Audiology Patient Choice Act of 2015

Medicare physician payment reform, in general. Implementation of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. Audiology-related legislation, in general. H.R. 1116, the "Medicare Audiology Services Enhancement Act of 2015," all provisions. Flexibility of the Meaningful Use Program, in general. Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). H.R. 2519, the "Audiology Patient Choice Act of 2015," all provisions. Regulatory approaches that allow Qualified Clinical Data Registries to meet quality requirements under MACRA and Meaningful Use and addressing unfair data blocking policies. Communications assessing interoperability for the Medicare Access and CHIP Reauthorization Act (MACRA), which directs the Secretary of the U.S. Department of Health and Human Services (HHS) to establish metrics to determine if and to what extent interoperability has been achieved. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re: Medicare Program; Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models. Opposition to the provision in the Centers for Medicare and Medicaid Services (CMS) Physician Fee Schedule (PFS) proposed rule for calendar year (CY) 2017 to collect all data for all 10- and 90-day global services from all practitioners who perform these services, rather than from a representative sample of practitioners, which was required by The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Comments in support of the Centers for Medicare and Medicaid Services (CMS) restoring the Refinement Panel to serve as the relative value appeals process that was appropriately in place prior to 2011. Comments re: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017. Comments re: CY 2017 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1656-P. Comments expressing concern about the quasi-qualified entity provisions of the final rule, Medicare Program: Expanding Uses of Medicare Data by Qualified Entities."

Client expense: $190,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Medicare physician payment reform, in general. Implementation of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. Audiology-related legislation, in general. H.R. 1116, the "Medicare Audiology Services Enhancement Act of 2015," all provisions. Flexibility of the Meaningful Use Program, in general. Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). H.R. 2519, the "Audiology Patient Choice Act of 2015," all provisions. Regulatory approaches that allow Qualified Clinical Data Registries to meet quality requirements under MACRA and Meaningful Use and addressing unfair data blocking policies. Communications assessing interoperability for the Medicare Access and CHIP Reauthorization Act (MACRA), which directs the Secretary of the U.S. Department of Health and Human Services (HHS) to establish metrics to determine if and to what extent interoperability has been achieved. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re: Medicare Program; Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models.

Client expense: $130,000 · Firm income: Not reported

Audiology Patient Choice Act; H.R.2519; Medicare Reimbursement

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

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

Medicare physician payment reform, in general. Implementation of MACRA, the Medicare Access and CHIP Reauthorization Act of 2015. Audiology-related legislation, in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015, all provisions. Flexibility of the Meaningful Use Program, in general. Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). H.R. 2519, the Audiology Patient Choice Act of 2015, all provisions. Regulatory approaches that allow Qualified Clinical Data Registries to meet quality requirements under MACRA and Meaningful Use and addressing unfair data blocking policies.

Client expense: $130,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

Audiology Patient Choice Act, H.R.2519

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2519, Audiology Patient Choice Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Audiology Patient Choice Act, H.R.2519

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

Audiology Patient Choice Act, H.R.2519

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Audiology Patient Choice Act, H.R.2519

