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Protecting Access through Competitive-pricing Transition Act of 2015 or the PACT Act of 2015 This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify provisions relating to payment for durable medical equipment (DME) under the Medicare and Medicaid programs. (DME includes certain medically necessary equipment such as walkers, wheelchairs, and hospital beds.) With respect to DME furnished in areas that are not competitive acquisition areas, current regulations require the Centers for Medicare & Medicaid (CMS) to phase in, over a two-year period, Medicare payment adjustments using information from competitive acquisition programs. (Through such programs, payment amounts for each area are determined based on competitive bids submitted by suppliers, rather than according to an established fee schedule.) The bill codifies this requirement and specifies that CMS shall adjust fee schedule amounts to the lesser of: (1) a specified percentage of the regional amount; and (2) the amount that would otherwise be determined according to the fee schedule, with specified adjustments. In determining Medicare payment adjustments for areas that are not competitive acquisition areas, CMS shall solicit stakeholder input and take into account several specified factors. CMS may not accept a bid under the competitive acquisition program unless the bidder: (1) meets applicable state licensure requirements; and (2) has submitted a cash deposit as a bond, as specified by the bill. CMS must establish a six-year market pricing demonstration project, under which auctions are conducted in eligible areas for the furnishing of market-priced DME items and services. The bill establishes project requirements related to auction design, contract terms, transparency, and monitoring.
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Filing registrants (10)
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Congress.gov source codes: H11100, H11100-A
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2016 · fourth_quarter · Medicare/Medicaid
HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (incorporating HR 284 and S. 148, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015), Pub. L. No. 114-10; Medicare audit issues related to reimbursement and implementation of the DMEPOS competitive bidding program; Implementing P.L 113-93 the Protecting Access to Medicare Act of 2014; HR 1021 Protecting the Integrity of Medicare Act of 2015; DMEPOS Prior Authorization rules; DMEPOS Medicare payment proposed rule and final rule implementation; DMEPOS prior authorization proposed and final rule; S. 2312,DME Access and Stabilization Act of 2015; H.R. 4185, Protecting Access through Competitive�pricing Transition Act of 2015; H.R. 5210 and S. 2736, the Patient Access to Durable Medical Equipment Act of 2016, the Beneficiary Respiratory Equipment Access and Transparency to Home Ventilator Care (BREATH) Act of 2016; H.R.6 and other versions of the 21st Century Cures Act.
Client expense: Not reported · Firm income: $37,500
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R.6 - 21st Century Cures Act, competitive bidding issues; S.2425 - Patient Access and Medicare Protection Act, all provisions; H.R.4185/S.2312 - DME Rural Relief, all provisions; S.2736/H.R.5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions; H.R.6 21st Century Cures Act.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act S.2736 - Patient Access to Durable Medical Equipment Act of 2016 H.R.5710 - Patient Access to Durable Medical Equipment Act of 2016 S.3195 - The BREATH Act of 2016 HR.6012 - The BREATH Act of 2016 Chronic care Non-invasive ventilators
Client expense: $320,000 · 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), Internal Revenue Service (IRS), SENATE
2016 · fourth_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, all provisions; H.R. 284/S. 148 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, all provisions; Medicare Audit Improvement and Reform (AIR) Act, all provisions; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R. 6/H.R. 34 - 21st Century Cures Act, competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2437 - Creating prior authorization process for DME items, all provisions; Expanding and making permanent the Medicare power mobility device demonstration program, all provisions; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act of 2015, all provisions; H.R. 2 - Medicare Access and CHIP Re-authorization Act of 2015, competitive bidding provisions; H.R. 2029 - Omnibus Appropriations Bill, DME provisions; S. 2425 - Patient Access and Medicare Protection Act, all provisions; H.R. 4185/S. 2312 - DME Rural Relief, all provisions; H.R. 3229/S. 2196 - Complex Rehab Accessories Relief, all provisions; S. 2736/H.R. 5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.
