RAISE Family Caregivers Act

Medicare; Medicaid; H.R. 3099, RAISE Family Caregivers Act; S. 3111, Seniors Tax Hike Prevention Act of 2016

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Access to Better Care Act(H.R.5652) ACE Kids Act (S.298/H.R.546) Advancing NIH Strategic Planning and Representation in Medical Research Act(S.2745) Advancing Research for Neurological Diseases Act(S.849/H.R.292) American Heart Month Resolution(S.Res.365) 21st Century Cures Act(H.R.6) Common Sense Savings Act (H.R.4725) Community Parks Revitalization Act (H.R.201) Community Prevention Grants Congenital Heart Futures Reauthorization Act of 2015(S.2248/H.R.3952) Credit for Caring Act(H.R.4708/S.2759) End of Life Care Legislation End Surprise Billing Act(H.R.3770) Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act(H.R.1631/S.800) Indian Health Service Health Professions Tax Fairness Act (H.R.1842/S.536) Menu Labeling (ACA Section 4205) No Child Left Inside Act(H.R.882/S.492) Physical Activity Recommendations for Americans (H.R.1499/S.1793) Prevention and Public Health Fund (ACA Section 4002) Personal Health Investment Today Act (PHIT) (H.R.1218/ S.2218) Public Lands Service Corps Act (H.R.2167/S.1160) RAISE Family Caregivers Act (S.1719/H.R.3099) Reducing Obesity in Youth Act(S.3194) Health Equity and Accountability Act (H.R.5475)

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

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

H.R. 6, 21st Century Cures Act, relating to scientific research and treatments, all provisions; H.R. 34, 21st Century Cures Act, relating to scientific research and treatments, all provisions; Public Law 113-295, Title IV, Division B (Achieving a Better Life Experience Act of 2014), relating to savings for individuals with disabilities, all provisions; S. 2702/H.R. 4795, ABLE To Work Act, relating to contribution limits for ABLE account beneficiaries who work, all provisions; S. 2703/H.R. 4794, ABLE Financial Planning Act, relating to rollovers of ABLE account from or to college savings accounts, all provisions; S. 2704/H.R. 4813, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S. 2614/H.R. 4919, Kevin and Avonte's Law of 2016, relating to the safety of individuals with autism, all provisions; S. 2718 Perkins Fund for Equity and Excellence Act of 2015, relating to wrap-around services for students with disabilities, all provisions; H.R. 5587, Strengthening Career and Technical Education for the 21st Century Act, relating to career and technical education for students with disabilities, all provisions; S. 1719/H.R. 3099, Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act, related to a national family caregiving strategy, all provisions; Public Law 113-128, Workforce Innovation and Opportunity Act of 2014,relating to workforce development, provisions relating to pre-employment services for students with disabilities; Public Law 109-270, Carl D. Perkins Career and Technical Education Act of 2006, relating to career and technical education for students with disabilities, all provisions; Public Law 110-315, Higher Education Opportunity Act of 2008, relating to post-secondary opportunities for students with autism, all provisions; Public Law 113-157 (Autism CARES Act of 2014), relating to autism research and services, all provisions; Innovation for Healthier Americans/Precision Medicine Initiative; TRICARE services for children with autism; Federal Employees Health Benefits program as it affects people with autism; implementation of the Affordable Care Act as it affects people with autism; education and employment of and health care and housing for people with autism; Medicaid, Social Security, and other benefit programs that affect people with autism; early access to care for people with autism; CMS final rules CMS 2249-F and CMS 2296-F, relating to home and community-based services, all provisions; Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2018, relating to implementation of the Affordable Care Act, provisions on 45 CFR Parts 144, 146, 147, 153, 154, 155, and 158; GAO study related to the transition needs of and services for adults with autism; financing for long-term services and supports; appropriations related to early intervention, education, caregiver support and services under title XIX of the Social Security Act; Early and Periodic Screening, Diagnostic, and Treatment benefit under title XIX of the Social Security Act; 2017 appropriations for Autism CARES and the Congressionally Directed Medical Research Program autism program.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Personnel Management (OPM), SENATE, Treasury, Dept of

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 1378, S. 789 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act Public Law No: 114-144, S. 192 - Older Americans Act Reauthorization Act of 2015 S. 993/H.R. 1854 Comprehensive Justice and Mental Health Act of 2015 S. 1893 Mental Health Awareness and Improvement Act of 2015 S. 2691 Integrating Behavioral Health Through Technology Act of 2016 H.R. 1559/S.857 Health Outcomes, Planning, and Education (HOPE) for Alzheimers Act S. 1719/H.R. 3099 the Recognize, Assist, Include, Support, and Engagement (RAISE) Family Caregivers Act H.R. 2515/S. 1865 Anna Westin Act of 2015 H.R. 3913 the Lifespan Respite Care Reauthorization Act S.2691 Integrating Behavioral Health through Technology Act of 2016 S.3130 Independence at Home Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act S.3236/H.R. 5772 the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act. Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 Opioid Abuse Epidemic Affordable Care Act Integration Practice and Reimbursement issues related to clinical social workers Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016

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

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

Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1719/H.R. 3099); Health Information Technology; Health Reform Implementation (Regulatory - HHS); Independence at Home Act; Long-Term Care Financing and Delivery Reform; Medicaid; Medicare; Mental Health Reform and Parity; Childrens Health Insurance Program (CHIP); Chronic Care Reform; Telehealth Legislation; Long-Term Services and Supports; 21st Century Cures Act; Observation Stay legislation; Older Americans Act state Holocaust guidance, The Money Follows the Person program; and The Community First Choice Program

Client expense: $191,606 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

H.R.3099/S.1719, RAISE Family Caregivers Act; the development of a strategy that would identify specific actions that government, communities, providers, employers and others can take to recognize and support family caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-375 National Alzheimer's Project Act, All sections H.R. 9/S. 1137, the Innovation Act H.R. 1559/S. 857, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 H.R. 1468, the Global Brain Health Act of 2015 H.R. 2624/S. 1488, the Part D Beneficiary Appeals Fairness Act H.R. 3090/S. 3113, the Alzheimer's Caregiver Support Act H.R. 3091, the Missing Alzheimer's Disease Patient Alert Program Reauthorization Act H.R. 3092, the Alzheimer's Disease Semipostal Stamp Act H.R. 3099/S. 1719, the RAISE Family Caregivers Act H.R. 3119/S. 2748, the Palliative Care and Hospice Education and Training Act H.R. 3243/S. 1362, the PACE Innovation Act H.R. 3660/S. 3126, the Preventive Health Savings Act H.R. 4708/S.2759, the Credit for Caring Act of 2016 H.R. 4919/S. 2614, Kevin and Avonte's Law of 2016 H.R. 5196/S. 879, the Americans Giving Care to Elders (AGE) Act of 2015 H.R. 5347, the Social Security Disability Fairness Act H.R. 5681/S. 3137, the Alzheimer's Beneficiary and Caregiver Support Act H. Res. 237/S. Res. 74, a resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority S. 192, the Older Americans Act Reauthorization Act of 2015 S. 1549, the Care Planning Act of 2015 S. 2010, the Expedited Disability Insurance Payments for Terminally Ill Individuals Act S. 2961, the Compassionate Care Act S. 3130, the Independence at Home Act of 2016 S. 3270, the Elder Abuse Prevention and Prosecution Act

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

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

H.R. 711, The Equal Treatment of Public Servants Act - Supported, lobbied and testified on behalf of bill. Lobbied House and Senate members on Social Security solvency. S. 1719, H.R. 3099, RAISE Family Caregivers Act - Urged cosponsorship and House passage of legislation. S. 2759, H.R. 4708, Credit for Caring Act - Urged co-sponsorship. Discussed family caregivers and medical training, state legislation and federal regulations. Discussed older worker employment programs including the Senior Community Service Employment Program (SCSEP) under the Older Americans Act. S. 3040, H.R. 5926, H.R. 5325, Labor, Health and Human Services Appropriations, FY2017 - Lobbied in support of funding for various programs, including caregiving, supportive services and community service programs. S. 2180, H.R. 5574, Protecting Older Workers Against Discrimination Act - Discussed support of bill. Discussed elder abuse registry bill. Discussed Family Caregiving Across Subpopulations Hill briefing and held briefing on family caregiving for people with Alzheimer's/dementia, intellectual/development disabilities, veterans and people with mental health needs. Discussed and urged Member offices to join Assisting Caregivers Today (ACT) Caucus. Discussed Prepare to Care, family caregiving, and brain health. H.R. 2668, National Care Corps Act - Discussed bill as well as long-term services and supports financing, and ACT Caucus. Discussed National Family Caregiver Support Program.

Client expense: $2,290,000 · 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), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Medicare; Medicaid; H.R. 3099, RAISE Family Caregivers Act; S. 3111, Seniors Tax Hike Prevention Act of 2016

Client expense: Not reported · Firm income: $20,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, 21st Century Cures Act (Upton) - new cures and treatments H.R. 636, Federal Aviation Administration Reauthorization Act (Tiberi) - air ambulance amendments H.R. 691, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 1189, Preserving Employee Wellness Programs Act (Kline) - employee wellness programs H.R. 2646, Helping Families in Mental Health Crisis Act (Murphy) - compliance with parity requirements, mental health services H.R. 2712, Commonsense Reporting and Verification Act (Black) - employer reporting and eligibility verification for ACA subsidies H.R. 2745, Standard Merger and Acquisition Reviews Through Equal Rules Act (Farenthold) - FTC-DOJ rules for reviewing mergers H.R. 3099, RAISE Family Caregivers Act (Harper) - national strategy to support family caregivers H.R. 3463, Aligning Childrens Dental Coverage Act (Griffith-DeGette) - rules for stand-alone dental plans H.R. 4276, Behavioral Health Coverage Transparency Act (Kennedy) - disclosure requirements relating to mental health parity H.R. 4641, Best Practices for Pain Management (Brooks) - HHS Task Force to review, revise, and disseminate best practices for pain management H.R. 4771, HEALTH Act (Franks) - medical liability reforms H.R. 5054, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Aderholt) - 21st Century Cures provisions S. 185, Promise for Antibiotics and Therapeutics for Health Act (Hatch) - FDA drug approval process S. 466, Quality Care for Moms and Babies Act (Stabenow) - pediatric quality measures S. 524, Comprehensive Addiction and Recovery Act (Whitehouse) - prescription opioid abuse S. 620, Preserving Employee Wellness Programs Act (Alexander) - employee wellness programs S. 961, Data Security Act (Carper) - data security S. 1077, Advancing Breakthrough Devices for Patients Act (Burr) - priority review of breakthrough medical devices S. 1427, Quality Measure Alignment Act (Stabenow) - facilitating coordination and alignment between public and private sectors on quality and efficiency measures S. 1719, RAISE Family Caregivers Act (Collins) - national strategy to support family caregivers S. 1996, Commonsense Reporting Act (Warner) - employer reporting and eligibility verification for ACA subsidies S. 2141, TRUST IT Act, (Cassidy) - health IT rating system S. 2646, Veterans Choice Improvement Act (Burr) - veterans health care S. 2680, Mental Health Reform Act (Alexander) - compliance with parity requirements, mental health services S. 2700, FDA and NIH Workforce Authorities Modernization Act (Alexander) - medical innovation amendments S. 3040, Labor, Health and Human Services, and Education Appropriations Act for fiscal year 2017 (Blunt) - funding for HHS programs and agencies, ACA risk corridors program S. 3244, Aligning Children's Dental Coverage Act (Roberts-Bennett) - rules for stand-alone dental plans Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to small employer group size; issues related to Certificate of Public Advantage; and other issues relating to health care reform implementation.

Client expense: $1,710,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

S.1719/H.R.3099, RAISE Family Caregivers Act. Support.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Access to Better Care Act(H.R.5652) ACE Kids Act (S.298/H.R.546) Advancing NIH Strategic Planning and Representation in Medical Research Act(S.2745) Advancing Research for Neurological Diseases Act(S.849/H.R.292) American Heart Month Resolution(S.Res.365) 21st Century Cures Act(H.R.6) Common Sense Savings Act (H.R.4725) Community Parks Revitalization Act (H.R.201) Community Prevention Grants Congenital Heart Futures Reauthorization Act of 2015(S.2248/H.R.3952) Credit for Caring Act(H.R.4708/S.2759) End of Life Care Legislation End Surprise Billing Act(H.R.3770) Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act(H.R.1631/S.800) Indian Health Service Health Professions Tax Fairness Act (H.R.1842/S.536) Menu Labeling (ACA Section 4205) No Child Left Inside Act(H.R.882/S.492) Physical Activity Recommendations for Americans (H.R.1499/S.1793) Prevention and Public Health Fund (ACA Section 4002) Personal Health Investment Today Act (PHIT) (H.R.1218/ S.2218) Public Lands Service Corps Act (H.R.2167/S.1160) RAISE Family Caregivers Act (S.1719/H.R.3099) Reducing Obesity in Youth Act(S.3194) Health Equity and Accountability Act (H.R.5475)

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

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

H.R. 1378, S. 789 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act Public Law No: 114-144, S. 192 - Older Americans Act Reauthorization Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 S. 993/H.R. 1854 Comprehensive Justice and Mental Health Act of 2015 S. 1893 Mental Health Awareness and Improvement Act of 2015 S. 2691 Integrating Behavioral Health Through Technology Act of 2016 H.R. 1559/S.857 Health Outcomes, Planning, and Education (HOPE) for Alzheimers Act S. 1719/H.R. 3099 the Recognize, Assist, Include, Support, and Engagement (RAISE) Family Caregivers Act H.R. 2515/S. 1865 Anna Westin Act of 2015 H.R. 3913 the Lifespan Respite Care Reauthorization Act S.2691 Integrating Behavioral Health through Technology Act of 2016 S.3130 Independence at Home Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act S.3236/H.R. 5772 the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act. Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 Opioid Abuse Epidemic Affordable Care Act Integration Practice and Reimbursement issues related to clinical social workers Chronic Care

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

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

H.R. 6, 21st Century Cures Act, relating to scientific research and treatments, all provisions; Public Law 113-295, Title IV, Division B (Achieving a Better Life Experience Act of 2014), relating to savings for individuals with disabilities, all provisions; S. 2702/H.R. 4795, ABLE To Work Act, relating to contribution limits for ABLE account beneficiaries who work, all provisions; S. 2703/H.R. 4794, ABLE Financial Planning Act, relating to rollovers of ABLE account from or to college savings accounts, all provisions; S. 2704/H.R. 4813, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S. 2614/H.R. 4919, Kevin and Avonte's Law of 2016, relating to the safety of individuals with autism, all provisions; H.R. 5902, Disability Community Act of 2016, relating to a temporary higher federal medical assistance percentage for federal Medicaid expenditures, all provisions; P.L. 110-343, Division C, Title V, Subtitle B, Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, all provisions; Public Law 114-95, Every Child Succeeds Act of 2015, relating to career and technical education for students with disabilities, all provisions; S. 2718 Perkins Fund for Equity and Excellence Act of 2015, relating to wrap-around services for students with disabilities, all provisions; H.R. 5587, Strengthening Career and Technical Education for the 21st Century Act, relating to career and technical education for students with disabilities, all provisions; S. 298/H.R. 546, Advancing Care for Exceptional (ACE) Kids Act of 2015, relating to services for medically complex children, provisions on title XIX of the Social Security Act; S. 1719/H.R. 3099, Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act, related to a national family caregiving strategy, all provisions; Public Law 113-128, Workforce Innovation and Opportunity Act of 2014,relating to workforce development, provisions relating to pre-employment services for students with disabilities; Public Law 108-446, Individuals with Disabilities Education Act of 2004, relating to special education, all provisions; Public Law 109-270, Carl D. Perkins Career and Technical Education Act of 2006, relating to career and technical education for students with disabilities, all provisions; Public Law 110-315, Higher Education Opportunity Act of 2008, relating to post-secondary opportunities for students with autism, all provisions; Public Law 113-157 (Autism CARES Act of 2014), relating to autism research and services, all provisions; Innovation for Healthier Americans/Precision Medicine Initiative; TRICARE services for children with autism; Federal Employees Health Benefits program as it affects people with autism; implementation of the Affordable Care Act as it affects people with autism; education and employment of and health care and housing for people with autism; Medicaid, Social Security, and other benefit programs that affect people with autism; early access to care for people with autism; CMS final rules CMS 2249-F and CMS 2296-F, relating to home and community-based services, all provisions; Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2018, relating to implementation of the Affordable Care Act, provisions on 45 CFR Parts 144, 146, 147, 153, 154, 155, and 158; GAO study related to the transition needs of and services for adults with autism; financing for long-term services and supports; appropriations related to early intervention, education, caregiver support and services under title XIX of the Social Security Act; Early and Periodic Screening, Diagnostic, and Treatment benefit under title XIX of the Social Security Act; 2017 appropriations for Autism CARES and the Congressionally Directed Medical Research Program autism program.

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

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

H.R.3099/S.1719, RAISE Family Caregivers Act; the development of a strategy that would identify specific actions that government, communities, providers, employers and others can take to recognize and support family caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Family First Prevention Services Act (H.R. 5456, S. 3065) Recognize, Assist, Include, & Engage Family Caregivers Act (S. 1719, H.R. 3099)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Family Caregiver Assistance. S. 1719, H.R. 3099, Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act of 2015: proposal directing the Department of Health and Human Services to develop, maintain, and periodically update a National Family Caregiving Strategy. Family Caregiver Assistance. H.R. 3913, Lifespan Respite Care Reauthorization Act: proposal to reauthorize the program that provides grants to states to develop or enhance existing respite care programs for family caregivers caring for individuals with special needs of all ages.

Client expense: $180,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), President of the U.S., SENATE, Social Security Administration (SSA), Treasury, Dept of, Vice President of the U.S.

P.L. 111-375 National Alzheimer's Project Act, All sections H.R. 9/S. 1137, the Innovation Act H.R. 1559/S. 857, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 H.R. 1468, the Global Brain Health Act of 2015 H.R. 2624/S. 1488, the Part D Beneficiary Appeals Fairness Act H.R. 3090/S. 3113, the Alzheimer's Caregiver Support Act H.R. 3091, the Missing Alzheimer's Disease Patient Alert Program Reauthorization Act H.R. 3092, the Alzheimer's Disease Semipostal Stamp Act H.R. 3099/S. 1719, the RAISE Family Caregivers Act H.R. 3119/S. 2748, the Palliative Care and Hospice Education and Training Act H.R. 3243/S. 1362, the PACE Innovation Act H.R. 3660, the Preventive Health Savings Act H.R. 4708/S.2759, the Credit for Caring Act of 2016 H.R. 4919/S. 2614, Kevin and Avonte's Law of 2016 H.R. 5196/S. 879, the Americans Giving Care to Elders (AGE) Act of 2015 H. Res. 237/S. Res. 74, a resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority S. 192, the Older Americans Act Reauthorization Act of 2015 S. 1549, the Care Planning Act of 2015 S. 2961, the Compassionate Care Act S. 3130, the Independence at Home Act of 2016

Client expense: $180,000 · Firm income: Not reported

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

Access to Better Care Act(H.R.5652) ACE Kids Act (S.298/H.R.546) Advancing NIH Strategic Planning and Representation in Medical Research Act(S.2745) Advancing Research for Neurological Diseases Act(S.849/H.R.292) American Heart Month Resolution(S.Res.365) 21st Century Cures Act(H.R.6) Common Sense Savings Act (H.R.4725) Community Parks Revitalization Act (H.R.201) Community Prevention Grants Congenital Heart Futures Reauthorization Act of 2015(S.2248/H.R.3952) Credit for Caring Act(H.R.4708/S.2759) End of Life Care Legislation End Surprise Billing Act(H.R.3770) Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act(H.R.1631/S.800) Indian Health Service Health Professions Tax Fairness Act (H.R.1842/S.536) Menu Labeling (ACA Section 4205) Meeting with HHS Secretary-Precision Medicine, ACA, Workplace Wellness, and Sodium No Child Left Inside Act(H.R.882/S.492) Physical Activity Recommendations for Americans (H.R.1499/S.1793) Prevention and Public Health Fund (ACA Section 4002) Personal Health Investment Today Act (PHIT) (H.R.1218/ S.2218) Public Lands Service Corps Act (H.R.2167/S.1160) RAISE Family Caregivers Act (S.1719/H.R.3099)

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

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

H.R. 6, 21st Century Cures Act (Upton) - new cures and treatments H.R. 636, Federal Aviation Administration Reauthorization Act (Tiberi) - air ambulance amendments H.R. 691, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 1189, Preserving Employee Wellness Programs Act (Kline) - employee wellness programs H.R. 2646, Helping Families in Mental Health Crisis Act (Murphy) - compliance with parity requirements, mental health services H.R. 2712, Commonsense Reporting and Verification Act (Black) - employer reporting and eligibility verification for ACA subsidies H.R. 2745, Standard Merger and Acquisition Reviews Through Equal Rules Act (Farenthold) - FTC-DOJ rules for reviewing mergers H.R. 3099, RAISE Family Caregivers Act (Harper) - national strategy to support family caregivers H.R. 3463, Aligning Childrens Dental Coverage Act (Griffith-DeGette) - rules for stand-alone dental plans H.R. 4276, Behavioral Health Coverage Transparency Act (Kennedy) - disclosure requirements relating to mental health parity H.R. 4641, Best Practices for Pain Management (Brooks) - HHS Task Force to review, revise, and disseminate best practices for pain management H.R. 4771, HEALTH Act (Franks) - medical liability reforms H.R. 5054, Agriculture, Rural Development, Food and Drug Administration, and Related Agencies (Aderholt) - 21st Century Cures provisions H.J.Res. 88 (Roe) - disapproving DOL fiduciary regulation S. 185, Promise for Antibiotics and Therapeutics for Health Act (Hatch) - FDA drug approval process S. 466, Quality Care for Moms and Babies Act (Stabenow) - pediatric quality measures S. 524, Comprehensive Addiction and Recovery Act (Whitehouse) - prescription opioid abuse S. 620, Preserving Employee Wellness Programs Act (Alexander) - employee wellness programs S. 961, Data Security Act (Carper) - data security S. 1077, Advancing Breakthrough Devices for Patients Act (Burr) - priority review of breakthrough medical devices S. 1427, Quality Measure Alignment Act (Stabenow) - facilitating coordination and alignment between public and private sectors on quality and efficiency measures S. 1719, RAISE Family Caregivers Act (Collins) - national strategy to support family caregivers S. 1996, Commonsense Reporting Act (Warner) - employer reporting and eligibility verification for ACA subsidies S. 2141, TRUST IT Act, (Cassidy) - health IT rating system S. 2646, Veterans Choice Improvement Act (Burr) - veterans health care S. 2680, Mental Health Reform Act (Alexander) - compliance with parity requirements, mental health services S. 2700, FDA and NIH Workforce Authorities Modernization Act (Alexander) - medical innovation amendments S. 3040, Labor, Health and Human Services, and Education Appropriations Act for fiscal year 2017 (Blunt) - funding for HHS programs and agencies, ACA risk corridors program Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP;. implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to small employer group size; issues related to Certificate of Public Advantage; and other issues relating to health care reform implementation.

Client expense: $1,710,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Treasury, Dept of, White House Office

Medicare Medicaid H.R. 3099, RAISE Family Caregivers Act S. 192, Older Americans Reauthorization Act S. 3111, Seniors Tax Hike Prevention Act of 2016

Client expense: Not reported · Firm income: $20,000

Government targets: SENATE

H.R. 711, The Equal Treatment of Public Servants Act - Supported, lobbied and testified on behalf of bill. Lobbied House and Senate members on Social Security solvency. Lobbied Judiciary Committee in opposition of the balanced budget amendment. Wrote letter in opposition. S. 1719, H.R. 3099, RAISE Family Caregivers Act - Urged cosponsorship and House action on legislation. Discussed Dear Colleague letters. S.1719, RAISE Family Caregivers Act - Discussed action on the bill and shared relevant information. S. 2759, H.R. 4708, Credit for Caring Act - Discussed proposed tax credit for family caregivers. Discussed bill introduction and sent endorsement letter. Gave heads up on thank you ads. Discussed event related to bill. Urged co-sponsorship. Discussed bill supporters' Dear Colleague letter requesting cost estimation on bill. S. 2759, Credit for Caring Act - Discussed request for family caregiver story from Iowa. H.R. 3913, Lifespan Respite Care Reauthorization Act - Discussed bill. Shared AARP reports on family caregiving. (no bill #) S. 3065, H.R. 5456, Family First Preventive Services Act - Discussed bill. S. 879, Americans Giving Care to Elders Act - Discussed and provided our position on the bill. Attended meeting of the Health Aging Workgroup at the CDC to discuss their healthy aging report (also in attendance: ACL, Surgeon Generals office). Discussed older worker employment programs including the Senior Community Service Employment Program (SCSEP) under the Older Americans Act. S. 3040, Labor, Health and Human Services Appropriations, FY2017 - Lobbied in support of funding for various programs, including caregiving, supportive services and community service programs. S. 2180, H.R. 5574, Protecting Older Workers Against Discrimination Act - Discussed support of bill. Discussed elder abuse registry bill. Participated in CMS caregiver workgroup. Discussed family caregiving briefing with staff from ACL, CMS and the VA. Responded to inquiry regarding Medicare form to share information with family caregivers. Participated in ACL meeting on guardianship. Attended the Elder Justice Coordinating Council meeting. Discussed elder care and family caregiving (DOL). Responded to inquiry regarding AARP Tax-Aide visit. S. 3113, H.R. 3090, Alzheimer's Caregiver Support Act - Discussed bill. RSVP'd for CMS caregiving workgroup meeting. Discussed family caregiving. Extended invitations to speak at and attend the Family Caregiving 101 Hill briefing. Discussed logistics for Family Caregiving Across Subpopulations Hill briefing. Extended briefing invitations. Discussed and urged Member offices to join Assisting Caregivers Today (ACT) Caucus.

Client expense: $2,060,000 · 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), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Equal Employment Opportunity Commission (EEOC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Responded to inquiry regarding in-home supportive services programs. S. 1549, Care Planning Act - Discussed the bill and urged cosponsorship. Discussed structural changes to Medicaid. Discussed health care quality and measurement. Discussed changes to the Medicare benefit design, such as copays, premiums and deductibles. H.R.1571, Improving Access to Medicare Coverage Act - Discussed bill. S.578, Home Health Planning Improvement Act - Discussed bill and urged cosponsorship. Discussed the Medicare Part D prescription drug benefit program and changes needed to lower prescription drug costs and related agency proposed rule changes. S. 1083, H.R.2005 - Discussed legislation to require drug manufacturers to provide rebates for drugs provided to Medicare Part D low-income subsidy beneficiaries, including those who are dually eligible for Medicare and Medicaid. S. 1488, H.R. 2624, Part D Beneficiary Appeals Fairness Act - Discussed bill that would allow seniors to appeal the placement of their medications on a Medicare Part D specialty tier. Discussed Medicare Part D fraud and abuse legislation including lock-in provisions for high risk enrollees. Discussed legislation to require the addition of unique device identifier (UDI) of medical devices in health insurance claim forms. Discussed the Medicare Part B prescription drug demonstration proposal from the Centers for Medicare and Medicaid Services. S. 624, H.R.1220,Removing Barriers to Colorectal Cancer Screening Act - Discussed bill. S. 3040, Labor, Health and Human Services,FY2017 - Lobbied in support of increased funding for CMS' state survey and certification program. S. 1549 - Discussed support of Care Planning Act. Discussed the Medicare Part B prescription drug benefit program and changes needed to lower prescription drug costs and related agency proposed rule changes. H.R. 5122 - Discussed the Medicare Part B prescription drug demonstration proposal. Discussed potential benefit and coverage improvements under Medicare and Medicaid Savings Programs. H.R. 2759, Mental Health Access Improvement Act - Discussed support of bill. Discussed MACRA implementation. Discussed Medicare enrollment and coverage issues such as: provider access, direct billing and penalties. S. 1719, H.R. 3099, RAISE Act - Discussed CMS' efforts regarding family caregiving. Provided feedback on advanced directive registry bill. (no bill #) Discussed independence at home legislation. S. 2961, Compassionate Care Act - Discussed our position and provided feedback. Discussed DOJ investigation regarding Olmstead and ADA violations by South Dakota and provided feedback (DOJ). Responded to inquiry regarding roundtable (ACL). S. 3096, Removing Barriers to Person-Centered Care Act of 2016 - Discussed and provided feedback. Discussed possible hearing witnesses. Discussed Medicaid HCBS spousal impoverishment bill. (no bill #) Responded to inquiry regarding MACRA rules and value modifier. Discussed Medicare's 180-day coverage of skilled nursing facility care. S. 2836, H.R. 5036, Protecting Families with Disabilities Act - Signed letter in support of bill.

Client expense: $2,060,000 · 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), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Equal Employment Opportunity Commission (EEOC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Transition to Independence Act, S. 1604 and H.R. 5903 RAISE Family Caregivers Act, H.R. 3099 Lifespan Respite Care Reauthorization Act, H.R 3913 Older Americans Act, S. 192 and House version Improving Access to Medicare Act, H.R. 1571 21st Century CURES Act, H.R. 6 Helping Families in Mental Health Crisis Act, H.R. 2646 Accelerating Individuals into the Workplace Act, H.R. 2990 ABLE to Work Act, H.R. 4795 and S. 2702 ABLE Age Adjustment Act, H.R. 4813 an S. 2704 ABLE Financing Planning Act, H.R. 4794 and S. 2703 Mental Health Reform Act, S. 2680 Medicaid CARE Act, S. 2605 Comprehensive Addiction and Recovery Act, S. 524

Client expense: $19,436 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.1719/H.R.3099, RAISE Family Caregivers Act. Support.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

H.R. 1378, S. 789 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act Public Law No: 114-144, S. 192 - Older Americans Act Reauthorization Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 S. 993/H.R. 1854 The Comprehensive Justice and Mental Health Act S. 1893 Mental Health Awareness and Improvement Act of 2015 S. 2691 Integrating Behavioral Health Through Technology Act of 2016 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 1559/S.857 Health Outcomes, Planning, and Education (HOPE) for Alzheimers Act S. 1719/H.R. 3099 the Recognize, Assist, Include, Support, and Engagement (RAISE) Family Caregivers Act H.R. 2515/S. 1865 Anna Westin Act of 2015 H.R. 3913 the Lifespan Respite Care Reauthorization Act S.993 Comprehensive Justice and Mental Health Act of 2015 S.2691 Integrating Behavioral Health through Technology Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 Opioid Abuse Epidemic Affordable Care Act Integration Practice and Reimbursement issues related to clinical social workers Chronic Care

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

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

H.R.3099/S.1719, RAISE Family Caregivers Act; the development of a strategy that would identify specific actions that government, communities, providers, employers and others can take to recognize and support family caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6, 21st Century Cures Act, relating to scientific research and treatments, all provisions; Public Law 113-295, Title IV, Division B (Achieving a Better Life Experience Act of 2014), relating to savings for individuals with disabilities, all provisions; S. 2702/H.R. 4795, ABLE To Work Act, relating to contribution limits for ABLE account beneficiaries who work, all provisions; S. 2703/H.R. 4794, ABLE Financial Planning Act, relating to rollovers of ABLE account from or to college savings accounts, all provisions; S. 2704/H.R. 4813, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S. 2614/H.R. 4919, Kevin and Avonte's Law of 2016, relating to the safety of individuals with autism, all provisions; Public Law 114-95, Every Child Succeeds Act of 2015, relating to career and technical education for students with disabilities, all provisions; S. 2718 Perkins Fund for Equity and Excellence Act of 2015, relating to wrap-around services for students with disabilities, all provisions; H.R. 1477, Perkins Fund for Equity and Excellence of 2015, relating to wrap-around support services for students with disabilities, all provisions; H.R. 5587, Strengthening Career and Technical Education for the 21st Century Act, relating to career and technical education for students with disabilities, all provisions; S. 298/H.R. 546, Advancing Care for Exceptional (ACE) Kids Act of 2015, relating to services for medically complex children, provisions on title XIX of the Social Security Act; S. 2721/H.R. 3377, Social Security Caregiver Credit Act of 2016, relating to Social Security credit for caregivers, Social Security provisions on income deeming and eligibility; S. 2759/H.R. 4708, Credit for Caring Act of 2016, relating to income tax credits for caregivers, provisions on income tax credits; S. 1719/H.R. 3099, Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act, related to a national family caregiving strategy, all provisions; Public Law 113-128, Workforce Innovation and Opportunity Act of 2014,relating to workforce development, provisions relating to pre-employment services for students with disabilities; Public Law 108-446, Individuals with Disabilities Education Act of 2004, relating to special education, all provisions; Public Law 109-270, Carl D. Perkins Career and Technical Education Act of 2006, relating to career and technical education for students with disabilities, all provisions; Public Law 110-315, Higher Education Opportunity Act of 2008, relating to post-secondary opportunities for students with autism, all provisions; Public Law 113-157 (Autism CARES Act of 2014), relating to autism research and services, all provisions; Innovation for Healthier Americans/Precision Medicine Initiative; TRICARE services for children with autism; Federal Employees Health Benefits program as it affects people with autism; implementation of the Affordable Care Act as it affects people with autism; education and employment of and health care and housing for people with autism; Medicaid, Social Security, and other benefit programs that affect people with autism; early access to care for people with autism; CMS final rules CMS 2249-F and CMS 2296-F, relating to home and community-based services, all provisions; Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2017, relating to implementation of the Affordable Care Act, provisions on 45 CFR Parts 144, 146, 147, 153, 154, 155, and 158; GAO study related to the transition needs of and services for adults with autism; financing for long-term services and supports; appropriations related to early intervention, education, caregiver support and services under title XIX of the Social Security Act; Early and Periodic Screening, Diagnostic, and Treatment benefit under title XIX of the Social Security Act; 2017 appropriations for Autism CARES and the Congressionally Directed Medical Research Program autism program; recognition of World Autism Awareness Day and Month.

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

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), Federal Communications Commission (FCC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

Family Caregiver Assistance. S. 1719, H.R. 3099, Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act of 2015: proposal directing the Department of Health and Human Services to develop, maintain, and periodically update a National Family Caregiving Strategy. Family Caregiver Assistance. H.R. 3913, Lifespan Respite Care Reauthorization Act: proposal to reauthorize the program that provides grants to states to develop or enhance existing respite care programs for family caregivers caring for individuals with special needs of all ages.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), President of the U.S., SENATE, Social Security Administration (SSA), Treasury, Dept of, Vice President of the U.S.

Medicare Medicaid S. 192, Older Americans Reauthorization Act H.R. 3099, RAISE Family Caregivers Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-375 National Alzheimer's Project Act, All sections H.R. 9/S. 1137, the Innovation Act H.R. 1559/S. 857, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 H.R. 1468, the Global Brain Health Act of 2015 H.R. 2624/S. 1488, the Part D Beneficiary Appeals Fairness Act H.R. 3090, the Alzheimer's Caregiver Support Act H.R. 3091, the Missing Alzheimer's Disease Patient Alert Program Reauthorization Act H.R. 3092, the Alzheimer's Disease Semipostal Stamp Act H.R. 3099/S. 1719, the RAISE Family Caregivers Act H.R. 3119/S. 2748, the Palliative Care and Hospice Education and Training Act H.R. 3243/S. 1362, the PACE Innovation Act H.R. 3660, the Preventive Health Savings Act H.R. 4919/S. 2614, Kevin and Avonte's Law of 2016 H. Res. 237/S. Res. 74, a resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority S. 192, the Older Americans Act Reauthorization Act of 2015 S. 1549, the Care Planning Act of 2015

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

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

H.R. 6, 21st Century Cures Act (Upton) - new cures and treatments H.R. 691, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 1189, Preserving Employee Wellness Programs Act (Kline) - employee wellness programs H.R. 2646, Helping Families in Mental Health Crisis Act (Murphy) - mental health reforms H.R. 2712, Commonsense Reporting and Verification Act (Black) - employer reporting and eligibility verification for ACA subsidies H.R. 2745, Standard Merger and Acquisition Reviews Through Equal Rules Act (Farenthold) - FTC-DOJ rules for reviewing mergers H.R. 3099, RAISE Family Caregivers Act (Harper) - national strategy to support family caregivers H.R. 3463, Aligning Childrens Dental Coverage Act (Griffith-DeGette) - rules for stand-alone dental plans H.R. 4771, HEALTH Act (Franks) - medical liability reforms S. 185, Promise for Antibiotics and Therapeutics for Health Act (Hatch) - FDA drug approval process S. 466, Quality Care for Moms and Babies Act (Stabenow) - pediatric quality measures S. 524, Comprehensive Addiction and Recovery Act (Whitehouse) - prescription opioid abuse S. 620, Preserving Employee Wellness Programs Act (Alexander) - employee wellness programs S. 961, Data Security Act (Carper) - data security S. 1077, Advancing Breakthrough Devices for Patients Act (Burr) - priority review of breakthrough medical devices S. 1427, Quality Measure Alignment Act (Stabenow) - facilitating coordination and alignment between public and private sectors on quality and efficiency measures S. 1719, RAISE Family Caregivers Act (Collins) - national strategy to support family caregivers S. 1996, Commonsense Reporting Act (Warner) - employer reporting and eligibility verification for ACA subsidies S. 2141, TRUST IT Act, (Cassidy) - health IT rating system S. 2646, Veterans Choice Improvement Act (Burr) - veterans health care S. 2680, Mental Health Reform Act (Alexander) - parity requirements, mental health services Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP;. implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to small employer group size; issues related to Certificate of Public Advantage; and other issues relating to health care reform implementation.

Client expense: $2,210,000 · 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), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

S.192 and House-amended version, Older Americans Act Reauthorization Act of 2015. Support. S.1719/H.R.3099, RAISE Family Caregivers Act. Support.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES

H.R. 711, The Equal Treatment of Public Servants Act - Supported, lobbied and testified on behalf of bill. Lobbied House and Senate members on Social Security Solvency. Lobbied Judiciary Committee in opposition of the balanced budget amendment. Wrote letter in opposition. H.R. 3099, S.1719, RAISE Family Caregivers Act - Urged cosponsorship and House action on legislation. Discussed Dear Colleague letters. S.1719, RAISE Family Caregivers Act - Discussed action on the bill and shared relevant information. H.R. 4708, Credit for Caring Act - Discussed proposed tax credit for family caregivers. Discussed bill introduction and sent endorsement letter. (no bill # in Senate) Urged joining of the Assisting Caregivers Today (ACT) Caucus. Discussed Caucus and ideas for the year. Discussed ACT Caucus Dear Colleague letter on funding for programs supporting family caregivers and urged offices to sign the letter. Inquired about ACT Caucus contacts and members.(no bill #) S.2338, Lifetime Act - Responded to inquiry. H.R. 3913, Lifespan Respite Care Reauthorization Act - Discussed bill. H.R. 5633, S.2866 (113th Cong. bill #s), In-Home CARE Act - Discussed bill. H.R. 294, Long-Term Care Veterans Choice Act - Discussed bill. Extended invitation to family caregiving event. (no bill #) Made inquiry regarding family caregiving data. (no bill #) Shared AARP reports on family caregiving. (no bill #) Discussed Family First Act. (no bill #) S. 879, Americans Giving Care to Elders Act - Discussed and provided feedback on the bill. Discussed aging in place. (no bill #) Attended LTSS financing hearing. (no bill #) Discussed federal nursing home quality and oversight, HIPAA, antipsychotic drugs in nursing homes, social media, nursing home transparency including Patient Protection, and Affordable Care Act (PL 111-148; 111-152). Discussed family caregiver assessment and Medicaid managed LTSS. (no bill #) Discussed elder care. (no bill #) Attended meeting of the Health Aging Workgroup at the CDC to discuss their healthy aging report (also in attendance: ACL, Surgeon Generals office). S. 2721, Social Security Caregiver Credit Act - Discussed the bill. Discussed older worker employment programs including the Senior Community Service Employment Program (SCSEP) under the Older Americans Act. Discussed support for family caregivers broadly. ( no bill #) Labor, Health and Human Services Appropriations, FY2017 - Lobbied in support of funding for various programs, including caregiving, supportive services and community service programs. (no bill #)

Client expense: $1,830,000 · 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), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Equal Employment Opportunity Commission (EEOC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

H.R.3099/S.1719, RAISE Family Caregivers Act; the development of a strategy that would identify specific actions that government, communities, providers, employers and others can take to recognize and support family caregivers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACE Kids Act (S.298/H.R.546) American Heart Month Resolution(S.Res.365) 21st Century Cures Act(H.R.6) Common Sense Savings Act (H.R.4725) Community Parks Revitalization Act (H.R.201) Community Prevention Grants Congenital Heart Futures Reauthorization Act of 2015(S.2248/H.R.3952) Credit for Caring Act(H.R.4708/S.2759) End of Life Care Legislation End Surprise Billing Act(H.R.3770) Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act(H.R.1631/S.800) Indian Health Service Health Professions Tax Fairness Act (H.R.1842/S.536) Menu Labeling (ACA Section 4205) No Child Left Inside Act(H.R.882/S.492) Physical Activity Recommendations for Americans (H.R.1499/S.1793) Prevention and Public Health Fund (ACA Section 4002) Personal Health Investment Today Act (PHIT) (H.R.1218/ S.2218) Public Lands Service Corps Act (H.R.2167/S.1160) RAISE Family Caregivers Act (S.1719/H.R.3099)

Client expense: $186,805 · Firm income: Not reported

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

H.R. 6, 21st Century Cures Act, relating to scientific research and treatments, all provisions; Public Law 113-295, Title IV, Division B (Achieving a Better Life Experience Act of 2014), relating to savings for individuals with disabilities, all provisions; S. 2702/H.R. 4795, ABLE To Work Act, relating to contribution limits for ABLE account beneficiaries who work, all provisions; S. 2703/H.R. 4794, ABLE Financial Planning Act, relating to rollovers of ABLE account from or to college savings accounts, all provisions; S. 2704/H.R. 4813, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S.163, Avonte's Law Act of 2015, relating to the safety of individuals with autism, all provisions; S. 2614/H.R. 4919, Kevin and Avonte's Law Act, relating to the safety of individuals with autism, all provisions; S. 1177, Every Child Succeeds Act of 2015, relating to career and technical education for students with disabilities, all provisions; S. 2718 Perkins Fund for Equity and Excellence Act of 2015, relating to wrap-around services for students with disabilities, all provisions; H.R. 8, Student Success Act of 2015, relating to education for students with disabilities, all provisions; S. 298/H.R. 546, Advancing Care for Exceptional (ACE) Kids Act of 2015, relating to services for medically complex children, provisions on title XIX of the Social Security Act; S. 2721/H.R. 3377, Social Security Caregiver Credit Act of 2016, relating to Social Security credit for caregivers, Social Security provisions on income deeming and eligibility; S. 2759/H.R. 4708, Credit for Caring Act of 2016, relating to income tax credits for caregivers, provisions on income tax credits; S. 1719/H.R. 3099, Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act, related to a national family caregiving strategy, all provisions; S. 2427, Disability Integration Act of 2015, relating to long-term assistance for individuals with disabilities, provisions on title XIX of the Social Security Act; S. 1604, Transition to Independence Act, relating to demonstration programs for individuals with disabilities, provisions on title XIX of the Social Security Act; Public Law 113-128, Workforce Innovation and Opportunity Act of 2014,relating to workforce development, provisions relating to pre-employment services for students with disabilities; Public Law 108-446, Individuals with Disabilities Education Act of 2004, relating to special education, all provisions; Public Law 109-270, Carl D. Perkins Career and Technical Education Act of 2006, relating to career and technical education for students with disabilities, all provisions; Public Law 110-315, Higher Education Opportunity Act of 2008, relating to post-secondary opportunities for students with autism, all provisions; Public Law 113-157 (Autism CARES Act of 2014), relating to autism research and services, all provisions; Innovation for Healthier Americans/Precision Medicine Initiative; TRICARE services for children with autism; Federal Employees Health Benefits program as it affects people with autism; implementation of the Affordable Care Act as it affects people with autism; education and employment of and health care and housing for people with autism; Medicaid, Social Security, and other benefit programs that affect people with autism; early access to care for people with autism; CMS final rules CMS 2249-F and CMS 2296-F, relating to home and community-based services, all provisions; Patient Protection and Affordable Care Act: Benefit and Payment Parameters for 2017, relating to implementation of the Affordable Care Act, provisions on 45 CFR Parts 144, 146, 147, 153, 154, 155, and 158; GAO study related to the transition needs of and services for adults with autism; financing for long-term services and supports; appropriations related to early intervention, education, caregiver support and services under title XIX of the Social Security Act; 2017 appropriations for Autism CARES and the Congressionally Directed Medical Research Program autism program; recognition of World Autism Awareness Day and Month.

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

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of

Transition to Independence Act, S. 1604 Lifespan Respite Care Reauthorization Act, H.R. 3913 RAISE Family Caregivers Act, H.R. 3099 Older Americans Act Reauthorization Act, S. 192

Client expense: $24,367 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1378, S. 789 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S. 192 - Older Americans Act Reauthorization Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 S. 993/H.R. 1854 The Comprehensive Justice and Mental Health Act S. 1893 Mental Health Awareness and Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 H.R. 1559/S.857 Health Outcomes, Planning, and Education (HOPE) for Alzheimers Act S. 1719/H.R. 3099 the Recognize, Assist, Include, Support, and Engagement (RAISE) Family Caregivers Act H.R. 2515/S. 1865 Anna Westin Act of 2015 H.R. 3913 the Lifespan Respite Care Reauthorization Act S.993 Comprehensive Justice and Mental Health Act of 2015 S.2691 Integrating Behavioral Health through Technology Act of 2016 Affordable Care Act Integration Practice and Reimbursement issues related to clinical social workers Opioid Abuse Epidemic S.Amdt.3249, 3248, 3247 Flint Relief, Assistance, and Aid Chronic Care

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

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

Family Caregiver Assistance. S. 1719, H.R. 3099, Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act of 2015: proposal directing the Department of Health and Human Services to develop, maintain, and periodically update a National Family Caregiving Strategy. Family Caregiver Assistance. H.R. 3913, Lifespan Respite Care Reauthorization Act: proposal to reauthorize the program that provides grants to states to develop or enhance existing respite care programs for family caregivers caring for individuals with special needs of all ages.

Client expense: $200,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), President of the U.S., SENATE, Social Security Administration (SSA), Treasury, Dept of, Vice President of the U.S.

P.L. 111-375 National Alzheimer's Project Act, All sections H.R. 9/S. 1137, the Innovation Act H.R. 1559/S. 857, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 H.R. 1468, the Global Brain Health Act of 2015 H.R. 2624/S. 1488, the Part D Beneficiary Appeals Fairness Act H.R. 3090, the Alzheimer's Caregiver Support Act H.R. 3091, the Missing Alzheimer's Disease Patient Alert Program Reauthorization Act H.R. 3092, the Alzheimer's Disease Semipostal Stamp Act H.R. 3099/S. 1719, the RAISE Family Caregivers Act H.R. 3119, the Palliative Care and Hospice Education and Training Act H.R. 3243/S. 1362, the PACE Innovation Act H.R. 3660, the Preventive Health Savings Act H. Res. 237/S. Res. 74, a resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority S. 192, the Older Americans Act Reauthorization Act of 2015 S. 1549, the Care Planning Act of 2015

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

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

ACA Implementation-comments to HHS/CMS on 2017 Issuer Letter & Notice of Payment & Benefit Parameters Proposed Rule ACE Kids Act (S.298/H.R.546) American Heart Month Resolution(S.Res.90) Community Parks Revitalization Act (H.R.201) Community Prevention Grants Congenital Heart Futures Reauthorization Act of 2015(S.2248/H.R.3952) End Surprise Billing Act(H.R.3770) Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act(H.R.1631/S.800) FDA LDT Oversight FDA Sec. 907 Implementation FDA Supplemental Proposal to Revise the Nutrition and Supplement Facts Label; Added Sugars Daily Value(FDA-2012-N-1210) FTC Food Marketing to Children Indian Health Service Health Professions Tax Fairness Act (H.R.1842/S.536) Menu Labeling (ACA Section 4205) No Child Left Inside Act(H.R.882/S.492) Palliative Care and Hospice Education and Training Act(H.R.3119) Patient Protection and Affordable Care Act(P.L.111-148;P.L.111-152)-Implementation Pediatric Stroke Resolution (H.Res.239/S.Res.156) Physical Activity Recommendations for Americans (H.R.1499/S.1793) Prevention and Public Health Fund (ACA Section 4002) Personal Health Investment Today Act (PHIT) (H.R.1218/ S.2218) Public Lands Service Corps Act (H.R.2167/S.1160) Protect Seniors Access to Medicare Act (H.R.1190) RAISE Family Caregivers Act (S.1719/H.R.3099) Stroke Awareness Month Resolution (H.Res.256)

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

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

ACA Implementation-comments to HHS/CMS on 2017 Issuer Letter & Notice of Payment & Benefit Parameters Proposed Rule ACE Kids Act (S.298/H.R.546) American Heart Month Resolution(S.Res.90) Community Parks Revitalization Act (H.R.201) Community Prevention Grants Congenital Heart Futures Reauthorization Act of 2015(S.2248/H.R.3952) End Surprise Billing Act(H.R.3770) Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act(H.R.1631/S.800) FDA LDT Oversight FDA Sec. 907 Implementation FDA Supplemental Proposal to Revise the Nutrition and Supplement Facts Label; Added Sugars Daily Value(FDA-2012-N-1210) FTC Food Marketing to Children Indian Health Service Health Professions Tax Fairness Act (H.R.1842/S.536) Menu Labeling (ACA Section 4205) No Child Left Inside Act(H.R.882/S.492) Palliative Care and Hospice Education and Training Act(H.R.3119) Patient Protection and Affordable Care Act(P.L.111-148;P.L.111-152)-Implementation Pediatric Stroke Resolution (H.Res.239/S.Res.156) Physical Activity Recommendations for Americans (H.R.1499/S.1793) Prevention and Public Health Fund (ACA Section 4002) Personal Health Investment Today Act (PHIT) (H.R.1218/ S.2218) Public Lands Service Corps Act (H.R.2167/S.1160) Protect Seniors Access to Medicare Act (H.R.1190) RAISE Family Caregivers Act (S.1719/H.R.3099) Stroke Awareness Month Resolution (H.Res.256)

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

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

H.R. 6, 21st Century Cures Act (Upton) - new cures and treatments H.R. 691, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 1189, Preserving Employee Wellness Programs Act (Kline) - employee wellness programs H.R. 2712, Commonsense Reporting and Verification Act (Black) - employer reporting and eligibility verification for ACA subsidies H.R. 3099, RAISE Family Caregivers Act (Harper) - national strategy to support family caregivers Reconciliation Bill approved by House Ways and Means Committee (Ryan) - ACA issues Reconciliation Bill approved by House Energy and Commerce Committee (Upton) - ACA issues Reconciliation Bill approved by House Education and Workforce Committee (Kline) - ACA issues S. 466, Quality Care for Moms and Babies Act (Stabenow) - pediatric quality measures S. 620, Preserving Employee Wellness Programs Act (Alexander) - employee wellness programs S. 961, Data Security Act (Carper) - data security S. 1077, Advancing Breakthrough Devices for Patients Act (Burr) - priority review of breakthrough medical devices S. 1427, Quality Measure Alignment Act (Stabenow) - facilitating coordination and alignment between public and private sectors on quality and efficiency measures S. 1719, RAISE Family Caregivers Act (Collins) - national strategy to support family caregivers S. 1996, Commonsense Reporting Act (Warner) - employer reporting and eligibility verification for ACA subsidies S. 2141, TRUST IT Act, (Cassidy) - health IT rating system Roadmap for ACA Replacement Legislation (Burr-Hatch-Upton) - health reforms H.R. 3463, Aligning Childrens Dental Coverage Act (Griffith-DeGette) - rules for stand-alone dental plans Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to nondiscrimination requirements; issues related to issues related to medical loss ratios; reference pricing; payment reform; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to small employer group size; issues related to Certificate of Public Advantage; and other issues relating to health care reform implementation.

Client expense: $2,470,000 · 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), Commerce, Dept of (DOC), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Patent & Trademark Office (PTO), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

H.R. 6, 21st Century Cures Act (Upton) - new cures and treatments H.R. 691, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 1189, Preserving Employee Wellness Programs Act (Kline) - employee wellness programs H.R. 2029, Consolidated Appropriations Act - HHS appropriations H.R. 2646, Helping Families in Mental Health Crisis Act (Murphy) - mental health reforms H.R. 2712, Commonsense Reporting and Verification Act (Black) - employer reporting and eligibility verification for ACA subsidies H.R. 3099, RAISE Family Caregivers Act (Harper) - national strategy to support family caregivers H.R. 3463, Aligning Childrens Dental Coverage Act (Griffith-DeGette) - rules for stand-alone dental plans S. 466, Quality Care for Moms and Babies Act (Stabenow) - pediatric quality measures S. 620, Preserving Employee Wellness Programs Act (Alexander) - employee wellness programs S. 961, Data Security Act (Carper) - data security S. 1077, Advancing Breakthrough Devices for Patients Act (Burr) - priority review of breakthrough medical devices S. 1427, Quality Measure Alignment Act (Stabenow) - facilitating coordination and alignment between public and private sectors on quality and efficiency measures S. 1719, RAISE Family Caregivers Act (Collins) - national strategy to support family caregivers S. 1996, Commonsense Reporting Act (Warner) - employer reporting and eligibility verification for ACA subsidies S. 2141, TRUST IT Act, (Cassidy) - health IT rating system Roadmap for ACA Replacement Legislation (Burr-Hatch-Upton) - health reforms H.R. 3323, Dental and Optometric Care Access Act (Carter) Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP;. implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to small employer group size; issues related to Certificate of Public Advantage; and other issues relating to health care reform implementation.

Client expense: $1,850,000 · 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), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office