American Cures Act

H.R. 34: 21st Century Cures Act and Senate Companion Legislation Legislation to accelerate the discovery, development, and delivery of 21st century cures, and for other purposes (funding for NIH and FDA research). H.R. 1030: Secret Science Reform Act of 2015 A bill to prohibit the Environmental protection Agency from proposing, finalizing, or disseminating regulations or assessments based upon science that is not transparent or reproducible (ALL). H.R. 962 and S. 181: Startup Act 3.0 A bill to jump-start the economic recovery through the formation and growth of new businesses, and for other purposes (ALL). H.R. 1398 and S. 747: American Innovation Act A bill to prioritize funding for an expanded and sustained national investment in basic science research (ALL). H.R. 2104 and S. 289: American Cures Act A bill to prioritize funding for an expanded and sustained national investment in biomedical research (ALL). H.R. 1441 and S. 771: Manufacturing Universities Act of 2015 A bill to emphasize manufacturing in engineering programs by directing the National Institute of Standards and Technology, in coordination with other appropriate Federal agencies including the Department of Defense, Department of Energy, and National Science Foundation, to designate United States manufacturing universities (ALL). H.R. 1426: Public Access to Public Science Act A bill to ensure public access to published materials concerning scientific research and development activities funded by Federal science agencies (ALL). H.R. 1477 and S. 779: Fair Access to Science and Technology Research Act of 2015 A bill to provide for Federal agencies to develop public access policies relating to research conducted by employees of that agency of from funds administered by that agency (ALL). S. 2972: Grant Reform and New Transparency (GRANT) Act A bill to amend title 31, United States Code, to provide transparency and require certain standards in the award of Federal grants, and for other purposes (ALL). S. 2012: Energy Policy Modernization Act An original bill to provide for the modernization of the energy policy of the United States, and for other purposes (specifically authorization of the Department of Energy's Office of Science and ARPA-E). S. 3084: American Innovation and Competitiveness Act A bill to invest in innovation through research and development, and to improve the competitiveness of the United States. S. 3346: National Aeronautics and Space Administration Transition Authorization Act of 2016 A bill to reauthorize the National Aeronautics and Space Administration (Titles V and VI pertaining to NASA research). H.R. 1119: Research and Development Efficiency Act Legislation to improve the efficiency of federal research and development, and for other purposes (ALL). H.R. 5583: University Regulation Streamlining and Harmonization Act Legislation to streamline and harmonize federal research regulations on institutions of higher education, and for other purposes (ALL).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill. S. 2713, Advancing Precision Medicine Act of 2016, entire bill. H.R. 34, 21st Century Cures Act.

Client expense: $147,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill. S. 2713, Advancing Precision Medicine Act of 2016, entire bill. H.R. 34, 21st Century Cures Act.

Client expense: $168,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill. S. 2713, Advancing Precision Medicine Act of 2016, entire bill. H.R. 34, 21st Century Cures Act.

Client expense: $168,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2017 Appropriations related to the National Institutes of Health, National Cancer Institute, and Food & Drug Administration, including Continuing Resolution S 318/HR 531 Accelerating Biomedical Research Act S 289/HR 2104 American Cures Act

Client expense: $169,982 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Patient Protection & Affordable Health Care Act (P.L. 111-148) and Implementation of Health Care and Education Reconciliation Act (P.L. 111-152) 340B issues and legislative reform proposals Issues related to importation of prescription drugs, including those contained in S. 122, Safe and Affordable Drugs from Canada Act of 2015 Health technology assessment of orphan drugs Sequestration of FDA user fees H.R. 1376, Patient Choice Act of 2015 H.R. 790, Compassionate Freedom of Choice Act of 2015 H.R. 1600, Patients' Access to Treatments Act of 2015 21st Century Cures/Innovation initiatives including H.R. 6, 21st Century Cures Act and the Innovation for Healthier Americans Initiative, including the following: S. 2055, The Medical Countermeasures Innovation Act of 2015; S. 2512, Adding Zika Virus to the FDA Priority Review Voucher Program Act; S. 2030, The Advancing Targeted Therapies for Rare Diseases Act of 2015; S. 849, Advancing Research for Neurological Diseases Act of 2015; S. 2700, FDA and NIH Workfroces Authorities Modernization Act H.R. 909, Andrea Sloan CURE Act S. 1421 and H.R.971, Orphan Product Extensions Now Accelerating Cures and Treatments Act of 2015 Implementation of the FDA Safety and Innovation Act (FDASIA) (Pub. L. 112-144) Regulation of innovative biological products for neurodegenerative diseases Issues and policies related to implementation of Orphan Drug Act and orphan drug development S. 320, Medical Innovation Act H.R. 744, Medical Innovation Act S. 2615, Increasing Competition in Pharmaceuticals Act H.R. 1130, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 S. 598, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 H.R. 1078, Food and Drug Administration Safety Over Sequestration Act of 2015 H.R. 1531 and S.1878, Advancing Hope Act of 2015 Implementation of newborn screening programs Issues and policies related to biosimilars exclusivity period Issues and policies related to biosimilars FDA guidance Issues and policies related to FDA oversight and management Issues and policies related to expanded access programs Issues and policies related to patient involvement with FDA decision making S. 289 and H.R. 2104, American Cures Act Legislation pertaining to FDA priority review vouchers, generally Legislation pertaining to the applicability of the ACA tax carve out for non-orphan drug designated drugs, generally, including H.R. 3678, Preserving Access to Orphan Drugs Act of 2015 H.R. 3618 and S. 1906, Orphan Drug Fairness Act Issues related to the value of prescription medicines, generally, and including S. 2023, Prescription Drug Affordability Act of 2015 Drug shortage issues Issues related to health care transparency S. 2055, Medical Countermeasure Innovation Act of 2016 H.R. 3299, Strengthening Public Health Emergency Response Act S. 2700, FDA and NIH Workforce Authorities Modernization Act S. 2713, Advancing Precision Medicine Act of 2016 S. 2745, Advancing NIH Strategic Planning and Representation in Medical Research Act S. 2742, Promoting Biomedical Research and Public Health for Patients Act S. 3239, H.R. 5858, The RACE for Children Act S. 2689, The REGROW Act S. 1878, Advancing Hope Act of 2016

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

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

S.289/ H.R.2104 - American Cures Act H.R. 6 - 21st Century Cures Act S.2624 - National Biomedical Research Act S. 318/H.R. 531 - Accelerating Biomedical Research Act S. 747/H.R. 1398 - American Innovation Act General National Institutes of Health, National Science Foundation, and BRAIN Initiative FY17 budget and appropriation levels, including continuing resolution and omnibus appropriations.

Client expense: $52,899 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Presidents Budget, FY 2017 S. 3040/H.R. 5916 Labor, HHS, Education and Related Agencies Act, 2017, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose rescissions from the Center for Medicare and Medicaid Innovation and Patient Centered Outcomes Research Trust Fund. President's Budget, FY 2017 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Oppose Independent Payment Advisory Panel (IPAB) and site-neutral payment policy. President's Budget, FY 2017 P.L. 114-223 Continuing Appropriations and Military Construction, Veterans Affairs, and Related Appropriations Act, 2017, and Zika Preparedness Act Issues: Support funding for Veterans Affairs medical research, research infrastructure, and community care. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. S. 2624, National Biomedical Research Act. Issue: Support establishment of a Biomedical Innovation Fund to support the National Institutes of Health (NIH) and the Food and Drug Administration (FDA). Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester Issue: Support mandatory funding for the National Health Service Corps (NHSC) authorized under P.L. 114-10, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) P.L. 114-223 Continuing Appropriations and Military Construction, Veterans Affairs, and Related Appropriations Act, 2017, and Zika Preparedness Act Issue: Support supplemental funding to prevent and combat Zika virus; Oppose use of other health funding to offset Zika investments

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

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) FY2016 Agriculture Appropriations (S.1800/ H.R.3049) FY2017 Agriculture Appropriations (H.R.5054/S.2956) FY2017 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ, NIH,and Education(S.3040/H.R.5926) FY2017 Milcon-VA Appropriations-telestroke(S.2806/H.R.2577) FY2017 Transportation/HUD Approps (air ambulance amendment) House Energy and Commerce Committee Budget Reconciliation Instructions House/Senate Health Care Budget Reconciliation (H.R.3762) National Biomedical Research Act (S.2624) National Defense Authorization Act for FY 2017(S.2943) Research for All Act(H.R.2101) Senate Innovations Bill

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

H.R. 6: 21st Century Cures Act and Senate Companion Legislation Legislation to accelerate the discovery, development, and delivery of 21st century cures, and for other purposes (funding for NIH and FDA research). H.R. 1030: Secret Science Reform Act of 2015 A bill to prohibit the Environmental protection Agency from proposing, finalizing, or disseminating regulations or assessments based upon science that is not transparent or reproducible (ALL). H.R. 962 and S. 181: Startup Act 3.0 A bill to jump-start the economic recovery through the formation and growth of new businesses, and for other purposes (ALL). H.R. 1398 and S. 747: American Innovation Act A bill to prioritize funding for an expanded and sustained national investment in basic science research (ALL). H.R. 2104 and S. 289: American Cures Act A bill to prioritize funding for an expanded and sustained national investment in biomedical research (ALL). H.R. 1806: America COMPETES Reauthorization Act of 2015 A bill to provide for technological innovation through the prioritization of Federal investment in basic research, fundamental scientific discovery, and development to improve the competitiveness of the United States, and for other purposes (ALL). H.R. 1441 and S. 771: Manufacturing Universities Act of 2015 A bill to emphasize manufacturing in engineering programs by directing the National Institute of Standards and Technology, in coordination with other appropriate Federal agencies including the Department of Defense, Department of Energy, and National Science Foundation, to designate United States manufacturing universities (ALL). H.R. 1426: Public Access to Public Science Act A bill to ensure public access to published materials concerning scientific research and development activities funded by Federal science agencies (ALL). H.R. 1477 and S. 779: Fair Access to Science and Technology Research Act of 2015 A bill to provide for Federal agencies to develop public access policies relating to research conducted by employees of that agency of from funds administered by that agency (ALL). S. 2972: Grant Reform and New Transparency (GRANT) Act A bill to amend title 31, United States Code, to provide transparency and require certain standards in the award of Federal grants, and for other purposes (ALL). S. 2012: Energy Policy Modernization Act An original bill to provide for the modernization of the energy policy of the United States, and for other purposes (specifically authorization of the Department of Energy's Office of Science and ARPA-E). S. 3084: American Innovation and Competitiveness Act A bill to invest in innovation through research and development, and to improve the competitiveness of the United States. S. 3346: National Aeronautics and Space Administration Transition Authorization Act of 2016 A bill to reauthorize the National Aeronautics and Space Administration (Titles V and VI pertaining to NASA research).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill. S. 2713, Advancing Precision Medicine Act of 2016, entire bill.

Client expense: $177,513 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill. S. 2713, Advancing Precision Medicine Act of 2016, entire bill.

Client expense: $176,233 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Patient Protection & Affordable Health Care Act (P.L. 111-148) and Implementation of Health Care and Education Reconciliation Act (P.L. 111-152) 340B issues and legislative reform proposals Issues related to importation of prescription drugs, including those contained in S. 122, Safe and Affordable Drugs from Canada Act of 2015 Health technology assessment of orphan drugs Sequestration of FDA user fees H.R. 1376, Patient Choice Act of 2015 H.R. 790, Compassionate Freedom of Choice Act of 2015 H.R. 1600, Patients' Access to Treatments Act of 2015 21st Century Cures/Innovation initiatives including H.R. 6, 21st Century Cures Act and the Innovation for Healthier Americans Initiative, including the following: S. 2055, The Medical Countermeasures Innovation Act of 2015; S. 2512, Adding Zika Virus to the FDA Priority Review Voucher Program Act; S. 2030, The Advancing Targeted Therapies for Rare Diseases Act of 2015; S. 849, Advancing Research for Neurological Diseases Act of 2015; S. 2700, FDA and NIH Workfroces Authorities Modernization Act H.R. 909, Andrea Sloan CURE Act S. 1421 and H.R.971, Orphan Product Extensions Now Accelerating Cures and Treatments Act of 2015 Implementation of the FDA Safety and Innovation Act (FDASIA) (Pub. L. 112-144) Regulation of innovative biological products for neurodegenerative diseases Issues and policies related to implementation of Orphan Drug Act and orphan drug development S. 320, Medical Innovation Act H.R. 744, Medical Innovation Act S. 2615, Increasing Competition in Pharmaceuticals Act H.R. 1130, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 S. 598, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 H.R. 1078, Food and Drug Administration Safety Over Sequestration Act of 2015 H.R. 1531 and S.1878, Advancing Hope Act of 2015 Implementation of newborn screening programs Issues and policies related to biosimilars exclusivity period Issues and policies related to biosimilars FDA guidance Issues and policies related to FDA oversight and management Issues and policies related to expanded access programs Issues and policies related to patient involvement with FDA decision making S. 289 and H.R. 2104, American Cures Act Legislation pertaining to FDA priority review vouchers, generally Legislation pertaining to the applicability of the ACA tax carve out for non-orphan drug designated drugs, generally, including H.R. 3678, Preserving Access to Orphan Drugs Act of 2015 H.R. 3618 and S. 1906, Orphan Drug Fairness Act Issues related to the value of prescription medicines, generally, and including S. 2023, Prescription Drug Affordability Act of 2015 Drug shortage issues Issues related to health care transparency S. 2055, Medical Countermeasure Innovation Act of 2016 H.R. 3299, Strengthening Public Health Emergency Response Act S. 2700, FDA and NIH Workforce Authorities Modernization Act S. 2713, Advancing Precision Medicine Act of 2016 S. 2745, Advancing NIH Strategic Planning and Representation in Medical Research Act S. 2742, Promoting Biomedical Research and Public Health for Patients Act S. 3239, H.R. 5858, The RACE for Children Act S. 2689, The REGROW Act

Client expense: $280,000 · Firm income: Not reported

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

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) FY2016 Agriculture Appropriations (S.1800/ H.R.3049) FY2017 Agriculture Appropriations (H.R.5054/S.2956) FY2017 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ, NIH,and Education(S.3040) FY2017 Milcon-VA Appropriations (telestroke) FY2017 Transportation/HUD Approps (air ambulance amendment) House Energy and Commerce Committee Budget Reconciliation Instructions House/Senate Health Care Budget Reconciliation (H.R.3762) National Biomedical Research Act (S.2624) National Defense Authorization Act for FY 2017(S.2943) Research for All Act(H.R.2101) Senate Innovations Bill

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

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill. S. 2713, Advancing Precision Medicine Act of 2016, entire bill.

Client expense: $157,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1030: Secret Science Reform Act of 2015 A bill to prohibit the Environmental protection Agency from proposing, finalizing, or disseminating regulations or assessments based upon science that is not transparent or reproducible (ALL). H.R. 962 and S. 181: Startup Act 3.0 A bill to jump-start the economic recovery through the formation and growth of new businesses, and for other purposes (ALL). H.R. 1398 and S. 747: American Innovation Act A bill to prioritize funding for an expanded and sustained national investment in basic science research (ALL). H.R. 2104 and S. 289: American Cures Act A bill to prioritize funding for an expanded and sustained national investment in biomedical research (ALL). H.R. 1806: America COMPETES Reauthorization Act of 2015 A bill to provide for technological innovation through the prioritization of Federal investment in basic research, fundamental scientific discovery, and development to improve the competitiveness of the United States, and for other purposes (ALL). H.R. 1441 and S. 771: Manufacturing Universities Act of 2015 A bill to emphasize manufacturing in engineering programs by directing the National Institute of Standards and Technology, in coordination with other appropriate Federal agencies including the Department of Defense, Department of Energy, and National Science Foundation, to designate United States manufacturing universities (ALL). H.R. 1426: Public Access to Public Science Act A bill to ensure public access to published materials concerning scientific research and development activities funded by Federal science agencies (ALL). H.R. 1477 and S. 779: Fair Access to Science and Technology Research Act of 2015 A bill to provide for Federal agencies to develop public access policies relating to research conducted by employees of that agency of from funds administered by that agency (ALL). S. 2972: Grant Reform and New Transparency (GRANT) Act A bill to amend title 31, United States Code, to provide transparency and require certain standards in the award of Federal grants, and for other purposes (ALL). S. 2012: Energy Policy Modernization Act An original bill to provide for the modernization of the energy policy of the United States, and for other purposes (specifically authorization of the Department of Energy's Office of Science and ARPA-E). S. 3084: American Innovation and Competitiveness Act A bill to invest in innovation through research and development, and to improve the competitiveness of the United States.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2017 Appropriations related to the National Institutes of Health, National Cancer Institute, and Food & Drug Administration S 318/HR 531 Accelerating Biomedical Research Act S 289/HR 2104 American Cures Act

Client expense: $92,141 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Presidents Budget, FY 2017 S.3040/draft House Labor, HHS, Education and Related Agencies Act, 2017, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose rescissions from the Center for Medicare and Medicaid Innovation and Patient Centered Outcomes Research Trust Fund. President's Budget, FY 2017 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Oppose Independent Payment Advisory Panel (IPAB) and site-neutral payment policy. President's Budget, FY 2017 H.R. 2577/H.R. 4974/S. 2806 Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2017 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and community care. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. S. 2624, National Biomedical Research Act. Issue: Support establishment of a Biomedical Innovation Fund to support the National Institutes of Health (NIH) and the Food and Drug Administration (FDA). Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester Issue: Support mandatory funding for the National Health Service Corps (NHSC) authorized under P.L. 114-10, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support supplemental funding to prevent and combat Zika virus; Oppose use of other health funding to offset Zika investments

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 318, HR 531 Accelerating Biomedical Research Act HR 744, S 320 Medical Innovation Act (Swear Jar bill) HR 777 Permanent Investment in Health Research Act HR 6 21st Century Cures S 289, HR 2104 American Cures Act HR 2101 Research for All Act S 1077 Advancing Breakthrough Devices for Patients HR 2337 To amend the Federal Food, Drug, and Cosmetic Act to authorize priority review for breakthrough devices HR 160 Protect Medical Innovation Act of 2015 (to repeal the ACA medical device tax) S2014 HR3466 Next Generation Researchers Act HR 3171 HR 3215 HR 3429 S 1917 legislation relating to the regulation of fetal tissue research HR639 Improving Regulatory Transparency for New Medical Therapies Act (signed into law) HR 2820 Stem Cell Therapeutic and Research Reauthorization Act of 2015 (signed into law) HR 2646 S1945 Helping Families in Mental Health Crisis Act of 2015 HR 3731, S 2030 Rare Disease Fund Act of 2015 HR 3729 Limit Fetal Tissue Research S 2141 Transparent Ratings on Usability and Security to Transform Information Technology Act of 2015 or TRUST It Act (with respect to health information technology) S 2624 National Biomedical Research Act S 1878 Advancing Hope Act of 2015 S 2512 Adding Zika Virus to the FDA Priority Review Voucher Program Act S 1101 Medical Electronic Data Technology Enhancement for Consumers' Health Act S 1767 Combination Product Regulatory Fairness Act of 2015 S 1597 Patient-Focused Impact Assessment Act of 2015 S 2055 Medical Countermeasure Innovation Act of 2016 S 1945 Mental Health Reform Act of 2015 S 1622 FDA Device Accountability Act S 849 Advancing Research for Neurological Diseases Act of 2015 S 800 Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NIH Act S 2700 FDA and NIH Workforce Authorities Modernization Act S 2713 Advancing Precision Medicine Act of 2016 S 2745 NIH Strategic Plan and Inclusion in Clinical Research S 2472 Promoting Biomedical Research and Public Health for Patients Act (to reduce regulatory burden on NIH-funded researchers)

Client expense: $15,681 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.289/ H.R.2104 - American Cures Act H.R. 6 - 21st Century Cures Act S.2624 - National Biomedical Research Act S. 318/H.R. 531 - Accelerating Biomedical Research Act S. 747/H.R. 1398 - American Innovation Act General National Institutes of Health, National Science Foundation, and BRAIN Initiative FY16 budget and appropriation levels.

Client expense: $52,444 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Implementation of Patient Protection & Affordable Health Care Act (P.L. 111-148) and Implementation of Health Care and Education Reconciliation Act (P.L. 111-152) 340B issues and legislative reform proposals Issues related to importation of prescription drugs, including those contained in S. 122, Safe and Affordable Drugs from Canada Act of 2015 Health technology assessment of orphan drugs Sequestration of FDA user fees H.R. 1376, Patient Choice Act of 2015 H.R. 790, Compassionate Freedom of Choice Act of 2015 H.R. 1600, Patients' Access to Treatments Act of 2015 21st Century Cures/Innovation initiatives including H.R. 6, 21st Century Cures Act and the Innovation for Healthier Americans Initiative, including the following: S. 2055, The Medical Countermeasures Innovation Act of 2015; S. 2512, Adding Zika Virus to the FDA Priority Review Voucher Program Act; S. 2030, The Advancing Targeted Therapies for Rare Diseases Act of 2015; S. 849, Advancing Research for Neurological Diseases Act of 2015; S. 2700, FDA and NIH Workfroces Authorities Modernization Act H.R. 909, Andrea Sloan CURE Act S. 1421 and H.R.971, Orphan Product Extensions Now Accelerating Cures and Treatments Act of 2015 Implementation of the FDA Safety and Innovation Act (FDASIA) (Pub. L. 112-144) Regulation of innovative biological products for neurodegenerative diseases Issues and policies related to implementation of Orphan Drug Act and orphan drug development S. 320, Medical Innovation Act H.R. 744, Medical Innovation Act S. 2615, Increasing Competition in Pharmaceuticals Act H.R. 1130, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 S. 598, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 H.R. 1078, Food and Drug Administration Safety Over Sequestration Act of 2015 H.R. 1531 and S.1878, Advancing Hope Act of 2015 Implementation of newborn screening programs Issues and policies related to biosimilars exclusivity period Issues and policies related to biosimilars FDA guidance Issues and policies related to FDA oversight and management Issues and policies related to expanded access programs Issues and policies related to patient involvement with FDA decision making S. 289 and H.R. 2104, American Cures Act Legislation pertaining to FDA priority review vouchers, generally Legislation pertaining to the applicability of the ACA tax carve out for non-orphan drug designated drugs, generally, including H.R. 3678, Preserving Access to Orphan Drugs Act of 2015 H.R. 3618 and S. 1906, Orphan Drug Fairness Act Issues related to the value of prescription medicines, generally, and including S. 2023, Prescription Drug Affordability Act of 2015 Drug shortage issues Issues related to health care transparency

Client expense: $290,000 · Firm income: Not reported

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

Presidents Budget, FY 2017 P.L. 114-113, Consolidated Appropriations Act, 2016, Division H, Title II Draft House and Senate Labor, HHS, Education and Related Agencies Act, 2017, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. President's Budget, FY 2017 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program. Oppose Independent Payment Advisory Panel (IPAB) and site-neutral payment policy. President's Budget, FY 2017 Draft House and Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2017 Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. S. 2624, National Biomedical Research Act. Issue: Support establishment of a Biomedical Innovation Fund to support the National Institutes of Health (NIH) and the Food and Drug Administration (FDA). Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester Issue: Support mandatory funding for the National Health Service Corps (NHSC) authorized under P.L. 114-10, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support supplemental funding to prevent and combat Zika virus.

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

S 318, HR 531 Accelerating Biomedical Research Act HR 744, S 320 Medical Innovation Act (Swear Jar bill) HR 777 Permanent Investment in Health Research Act HR 6 21st Century Cures S 289, HR 2104 American Cures Act HR 2101 Research for All Act S 1077 Advancing Breakthrough Devices for Patients HR 2337 To amend the Federal Food, Drug, and Cosmetic Act to authorize priority review for breakthrough devices HR 160 Protect Medical Innovation Act of 2015 (to repeal the ACA medical device tax) S2014 HR3466 Next Generation Researchers Act HR 3171 HR 3215 HR 3429 S 1917 legislation relating to the regulation of fetal tissue research HR639 Improving Regulatory Transparency for New Medical Therapies Act (signed into law) HR 2820 Stem Cell Therapeutic and Research Reauthorization Act of 2015 (signed into law) HR 2646 S1945 Helping Families in Mental Health Crisis Act of 2015 HR 3731, S 2030 Rare Disease Fund Act of 2015 HR 3729 Limit Fetal Tissue Research S 2141 Transparent Ratings on Usability and Security to Transform Information Technology Act of 2015 or TRUST It Act (with respect to health information technology) S 2624 National Biomedical Research Act S 1878 Advancing Hope Act of 2015 S 2512 Adding Zika Virus to the FDA Priority Review Voucher Program Act S 1101 Medical Electronic Data Technology Enhancement for Consumers' Health Act S 1767 Combination Product Regulatory Fairness Act of 2015 S 1597 Patient-Focused Impact Assessment Act of 2015 S 2055 Medical Countermeasure Innovation Act of 2016 S 1945 Mental Health Reform Act of 2015 S 1622 FDA Device Accountability Act S 849 Advancing Research for Neurological Diseases Act of 2015 S 800 Enhancing the Stature and Visibility of Medical Rehabilitation Research at the NIH Act S 2700 FDA and NIH Workforce Authorities Modernization Act S 2713 Advancing Precision Medicine Act of 2016 S 2745 NIH Strategic Plan and Inclusion in Clinical Research S 2472 Promoting Biomedical Research and Public Health for Patients Act (to reduce regulatory burden on NIH-funded researchers)

Client expense: $36,139 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2017 Appropriations related to the National Institutes of Health, National Cancer Institute, and Food & Drug Administration S 318/HR 531 Accelerating Biomedical Research Act S 289/HR 2104 American Cures Act

Client expense: $98,340 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill. S. 2713, Advancing Precision Medicine Act of 2016, entire bill.

Client expense: $133,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill. S. 2713, Advancing Precision Medicine Act of 2016, entire bill.

Client expense: $224,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) FY2016 Agriculture Appropriations (S.1800/ H.R.3049) FY2017 Agriculture Appropriations FY2017 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ and NIH FY2017 Milcon-VA Appropriations (telestroke) House Energy and Commerce Committee Budget Reconciliation Instructions House/Senate Health Care Budget Reconciliation (H.R.3762) National Biomedical Research Act (S.2624) Research for All Act(H.R.2101)

Client expense: $186,805 · 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

S.289 - American Cures Act H.R.2104 - American Cures Act H.R. 6 - 21st Century Cures Act S.2624 - National Biomedical Research Act General National Institutes of Health, National Science Foundation, and BRAIN Initiative FY16 budget and appropriation levels.

Client expense: $78,748 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) American Tax Payer Relief Act (H.R.8) "fiscal cliff bill"-Medicare/Medicaid Therapy Caps Budget Resolution (S.Con.Res.11) Congressional Budget Resolution Provisions Related to NIH (S.con.res.11/H.con.res.27) FY2016 Agriculture Appropriations (S.1800) FY2016 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ and NIH(H.R.3020/ S.1695) House Energy and Commerce Committee Budget Reconciliation Instructions H.R.6, 21st Century Cures Act Next Generation Research Act(S.2014/H.R.3466) Research for All Act(H.R.2101)

Client expense: $208,575 · 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

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) American Tax Payer Relief Act (H.R.8) "fiscal cliff bill"-Medicare/Medicaid Therapy Caps Budget Resolution (S.Con.Res.11) Congressional Budget Resolution Provisions Related to NIH (S.con.res.11/H.con.res.27) FY2016 Agriculture Appropriations (S.1800) FY2016 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ and NIH(H.R.3020/ S.1695) House Energy and Commerce Committee Budget Reconciliation Instructions H.R.6, 21st Century Cures Act Next Generation Research Act(S.2014/H.R.3466) Research for All Act(H.R.2101)

Client expense: $337,480 · 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

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) American Tax Payer Relief Act (H.R.8) "fiscal cliff bill"-Medicare/Medicaid Therapy Caps FY2016 Agriculture Appropriations (S.1800) FY2016 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ and NIH(H.R.3020/ S.1695) House Energy and Commerce Committee Budget Reconciliation Instructions House/Senate Health Care Budget Reconciliation (H.R.3762) H.R.2029 Consolidated Appropriations Act H.R.3762 Restoring Americans Health Care Freedom Reconciliation Act of 2015 Next Generation Research Act(S.2014/H.R.3466) Research for All Act(H.R.2101)

Client expense: $231,228 · 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

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) American Tax Payer Relief Act (H.R.8) "fiscal cliff bill"-Medicare/Medicaid Therapy Caps FY2016 Agriculture Appropriations (S.1800) FY2016 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ and NIH(H.R.3020/ S.1695) House Energy and Commerce Committee Budget Reconciliation Instructions House/Senate Health Care Budget Reconciliation (H.R.3762) H.R.2029 Consolidated Appropriations Act H.R.3762 Restoring Americans Health Care Freedom Reconciliation Act of 2015 Next Generation Research Act(S.2014/H.R.3466) Research for All Act(H.R.2101)

Client expense: $231,228 · 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 2029- The Consolidated Appropriations Act of 2016 H.R.1314 - Bipartisan Budget Act of 2015 S 1695/HR 3020 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2016 S 1800/HR 3049 Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2016 S 318/HR 531 Accelerating Biomedical Research Act S 289/HR 2104 American Cures Act HR 719 Continuing Appropriations Act, 2016

Client expense: $53,150 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of Patient Protection & Affordable Health Care Act (P.L. 111-148) and Implementation of Health Care and Education Reconciliation Act (P.L. 111-152) 340B issues and legislative reform proposals Issues related to importation of prescription drugs, including those contained in S. 122, Safe and Affordable Drugs from Canada Act of 2015 Health technology assessment of orphan drugs Sequestration of FDA user fees H.R. 1376, Patient Choice Act of 2015 H.R. 790, Compassionate Freedom of Choice Act of 2015 H.R. 1600, Patients' Access to Treatments Act of 2015 21st Century Cures/Innovation initiatives including H.R. 6, 21st Century Cures Act and the Innovation for Healthier Americans Initiative H.R. 909, Andrea Sloan CURE Act S. 1421 and H.R.971, Orphan Product Extensions Now Accelerating Cures and Treatments Act of 2015 Implementation of the FDA Safety and Innovation Act (FDASIA) (Pub. L. 112-144) Regulation of innovative biological products for neurodegenerative diseases Issues and policies related to implementation of Orphan Drug Act and orphan drug development S. 320, Medical Innovation Act H.R. 744, Medical Innovation Act H.R. 1130, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 S. 598, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 H.R. 1078, Food and Drug Administration Safety Over Sequestration Act of 2015 H.R. 1531 and S.1878, Advancing Hope Act of 2015 Implementation of newborn screening programs Issues and policies related to biosimilars exclusivity period Issues and policies related to biosimilars FDA guidance Issues and policies related to FDA oversight and management Issues and policies related to expanded access programs Issues and policies related to patient involvement with FDA decision making S. 289 and H.R. 2104, American Cures Act Legislation pertaining to FDA priority review vouchers, generally Legislation pertaining to the applicability of the ACA tax carve out for non-orphan drug designated drugs, generally, including H.R. 3678, Preserving Access to Orphan Drugs Act of 2015 H.R. 3618 and S. 1906, Orphan Drug Fairness Act Issues related to the value of prescription medicines, generally, and including S. 2023, Prescription Drug Affordability Act of 2015 Drug shortage issues

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

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

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) American Tax Payer Relief Act (H.R.8) "fiscal cliff bill"-Medicare/Medicaid Therapy Caps FY2016 Agriculture Appropriations (S.1800) FY2016 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ and NIH(H.R.3020/ S.1695) House Energy and Commerce Committee Budget Reconciliation Instructions House/Senate Health Care Budget Reconciliation (H.R.3762) H.R.2029 Consolidated Appropriations Act H.R.3762 Restoring Americans Health Care Freedom Reconciliation Act of 2015 Next Generation Research Act(S.2014/H.R.3466) Research for All Act(H.R.2101)

Client expense: Not reported · Firm income: $231,228

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

S 318, HR 531 Accelerating Biomedical Research Act HR 744, S 320 Medical Innovation Act (Swear Jar bill) HR 777 Permanent Investment in Health Research Act HR 6 21st Century Cures S 289, HR 2104 American Cures Act HR 2101 Research for All Act S 1077 Advancing Breakthrough Devices for Patients HR 2337 To amend the Federal Food, Drug, and Cosmetic Act to authorize priority review for breakthrough devices HR 160 Protect Medical Innovation Act of 2015 (to repeal the ACA medical device tax) S2014 HR3466 Next Generation Researchers Act HR 3171 HR 3215 HR 3429 S 1917 legislation relating to the regulation of fetal tissue research HR639 Improving Regulatory Transparency for New Medical Therapies Act (signed into law) HR 2820 Stem Cell Therapeutic and Research Reauthorization Act of 2015 (signed into law) HR 2646 S1945 Helping Families in Mental Health Crisis Act of 2015 HR 3731 Rare Disease Fund Act of 2015 (Andrew Los brainchild) HR 3729 Limit Fetal Tissue Research S 2141 Transparent Ratings on Usability and Security to Transform Information Technology Act of 2015 or TRUST It Act (with respect to health information technology)

Client expense: $58,549 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR1010, To provide for the posthumous commission as a captain in the regular Army of Milton Holland. HR1015, Protecting Business Opportunities for Veterans Act of 2015. HR1016, To direct the Secretary of Veterans Affairs to adopt and implement a standard identification protocol for use in the tracking and procurement of biological implants by the Department of Veterans Affairs. HR1017, Directing the Secretary of Veterans Affairs to carry out certain actions to improve the transparency and the governance of the information security program of the Department. HR1055, To improve access to oral health care for vulnerable and underserved populations. HR1101, Viral Hepatitis Testing Act of 2015. HR1127, To authorize the Secretary of Veterans Affairs to make certain grants to assist nursing homes for veterans located on tribal lands. HR1128, Department of Veterans Affairs Cyber Security Protection Act. HR1129, Veterans' Whistleblower and Patient Protection Act of 2015. HR1134, Access to Timely Information Act. HR1141, GI Bill Fairness Act of 2015. HR1170, Chiropractic Care Available to All Veterans Act. HR1177, Deployed Troops Support Act of 2015. HR1183, Veterans Cemetery Benefit Correction Act. HR120, To repeal the War Powers Resolution. HR12, Voter Empowerment Act of 2015. HR1217, Public Safety and Second Amendment Rights Protection Act of 2015. HR1227, Work for Warriors Act of 2015. HR124, To redesignate the Department of the Navy as the Department of the Navy and Marine Corps. HR1247, Improving Veterans Access to Quality Care Act of 2015. HR1288, World War II Merchant Mariner Service Act. HR1292, Disabled Veterans Commissary and Exchange Store Benefits Act. HR1294, Meeting the Inpatient Health Care Needs of Far South Texas Veterans Act of 2015. HR1302, VA Appeals Backlog Relief Act. HR1313, Service Disabled Veteran Owned Small Business Relief Act. HR1316, Veterans' Heritage Firearms Act of 2015. HR1319, Ask Veterans Act. HR1331, Quicker Veterans Benefits Delivery Act of 2015. HR1338, Dignified Interment of Our Veterans Act of 2015. HR1356, Women Veterans Access to Quality Care Act of 2015. HR1357, Veterans Beneficiary Fraud Enforcement Act. HR1369, Veterans Access to Extended Care Act of 2015. HR1379, To authorize the Board of Veterans' Appeals to develop evidence in appeal cases, and for other purposes. HR1380, To expand the eligibility for a medallion furnished by the Secretary of Veterans Affairs to signify the veteran status of a deceased individual. HR1384, Honor America's Guard-Reserve Retirees Act. HR1414, Pay As You Rate Act. HR146, To ensure that members of the Armed Forces serving on active duty who are diagnosed with post-traumatic stress disorder or traumatic brain injury have access to hyperbaric oxygen therapy at military medical treatment. HR1465, Medical Evaluation Parity for Servicemembers Act of 2015. HR148, To ensure that every military chaplain has the prerogative to close a prayer outside of a religious service according to the dictates of the chaplain's own conscience. HR1496, To improve the access to child care for certain veterans receiving health care at a facility of the Department of Veterans Affairs. HR1500, To ensure that certain TRICARE program beneficiaries may enroll in TRICARE Prime regardless of the location of their residence. HR1514, CRAM. HR1538, CARERS Act of 2015. HR1575, To make permanent the pilot program on counseling in retreat settings for women veterans newly separated from service in the Armed Forces. HR1590, Integrated Electronic Health Records (iEHR) for Military and Veterans Act. HR1594, Military Surviving Spouses Equity Act. HR1603, Military SAVE Act. HR1607, Ruth Moore Act of 2015. HR1628, Veterans Pain Management Improvement Act. HR1681, VA Construction, Accountability, and Reform Act. HR1688, To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. HR1735, National Defense Authorization Act for Fiscal Year 2016. HR1769, Toxic Exposure Research Act of 2015. HR182, Centralized reporting of veteran enrollment by certain groups, districts, and consortiums of educational institutions. HR1845, Military Family Leave Act of 2015. HR1860, Equalizing Transparency for Veterans Act. HR1862, Veterans' Credit Protection Act. HR1863, Local Care for Veterans Act. HR1875, Filipino Veterans Recognition Act. HR189, Servicemember Foreclosure Protections Extension Act of 2015. HR190, Making Servicemember Foreclosure Protections Permanent Act. HR1904, Wounded Warrior Workforce Enhancement Act. HR1905, Wounded Warrior Research Enhancement Act. HR1909, To require the Secretary of Veterans Affairs to use existing authorities to furnish health care at non-Department of Veterans Affairs facilities to veterans who live more than 40 miles driving distance from the closest medical facility of the Department. HR1911, To increase certain veteran funeral benefits. HR1948, Veterans' Access to Child Care Act. HR1969, Military and Veteran Caregiver Services Improvement Act of 2015. HR1978, Veterans Conservation Corps Act of 2015. HR1989, Encourage New Legalized Immigrants to Start Training Act. HR1994, VA Accountability Act of 2015. HR2001, Veterans 2nd Amendment Protection Act. HR2008, GI Education Benefit Fairness Act. HR2011, To remove the authority of the Secretaries of the military departments to revoke combat valor awards. HR2026, SUPPORT Act. HR203, Clay Hunt SAV Act. HR2046, Prescription Drug Accountability Act. HR2047, Ensuring Veteran Safety Through Accountability Act of 2015. HR2053, Military Reserve Survivor Benefit Equity Act. HR2054, To provide for increased access to Department of Veterans Affairs medical care for women veterans. HR2104, To prioritize funding for an expanded and sustained national investment in biomedical research. HR2114, To direct the Secretary of State, the Secretary of Health and Human Services, and the Secretary of Veterans Affairs to provide assistance for individuals affected by exposure to Agent Orange, and for other purposes. HR2123, Enhancing Veterans' Access to Treatment Act of 2015. HR2133, Servicemembers' Choice in Transition Act. HR2139, Veteran's Benefits Claims Faster Filing Act of 2015. HR2145, Physician Ambassadors Helping Veterans Act. HR216, Department of Veterans Affairs Budget Planning Reform Act of 2015. HR218, CHAMPVA Children's Protection Act of 2015. HR2190, Legal Justice for Servicemembers Act of 2015. HR2193, VA Employee Fairness Act of 2015. HR220, Veterans Dependents' Parity Act. HR22, Developing a Reliable and Innovative Vision for the Economy Act. HR2237, Helping Veterans Exposed to Burn Pits Act. HR2248, United States Cadet Nurse Corps Equity Act. HR2256, Veterans Information Modernization Act. HR2257, To improve the reproductive treatment provided to certain disabled veterans. HR2264, To establish a space-available transportation priority for veterans of the Armed Forces who have a service-connected, permanent disability rated as total. HR2275, Jobs for Veterans Act of 2015. HR2282, Veterans Education Priority Enrollment Act. HR2286, Prioritizing Urgent Claims for Veterans Act. HR2291, Rural Veterans Travel Enhancement Act of 2015. HR2294, Honor Guardsmen and Reservists Act. HR2327, Hmong Veterans' Service Recognition Act. HR2344, Veterans Vocational Rehabilitation and Employment Improvement Act of 2015. HR2360, Career-Ready Student Veterans Act. HR2361, Work-Study for Student Veterans Act. HR2365, Construction Reform, Authorization, and Choice Improvement Act of 2015. HR2464, Demanding Accountability for Veterans Act of 2015. HR2475, Stability for Service Members Act. HR2487, Fry Scholarship Enhancement Act. HR2490, Bertie's Respect for National Cemeteries Act. HR2493, Wounded Warrior Service Dog Act of 2015. HR2496, Construction Authorization and Choice Improvement Act. HR2516, Veterans E-Health & Telemedicine Support Act of 2015. HR2522, To require the Secretary of Veterans Affairs to establish a pilot program to award grants for the provision of furniture, household items, and other assistance to homeless veterans to facilitate their transition into permanent housing, and for other purposes. HR2531, ACES Act of 2015. HR2539, Surviving Spouses' Benefit Improvement Act of 2015. HR2555, Veteran Wellness Act. HR2558, Examination of Exposures to Environmental Hazards During Military Service and Health Care for Atsugi Naval Air Facility Veterans and their Families Act of 2015. HR2591, Homeless Veterans Assistance Fund Act of 2015. HR2605, Veterans Fiduciary Reform Act of 2015. HR2622, Fort McClellan Health Registry Act. HR2639, Marriage and Family Therapists for Veterans Act. HR2653, American Health Care Reform Act of 2015. HR2662, Fallen Heroes Family Assistance Act. HR2691, Veterans' Survivors Claims Processing Automation Act of 2015. HR2706, Veterans National Remembrance Act. HR271, COVER Act. HR2718, Servicemember Student Loan Affordability Act. HR272, Medal of Honor Priority Care Act. HR2725, 21st Century Care for Military and Veterans Act. HR2766, Filipino Veterans Fairness Act of 2015. HR280, To authorize the Secretary of Veterans Affairs to recoup bonuses and awards paid to employees of the Department of Veterans Affairs. HR2813, Shelter Our Servicemembers Act. HR2814, Naming of the Dannie A. Carr Veterans Outpatient Clinic. HR2855, Veterans Education Flexibility Act. HR2861, Veteran Employment Transition Act. HR2863, Secure Legal Services for Veterans Act. HR288, Veterans Medical Access Act. HR2894, CARE for All Veterans Act. HR2914, Build a Better VA Act. HR2915, Female Veteran Suicide Prevention Act. HR2935, Disabled Veterans Red Tape Reduction Act. HR2941, Veterans Affairs Employee Accountability Act. HR294, Long-Term Care Veterans Choice Act. HR2974, Veteran Continuity of Care Act. HR2975, Protect Veterans from Financial Fraud Act. HR2981, To provide that congressional testimony by Department of Veterans Affairs employees is official duty. HR2999, Fair VA Accountability Act. HR3016, VA Provider Equity Act. HR3019, Veterans Residential Care Choice Act. HR303, Retired Pay Restoration Act. HR3040, To require the Secretary of Defense, in consultation with the Secretary of Veterans Affairs, to develop guidelines regarding the use by the Secretaries of the military departments and the Secretary of Veterans Affairs of unofficial sources of information. HR3068, Restore Honor to Service Members Act. HR3101, POW Accountability Act. HR3106, Construction Reform Act of 2015. HR3113, Empowering Our Veterans Act of 2015. HR3115, Enhancing Safety at Military Installations Act. HR3122, VALOR Act of 2015. HR3146, Military Base Self-Defense Act. HR315, Filipino Veterans Promise Act. HR3200, To authorize the Secretary of Veterans Affairs to transfer unobligated amounts previously made available to the Department of Veterans Affairs to the medical accounts of the Department to improve the furnishing of health care to veterans. HR3234, Failing VA Medical Center Recovery Act. HR3236, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015. HR3246, To provide for the temporary use of Veterans Choice Funds for certain programs, and for other purposes. HR3262, To provide for the conveyance of land of the Illiana Health Care System of the Department of Veterans Affairs in Danville, Illinois. HR3278, Veterans Dignified Burial Act. HR3286, HIRE Vets Act. HR3320, Timely Payment for Veterans' Medical Care Act. HR333, Disabled Veterans Tax Termination Act. HR3335, Access to Veterans Benefits Improvement Act. HR3351, CPI-E Act of 2015. HR3365, Women Veterans and Families Health Services Act of 2015. HR3373, To direct the Secretary of Veterans Affairs to review certain whistleblower complaints. HR3374, Wounded Warrior Assistance Act of 2015. HR3388, SOLDIER Act. HR341, To require States to recognize the military experience of veterans when issuing licenses and credentials to veterans. HR3414, Veterans Access to Orthotic and Prosthetic Care Act. HR3419, Support for Student Veterans with Families Act. HR342, To extend military commissary and exchange store privileges to members of the Armed Forces who are involuntarily separated with a service-connected disability. HR3422, VA Vendor Verification Act. HR3423, Agent Orange Extension Act of 2015. HR3471, Veterans Mobility Safety Act of 2015. HR353, Veterans' Access to Hearing Health Act of 2015. HR3549, VA Billing Accountability Act. HR356, Wounded Warrior Employment Improvement Act. HR3580, To establish a continuing medical education program for non-Department of Veterans Affairs medical professionals who treat veterans and family members of veterans to increase knowledge and recognition of medical conditions common to veterans. HR359, Veterans Dog Training Therapy Act. HR3595, Increased Authorizations for the Denver VA Medical Center Construction Project Act. HR3596, Department of Veterans Affairs Expiring Authorities Act of 2015. HR3616, Defending Our Defenders Act. HR366, Putting Our Veterans Back to Work Act of 2015. HR421, Classified Veterans Access to Care Act. HR423, Newborn Care Improvement Act. HR444, Expanding Care for Veterans Act. HR454, Military Retiree Survivor Comfort Act. HR456, Reducing Barriers for Veterans Education Act of 2015. HR473, Increasing the Department of Veterans Affairs Accountability to Veterans Act of 2015. HR474, Homeless Veterans' Reintegration Programs Reauthorization Act of 2015. HR475, GI Bill Processing Improvement Act of 2015. HR476, GI Bill Education Quality Enhancement Act of 2015. HR479, American Jobs Matter Act of 2015. HR498, Efficient Service for Veterans Act. HR502, Veterans Health Administration Management Improvement Act. HR517, To establish an Appeals Task Force. HR563, Honoring Our WWII Merchant Mariners Act of 2015. HR571, Veterans Affairs Retaliation Prevention Act of 2015. HR572, Veterans Access to Community Care Act of 2015. HR575, Stop Wasteful Bonuses in Department of Veterans Affairs Act of 2015. HR593, Aurora VA Hospital Financing and Construction Reform Act of 2015. HR607, Help Hire Our Heroes Act. HR614, SAVE Act. HR618, CHOICE Act. HR621, Veteran Excellence Through Education Act of 2015. HR642, To provide for the eligibility for beneficiary travel for veterans seeking treatment or care for military sexual trauma in specialized outpatient or residential programs. HR643, Veterans Education Survey Act of 2015. HR658, VA Regional Office Accountability Act. HR667, Veterans Equal Access Act. HR732, Veterans Access to Speedy Review Act. HR742, Access to Contraception for Women Servicemembers and Dependents Act of 2015. HR748, GI Bill STEM Extension Act of 2015. HR76, Helping to Encourage Real Opportunity for Veterans Transitioning from Battlespace to Workplace Act of 2015. HR763, To direct the Secretary of Veterans Affairs to carry out a pilot program under which eligible veterans may elect to receive hospital care and medical services at non-Department of Veterans Affairs facilities. HR800, Express Appeals Act. HR802, Chiropractic Health Parity for Military Beneficiaries Act. HR832, Veterans Employment and Training Service Longitudinal Study Act of 2015. HR868, Veterans TRICARE Choice Act. HR90, Veterans Healthcare Improvement Act. HR91, Veterans Identification Card Act 2015. HR915, Voices for Veterans Act. HR926, To improve the provision of guide dogs to veterans blinded by a service-connected injury. HR941, To amend the Veterans Access, Choice, and Accountability Act of 2014 to extend the requirement of the Secretary to furnish hospital care and medical services through non-Department of Veterans Affairs entities to veterans residing in certain locations. HR956, Military TRAC Act. HR960, Designation of the Daniel L. Kinnard Department of Veterans Affairs Community Based Outpatient Clinic. HR969, Blue Water Navy Vietnam Veterans Act of 2015. HR991, Children of Military Service Members Commemorative Lapel Pin Act. HR992, Veterans Air Travel Streamlining Act of 2015. HR993, Veterans' Independent Living Enhancement Act. HR995, Veterans Day Moment of Silence Act. HRES106, Supporting quality of life for prostate cancer patients. HRES211, Expressing the sense of the House of Representatives that veterans deserve the health and living standards they fought to protect. HRES314, Expressing the sense of the House of Representatives regarding the eligibility of veterans service organizations for community development block grant funding. HRES320, Expressing the sense of Congress that a grateful Nation honors and salutes Sons and Daughters in Touch on its 25th anniversary that is being celebrated on Father's Day, 2015, at the Vietnam Veterans Memorial in Washington, the District of Columbia. HRES384, Calling for a formal end of the Korean War. HRES443, Commending the Departments of Defense and Veterans Affairs for their joint campaign to raise awareness during September, Suicide Prevention Month, to reduce suicide among members of the United States Armed Forces and veterans. HRES451, Expressing the sense of the House of Representatives that Sergeant Charles Martland, a decorated member of the Special Forces, should be reinstated in the United States Army. S1021, Wounded Warrior Workforce Enhancement Act. S1022, Wounded Warrior Research Enhancement Act. S1070, GI Education Benefit Fairness Act of 2015. S1082, Department of Veterans Affairs Accountability Act of 2015. S1085, Military and Veteran Caregiver Services Improvement Act of 2015. S1105, To authorize per diem payments under comprehensive service programs for homeless veterans to furnish care to dependents of homeless veterans, and for other purposes. S1117, Ensuring Veteran Safety Through Accountability Act of 2015. S1118, National Defense Authorization Act for Fiscal Year 2016. S1130, Legal Justice for Servicemembers Act of 2015. S114, Veterans Affairs Research Transparency Act of 2015. S1152, Foreclosure Relief and Extension for Servicemembers Act of 2015. S1203, 21st Century Veterans Benefits Delivery Act. S1257, Department of Veterans Affairs Employee Fairness Act of 2015. S1286, Veterans Appeals Assistance and Improvement Act of 2015. S1303, Veterans Education Priority Enrollment Act of 2015. S1325, Designation of the Daniel L. Kinnard Department of Veterans Affairs Community Based Outpatient Clinic. S1358, Hmong Veterans' Service Recognition Act. S136, Gold Star Fathers Act of 2015. S1450, Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act. S1451, Veterans' Survivors Claims Processing Automation Act of 2015. S1452, Veterans Emergency Health Care Safety Net Expansion Act of 2015. S1460, Fry Scholarship Enhancement Act of 2015. S1493, Veterans' Compensation Cost-of-Living Adjustment Act of 2015. S1496, Ensuring Department of Veterans Affairs Employee Accountability Act. S1534, Treto Garza South Texas Veterans Inpatient Care Act of 2015. S1557, Servicemember Student Loan Affordability Act of 2015. S1567, To provide for a review of the characterization or terms of discharge from the Armed Forces of individuals with mental health disorders alleged to affect terms of discharge. S1603, Border Jobs for Veterans Act of 2015. S1628, A bill to preserve the current amount of basic allowance for housing for certain married members of the uniformed services. S1641, Jason Simcakoski Memorial Opioid Safety Act. S167, Clay Hunt SAV Act. S1693, To expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment, and for other purposes. S1721, Joint Formularies for Veterans Act of 2015. S1731, Homeless Veterans Services Protection Act of 2015. S1754, To make permanent the temporary increase in number of judges presiding over the United States Court of Appeals for Veterans Claims. S1766, Restore Honor to Service Members Act. S1775, World War II Merchant Mariner Service Act. S1797, Connect with Veterans Act of 2015. S1815, A bill to require a process by which members of the Armed Forces may carry a concealed personal firearm on a military installation. S1821, Armed Forces Self-Defense Act. S1823, To safeguard military personnel on Armed Forces military installations by repealing bans on military personnel carrying firearms, and for other purposes. S1839, Servicemembers Self-Defense Act of 2015. S1862, VET Act of 2015. S1885, Veteran Housing Stability Act of 2015. S1938, Career-Ready Student Veterans Act of 2015. S1967, A bill to provide for the conveyance of land of the Illiana Health Care System of the Department of Veterans Affairs in Danville, Illinois. S1988, Enhancing Security for Military Personnel Act of 2015. S1991, Permanent Department of Veterans Affairs Choice Card Act of 2015. S2000, Veterans Access to Long Term Care and Health Services Act. S2013, Los Angeles Homeless Veterans Leasing Act of 2015. S2022, A bill to amend title 38, United States Code, to increase the amount of special pension for Medal of Honor recipients, and for other purposes. S2048, Keeping Our Commitment to Ending Veteran Homelessness Act of 2015. S2049, To establish a continuing medical education program for non-Department medical professionals who treat veterans and family members of veterans to increase knowledge and recognition of medical conditions common. S2052, Department of Veterans Affairs Billing Accountability Act of 2015. S2062, To extend authority for operation of the Department of Veterans Affairs Regional Office in Manila, the Republic of the Philippines. S207, Veterans Access to Community Care Act of 2015. S2081, To extend authorities for the Secretary of Veterans Affairs to expand presumption of service connection for compensation for diseases the Secretary determines are associated with exposure to herbicide agents, and for other purposes. S2106, Wounded Warrior Employment Improvement Act of 2015. S223, Pilot program on awarding grants for provision of furniture, household items, and other assistance to homeless veterans to facilitate their transition into permanent housing. S26, American Jobs Matter Act of 2015. S270, Charlie Morgan Military Spouses Equal Treatment Act of 2015. S271, Retired Pay Restoration Act of 2015. S285, Aurora Veterans Affairs Hospital Financing and Construction Reform Act of 2015. S290, Increasing the Department of Veterans Affairs Accountability to Veterans Act of 2015. S29, Respect for Marriage Act. S296, Veterans Small Business Opportunity and Protection Act of 2015. S297, Frontlines to Lifelines Act of 2015. S358, Access to Contraception for Women Servicemembers and Dependents Act of 2015. S374, A bill to amend the Veterans Access, Choice, and Accountability Act of 2014 to extend the requirement of the Secretary to furnish hospital care and medical services through non-Department of Veterans Affairs entities to veterans residing in certain locations. S398, Chiropractic Care Available to All Veterans Act of 2015. S409, Military Sex Offender Reporting Act of 2015. S41, Veterans Travel Tax Relief Act of 2015. S425, Homeless Veterans' Reintegration Programs Reauthorization Act of 2015. S469, Women Veterans and Families Health Services Act of 2015. S471, Women Veterans Access to Quality Care Act of 2015. S563, Physician Ambassadors Helping Veterans Act. S564, Veterans Hearing Aid Access and Assistance Act. S602, GI Bill Fairness Act of 2015. S627, A bill to require the Secretary of Veterans Affairs to revoke bonuses paid to employees involved in electronic wait list manipulations, and for other purposes. S646, Medical Evaluation Parity for Servicemembers Act of 2015. S657, Caregivers Expansion and Improvement Act of 2015. S666, Quicker Veterans Benefits Delivery Act of 2015. S681, Blue Water Navy Vietnam Veterans Act of 2015. S684, Homeless Veterans Prevention Act of 2015. S695, Dignified Interment of Our Veterans Act of 2015. S714, Frontline Mental Health Provider Training Act. S715, Military and Veterans Mental Health Provider Assessment Act of 2015. S717, Community Provider Readiness Recognition Act of 2015. S739, Veterans Access to Extended Care Act of 2015. S743, Honor America's Guard-Reserve Retirees Act of 2015. S788, To require the termination of any employee of the Department of Veterans Affairs who is found to have retaliated against a whistleblower. S833, Department of Veterans Affairs Medical Facility Earthquake Protection and Improvement Act. S901, Toxic Exposure Research Act of 2015. S979, To repeal the requirement for reduction of survivor annuities under the Survivor Benefit Plan by veterans' dependency and indemnity compensation, and for other purposes. S997, Department of Veterans Affairs Construction, Accountability, and Reform Act. SRES32, An original resolution authorizing expenditures by the Committee on Veterans' Affairs.

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA), White House Office

S. 289/H.R. 2104 American Cures Act, entire bill. S. 318/H.R. 531 Accelerating Biomedical Research Act, entire bill. H.R. 6, 21st Century Cures Act, Title I and II. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act, entire bill.

Client expense: $224,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), NIH Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II P.L. 114-113, H.R. 2029, Consolidated Appropriations Act, 2016, Division H, Title II Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), biodefense and public health preparedness programs, Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2017 H.R. 2029 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 P.L. 114-113, Consolidated Appropriations Act, 2016, Division J, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support the use of animals in medical research. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Funding for pandemic preparedness and biodefense programs Issue: Draft legislation on protections for human subjects in research S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. 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. 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. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Issue: Support federal funding for research using human fetal tissue. H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. H.R. 3119, draft Senate legislation, Palliative Care and Hospice Education and Training Act Issue: Health professions education on palliative care Submitted comments to: -HRSA on Proposed Omnibus Guidance on 340B Drug Pricing Program -FDA on International Scheduling of Ketamine -NIH on its strategic plan to advance research on the health and well-being of sexual and gender minorities

Client expense: $780,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), NIH Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II P.L. 114-113, H.R. 2029, Consolidated Appropriations Act, 2016, Division H, Title II Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2017 H.R. 2029 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 P.L. 114-113, Consolidated Appropriations Act, 2016, Division J, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Oppose discretionary spending cuts through sequestration, including NIH and other science programs. Issue: Supporting the use of animals in medical research. Issue: Funding for pandemic preparedness and biodefense programs. Issue: Draft legislation on protections for human subjects in research. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. 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. 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. Issue: FDA regulation of Laboratory Developed Tests (LDTs) H.R. 3466/S. 2014, Next Generation Research Act Issue: Support National Institutes of Health programs for new and young scientists. H.R. 1806, The America COMPETES Act of 2015 Issue: Support increased funding for the National Science Foundation (NSF) Issue: Support federal funding for research using human fetal tissue. Submitted comments to: -FDA on International Scheduling of Ketamine -NIH on strategies to enhance diversity in the physician�scientist workforce -NIH on its strategic plan to advance research on the health and well-being of sexual and gender minorities

Client expense: $780,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), Hospital Preparedness Program, NIH, Title VII & VIII Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II P.L. 114-113, H.R. 2029, Consolidated Appropriations Act, 2016, Division H, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), biodefense and public health preparedness programs,. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from CMMI and PCORI. President's Budget, FY 2017 H.R. 2029 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 P.L. 114-113, Consolidated Appropriations Act, 2016, Division J, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Draft Debt in Health Education Loan Programs (DebtHELP) legislative proposal Issues: Expand National Health Service Corps State Loan Repayment program, and align Department of Education and HRSA student loan programs. H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments and increase Graduate Medical Education (GME) accountability and transparency. Issue: Funding and reporting requirements for Teaching Health Center Graduate Medical Education program under section 340G of the Public Health Service Act. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). Issue: Support the use of animals in medical research. Issue: Promote interprofessional education and training of the health care workforce. Issue: Support funding for the National Healthcare Workforce Commission. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester S. 2107/H.R. 1006, Building A Health Care Workforce for the Future Act Issue: Support bill to increase scholarship opportunities for medical students and encourage primary care workforce development. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Support delay of enforcement of new CMS inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. Issue: Support Medicare GME per Resident Amount and cap trigger technical corrections and administrative relief. H.R. 1343, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015. S. 688, Hospital Readmission Accuracy and Accountability Act. Issue: Support inclusion of socioeconomic status as part of hospital readmissions program, including support for adoption of National Quality Forum (NQF) recommendations. President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose elimination of Children's Hospitals GME program. Issue: Legislation on educating health professionals regarding appropriate use of antibiotics, prescription drug abuse, pain management, female genital mutilation, and sepsis. Issue: Implementation of the 340B drug pricing program. Oppose efforts to restrict the program. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Oppose extension of Medicare sequester Issue: Oppose Medicare hospital cuts as offsets for physician payment reform. Issue: Preserve funding for the Primary Care Residency Expansion program. P.L. 114-41, Surface Transportation and Veterans Health Care Choice Improvement Act of 2015 Issue: Support improved contracting with academic affiliates and increased VA GME funding. H.R.1272, Doctors Helping Heroes Act of 2015 Issue: Support expansion of the Conrad 30 J-1 visa waiver program and physician immigration to address VA workforce shortages S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 320/H.R. 744, Medical Innovation Act Issue: Requires covered manufacturers of blockbuster drugs developed, in whole or in part, through federal investments in medical research that enter settlement agreements with a federal agency to pay 1 percent of net income over five years to increase congressional investments in biomedical research. S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. 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. 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. Issue: FDA regulation of Laboratory Developed Tests (LDTs) Draft Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments S. 1455, Recovery Enhancement for Addiction Treatment (TREAT) Act Issue: Support legislation to increase access to care for patients addicted to opioids Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Issue: Funding for Ebola Treatment Centers and hospital preparedness Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 Issue: Oppose easing restrictions on physician owned hospitals Issue: Senate Finance Committee Chronic Care Workgroup, support and send comments on efforts to improve care for Medicare patients with chronic conditions. H.R. 3285, Reducing Disparities Using Care Models and Education Act of 2015 Issue: Studying and developing guidelines to reduce health disparities Draft Health Equity and Accountability Act Issue: Addressing health equity through health care workforce programs Issue: Support federal funding for research using human fetal tissue. H.R. 3119, draft Senate legislation, Palliative Care and Hospice Education and Training Act Issue: Health professions education on palliative care Submitted comments to: -HRSA on Proposed Omnibus Guidance on 340B Drug Pricing Program -FDA on International Scheduling of Ketamine -CMS on implementation of the Medicare Access and CHIP Reauthorization Act of 2015 -NIH on its strategic plan to advance research on the health and well-being of sexual and gender minorities -HHS on nondiscrimination in heath programs and activities

Client expense: $780,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Presidents Budget, FY 2017 Issue: Funding for Agency for Healthcare Research and Quality (AHRQ), Hospital Preparedness Program, National Institutes of Health (NIH), Title VII & VIII health professions and nursing education programs Presidents Budget, FY 2016 H.R. 3020/S. 1695, Labor, HHS, Education and Related Agencies Act, 2016, Title II P.L. 114-113, H.R. 2029, Consolidated Appropriations Act, 2016, Division H, Title II Issues: Support funding for National Institutes of Health (NIH), Title VII and Title VIII health professions and nursing education programs, Agency for Healthcare Research and Quality (AHRQ), National Health Service Corps (NHSC), Childrens Hospitals Graduate Medical Education (CHGME), Health Resources and Services Administration (HRSA), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Maintain NIH salary cap at Executive Level II. Encourage the highest possible allocation for the Labor-HHS Subcommittee. Oppose House proposal to eliminate AHRQ. Oppose rescissions from Center for Medicare & Medicaid Innovation (CMMI) and Patient-Centered Outcomes Research Institute (PCORI). President's Budget, FY 2017 H.R. 2029 and draft Senate Military Construction and Veterans Affairs and Related Agencies Appropriations Act, 2016 P.L. 114-113, Consolidated Appropriations Act, 2016, Division J, Title II Issues: Support funding for Veterans Affairs medical research, research infrastructure, and health care. Issue: Support mandatory funding for Community Health Centers and the National Health Service Corps (NHSC) authorized under P.L. 111-148, the Patient Protection and Affordable Care Act, Title V and Section 10503. Issue: Funding for the National Health Care Workforce Commission. Issue: Funding for Teaching Health Centers under Section 340H of the Public Health Service Act. Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. P.L. 114-74, H.R. 1314, Bipartisan Budget Act of 2015 Issue: Oppose Medicare site-neutral payment policy. Oppose extension of Medicare sequester President's Budget, FY 2016 Issues: Oppose proposed reductions in Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments; oppose use of Medicare GME funding for creation of new GME grant program; oppose cuts to Children's Hospitals GME program and Title VII health professions education and training programs. Issue: Preserve funding for the Primary Care Residency Expansion program. Issue: Implementation of HRSA's 340B Drug Pricing Program. S. 289/H.R. 2104, American Cures Act Issue: Increases budget authority for National Institutes of Health (NIH), Center for Disease Control and Prevention, Department of Defense Health Program, and the VA Medical and Prosthetics Research Program S. 318/H.R. 531, Accelerating Biomedical Research Act Issue: Increases discretionary spending cap to increase funding for the National Institutes of Health (NIH). H.R. 777, Permanent Investment in Health Research Act Issue: Creates mandatory appropriation for the National Institutes of Health (NIH), adjusted annually for inflation. Issue: Educate congressional staff on Academic Medicine's missions including education, research, patient care, GME, workforce, and physician shortage. H.R. 1006/S. 2107, Building A Health Care Workforce for the Future Act Issue: Support bill to increase scholarship opportunities for medical students and encourage primary care workforce development. H.R. 1411, Expanding Nutrition's Role in Curricula and Healthcare Act (ENRICH Act) Issue: Support grants for medical schools to develop or expand nutrition and physical activity curricula. Draft, Community Based Medical Education Act of 2014 Issue: Oppose reduction of Medicare GME/IME payments Issue: Support funding for Ebola Treatment Centers and hospital preparedness Issue: Support funding for interprofessional education H.R. 1806, The America COMPETES Act of 2015 Issue: Support increased funding for the National Science Foundation (NSF) 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.

Client expense: $780,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Bureau of the Census, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Drug Enforcement Administration (DEA), Federal Reserve System, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), Patent & Trademark Office (PTO), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R.2029 - Consolidated Appropriations Act, 2016 H.R.719 / H.R.2250 - Continuing Appropriations Acts, 2016 S.Con.Res.11 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2016 and setting forth the appropriate budgetary levels for fiscal years 2017 through 2025. H.Con.Res.27 - Establishing the budget for the United States Government for fiscal year 2016 and setting forth appropriate budgetary levels for fiscal years 2017 through 2025 H.R.4660 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2015 S.2437 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2015 H.R.5464 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015 S.289 - American Cures Act H.R.2104 - American Cures Act General National Institutes of Health, National Science Foundation, and BRAIN Initiative FY16 budget and appropriation levels.

Client expense: $29,365 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Accelerating Biomedical Research Act(S.318/ H.R.531) American Cures Act (S.289/ H.R.2104) American Tax Payer Relief Act (H.R.8) "fiscal cliff bill"-Medicare/Medicaid Therapy Caps Budget Resolution (S.Con.Res.11) Congressional Budget Resolution Provisions Related to NIH (S.con.res.11/H.con.res.27) FY2016 Agriculture Appropriations (S.1800) FY2016 Labor-HHS-Education Appropriations-provisions relating to CDC,HRSA,AHRQ and NIH(H.R.3020/ S.1695) House Energy and Commerce Committee Budget Reconciliation Instructions H.R.6, 21st Century Cures Act Next Generation Research Act(S.2014/H.R.3466) Research for All Act(H.R.2101)

Client expense: Not reported · Firm income: $337,480

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

Implementation of P.L. 111-148, Patient Protection & Affordable Health Care Act and Implementation of Health Care and Education Reconciliation Act (P.L. 111-152) 340B Issues and Legislative Reform Proposals Drug Shortage Issues Health Technology Assessment of Orphan Drugs Sequestration of FDA User Fees H.R. 1376, Patient Choice Act of 2015 H.R. 790, Compassionate Freedom of Choice Act of 2015 H.R. 1600, Patients' Access to Treatments Act of 2015 21st Century Cures Initiative including H.R.6, 21st Century Cures Act and the Innovation for Healthier Americans Initiative H.R. 909, Andrea Sloan CURE Act S. 1421 and H.R.971, Orphan Product Extensions Now Accelerating Cures and Treatments Act of 2015 Implementation of the FDA Safety and Innovation Act (FDASIA) (Pub. L. 112-144) Regulation of innovative biological products for neurodegenerative diseases. Implementation of Orphan Drug Act and Orphan Drug Development S. 122, Safe and Affordable Drugs from Canada Act of 2015 S. 320, Medical Innovation Act H.R. 744, Medical Innovation Act H.R. 1130, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 S. 598, Chronic Kidney Disease Improvement in Research and Treatment Act of 2015 H.R. 1078, Food and Drug Administration Safety Over Sequestration Act of 2015 H.R. 1531 and S.1878, Advancing Hope Act of 2015 Implementation of Newborn Screening Programs Biosimilars Exclusivity Period Biosimilars FDA Guidance FDA Oversight and Management Expanded Access Programs Patient Involvement with FDA Decision Making S. 289 and H.R. 2104, American Cures Act Legislation pertaining to priority review vouchers, generally Legislation pertaining to the applicability of the ACA tax carve out for non-orphan drug designated drugs, generally, including H.R. 3678, Preserving Access to Orphan Drugs Act of 2015 H.R. 3618 and S. 1906, Orphan Drug Fairness Act Issues related to the value of prescription medicines, generally, and including S. 2023,Prescription Drug Affordability Act of 2015

Client expense: $235,000 · Firm income: Not reported

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