Client expense: $160,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2016 · third_quarter · Medicare/Medicaid
HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (incorporating HR 284 and S. 148, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015), Pub. L. No. 114-10; Medicare audit issues related to reimbursement and implementation of the DMEPOS competitive bidding program; Implementing P.L 113-93 the Protecting Access to Medicare Act of 2014; HR 1021 Protecting the Integrity of Medicare Act of 2015; DMEPOS Prior Authorization proposed rule; DMEPOS Medicare payment proposed rule and final rule implementation; DMEPOS prior authorization proposed and final rule; S. 2312,DME Access and Stabilization Act of 2015; H.R. 4185, Protecting Access through Competitive�pricing Transition Act of 2015; H.R. 5210 and S. 2736, the Patient Access to Durable Medical Equipment Act of 2016, the Beneficiary Respiratory Equipment Access and Transparency to Home Ventilator Care (BREATH) Act of 2016
Client expense: Not reported · Firm income: $37,500
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act S.2736 - Patient Access to Durable Medical Equipment Act of 2016 H.R.5710 - Patient Access to Durable Medical Equipment Act of 2016 S.3195 - The BREATH Act of 2016 HR.6012 - The BREATH Act of 2016 Chronic care Non-invasive ventilators
2016 · third_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R.6 - 21st Century Cures Act, competitive bidding issues; S.2425 - Patient Access and Medicare Protection Act, all provisions; H.R.4185/S.2312 - DME Rural Relief, all provisions; S.2736/H.R.5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, all provisions; H.R. 284/S. 148 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, all provisions; Medicare Audit Improvement and Reform (AIR) Act, all provisions; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R. 6 - 21st Century Cures Act, competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2437 - Creating prior authorization process for DME items, all provisions; Expanding and making permanent the Medicare power mobility device demonstration program, all provisions; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act of 2015, all provisions; H.R. 2 - Medicare Access and CHIP Re-authorization Act of 2015, competitive bidding provisions; H.R. 2029 - Omnibus Appropriations Bill, DME provisions; S. 2425 - Patient Access and Medicare Protection Act, all provisions; H.R. 4185/S. 2312 - DME Rural Relief, all provisions; H.R. 3229/S. 2196 - Complex Rehab Accessories Relief, all provisions; S. 2736/H.R. 5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.
Client expense: $150,000 · Firm income: Not reported
2016 · third_quarter · Medicare/Medicaid
Medicare competitive bidding legislation (S. 2312, H.R. 4185); Medicare policies regarding enteral nutrition and long term health care; health reform issues regarding nutrition; nutrition screening and assessment; preventive care issues; demonstration projects relevant to nutrition
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (incorporating HR 284 and S. 148, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015), Pub. L. No. 114-10; Medicare audit issues related to reimbursement and implementation of the DMEPOS competitive bidding program; Implementing P.L 113-93 the Protecting Access to Medicare Act of 2014; HR 1021 Protecting the Integrity of Medicare Act of 2015; DMEPOS Prior Authorization proposed rule; DMEPOS Medicare payment proposed rule and final rule implementation; DMEPOS prior authorization proposed and final rule; S. 2312,DME Access and Stabilization Act of 2015; H.R. 4185, Protecting Access through Competitive�pricing Transition Act of 2015; H.R. 5210 and S. 2736, the Patient Access to Durable Medical Equipment Act of 2016
Client expense: Not reported · Firm income: $37,500
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
Medicare competitive bidding legislation (S. 2312, H.R. 4185); Medicare policies regarding enteral nutrition and long term health care; health reform issues regarding nutrition; nutrition screening and assessment; preventive care issues; demonstration projects relevant to nutrition
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R.6 - 21st Century Cures Act, competitive bidding issues; S.2425 - Patient Access and Medicare Protection Act, all provisions; H.R.4185/S.2312 - DME Rural Relief, all provisions; S.2736/H.R.5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · second_quarter · Medicare/Medicaid
PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act S.2736 - Patient Access to Durable Medical Equipment Act of 2016 H.R.5710 - Patient Access to Durable Medical Equipment Act of 2016 Chronic care Non-invasive ventilators
Client expense: $600,000 · Firm income: Not reported
2016 · second_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, all provisions; H.R. 284/S. 148 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, all provisions; Medicare Audit Improvement and Reform (AIR) Act, all provisions; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R. 6 - 21st Century Cures Act, competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2437 - Creating prior authorization process for DME items, all provisions; Expanding and making permanent the Medicare power mobility device demonstration program, all provisions; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act of 2015, all provisions; H.R. 2 - Medicare Access and CHIP Re-authorization Act of 2015, competitive bidding provisions; H.R. 2029 - Omnibus Appropriations Bill, DME provisions; S. 2425 - Patient Access and Medicare Protection Act, all provisions; H.R. 4185/S. 2312 - DME Rural Relief, all provisions; H.R. 3229/S. 2196 - Complex Rehab Accessories Relief, all provisions; S. 2736/H.R. 5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.
