade agreements. Inclusion of labor and environmental standards in agricultural trade negotiations. International food assistance. Mechanisms to address impact of exchange rate fluctuations on trade. Implementation of Byrd Amendment. Agricultural imports. Harmonization of environmental regulations. Bilateral and regional trade negotiations and agreements. Misaligned currency.

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

Government targets: Agriculture, Dept of (USDA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

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

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

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

Agriculture/food-related provisions of: H.R.1567 Global Food Security Act of 2016 H.R.1890 Bipartisan Congressional Trade Priorities and Accountability Act of 2015 H.R.1892 Trade Adjustment Assistance Reauthorization Act of 2015 H.R.1907 Trade Facilitation and Trade Enforcement Act of 2015 H.R.1916 Trade Enforcement and Trade Facilitation Act of 2015 H.R.274United States-Cuba Normalization Act of 2015 H.R.3238 Cuba Trade Act of 2015 H.R.3687 Cuba Agricultural Exports Act H.R.403Free Trade With Cuba Act H.R.635Promoting American Agricultural and Medical Exports to Cuba Act of 2015 H.R.735Cuba Reconciliation Act S.1252 Global Food Security Act of 2016 S.1543 Cuba Trade Act of 2015 S.491 FreedomtoExporttoCubaActof2015 S.525 Food for Peace Reform Act of 2015 Issues other than legislation: Trade (domestic/foreign) Agricultural trade issues for the World Trade Organization. Revisions to U.S. sanctions policy. Export licensing requirements for agricultural sales. Implementation of Trade Adjustment Assistance to agricultural producers. Impact of domestic agricultural policy on trade agreements. Inclusion of labor and environmental standards in agricultural trade negotiations. International food assistance. Mechanisms to address impact of exchange rate fluctuations on trade. Implementation of Byrd Amendment. Agricultural imports. Harmonization of environmental regulations. Bilateral and regional trade negotiations and agreements. Misaligned currency.

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

Government targets: Agriculture, Dept of (USDA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

General Free Trade Issues: Trans-Pacific Partnership discussions (no specific legislation at this time); Transatlantic Trade and Investment Partnership with the European Union (no specific legislation at this time); H.R. 1314, Trade Act of 2015; H.R. 1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; S.995, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; H.R. 1892, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 2146, Defending Public Safety Employees' Retirement Act; S. 1268, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 644, Trade Facilitation and Trade Enforcement Act of 2015.

Client expense: $355,000 · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

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

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

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

General Free Trade Issues: Trans-Pacific Partnership discussions (no specific legislation at this time); Transatlantic Trade and Investment Partnership with the European Union (no specific legislation at this time); H.R. 1314, Trade Act of 2015; H.R. 1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; S.995, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; H.R. 1892, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 2146, Defending Public Safety Employees' Retirement Act; S. 1268, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 644, Trade Facilitation and Trade Enforcement Act of 2015.

Client expense: $225,000 · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Agriculture/food-related provisions of: H.R.274, U.S.-Cuba Normalization Act of 2015 H.R.403, Free Trade With Cuba Act H.R.491, Freedom to Export to Cuba Act of 2015 H.R.635, 2015 Promoting American Agricultural and Medical Exports to Cuba H.R.735, Cuba Reconciliation Act H.R.1567, Global Food Security Act of 2015 S.525, Food for Peace Reform Act of 2015 H.R.1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015 H.R.1892, Trade Adjustment Assistance Reauthorization Act of 2015 H.R.1907, Trade Facilitation and Trade Enforcement Act of 2015 H.R.1916, Trade Enforcement and Trade Facilitation Act of 2015 S.1252, Global Food Security Act of 2015 S.1543, Cuba Trade Act of 2015 H.R.3238, Cuba Trade Act of 2015 H.R.3687, Cuba Agricultural Exports Act Issues other than legislation: Trade (domestic/foreign) Agricultural trade issues for the World Trade Organization. Revisions to U.S. sanctions policy. Export licensing requirements for agricultural sales. Implementation of Trade Adjustment Assistance to agricultural producers. Impact of domestic agricultural policy on trade agreements. Inclusion of labor and environmental standards in agricultural trade negotiations. International food assistance. Mechanisms to address impact of exchange rate fluctuations on trade. Implementation of Byrd Amendment. Agricultural imports. Harmonization of environmental regulations. Bilateral and regional trade negotiations and agreements. Misaligned currency.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Aviation Administration (FAA), Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation Security Administration (TSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Copyright Office, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