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

Audiology Patient Choice Act, H.R.2519

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

Medicare physician payment reform; in general. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; all provisions. H.R. 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; all provisions. Audiology-related legislation; in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015. Repeal of the Independent Payment Advisory Board (IPAB); in general. H.R. 1190/S.141, the Protecting Seniors' Access to Medicare Act of 2015; all provisions. Certification of electronic health records (EHRs); in general. Medicare Advantage "Network Adequacy"; in general. Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively. Implementation plans for moving to ICD-10, a code set named under the Health Insurance Portability and Accountability Act (HIPAA). Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). Implementation of Section 218 (b) of Public Law 113-93, entitled the Protecting Access to Medicare Act (PAMA), relating to the possible consideration of Radiology Benefit Management (RBM) companies as potential sources for the establishment of applicable appropriate use criteria, as well as any use of RBMs for the enforcement of the prior authorization section for ordering professionals who are outliers. Comments re: funding of quality measures authorized under section 102 of the recently enacted Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, Public Law 114-10. H.R. 2519, Audiology Patient Choice Act of 2015; all provisions. Support for the appointment of a surgeon to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) created under the Medicare Access and CHIP Reauthorization Act (MACRA). Support for H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability Act or Flex IT 2 Act"; all provisions. Communications urging the Administration to "pause" implementation of Stage 3 Meaningful Use (MU) and reevaluate the program in light of pivotal changes to Medicare, including passage of the Medicare Access and Chip Reauthorization Act (MACRA). Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "CY 2016 Hospital Outpatient PPS Policy changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1633-P, published in the Federal Register as a proposed notice on July 8, 2015. Comments address 1.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 2.) Proposed New Technology APCs - Orthopedic Procedures. Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "Medicare Program; Revisions for Part B for CY 2016" published in the Federal Register as a proposed notice on July 15, 2015. Comments address 1.) 2016 Conversion Factor (CF); 2.) Practice Expense Issues; 3.) Potentially Misvalued Services Under the Fee Schedule; 4.) Improving Valuation of the Global Surgical Package; 5.) Improving Payment Accuracy for Primary Care and Care Management Services; 6.) Target for Relative Value Adjustments for Misvalued Services; 7.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 8.) Malpractice RVUs; 9.) Validating RVUs of Service; 10.) Valuing New, Revised, and Potentially Misvalued Codes; 11.) Valuation of Specific Codes; 12.) Incident to Proposals: Billing Physicians as the Supervising Physician and Ancillary Personnel Requirements; 13.) Physicians Compare; 14.) Physician Payment, Efficiency, and Quality Improvements-Physician Quality Reporting System (PQRS); 15.) Value Based Modifier (VM) and Physician Feedback Reporting Program. H.R. 1919, the Steve Gleason Act of 2015; all provisions. S. 2425, the Patient Access and Medicare Protection Act; Section 4. Meaningful Use Incentive Program; in general. Physician-led, team-base care approach to healthcare models; in general. Comments regarding the Request for Information (RFI) on implementation of Alternative Payment Models (APMs) and Merit-Based Incentive Programs (MIPS) under the Medicare Access and Chip Reauthorization Act (MACRA). H.R. 2568, the Fair Medical Audits Act of 2015; all provisions. H.R. 2513, the Protecting Access, Competition, and Equity Act; all provisions. H.R. 3940, the Meaningful Use Hardship Relief Act of 2015; all provisions. Comments re: "Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and and other Revisions for Part B for CY 16" published in the Federal Register as a final rule with comment period on November 16, 2015, which address the following issues: 1) 2016 Conversion Factor (CF); 2) Practice Expense Issues; 3) Potentially Misvalued Services Under the Fee Schedule; 4) Improving Valuation of the Global Surgical Package; 5) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 6) Valuing New, Revised, and Potentially Misvalued Codes; 7) CY 2016 Interim Final Rule Codes; 8) Incident to Proposals: Billing Physicians as the Supervising Physician and Ancillary Personnel Requirements; 9) Physician Compare; 10) Physician Payment, Efficiency, and Quality Improvements - Physician Quality Reporting System (PQRS); 11) Value Based Payment Modifier (VM) and Physician Feedback Reporting Program. Comments re: the "Medicare and Medicaid Programs; Electronic Health Record Incentive Program--Stage 3 and Modifications to Meaningful Use in 2015-2017; Final Rule" published in the Federal Register on Friday, October 16, 2015, which address the following issues: 1) the need for increased flexibility; 2) the lack of interoperability; 3) the need for 90-day reporting periods beyond the current year; and 4) the specific meaningful use criteria.

Audiology Patient Choice Act, H.R.2519

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

Medicare physician payment reform; in general. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; all provisions. H.R. 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; all provisions. Audiology-related legislation; in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015. Repeal of the Independent Payment Advisory Board (IPAB); in general. H.R. 1190/S.141, the Protecting Seniors' Access to Medicare Act of 2015; all provisions. Certification of electronic health records (EHRs); in general. Medicare Advantage "Network Adequacy"; in general. Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively. Implementation plans for moving to ICD-10, a code set named under the Health Insurance Portability and Accountability Act (HIPAA). Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). Implementation of Section 218 (b) of Public Law 113-93, entitled the Protecting Access to Medicare Act (PAMA), relating to the possible consideration of Radiology Benefit Management (RBM) companies as potential sources for the establishment of applicable appropriate use criteria, as well as any use of RBMs for the enforcement of the prior authorization section for ordering professionals who are outliers. Comments re: funding of quality measures authorized under section 102 of the recently enacted Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, Public Law 114-10. H.R. 2519, Audiology Patient Choice Act of 2015; all provisions. Support for the appointment of a surgeon to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) created under the Medicare Access and CHIP Reauthorization Act (MACRA). Support for H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability Act or Flex IT 2 Act"; all provisions. Communications urging the Administration to "pause" implementation of Stage 3 Meaningful Use (MU) and reevaluate the program in light of pivotal changes to Medicare, including passage of the Medicare Access and Chip Reauthorization Act (MACRA). Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "CY 2016 Hospital Outpatient PPS Policy changes and Payment Rates and Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1633-P, published in the Federal Register as a proposed notice on July 8, 2015. Comments address 1.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 2.) Proposed New Technology APCs - Orthopedic Procedures. Communication to the Centers for Medicaid and Medicare Services (CMS) regarding the "Medicare Program; Revisions for Part B for CY 2016" published in the Federal Register as a proposed notice on July 15, 2015. Comments address 1.) 2016 Conversion Factor (CF); 2.) Practice Expense Issues; 3.) Potentially Misvalued Services Under the Fee Schedule; 4.) Improving Valuation of the Global Surgical Package; 5.) Improving Payment Accuracy for Primary Care and Care Management Services; 6.) Target for Relative Value Adjustments for Misvalued Services; 7.) Changes for Computed Tomography (CT) under the Protecting Access to Medicare Act of 2014 (PAMA); 8.) Malpractice RVUs; 9.) Validating RVUs of Service; 10.) Valuing New, Revised, and Potentially Misvalued Codes; 11.) Valuation of Specific Codes; 12.) Incident to Proposals: Billing Physicians as the Supervising Physician and Ancillary Personnel Requirements; 13.) Physicians Compare; 14.) Physician Payment, Efficiency, and Quality Improvements-Physician Quality Reporting System (PQRS); 15.) Value Based Modifier (VM) and Physician Feedback Reporting Program. H.R. 1919, the Steve Gleason Act of 2015; all provisions.

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015: To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 1650, Medicare Patient Empowerment Act: Private contracting in Medicare H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2126, Cutting Costly Codes Act: ICD-10 coding H.R. 2247, ICD-TEN Act: ICD-10 coding H.R. 2519, Audiology Patient Choice Act: Audiology scope of practice in Medicare H.R. 2652, Protecting Patients and Physicians Against Coding Act: ICD-10 coding H.R. 3018, Code-FLEX Act: ICD-10 coding H.R.3292, Medicare IME Pool Act: Reduce graduate medical education funding H.R. 3309, Flex-IT 2 Act: Electronic health records meaningful use programs under the Medicare and Medicaid programs No bill, ICD-10 Coding: CMS advocacy No bill, Electronic health records: CMS advocacy