Client expense: $140,000 · Firm income: Not reported
2016 · first_quarter · Medicare/Medicaid
HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (incorporating HR 284 and S. 148, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015), Pub. L. No. 114-10; Medicare audit issues related to reimbursement and implementation of the DMEPOS competitive bidding program; Implementing P.L 113-93 the Protecting Access to Medicare Act of 2014; HR 1021 Protecting the Integrity of Medicare Act of 2015; DMEPOS Prior Authorization proposed rule; DMEPOS Medicare payment proposed rule and final rule implementation; DMEPOS prior authorization proposed and final rule; S. 2312,DME Access and Stabilization Act of 2015; H.R. 4185, Protecting Access through Competitive�pricing Transition Act of 2015; S. 2736, the Patient Access to Durable Medical Equipment Act of 2016
Client expense: Not reported · Firm income: $37,500
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2016 · first_quarter · Medicare/Medicaid
PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act S.2736 - Patient Access to Durable Medical Equipment Act of 2016 Chronic care Non-invasive ventilators
Client expense: $380,000 · Firm income: Not reported
2016 · first_quarter · Medicare/Medicaid
Medicare competitive bidding legislation (S. 2312, H.R. 4185); Medicare policies regarding enteral nutrition and long term health care; health reform issues regarding nutrition; nutrition screening and assessment; preventive care issues; demonstration projects relevant to nutrition; round 2 re-compete of competitive bidding program
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · first_quarter · Medicare/Medicaid
Medicare competitive bidding legislation (S. 2312, H.R. 4185); Medicare policies regarding enteral nutrition and long term health care; health reform issues regarding nutrition; nutrition screening and assessment; preventive care issues; demonstration projects relevant to nutrition; H.R. 4614
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · first_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, all provisions; H.R. 284/S. 148 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, all provisions; Medicare Audit Improvement and Reform (AIR) Act, all provisions; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R. 6 - 21st Century Cures Act, competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2437 - Creating prior authorization process for DME items, all provisions; Expanding and making permanent the Medicare power mobility device demonstration program, all provisions; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act of 2015, all provisions; H.R. 2 - Medicare Access and CHIP Re-authorization Act of 2015, competitive bidding provisions. H.R. 2029 - Omnibus Appropriations Bill, DME provisions; S. 2425 - Patient Access and Medicare Protection Act, all provisions; H.R. 4185/S. 2312 - DME Rural Relief, all provisions; H.R. 3229/S. 2196 - Complex Rehab Accessories Relief, all provisions; S. 2736 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.
Client expense: $120,000 · Firm income: Not reported
2016 · first_quarter · Health Issues
Issues related to the home healthcare equipment market. Issues related to Medicare reimbursement levels. Issues related to CMS Round 3 DME Rule. Issues related to the Patient Access to Durable Medical Equipment Act of 2016 S 2736. Issues related to the Protecting Access through Competitive-pricing Transition (PACT) Act of 2015 HR 4185.
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2016 · first_quarter · Medicare/Medicaid
H.R. 1516 and S. 1013, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015; H.R. 3229 and S. 2196, To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories; S. 2425, Patient Access and Medicare Protection Act; S. 2312, The DME Access and Stabilization Act; H.R. 4185, Protecting Access Through Competitive-Pricing Transition (PACT) Act of 2015 and S. 2736, The DME Stabilization Act of 2016;
Client expense: $160,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2015 · fourth_quarter · Health Issues
Issues related to the home healthcare equipment market. Issues related to Medicare reimbursement levels. Issues related to CMS Round 3 DME Rule. Issues related to the DME Access and Stabilization Act of 2015 S 2312. Issues related to the Protecting Access through Competitive-pricing Transition (PACT) Act of 2015 HR 4185.
Client expense: Not reported · Firm income: $80,000
Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2015 · fourth_quarter · Medicare/Medicaid
Implementation of the Medicare Improvements for Patients and Providers Act of 2008, reimbursement for home oxygen therapy. CMS regulations concerning the DMEPOS Competitive Bidding program, inhalation drugs and sleep disorder therapies. Regulatory issues related to Medicare inhalation drug Therapies and oxygen reimbursement, provider enrollment standards, DME Competitive Bidding, CPAP coverage & reimbursement, program integrity. Public Law 113-93 - The Protecting Access to Medicare Act of 2014 - Medicare DME reimbursement issues. Participated in discussions with HHS/CMS staff and congressional staff on audit activities and settlement of appeals. Participated in discussions with congressional and HHS/CMS staff about prior authorization and prospective payment reforms affecting DME suppliers. Participated in discussions with HHS/CMS staff concerning Medicare reimbursement for home based International Normalized Ratio (INR) monitoring services. H.R.1470 and S. 810, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015 - preventing cuts to Medicare home oxygen services. Public Law 114-10, the Medicare Access and CHIP Reauthorization Act - preventing cuts to Medicare home oxygen services. H.R.284 and S. 148, Medicare DMEPOS Competitive Bidding Improvement Act of 2015. H.R. 4185, Protecting Access through Competitive-pricing Transition (PACT) Act, all provisions. S. 2312, the DME Access and Stabilization Act, all provisions. S. 2368, Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015, all provisions. Public Law 114-113, Consolidated Appropriations Act, 2016, provisions relating to Medicare and Medicaid payment for durable medical equipment. Public Law 114-74, Bipartisan Budget Act of 2015, provisions relating to Medicare and and Medicaid payment for durable medical equipment.
Client expense: Not reported · Firm income: $75,000
2015 · fourth_quarter · Medicare/Medicaid
Medicare competitive bidding legislation (S. 2312, H.R. 4185); Medicare policies regarding enteral nutrition and long term health care; health reform issues regarding nutrition; nutrition screening and assessment; preventive care issues; demonstration projects relevant to nutrition
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · fourth_quarter · Medicare/Medicaid
HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (incorporating HR 284 and S. 148, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015), Pub. L. No. 114-10; Medicare audit issues related to reimbursement and implementation of the DMEPOS competitive bidding program; Implementing P.L 113-93 the Protecting Access to Medicare Act of 2014; HR 1021 Protecting the Integrity of Medicare Act of 2015; GAO and OIG reports related to DMEPOS; DMEPOS Prior Authorization proposed rule; DMEPOS Medicare payment proposed rule and final rule implementation; DMEPOS prior authorization proposed and final rule; S. 2312,DME Access and Stabilization Act of 2015; H.R. 4185, Protecting Access through Competitive�pricing Transition Act of 2015.
Client expense: Not reported · Firm income: $37,500
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2015 · fourth_quarter · Small Business
House: H.R. 928,to repeal the annual fee placed on health insurance providers enacted by the Patient Protection and Affordable Care Act Section 105 to H.R. 2028, the Energy and Water Development and Related Agencies Appropriations Act of 2016 - Support H.R. 2029, the Protecting Americans from Tax Hikes (PATH) Act, which includes a permanent extension of Section 179 small business expensing, 15 year restaurant, retail, leasehold improvements and 5 year built-in gains relief - Support H.R. 2631, the Regulatory Predictability for Business Growth Act of 2015 - Support H.R. 2911, the Small Business Healthcare Relief Act - Support Section 113 to H.R. 3020, the Departments of Labor, Health and Human Services, and Education, and Related Appropriations Act of 2016 in the final FY2016 spending bill; prevents the DOL from moving forward with the potentially damaging rule - Support Section 408 to H.R. 3020, the Departments of Labor, Health and Human Services, and Education, and Related Appropriations Act of 2016 to restore the joint employer standard. This section would protect against increased operating costs and a loss of small business autonomy - Support Section 561 of H.R. 3128, the Department of Homeland Security Appropriations Act of 2016 - Support H.R. 3763, the Surface Transportation Reauthorization and Reform Act (STRR Act), Amendments #127, #130, and #146 - Oppose H.R. 3765, ADA Education and Reform Act of 2015 - Support H.R. 4185, the Protecting Access though Competitive-pricing Transition (PACT) Act - Support Financial Responsibility Stakeholder Letter, Section 5501, to Committee on Transportation and Infrastructure - support S.J. Res. 22, a Congressional Review Act resolution of disapproval in response to the problematic Waters of the United States rule - Support S.J. Res. 24, a Congressional Review Act resolution of disapproval in response to the Obama Administrations problematic power plant regulation - Support Section 135 to FY 2016 Senate Department of Transportation, Housing and Urban Development and Related Agencies - Support Letter asking members of Congress to express concern to the Office of Management and Budget regarding the Department of Labors June 30, 2015, proposed changes to the exemptions for executive, administrative, and professional employees (the white collar exemptions) to the Fair Labor Standard Acts overtime pay requirements Senate: S. 183, the Jobs and Premium Protection Act - Support S. 1140, the Federal Water Quality Protection Act - Support S. 1619, the Department of Homeland Security Appropriations Act - requiring a study of the methodology used to determine if the H-2B cap is met - Support S. 1697, the Small Business Healthcare Relief Act - Support S. 2312, the DME Access and Stabilization Act - Support S.J. Res. 22, a Congressional Review Act resolution of disapproval in response to the problematic Waters of the United States rule - Support S.J. Res. 23 and S.J. Res. 24, Congressional Review Act resolutions of disapproval in response to the Obama Administrations problematic power plant regulations - Support H.R. 2029, the Consolidated Appropriations Act 2016-Support Section 111 to S. 1695, the Department of Labor, Health and Human Services Appropriations Act, establishing how prevailing wage is determined by allowing for the use of private wage surveys - Support Section 112 to S. 1695, the Department of Labor, Health and Human Services Appropriations Act, providing relief from certain Department of Labor regulations - Support Section 113 to S. 1695, the Department of Labor, Health and Human Services Appropriations Act, allowing for staggered crossings for H-2B Workers - Support Amendment #2826 to strike the provision in the FY 2016 Senate Department of Transportation, Housing and Urban Development and Related Agencies - Oppose Section 135 to FY 2016 Senate Department of Transportation, Housing and Urban Development and Related Agencies - Support Letter asking members of Congress to express concern to the Office of Management and Budget regarding the Department of Labors June 30, 2015, proposed changes to the exemptions for executive, administrative, and professional employees (the white collar exemptions) to the Fair Labor Standard Acts overtime pay requirements Hearings: House Judiciary Committees Subcommittee on Regulatory Reform on November 3, 2015 House Committee on Education and the Workforce Subcommittee on Workforce Protections on How the Administrations Regulatory Onslaught is Affecting Workers and Job Creators on December 9, 2015 Comments: Notice 2015-52 - Section 4980I - Excise Tax on High Cost Employer-Sponsored Health Coverage Proposed Rule (RIN1235-AA11); Defining and Delimiting the Exemption for Executive, Administrative, Professional, Outside Sales, and Computer Employees OSHA Docket No. OSHA-2015-0006; Clarification of Employers Continuing Obligation to Make and Maintain an Accurate Record of Each Recordable Injury and Illness (80 Fed. Reg. 45116, July 29, 2015) Other Issues: Darryl DePriest as the next Chief Counsel for the U.S. Small Business Administrations Office of Advocacy - Support Tax reform Estate Tax Repeal