US Export Controls, US Customs Regulations; H.R.1031 - Promoting U.S. Jobs Through Exports Act of 2015; H.R.1175 - Clean Energy Technology Manufacturing and Export Assistance Act of 2015; H.R.1403 - Balancing Trade Act of 2015; H.R.1605 - Export-Import Bank Termination Act; H.R.1890 - Trade Priorities and Accountability Act of 2015; H.R.1892 - Trade Adjustment Assistance Reauthorization Act of 2015; H.R.1916 - Trade Enforcement and Trade Facilitation Act of 2015; H.R.222 - To prohibit the Export-Import Bank of the United States from providing financial support for certain high carbon intensity energy projects.; H.R.2523 - American Trade Enforcement Effectiveness Act; H.R.2586 - Export Coordination Act; H.R.2587 - To further enhance the promotion of exports of United States goods and services, and for other purposes.; H.R.2701 - To direct the President to impose duties on merchandise from the People's Republic of China in an amount equivalent to the estimated annual loss of revenue to holders of United States intellectual property rights as a result of violations of such intellectual property rights in China, and for other purposes.; H.R.597 - Reform Exports and Expand the American Economy Act; H.R.644 - Trade Facilitation and Trade Enforcement Act; H.R.820 - Currency Reform for Fair Trade Act; S.1267 - Trade Preferences Extension Act of 2015; S.1268 - Trade Adjustment Assistance Reauthorization Act of 2015; S.1546 - A bill to establish an export credit insurance program in the Small Business Administration; S.25 - Small Business Export Growth Act of 2015; S.758 - Trade Enforcement Act of 2015; S.819 - Export-Import Bank Reform and Reauthorization Act of 2015; S.824 - Promoting U.S. Jobs through Exports Act of 2015; S.995 - Trade Priorities and Accountability Act of 2015

Client expense: $219,103 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 2151 - Improving Oversight and Accountability in Medicaid Non-DSH Supplemental Payments Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821 - Medicaid Directory of Caregivers (Medicaid DOC) Act S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act

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

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

"Trade Facilitation and Trade Enforcement Act of 2015," H.R.644. "The Bipartisan Congressional Trade Priorities and Accountability Act of 2015," S. 995. "The Trade Adjustment Assistance Reauthorization Act of 2015," H.R. 1892. Advocated for strong trade enforcement, "Leveling the Playing Field Act," S.891.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Export Controls, Sanctions, Customs Regulations, WTO Information Technology Agreement - H.R. 644 Trade Facilitation and Trade Enforcement Act of 2015;US Export Controls, US Customs Regulations; H.R.1031 - Promoting U.S. Jobs Through Exports Act of 2015; H.R.1175 - Clean Energy Technology Manufacturing and Export Assistance Act of 2015; H.R.1403 - Balancing Trade Act of 2015; H.R.1605 - Export-Import Bank Termination Act; H.R.1890 - Trade Priorities and Accountability Act of 2015; H.R.1892 - Trade Adjustment Assistance Reauthorization Act of 2015; H.R.1916 - Trade Enforcement and Trade Facilitation Act of 2015; H.R.2146 - Bipartisan Congressional Trade Priorities and Accountability Act of 2015; H.R.222 - To prohibit the Export-Import Bank of the United States from providing financial support for certain high carbon intensity energy projects.; H.R.2523 - American Trade Enforcement Effectiveness Act; H.R.2586 - Export Coordination Act; H.R.2587 - To further enhance the promotion of exports of United States goods and services, and for other purposes.; H.R.2701 - To direct the President to impose duties on merchandise from the People's Republic of China in an amount equivalent to the estimated annual loss of revenue to holders of United States intellectual property rights as a result of violations of such intellectual property rights in China, and for other purposes; H.R.597 - Reform Exports and Expand the American Economy Act; H.R.644 - Trade Facilitation and Trade Enforcement Act of 2015; H.R.820 - Currency Reform for Fair Trade Act; S.1267 - Trade Preferences Extension Act of 2015; S.1268 - Trade Adjustment Assistance Reauthorization Act of 2015; S.1546 - A bill to establish an export credit insurance program in the Small Business Administration; S.25 - Small Business Export Growth Act of 2015; S.758 - Trade Enforcement Act of 2015; S.819 - Export-Import Bank Reform and Accountability Act of 2015

Client expense: $189,288 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Science & Technology Policy (OSTP), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Trade Representative (USTR)

General Free Trade Issues: Trans-Pacific Partnership discussions (no specific legislation at this time); Transatlantic Trade and Investment Partnership with the European Union (no specific legislation at this time); H.R. 1314, Trade Act of 2015; H.R. 1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; S.995, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; H.R. 1892, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 2146, Defending Public Safety Employees' Retirement Act; S. 1268, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 644, Trade Facilitation and Trade Enforcement Act of 2015.

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

Government targets: Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Agriculture/food-related provisions of: H.R.274, U.S.-Cuba Normalization Act of 2015 H.R.403, Free Trade With Cuba Act H.R.491, Freedom to Export to Cuba Act of 2015 H.R.635, 2015 Promoting American Agricultural and Medical Exports to Cuba H.R.735, Cuba Reconciliation Act H.R.1567, Global Food Security Act of 2015 S.525, Food for Peace Reform Act of 2015 H.R.1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015 H.R.1892, Trade Adjustment Assistance Reauthorization Act of 2015 H.R.1907, Trade Facilitation and Trade Enforcement Act of 2015 H.R.1916, Trade Enforcement and Trade Facilitation Act of 2015 S.1252, Global Food Security Act of 2015 S.1543, Cuba Trade Act of 2015 H.R.3238, Cuba Trade Act of 2015 H.R.3687, Cuba Agricultural Exports Act Issues other than legislation: Trade (domestic/foreign) Agricultural trade issues for the World Trade Organization. Revisions to U.S. sanctions policy. Export licensing requirements for agricultural sales. Implementation of Trade Adjustment Assistance to agricultural producers. Impact of domestic agricultural policy on trade agreements. Inclusion of labor and environmental standards in agricultural trade negotiations. International food assistance. Mechanisms to address impact of exchange rate fluctuations on trade. Implementation of Byrd Amendment. Agricultural imports. Harmonization of environmental regulations. Bilateral and regional trade negotiations and agreements. Misaligned currency.

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

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Issues related to currency policy and auto tariff policy in international trade agreements, and Trans-Pacific Partnership.(HR 644, HR 1892, S 1003)

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General Free Trade Issues: Trans-Pacific Partnership discussions (no specific legislation at this time); Transatlantic Trade and Investment Partnership with the European Union (no specific legislation at this time); H.R. 1314, Trade Act of 2015; H.R. 1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; S.995, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; H.R. 1892, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 2146, Defending Public Safety Employees' Retirement Act; S. 1268, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 644, Trade Facilitation and Trade Enforcement Act of 2015.

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

Government targets: Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Automated Export System - data element requirements for Exporters; H.R.2146 - Bipartisan Congressional Trade Priorities and Accountability Act of 2015; US Export Controls, US Customs Regulations; H.R.1031 - Promoting U.S. Jobs Through Exports Act of 2015; H.R.1175 - Clean Energy Technology Manufacturing and Export Assistance Act of 2015; H.R.1403 - Balancing Trade Act of 2015; H.R.1605 - Export-Import Bank Termination Act; H.R.1890 - Trade Priorities and Accountability Act of 2015; H.R.1892 - Trade Adjustment Assistance Reauthorization Act of 2015; H.R.1916 - Trade Enforcement and Trade Facilitation Act of 2015; H.R.222 - To prohibit the Export-Import Bank of the United States from providing financial support for certain high carbon intensity energy projects.; H.R.2523 - American Trade Enforcement Effectiveness Act; H.R.2586 - Export Coordination Act; H.R.2587 - To further enhance the promotion of exports of United States goods and services, and for other purposes.; H.R.2701 - To direct the President to impose duties on merchandise from the People's Republic of China in an amount equivalent to the estimated annual loss of revenue to holders of United States intellectual property rights as a result of violations of such intellectual property rights in China, and for other purposes.; H.R.597 - Reform Exports and Expand the American Economy Act; H.R.644 - Trade Facilitation and Trade Enforcement Act; H.R.820 - Currency Reform for Fair Trade Act; S.1267 - Trade Preferences Extension Act of 2015; S.1268 - Trade Adjustment Assistance Reauthorization Act of 2015; S.1546 - A bill to establish an export credit insurance program in the Small Business Administration; S.25 - Small Business Export Growth Act of 2015; S.758 - Trade Enforcement Act of 2015; S.819 - Export-Import Bank Reform and and Accountability Act of 2015

Client expense: $172,526 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Natl Telecommunications & Information Administration (NTIA), Office of Science & Technology Policy (OSTP), SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act Telehealth provisions of the discussion draft 21st Century Cures legislation HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015

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

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

Issues related to currency policy and auto tariff policy in international trade agreements, and Trans-Pacific Partnership.(HR 644, HR 1892, S 1003)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

"Trade Facilitation and Trade Enforcement Act of 2015," H.R.644. "The Bipartisan Congressional Trade Priorities and Accountability Act of 2015," S. 995. "The Trade Adjustment Assistance Reauthorization Act of 2015," H.R. 1892. Advocated for strong trade enforcement, "Leveling the Playing Field Act," S.891.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Trans-Pacific Partnership; AD/CVD duty collections & enforcement; customs compliance issues; textile and apparel trade issues; WTO information Technology Agreement; CAFTA apparel provisions; Worker Safety in Bangladesh; Nicaragua TPL; Trans-Atlantic Trade and Investment Partnership; Environmental Goods Agreement, WTO Trade Facilitation Agreement; (H.R. 1088/S. 568) - Trade Adjustment Assistance Act of 2015; (S. 697) - Frank R. Lautenberg Chemical Safety for the 21st Century Act; (S. 725) - Alan Reinstein and Trevor Schaefer Toxic Chemical Protection Act; (H.R. 1907/S. 1269/H.R. 644) - Trade Facilitation and Trade Enforcement Act of 2015; (H.R. 2146) - Defending Public Safety Employees Retirement Act; (S. 1267/H.R. 1295) - Trade Preferences Extension Act of 2015; (H.R. 1314) - Trade Act of 2015; (S. 995/H.R. 1890) - Bipartisan Congressional Trade Priorities and Accountability Act of 2015; (H.R. 1916) - Trade Enforcement and Trade Facilitation Act of 2015; (S. 1003) - Trade Adjustment Assistance Enhancement Act of 2015; (H.R. 1892/S. 1268) - Trade Adjustment Assistance Reauthorization Act of 2015; (H.R. 2576) - TSCA Modernization Act of 2015

Client expense: $450,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, White House Office

Trade Promotion Authority. Generalized System of Preferences. "Trade Facilitation and Trade Enforcement Act of 2015," H.R.644. "The Bipartisan Congressional Trade Priorities and Accountability Act of 2015," S. 995. "The Trade Adjustment Assistance Reauthorization Act of 2015," H.R. 1892.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Agriculture/food-related provisions of: H.R.274, U.S.-Cuba Normalization Act of 2015 H.R.403, Free Trade With Cuba Act H.R.491, Freedom to Export to Cuba Act of 2015 H.R.635, 2015 Promoting American Agricultural and Medical Exports to Cuba H.R.735, Cuba Reconciliation Act H.R.1567, Global Food Security Act of 2015 S.525, Food for Peace Reform Act of 2015 H.R.1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015 H.R.1892, Trade Adjustment Assistance Reauthorization Act of 2015 H.R.1907, Trade Facilitation and Trade Enforcement Act of 2015 H.R.1916, Trade Enforcement and Trade Facilitation Act of 2015 S.1252, Global Food Security Act of 2015 S.1543, Cuba Trade Act of 2015 H.R.3238, Cuba Trade Act of 2015 Issues other than legislation: Trade (domestic/foreign) Agricultural trade issues for the World Trade Organization. Revisions to U.S. sanctions policy. Export licensing requirements for agricultural sales. Implementation of Trade Adjustment Assistance to agricultural producers. Impact of domestic agricultural policy on trade agreements. Inclusion of labor and environmental standards in agricultural trade negotiations. International food assistance. Mechanisms to address impact of exchange rate fluctuations on trade. Implementation of Byrd Amendment. Agricultural imports. Harmonization of environmental regulations. Bilateral and regional trade negotiations and agreements. Misaligned currency.

Client expense: $20,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

H.R. 928 (Boustany-Sinema) - full repeal of ACA health insurance tax H.R. 1270, Restoring Access to Medication Act (Jenkins) - HSA and FSA issues H.R. 1295, Trade Preferences Extension Act (Holding) - TAA health coverage tax credits H.R. 1892, Trade Adjustment Assistance Reauthorization Act (Reichert) - TAA health coverage tax credits H.R. 2050, Middle Class Health Benefits Tax Repeal Act (Courtney) - repeal of ACA excise tax on high-cost coverage S. 183, Jobs and Premium Protection Act (Barrasso) - full repeal of ACA health insurance tax S. 254, Small Business Health Relief Act (Portman) - full repeal of ACA health insurance tax, HSA and FSA issues S. 709, Restoring Access to Medication Act (Roberts) - HSA and FSA issues S. 879, Americans Giving Care to Elders Act (Klobuchar) - tax credits for family caregivers S. 1268, Trade Adjustment Assistance Reauthorization Act (Hatch) - TAA health coverage tax credits H.R. 879 the Ax the Tax on Middle Class Americans Health Plans Act (Guinta) - repeal of the excise tax on high cost employer-sponsored health coverage Regulatory Issues: Annual insurer provider fees; issues concerning the patient-centered outcomes research fee; employer and individual coverage mandate, W-2 reporting requirements, health reimbursement accounts, deductibility limits for insurer compensation, health insurer and employer reporting of health coverage, and other issues relating to health care reform implementation.

Client expense: $2,310,000 · 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), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

H.R. 2, Medicare Access and CHIP Reauthorization Act - Medicare physician payment reform, CHIP funding, Medigap, Medicare Advantage Special Needs Plans, Medicare Cost Plans, fraud provisions, QI and TMA programs H.R. 6, 21st Century Cures Act (Upton) - timing of certain Medicare Part D payments H.R. 588, Medicare Beneficiary Preservation of Choice Act (Rothfus-Schrader) - MA enrollment opportunities H.R. 818, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act (Roskam-Carney) - reducing fraud H.R. 1021, Protecting the Integrity of Medicare Act (Brady) - reducing fraud H.R. 1892, Trade Adjustment Assistance Reauthorization Act (Reichert) - Medicare sequestration cuts H.R. 2488, Medicare Beneficiary Preservation of Choice Act (Rothfus-Schrader) - MA open enrollment period H.R. 2505, Increasing Access to Data in Medicare Advantage Act (Kelly) - annual reporting of MA enrollment data H.R. 2506, Preventing Unnecessary Plan Terminations Act (Buchanan) - preventing certain MA plan terminations H.R. 2507, Increasing Regulatory Fairness Act (Brady) - rulemaking schedule for MA rates H.R. 2570, Strengthening Medicare Advantage through Innovation and Transparency for Seniors Act (Black) - Value-Based Insurance Design demonstration H.R. 2579, Securing Care for Seniors Act (Black) - MA risk adjustment model H.R. 2581, Preservation of Access for Seniors in Medicare Advantage Act (Brady) - Value-Based Insurance Design demonstration and MA open enrollment period H.R. 2582, Seniors Health Care Plan Protection Act (Buchanan) - preventing certain MA plan terminations, MA risk adjustment model H.Con.Res. 27, Budget Resolution (Price) - Medicare, Medicaid, health policy issues S. 861, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act (Carper-Enzi) - reducing fraud S. 1268, Trade Adjustment Assistance Reauthorization Act (Hatch) - Medicare sequestration cuts S. 1396, Value-Based Insurance Design Seniors Copayment Reduction Act (Thune-Stabenow) - VBID demonstration S. 1549, Care Planning Act (Warner) - advanced illness care coordination for Medicare beneficiaries S.Con.Res. 11, Budget Resolution (Enzi) - Medicare, Medicaid, health policy issues Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, encounter data and other data-related issues, Recovery Audit Contractor (RAC) audits, Part D prescriber enrollment requirement, and provider directories and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, and audits); in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, SSA and CMS premium withhold processing issues, enrollment rules, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible Special Needs Plans (SNPs); Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); ICD-10; Value-Based Insurance Design; Medication Therapy Management Program requirements; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) changes to the Part D coverage gap; ongoing implementation issues for the Medicare cost plan program including enrollment, marketing materials review and approval and other operational issues; implementation issues for the Medicare Retiree Drug Subsidy program; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including the Capitated Financial Alignment Demonstration; Medicaid managed care regulations and policies, including the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans ; issues related to Medigap coverage financing for infectious disease; and other issues relating to health care reform implementation. *Add MACPAC to Agency List

Client expense: $2,310,000 · 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), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

1. Trans-Pacific Partnership Agreement - proposals regarding pharmaceutical products and intellectual property rights 2. H.R. 1892, Trade Adjustment Assistance Reauthorization Act of 2015, entire bill 3. S. 1268,Trade Adjustment Assistance Reauthorization Act of 2015 4. S. 995, Bipartisan Congressional Trade Priorities and Accountability Act of 2015, entire bill 5. H.R. 1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015, entire bill 6. H.R. 2146, Defending Public Safety Employees' Retirement Act, provisions relating to trade promotion authority

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

General Free Trade Issues: Trans-Pacific Partnership discussions (no specific legislation at this time); Transatlantic Trade and Investment Partnership with the European Union (no specific legislation at this time); H.R. 1314, Trade Act of 2015; H.R. 1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; S.995, Bipartisan Congressional Trade Priorities and Accountability Act of 2015; H.R. 1892, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 2146, Defending Public Safety Employees' Retirement Act; S. 1268, Trade Adjustment Assistance Reauthorization Act of 2015; H.R. 644, Trade Facilitation and Trade Enforcement Act of 2015.

Client expense: $270,000 · Firm income: Not reported

Government targets: Consumer Financial Protection Bureau (CFPB), Executive Office of the President (EOP), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), Natl Labor Relations Board (NLRB), SENATE, Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Issues related to currency policy and auto tariff policy in international trade agreements, Trade Promotion Authority (HR 2146, S 995, HR 644, HR 1892, S 1003).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

US Export Controls, US Customs Regulations; H.R.1031 - Promoting U.S. Jobs Through Exports Act of 2015; H.R.1175 - Clean Energy Technology Manufacturing and Export Assistance Act of 2015; H.R.1403 - Balancing Trade Act of 2015; H.R.1605 - Export-Import Bank Termination Act; H.R.1890 - Trade Priorities and Accountability Act of 2015; H.R.1892 - Trade Adjustment Assistance Reauthorization Act of 2015; H.R.1916 - Trade Enforcement and Trade Facilitation Act of 2015; H.R.222 - To prohibit the Export-Import Bank of the United States from providing financial support for certain high carbon intensity energy projects.; H.R.2523 - American Trade Enforcement Effectiveness Act; H.R.2586 - Export Coordination Act; H.R.2587 - To further enhance the promotion of exports of United States goods and services, and for other purposes.; H.R.2701 - To direct the President to impose duties on merchandise from the People's Republic of China in an amount equivalent to the estimated annual loss of revenue to holders of United States intellectual property rights as a result of violations of such intellectual property rights in China, and for other purposes.; H.R.597 - Reform Exports and Expand the American Economy Act; H.R.644 - Trade Facilitation and Trade Enforcement Act; H.R.820 - Currency Reform for Fair Trade Act; S.1267 - Trade Preferences Extension Act of 2015; S.1268 - Trade Adjustment Assistance Reauthorization Act of 2015; S.1546 - A bill to establish an export credit insurance program in the Small Business Administration; S.25 - Small Business Export Growth Act of 2015; S.758 - Trade Enforcement Act of 2015; S.819 - Export-Import Bank Reform and Reauthorization Act of 2015; S.824 - Promoting U.S. Jobs through Exports Act of 2015; S.995 - Trade Priorities and Accountability Act of 2015

Client expense: $219,103 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Customs & Border Protection

HR 2-Medicare Access and CHIP Reauthorization Act: Elimination of fee for service SGR formula and funding for Teaching Halath Centers, Community Health Centers & Children's Health Insurance; Supported repeal of SGR and finding for THC; advocate for Senate to pass house Bill that would repeal SGR repeal and reform physician payment. HR 2-Reauthorize Teaching Health Center GME Program Funding: maintain the sustainability of the THCGME program. HR 2-Repeal Medicare Sustainable Growth Rate: Repeal SGR, positive update and higher rate for primary care. HR 596 Affordable Care Act Repeal: Urge Congress not to repeal the ACA. HR 1190-Protecting Seniors' Access to Medicare Act: Repeal of the Medicare Independent Payment Advisory Board. HR 1892-Trade Adjustment Assistance Act: Elimination of extension of Medicare provider payment sequester to pay for trade adjustment assistance. S. 1549-Care Planning Act: Supporting coverage for advanced care planning and discussions of treatment optoins for end of life care. No Bill No.-Health IT: Lobby to raise awareness of hardships created by implementation of Meaningful Use Program and about policies needed to achieve interoperability. No Bill No.-Graduate Medical Education: Advocate for introduction of a bill to require CMS to report data on residency positions; explain and advocate for AAFP's policy proposals on GME and for greater transparency within the Medicare GME program. No Bill No.-Support THCGME per resident amount close to current funding of $150,000; Maintain the sustainability of the THCGME program. No Bill No.-Speakers for Family Medicine Congressional Conference 2015: Health Information Technology. No Bill No.-Oppose Cuts to CMS in House draft FY16 bill: Competent administration of Medicare, Medicaid and CHIP. No Bill No.-Medicare Advantage and CCM Services: Urged adequate networks and MA coverage of the CCM code. No Bill No. - Mental Health and Addiction: Medicaid managed care access to mental and substance abuse services. No Bill No.-EHR Meaningful Use regulations: Shortening the MU reporting period for 2015 to 90 consecutive days rather than full year. No Bill No.-ACA Preventative Health Benefits: Supporting efforts to publicize the availability of preventative health benefits. No Bill No.-Chronic Care Working Group of the Senate finance Committee: Proposals to improve polocies for medicare beneficiaries who have multiple chronic conditions. No Bill No.-Extend Medicare/Medicare parity for primary care services: Extend increase in Medicaid payments for primary care services to Medicare levels beyond 2015. No Bill No.- Chronic Care Management Codes

Client expense: $624,169 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Justice, Dept of (DOJ), Office of Administration, Office of Management & Budget (OMB), SENATE

Trans-Pacific Partnership; AD/CVD duty collections & enforcement; customs compliance issues; textile and apparel trade issues; WTO information Technology Agreement; CAFTA apparel provisions; Worker Safety in Bangladesh; Nicaragua TPL; Trans-Atlantic Trade and Investment Partnership; Environmental Goods Agreement, WTO Trade Facilitation Agreement; (H.R. 1088/S. 568) - Trade Adjustment Assistance Act of 2015; (S. 697) - Frank R. Lautenberg Chemical Safety for the 21st Century Act; (S. 725) - Alan Reinstein and Trevor Schaefer Toxic Chemical Protection Act; (H.R. 1907/S. 1269/H.R. 644) - Trade Facilitation and Trade Enforcement Act of 2015; (H.R. 2146) - Defending Public Safety Employees Retirement Act; (S. 1267/H.R. 1295) - Trade Preferences Extension Act of 2015; (H.R. 1314) - Trade Act of 2015; (S. 995/H.R. 1890) - Bipartisan Congressional Trade Priorities and Accountability Act of 2015; (H.R. 1916) - Trade Enforcement and Trade Facilitation Act of 2015; (S. 1003) - Trade Adjustment Assistance Enhancement Act of 2015; (H.R. 1892/S. 1268) - Trade Adjustment Assistance Reauthorization Act of 2015; (H.R. 2576) - TSCA Modernization Act of 2015

Client expense: $712,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Federal Communications Commission (FCC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), Financial Crimes Enforcement Network (FinCEN), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Natl Security Council (NSC), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, 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

S.568/H.R.1088 Trade Adjustment Assistance Act of 2015 S.1268/ H.R.1892 Trade Adjustment Assistance Reauthorization Act of 2015 H.R. 2124 Resident Physician Shortage Reduction Act H.R. 2496 Construction Authorization and Choice Improvements Act H.R. 2156 Medicare Audit Improvement Act of 2015 General Issues: 340B program NYS Medicaid 1115 Waiver/DSRIP Vital Access Provider funds (UPL) Physician shortage Medicare sequestration cuts Telemedicine King vs. Burwell (SCOTUS)

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Trans Pacific Partnership Agreement (No Bill Number) Bipartisan Congressional Trade Priorities & Accountability Act of 2015 HR 1890/S 995 Trade Act of 2015 HR 1314 Trade Adjustment Assistance Reauthorization Act of 2015 HR 1892/S 1268 Trade Adjustment Assistance Act of 2015 HR 1088/S 568

Client expense: $655,000 · Firm income: Not reported

Government targets: Export-Import Bank of the United States (EXIM Bank), HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act Medicare Payment Advisory Commission draft recommendations on per-beneficiary payment for primary care services Medicaid and CHIP Payment and Access Commission draft report to Congress on the adequacy of pediatric provider networks in qualified health plans. Telehealth provisions of the discussion draft 21st Century Cures legislation HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act

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

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

Agriculture/food-related provisions of: H.R.274, U.S.-Cuba Normalization Act of 2015 H.R.403, Free Trade With Cuba Act H.R.491, Freedom to Export to Cuba Act of 2015 H.R.635, 2015 Promoting American Agricultural and Medical Exports to Cuba H.R.735, Cuba Reconciliation Act H.R.1567, Global Food Security Act of 2015 S.525, Food for Peace Reform Act of 2015 H.R.1890, Bipartisan Congressional Trade Priorities and Accountability Act of 2015 H.R.1892, Trade Adjustment Assistance Reauthorization Act of 2015 H.R.1907, Trade Facilitation and Trade Enforcement Act of 2015 H.R.1916, Trade Enforcement and Trade Facilitation Act of 2015 S.1252, Global Food Security Act of 2015 S.1543, Cuba Trade Act of 2015 Issues other than legislation: Trade (domestic/foreign) Agricultural trade issues for the World Trade Organization. Revisions to U.S. sanctions policy. Export licensing requirements for agricultural sales. Implementation of Trade Adjustment Assistance to agricultural producers. Impact of domestic agricultural policy on trade agreements. Inclusion of labor and environmental standards in agricultural trade negotiations. International food assistance. Mechanisms to address impact of exchange rate fluctuations on trade. Implementation of Byrd Amendment. Agricultural imports. Harmonization of environmental regulations. Bilateral and regional trade negotiations and agreements. Misaligned currency.

Client expense: $90,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Bureau of Indian Affairs (BIA), Commodity Futures Trading Commission (CFTC), Council of Economic Advisers (CEA), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Farm Credit Administration, Federal Emergency Management Agency (FEMA), Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Aeronautics & Space Administration (NASA), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), State, Dept of (DOS), Surface Transportation Board (STB), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

"Trade Facilitation and Trade Enforcement Act of 2015," H.R.644. "The Bipartisan Congressional Trade Priorities and Accountability Act of 2015," S. 995. "The Trade Adjustment Assistance Reauthorization Act of 2015," H.R. 1892. Advocated for strong trade enforcement, "Leveling the Playing Field Act," S.891.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Trade Promotion Authority. Generalized System of Preferences. "Trade Facilitation and Trade Enforcement Act of 2015," H.R.644. "The Bipartisan Congressional Trade Priorities and Accountability Act of 2015," S. 995. "The Trade Adjustment Assistance Reauthorization Act of 2015," H.R. 1892.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

Trans-Pacific Partnership (TPP) HR 1892 Trade Adjustment Assistance (TAA) Trade Promotional Authority Bill (TPA) The Currency Reform for Fair Trade Act, Enforce Act HR 820 Leveling the Playing Field Act, Super 301

Client expense: $165,351 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)