Client expense: $45,000 · Firm income: Not reported

S. 141, Protecting Seniors' Access to Medicare Act of 2015: To repeal the Independent Payment Advisory Board. S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015: To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs. H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015: To repeal Independent Payment Advisory Board. H.R. 1650, Medicare Patient Empowerment Act: Private contracting in Medicare H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R. 2126, Cutting Costly Codes Act: ICD-10 coding H.R. 2247, ICD-TEN Act: ICD-10 coding H.R. 2519, Audiology Patient Choice Act: Audiology scope of practice in Medicare H.R. 2652, Protecting Patients and Physicians Against Coding Act: ICD-10 coding H.R. 3018, Code-FLEX Act: ICD-10 coding H.R.3292, Medicare IME Pool Act: Reduce graduate medical education funding H.R. 3309, Flex-IT 2 Act: Electronic health records meaningful use programs under the Medicare and Medicaid programs No bill, ICD-10 coding: CMS advocacy No bill, Electronic health records: CMS advocacy

Client expense: $45,000 · Firm income: Not reported

Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 1600, Patients' Access to Treatments Act of 2015). Support S. 1406, the Saving Access to Compounded Medications for Special Needs Patients Act. Lobby Members of Congress to join the Congressional Skin Cancer Caucus. Lobby Congress to provide oversight of implementation of Public Law 113-54, the Drug Quality and Security Act, intended to protect and preserve the in-office use of compounded pharmaceuticals without a patient-specific prescription. Lobby Congress to provide oversight of implementation of Public Law 113-195, the Sunscreen Innovation Act, intended to create a transparent and predictable review process for sunscreen ingredients. Advocate for OMB to release FDA proposed rules that would provide further oversight for indoor tanning devices. Lobby Congress on issues related to telemedicine. Oppose H.R. 2519, the Audiology Patient Choice Act of 2015. Support legislation to establish a federal standard for the provision of telemedicine (H.R. 691, the Telehealth Modernization Act).

Client expense: $442,136 · Firm income: Not reported

H.R. 1021, Protecting the Integrity of Medicare Act of 2015, all provisions H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 141, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 976, Patient Access to Higher Quality Health Care Act of 2015, all provisions H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 (PACE Act), all provisions S. 488, A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs, all provisions H.R. 1936, Improving the Integrity of Disability Evidence Act, all provisions H.R. 2519, Audiology Patient Choice Act of 2015, all provisions H.R. 3081, TELEmedicine for MEDicare Act of 2015 (TELE-MED Act of 2015), all provisions H.R. 2568, Fair Medical Audits Act of 2015, all provisions H.R. 3309, Further Flexibility in HIT Reporting and Advancing Interoperability Act (Flex-IT 2 Act), all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions H.R. 3100, Medical Practice Freedom Act of 2015, all provisions H.R. 6, 21st Century Cures Act, all provisions H.R. 2502, Comprehensive Care Payment Innovation Act of 2015, all provisions H.R. 592, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions H.R. 3220, Medicare Common Access Card Act of 2015, all provisions H.R. 1117, Creating Access to Residency Education Act of 2015, all provisions S. 1148, Resident Physician Shortage Reduction Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to physician payment and delivery reform S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to physician payment and delivery reform H.R. 1295, Trade Preferences Extension Act of 2015, provisions relating to Medicare sequester H.R. 2146, Defending Public Safety Employees' Retirement Act, provisions relating to Medicare sequester S. 1020, Diagnostic Imaging Services Access Protection Act of 2015, all provisions Audit & Appeal Fairness Medicare program: Medicare Advantage market transparency/beneficiary and provider protections Medicare program: Protecting Access to Medicare Act (PAMA) implementation Medicare program; Merit-based incentive models Medicare program: Alternative payment models Medicare program: Independent Payment Advisory Board Repeal (IPAB) Medicare program: Medicare Physician Fee Schedule Medicare program: Meaningful Use, Certification, Interoperability Roadmap Medicare program: In-office Ancillary Services Exception Medicare program: Graduate Medical Education Medicare program: Electronic Health Records (EHR)/Meaningful Use (MU) Medicare program: Merit-based Incentive Payment System (MIPS) Medicare program: Two-Midnights Rule/Policy Medicare program: Alternative Payment Models Medicare program: Diabetes Medicare program: Sunshine Act/CME, reprints and medical textbooks Medicare program: Prescription Drug Diversion Medicare program: Medicare physician data Medicare program: Comprehensive Care for Joint Replacement (CCJR) Medicare program: Misvalued Codes Medicare program: Part B Drugs Medicare program: Chronic Care Medicare program: Sequestration Medicare program: Recovery Audit Contractors (RACs) Medicare program: Provider payments Medicare program: Local Coverage Decisions Medicare program: Enterprise Identity Management (EIDM) implementation Medicare program: Regulatory burdens Medicare program: Codes for drug abuse testing Medicare program: Physician Quality Reporting Program/Value-based Modifier/Physician Compare Medicare program: Diagnostic Coding Medicare and Medicaid programs: Nomination of Andrew Slavitt to be CMS Administrator Medicare and Medicaid programs: ICD-10 Medicare and Medicaid programs: Laboratory Developed Tests oversight and regulation Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA) implementation