2015 · fourth_quarter · Health Issues
Competitive bidding program and makret pricing issues for Durable Medical Equipment (DME) Medical Device related issues Medicare Audit Improvement Act, Medical Device issues Administrative Relief and Accurate Medicare Payments, Medical device issues H.R.1516, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, Medical device issues Public Law 114-10, Medicare Access and CHIP Reauthorization Act of 2015, Medical device issues H.R.284/S.148, Medicare DMEPOS Competitive Bidding Improvement Act of 2015, Medical device issues H.R.6, 21st Century Cures Act, Medical device issues H.R.4185, Protecting Access through Competitive-pricing Transition (PACT) Act of 2015, Medical device issues S.2312, DME Access and Stabilization Act of 2015, Medical device issues
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2015 · fourth_quarter · Medicare/Medicaid
PL 111-148: Patient Protection and Affordable Care Act (ACA) - various provisions including: Medical Device Excise Tax, various reimbursement cuts and policy proposals for medical imaging; remote monitoring technology in the context of accountable care organizations, medical homes and post acute bundling; transparency PL 111-152: Healthcare Education and Reconciliation Act: Imaging cuts, device tax transparency and remote monitoring S.2343 - The Telehealth Innovation and Improvement Act PL 110-275: "Medicare Improvements for Patient and Providers Act" (sec. 135) - Medical imaging accreditations program; medical imaging clinical appropriateness demonstration program Decline in growth rate of Medicare non-hospital imaging services CMS CPAP bundling proposal HR.2396 - The Software Act HR.2437 - To develop and implement a prior authorization process for certain DMEPOS. Fostering Independence Through Technology Act (potential reintroduction) - specifically the telehealth provisions H.R.284/S.128 - The Medicare DMEPOS Competitive Bidding Improvement Act of 2015 Site-neutrality in payments (no bill number yet) HR 2 - Long-term Sustainable Growth Rate (SGR) replacement legislation Appropriate Use Criteria HR.2066 - Telehealth Enhancement Act of 2015 The Health Care Innovation and Marketplace Technologies Act (potential reintroduction of HR.2363 from 113th Congress) - Telemedicine provisions HR.2948 - The Medicare Telehealth Parity Act (potential reintroduction) HR.2156 - The Medicare Audit Improvement and Reform Act HR.4185 - The Protecting Access Through Competitive Pricing Transition Act of 2015 S.2312 - The DME Access and Stabilization Act Chronic care Non-invasive ventilators
Client expense: $330,000 · Firm income: Not reported
2015 · fourth_quarter · Health Issues
Issues related to the home healthcare equipment market. Issues related to Medicare reimbursement levels. Issues related to CMS Round 3 DME Rule. Issues related to the DME Access and Stabilization Act of 2015 S 2312. Issues related to the Protecting Access through Competitive-pricing Transition (PACT) Act of 2015 HR 4185.
Client expense: Not reported · Firm income: $80,000
Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2015 · fourth_quarter · Medicare/Medicaid
H.R. 1516 and S. 1013, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015; H.R. 6, 21st Century Cures Act and H.R. 3229, To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories; S. 2425, Patient Access and Medicare Protection Act; S. 2312, The DME Access and Stabilization Act; H.R. 4185, Protecting Access Through Competitive-Pricing Transition (PACT) Act of 2015.
Client expense: $116,880 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2015 · fourth_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, all provisions; H.R. 284/S. 148 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, all provisions; Medicare Audit Improvement and Reform (AIR) Act, all provisions; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R. 6 - 21st Century Cures Act, competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2437 - Creating prior authorization process for DME items, all provisions; Expanding and making permanent the Medicare power mobility device demonstration program, all provisions; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act of 2015, all provisions; H.R. 2 - Medicare Access and CHIP Re-authorization Act of 2015, competitive bidding provisions. H.R. 2029 - Omnibus Appropriations Bill, DME provisions; S. 2425 - Patient Access and Medicare Protection Act, all provisions; H.R. 4185/S. 2312 - DME Rural Relief, all provisions; H.R. 3229/S. 2196 - Complex Rehab Accessories Relief, all provisions.
Client expense: $130,000 · Firm income: Not reported
| Republican |
| GA |
| Bill Huizenga | Republican | MI |
| Bill Johnson | Republican | OH |
| Billy Long | Republican | MO |
| Blaine Luetkemeyer | Republican | MO |
| Bob Gibbs | Republican | OH |
| Brad R. Wenstrup | Republican | OH |
| Bradley Byrne | Republican | AL |
| Brett Guthrie | Republican | KY |
| Bruce Westerman | Republican | AR |
| Cathy McMorris Rodgers | Republican | WA |
| Charles W. Boustany Jr. | Republican | LA |
| Chellie Pingree | Democratic | ME |
| Collin C. Peterson | Democratic | MN |
| Dan Newhouse | Republican | WA |
| David Loebsack | Democratic | IA |
| David P. Joyce | Republican | OH |
| David P. Roe | Republican | TN |
| David Scott | Democratic | GA |
| David Young | Republican | IA |
| Dennis A. Ross | Republican | FL |
| Diane Black | Republican | TN |
| Doug Collins | Republican | GA |
| Doug Lamborn | Republican | CO |
| Earl L. "Buddy" Carter | Republican | GA |
| Ed Whitfield | Republican | KY |
| Gary J. Palmer | Republican | AL |
| Glenn Thompson | Republican | PA |
| Gregg Harper | Republican | MS |
| Gus M. Bilirakis | Republican | FL |
| Harold Rogers | Republican | KY |
| J. Randy Forbes | Republican | VA |
| James R. Langevin | Democratic | RI |
| Jason Smith | Republican | MO |
| Jeff Fortenberry | Republican | NE |
| Jeff Miller | Republican | FL |
| Joe Courtney | Democratic | CT |
| John J. Duncan, Jr. | Republican | TN |
| Ken Buck | Republican | CO |
| Kenny Marchant | Republican | TX |
| Kevin Cramer | Republican | ND |
| Kevin Yoder | Republican | KS |
| Kristi L. Noem | Republican | SD |
| Larry Bucshon | Republican | IN |
| Louie Gohmert | Republican | TX |
| Lynn A. Westmoreland | Republican | GA |
| Lynn Jenkins | Republican | KS |
| Mac Thornberry | Republican | TX |
| Marsha Blackburn | Republican | TN |
| Martha Roby | Republican | AL |
| Mick Mulvaney | Republican | SC |
| Mike Kelly | Republican | PA |
| Mike Rogers | Republican | AL |
| Mo Brooks | Republican | AL |
| Paul Cook | Republican | CA |
| Pete Olson | Republican | TX |
| Peter J. Visclosky | Democratic | IN |
| Peter T. King | Republican | NY |
| Peter Welch | Democratic | VT |
| Renee L. Ellmers | Republican | NC |
| Robert B. Aderholt | Republican | AL |
| Robert E. Latta | Republican | OH |
| Rod Blum | Republican | IA |
| Ryan K. Zinke | Republican | MT |
| Sanford D. Bishop, Jr. | Democratic | GA |
| Scott DesJarlais | Republican | TN |
| Scott R. Tipton | Republican | CO |
| Stephen F. Lynch | Democratic | MA |
| Steven M. Palazzo | Republican | MS |
| Susan W. Brooks | Republican | IN |
| Tammy Duckworth | Democratic | IL |
| Terri A. Sewell | Democratic | AL |
| Thomas Massie | Republican | KY |
| Tim Ryan | Democratic | OH |
| Tom Emmer | Republican | MN |
| Tom Marino | Republican | PA |
| Tom McClintock | Republican | CA |
| Vicky Hartzler | Republican | MO |
| William R. Keating | Democratic | MA |
Client expense: $320,000 · 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), Internal Revenue Service (IRS), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Health & Human Services, Dept of (HHS), SENATE
Client expense: $750,000 · Firm income: Not reported
Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), Occupational Safety & Health Administration (OSHA), SENATE, Treasury, Dept of
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE