Sensible Oversight for Technology which Advances Regulatory Efficiency Act

Interoperability and Regulation of Health IT, including the SOFTWARE Act (H.R. 2396), MEDTECH Act (S. 1101), Improving Heath Information Technology Act (S. 3511), and 21st Century Cures Act (H.R. 6). Food and Drug Administration: drug, medical device, and agency reforms including improving scientific capacity at FDA and use of public-private partnerships (FDA and NIH Workforce Authorities Modernization Act, S. 2700); use of real-world evidence and drug development tools such as biomarkers and patient-reported outcomes (21st Century Cures Act, H.R. 6); and the approval process for certain items such as antibiotics (e.g., PATH Act, S. 185), treatments for unmet needs (e.g., Dormant Therapies Act of 2014, S. 3004, 113th Congress), combination products (e.g., S. 1767), and regenerative medicine/cellular therapies (REGROW Act, S. 2689/H.R. 4762). Medicare, including chronic care coordination, prevention, and health care delivery and payment reform Long-term care financing and Medicaid Money Follows the Person Rebalancing Demonstration program reauthorization Beneficiaries dually eligible for Medicare and Medicaid

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, 21st Century Cures Act, H.R. 2396, the SOFTWARE Act, the Senate FDA Innovations bill, S. 1101, the MEDTECH Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, 21st Century Cures Act, H.R. 2396, the SOFTWARE Act, the Senate FDA Innovations bill, S. 1101, the MEDTECH Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: H.R. 874 American Super Computing Leadership Act; S. 454 Exascale Computing for Science, Competitiveness, Advanced Manufacturing, Leadership and the Economy Act of 2015. S.1101 Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act; H.R. 6 21st Century Cures Act/H.R. 2396 Software Act; Vice President Biden 's Cancer Moonshot Precision Medicine Initiative. H.R. 4651 Digital Security Commission Act of 2016. H.R. 1174/S. 512 Law Enforcement Access to Data Stored Abroad (LEADS) Act. Government Policy on Encryption Technology. H.R. 6004 Modernizing Government Technology Act (MGT Act) 2016.

Client expense: $870,000 · Firm income: Not reported

PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act S.2736 - Patient Access to Durable Medical Equipment Act of 2016 H.R.5710 - Patient Access to Durable Medical Equipment Act of 2016 S.3195 - The BREATH Act of 2016 HR.6012 - The BREATH Act of 2016 Chronic care Non-invasive ventilators

H.R. 6, 21st Century Cures Act, H.R. 2396, the SOFTWARE Act, the Senate FDA Innovations bill, S. 1101, the MEDTECH Act

Client expense: Not reported · Firm income: Not reported

H.R. 6, 21st Century Cures Act, H.R. 2396, the SOFTWARE Act, the Senate FDA Innovations bill, S. 1101, the MEDTECH Act

Client expense: Not reported · Firm income: Not reported

Interoperability and Regulation of Health IT, including the SOFTWARE Act (H.R. 2396), MEDTECH Act (S. 1101), and 21st Century Cures Act (H.R. 6). Food and Drug Administration: drug, medical device, and agency reforms including improving scientific capacity at FDA and use of public-private partnerships (FDA and NIH Workforce Authorities Modernization Act, S. 2700); use of real-world evidence and drug development tools such as biomarkers and patient-reported outcomes (21st Century Cures Act, H.R. 6); and the approval process for certain items such as antibiotics (e.g., PATH Act, S. 185), treatments for unmet needs (e.g., Dormant Therapies Act of 2014, S. 3004, 113th Congress), combination products (e.g., S. 1767), and regenerative medicine/cellular therapies (REGROW Act, S. 2689/H.R. 4762). Medicare, including chronic care coordination, prevention, and health care delivery and payment reform Long-term care financing Beneficiaries dually eligible for Medicare and Medicaid

Client expense: $351,424 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: H.R. 874 American Super Computing Leadership Act; S. 454 Exascale Computing for Science, Competitiveness, Advanced Manufacturing, Leadership and the Economy Act of 2015. S.1101 Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act; H.R. 6 21st Century Cures Act/H.R. 2396 Software Act; Vice President Biden's Cancer Moonshot Precision Medicine Initiative. S. 2604/H.R. 4651 Digital Security Commission Act of 2016; S. 2607 DIGIT Act; Senate draft Cyber Hygiene bill Cybersecurity Information Sharing Act interim guidance. H.R. 1174/S. 512 Law Enforcement Access to Data Stored Abroad (LEADS) Act. Government Policy on Encryption Technology.

Client expense: $1,520,000 · Firm income: Not reported

PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act S.2736 - Patient Access to Durable Medical Equipment Act of 2016 H.R.5710 - Patient Access to Durable Medical Equipment Act of 2016 Chronic care Non-invasive ventilators

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

Interoperability and Regulation of Health IT, including the SOFTWARE Act (H.R. 2396), MEDTECH Act (S. 1101), and 21st Century Cures Act (H.R. 6). Food and Drug Administration: drug, medical device, and agency reforms including improving scientific capacity at FDA and use of public-private partnerships (FDA and NIH Workforce Authorities Modernization Act, S. 2700); use of real-world evidence and drug development tools such as biomarkers and patient-reported outcomes (21st Century Cures Act, H.R. 6); and the approval process for certain items such as antibiotics (e.g., PATH Act, S. 185), treatments for unmet needs (e.g., Dormant Therapies Act of 2014, S. 3004, 113th Congress), combination products (e.g., S. 1767), and regenerative medicine/cellular therapies (REGROW Act, S. 2689/H.R. 4762). Medicare, including chronic care coordination, prevention, and health care delivery and payment reform. Long-term care fiancing Beneficiaries dually eligible for Medicare and Medicaid Child Nutrition Reauthorization

Client expense: $366,288 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act S.2736 - Patient Access to Durable Medical Equipment Act of 2016 Chronic care Non-invasive ventilators

Client expense: $380,000 · Firm income: Not reported

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: H.R. 874 American Super Computing Leadership Act; S. 454 Exascale Computing for Science, Competitiveness, Advanced Manufacturing, Leadership and the Economy Act of 2015. S.1101 Medical Electronic Data Technology Enhancemt for Consumers Health (MEDTECH) Act; H.R. 6 21st Century Cures Act/H.R. 2396 Software Act. H.R. 2205 Data Security Act of 2015; S. 2604/H.R. 4651 Digital Security Commission Act of 2016; H.R. 1770 Data Security and Breach Notification Act of 2015. H.R. 1174/S. 512 Law Enforcement Access to Data Stored Abroad (LEADS) Act. Government Policy on Encryption Technology. H.R. 1428/S. 1600 Judicial Redress Act.

Client expense: $830,000 · Firm income: Not reported

Incentives for health information technology, Affordable Care Act implementation, proposed regulation of medical software, proposals to promote healthcare interoperability, and other healthcare policy issues. H.R. 6, 21st Century Cures Act; H.R. 2396, SOFTWARE Act; S. 1101, MEDTECH Act; S. 2141, TRUST IT Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACA implementation (exchange operations and functionality, risk mitigation programs, QHP certification, direct enrollment and CO-OP solvency) ACA small group market (S. 1099 and H.R. 1624) ACA Notice of Benefit and Payment Parameters regulations Vision coverage (H.R. 3323) Telehealth Mental Health and Substance Use Federal Medical Loss Ratio requirements ICD-10 implementation Health Information Technology (H.R. 2396 and S. 1101)

Client expense: $1,230,000 · Firm income: Not reported

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

Incentives for health information technology, Affordable Care Act implementation, proposed regulation of medical software, proposals to promote healthcare interoperability, and other healthcare policy issues. H.R. 6, 21st Century Cures Act; H.R. 2396, SOFTWARE Act; S. 1101, MEDTECH Act; S. 2141, TRUST IT Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Incentive for health information technology, Affordable Care Act, proposed regulation of medical software, proposals to promote healthcare interoperability, and other healthcare policy issues. H.R. 6, 21st Century Cures Act; H.R. 2396, SOFTWARE Act, S. 1101, MEDTECH Act; S. 2141, Trust IT Act.

Client expense: $335,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Interoperability and Regulation of Health IT, including the SOFTWARE Act (H.R. 2396), MEDTECH Act (S. 1101), and 21st Century Cures Act (H.R. 6). Food and Drug Administration: drug, medical device, and agency reforms including improving scientific capacity at FDA and use of public-private partnerships; use of real-world evidence and drug development tools such as biomarkers and patient-reported outcomes (21st Century Cures Act, H.R. 6); and the approval process for certain items such as antibiotics (e.g., PATH Act, S. 185), treatments for unmet needs (e.g., Dormant Therapies Act of 2014, S. 3004, 113th Congress), combination products (e.g., S. 1767), and regenerative medicine/cellular therapies. Medicare, including chronic care coordination, prevention, and health care delivery and payment reform Beneficiaries dually eligible for Medicare and Medicaid Child Nutrition Reauthorization

Client expense: $230,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACA implementation (exchange operations and functionality, risk mitigation programs, QHP certification, direct enrollment and CO-OP solvency) ACA small group market (S. 1099 and H.R. 1624) ACA Notice of Benefit and Payment Parameters regulations Vision coverage (H.R. 3323) Telehealth Mental Health and Substance Use Federal Medical Loss Ratio requirements ICD-10 implementation Health Information Technology (H.R. 2396 and S. 1101)

Client expense: $1,140,000 · Firm income: Not reported

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

PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments (no bill number yet) HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act Chronic care Non-invasive ventilators

Client expense: $330,000 · Firm income: Not reported

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: H.R. 874 American Super Computing Leadership Act; S. 454 Exascale Computing for Science, Competitiveness, Advanced Manufacturing, Leadership and the Economy Act of 2015. S.1101 Medical Electronic Data Technology Enhancemt for Consumers Health (MEDTECH) Act; H.R. 6 21st Century Cures Act/H.R. 2396 Software Act. H.R. 2205 Data Security Act of 2015; H.R. 22 FAST Act, removal of cybersecurity and privacy provisions. H.R. 1174/S. 512 Law Enforcement Access to Data Stored Abroad (LEADS) Act; H.R. 1428/S. 1600 Judicial Redress Act.

Client expense: $960,000 · Firm income: Not reported

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, repeal of the health insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, commercial small group size, ACA risk mitigation provisions, the 21st Century Cures Act, risk corridors and excise tax on health coverage. General Issues include: Medicare Advantage; ICD-10; Telehealth Reform; TRICARE 2017; health care costs. Specific Bills include: ACA Small Group definition (H.R. 1624 and S. 1099), Health Information Technology (S.1101 and H.R. 2396), Medicaid reimbursement (H.R. 546 - ACE Kids Act), Fraud and Abuse Prevention (H.R. 1021, H.R. 2298 and S. 1431), Medicare Advantage - Risk Adjustment, Medicare Advantage - Star Ratings, ACA Health Insurance Tax (H.R. 928 and S. 183), ACA Excise Tax (H.R. 2050, H.R. 879, S. 2045) and Telehealth

Client expense: $2,340,000 · Firm income: Not reported

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, repeal of the health insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, commercial small group size, ACA risk mitigation provisions, the 21st Century Cures Act, risk corridors and excise tax on health coverage. General Issues include: Medicare Advantage; ICD-10; Telehealth Reform; TRICARE 2017; health care costs. Specific Bills include: ACA Small Group definition (H.R. 1624 and S. 1099), Health Information Technology (S.1101 and H.R. 2396), Medicaid reimbursement (H.R. 546 - ACE Kids Act), Fraud and Abuse Prevention (H.R. 1021, H.R. 2298 and S. 1431), Medicare Advantage - Risk Adjustment, Medicare Advantage - Star Ratings, ACA Health Insurance Tax (H.R. 928 and S. 183), ACA Excise Tax (H.R. 2050, H.R. 879, S. 2045) and Telehealth

Client expense: $2,340,000 · Firm income: Not reported

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, repeal of the health insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, commercial small group size, ACA risk mitigation provisions, the 21st Century Cures Act, risk corridors and excise tax on health coverage. General Issues include: Medicare Advantage; ICD-10; Telehealth Reform; TRICARE 2017; health care costs. Specific Bills include: ACA Small Group definition (H.R. 1624 and S. 1099), Health Information Technology (S.1101 and H.R. 2396), Medicaid reimbursement (H.R. 546 - ACE Kids Act), Fraud and Abuse Prevention (H.R. 1021, H.R. 2298 and S. 1431), Medicare Advantage - Risk Adjustment, Medicare Advantage - Star Ratings, ACA Health Insurance Tax (H.R. 928 and S. 183), ACA Excise Tax (H.R. 2050, H.R. 879, S. 2045) and Telehealth

Client expense: $2,340,000 · Firm income: Not reported

General Issues related to the Patient Protection and Affordable Care Act (PPACA), including: Implementation, essential health benefits, exchanges, medical loss ratio, repeal of the health insurer tax, rate review, rate development, enrollment and re-enrollment, plan benefit design, grandfathering, Medicare, discontinuation of health plans, commercial small group size, ACA risk mitigation provisions, the 21st Century Cures Act, risk corridors and excise tax on health coverage. General Issues include: Medicare Advantage; ICD-10; Telehealth Reform; TRICARE 2017; health care costs. Specific Bills include: ACA Small Group definition (H.R. 1624 and S. 1099), Health Information Technology (S.1101 and H.R. 2396), Medicaid reimbursement (H.R. 546 - ACE Kids Act), Fraud and Abuse Prevention (H.R. 1021, H.R. 2298 and S. 1431), Medicare Advantage - Risk Adjustment, Medicare Advantage - Star Ratings, ACA Health Insurance Tax (H.R. 928 and S. 183), ACA Excise Tax (H.R. 2050, H.R. 879, S. 2045) and Telehealth

Client expense: $2,340,000 · Firm income: Not reported

Interoperability and Regulation of Health IT, including the SOFTWARE Act (H.R. 2396), MEDTECH Act (S. 1101), and 21st Century Cures Act (H.R. 6). Food and Drug Administration: drug, medical device, and agency reforms including improving scientific capacity at FDA and use of public-private partnerships; use of real-world evidence and drug development tools such as biomarkers and patient-reported outcomes (21st Century Cures Act, H.R 6); and the approval process for certain items such as antibiotics (e.g., PATH Act, S. 185), treatments for unmet needs (e.g., Dormant Therapies Act of 2014, S. 3004, 113th Congress), combination products (e.g., S. 1767), and regenerative medicine/cellular therapies. Medicare, including chronic care coordination, prevention, and health care delivery and payment reform Beneficiaries dually eligible for Medicare and Medicaid

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Incentive for health information technology, Affordable Care Act, proposed regulation of medical software, proposals to promote healthcare interoperability, and other healthcare policy issues. H.R. 6, 21st Century Cures Act; H.R. 2396, SOFTWARE Act, S. 1101, MEDTECH Act.

Client expense: $202,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Incentives for health information technology, Affordable Care Act implementation, proposed regulation of medical software, proposals to promote healthcare interoperability, and other healthcare policy issues. H.R. 6, 21st Century Cures Act; H.R. 2396, SOFTWARE Act; S. 1101, MEDTECH Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: H.R. 874 American Super Computing Leadership Act; S. 454 Exascale Computing for Science, Competitiveness, Advanced Manufacturing, Leadership and the Economy Act of 2015. S.1101 Medical Electronic Data Technology Enhancement for Consumers Health (MEDTECH) Act; H.R. 6 21st Century Cures Act/H.R. 2396 Software Act. S. 754 Cybersecurity Information Sharing Act (CISA) of 2015; H.R. 1560 Protecting Cyber Networks Act; H.R. 1731 National Cybersecurity Protection and Advancement Act of 2015; S. 1869 A bill to improve Federal network security and authorize and enhance an existing intrusion detection and prevention system for civilian Federal networks; S. 1990 Federal Computer Security Act. H.R. 1174/S. 512 Law Enforcement Access to Data Stored Abroad (LEADS) Act; H.R. 1428/S. 1600 Judicial Redress Act.

Client expense: $860,000 · Firm income: Not reported

PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring Medicare OSA Sleep Testing and potential reintroduction PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments (no bill number yet) HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare DMEPOS Audit Improvement and Reform Act Chronic care

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

Incentive for health information technology, Affordable Care Act, proposed regulation of medical software, proposals to promote healthcare interoperability, and other healthcare policy issues. H.R. 6, 21st Century Cures Act; H.R. 2396, SOFTWARE Act, S. 1101, MEDTECH Act.

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Incentives for health information technology, Affordable Care Act implementation, proposed regulation of medical software, proposals to promote healthcare interoperability, and other healthcare policy issues. H.R. 6, 21st Century Cures Act; H.R. 2396, SOFTWARE Act; S. 1101, MEDTECH Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: H.R. 874 American Super Computing Leadership Act; S. 454 Exascale Computing for Science, Competitiveness, Advanced Manufacturing, Leadership and the Economy Act of 2015. H.R. 6 21st Century Cures Act/H.R. 2396 Software Act. S. 754 Cybersecurity Information Sharing Act of 2015; H.R. 1560 Protecting Cyber Networks Act; H.R. 1731 National Cybersecurity Protection and Advancement Act of 2015; S. 1101 Data Breach Security and Notification Act of 2015. H.R. 1174/S. 512 Law Enforcement Access to Data Stored Abroad (LEADS) Act; H.R. 1428/S. 1600 Judicial Redress Act.

Client expense: $1,810,000 · Firm income: Not reported

Interoperability and Regulation of Health IT, including the SOFTWARE Act (H.R. 2396) and MEDTECH Act (S. 1101) Medicare, including chronic care coordination, prevention, and health care delivery and payment reform Beneficiaries dually eligible for Medicare and Medicaid

Client expense: $320,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2396 "SOFTWARE Act," all provisions pertaining to a framework for oversight of patient safety in health information technology. S 1101 "MEDTECH Act," all provisions pertaining to a framework for oversight of patient safety in health information technology. HR 6 "21st Century Cures Act," all provisions pertaining to health information technology and telehealth. HR 2 "Medicare Access and CHIP Reauthorization Act of 2015," all provisions. S 810 "SGR Repeal and Medicare Provider Payment Modernization Act of 2015," all provisions. HR 2066 "Telehealth Enhancement Act of 2015," all provisions. Issues relating to opposition to the current trajectory of the Meaningful Use program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring Medicare OSA Sleep Testing and potential reintroduction PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments (no bill number yet) HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction) - Telemedicine provisions The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare DMEPOS Audit Improvement and Reform Act Chronic care

Client expense: $500,000 · Firm income: Not reported