Medicare Diabetes Prevention Act of 2015

Connect for Health Act (S.2484/ H.R. 4442) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Medicare Access to Rehabilitation Services Act(H.R.775/S.539) Medicare Cardiac Rehab Supervision Bill(S.488/H.R.3355) Medicare Diabetes Prevention Act(H.R.2102/S.1131) Medicare-Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015(S.2382) Medicare Telehealth Parity Act(H.R.2448) Senate Finance Chronic Care Bill States Achieve Medicaid Expansion(SAME)Act(S.2787) Independence at Home Act(S.3130)

Client expense: $175,017 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

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 2102, Medicare Diabetes Prevention Act. HR 2651, Eliminating Disparities in Diabetes Prevention, Access and Care Act 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 1131, Medicare Diabetes Prevention Act. S 2371, Physician Shortage Minimization Act of 2015. S 2777, the Contact Lens Consumer Health Protection Act of 2016.

Client expense: $340,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare Part D, Special Diabetes Program, CHIP, and childhood obesity in P.L. 114-10 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); H.R. 2102 and S.1131 Medicare Diabetes Prevention Act; H.R. 2404 and S. 1509 Treat and Reduce Obesity Act; Issues related to medical nutrition therapy services to such beneficiaries with pre-diabetes or with risk factors for developing type 2 diabetes H.R. 1686 Medical Nutrition Therapy 2015; issues related to patient diabetes education in H.R. 1726 Access to Quality Diabetes Education Act of 2015; Continuous Glucose Monitoring (CGM); Medicare reimbursement of A1C for diabetes screening, and diabetes screening generally; H.R. 1021 Protecting the Integrity of Medicare Act (PIMA) of 2015; H.R.2005 and S. 1083 Medicare Drug Savings Act of 2015; Physician Quality and Reporting System (PQRS); CMMI Part B Demonstration

Client expense: $262,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

HHS Approps Diabetes Prevention S 1131; HR 2102 Healthy Living Issues

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

Government targets: Centers For Disease Control & Prevention (CDC), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE

H.R. 3762, Restoring Americans Healthcare Freedom Reconciliation Act H.R. 592/S. 314, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 954, CO-OP Consumer Protection Act of 2016 H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1192, National Clinical Care Commission Act H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 1707, Access to Frontline Health Care Act of 2015 H.R. 1726, Access to Quality Diabetes Education Act H.R. 1807, Sickle Cell Disease Research, Surveillance, Prevention, and Treatment Act of 2015 H.R. 2102, Medicare Diabetes Prevention Act H.R. 2124/S. 1148, Resident Physician Shortage Act H.R. 2603/S. 1475, Saving Lives, Saving Costs Act H.R. 2646, Helping Families in Mental Crisis Act H.R. 2713/S. 3245, Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 3081/S. 1778, Telemedicine for Medicare Act H.R. 3119/S. 2748, Palliative Care and Hospice Education and Training Act H.R. 3660/S. 3126,Preventive Health Savings Act H.R. 3952/S. 2248, Congenital Heart Future Reauthorization Act of 2015 H.R. 4212/S. 704, Community Based Independence for Seniors Act of 2015 H.R. 4442/S. 2484, CONNECT for Health Act H.R. 4732/S. 2671, Advancing Medical Resident Training in Community Hospitals Act H.R. 4774, Training Tomorrows Doctors Today Act H.R. 4909/S. 2943, National Defense Authorization Act H.R. 5273, Helping Hospitals Improve Patient Care Act H.R. 5414, FDA Cross-Center Collaboration Act H.R. 5447/S. 3060, The Small Business Health Care Relief Act H.R. 5652,Access to Better Care Act H.R. 5681/S. 3137, Alzheimers Beneficiary and Caregiver Support Act H.R. 5713, Sustaining Healthcare Integrity and Fair Treatment Act of 2016 H.R.5926 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017 H.R. 6043/S. 3335, The Fair Accountability and Innovative Research Drug Pricing Act of 2016 H.R. 6109/S. 3371, Medicare Affordability and Enrollment Act S. 524, Comprehensive Addiction and Recovery Act S. 586, National Diabetes Clinical Care Commission Act S. 603, Jobs and Premium Protection Act S. 776,Medication Therapy Management Empowerment Act S. 1077,Advancing Breakthrough Medical Devices for Patients Act S. 1101,Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act S. 1622,FDA Device Accountability Act S. 2511,Improving Health Information Technology Act S. 2680,Mental Health Reform Act of 2016 S. 2864,Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2016 S. 3326,State Flexibility to Provide Affordable Health Options Act S. 3504, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Pub. L. 111-5, The American Recovery and Reinvestment Act of 2009 (Health Information Technology for Economic and Clinical Health Act (HITECH) Pub. L. 111-148, Patient Protection and Affordable Care Act (PPACA) Pub. L. 114-10, Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255,21st Century Cures Pub. L. 114-270, Expanding Capacity for Health Outcomes Act (ECHO) Pub. L. 114-328, National Defense Authorization Act for Fiscal Year 2017

Client expense: $150,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 1707, Access to Frontline Health Care Act of 2015 H.R. 1726, Access to Quality Diabetes Education Act H.R. 2102, Medicare Diabetes Prevention Act H.R. 2124/S. 1148, Resident Physician Shortage Act H.R. 2603/S. 1475, Saving Lives, Saving Costs Act H.R. 3119/S. 2748, Palliative Care and Hospice Education and Training Act H.R. 3660/S. 3126,Preventive Health Savings Act H.R. 3952/S. 2248, Congenital Heart Future Reauthorization Act of 2015 H.R. 4212/S. 704, Community Based Independence for Seniors Act of 2015 H.R. 5273, Helping Hospitals Improve Patient Care Act H.R. 5681/S. 3137, Alzheimers Beneficiary and Caregiver Support Act H.R.5926 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017 H.R. 6043/S. 3335, The Fair Accountability and Innovative Research Drug Pricing Act of 2016 H.R. 6109/S. 3371, Medicare Affordability and Enrollment Act S. 776,Medication Therapy Management Empowerment Act S. 1077,Advancing Breakthrough Medical Devices for Patients Act S. 1101,Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act S. 2864,Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2016 S. 3326,State Flexibility to Provide Affordable Health Options Act Pub. L. 111-5, The American Recovery and Reinvestment Act of 2009 (Health Information Technology for Economic and Clinical Health Act (HITECH) Pub. L. 114-10, Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255,21st Century Cures

Client expense: $150,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

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

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

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

S.804/HR.1427 MEDICARE CGM ACCESS ACT OF 2015, S.586/HR1192 NDCCA, S.1345/HR 1726 ACCESS TO QUALITY DIABETES EDUCATION ACT, S.1131/HR2102 MEDICARE NDPP, HR 771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, MEDICARE COMPETITIVE BIDDING PROGRAM,

Client expense: Not reported · Firm income: Not reported

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

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

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

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

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions and prescription drug abuse. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 7.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 8.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 9.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 418) 11.National Diabetes Clinical Care Commission Act (H.R. 1192/S. 586) 12.Energy Consumers Relief Act (S. 156) 13.FIT Kids Act (S. 1075/H.R. 2013) 14.Climate Change Health Protection and Promotion Act (H.R. 1275) 15.Treat and Reduce Obesity Act (S. 1509/H.R. 2404) 16.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (H.R. 3660) 17.Developing a Reliable and Innovation Vision for the Economy (DRIVE) Act (S. 1647) 18.Summer Meals Act of 2014 (S. 613/H.R. 1728) 19.Long-Term SCORE Act (H.R. 282/S. 2260) 20.American Cures Act (S. 289) 21.School Food Modernization Act (S. 540) 22.Protecting Children from Electronic Cigarette Advertising Act of 2014 (S. 430/H.R. 478) 23.Bicycle and Pedestrian Infrastructure Improvement Act of 2015 (H.R. 199) 24.Waters of the United States Regulatory Overreach Protection Act of 2014 (H.R. 594) 25.Promise for Antibiotics and Therapeutics for Health Act (PATH Act, S. 185) 26.Helping Effective Antibiotics Last (HEAL) Act (H.R. 931) 27.Safe Food Act of 2015 (H.R. 609/S. 287) 28.21st Century Cures Act (H.R. 6) 29.Preservation of Antibiotics for Medical Treatment Act (H.R. 1552) 30.Preventing Antibiotic Resistance Act (S. 621) 31.Healthy Families Act (H.R. 932/S. 497) 32.Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act (H.R. 512) 33.Antibiotic Development to Advance Patient Treatment Act (not yet introduced) 34.Recognizing the importance of vaccinations and immunizations in the United States (H.Res. 117) 35.Good Samaritan Health Professionals Act (H.R. 865/S. 3101) 36.Head Start on Vaccinations Act (H.R. 933/S. 486) 37.Opioid Overdose Reduction Act (S. 707/H.R. 1821) 38.Comprehensive Addiction and Recovery Act (S. 524/H.R. 953) 39.CHIP Extension and Improvement Act of 2015 (S. 522/H.R. 919) 40.Secret Science Reform Act of 2015 (S. 544/H.R. 1030) 41.EPA Science Advisory Board Reform Act of 2015 (S. 543/H.R. 1029) 42.Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) 43.Student Success Act (H.R. 5) 44.Every Child Achieves Act (S. 1177) 45.Sugar-Sweetened Beverages Tax (SWEET) Act (H.R. 1687) 46.Transportation Alternatives Program Improvement Act (S. 705) 47.Jason Simcakoski Memorial Opioid Safety Act (S. 1641/H.R. 4063) 48.Recovery Enhancement for Treatment (TREAT) Act (S. 1455/H.R. 2536) 49.FDA Deeming Authority Clarification Act (H.R. 2058) 50.Pathogen Reduction and Testing Reform Act (H.R. 2303) 51.Medicare Diabetes Prevention Act (S. 1131/H.R. 2102) 52.Ratepayer Protection Act (H.R. 2042) 53.Affordable Reliable Electricity Now Act (S. 1324) 54.Protecting Seniors Access to Medicare Act (H.R. 1190/S. 141) 55.Family Asthma Act (S. 1064) 56.School Asthma Management Plan Act (S. 1065) 57.Healthy Relationships Act (H.R. 453/S. 923) 58.Healthy School Meals Flexibility Act (S. 1146/H.R. 2508) 59.Reducing Federal Mandates on School Lunch Act (H.R. 1504) 60.Safe Streets Act (H.R. 2071) 61.Healthy Kids Outdoors (S. 1078/H.R. 2014) 62.Highway and Transportation Funding Act (H.R. 2353) 63.Federal Water Quality Protection Act (S. 1140) 64.Friendly Airports for Mothers Act (H.R. 2530) 65.Overdose Prevention Act (S. 2092/H.R. 4288) 66.Stop Overdose Stat Act (H.R. 2850) 67.Stop Child Summer Hunger Act (S. 1539/H.R. 2715) 68.Promoting Physical Activity for Americans Act (S. 1793/H.R. 1499) 69.Defund Planned Parenthood Act of 2015 (H.R. 3134) 70.Continuing Appropriations Act, 2016 (H.R. 719) 71.Strengthening Public Health Emergency Response Act (H.R. 3299) 72.Consolidated Appropriations Act, 2016 (Public Law 114-113) 73.Restoring Americans Healthcare Freedom Reconciliation Act of 2015 (H.R. 3762/Senate Amendment) 74.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Corps of Engineers and the Environmental Protection Agency relating to the definition of "waters of the United States" under the Federal Water Pollution Control Act (S.J. Res 22) 75.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of a rule submitted by the Environmental Protection Agency relating to "Standards of Performance for Greenhouse Gas Emissions from New, Modified, and Reconstructed Stationary Sources: Electric Utility Generating Units" (S.J.Res. 23) 76.On the Joint Resolution: S.J.Res. 24; A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of a rule submitted by the Environmental Protection Agency relating to "Carbon Pollution Emission Guidelines for Existing Stationary Sources: Electric Utility Generating Units" (S.J.Res 24) 77.Common Sense Nutrition Disclosure Act (H.R. 2017/S. 2217) 78.Food Labeling Modernization Act (H.R. 4061/S. 2301) 79.Fixing Americas Surface Transportation Act (Public Law 114-93) 80.Every Student Succeeds Act (Public Law 114-95) 81.Puerto Rico Assistance Act, 2015 (S. 2381) 82.Full-Service Community Schools Act, 2015 (S. 1787) 83.FY2017 Commerce, Justice, State Appropriations Act (no bill number) 84.FY2017 Financial Services and General Government Appropriations Act (no bill number) 85.Energy Policy Modernization Act of 2015 (S. 2012) 86.Hallways to Health Act (S. 2590/H.R. 4621) 87.GET THE LEAD OUT Act of 2016 (S. 2588) 88.CLEAR Act (S. 2587) 89.TEST KIDS Act (S. 2586) 90.FUND Water Act (S. 2583) 91.NURSE Act (S. 2572) 92.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Corps of Engineers and the Environmental Protection Agency relating to the definition of "waters of the United States" under the Federal Water Pollution Control Act. (S.J.Res.22) 93.The Ozone Standards Implementation Act of 2016 (H.R. 4775) 94.Ozone National Ambient Air Quality Standard Deadline Harmonization Act of 2015 (H.R. 4000) 95.To repeal the Prevention and Public Health Fund (H.R. 1085) 96.Common Sense Savings Act of 2016 (H.R. 4725) 97.Establishing the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (H.Con.Res. 125) 98.Improving Child Nutrition Integrity and Access Act of 2016 (S. 3136) 99.Promoting Biomedical Research and Public Health for Patients Act (S. 2742) 100.Preventing Superbugs and Protecting Patients Act (S. 2503) 101.The Medical Countermeasures Innovation Act (S. 2055) 102.FY2016 emergency supplemental appropriations request for Zika preparedness and response (no bill number) 103.FY2016 Labor, Health and Human Services, and Education Appropriations Act (S. 1695/H.R. 3020) 104.FY2016 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act (S. 1800/H.R. 3049/S. 2129) 105.FY 2016 Financial Services and General Government Appropriations bill, in support of an appropriation for the National Alliance for Model State Drug Laws (H.R. 2995/S. 1910/S. 2132) 106.FY2016 Congressional Budget Resolution (S.Con.Res. 11/H.Con.Res 27) 107.FY2016 Homeland Security Appropriations Act (S. 1619/H.R. 3128/S.2131) 108.FY2017 Military Construction-VA Appropriations and Zika Supplemental (H.R. 2577) 109.Public Health Emergency Preparedness Act (H.R. 4525) 110.PREPARE Act (H.R. 3583) 111.Zika Response Appropriations Act (H.R. 5243) 112.Making Supplemental Appropriations for fiscal year 2016 to respond to Zika virus (H.R. 5044) 113.A bill to provide emergency supplemental appropriations to address the Zika crisis (S. 2843) 114.FY 2017 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act (S. 3040) 115.FY 2017 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act (S. 2956/H.R. 5054) 116.Health Equity and Accountability Act of 2016 (H.R. 5475) 117.SMASH Act (S. 3039) 118.Improving Child Nutrition and Education Act (H.R. 5003) 119.Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act (H.R. 5325) 120.Interior, Environment and Related Agencies Appropriations Bill, 2017 121.Ozone Standards Implementation Act (S. 2882) 122.National Defense Authorization Act for Fiscal Year 2017 (S. 2943) 123.Environmental Health Workforce Act of 2016 (H.R. 5543)

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

- Treat and Reduce Obesity Act (H.R. 2404/S. 1509) - Issues related to Medicare diabetes screening, generally, Medicare Part D, Special Dabetes Program, obesity, and medical nutrition therapy services. - IPAB, generally, including the Protecting Seniors' Access to Medicare Act (H.R. 1190/S. 141). - Access to Quality Diabetes Education Act (H.R. 1726). - CMMI Part B Drug Price Demonstration Program - Medicare Diabetes Prevention Act (H.R. 2102 and S. 1131)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Medicare Part D, Special Diabetes Program, CHIP, and childhood obesity in P.L. 114-10 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); H.R. 2102 and S.1131 Medicare Diabetes Prevention Act; H.R. 2404 and S. 1509 Treat and Reduce Obesity Act; Issues related to medical nutrition therapy services to such beneficiaries with pre-diabetes or with risk factors for developing type 2 diabetes H.R. 1686 Medical Nutrition Therapy 2015; issues related to patient diabetes education in H.R. 1726 Access to Quality Diabetes Education Act of 2015; Medicare diabetes screening generally; H.R. 1021 Protecting the Integrity of Medicare Act (PIMA) of 2015; H.R.2005 and S. 1083 Medicare Drug Savings Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: Support federal funding for research using fetal tissue and promote security of individuals involved with fetal tissue research. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists, reauthorization of NIH loan repayment program. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. S. 2742, Promoting Biomedical Research and Public Health for Patients Act. Issue: Support reducing regulatory burden on research institutions and scientists. Issue: Support NIHs protection of researchers from sexual harassment Issue: FDA regulation of Laboratory Developed Tests (LDTs) Issue: Support NIH medical research of pain and addiction S. 2953, FY 2017 National Defense Authorization Act Issue: Oppose restrictions on medical research supported by the Department of Defense Submitted comments to: --NIH on human-animal chimera research. --NIH National Institute of General Medical Sciences (NIGMS) on strategies for modernizing graduate education.

Client expense: $595,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Connect for Health Act (S.2484/ H.R. 4442) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Medicare Access to Rehabilitation Services Act(H.R.775/S.539) Medicare Cardiac Rehab Supervision Bill(S.488/H.R.3355) Medicare Diabetes Prevention Act(H.R.2102/S.1131) Medicare-Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015(S.2382) Medicare Telehealth Parity Act(H.R.2448) Senate Finance Chronic Care Bill States Achieve Medicaid Expansion(SAME)Act(S.2787) Independence at Home Act(S.3130)

Client expense: $166,728 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

FAA reauthorization including HR 636; PFC cap, including HR 5563; ; AIP funding; Security; Labor (ARFF); Next-Gen; environmental (noise, emissions, recycling and departure queue pilot program); Rates and charges; Travel issues; tax issues impacting airports; Other issues include: airport disadvantaged business enterprise program; explosive detection equipment; faciliation, registered travelers, DOT and DHS authorization and appropriations, congestion management, slots and runway safety; Airport land use, including HR 5944; Proposed amendment on exit lane staffing; public-private partnerships. Bills on vetting of TSA employees, checkpoint optimization, and perimeter security, including S. 2361, HR 2843, HR 2127, HR 2102, HR 2750, HR 2770, HR 3584, HR 5056, and HR 5338, HR 5720, and HR 5256.

Client expense: $410,000 · Firm income: Not reported

Government targets: Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Customs & Border Protection

Issues related to Medicare Part D, Special Diabetes Program, CHIP, and childhood obesity in P.L. 114-10 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); H.R. 2102 and S.1131 Medicare Diabetes Prevention Act; H.R. 2404 and S. 1509 Treat and Reduce Obesity Act; Issues related to medical nutrition therapy services to such beneficiaries with pre-diabetes or with risk factors for developing type 2 diabetes H.R. 1686 Medical Nutrition Therapy 2015; issues related to patient diabetes education in H.R. 1726 Access to Quality Diabetes Education Act of 2015; Continuous Glucose Monitoring (CGM); Medicare reimbursement of A1C for diabetes screening, and diabetes screening generally; H.R. 1021 Protecting the Integrity of Medicare Act (PIMA) of 2015; H.R.2005 and S. 1083 Medicare Drug Savings Act of 2015; Physician Quality and Reporting System (PQRS); CMMI Part B Demonstration

Client expense: $590,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1192, National Diabetes Clinical Care Commission Act H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 2102, Medicare Diabetes Prevention Act H.R. 5652,Access to Better Care Act S. 3326, State Flexibility to Provide Affordable Health Options Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 6 ,21st Century Cares H.R. 592/S. 314, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 1190/S. 141, The Protecting Seniors Access to Medicare Act of 2015 H.R. 1192, National Diabetes Clinical Care Commission Act H.R. 1270, Restoring Access to Medication and Improving Health Savings Act H.R. 1427, Medicare CGM Access Act H.R. 1686/S. 3082, Preventing Diabetes in Medicare Act H.R. 1726, Access to Quality Diabetes Education Act H.R. 2102, Medicare Diabetes Prevention Act H.R. 2124/S. 1148, Resident Physician Shortage Act H.R. 2603/S. 1475, Saving Lives, Saving Costs Act H.R. 2646, Helping Families in Mental Crisis Act H.R. 3081/S. 1778, Telemedicine for Medicare Act H.R. 3660/S. 3126,Preventive Health Savings Act H.R. 4212/S. 704, Community Based Independence for Seniors Act of 2015 H.R. 4442/S. 2484, CONNECT for Health Act H.R. 4732/S. 2671, Advancing Medical Resident Training in Community Hospitals Act H.R. 4774, Training Tomorrows Doctors Today Act H.R. 4909/S. 2943, National Defense Authorization Act H.R. 5273, Helping Hospitals Improve Patient Care Act H.R. 5395, Expanding Capacity for Health Outcomes Act H.R. 5414, FDA Cross-Center Collaboration Act H.R. 5447/S. 3060, The Small Business Health Care Relief Act H.R. 5652,Access to Better Care Act H.R. 5681/S. 3137, Alzheimers Beneficiary and Caregiver Support Act H.R. 6043/S. 3335, The Fair Accountability and Innovative Research Drug Pricing Act of 2016 S. 524, Comprehensive Addiction and Recovery Act S. 754, Cybersecurity Information Sharing Act (CISA) S. 776,Medication Therapy Management Empowerment Act S. 1077,Advancing Breakthrough Medical Devices for Patients Act S. 1101,Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act S. 1622,FDA Device Accountability Act S. 2511,Improving Health Information Technology Act S. 2680,Mental Health Reform Act of 2016 S. 2864,Reducing Existing Costs Associated with Pharmaceuticals for Seniors Act of 2016 S. 3326, State Flexibility to Provide Affordable Health Options Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.804/HR.1427 MEDICARE CGM ACCESS ACT OF 2015, S.586/HR1192 NDCCA, S.1345/HR 1726 ACCESS TO QUALITY DIABETES EDUCATION ACT, S.1131/HR2102 MEDICARE NDPP, HR 771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, MEDICARE COMPETITIVE BIDDING PROGRAM, Docket No. FDA-2016-N-0400 FDA LANCET DEVICES GUIDANCE DOCKET, Docket No. FDA-2016-N-0001 FDA DIABETES DEXCOM G5 LABELING CHANGE

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HHS Approps Diabetes Prevention S 1131; HR 2102 Healthy Living Issues

Client expense: Not reported · Firm income: $100,000

Government targets: Centers For Disease Control & Prevention (CDC), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE

Lobbying Issues Description: Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions and prescription drug abuse. Specific Legislation: 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Implementation of the Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 7.Implementation of the Drug Quality and Security Act of 2013 (Public Law 113-54) 8.Implementation of Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 9.Implementation of Child Care and Development Block Grant Act of 2014 (Public Law 113-186) 10.Promoting Health as Youth Skills in Classrooms and Life Act (S. 418) 11.National Diabetes Clinical Care Commission Act (H.R. 1192/S. 586) 12.Energy Consumers Relief Act (S. 156) 13.FIT Kids Act (S. 1075/H.R. 2013) 14.Climate Change Health Protection and Promotion Act (H.R. 1275) 15.Treat and Reduce Obesity Act (S. 1509/H.R. 2404) 16.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (H.R. 3660) 17.Developing a Reliable and Innovation Vision for the Economy (DRIVE) Act (S. 1647) 18.Summer Meals Act of 2014 (S. 613/H.R. 1728) 19.Long-Term SCORE Act (H.R. 282/S. 2260) 20.American Cures Act (S. 289) 21.School Food Modernization Act (S. 540) 22.Protecting Children from Electronic Cigarette Advertising Act of 2014 (S. 430/H.R. 478) 23.Bicycle and Pedestrian Infrastructure Improvement Act of 2015 (H.R. 199) 24.Waters of the United States Regulatory Overreach Protection Act of 2014 (H.R. 594) 25.Promise for Antibiotics and Therapeutics for Health Act (PATH Act, S. 185) 26.Helping Effective Antibiotics Last (HEAL) Act (H.R. 931) 27.Safe Food Act of 2015 (H.R. 609/S. 287) 28.21st Century Cures Act (H.R. 6) 29.Preservation of Antibiotics for Medical Treatment Act (H.R. 1552) 30.Preventing Antibiotic Resistance Act (S. 621) 31.Healthy Families Act (H.R. 932/S. 497) 32.Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act (H.R. 512) 33.Antibiotic Development to Advance Patient Treatment Act (not yet introduced) 34.Recognizing the importance of vaccinations and immunizations in the United States (H.Res. 117) 35.Good Samaritan Health Professionals Act (H.R. 865/S. 3101) 36.Head Start on Vaccinations Act (H.R. 933/S. 486) 37.Opioid Overdose Reduction Act (S. 707/H.R. 1821) 38.Comprehensive Addiction and Recovery Act (S. 524/H.R. 953) 39.CHIP Extension and Improvement Act of 2015 (S. 522/H.R. 919) 40.Secret Science Reform Act of 2015 (S. 544/H.R. 1030) 41.EPA Science Advisory Board Reform Act of 2015 (S. 543/H.R. 1029) 42.Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) 43.Student Success Act (H.R. 5) 44.Every Child Achieves Act (S. 1177) 45.Sugar-Sweetened Beverages Tax (SWEET) Act (H.R. 1687) 46.Transportation Alternatives Program Improvement Act (S. 705) 47.Jason Simcakoski Memorial Opioid Safety Act (S. 1641/H.R. 4063) 48.Recovery Enhancement for Treatment (TREAT) Act (S. 1455/H.R. 2536) 49.FDA Deeming Authority Clarification Act (H.R. 2058) 50.Pathogen Reduction and Testing Reform Act (H.R. 2303) 51.Medicare Diabetes Prevention Act (S. 1131/H.R. 2102) 52.Ratepayer Protection Act (H.R. 2042) 53.Affordable Reliable Electricity Now Act (S. 1324) 54.Protecting Seniors Access to Medicare Act (H.R. 1190/S. 141) 55.Family Asthma Act (S. 1064) 56.School Asthma Management Plan Act (S. 1065) 57.Healthy Relationships Act (H.R. 453/S. 923) 58.Healthy School Meals Flexibility Act (S. 1146/H.R. 2508) 59.Reducing Federal Mandates on School Lunch Act (H.R. 1504) 60.Safe Streets Act (H.R. 2071) 61.Healthy Kids Outdoors (S. 1078/H.R. 2014) 62.Highway and Transportation Funding Act (H.R. 2353) 63.Federal Water Quality Protection Act (S. 1140) 64.Friendly Airports for Mothers Act (H.R. 2530) 65.Overdose Prevention Act (S. 2092/H.R. 4288) 66.Stop Overdose Stat Act (H.R. 2850) 67.Stop Child Summer Hunger Act (S. 1539/H.R. 2715) 68.Promoting Physical Activity for Americans Act (S. 1793/H.R. 1499) 69.Defund Planned Parenthood Act of 2015 (H.R. 3134) 70.Continuing Appropriations Act, 2016 (H.R. 719) 71.Strengthening Public Health Emergency Response Act (H.R. 3299) 72.Consolidated Appropriations Act, 2016 (Public Law 114-113) 73.Restoring Americans Healthcare Freedom Reconciliation Act of 2015 (H.R. 3762/Senate Amendment) 74.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Corps of Engineers and the Environmental Protection Agency relating to the definition of "waters of the United States" under the Federal Water Pollution Control Act (S.J. Res 22) 75.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of a rule submitted by the Environmental Protection Agency relating to "Standards of Performance for Greenhouse Gas Emissions from New, Modified, and Reconstructed Stationary Sources: Electric Utility Generating Units" (S.J.Res. 23) 76.On the Joint Resolution: S.J.Res. 24; A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of a rule submitted by the Environmental Protection Agency relating to "Carbon Pollution Emission Guidelines for Existing Stationary Sources: Electric Utility Generating Units" (S.J.Res 24) 77.Common Sense Nutrition Disclosure Act (H.R. 2017/S. 2217) 78.Food Labeling Modernization Act (H.R. 4061/S. 2301) 79.Fixing Americas Surface Transportation Act (Public Law 114-93) 80.Every Student Succeeds Act (Public Law 114-95) 81.Puerto Rico Assistance Act, 2015 (S. 2381) 82.Full-Service Community Schools Act, 2015 (S. 1787) 83.FY2017 Commerce, Justice, State Appropriations Act (no bill number) 84.FY2017 Financial Services and General Government Appropriations Act (no bill number) 85.Energy Policy Modernization Act of 2015 (S. 2012) 86.Hallways to Health Act (S. 2590/H.R. 4621) 87.GET THE LEAD OUT Act of 2016 (S. 2588) 88.CLEAR Act (S. 2587) 89.TEST KIDS Act (S. 2586) 90.FUND Water Act (S. 2583) 91.NURSE Act (S. 2572) 92.A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Corps of Engineers and the Environmental Protection Agency relating to the definition of "waters of the United States" under the Federal Water Pollution Control Act. (S.J.Res.22) 93.The Ozone Standards Implementation Act of 2016 (H.R. 4775) 94.Ozone National Ambient Air Quality Standard Deadline Harmonization Act of 2015 (H.R. 4000) 95.To repeal the Prevention and Public Health Fund (H.R. 1085) 96.Common Sense Savings Act of 2016 (H.R. 4725) 97.Establishing the congressional budget for the United States Government for fiscal year 2017 and setting forth the appropriate budgetary levels for fiscal years 2018 through 2026 (H.Con.Res. 125) 98.Improving Child Nutrition Integrity and Access Act of 2016 (S. 3136) 99.Promoting Biomedical Research and Public Health for Patients Act (S. 2742) 100.Preventing Superbugs and Protecting Patients Act (S. 2503) 101.The Medical Countermeasures Innovation Act (S. 2055) 102.FY2016 emergency supplemental appropriations request for Zika preparedness and response (no bill number) 103.FY2016 Labor, Health and Human Services, and Education Appropriations Act (S. 1695/H.R. 3020) 104.FY2016 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act (S. 1800/H.R. 3049/S. 2129) 105.FY 2016 Financial Services and General Government Appropriations bill, in support of an appropriation for the National Alliance for Model State Drug Laws (H.R. 2995/S. 1910/S. 2132) 106.FY2016 Congressional Budget Resolution (S.Con.Res. 11/H.Con.Res 27) 107.FY2016 Homeland Security Appropriations Act (S. 1619/H.R. 3128/S.2131) 108.FY2017 Military Construction-VA Appropriations and Zika Supplemental (H.R. 2577) 109.Public Health Emergency Preparedness Act (H.R. 4525) 110.PREPARE Act (H.R. 3583) 111.Zika Response Appropriations Act (H.R. 5243) 112.Making Supplemental Appropriations for fiscal year 2016 to respond to Zika virus (H.R. 5044) 113.A bill to provide emergency supplemental appropriations to address the Zika crisis (S. 2843) 114.FY 2017 Departments of Labor, Health and Human Services, and Education and Related Agencies Appropriations Act (S. 3040) 115.FY 2017 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act (S. 2956/H.R. 5054) 116.Health Equity and Accountability Act of 2016 (H.R. 5475) 117.SMASH Act (S. 3039) 118.Improving Child Nutrition and Education Act (H.R. 5003)

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

PFC cap, including HR 5563; ; AIP funding; Security; Labor (ARFF); Next-Gen; environmental (noise, emissions, recycling and departure queue pilot program); Rates and charges; Travel issues; tax issues impacting airports; Other issues include: airport disadvantaged business enterprise program; explosive detection equipment; faciliation, registered travelers, DOT and DHS authorization and appropriations, congestion management, slots and runway safety; TSA proposed amendment on exit lane staffing; public-private partnerships. Bills on vetting of TSA employees, checkpoint optimization, and perimeter security, including S. 2361, HR 2843, HR 2127, HR 2102, HR 2750, HR 2770, HR 3584, HR 5056, and HR 5338.

Client expense: $411,889 · Firm income: Not reported

Government targets: Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Customs & Border Protection

- Treat and Reduce Obesity Act (H.R. 2404/S. 1509) - Medicare Diabetes Prevention Act (H.R. 2102 and S. 1131) - CMMI Part B Drug Payment Demonstration - Medicare Diabetes Prevention Act (H.R. 2102 and S. 1131)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Connect for Health Act (S.2484/ H.R. 4442) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Medicare Access to Rehabilitation Services Act(H.R.775/S.539) Medicare Cardiac Rehab Supervision Bill(S.488/H.R.3355) Medicare Diabetes Prevention Act(H.R.2102/S.1131) Medicare-Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015(S.2382) Medicare Telehealth Parity Act(H.R.2448) Meeting with CMMI-Mobile Stroke Units Senate Finance Chronic Care Bill States Achieve Medicaid Expansion(SAME)Act(S.2787)

Client expense: $159,620 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

Issues related to Medicare Part D, Special Diabetes Program, CHIP, and childhood obesity in P.L. 114-10 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); H.R. 2102 and S.1131 Medicare Diabetes Prevention Act; H.R. 2404 and S. 1509 Treat and Reduce Obesity Act; Issues related to medical nutrition therapy services to such beneficiaries with pre-diabetes or with risk factors for developing type 2 diabetes H.R. 1686 Medical Nutrition Therapy 2015; issues related to patient diabetes education in H.R. 1726 Access to Quality Diabetes Education Act of 2015; Medicare diabetes screening generally; H.R. 1021 Protecting the Integrity of Medicare Act (PIMA) of 2015; H.R.2005 and S. 1083 Medicare Drug Savings Act of 2015.

Client expense: Not reported · Firm income: $70,000

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

H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: Support federal funding for research using fetal tissue and promote security of individuals involved with fetal tissue research. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists, reauthorization of NIH loan repayment program. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. S. 2742, Promoting Biomedical Research and Public Health for Patients Act. Issue: Support reducing regulatory burden on research institutions and scientists. Issue: Support NIHs protection of researchers from sexual harassment Issue: FDA regulation of Laboratory Developed Tests (LDTs) Issue: Support NIH medical research of pain and addiction S. 2953, FY 2017 National Defense Authorization Act Issue: Oppose restrictions on medical research supported by the Department of Defense Submitted comments to: --NIH National Institute of General Medical Sciences on Approaches for Supporting Team Science in the Biomedical Research Community

Client expense: $736,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

S. 1131/H.R. 2102, the Medicare Diabetes Prevention Act. Support entire bill; provides Medicare coverage for the National Diabetes Prevention Program to individuals with prediabetes. Also support regulatory pathway to achieve Medicare coverage of National DPP announced in March. S. 804/H.R. 1427, the Medicare CGM Access Act. Support entire bill; provides Medicare coverage for continuous glucose monitoring (CGM) devices to qualified individuals. H.R. 1686, the Preventing Diabetes in Medicare Act of 2015. Support entire bill; extends Medicare coverage of medical nutrition therapy services to people with prediabetes and other risk factors for developing type 2 diabetes.

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

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

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

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

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

Issues related to Medicare Part D, Special Diabetes Program, CHIP, and childhood obesity in P.L. 114-10 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); H.R. 2102 and S.1131 Medicare Diabetes Prevention Act; H.R. 2404 and S. 1509 Treat and Reduce Obesity Act; Issues related to medical nutrition therapy services to such beneficiaries with pre-diabetes or with risk factors for developing type 2 diabetes H.R. 1686 Medical Nutrition Therapy 2015; issues related to patient diabetes education in H.R. 1726 Access to Quality Diabetes Education Act of 2015; Continuous Glucose Monitoring (CGM); Medicare diabetes screening generally; H.R. 1021 Protecting the Integrity of Medicare Act (PIMA) of 2015; H.R.2005 and S. 1083 Medicare Drug Savings Act of 2015; Physician Quality and Reporting System (PQRS); CMMI Part B Demonstration

Client expense: $690,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Indian Health Service, Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Treasury, Dept of

S.804/HR.1427 MEDICARE CGM ACCESS ACT OF 2015, S.586/HR1192 NDCCA, S.1345/HR 1726 ACCESS TO QUALITY DIABETES EDUCATION ACT, S.1131/HR2102 MEDICARE NDPP, HR 771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, MEDICARE COMPETITIVE BIDDING PROGRAM, Docket No. FDA-2016-N-0400 FDA LANCET DEVICES GUIDANCE DOCKET, Docket No. FDA-2016-N-0001 FDA DIABETES DEXCOM G5 LABELING CHANGE

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

S.804/HR.1427 - MEDICARE CGM ACCESS ACT OF 2015, S.586/HR.1192 - NDCCA, S.1345/HR 1726 ACCESS TO DIABETES QUALITY EDUCATION ACT, S.1131/HR.2102 MEDICARE NDPP, HR.771 PROTECTING ACCESS TO DIABETES SUPPLIES ACT, HR 1686 MEDICARE PREVENTION NUTRITION EDUCATION, SPECIAL DIABETES FUNDING PROGRAM, CMS COMPETITIVE BIDDING PROGRAMS FOR DIABETES SUPPLIES, RESTRICTION OF ACCESS TO DIABETES TREATMENTS BY INSURANCE PROVIDERS

Client expense: Not reported · Firm income: Not reported

HHS Approps Diabetes Prevention S 1131; HR 2102 Healthy Living Issues

Client expense: Not reported · Firm income: $100,000

Government targets: Centers For Disease Control & Prevention (CDC), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), SENATE

PFC cap; AIP funding; Security; Labor (ARFF); Next-Gen; environmental (noise, emissions, recycling and departure queue pilot program); Rates and charges; Travel issues; tax issues impacting airports; Other issues include: airport disadvantaged business enterprise program; explosive detection equipment; faciliation, registered travelers, DOT and DHS authorization and appropriations, congestion management, slots and runway safety; TSA proposed amendment on exit lane staffing; public-private partnerships. Bills on vetting of TSA employees and access control including S. 2361, HR 2843, HR 2127, HR 2102, HR 2750, HR 2770 and HR 3584.

Client expense: $398,758 · Firm income: Not reported

Government targets: Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Customs & Border Protection

Issues related to Medicare Part D, Special Diabetes Program, CHIP, and childhood obesity in P.L. 114-10 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); H.R. 2102 and S.1131 Medicare Diabetes Prevention Act; H.R. 2404 and S. 1509 Treat and Reduce Obesity Act; Issues related to medical nutrition therapy services to such beneficiaries with pre-diabetes or with risk factors for developing type 2 diabetes H.R. 1686 Medical Nutrition Therapy 2015; issues related to patient diabetes education in H.R. 1726 Access to Quality Diabetes Education Act of 2015; Continuous Glucose Monitoring (CGM); Medicare diabetes screening generally; H.R. 1021 Protecting the Integrity of Medicare Act (PIMA) of 2015; H.R.2005 and S. 1083 Medicare Drug Savings Act of 2015; Physician Quality and Reporting System (PQRS)

Client expense: $970,000 · Firm income: Not reported

- Treat and Reduce Obesity Act (H.R. 2404/S. 1509) - Medicare Diabetes Prevention Act (H.R. 2102 and S. 1131) - Issues related to Medicare diabetes screening, generally, Medicare Part D, Special Diabetes Program, obesity, and medical nutrition therapy services

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1131/H.R. 2102, the Medicare Diabetes Prevention Act. Support entire bill; provides Medicare coverage for the National Diabetes Prevention Program to individuals with prediabetes. S. 804/H.R. 1427, the Medicare CGM Access Act. Support entire bill; provides Medicare coverage for continuous glucose monitoring (CGM) devices to qualified individuals. H.R. 1686, the Preventing Diabetes in Medicare Act of 2015. Support entire bill; extends Medicare coverage of medical nutrition therapy services to people with prediabetes and other risk factors for developing type 2 diabetes.

Client expense: $179,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, 21st Century Cures Act Senate HELP Committee Innovation Initiative Issue: Support increased funding for medical research, reduce administrative and regulatory burden on scientists and research institutions, and support young investigators. Issue: Support federal funding for research using fetal tissue and promote security of individuals involved with fetal tissue research. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists, reauthorization of NIH loan repayment program. H.R. 2102, Research for All Act of 2015 Issue: Support inclusion of male and female cells and animals in basic research, and NIH updating its guidelines on inclusion of women in clinical research. S. 2742, Promoting Biomedical Research and Public Health for Patients Act. Issue: Support reducing regulatory burden on research institutions and scientists. Issue: Support NIHs protection of researchers from sexual harassment Issue: FDA regulation of Laboratory Developed Tests (LDTs) Submitted comments to: NIH National Center for Advancing Translational Sciences (NCATS) on the institutions strategic planning process HHS Office for Human Research Protections regarding the 1991 Common Rule, which governs federally supported research involving human subjects

Client expense: $822,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

PFC cap; AIP funding; Security; Labor (ARFF); Next-Gen; environmental (noise, emissions, recycling and departure queue pilot program); Rates and charges; Travel issues; tax issues impacting airports; Other issues include: airport disadvantaged business enterprise program; explosive detection equipment; faciliation, registered travelers, DOT and DHS authorization and appropriations, congestion management, slots and runway safety; TSA proposed amendment on exit lane staffing; public-private partnerships. Bills on vetting of TSA employees and access control including S. 2361, HR 2843, HR 2127, HR 2102, HR 2750, HR 2770 and HR 3584.

Client expense: $398,758 · Firm income: Not reported

Government targets: Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), U.S. Customs & Border Protection

H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 4442, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 2484, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 4499, Promoting Responsible Opioid Prescribing (PROP) Act of 2016, all provisions H.R. 2568, Fair Medical Audits Act of 2015, all provisions S. 1913, Stopping Medication Abuse and Protecting Seniors Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015, provisions relating to payment and delivery reform H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H.R. 6, 21st Century Cures Act, provisions relating to Sunshine/transparency H.R. 293, To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes, all provisions H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 2680, Mental Health Reform Act of 2016, all provisions H.R. 2646, Helping Families in Mental Health Crisis Act of 2015, all provisions S. 2511, Improving Health Information Technology Act, all provisions S. 2141, TRUST IT Act, all provisions S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H.R. 4227, Medicare Advantage Bill of Rights Act of 2015, all provisions S. 2392, Medicare Advantage Bill of Rights Act of 2015, all provisions Medicare program: Meaningful Use Regulations/Electronic Health Records (EHRs) Medicare program: EHR interoperability and certification Medicare program: Electronic prior-authorization Medicare program: Independent Payment Advisory Board (IPAB) Repeal Medicare program: Graduate Medical Education Medicare program: Telemedicine Medicare program: Telehealth and remote patient monitoring services Medicare program: Chronic Care Medicare program: Diabetes Prevention Medicare program: Comprehensive care for joint replacement Medicare program: Medicare Part B Drug Pricing/Reimbursement Medicare program: Medicare Part B Drug Demonstration program Medicare program: Transitional care management Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA) implementation Medicare program: Physician Quality Reporting System (PQRS) Medicare program: Merit-Based Incentive Payment System (MIPS) Medicare program: Value-Based Modifier (VBM) Medicare program: Quality Reporting Medicare program: Prescription drug diversion and abuse Medicare program: Physician data Medicare program: Unique Device Identifier inclusion on claim forms Medicare program: ACO Improvement Act Medicare program: Health data security Medicare program: Protecting Access to Medicare Act (PAMA) implementation Medicare program: Provider network adequacy and balance billing Medicare program: Sunshine/Open Payments Medicare program: Resource use Medicare program: Health Insurance Portability and Accountability Act (HIPAA) Medicare program: PECOS/Medicare enrollment Medicare and Medicaid programs: Alternative payment models Medicare and Medicaid programs: Home Blood Pressure Monitoring equipment Medicare and Medicaid programs: ICD-10 Medicare and Medicaid programs: Procedure coding Medicare and Medicaid programs: Behavioral health management

Client expense: $6,600,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

Issues related to Medicare Part D, Special Diabetes Program, CHIP, and childhood obesity in P.L. 114-10 Medicare Access and CHIP Reauthorization Act of 2015 (MACRA); H.R. 2102 and S.1131 Medicare Diabetes Prevention Act; H.R. 2404 and S. 1509 Treat and Reduce Obesity Act; Issues related to medical nutrition therapy services to such beneficiaries with pre-diabetes or with risk factors for developing type 2 diabetes H.R. 1686 Medical Nutrition Therapy 2015; issues related to patient diabetes education in H.R. 1726 Access to Quality Diabetes Education Act of 2015; Medicare diabetes screening generally; H.R. 1021 Protecting the Integrity of Medicare Act (PIMA) of 2015; H.R.2005 and S. 1083 Medicare Drug Savings Act of 2015.

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

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