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization - preparation for regulations re: quality measurements, technical support, MIPS, APMSHealth Center Reauthorization - quality measurements, technical support, MIPS, APMS HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act ICD 10 issues - no specific bill Meaningful Use and Electronic Medical Records - HR 3309 - Future Flexibility on HIT Reporting and Advancing Interoperability Act Stage 3 Final Rules - CMS 42 CFR - Part 412 - 495 - no specific bill HR 2519 - Audiology Patient Choice Act of 2015 HR 2568 - Fair Medical Audits Act of 2015 Prescription Drug Pricing - no specific bill

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization - preparation for regulations re: quality measurements, technical support, MIPS, APMS HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act S 320 - Medical Innovation Act - NIH funding Opioid Addiction issues S. 1455 - TREAT ACT, Recovery Enhancement for Addiction Act S. 1641 - The Jason Simcakoski Memorial Opioid Safety Act s. 480 - Reauthorization of NASPER - The National All Schedules Prescription Electronic Reporting Act - No specific bill S. 1392 Safer Prescribing of Controlled Substances Act HR 2085/S. 1134 - Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 HR 1462/S 799 - Protecting our Infants Act of 2015 Partial Fill legislation - no specific bill Funding for demonstration projects for access to pain specialists - no specific bill DEA - change/classification of regulations regarding partial fill of prescriptions E Prescribing - no specific bill S. 524 - Comprehensive Addiction and Recovery Act of 2015 S. 1134 - Heroin and Prescription Opioid Abuse Education and Enforcement Act Draft CDC Guideline for Prescribing Opioids for Chronic Pain Prescription Drug Pricing - no specific bill Access to medically tailored food for low income people - no specific bill HR 2519 - Audiology Patient Choice Act of 2015 S 139/HR 209 - the Ensuring Access to Clinical Trials Act of 2015 ICD 10 issues - no specific bill Meaningful Use and Electronic Medical Records - HR 3309 - Future Flexibility on HIT Reporting and Advancing Interoperability Act Stage 3 Final Rules - CMS 42 CFR - Part 412 - 495 - no specific bill HR 2568 - Fair Medical Audits Act of 2015 DEA Reclassification of marijuana to allow scientific research and study

HR 2646 Helping Families in Mental Health Crisis Act of 2015 HR 1859 Ensuring Children's Access to Specialty Care Act of 2015 S. 1945 Mental Health Reform Act of 2015 S. 2002 Mental Health and Safe Communities Act of 2015 S. 1893 Mental Health Awareness and Improvement Act of 2015 S. 1494 Children's Recovery from Trauma Act HR 2632 Children's Recovery from Trauma Act S. 711 Mental Health First Act of 2015 HR 938 Garrett Lee Smith Memorial Act Reauthorization of 2015 S. 429: Family-Based Foster Care Services Act HR 835: Family-Based Foster Care Services Act HR 1211: Mental Health in Schools Act HR 2519 Audiology Patient Choice Act of 2015 Authorization and Appropriations for an alternative to the National Children's Study

Client expense: $64,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Audiology Patient Choice Act, H.R.2519

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 1600, Patients' Access to Treatments Act of 2015). Support S. 1406, the Saving Access to Compounded Medications for Special Needs Patients Act. Lobby Members of Congress to join the Congressional Skin Cancer Caucus. Lobby Congress to provide oversight of implementation of Public Law 113-54, the Drug Quality and Security Act, intended to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription. Lobby Congress to provide oversight of implementation of Public Law 113-195, the Sunscreen Innovation Act, intended to create a transparent and predictable review process for sunscreen ingredients. Advocate for OMB to release FDA proposed rules that would provide further oversight for indoor tanning devices. Lobby Congress on issues related to telemedicine. Advocate for strengthening and improving biomedical research, discovery and technological approval processes in the 21st Century Cures Initiative and Innovation for Healthier Americans. Support H.R. 293, the Protect Continuing Physician Education and Patient Care Act. Oppose H.R. 2519, the Audiology Patient Choice Act of 2015. Support legislation to establish a federal standard for the provision of telemedicine (H.R. 691, the Telehealth Modernization Act).

Client expense: $377,934 · Firm income: Not reported

Medicare physician payment reform; in general. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; all provisions. H.R. 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; all provisions. Audiology-related legislation; in general. H.R. 1116, the Medicare Audiology Services Enhancement Act of 2015. Repeal of the Independent Payment Advisory Board (IPAB); in general. H.R. 1190/S.141, the Protecting Seniors' Access to Medicare Act of 2015; all provisions. Certification of electronic health records (EHRs); in general. Medicare Advantage "Network Adequacy"; in general. Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively. Implementation plans for moving to ICD-10, a code set named under the Health Insurance Portability and Accountability Act (HIPAA). Support for the appointment of a surgeon to the Medicare Payment Advisory Commission (MedPAC). Implementation of Section 218 (b) of Public Law 113-93, entitled the Protecting Access to Medicare Act (PAMA), relating to the possible consideration of Radiology Benefit Management (RBM) companies as potential sources for the establishment of applicable appropriate use criteria, as well as any use of RBMs for the enforcement of the prior authorization section for ordering professionals who are outliers. Comments re: funding of quality measures authorized under section 102 of the recently enacted Medicare Access and CHIP Reauthorization Act of 2015, or MACRA, Public Law 114-10. H.R. 2519, Audiology Patient Choice Act of 2015; all provisions.

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

Audiology Patient Choice Act, H.R.2519

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL 114 - 20 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act S 320 - Medical Innovation Act - NIH funding Opioid Addiction issues S. 1455 - TREAT ACT, Recovery Enhancement for Addiction Act S. 1641 - The Jason Simcakoski Memorial Opioid Safety Act Reauthorization of NASPER - The National All Schedules Prescription Electronic Reporting Act - No specific bill S. 1392 Safer Prescribing of Controlled Substances Act HR 2085/S. 1134 - Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 HR 1462/S 799 - Protecting our Infants Act of 2015 HR 2519 - Audiology Patient Choice Act of 2015 S 139/HR 209 - the Ensuring Access to Clinical Trials Act of 2015 ICD 10 issues, letter to CMS - no specific bill Meaningful Use and Electronic Medical Records - no specific bill HR 2568 - Fair Medical Audits Act of 2015

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

PL 114-10 - the Medicare Access and Chip Reauthorization Act - SGR repeal, CHIP reauthorization, Community Health Center Reauthorization HR 293 - the Protect Continuing Physician Education Act and Patient Care Act - regulations implementing the Sunshine Act HR 6 - 21st Century Cures - provisions impacting Sunshine Act ICD 10 issues, letter to CMS, no specific bill Meaningful Use and Electronic Medical Records HR 2519 - Audiology Patient Choice Act of 2015 HR 2568 - Fair Medical Audits Act of 2015

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE