Loading…
Promoting Access, Competition, and Equity Act of 2015
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
49pct
13d open
vs 6,526 other HR bills in the 114th — cohort avg 56d
Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015 This bill amends title XVIII (Medicare) of the Social Security Act to ease application criteria and procedures for physician-owned hospitals to expand their facilities. Under current law, expansion of physician-owned hospitals is subject to certain limitations, such as those regarding the extent and frequency of expansion and requiring community output. The bill suspends these limitations with respect to applications for expansion filed before October 1, 2019. Following the end of this suspension period, hospitals with consistently high quality ratings are included among those hospitals that may apply to expand their facilities. The Centers for Medicare & Medicaid Services may not alter the methodology for computing a hospital's quality rating before October 1, 2019. With respect to hospitals under development as of March 23, 2010, the bill extends to May 1, 2015, the date by which a hospital may qualify for an exception to the ownership or investment prohibition on physician self-referrals. The bill also: (1) exempts physician-owned hospitals from specified documentation and coding adjustments, and (2) extends reductions in certain inflationary increases associated with Medicare payments for inpatient hospital services.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (21)
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Congress.gov source codes: H11100, H11100-A
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2016 · fourth_quarter · Medicare/Medicaid
In Office Ancillary Services: Protect Stark law exception to allow timely access to quality medical services. Support HR 3940, Meaningful Use Hardship Relief Act of 2015, which provided physicians with a hardship exemption to Stage 2 meaningful use regulations Ensure awareness for the rising cost of practice expenses and the levels paid through Medicare. Track ICD 10 implementation Support HR 4848 The Healthy Inpatient Procedures Act Support HR 3014: Medical Controlled Substances Transportation Act of 2015: This bill amends the Controlled Substances Act to allow a physician to transport controlled substances to another practice setting or disaster area if the physician is registered to dispense, or conduct research with, controlled substances listed on schedules II, III, IV, or V, and the physician enters into a specific agreement with the Drug Enforcement Administration (DEA). Repeal the Independent Payment Advisory Board (IPAB); Track Implementation of the Affordable Care Act; Support S. 2822 and HR 5001, The Flexibility in Electronic Health Record Reporting Act; Support HR 2513, The Promoting Access, Competition and Equity (PACE) Act; Support HR 4848 The Healthy Inpatient Procedures Act
Client expense: $405,312 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
In Office Ancillary Services: Protect Stark law exception to allow timely access to quality medical services. Support HR 3940, Meaningful Use Hardship Relief Act of 2015, which provided physicians with a hardship exemption to Stage 2 meaningful use regulations Ensure awareness for the rising cost of practice expenses and the levels paid through Medicare. Track ICD 10 implementation Support HR 4848 The Healthy Inpatient Procedures Act Support HR 3014: Medical Controlled Substances Transportation Act of 2015: This bill amends the Controlled Substances Act to allow a physician to transport controlled substances to another practice setting or disaster area if the physician is registered to dispense, or conduct research with, controlled substances listed on schedules II, III, IV, or V, and the physician enters into a specific agreement with the Drug Enforcement Administration (DEA). Repeal the Independent Payment Advisory Board (IPAB); Track Implementation of the Affordable Care Act; Support S. 2822 and HR 5001, The Flexibility in Electronic Health Record Reporting Act; Support HR 2513, The Promoting Access, Competition and Equity (PACE) Act; Support HR 4848 The Healthy Inpatient Procedures Act
Client expense: $405,312 · Firm income: Not reported
2016 · fourth_quarter · Medicare/Medicaid
Repeal the Independent Payment Advisory Board (IPAB); Track Implementation of the Affordable Care Act; Support S. 2822 and HR 5001, The Flexibility in Electronic Health Record Reporting Act; Support HR 2513, The Promoting Access, Competition and Equity (PACE) Act; Support HR 4848 The Healthy Inpatient Procedures Act
Client expense: $47,159 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Support HR 672 and S 607, Rural Community Hospital (RCH) Demonstration Extension Act of 2015, a bill that will extend the demonstration for five more years, will ensure that RCH continues to help Americas communities in many ways, especially by allowing hospitals to expand and improve the services rural communities need. Also enables hospitals with fewer than 51 beds to test the feasibility of cost-based reimbursement. Affects 23 small, rural hospitals nationwide. Demo included in MMA, extended and expanded in ACA and Budget neutral; Support HR 663 and S 332, Rural Hospital Access Act of 2015, a bill that would make permanent both the Medicare-dependent Hospital (MDH) program and the enhanced low-volume Medicare adjustment for prospective payment system (PPS) hospitals, which are vital programs for rural hospitals and the patients and communities they serve; Support S 257 and HR 1611, Protecting Access to Rural Therapy Services (PARTs)Act of 2015, a bill that would provide hospitals relief from the Centers for Medicare & Medicaid Services (CMS) regulations with respect to direct supervision of outpatient therapeutic services; Support HR 270,Flexibility in Health IT Reporting (Flex-IT) Act of 2015, a bill that requires the Centers for Medicare & Medicaid Services (CMS) to make a necessary adjustment to how it implements the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs and to extend non-enforcement for the Medicare direct supervision requirement for therapeutic hospital outpatient services for CAHs and rural hospitals ; Meaningful use flexibility: advocating for a shorter meaningful use reporting period and other flexibilities that would increase hospitals ability to meet Stage 2 and move forward with the program,that Stage 3 not begin until no sooner than 2019 and that meaningful use requirements for hospitals and CAHs align with those for eligible clinicians in MACRA; Support S. 377 and HR 745, Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2015, a bill to amend title XVIII of the Social Security Act to increase access to ambulance services under the Medicare program and to reform payments for such services under such program; Support S. 688 and HR 1343, Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015, a bill to amend title XVIII of the Social Security Act to adjust the Medicare hospital readmission reduction program to respond to patient disparities; Support S 629 and H.R. 1784, Making the Education of Nurses Dependable for Schools Act, a bill to enable hospital-based nursing programs that are affiliated with a hospital to maintain payments under the Medicare program to hospitals for the costs of such programs; Urged limitations on Recovery Audit Contractors (RACs)that includes financial penalties for inaccurate audit decisions; Provide input to CMS on implementation of quality measures required under the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014; Analyze and develop suggested changes to the Personalize Your Care Act of 2015, a bill that would provide coverage of voluntary advance care planning consultation under Medicare and Medicaid; Oppose HR 2895, Medicare Patient Access to Cancer Treatment Act of 2015, a bill that would establish parity under the Medicare program for ambulatory cancer care services furnished in the hospital outpatient department and the physician office setting; Oppose HR 976 and HR 2513 Promoting Access, Competition, and Equity Act of 2015(PACE) Act of 2015, a bill to allow an increase in, and expansion of, physician-owned hospitals eligible for Medicare reimbursement; Support S 1148 and HR 2124Resident Physician Shortage Reduction Act of 2015, a bill to increase the number of Medicare-supported physician residency slots; Urged SFC Chronic Care Working Group to consider expanding access to telehealth, removing legal barriers to clinical integration, and better engaging beneficiaries in their health and health care;Testified at the Observation status, Improving competition in Medicare and Prompt payment hearings; Support HR 2156, Medicare Audit Improvement Act of 2015, a bill to amend title XVIII of the Social Security Act to reform the practices of recovery audit contractors under the Medicare program; Discuss S. 861, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2015 or the PRIME Act of 2015 with the Senate Finance Committee to reform the Medicare audits and appeals process; Support S. 2141 Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act, a bill for improved transparency of information about certified EHRs; Advocate to improve interoperability of electronic health records; Letter to CMS urging use of existing authority to bring flexibility to the EHR Incentive Program and discussion about needed flexibility; Support H.R. 5164, Rural Hospital Regulatory Relief Act, a bill to extend the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals; Support S. 3129/H.R. 5613, legislation to extend through CY2016, the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals.
2016 · second_quarter · Medicare/Medicaid
Support HR 672 and S 607, Rural Community Hospital (RCH) Demonstration Extension Act of 2015, a bill that will extend the demonstration for five more years, will ensure that RCH continues to help Americas communities in many ways, especially by allowing hospitals to expand and improve the services rural communities need. Also enables hospitals with fewer than 51 beds to test the feasibility of cost-based reimbursement. Affects 23 small, rural hospitals nationwide. Demo included in MMA, extended and expanded in ACA and Budget neutral; Support HR 663 and S 332, Rural Hospital Access Act of 2015, a bill that would make permanent both the Medicare-dependent Hospital (MDH) program and the enhanced low-volume Medicare adjustment for prospective payment system (PPS) hospitals, which are vital programs for rural hospitals and the patients and communities they serve; Support S 257 and HR 1611, Protecting Access to Rural Therapy Services (PARTs)Act of 2015, a bill that would provide hospitals relief from the Centers for Medicare & Medicaid Services (CMS) regulations with respect to direct supervision of outpatient therapeutic services; Support HR 270,Flexibility in Health IT Reporting (Flex-IT) Act of 2015, a bill that requires the Centers for Medicare & Medicaid Services (CMS) to make a necessary adjustment to how it implements the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs and to extend non-enforcement for the Medicare direct supervision requirement for therapeutic hospital outpatient services for CAHs and rural hospitals ; Meaningful use flexibility: advocating for a shorter meaningful use reporting period and other flexibilities that would increase hospitals ability to meet Stage 2 and move forward with the program,that Stage 3 not begin until no sooner than 2019 and that meaningful use requirements for hospitals and CAHs align with those for eligible clinicians in MACRA; Support S. 377 and HR 745, Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2015, a bill to amend title XVIII of the Social Security Act to increase access to ambulance services under the Medicare program and to reform payments for such services under such program; Support S. 688 and HR 1343, Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015, a bill to amend title XVIII of the Social Security Act to adjust the Medicare hospital readmission reduction program to respond to patient disparities; Support S 629 and H.R. 1784, Making the Education of Nurses Dependable for Schools Act, a bill to enable hospital-based nursing programs that are affiliated with a hospital to maintain payments under the Medicare program to hospitals for the costs of such programs; Urged limitations on Recovery Audit Contractors (RACs)that includes financial penalties for inaccurate audit decisions; Provide input to CMS on implementation of quality measures required under the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014; Analyze and develop suggested changes to the Personalize Your Care Act of 2015, a bill that would provide coverage of voluntary advance care planning consultation under Medicare and Medicaid; Oppose HR 2895, Medicare Patient Access to Cancer Treatment Act of 2015, a bill that would establish parity under the Medicare program for ambulatory cancer care services furnished in the hospital outpatient department and the physician office setting; Oppose HR 976 and HR 2513 Promoting Access, Competition, and Equity Act of 2015(PACE) Act of 2015, a bill to allow an increase in, and expansion of, physician-owned hospitals eligible for Medicare reimbursement; Support S 1148 and HR 2124Resident Physician Shortage Reduction Act of 2015, a bill to increase the number of Medicare-supported physician residency slots; Urged SFC Chronic Care Working Group to consider expanding access to telehealth, removing legal barriers to clinical integration, and better engaging beneficiaries in their health and health care;Testified at the Observation status, Improving competition in Medicare and Prompt payment hearings; Support HR 2156, Medicare Audit Improvement Act of 2015, a bill to amend title XVIII of the Social Security Act to reform the practices of recovery audit contractors under the Medicare program; Discuss S. 861, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2015 or the PRIME Act of 2015 with the Senate Finance Committee to reform the Medicare audits and appeals process; Support S. 2141 Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act, a bill for improved transparency of information about certified EHRs; Advocate to improve interoperability of electronic health records; Letter to CMS urging use of existing authority to bring flexibility to the EHR Incentive Program and discussion about needed flexibility; Support H.R. 5164, Rural Hospital Regulatory Relief Act, a bill to extend the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals; Support S. 3129/H.R. 5613, legislation to extend through CY2016, the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals.
| Republican |
| OH |
| Brian Babin | Republican | TX |
| Bruce Westerman | Republican | AR |
| David G. Valadao | Republican | CA |
| David Schweikert | Republican | AZ |
| Eric A. "Rick" Crawford | Republican | AR |
| F. James Sensenbrenner, Jr. | Republican | WI |
| J. French Hill | Republican | AR |
| Jeb Hensarling | Republican | TX |
| Jim Bridenstine | Republican | OK |
| Joe Barton | Republican | TX |
| John Fleming | Republican | LA |
| John R. Carter | Republican | TX |
| Kenny Marchant | Republican | TX |
| Kevin Brady | Republican | TX |
| Larry Bucshon | Republican | IN |
| Mac Thornberry | Republican | TX |
| Markwayne Mullin | Republican | OK |
| Michael C. Burgess | Republican | TX |
| Mike Pompeo | Republican | KS |
| Paul A. Gosar | Republican | AZ |
| Pete Olson | Republican | TX |
| Pete Sessions | Republican | TX |
| Reid J. Ribble | Republican | WI |
| Renee L. Ellmers | Republican | NC |
| Roger Williams | Republican | TX |
| Ruben Gallego | Democratic | AZ |
| Rubén Hinojosa | Democratic | TX |
| Sheila Jackson Lee | Democratic | TX |
| Steve Womack | Republican | AR |
| Susan W. Brooks | Republican | IN |
| Ted Poe | Republican | TX |
| Todd Rokita | Republican | IN |
| Todd Young | Republican | IN |
| Tom Graves | Republican | GA |
| Tom Price | Republican | GA |
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Client expense: $4,050,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
Client expense: $4,690,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
2016 · fourth_quarter · Medicare/Medicaid
In Office Ancillary Services: Protect Stark law exception to allow timely access to quality medical services. Support HR 3940, Meaningful Use Hardship Relief Act of 2015, which provided physicians with a hardship exemption to Stage 2 meaningful use regulations Ensure awareness for the rising cost of practice expenses and the levels paid through Medicare. Track ICD 10 implementation Support HR 4848 The Healthy Inpatient Procedures Act Support HR 3014: Medical Controlled Substances Transportation Act of 2015: This bill amends the Controlled Substances Act to allow a physician to transport controlled substances to another practice setting or disaster area if the physician is registered to dispense, or conduct research with, controlled substances listed on schedules II, III, IV, or V, and the physician enters into a specific agreement with the Drug Enforcement Administration (DEA). Repeal the Independent Payment Advisory Board (IPAB); Track Implementation of the Affordable Care Act; Support S. 2822 and HR 5001, The Flexibility in Electronic Health Record Reporting Act; Support HR 2513, The Promoting Access, Competition and Equity (PACE) Act; Support HR 4848 The Healthy Inpatient Procedures Act
Client expense: $405,312 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Repeal the Independent Payment Advisory Board (IPAB); Track Implementation of the Affordable Care Act; Support S. 2822 and HR 5001, The Flexibility in Electronic Health Record Reporting Act; Support HR 2513, The Promoting Access, Competition and Equity (PACE) Act; Support HR 4848 The Healthy Inpatient Procedures Act
Client expense: $47,159 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
HR 976 HR 2513
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Issues involving bundled payments as they pertain to the Center for Medicare and Medicaid Innovation H.R.2513 - PACE Act of 2015 Issues related to Stark exemptions Comprehensive joint replacements
Client expense: Not reported · Firm income: $30,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Payment issues relating to orthopaedic practices that own in-office ancillary services Bundled Payments Initiative, comprehensive joint replacements H.R.2513 - PACE Act of 2015 Issues related to Stark exemptions Comprehensive joint replacements Medicare and CHIP Reauthorization Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Socioeconomic adjustment of the hospital readmission reduction program (H.R. 1343/S. 688, H.R. 5273/H.R. 34 - 21st Century Cures Act) Medicare audit contractor program reforms (H.R. 2156, S. 2368) Rural hospital policies (H.R. 663 / S. 332, H.R. 169/S. 258, H.R. 1611/S. 257, S. 1461/H.R. 2878, H.R. 5164, H.R. 5613, CAH cost-based reimbursement) Telehealth, interoperability, health information technology (H.R. 6/H.R. 34 - 21st Century Cures Act, S. 2511, S. 2484/H.R. 4442) Post-Acute Care policies (H.R. 3298), home health prior authorization S. 2108, H.R. 5713 Health Care and Medicaid financing reform (Better Way white paper, Empowering Patients First Act, Patient CARE Act, H.R. 5284/S. 2985) Graduate Medical Education policy (H.R. 2124, S. 1148, H.R 3292, H.R. 6333) HR 976, HR 2513 DSH payment Bundled payment programs Clinical lab payment policy MACRA implementation NOTICE Act implementation Sec 603 Bipartisan Budget Act / site neutral payment policies (H.R. 5273/H.R. 34 - 21st Century Cures Act) Stark Law reforms H.R. 4428, H.R. 6399 Star Ratings Medicare Part B drug payment model Medicare Advantage policy
Client expense: $70,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Repeal the Independent Payment Advisory Board (IPAB); Track Implementation of the Affordable Care Act; Support S. 2822 and HR 5001, The Flexibility in Electronic Health Record Reporting Act; Support HR 2513, The Promoting Access, Competition and Equity (PACE) Act; Support HR 4848 The Healthy Inpatient Procedures Act
Client expense: $47,687 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
In Office Ancillary Services: Protect Stark law exception to allow timely access to quality medical services. Support HR 3940, Meaningful Use Hardship Relief Act of 2015, which provided physicians with a hardship exemption to Stage 2 meaningful use regulations Ensure awareness for the rising cost of practice expenses and the levels paid through Medicare. Track ICD 10 implementation Support HR 4848 The Healthy Inpatient Procedures Act Support HR 3014: Medical Controlled Substances Transportation Act of 2015: This bill amends the Controlled Substances Act to allow a physician to transport controlled substances to another practice setting or disaster area if the physician is registered to dispense, or conduct research with, controlled substances listed on schedules II, III, IV, or V, and the physician enters into a specific agreement with the Drug Enforcement Administration (DEA). Repeal the Independent Payment Advisory Board (IPAB); Track Implementation of the Affordable Care Act; Support S. 2822 and HR 5001, The Flexibility in Electronic Health Record Reporting Act; Support HR 2513, The Promoting Access, Competition and Equity (PACE) Act; Support HR 4848 The Healthy Inpatient Procedures Act
Client expense: $375,314 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Health Issues
HR976, Patient Access to Higher Quality Health Care Act of 2015 (All sections of full text) HR2513:Promoting Access, Competition and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S.2511 Improving Health Information Technology Act - Discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) Discussions involving White House Cancer research task force initiative Discussions involving potential reform of health care delivery and payment systems implemented by The Affordable Care Act Monitored P.L. 114-255 To accelerate the discovery, development, and delivery of 21st century cures, and for other purposes (all sections of full text) Monitored HR 4784 Lower Drug Costs through Competition Act Monitored S.2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored HR776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored HR2300 Empowering Patients First Act of 2015 Monitored P.L. 114-198 Comprehensive Addiction and Recovery Act of 2016 Monitored H.R. 6018 Ensuring Health Care Opportunities Act Monitored S. 3320 Ensuring Health Care Opportunities Act Monitored S.3326 State Flexibility to Provide Affordable Health Options Act
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of the Vice President of the United States, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Support HR 672 and S 607, Rural Community Hospital (RCH) Demonstration Extension Act of 2015, a bill that will extend the demonstration for five more years, will ensure that RCH continues to help Americas communities in many ways, especially by allowing hospitals to expand and improve the services rural communities need. Also enables hospitals with fewer than 51 beds to test the feasibility of cost-based reimbursement. Affects 23 small, rural hospitals nationwide. Demo included in MMA, extended and expanded in ACA and Budget neutral; Support HR 663 and S 332, Rural Hospital Access Act of 2015, a bill that would make permanent both the Medicare-dependent Hospital (MDH) program and the enhanced low-volume Medicare adjustment for prospective payment system (PPS) hospitals, which are vital programs for rural hospitals and the patients and communities they serve; Support S 257 and HR 1611, Protecting Access to Rural Therapy Services (PARTs)Act of 2015, a bill that would provide hospitals relief from the Centers for Medicare & Medicaid Services (CMS) regulations with respect to direct supervision of outpatient therapeutic services; Support HR 270,Flexibility in Health IT Reporting (Flex-IT) Act of 2015, a bill that requires the Centers for Medicare & Medicaid Services (CMS) to make a necessary adjustment to how it implements the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs and to extend non-enforcement for the Medicare direct supervision requirement for therapeutic hospital outpatient services for CAHs and rural hospitals ; Meaningful use flexibility: advocating for a shorter meaningful use reporting period and other flexibilities that would increase hospitals ability to meet Stage 2 and move forward with the program,that Stage 3 not begin until no sooner than 2019 and that meaningful use requirements for hospitals and CAHs align with those for eligible clinicians in MACRA; Support S. 377 and HR 745, Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2015, a bill to amend title XVIII of the Social Security Act to increase access to ambulance services under the Medicare program and to reform payments for such services under such program; Support S. 688 and HR 1343, Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015, a bill to amend title XVIII of the Social Security Act to adjust the Medicare hospital readmission reduction program to respond to patient disparities; Support S 629 and H.R. 1784, Making the Education of Nurses Dependable for Schools Act, a bill to enable hospital-based nursing programs that are affiliated with a hospital to maintain payments under the Medicare program to hospitals for the costs of such programs; Urged limitations on Recovery Audit Contractors (RACs)that includes financial penalties for inaccurate audit decisions; Provide input to CMS on implementation of quality measures required under the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014; Analyze and develop suggested changes to the Personalize Your Care Act of 2015, a bill that would provide coverage of voluntary advance care planning consultation under Medicare and Medicaid; Oppose HR 2895, Medicare Patient Access to Cancer Treatment Act of 2015, a bill that would establish parity under the Medicare program for ambulatory cancer care services furnished in the hospital outpatient department and the physician office setting; Oppose HR 976 and HR 2513 Promoting Access, Competition, and Equity Act of 2015(PACE) Act of 2015, a bill to allow an increase in, and expansion of, physician-owned hospitals eligible for Medicare reimbursement; Support S 1148 and HR 2124Resident Physician Shortage Reduction Act of 2015, a bill to increase the number of Medicare-supported physician residency slots; Urged SFC Chronic Care Working Group to consider expanding access to telehealth, removing legal barriers to clinical integration, and better engaging beneficiaries in their health and health care;Testified at the Observation status, Improving competition in Medicare and Prompt payment hearings; Support HR 2156, Medicare Audit Improvement Act of 2015, a bill to amend title XVIII of the Social Security Act to reform the practices of recovery audit contractors under the Medicare program; Discuss S. 861, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2015 or the PRIME Act of 2015 with the Senate Finance Committee to reform the Medicare audits and appeals process; Support S. 2141 Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act, a bill for improved transparency of information about certified EHRs; Advocate to improve interoperability of electronic health records; Letter to CMS urging use of existing authority to bring flexibility to the EHR Incentive Program and discussion about needed flexibility; Support H.R. 5164, Rural Hospital Regulatory Relief Act, a bill to extend the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals; Support S. 3129/H.R. 5613, legislation to extend through CY2016, the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals.
Client expense: $4,970,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
2016 · fourth_quarter · Medicare/Medicaid
H.R. 2513 "PACE Act of 2015" - Oppose efforts to repeal certain provisions relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Bad Debt Payments to Hospitals - Lawmakers have proposed lowering the amount of Medicare Bad Debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. Oppose any effort to lower such payments. Direct and Indirect Graduate Medical Education Payments - Lawmakers have proposed changes to the way that hospitals are reimbursed for the costs of training physicians and other medical professionals. Oppose any reductions to such payments. H.R. 663/S.332 "Rural Hospital Access Act of 2015" - Advocate for the extension the Medicare Dependent Hospital (MDH) and current Low-Volume Hospital (LVH) programs. Oppose any additional site neutral cuts. Oppose the proposal of lowering Medicare reimbursements to Inpatient Rehabilitation Facilities. Sequestration - against extending the Medicare Sequester and oppose Medicare sequester increase and extension as an offset. Price Transparency - advocate for meaningful price transparency for consumers by ensuring they have access to out of pocket price information. H.R. 5273 "Helping Hospitals Improve Patient Care Act of 2016" - Advocated for targeted, appropriate Hospital Outpatient Department under development language in the House Ways and Means package including LTCH provision. Advocated for Medicaid expansion and the role hospitals have in caring for patients in Medicaid populations. Part B Demo - Opposed administration's proposed Part B Drug Demo. Advocated for limits to CMMI Pilots. H.R. 6226 "Pre-Claims Undermine Seniors Health Act" - Support delay of pre-claim review for home health services. H.R. 1343/S. 688 "Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015" - SES risk adjustment for hospital payment and readmissions. H.R. 3298 "Medicare Post-Acute Care Value-Based Purchasing Act of 2015" - Provided comments on Medicare Post-Acute Care Value-Based Purchasing Act of 2015. Advocated for restoration of hospital Medicare cuts if Affordable Care Act is repealed.
Client expense: $730,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2016 · fourth_quarter · Medicare/Medicaid
Policies affecting hospitals in the Affordable Care Act (P.L. 111-148 and P.L. 111-152; H.R. 2513, The Promoting Access, Competition, and Equity Act of 2015; H.R. 976, the Patient Access to Higher Quality Health Care Act; H.R. 5273, Helping Hospitals Improve Patient Care Act; and issues related to hospitals, including hospital outpatient departments (HOPD), in H.R.34, the 21st Century Cures Act (P.L. 114-255).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Medicare physician payment; new/alternative payment models; Medicare coverage; Medicare hospital payment; Ways & Means Committee hospital payment project, including HR 2513, the PACE Act of 2015; physician and hospital quality; electronic health record incentive program and H.R. 5001/S. 2822, the Flexibility in Electronic Health Record Reporting Act; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Promoting Integrity in Medicare Act; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; S 488/HR 3355, a bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; S 2382, the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015; S 298/HR 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; graduate medical education policy, including HR 2124/S 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care; Children's Health Insurance Program (CHIP) extension; Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) implementation.
Client expense: $450,000 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office
2016 · fourth_quarter · Health Issues
H.R.976, Patient Access to Higher Quality Health Care Act of 2015 (all sections of full text) H.R. 2513: Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015 (all sections of full text) S. 2511 Improving Health Information Technology Act; discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) Discussions involving White House Cancer research task force initiative Discussions involving potential reform of health care delivery and payment systems implemented by The Affordable Care Act Monitored P.L. 114-255 To accelerate the discovery, development, and delivery of 21st century cures, and for other purposes (all sections of full text) Monitored H.R. 4784 Lower Drug Costs through Competition Act Monitored S. 2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored H.R. 776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored H.R. 2300 Empowering Patients First Act of 2015 Monitored P.L. 114-198 Comprehensive Addiction and Recovery Act of 2016 Monitored H.R. 6018 Ensuring Health Care Opportunities Act Monitored S. 3320 Ensuring Health Care Opportunities Act Monitored S. 3326 State Flexibility to Provide Affordable Health Options Act
Client expense: Not reported · Firm income: $130,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of the Vice President of the United States, SENATE
2016 · fourth_quarter · Health Issues
-Forwarded to the members of the Missouri congressional delegation a letter from the Alliance for Americas Hospitals, to which the Missouri Hospital Association was a signatory, urging repeal of section 3141 of the Patient Protection and Affordable Care Act of 2010. -Responded to a request from a member of the Missouri congressional delegation regarding the performance of Missouris critical access hospitals if they were included in the Medicare value-based purchasing initiative applicable to Medicare inpatient prospective payment system hospitals. -Responded to a request from a member of the Missouri congressional delegation as to how many Missouri counties have only one insurer offering coverage through the CMS health care marketplace. -Responded to a request from a member of the Missouri congressional delegation to provide comments regarding potential nominees for appointment to leadership positions in the Department of Health and Senior Services or the Centers for Medicare & Medicaid. -Expressed support for enactment of H.R. 34, the 21st Century Cures Act. -In response to a query from a member of the Missouri congressional delegation, expressed opposition to H.R. 2513. -Corresponded with a member of the Missouri congressional delegation regarding potential legislation to repeal section 3141 of the Patient Protection and Affordable Care Act of 2010. -Corresponded with a member of the Missouri congressional delegation regarding his receipt of the Missouri Hospital Associations 2016 Health Policy Leadership award and the logistics of the award presentation to the 2016 Annual Convention and Trade Show of the Missouri Hospital Association. -Responded to a query from a member of the Missouri congressional delegation regarding data from the Centers for Disease Control regarding the incidence of neonatal abstinence syndrome in Missouri -Upon the request of a member of the Missouri congressional delegation, provided an analysis of premiums and tax credits in the CMS health care marketplace in Missouri in 2017. -Sent the members of the Missouri congressional delegation a MHA Issue Brief on CMS final rules to implement the Medicare physician payment system created by the federal MACRA law. -Sent the members of the Missouri congressional delegation a HIDI HealthStats document regarding the incidence of adverse childhood experiences in Missouri and Kansas. HIDI is the Hospital Industry Data Institute, a subsidiary of the Missouri Hospital Association. -Responded to a query from a member of the Missouri congressional delegation regarding an Open Door Forum of the Centers for Medicare & Medicaid Services regarding a proposal in President Obamas FY 2017 Proposed Budget to reduce Medicare reimbursement to federally-designated critical access hospitals by 1%. -Responded to a query from a member of the Missouri congressional delegation regarding the names and/or number of insurers that will be designated to serve Missouri in CMSs health care marketplace in 2017 and their distribution by county.
Client expense: $40,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Health Issues
support HR 2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);
Client expense: Not reported · Firm income: $24,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
support HR2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);
Client expense: Not reported · Firm income: $24,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
monitor post acute care and other site neutral medicare cuts;support HR 2513 ending ban on physician owned hospitals;support HR 1453 reforming reimbursement for ASCs;monitor legislation affecting hospital not-for-profit status; monitor 340B program;monitor for other legislation affecting hospitals;support HR2, SGR reform;monitor UNOS/HRSA liver transplant protocols
Client expense: Not reported · Firm income: $33,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
HR 976 HR 2513
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Support HR 672 and S 607, Rural Community Hospital (RCH) Demonstration Extension Act of 2015, a bill that will extend the demonstration for five more years, will ensure that RCH continues to help Americas communities in many ways, especially by allowing hospitals to expand and improve the services rural communities need. Also enables hospitals with fewer than 51 beds to test the feasibility of cost-based reimbursement. Affects 23 small, rural hospitals nationwide. Demo included in MMA, extended and expanded in ACA and Budget neutral; Support HR 663 and S 332, Rural Hospital Access Act of 2015, a bill that would make permanent both the Medicare-dependent Hospital (MDH) program and the enhanced low-volume Medicare adjustment for prospective payment system (PPS) hospitals, which are vital programs for rural hospitals and the patients and communities they serve; Support S 257 and HR 1611, Protecting Access to Rural Therapy Services (PARTs)Act of 2015, a bill that would provide hospitals relief from the Centers for Medicare & Medicaid Services (CMS) regulations with respect to direct supervision of outpatient therapeutic services; Support HR 270,Flexibility in Health IT Reporting (Flex-IT) Act of 2015, a bill that requires the Centers for Medicare & Medicaid Services (CMS) to make a necessary adjustment to how it implements the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs and to extend non-enforcement for the Medicare direct supervision requirement for therapeutic hospital outpatient services for CAHs and rural hospitals ; Meaningful use flexibility: advocating for a shorter meaningful use reporting period and other flexibilities that would increase hospitals ability to meet Stage 2 and move forward with the program,that Stage 3 not begin until no sooner than 2019 and that meaningful use requirements for hospitals and CAHs align with those for eligible clinicians in MACRA; Support S. 377 and HR 745, Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2015, a bill to amend title XVIII of the Social Security Act to increase access to ambulance services under the Medicare program and to reform payments for such services under such program; Support S. 688 and HR 1343, Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015, a bill to amend title XVIII of the Social Security Act to adjust the Medicare hospital readmission reduction program to respond to patient disparities; Support S 629 and H.R. 1784, Making the Education of Nurses Dependable for Schools Act, a bill to enable hospital-based nursing programs that are affiliated with a hospital to maintain payments under the Medicare program to hospitals for the costs of such programs; Urged limitations on Recovery Audit Contractors (RACs)that includes financial penalties for inaccurate audit decisions; Provide input to CMS on implementation of quality measures required under the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014; Analyze and develop suggested changes to the Personalize Your Care Act of 2015, a bill that would provide coverage of voluntary advance care planning consultation under Medicare and Medicaid; Oppose HR 2895, Medicare Patient Access to Cancer Treatment Act of 2015, a bill that would establish parity under the Medicare program for ambulatory cancer care services furnished in the hospital outpatient department and the physician office setting; Oppose HR 976 and HR 2513 Promoting Access, Competition, and Equity Act of 2015(PACE) Act of 2015, a bill to allow an increase in, and expansion of, physician-owned hospitals eligible for Medicare reimbursement; Support S 1148 and HR 2124Resident Physician Shortage Reduction Act of 2015, a bill to increase the number of Medicare-supported physician residency slots; Urged SFC Chronic Care Working Group to consider expanding access to telehealth, removing legal barriers to clinical integration, and better engaging beneficiaries in their health and health care;Testified at the Observation status, Improving competition in Medicare and Prompt payment hearings; Support HR 2156, Medicare Audit Improvement Act of 2015, a bill to amend title XVIII of the Social Security Act to reform the practices of recovery audit contractors under the Medicare program; Discuss S. 861, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2015 or the PRIME Act of 2015 with the Senate Finance Committee to reform the Medicare audits and appeals process; Support S. 2141 Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act, a bill for improved transparency of information about certified EHRs; Advocate to improve interoperability of electronic health records; Letter to CMS urging use of existing authority to bring flexibility to the EHR Incentive Program and discussion about needed flexibility; Support H.R. 5164, Rural Hospital Regulatory Relief Act, a bill to extend the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals; Support S. 3129/H.R. 5613, legislation to extend through CY2016, the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals.
Client expense: $4,050,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
2016 · third_quarter · Medicare/Medicaid
Two Midnight Rule Socioeconomic adjustment of the hospital readmission reduction program (H.R. 1343/S. 688, H.R. 5273) Medicare audit contractor program reforms (H.R. 2156, S. 2368) Rural hospital policies (H.R. 663 / S. 332, H.R. 169/S. 258, H.R. 1611/S. 257, S. 1461/H.R. 2878, H.R. 5164, H.R. 5613, CAH cost-based reimbursement) Telehealth, interoperability, health information technology (H.R. 6, S. 2511, S. 2484/H.R. 4442) Post-Acute Care policies (H.R. 3298), home health prior authorization S. 2108, H.R. 5713 Graduate Medical Education policy (H.R. 2124, S. 1148, H.R 3292) HR 976, HR 2513 DSH payment Bundled payment programs Clinical lab payment policy MACRA implementation NOTICE Act implementation Sec 603 Bipartisan Budget Act / site neutral payment policies (H.R. 5273) Stark Law reforms H.R. 4428 Star Ratings Medicare Part B drug payment model Medicare Advantage
Client expense: $70,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Medicare physician payment; new/alternative payment models; Medicare coverage; Medicare hospital payment; Ways & Means Committee hospital payment project, including HR 2513, the PACE Act of 2015; physician and hospital quality; electronic health record incentive program and H.R. 5001/S. 2822, the Flexibility in Electronic Health Record Reporting Act; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Promoting Integrity in Medicare Act; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; S 488/HR 3355, a bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; S 2382, the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015; S 298/HR 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; graduate medical education policy, including HR 2124/S 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care; Children's Health Insurance Program (CHIP) extension; Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) implementation.
Client expense: $850,000 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office
2016 · third_quarter · Health Issues
HR976, Patient Access to Higher Quality Health Care Act of 2015 (All sections of full text) HR2513:Promoting Access, Competition and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S.2511 Improving Health Information Technology Act - Discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) Discussions involving nominations to federally authorized commissions Monitored S.2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored HR776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored HR2300 Empowering Patients First Act of 2015 Monitored P.L. 114-198 Comprehensive Addiction and Recovery Act of 2016 Monitored HR 4784 Lower Drug Costs through Competition Act Monitored H.R.6 21st Century Cures Act; discussions pertaining to hospital reimbursement reductions
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Payment issues relating to orthopaedic practices that own in-office ancillary services Bundled Payments Initiative, comprehensive joint replacements H.R.2513 - PACE Act of 2015 Issues related to Stark exemptions Comprehensive joint replacements Medicare and CHIP Reauthorization Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Issues involving bundled payments as they pertain to the Center for Medicare and Medicaid Innovation H.R.2513 - PACE Act of 2015 Issues related to Stark exemptions Comprehensive joint replacements
Client expense: Not reported · Firm income: $30,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Policies affecting hospitals in the Affordable Care Act (P.L. 111-148 and P.L. 111-152; H.R. 2513, The Promoting Access, Competition, and Equity Act of 2015; H.R. 976, the Patient Access to Higher Quality Health Care Act; H.R. 5273, Helping Hospitals Improve Patient Care Act; and issues related to hospital outpatient departments (HOPD).
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
HR 976 HR 2513
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · first_quarter · Medicare/Medicaid
HR 976 HR 2513
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
H.R. 2513 "PACE Act of 2015" - Oppose efforts to repeal certain provisions relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Bad Debt Payments to Hospitals - Lawmakers have proposed lowering the amount of Medicare Bad Debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. Oppose any effort to lower such payments. Direct and Indirect Graduate Medical Education Payments - Lawmakers have proposed changes to the way that hospitals are reimbursed for the costs of training physicians and other medical professionals. Oppose any reductions to such payments. H.R. 663/S.332 "Rural Hospital Access Act of 2015" - Advocate for the extension the Medicare Dependent Hospital (MDH) and current Low-Volume Hospital (LVH) programs. Oppose any additional site neutral cuts. Oppose the proposal of lowering Medicare reimbursements to Inpatient Rehabilitation Facilities. Sequestration - against extending the Medicare Sequester and oppose Medicare sequester increase and extension as an offset. Price Transparency - advocate for meaningful price transparency for consumers by ensuring they have access to out of pocket price information. H.R. 5273 "Helping Hospitals Improve Patient Care Act of 2016" - Advocated for targeted, appropriate Hospital Outpatient Department under development language in the House Ways and Means package including LTCH provision. Advocated for Medicaid expansion and the role hospitals have in caring for patients in Medicaid populations. Part B Demo - Opposed administration's proposed Part B Drug Demo. H.R. 6226 "Pre-Claims Undermine Seniors Health Act" - Support delay of pre-claim review for home health services. Hospital Stars Rating - Support for delay in the CMS Hospitals Stars Program data release. DSH/S-10 - Advocate for delay and reform of the Administration's DSH/S-10 proposal. H.R. 1343/S. 688 "Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015" - SES risk adjustment for hospital payment and readmissions. Stark - Provided comments to Senate Finance Committee regarding reform of Stark physician self-referral law and Medicare anti-kickback statute. H.R. 3298 "Medicare Post-Acute Care Value-Based Purchasing Act of 2015" - Provided comments on Medicare Post-Acute Care Value-Based Purchasing Act of 2015.
Client expense: $660,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2016 · third_quarter · Health Issues
H.R.976, Patient Access to Higher Quality Health Care Act of 2015 (all sections of full text) H.R. 2513: Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S. 2511 Improving Health Information Technology Act; discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) Discussions involving nominations to federally authorized commissions Monitored H.R. 6 21st Century Cures Act; discussions pertaining to hospital reimbursement reductions Monitored H.R. 4784 Lower Drug Costs through Competition Act Monitored S. 2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored H.R. 776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored H.R. 2300 Empowering Patients First Act of 2015 Monitored P.L. 114-198 Comprehensive Addiction and Recovery Act of 2016
Client expense: Not reported · Firm income: $130,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
support HR2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);
Client expense: Not reported · Firm income: $24,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Health Issues
support HR 2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);
Client expense: Not reported · Firm income: $24,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
monitor post acute care and other site neutral medicare cuts;support HR 2513 ending ban on physician owned hospitals;support HR 1453 reforming reimbursement for ASCs;monitor legislation affecting hospital not-for-profit status; monitor 340B program;monitor for other legislation affecting hospitals;support HR2, SGR reform;monitor UNOS/HRSA liver transplant protocols
Client expense: Not reported · Firm income: $33,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
Support HR 672 and S 607, Rural Community Hospital (RCH) Demonstration Extension Act of 2015, a bill that will extend the demonstration for five more years, will ensure that RCH continues to help Americas communities in many ways, especially by allowing hospitals to expand and improve the services rural communities need. Also enables hospitals with fewer than 51 beds to test the feasibility of cost-based reimbursement. Affects 23 small, rural hospitals nationwide. Demo included in MMA, extended and expanded in ACA and Budget neutral; Support HR 663 and S 332, Rural Hospital Access Act of 2015, a bill that would make permanent both the Medicare-dependent Hospital (MDH) program and the enhanced low-volume Medicare adjustment for prospective payment system (PPS) hospitals, which are vital programs for rural hospitals and the patients and communities they serve; Support S 257 and HR 1611, Protecting Access to Rural Therapy Services (PARTs)Act of 2015, a bill that would provide hospitals relief from the Centers for Medicare & Medicaid Services (CMS) regulations with respect to direct supervision of outpatient therapeutic services; Support HR 270,Flexibility in Health IT Reporting (Flex-IT) Act of 2015, a bill that requires the Centers for Medicare & Medicaid Services (CMS) to make a necessary adjustment to how it implements the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs and to extend non-enforcement for the Medicare direct supervision requirement for therapeutic hospital outpatient services for CAHs and rural hospitals ; Meaningful use flexibility: advocating for a shorter meaningful use reporting period and other flexibilities that would increase hospitals ability to meet Stage 2 and move forward with the program,that Stage 3 not begin until no sooner than 2019 and that meaningful use requirements for hospitals and CAHs align with those for eligible clinicians in MACRA; Support S. 377 and HR 745, Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2015, a bill to amend title XVIII of the Social Security Act to increase access to ambulance services under the Medicare program and to reform payments for such services under such program; Support S. 688 and HR 1343, Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015, a bill to amend title XVIII of the Social Security Act to adjust the Medicare hospital readmission reduction program to respond to patient disparities; Support S 629 and H.R. 1784, Making the Education of Nurses Dependable for Schools Act, a bill to enable hospital-based nursing programs that are affiliated with a hospital to maintain payments under the Medicare program to hospitals for the costs of such programs; Urged limitations on Recovery Audit Contractors (RACs)that includes financial penalties for inaccurate audit decisions; Provide input to CMS on implementation of quality measures required under the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014; Analyze and develop suggested changes to the Personalize Your Care Act of 2015, a bill that would provide coverage of voluntary advance care planning consultation under Medicare and Medicaid; Oppose HR 2895, Medicare Patient Access to Cancer Treatment Act of 2015, a bill that would establish parity under the Medicare program for ambulatory cancer care services furnished in the hospital outpatient department and the physician office setting; Oppose HR 976 and HR 2513 Promoting Access, Competition, and Equity Act of 2015(PACE) Act of 2015, a bill to allow an increase in, and expansion of, physician-owned hospitals eligible for Medicare reimbursement; Support S 1148 and HR 2124Resident Physician Shortage Reduction Act of 2015, a bill to increase the number of Medicare-supported physician residency slots; Urged SFC Chronic Care Working Group to consider expanding access to telehealth, removing legal barriers to clinical integration, and better engaging beneficiaries in their health and health care;Testified at the Observation status, Improving competition in Medicare and Prompt payment hearings; Support HR 2156, Medicare Audit Improvement Act of 2015, a bill to amend title XVIII of the Social Security Act to reform the practices of recovery audit contractors under the Medicare program; Discuss S. 861, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2015 or the PRIME Act of 2015 with the Senate Finance Committee to reform the Medicare audits and appeals process; Support S. 2141 Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act, a bill for improved transparency of information about certified EHRs; Advocate to improve interoperability of electronic health records; Letter to CMS urging use of existing authority to bring flexibility to the EHR Incentive Program and discussion about needed flexibility; Support H.R. 5164, Rural Hospital Regulatory Relief Act, a bill to extend the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals; Support S. 3129/H.R. 5613, legislation to extend through CY2016, the enforcement moratorium on CMS direct supervision policy for CAHs and small, rural hospitals.
Client expense: $4,690,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office
2016 · second_quarter · Medicare/Medicaid
Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs for Organizational and Medicare Cost Reports; Proposed Rule (CMS-1655-P): Urges CMS to interpret and apply the American Taxpayer Relief Act of 2012 to restore the 2017 documentation and coding adjustment amount to the .8 percent decrease; Restore .2 percentage points along with an additional .6 percentage points to compensate for three fiscal years of payment reductions; Transition to the use of uncompensated care costs, as derived from the worksheet S-10 data to a 5-year transition plan; Include the unreimbursed costs of public health care programs in the definition of uncompensated care; Provide the Medicare Outpatient Observation Notice in additional languages and in a consistent, clear time frame; Phase out and replace the use of PSI-90; Phase in the increase of the required electronic measures reported; Include sociodemographic factor risk adjustment as care quality measures. Common Sense Savings Act of 2016 (H.R. 4725) - Urged Congress to not cut critical funding for Medicaid, CHIP, and the Public and Prevention Fund. The Care Planning Act of 2015 (S. 1549)- Expressed support of bipartisan legislation that would help ensure that Medicare patients facing serious or life-threatening illness have access to care planning and coordination of services to ensure patients receive the care they want and need. Promoting Access, Competition, and Equity Act of 2015 (HR 2513)- Urged opposition to expanding physician-owned hospitals under Medicare. Comments to the Senate Finance Committee's Chronic Care working group. Urged the Department of Health and Human Services (HHS) to release, in the immediate future, a final rule making modifications to the meaningful use requirements under the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs for fiscal years (FY) 2015 to 2017. Support for the Medicaid program as currently structured.
Client expense: $160,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE, White House Office
2016 · second_quarter · Medicare/Medicaid
Payment issues relating to orthopaedic practices that own in-office ancillary services Bundled Payments Initiative, comprehensive joint replacements H.R.2513 - PACE Act of 2015 Issues related to Stark exemptions Comprehensive joint replacements Medicare and CHIP Reauthorization Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
Issues involving bundled payments as they pertain to the Center for Medicare and Medicaid Innovation H.R.2513 - PACE Act of 2015 Issues related to Stark exemptions Comprehensive joint replacements
Client expense: Not reported · Firm income: $30,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
Policies affecting hospitals in the Affordable Care Act (P.L. 111-148 and P.L. 111-152; H.R. 2513, The Promoting Access, Competition, and Equity Act of 2015; H.R. 976, the Patient Access to Higher Quality Health Care Act; and H.R. 5273, Helping Hospitals Improve Patient Care Act.
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Health Issues
HR976, Patient Access to Higher Quality Health Care Act of 2015 (All sections of full text) HR2513:Promoting Access, Competition and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S.2511 Improving Health Information Technology Act - discussions pertaining to improvement, effectiveness and efficiency of electronic health records and health information technology for doctors, patients, and hospitals Discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI) on patient records requests Monitored S.2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored HR776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored HR2300 Empowering Patients First Act of 2015 Monitored S.524 Comprehensive Addiction and Recovery Act of 2016 Monitored HR953 Comprehensive Addiction and Recovery Act of 2015 Monitored HR 4784 Lower Drug Costs through Competition Act
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
H.R. 2513 "PACE Act of 2015" - Oppose efforts to repeal certain provisions relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Bad Debt Payments to Hospitals - Lawmakers have proposed lowering the amount of Medicare Bad Debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. Oppose any effort to lower such payments. Direct and Indirect Graduate Medical Education Payments - Lawmakers have proposed changes to the way that hospitals are reimbursed for the costs of training physicians and other medical professionals. oppose any reductions to such payments. H.R. 663/S.332 "Rural Hospital Access Act of 2015" - Advocate for the extension the Medicare Dependent Hospital (MDH) and current Low-Volume Hospital (LVH) programs. Oppose any additional site neutral cuts. Oppose the proposal of lowering Medicare reimbursements to Inpatient Rehabilitation Facilities. Sequestration - against extending the Medicare Sequester and oppose Medicare sequester increase and extension as an offset. H.R. 2156 "Medicare Audit Improvement Act of 2015" supports legislation to improve Medicare audits and provided comments to Senate Finance Committee to improve draft legislation. Price Transparency - advocate for meaningful price transparency for consumers by ensuring they have access to out of pocket price information. S. 2822 "Flexibility in Electronic Health Record Reporting Act" - Advocate for 90 day reporting under meaningful use program requirements as part of the EHR Incentive Program. H.R. 5273 "Helping Hospitals Improve Patient Care Act of 2016" - Advocated for targeted, appropriate Hospital Outpatient Department under development language in the House Ways and Means package including LTCH provision. Advocated for Medicaid expansion and the role hospitals have in caring for patients in Medicaid populations. Medicaid Provider Tax - Oppose efforts to limit states ability to use Medicaid provider taxes. Commented on potential policy changes to both the Hospital Acquired Conditions Program and the Readmissions Program. Part B Demo - Opposed administration's proposed Part B Drug Demo. Home Health Prior Authorization - Oppose home health prior authorization proposed demonstration project. Hospital Stars Rating - Support for delay in the CMS Hospitals Stars Program data release. DSH/S-10 - Advocate for delay and reform of the Administration's DSH/S-10 proposal. H.R. 1343/S. 688 "Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015" - SES risk adjustment for hospital payment and readmissions.
Client expense: $690,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2016 · second_quarter · Health Issues
H.R.976, Patient Access to Higher Quality Health Care Act of 2015 (all sections of full text) H.R. 2513: Promoting Access, Competition, and Equity Act of 2015 or the PACE Act of 2015 (All sections of full text) S. 2511 Improving Health Information Technology Act - discussions pertaining to the improvement, effectiveness and efficiency of electronic health records and health information technology for doctors, patients and hospitals. Discussions involving new HHS/OCR HIPAA guidance to providers for release of information(ROI)on patient records requests Monitored S. 2615 Increasing Competition in Pharmaceuticals Act; discussions regarding price escalation of certain orphan or generic drugs Monitored discussions that would result in additional federal regulation of Group Purchasing Organizations Monitored H.R. 776 Stark Administrative Simplification Act of 2015 Monitored Hatch white paper examining potential reforms to the Stark Law Monitored H.R. 2300 Empowering Patients First Act of 2015 Monitored S. 524 Comprehensive Addiction and Recovery Act of 2016 Monitored H.R. 953 Comprehensive Addiction and Recovery Act of 2015 Monitored H.R. 4784 Lower Drug Costs through Competition Act
Client expense: Not reported · Firm income: $230,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
Medicare physician payment; new/alternative payment models; Medicare coverage; Medicare hospital payment; Ways & Means Committee hospital payment project, including HR 2513, the PACE Act of 2015; physician and hospital quality; electronic health record incentive program and H.R. 5001/S. 2822, the Flexibility in Electronic Health Record Reporting Act; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Promoting Integrity in Medicare Act; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; S 488/HR 3355, a bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; S 2382, the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015; S 298/HR 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; graduate medical education policy, including HR 2124/S 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care.
Client expense: $360,000 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office
2016 · second_quarter · Medicare/Medicaid
support HR2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);
Client expense: Not reported · Firm income: $24,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Health Issues
support HR 2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);
Client expense: Not reported · Firm income: $24,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
monitor post acute care and other site neutral medicare cuts;support HR 2513 ending ban on physician owned hospitals;support HR 1453 reforming reimbursement for ASCs;monitor legislation affecting hospital not-for-profit status; monitor 340B program;monitor for other legislation affecting hospitals;support HR2, SGR reform;monitor UNOS/HRSA liver transplant protocols
Client expense: Not reported · Firm income: $33,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE