To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act.

H.R.6-21st Century Cures Act H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.290-Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015 H.R.293-To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes. H.R.398-Trafficking Awareness Training for Health Care Act H.R.639-Improving Regulatory Transparency for New Medical Therapies Act H.R.647-Access to Life-Saving Trauma Care for All Americans Act H.R.648-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.836-Health Care Safety Net Enhancement Act H.R.953-Comprehensive Addiction and Recovery Act of 2015 H.R.1190-Protecting Seniors Access to Medicare Act of 2015 H.R.1571-Improving Access to Medicare Coverage Act of 2015 H.R.1641-Jason Simcakoski Memorial Opioid Safety Act H.R.1725-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 H.R.1818-Veteran Emergency Medical Technician Support Act of 2015 H.R.1821-Opioid Overdose Reduction Act of 2015 H.R.1854-Comprehensive Justice and Mental Health Act of 2015 H.R.1877-Mental Health First Aid Act of 2015 H.R.2050-Middle Class Health Benefits Tax Repeal Act of 2015 H.R.2298-Medicare Patient Safety and Drug Abuse Prevention Act H.R.2366-Field EMS Modernization and Innovation Act H.R.2463-Dispose Responsibly of your Pills (DROP) Act of 2015 H.R.2536-Recovery Enhancement for Addiction Treatment (TREAT) Act H.R.2603-Saving Lives, Saving Costs Act H.R.2646-Helping Families in Mental Health Crisis Act of 2015 H.R.2799-Furthering Access to Stroke Telemedicine (FAST) Act H.R.2805-Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 H.R.2850-Stop Overdose Stat Act of 2015 H.R.2872-Opioid Addiction Treatment Modernization Act H.R.2948-Medicare Telehealth Parity Act of 2015 H.R.3014-Medical Controlled Substances Transportation Act of 2015 H.R.3081-TELEmedicine for MEDicare (TELE-MED) Act of 2015 H.R.3250-DXM Abuse Prevention Act of 2015 H.R.3299-Strengthening Public Health Emergency Response Act H.R.3537-Synthetic Drug Control Act of 2015 H.R.3677-Opioid Abuse Prevention and Treatment Act of 2015 H.R.3680-Co-Prescribing to Reduce Overdose Act of 2015 H.R.3681-Improving Access to Emergency Psychiatric Care Act H.R.3682-Reducing Employer Burdens, Unleashing Innovation, and Labor Development Act of 2015 H.R.3691-Improving Treatment for Pregnant and Postpartum Women Act of 2015 H.R.3762-Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 H.R.3770-End Surprise Billing Act of 2015 H.R.3865-Cradle Act H.R.4059-Medicare Choices Empowerment and Protection Act H.R.4063-Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act H.R.4150-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act H.R.4365-Protecting Patient Access to Emergency Medications Act of 2016 H.R.4435-Comprehensive Behavioral Health Reform and Recovery Act of 2016 H.R.4447-Opioid and Heroin Epidemic Emergency Supplemental Appropriations Act H.R.4499-Promoting Responsible Opioid Prescribing Act of 2016 H.R.4599-Reducing Unused Medications Act of 2016 H.R.4641-To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. H.R.4697-Prevevent Drug Addiction Act of 2016 H.R.4771-Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 H.R.4732-Advancing Medical Resident Training in Community Hospitals Act of 2016 H.R.5243-Zika Response Appropriations Act H.R.5273-Helping Hospitals Improve Patient Care H.R.5284-World's Greatest Healthcare Plan Act of 2016 H.R.5547-Health Care Price Transparency Promotion Act of 2016 S.141-Protecting Seniors Access to Medicare Act of 2015 S.425-Homeless Veterans' Reintegration Programs Reauthorization Act of 2015 S.453-Veteran Emergency Medical Technician Support Act of 2015 S.480-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 S.524-Comprehensive Addiction and Recovery Act of 2015 S.599-Improving Access to Emergency Psychiatric Care Act S.636-Increasing the Safety of Prescription Drug Use Act of 2015 S.707-Opioid Overdose Reduction Act of 2015 S.711-Mental Health First Act of 2015 S.763-Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.884-Health Care Safety Net Enhancement Act S.843-Improving Access to Medicare Coverage Act of 2015 S.954-FDA Accountability for Public Safety Act S.993-Comprehensive Justice and Mental Health Act of 2015 S.1134-Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 S.1392-Safer Prescribing of Controlled Substances Act S.1410-Treatment and Recovery Investment Act S.1431-Prescription Drug Abuse Prevention and Treatment Act of 2015 S.1446-SOAR to Health and Wellness Act of 2015 S.1450-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act S.1452-Veterans Emergency Health Safety Net Expansion Act of 2015 S.1455-Recovery Enhancement for Addiction Treatment Act S.1465-Furthering Access to Stroke Telemedicine (FAST) Act S.1475-Saving Lives, Saving Costs Act S.1549-Care Planning Act of 2015 S.1648-Rural Emergency Acute Care Hospital (REACH) Act S.1654-Overdose Prevention Act S.1693-To amend title 38, United States Code, to expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment, and for other purposes. S.1778-TELEmedicine for MEDicare (TELE-MED) Act of 2015 S.1893-Mental Health Awareness and Improvement Act of 2015 S.1913-Stopping Medication Abuse and Protecting Seniors Act of 2015 S.1945-Mental Health Reform Act of 2015 S.2002-Mental Health and Safe Communities Act of 2015 S.2045-Middle Class Health Benefits Tax Repeal Act of 2015 S.2256-Co-Prescribing Saves Lives Act of 2015 S.2297-Medicare Choices Empowerment and Protection Act S.2525-Expand Excellence in Mental Health Act S.2562-Heroin and Prescription Drug Abuse Prevention and Reduction Act S.2567-Preventing Overprescribing for Pain Act of 2016 S.2578-Reducing Unused Medications Act of 2016 S.2597-Medicare Mental Health Access Act S.2671-Advancing Medical Resident Training in Community Hospitals Act of 2016 S.2680-Mental Health Reform Act of 2016 S.2687-Plan of Safe Care Improvement Act S.2932-Protecting Patient Access to Emergency Medications Act of 2016 S.2985-World's Greatest Healthcare Plan Act of 2016

Client expense: $217,135 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.373-Good Samaritan Search and Recovery Act H.R.865-Good Samaritan Health Professionals Act of 2015 H.R.1818-Veteran Emergency Medical Technician Support Act of 2015 H.R.1877-Mental Health First Aid Act of 2015 H.R.2366-Field EMS Modernization and Innovation Act H.R.3299-Strengthening Public Health Emergency Response Act H.R.4365-Protecting Patient Access to Emergency Medications Act of 2016 H.R.5243-Zika Response Appropriations Act S.160-Good Samaritan Search and Recovery Act S.453-Veteran Emergency Medical Technician Support Act of 2015 S.711-Mental Health First Act of 2015 S.2932-Protecting Patient Access to Emergency Medications Act of 2016

Client expense: $217,135 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to the emergency medical services. H.R. 33/H.R. 1191/H.R. 2658/S. 420, the Protecting Volunteer Firefighters and Emergency Responders Act, provisions to clarify that volunteer firefighters are not considered to be employees under the Patient Protection and Affordable Care Act (P.L. 111-148). H.R. 1300/S. 1915, the First Responder Anthrax Preparedness Act, provisions to establish a voluntary anthrax vaccination program for first responders. H.R. 361, the Medical Preparedness Allowable Use Act, provisions to allow FEMA homeland security grant funds to be used to distribute medical countermeasures to first responders and their families. H.R.2366, the Field EMS Modernization and Innovation Act, provisions relating to federal programs affecting the emergency medical services. H.R. 3583, the PREPARE Act, provisions to purchase medical countermeasures for first responders. Issues relating to the regulation of supplemental health insurance for volunteer firefighters. Issues relating to notification of firefighters exposed to infectious diseases under the procedures set up by the Ryan White Care Act (P.L. 101-381). Issues relating to federal ambulance standards. H.R. 4625, the Firefighter Cancer Registry Act, provisions to to establish a voluntary national cancer registry at the U.S. Department of Health and Human Services. H.R. 4365/S. 2932, the Protecting Patient Access to Emergency Medications Act, provisions to protect the current practice of medical directors issuing standing orders which allow fire and EMS personnel to issue lifesaving medicines, such as pain narcotics and anti-seizure medicines.

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

Issues relating to the emergency medical services. H.R. 33/H.R. 1191/H.R. 2658/S. 420, the Protecting Volunteer Firefighters and Emergency Responders Act, provisions to clarify that volunteer firefighters are not considered to be employees under the Patient Protection and Affordable Care Act (P.L. 111-148). H.R. 1300/S. 1915, the First Responder Anthrax Preparedness Act, provisions to establish a voluntary anthrax vaccination program for first responders. H.R. 361, the Medical Preparedness Allowable Use Act, provisions to allow FEMA homeland security grant funds to be used to distribute medical countermeasures to first responders and their families. H.R.2366, the Field EMS Modernization and Innovation Act, provisions relating to federal programs affecting the emergency medical services. H.R. 3583, the PREPARE Act, provisions to purchase medical countermeasures for first responders. Issues relating to the regulation of supplemental health insurance for volunteer firefighters. Issues relating to notification of firefighters exposed to infectious diseases under the procedures set up by the Ryan White Care Act (P.L. 101-381). Issues relating to federal ambulance standards. H.R. 4625, the Firefighter Cancer Registry Act, provisions to to establish a voluntary national cancer registry at the U.S. Department of Health and Human Services. H.R. 4365, the Protecting Patient Access to Emergency Medications Act, provisions to protect the current practice of medical directors issuing standing orders which allow fire and EMS personnel to issue lifesaving medicines, such as pain narcotics and anti-seizure medicines.

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

H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.373-Good Samaritan Search and Recovery Act H.R.865-Good Samaritan Health Professionals Act of 2015 H.R.1818-Veteran Emergency Medical Technician Support Act of 2015 H.R.1877-Mental Health First Aid Act of 2015 H.R.2366-Field EMS Modernization and Innovation Act H.R.4365-Protecting Patient Access to Emergency Medications Act of 2016 S.160-Good Samaritan Search and Recovery Act S.453-Veteran Emergency Medical Technician Support Act of 2015 S.711-Mental Health First Act of 2015

Client expense: $661,366 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.6-21st Century Cures Act H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.290-Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015 H.R.293-To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes. H.R.398-Trafficking Awareness Training for Health Care Act H.R.639-Improving Regulatory Transparency for New Medical Therapies Act H.R.647-Access to Life-Saving Trauma Care for All Americans Act H.R.648-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.836-Health Care Safety Net Enhancement Act H.R.953-Comprehensive Addiction and Recovery Act of 2015 H.R.1190-Protecting Seniors Access to Medicare Act of 2015 H.R.1571-Improving Access to Medicare Coverage Act of 2015 H.R.1641-Jason Simcakoski Memorial Opioid Safety Act H.R.1725-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 H.R.1818-Veteran Emergency Medical Technician Support Act of 2015 H.R.1821-Opioid Overdose Reduction Act of 2015 H.R.1854-Comprehensive Justice and Mental Health Act of 2015 H.R.1877-Mental Health First Aid Act of 2015 H.R.2050-Middle Class Health Benefits Tax Repeal Act of 2015 H.R.2298-Medicare Patient Safety and Drug Abuse Prevention Act H.R.2366-Field EMS Modernization and Innovation Act H.R.2463-Dispose Responsibly of your Pills (DROP) Act of 2015 H.R.2536-Recovery Enhancement for Addiction Treatment (TREAT) Act H.R.2603-Saving Lives, Saving Costs Act H.R.2646-Helping Families in Mental Health Crisis Act of 2015 H.R.2805-Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 H.R.2850-Stop Overdose Stat Act of 2015 H.R.2872-Opioid Addiction Treatment Modernization Act H.R.3014-Medical Controlled Substances Transportation Act of 2015 H.R.3081-TELEmedicine for MEDicare (TELE-MED) Act of 2015 H.R.3250-DXM Abuse Prevention Act of 2015 H.R.3379-Airplane Kids In Transit Safety (KITS) Act of 2015 H.R.3537-Synthetic Drug Control Act of 2015 H.R.3677-Opioid Abuse Prevention and Treatment Act of 2015 H.R.3680-Co-Prescribing to Reduce Overdose Act of 2015 H.R.3681-Improving Access to Emergency Psychiatric Care Act H.R.3682-Reducing Employer Burdens, Unleashing Innovation, and Labor Development Act of 2015 H.R.3691-Improving Treatment for Pregnant and Postpartum Women Act of 2015 H.R.3762-Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 H.R.3770-End Surprise Billing Act of 2015 H.R.3865-Cradle Act H.R.4059-Medicare Choices Empowerment and Protection Act H.R.4063-Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act H.R.4150-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act H.R.4365-Protecting Patient Access to Emergency Medications Act of 2016 H.R.4435-Comprehensive Behavioral Health Reform and Recovery Act of 2016 H.R.4447-Opioid and Heroin Epidemic Emergency Supplemental Appropriations Act H.R.4499-Promoting Responsible Opioid Prescribing Act of 2016 H.R.4599-Reducing Unused Medications Act of 2016 H.R.4641-To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. H.R.4697-Prevevent Drug Addiction Act of 2016 H.R.4771-Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 S.141-Protecting Seniors Access to Medicare Act of 2015 S.425-Homeless Veterans' Reintegration Programs Reauthorization Act of 2015 S.453-Veteran Emergency Medical Technician Support Act of 2015 S.480-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 S.524-Comprehensive Addiction and Recovery Act of 2015 S.599-Improving Access to Emergency Psychiatric Care Act S.636-Increasing the Safety of Prescription Drug Use Act of 2015 S.707-Opioid Overdose Reduction Act of 2015 S.711-Mental Health First Act of 2015 S.763-Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.884-Health Care Safety Net Enhancement Act S.843-Improving Access to Medicare Coverage Act of 2015 S.954-FDA Accountability for Public Safety Act S.993-Comprehensive Justice and Mental Health Act of 2015 S.1134-Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 S.1392-Safer Prescribing of Controlled Substances Act S.1410-Treatment and Recovery Investment Act S.1431-Prescription Drug Abuse Prevention and Treatment Act of 2015 S.1446-SOAR to Health and Wellness Act of 2015 S.1450-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act S.1452-Veterans Emergency Health Safety Net Expansion Act of 2015 S.1455-Recovery Enhancement for Addiction Treatment Act S.1475-Saving Lives, Saving Costs Act S.1549-Care Planning Act of 2015 S.1648-Rural Emergency Acute Care Hospital (REACH) Act S.1654-Overdose Prevention Act S.1693-To amend title 38, United States Code, to expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment, and for other purposes. S.1778-TELEmedicine for MEDicare (TELE-MED) Act of 2015 S.1893-Mental Health Awareness and Improvement Act of 2015 S.1913-Stopping Medication Abuse and Protecting Seniors Act of 2015 S.1945-Mental Health Reform Act of 2015 S.2002-Mental Health and Safe Communities Act of 2015 S.2045-Middle Class Health Benefits Tax Repeal Act of 2015 S.2256-Co-Prescribing Saves Lives Act of 2015 S.2297-Medicare Choices Empowerment and Protection Act S.2525-Expand Excellence in Mental Health Act S.2562-Heroin and Prescription Drug Abuse Prevention and Reduction Act S.2567-Preventing Overprescribing for Pain Act of 2016 S.2578-Reducing Unused Medications Act of 2016 S.2597-Medicare Mental Health Access Act S.2680-Mental Health Reform Act of 2016 S.2687-Plan of Safe Care Improvement Act

H.R. 1741 truth in Health Care Marketing Act H.R. 33 Protecting Volunteer Firefighters and Emergency Responder Act H.R. 2366 To Provide Improvement of field emergency medical services, and for other purposes

Client expense: Not reported · Firm income: Not reported

H.R. 1741 truth in Health Care Marketing Act H.R. 33 Protecting Volunteer Firefighters and Emergency Responder Act H.R. 2366 To Provide Improvement of field emergency medical services, and for other purposes

Client expense: Not reported · Firm income: Not reported

H.R.6-21st Century Cures Act H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.203-Clay Hunt Suicide Prevention for American Veterans Act H.R.293-To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes. H.R.398-Trafficking Awareness Training for Health Care Act H.R.639-Improving Regulatory Transparency for New Medical Therapies Act H.R.647-Access to Life-Saving Trauma Care for All Americans Act H.R.648-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.836-Health Care Safety Net Enhancement Act H.R.876-Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R.1190-Protecting Seniors Access to Medicare Act of 2015 H.R.1571-Improving Access to Medicare Coverage Act of 2015 H.R.1725-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 H.R.1786-James Zadroga 9/11 Health and Compensation Reauthorization Act H.R.1818-Veteran Emergency Medical Technician Support Act of 2015 H.R.1821-Opioid Overdose Reduction Act of 2015 H.R.1854-Comprehensive Justice and Mental Health Act of 2015 H.R.1877-Mental Health First Aid Act of 2015 H.R.2050-Middle Class Health Benefits Tax Repeal Act of 2015 H.R.2366-Field EMS Modernization and Innovation Act H.R.2603-Saving Lives, Saving Costs Act H.R.2646-Helping Families in Mental Health Crisis Act of 2015 H.R.2850-Stop Overdose Stat Act of 2015 H.R.3081-TELEmedicine for MEDicare (TELE-MED) Act of 2015 H.R.3379-Airplane Kids In Transit Safety (KITS) Act of 2015 H.R.3537-Synthetic Drug Control Act of 2015 H.R.3681-Improving Access to Emergency Psychiatric Care Act H.R.3682-Reducing Employer Burdens, Unleashing Innovation, and Labor Development Act of 2015 H.R.3762-Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 H.R.3770-End Surprise Billing Act of 2015 H.R.4059-Medicare Choices Empowerment and Protection Act H.R.4150-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act S.141-Protecting Seniors Access to Medicare Act of 2015 S.167-Clay Hunt Suicide Prevention for American Veterans Act S.425-Homeless Veterans' Reintegration Programs Reauthorization Act of 2015 S.453-Veteran Emergency Medical Technician Support Act of 2015 S.480-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 S.599-Improving Access to Emergency Psychiatric Care Act S.707-Opioid Overdose Reduction Act of 2015 S.711-Mental Health First Act of 2015 S.763-Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.810-SGR Repeal and Medicare Provider Payment Modernization Act of 2015 S.884-Health Care Safety Net Enhancement Act S.843-Improving Access to Medicare Coverage Act of 2015 S.928-James Zadroga 9/11 Health and Compensation Reauthorization Act S.993-Comprehensive Justice and Mental Health Act of 2015 S.1446-SOAR to Health and Wellness Act of 2015 S.1450-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act S.1452-Veterans Emergency Health Safety Net Expansion Act of 2015 S.1475-Saving Lives, Saving Costs Act S.1549-Care Planning Act of 2015 S.1648-Rural Emergency Acute Care Hospital (REACH) Act S.1654-Overdose Prevention Act S.1693-To amend title 38, United States Code, to expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment, and for other purposes. S.1778-TELEmedicine for MEDicare (TELE-MED) Act of 2015 S.1893-Mental Health Awareness and Improvement Act of 2015 S.1945-Mental Health Reform Act of 2015 S.2002-Mental Health and Safe Communities Act of 2015 S.2045-Middle Class Health Benefits Tax Repeal Act of 2015 S.2297-Medicare Choices Empowerment and Protection Act

H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.373-Good Samaritan Search and Recovery Act H.R.865-Good Samaritan Health Professionals Act of 2015 H.R.1786-James Zadroga 9/11 Health and Compensation Reauthorization Act H.R.1818-Veteran Emergency Medical Technician Support Act of 2015 H.R.1877-Mental Health First Aid Act of 2015 H.R.2366-Field EMS Modernization and Innovation Act S.160-Good Samaritan Search and Recovery Act S.453-Veteran Emergency Medical Technician Support Act of 2015 S.711-Mental Health First Act of 2015 S.928-James Zadroga 9/11 Health and Compensation Reauthorization Act

Client expense: $374,793 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill H. Res 487 - Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care HR 2846 - Planning Actively for Cancer Treatment (PACT) Act of 2015 HR 3119 - Palliative Care and Hospice Education and Training Act S. 1170 - Breast Cancer Research Stamp Reauthorization Act of 2015 GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Firearm safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues General Surgery, Rural Surgery Bonuses Chronic Care Issues Qualified clinical data registry (QCDR) and Physician Quality Reporting System (PQRS)

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill H. Res 487 - Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care HR 2846 - Planning Actively for Cancer Treatment (PACT) Act of 2015 HR 3119 - Palliative Care and Hospice Education and Training Act S. 1170 - Breast Cancer Research Stamp Reauthorization Act of 2015 GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Firearm safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues General Surgery, Rural Surgery Bonuses Chronic Care Issues Qualified clinical data registry (QCDR) and Physician Quality Reporting System (PQRS)

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill H. Res 487 - Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care HR 2846 - Planning Actively for Cancer Treatment (PACT) Act of 2015 HR 3119 - Palliative Care and Hospice Education and Training Act S. 1170 - Breast Cancer Research Stamp Reauthorization Act of 2015 GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Firearm safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues General Surgery, Rural Surgery Bonuses Chronic Care Issues Qualified clinical data registry (QCDR) and Physician Quality Reporting System (PQRS)

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill H. Res 487 - Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care HR 2846 - Planning Actively for Cancer Treatment (PACT) Act of 2015 HR 3119 - Palliative Care and Hospice Education and Training Act S. 1170 - Breast Cancer Research Stamp Reauthorization Act of 2015 GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Firearm safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues General Surgery, Rural Surgery Bonuses Chronic Care Issues Qualified clinical data registry (QCDR) and Physician Quality Reporting System (PQRS)

Issues relating to the emergency medical services. H.R. 33/H.R. 1191/H.R. 2658/S. 420, the Protecting Volunteer Firefighters and Emergency Responders Act, provisions to clarify that volunteer firefighters are not considered to be employees under the Patient Protection and Affordable Care Act (P.L. 111-148). H.R. 1300/S. 1915, the First Responder Anthrax Preparedness Act, provisions to establish a voluntary anthrax vaccination program for first responders. H.R. 361, the Medical Preparedness Allowable Use Act, provisions to allow FEMA homeland security grant funds to be used to distribute medical countermeasures to first responders and their families. H.R.2366, the Field EMS Modernization and Innovation Act, provisions relating to federal programs affecting the emergency medical services. H.R. 3583, the PREPARE Act, provisions to purchase medical countermeasures for first responders. H.R. 1786/S. 928, James Zadroga 9/11 Health and Compensation Reauthorization Act, provisions to provide health monitoring and compensation to the workers at Ground Zero. Issues relating to the Medicare reimbursement for fire and EMS departments that provide ambulance treatment and transport for patients. Issues relating to the regulation of supplemental health insurance for volunteer firefighters. Issues relating to notification of firefighters exposed to infectious diseases under the procedures set up by the Ryan White Care Act (P.L. 101-381).

Client expense: $10,000 · Firm income: Not reported

H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.373-Good Samaritan Search and Recovery Act H.R.865-Good Samaritan Health Professionals Act of 2015 H.R.2366-Field EMS Modernization and Innovation Act S.160-Good Samaritan Search and Recovery Act

Client expense: $491,382 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Con.Res 27-Concurrent Resolution on the Budget for Fiscal Year 2016 H.R.2-Medicare Access and CHIP Reauthorization Act of 2015 H.R.6-21st Century Cures Act H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.203-Clay Hunt Suicide Prevention for American Veterans Act H.R.293-To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes. H.R.398-Trafficking Awareness Training for Health Care Act H.R.639-Improving Regulatory Transparency for New Medical Therapies Act H.R.647-Access to Life-Saving Trauma Care for All Americans Act H.R.648-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.836-Health Care Safety Net Enhancement Act H.R.876-Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R.1190-Protecting Seniors Access to Medicare Act of 2015 H.R.1470-SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R.1571-Improving Access to Medicare Coverage Act of 2015 H.R.1725-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 H.R.1821-Opioid Overdose Reduction Act of 2015 H.R.1854-Comprehensive Justice and Mental Health Act of 2015 H.R.2366-Field EMS Modernization and Innovation Act H.R.2603-Saving Lives, Saving Costs Act H.R.2646-Helping Families in Mental Health Crisis Act of 2015 H.R.2850-Stop Overdose Stat Act of 2015 H.R.3379-Airplane Kids In Transit Safety (KITS) Act of 2015 H.R.3537-Synthetic Drug Control Act of 2015 S.Con.Res.11-Concurrent Resolution on the Budget for Fiscal Year 2016 S.141-Protecting Seniors Access to Medicare Act of 2015 S.167-Clay Hunt Suicide Prevention for American Veterans Act S.480-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 S.599-Improving Access to Emergency Psychiatric Care Act S.707-Opioid Overdose Reduction Act of 2015 S.763-Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.810-SGR Repeal and Medicare Provider Payment Modernization Act of 2015 S.884-Health Care Safety Net Enhancement Act S.843-Improving Access to Medicare Coverage Act of 2015 S.993-Comprehensive Justice and Mental Health Act of 2015 S.1349-Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S.1446-SOAR to Health and Wellness Act of 2015 S.1450-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act S.1452-Veterans Emergency Health Safety Net Expansion Act of 2015 S.1475-Saving Lives, Saving Costs Act S.1549-Care Planning Act of 2015 S.1648-Rural Emergency Acute Care Hospital (REACH) Act S.1654-Overdose Prevention Act S.1693-To amend title 38, United States Code, to expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment, and for other purposes. S.1893-Mental Health Awareness and Improvement Act of 2015 S.1945-Mental Health Reform Act of 2015 S.2002-Mental Health and Safe Communities Act of 2015

H.R. 1741 truth in Health Care Marketing Act H.R. 33 Protecting Volunteer Firefighters and Emergency Responder Act H.R. 2366 To Provide Improvement of field emergency medical services, and for other purposes

Client expense: Not reported · Firm income: Not reported

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Gun safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Gun safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Gun safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Gun safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues

Issues relating to the emergency medical services. H.R. 33/H.R. 1191/H.R. 2658/S. 420, the Protecting Volunteer Firefighters and Emergency Responders Act, provisions to clarify that volunteer firefighters are not considered to be employees under the Patient Protection and Affordable Care Act (P.L. 111-148). H.R. 1300/S. 1915, the First Responder Anthrax Preparedness Act, provisions to establish a voluntary anthrax vaccination program for first responders. H.R. 361, the Medical Preparedness Allowable Use Act, provisions to allow FEMA homeland security grant funds to be used to distribute medical countermeasures to first responders and their families. H.R.2366, the Field EMS Modernization and Innovation Act, provisions relating to federal programs affecting the emergency medical services. H.R. 3583, the PREPARE Act, provisions to purchase medical countermeasures for first responders.

Client expense: $10,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Air Force, Dept of, Bureau of Justice Assistance, Centers For Disease Control & Prevention (CDC), Central Intelligence Agency (CIA), Defense, Dept of (DOD), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Highway Traffic Safety Administration (NHTSA), Natl Telecommunications & Information Administration (NTIA), Navy, Dept of, Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT), U.S. Forest Service

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1741 truth in Health Care Marketing Act H.R. 33 Protecting Volunteer Firefighters and Emergency Responder Act H.R. 2366 To Provide Improvement of field emergency medical services, and for other purposes

Client expense: Not reported · Firm income: Not reported

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. H.R. 1735, National Defense Authorization Act for Fiscal Year 2016. S.1376, National Defense Authorization Act for Fiscal Year 2016. H.R.2685, Department of Defense Appropriations Act, 2016. S.1558, Department of Defense Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.Con.Res 27-Concurrent Resolution on the Budget for Fiscal Year 2016 H.R.2-Medicare Access and CHIP Reauthorization Act of 2015 H.R.6-21st Century Cures Act H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.203-Clay Hunt Suicide Prevention for American Veterans Act H.R.293-To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes. H.R.398-Trafficking Awareness Training for Health Care Act H.R.639-Improving Regulatory Transparency for New Medical Therapies Act H.R.647-Access to Life-Saving Trauma Care for All Americans Act H.R.648-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.836-Health Care Safety Net Enhancement Act H.R.876-Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R.1190-Protecting Seniors Access to Medicare Act of 2015 H.R.1470-SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R.1571-Improving Access to Medicare Coverage Act of 2015 H.R.1725-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 H.R.1821-Opioid Overdose Reduction Act of 2015 H.R.2366-Field EMS Modernization and Innovation Act H.R.2603-Saving Lives, Saving Costs Act H.R.2646-Helping Families in Mental Health Crisis Act of 2015 H.R.2850-Stop Overdose Stat Act of 2015 S.Con.Res.11-Concurrent Resolution on the Budget for Fiscal Year 2016 S.141-Protecting Seniors Access to Medicare Act of 2015 S.167-Clay Hunt Suicide Prevention for American Veterans Act S.480-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 S.599-Improving Access to Emergency Psychiatric Care Act S.707-Opioid Overdose Reduction Act of 2015 S.763-Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.810-SGR Repeal and Medicare Provider Payment Modernization Act of 2015 S.884-Health Care Safety Net Enhancement Act S.843-Improving Access to Medicare Coverage Act of 2015 S.1446-SOAR to Health and Wellness Act of 2015 S.1450-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act S.1452-Veterans Emergency Health Safety Net Expansion Act of 2015 S.1475-Saving Lives, Saving Costs Act S.1549-Care Planning Act of 2015 S.1654-Overdose Prevention Act S.1693-To amend title 38, United States Code, to expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment, and for other purposes.

H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.373-Good Samaritan Search and Recovery Act H.R.865-Good Samaritan Health Professionals Act of 2015 H.R.2366-Field EMS Modernization and Innovation Act S.160-Good Samaritan Search and Recovery Act

Client expense: $741,468 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1741 truth in Health Care Marketing Act H.R. 33 Protecting Volunteer Firefighters and Emergency Responder Act H.R. 2366 To Provide Improvement of field emergency medical services, and for other purposes

Client expense: Not reported · Firm income: Not reported

Issues relating to the emergency medical services. H.R. 33/H.R. 1191/H.R. 2658/S. 420, the Protecting Volunteer Firefighters and Emergency Responders Act, provisions to clarify that volunteer firefighters are not considered to be employees under the Patient Protection and Affordable Care Act (P.L. 111-148). Issues regarding training of first responders to respond to an Ebola outbreak, including the use of federal grant programs. H.R. 1300, the First Responder Anthrax Preparedness Act, provisions to establish a voluntary anthrax vaccination program for first responders. H.R. 361, the Medical Preparedness Allowable Use Act, provisions to allow FEMA homeland security grant funds to be used to distribute medical countermeasures to first responders and their families. H.R.2366, the Field EMS Modernization and Innovation Act, provisions relating to federal programs affecting the emergency medical services. H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015, and H.R. 745/ S. 377, the Medicare Ambulance Access, Fraud Prevention, and Reform Act, provisions relating to the extension of add-on payments for the transport of Medicare patients to hospitals.

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

FY 2016 Energy and Water Development, and Related Agencies Appropriations, (potential appropriations issues related to DOE industry coordination on cyber and physical security, DOE/industry partnership on storm response and restoration, and grid resilience); Advocated for appropriations for Low Income Home Energy Assistance Program (LIHEAP); Advocated to maintain full funding for LIHEAP in the CR. FY 2016 Interior, Environment, and Related Agencies Appropriations, (potential appropriations issues related to Waters of the U.S., 316(b) Cooling Water Intake Structures rule, CCR regulation, and GHG NSPS); FY 2016 Labor, Health and Human Services, and Education, and Related Agencies Appropriations, (potential appropriations issues related to Low Income Home Energy Assistance funding); H. Con. Res. 27, FY 2016 Budget Resolution, (budget issues generally); S. Con. Res. 11, FY 2016 Budget Resolution, (budget issues generally); S. Con.Res. 11, Latest Title: An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2016 and setting forth the appropriate budgetary levels for fiscal years 2017 through 2025. Sponsor: Sen. Enzi, Michael B. [R-WY] (Introduced 03/20/2015) H.J.Res. 35, Latest Title: Making further continuing appropriations for fiscal year 2015, and for other purposes. Sponsor: Rep. Rogers, Harold [R-KY-5] (Introduced 02/26/2015) H.R. 33, Latest Title: The bill extends continuing FY2015 appropriations for the Department of Homeland Security at the current annual rate until March 6, 2015, or enactment of appropriations legislation for FY2015, whichever occurs first. Sponsor: Rep. Barletta, Lou [R-PA-11] (Introduced 01/06/2015) H.R.83 - Consolidated and Further Continuing Appropriations Act, 2015 FY 2016 Transportation, Housing and Urban Development, and Related Agencies Appropriations, potential appropriations issues TBD;

S.Con.Res. 11, ("An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2016 and setting forth the appropriate budgetary levels for fiscal years 2017 through 2025"). H.J.Res. 35, ("Making further continuing appropriations for fiscal year 2015, and for other purposes"). H.R. 33, ("To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act"). FY 2016 Energy and Water Development and Related Agencies Appropriations (potential appropriations issues related to DOE-industry coordination on cyber and physical security, and DOE-Industry partnership on storm response, restoration and grid resilience). FY 2016 Labor, HHS, Education and Related Agencies Appropriations (potential appropriations issues related to Low Income Home Energy Assistance Program funding) Low-Income Energy Assistance issues generally

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

Government targets: Environmental Protection Agency (EPA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. Draft legislation, National Defense Authorization Act (NDAA) for Fiscal Year 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. Draft legislation, National Defense Authorization Act (NDAA) for Fiscal Year 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. Draft legislation, National Defense Authorization Act (NDAA) for Fiscal Year 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. Draft legislation, National Defense Authorization Act (NDAA) for Fiscal Year 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor all issues related to fire explosion technology and fire suppression systems. Monitor legislative activity related to the National Defense Authorization Act and general defense funding. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015. S. 272, Department of Homeland Security Appropriations Act, 2015. Draft legislation, National Defense Authorization Act (NDAA) for Fiscal Year 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor legislative and administrative activity related to immigrant investor reform. H.R. 33, To amend the Internal Revenue Code of 1986 to ensure that emergency services volunteers are not taken into account as employees under the shared responsibility requirements contained in the Patient Protection and Affordable Care Act. H.R.240, Department of Homeland Security Appropriations Act, 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE