John Thomas Decker Act of 2016

Cures (HR 6) and Mental Health Reform Bill (HR 2646); Support for health IT interoperability, mental health integration and mental health parity. Interest in Medicaid. S 2943 - Urge conferees on NDAA S 2943 to drop Tricare telehealth provision: Preserve state license-Physician is site of telehealth care. HR 2577, HR 5243 HR 4973 - Public Health/Emergency Funding: Funding for Zika emergency response: Public Health. Comprehensive Addiction & Recovery Act (CARA PL 114-198, S 524 HR 953 HR 1725 HR 4981 HR 4599 HR 3680 HR 4586 HR 4969 HR 4641 HR 5046:Support state prescription drug monitoring, treatment, naloxone, take-backs, partial fil & evidence based prescribing & treatment. HR 5325 Continuing Appropriations and Military Construction, Veterans Affairs, Appropriation Act, 2017 and Zika Response and Preparedness Act: Zika public health response funding in FY 2016 & FY 2017. S. 3040; HR 5926 - HHS FY 17 Appropriations priorities: AHRQ, HRSA, Title VII, NHSC, Title X, CARA: AAFP federal spending priorities for primary care training research and access. No Bill No. - Graduate Medical Education - Explain and advocate for AAFP's policy proposals on GME. No Bill No.-Graduate Medical Education: Pursue advancement of a bill to fix problem caused by "rotators" who establish low caps and PRAs. No Bill No. - Physician Payment Reform: Advocate for introduction of a House companion bill to allow HSA population access to direct primary care (DPC). No Bill No. - Physician Payment Reform: draft letter of support for permanence in the Independence at Home Demonstration model. No Bill No.-Graduate Medical Education: Advocate for solution to VACAA Expansion slots - how to fill them with more family medicine residents. No Bill No. - Graduate Medical Education: Advocate for the introduction of a bill to help resolve problems specific to the rural GME. No Bill No. - Graduate Medical Education: Advocate for introduction of a Resolution to support the stability in the Teaching Health Center GME program. No Bill No. - FY2018 appropriations for HRSA Title VII 747: Primary Care Training and Enhancement Grants. No Bill No. - Encourage House members to join Primary Care Caucus: Increase membership of the Primary Care Caucus. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Increase support for Title VII. No Bill No. - Injury and Violence Prevention Network bfg: Preventing injury and death are key to public health. No Bill No. - Transforming Primary Care for 21st Century THC, GME and NHSC. No Bill N0. - Teaching Health Center Graduate Medical Education permanence: Increasing primary care workforce; maintain the sustainability of the THCGME program. No Bill No. - National Advisory Council on the National Health Service Corps: Medical student debt relief, improved access to primary care. No Bill No. - Coalition for Health Funding - AAFP Health is Primary booth: Raising awareness of AAFP and value of primary care; increasing primary care workforce. No Bill No. Medication Assisted Treatment for Opioid Use Disorders rule comments: Reduce administrative burden and increase MAT patient limit. No Bill No. - Letter to VA on APRNs re Concern with APRN expansion. No Bill No. - Letter to VA nominating FPs: Advisory Comm. on Women Veterans. No Bill No. - Letter to HHS nominating FPs: Advisory Comm. on Minority Health. No Bill No. - Letter to CDC nominating FPs: Advisory Comm. to the Director. No Bill No. - Letter to SAMHSA on opioid use: Opioid use disorder reporting. No Bill No. - Letter to CDC nominating FPs: Infection advisory committee. No Bill No. - Letter to CMS on patient relationship categories and codes: How to implement patient relationship categories and codes as required by MACRA. No Bill No. - Letter to CMS on 2017 proposed Medicare physician fee schedule: Comments on the 2017 regulation. No Bill No. - Letter to CMS on ESRD payment models: Not replacing fragmented FFS with fragmented APMs. No Bill No. - Letter nominating FPs to MEDCAC: Medicare coverage. No Bill No. - Letter to HHS on opioid prescribing education: Required CME. No Bill No. - Letter to HHS on contraceptive services: Expanding the availability of contraceptives. No Bill No. - Letter to VA on protected patient info: Support for allowing HIV and sickle cell negative results to be transmitted. Non Bill No. - Nominating FPs to CDC Committee: Health disparities subcommittee. No Bill No. - GME: Support for Teaching Health Center reauthorization; Maintain the sustainability of the THCGME program. No Bill No. - Health IT/Interoperability/Cures: Support for Health IT and interoperability legislation. No Bill No. - Mental Health reform: Support mental health reform integration and mental health parity. No Bill No. - Chronic Disease Bill: Support for eliminating the chronic care managemnt codes copayment. No Bill No. - Drug Pricing: Expressed interest in drug pricing generally. No Bill No - FY 2016 appropriations AHRQ, HRSA Title VII, NHSC: AAFP Federal spending priorities to support workforce, research. No Bill No. - Graduate Medical Education - Explain and advocate for AAFP's policy proposals on GME. No Bill No. - Congressional Primary Care Caucus - Urge members to join the Caucus and support Primary Care to achieve the triple aim in health care. No Bill No. - National Defense Authorization Act: Remove national licensure provisions in NDAA legislation health provisions. No Bill No. - Health Insurance Marketplace Issues and Provider Involvement with Patient Enrollment: Network Adequacy, Patient Enrollment in Marketplaces. No Bill No. - Children's Health Insurance: CHIP/Medicaid. No Bill No. - Medicaid: Medicaid alternative proposals.

Client expense: $749,400 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Comprehensive Addiction & Recovery Act (CARA PL 114-198, S 524 HR 953 HR 1725 HR 4981 HR 4599 HR 3680 HR 4586 HR 4969 HR 4641 HR 5046:Support state prescription drug monitoring, treatment, naloxone, take-backs, partial fil & evidence based prescribing & treatment. No Bill No. - Medication assisted Treatment for Opioid Use Disorders rule comments; reduce administrative burden and increase MAT patient limit.

Client expense: $1,464,582 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

Cures (HR 6) and Mental Health Reform Bill (HR 2646); Support for health IT interoperability, mental health integration and mental health parity. Interest in Medicaid. S 2943 - Urge conferees on NDAA S 2943 to drop Tricare telehealth provision: Preserve state license-Physician is site of telehealth care. HR 2577, HR 5243 HR 4973 - Public Health/Emergency Funding: Funding for Zika emergency response: Public Health. Comprehensive Addiction & Recovery Act (CARA PL 114-198, S 524 HR 953 HR 1725 HR 4981 HR 4599 HR 3680 HR 4586 HR 4969 HR 4641 HR 5046:Support state prescription drug monitoring, treatment, naloxone, take-backs, partial fil & evidence based prescribing & treatment. HR 5325 Continuing Appropriations and Military Construction, Veterans Affairs, Appropriation Act, 2017 and Zika Response and Preparedness Act: Zika public health response funding in FY 2016 & FY 2017. S. 3040; HR 5926 - HHS FY 17 Appropriations priorities: AHRQ, HRSA, Title VII, NHSC, Title X, CARA: AAFP federal spending priorities for primary care training research and access. No Bill No. - Graduate Medical Education - Explain and advocate for AAFP's policy proposals on GME. No Bill No.-Graduate Medical Education: Pursue advancement of a bill to fix problem caused by "rotators" who establish low caps and PRAs. No Bill No. - Physician Payment Reform: Advocate for introduction of a House companion bill to allow HSA population access to direct primary care (DPC). No Bill No. - Physician Payment Reform: draft letter of support for permanence in the Independence at Home Demonstration model. No Bill No.-Graduate Medical Education: Advocate for solution to VACAA Expansion slots - how to fill them with more family medicine residents. No Bill No. - Graduate Medical Education: Advocate for the introduction of a bill to help resolve problems specific to the rural GME. No Bill No. - Graduate Medical Education: Advocate for introduction of a Resolution to support the stability in the Teaching Health Center GME program. No Bill No. - FY2018 appropriations for HRSA Title VII 747: Primary Care Training and Enhancement Grants. No Bill No. - Encourage House members to join Primary Care Caucus: Increase membership of the Primary Care Caucus. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Increase support for Title VII. No Bill No. - Injury and Violence Prevention Network bfg: Preventing injury and death are key to public health. No Bill No. - Transforming Primary Care for 21st Century THC, GME and NHSC. No Bill N0. - Teaching Health Center Graduate Medical Education permanence: Increasing primary care workforce; maintain the sustainability of the THCGME program. No Bill No. - National Advisory Council on the National Health Service Corps: Medical student debt relief, improved access to primary care. No Bill No. - Coalition for Health Funding - AAFP Health is Primary booth: Raising awareness of AAFP and value of primary care; increasing primary care workforce. No Bill No. Medication Assisted Treatment for Opioid Use Disorders rule comments: Reduce administrative burden and increase MAT patient limit. No Bill No. - Letter to VA on APRNs re Concern with APRN expansion. No Bill No. - Letter to VA nominating FPs: Advisory Comm. on Women Veterans. No Bill No. - Letter to HHS nominating FPs: Advisory Comm. on Minority Health. No Bill No. - Letter to CDC nominating FPs: Advisory Comm. to the Director. No Bill No. - Letter to SAMHSA on opioid use: Opioid use disorder reporting. No Bill No. - Letter to CDC nominating FPs: Infection advisory committee. No Bill No. - Letter to CMS on patient relationship categories and codes: How to implement patient relationship categories and codes as required by MACRA. No Bill No. - Letter to CMS on 2017 proposed Medicare physician fee schedule: Comments on the 2017 regulation. No Bill No. - Letter to CMS on ESRD payment models: Not replacing fragmented FFS with fragmented APMs. No Bill No. - Letter nominating FPs to MEDCAC: Medicare coverage. No Bill No. - Letter to HHS on opioid prescribing education: Required CME. No Bill No. - Letter to HHS on contraceptive services: Expanding the availability of contraceptives. No Bill No. - Letter to VA on protected patient info: Support for allowing HIV and sickle cell negative results to be transmitted. Non Bill No. - Nominating FPs to CDC Committee: Health disparities subcommittee. No Bill No. - GME: Support for Teaching Health Center reauthorization; Maintain the sustainability of the THCGME program. No Bill No. - Health IT/Interoperability/Cures: Support for Health IT and interoperability legislation. No Bill No. - Mental Health reform: Support mental health reform integration and mental health parity. No Bill No. - Chronic Disease Bill: Support for eliminating the chronic care managemnt codes copayment. No Bill No. - Drug Pricing: Expressed interest in drug pricing generally. No Bill No - FY 2016 appropriations AHRQ, HRSA Title VII, NHSC: AAFP Federal spending priorities to support workforce, research. No Bill No. - Graduate Medical Education - Explain and advocate for AAFP's policy proposals on GME. No Bill No. - Congressional Primary Care Caucus - Urge members to join the Caucus and support Primary Care to achieve the triple aim in health care. No Bill No. - National Defense Authorization Act: Remove national licensure provisions in NDAA legislation health provisions. No Bill No. - Health Insurance Marketplace Issues and Provider Involvement with Patient Enrollment: Network Adequacy, Patient Enrollment in Marketplaces. No Bill No. - Children's Health Insurance: CHIP/Medicaid. No Bill No. - Medicaid: Medicaid alternative proposals.

Medical liability reform (H.R. 836/S. 884, H.R. 4771) Mental health & opioid abuse policy (H.R. 2646, H.R. 4435, S. 1893, S. 1913, S. 524, S. 2680, S. 480, S. 2687, H.R. 4843, H.R. 4499/S. 2758, H.R. 3680, H.R. 3691, H.R. 4599, H.R. 4651, H.R. 4976, H.R. 4978, H.R. 4982, H.R. 4969) 340B discount drug program Chronic care policy Nurse education policy (H.R. 977/H.R. 1784/S. 629, H.R. 2713) Trauma (H.R. 4365) Cybersecurity policy

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 285 Promise for Antibiotics and Therapeutics for Health Act: Support streamlining FDA's approval process for treatments of antibiotic resistant bacteria. S 524 HR 953 HR 1725 HR 4981 HR 4599 HR 3680 HR 4586 HR 4969 HR 4641 HR 5046 - Comprehensive Addiction & Recovery Act: Support state prescription drug monitoring, treatment, naloxone, take-backs, partial fil & evidence based prescribing & treatment. S. 2742 Promoting Bomedical Research and Public Health for Patients Act: Improve how CDC engages vaccine manufacturers. S. 2822/HR 5001 Flexibility in Electronic Health Record Reporting Act: Shorten EHR reporting period in Meaningful Use to 90 days. S. 2956 - FDA authority to regulate tobacco products: Protect FDA authority over tobacco products including cigars and e-cigs. S. 3040 - FY2017 appropriations for AHRQ, Restore AHRQ appropriation. S. 3040 - FY 2017 appropriations for HRSA National Health Services Corp: Provide appropriated funds to support medical student debt relief and increased access. HR 2577, HR 5243 HR 4973 - Public Health/Emergency Funding: Funding for Zika emergency response: Public Health. HR 4223 - Protecting Our Students by Terminating Graduate Rates that Add to Debt Act: Support legislation that restores graduate and professional students to the Federal Direct Subsidized Loan program. HR 4771 - Medical Liability Reform: Support Help Efficient, Accessible, Low Cost, Timely Health Care "HEALTH" Act: Medical Liability Reform - the HEALTH Act. No Bill No - Teaching Health Center Reauthorization: The meetings were organized to seek support for THC permanancy. No Bill No. - FY 2016 appropriations AHRQ, HRSA Title VII, NHSC: AAFP Federal spending priorities to support workforce, research. No Bill No. - Graduate Medical Education - Explain and advocate for AAFP's policy proposals on GME. No Bill No. - Congressional Primary Care Caucus - Urge members to join the Caucus and support Primary Care to achieve the triple aim in health care. No Bill No. - Gun Violence/Appropriations: CDC Gun Violence research. No Bill No.- Health IT: Advocate for Introduction of a Bill to reduce Meaningful Use Reporting Period for 2016 to 90 days. No Bill No.-Graduate Medical Education: Pursue advancement of a bill to fix problem caused by "rotators" who establish low caps and PRAs. No Bill No. - Physician Payment Reform: Work with House Committee on Energy and Commerce on oversight of MACRA implementation, including hearing preparation. No Bill No. - Physician Payment Reform: Provide TA to House office on bill relating to payment and delivery reform around end-of-life care. No Bill No.-Graduate Medical Education: Advocate for solution to VACAA Expansion slots - how to fill them with more family medicine residents. No Bill No. - Graduate Medical Education: Advocate for the introduction of a bill to help resolve problems specific to the rural GME. No Bill No. - Physician Payment Reform: Advocate for advancement of policies that would promote direct primary care (DPC) No Bill No. - Physician Payment Reform: Advise W&M COmmittee on AAFP's position on the CMS Part B Drug Demonstration. No Bill No. - Physician Payment Reform: Help AAFP team with drafting comments to MIPS/APMs proposed rulemaking. No Bill No. - Teaching Health Center Graduate Medical Education permanence: Maintain the sustainability of the THCGME program. No Bill No. - HHS External Opioid Working Group: Meeting AAFP commitment to curb prescription opioid abuse. No Bill No. - Encourage House members to join Primary Care Caucus: Increase membership of the Primary Care Caucus. No Bill No. - 2016 Family Medicine Congressional Conference: MACRA curb RX abuse, THCGME, workforce and research. No Bill No. - Primary Care Forum: Robert Graham Center Research. No Bill No. - Friends of AHRQ - Primary Care Research & Support for PC transformation. No Bill No. - National Advisory Council on the National Health Service Corps: NHSC-scholarships, student debt repayment, access . No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Increase support for Title VII. No Bill No. - Nomination to HRSA NACNHSC - naming a family physician to the NACNHSC. No Bill No. - Nomination to HRSA ACTPCMD - naming a family physicians and/or teacher of family medicine. No Bill No. - Health IT/90 Day bill: Meeting to urge policy makers to support Meaningful Use flexibility legislation. No Bill No. - Zika Budget Meeting: Meeting to urge policy makers to fund Zika monies and to support public health infectious disease control. No Bill No.- FY2017 appropriations: Retain funding for HRSA's Title VII Health Professions Grants and for AHRQ. No Bill No.- Ban on public finding for research into gun violence: End restrictions on research into gun violence. No Bill No. - FDA final rule on coverage of tobacco regulatory authority: Recommend that OMB release FDA final "deeming" rule on tobacco control authority. No Bill No. - Medicare Access and CHIP Reauthorization Act (MACRA): Testified that CMS needs to support primary care in upcoming proposed rule on MACRA. No Bill No. - Prescription Drug Abuse: Invest in prescription drug monitoring programs and physician education. No Bill No. - FDA regulatory authority over tobacco products: Eliminate House Agriculture appropriations bill's exemption of cigars from FDA regulation and the softening of pre-market review requirements of e-cigarettes. No Bill No. - Implementation of MACRA by CMS: Make sure primary care physicians have a clear path to Alternative Payment Models. No Bill No. - Mental Health reforms: Coverage of mental health services by family physicians. No Bill No. - Medicare Part B Drug Demonstration Program: Support value-based purchasing of Medicare Part Drugs. No Bill No. - Interoperability of Information Systems: Measure key compoents of HIT interoperability. No Bill No.- Rural Training Tracks: Production of primary care physicians is needed to meet needs of rural America. No Bill No. - MACRA proposed rule: Preserve the role of primary care in the physician payment system. No Bill No. - Confidentiality of Substance Use Disorder Patient Records: Patient privacy, EHRs. No Bill No. - Hep C virus administration by PCPs: Ability of PCPs to admin hep c treatment. No Bill No. - PCP recommendations for MACRA: PCP recs for the MACRA proposed rule. PCP prescribing diabetic testing supplies: Admin hassles with prescribing for diabetic patients. No Bill No. - Nomination for Health Promotion: Nominating FPs to an HHS committee. No Bill No. - FDA Regulation over nicotine delivery devices: Urging the Administration to finalize the FDA deeming regulations over tobacco. No Bill No. - How MACRA should be implemented: Sign on letter to CMS on MACRA implementation. No Bill No. - Urging the APOE to cover MA: Urging CMS's outreach office to educate on Medicare Advantage plans. No Bill No. - Contraceptives for men and women: Urging CMS to cover contraceptives for all. No Bill No. - CMS on the PCMH: How CMS and MACRA should consider the PCMH. No Bill No. - MY and interoperability issues and MACRA: Further meaningful use concerns. No Bill No. - Nominating FPs to a primary workgroup: Putting FPs on a primary care committee. No Bill No. - VA on prescription drug monitoring programs: That VA should follow state based PDMPs. No Bill No. - Medicare Part B Drug proposed rule: Concerns with rising Part B and D costs. No Bill No. - USPSTF nominations: Getting FPs on the USPSTF. No Bill No. - RFI on interoperability and MACRA: Further EHR suggestions. No Bill No. - GME provisions withing IPPS regulation: Need more GME slots for rural PCPs. No Bill No. - comments on antibiotic resistant bacteria: How to combat antibiotic resistant bacteria. No Bill No. - Comments on the MACRA proposed rule: 107 page comment letter on the MACRA proposed rule. No Bill No. - Health Insurance Marketplace issues and Provider Involvement with Patient Enrollment: Network adequacy, Patient Enrollment in Marketplaces. No Bill No. - Childrens Health Insurance: CHIP Medicaid. No Bill No. - VA Nursing Handbook: Scope of Practice. No Bill No. - Medicaid: Medicaid alternative Proposals. No Bill No. - MACRA: Meetings to discuss current efforts to prepare for the MACRA law. No Bill No. - Adult Vaccine Meeting - Meetings to discuss current efforts to increase adult vaccine access through Medicare access and interoperability. No Bill No. - Mental Health Reform: Engagement to educate policy makers about primary care integration, insurance reforms and workforce policies.

S. 1945, Mental Health Reform Act of 2015, all provisions H.R. 2646, Helping Families in Mental Health Crisis Act of 2015, all provisions 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, all provisions H.R. 2536, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions S. 1455, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions H.R. 1725, National All Schedules Prescription Electronic Reporting (NASPER) Reauthorization Act of 2015, all provisions S. 480, National All Schedules Prescription Electronic Reporting (NASPER) Reauthorization Act of 2016, all provisions H.R. 5046, Comprehensive Opioid Abuse Reduction Act of 2016, all provisions S. 524, Comprehensive Addiction and Recovery Act of 2016, all provisions H.R. 4586, Lali's Law, all provisions H.R. 1270, Restoring Access to Medication Act of 2015, all provisions S. 709, Restoring Access to Medication Act of 2015, all provisions H.R. 6, 21st Century Cures Act, provisions relating to transparency reporting, all provisions S. 2978, Protect Continuing Physician Education and Patient Care Act, all provisions S. 3077, Marijuana Effective Drug Studies (MEDS) Act of 2016, all provisions H.R. 5395, Expanding Capacity for Health Outcomes (ECHO) Act, all provisions S. 2873, Expanding Capacity for Health Outcomes (ECHO) Act, all provisions S. 779, Fair Access to Science and Technology Research Act of 2015, all provisions 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, all provisions H.R. 4063, Jason Simcakoski PROMISE Act, all provisions H.R. 4969, John Thomas Decker Act of 2016, all provisions H.R. 4985, Kingpin Designation Improvement Act of 2016, all provisions H.R. 5052, Opioid Program Evaluation (OPEN) Act, all provisions H.R. 4843, Infant Plan of Safe Care Improvement Act, all provisions H.R. 3680, Co-Prescribing to Reduce Overdoses Act of 2016, all provisions H.R. 4978, Nurturing And Supporting Healthy Babies Act, all provisions H.R. 3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016, all provisions H.R. 4599, Reducing Unused Medications Act of 2016, all provisions H.R. 4976, Opioid Review Modernization Act of 2016, all provisions H.R. 4982, Examining Opioid Treatment Infrastructure Act of 2016, all provisions H.R. 4981, Opioid Use Disorder Treatment Expansion and Modernization Act, all provisions Prescription Drug Diversion Opioid Abuse/Medication assisted treatment 21st Century Cures/Innovations Zika Funding Laboratory Developed Tests (LDT) Guidance Telemedicine - Interstate Medical Licensure Compact Health data security Gun violence research/background checks funding Sexual violence EHR/Meaningful Use Sunshine Act Health Savings Accounts - Prescription requirements for over-the-counter medications Prediabetes coverage Blood pressure monitoring coverage Compounding PrecisionFDA Clinical trials - insurance coverage improvement HIPAA Regulations Dietary supplements EHR/Interoperability Diabetes Prevention Program (DPP) fees

Medical liability reform (H.R. 836/S. 884, H.R. 4771) Mental health & opioid abuse policy (H.R. 2646, H.R. 4435, S. 1893, S. 1913, S. 524, S. 2680, S. 480, S. 2687, H.R. 4843, H.R. 4499/S. 2758, H.R. 3680, H.R. 3691, H.R. 4599, H.R. 4651, H.R. 4976, H.R. 4978, H.R. 4982, H.R. 4969) 340B discount drug program Chronic care policy Nurse education policy (H.R. 977/H.R. 1784/S. 629, H.R. 2713)

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 285 Promise for Antibiotics and Therapeutics for Health Act: Support streamlining FDA's approval process for treatments of antibiotic resistant bacteria. S 524 HR 953 HR 1725 HR 4981 HR 4599 HR 3680 HR 4586 HR 4969 HR 4641 HR 5046 - Comprehensive Addiction & Recovery Act: Support state prescription drug monitoring, treatment, naloxone, take-backs, partial fil & evidence based prescribing & treatment. S. 2742 Promoting Bomedical Research and Public Health for Patients Act: Improve how CDC engages vaccine manufacturers. S. 2822/HR 5001 Flexibility in Electronic Health Record Reporting Act: Shorten EHR reporting period in Meaningful Use to 90 days. S. 2956 - FDA authority to regulate tobacco products: Protect FDA authority over tobacco products including cigars and e-cigs. S. 3040 - FY2017 appropriations for AHRQ, Restore AHRQ appropriation. S. 3040 - FY 2017 appropriations for HRSA National Health Services Corp: Provide appropriated funds to support medical student debt relief and increased access. HR 2577, HR 5243 HR 4973 - Public Health/Emergency Funding: Funding for Zika emergency response: Public Health. HR 4223 - Protecting Our Students by Terminating Graduate Rates that Add to Debt Act: Support legislation that restores graduate and professional students to the Federal Direct Subsidized Loan program. HR 4771 - Medical Liability Reform: Support Help Efficient, Accessible, Low Cost, Timely Health Care "HEALTH" Act: Medical Liability Reform - the HEALTH Act. No Bill No - Teaching Health Center Reauthorization: The meetings were organized to seek support for THC permanancy. No Bill No. - FY 2016 appropriations AHRQ, HRSA Title VII, NHSC: AAFP Federal spending priorities to support workforce, research. No Bill No. - Graduate Medical Education - Explain and advocate for AAFP's policy proposals on GME. No Bill No. - Congressional Primary Care Caucus - Urge members to join the Caucus and support Primary Care to achieve the triple aim in health care. No Bill No. - Gun Violence/Appropriations: CDC Gun Violence research. No Bill No.- Health IT: Advocate for Introduction of a Bill to reduce Meaningful Use Reporting Period for 2016 to 90 days. No Bill No.-Graduate Medical Education: Pursue advancement of a bill to fix problem caused by "rotators" who establish low caps and PRAs. No Bill No. - Physician Payment Reform: Work with House Committee on Energy and Commerce on oversight of MACRA implementation, including hearing preparation. No Bill No. - Physician Payment Reform: Provide TA to House office on bill relating to payment and delivery reform around end-of-life care. No Bill No.-Graduate Medical Education: Advocate for solution to VACAA Expansion slots - how to fill them with more family medicine residents. No Bill No. - Graduate Medical Education: Advocate for the introduction of a bill to help resolve problems specific to the rural GME. No Bill No. - Physician Payment Reform: Advocate for advancement of policies that would promote direct primary care (DPC) No Bill No. - Physician Payment Reform: Advise W&M COmmittee on AAFP's position on the CMS Part B Drug Demonstration. No Bill No. - Physician Payment Reform: Help AAFP team with drafting comments to MIPS/APMs proposed rulemaking. No Bill No. - Teaching Health Center Graduate Medical Education permanence: Maintain the sustainability of the THCGME program. No Bill No. - HHS External Opioid Working Group: Meeting AAFP commitment to curb prescription opioid abuse. No Bill No. - Encourage House members to join Primary Care Caucus: Increase membership of the Primary Care Caucus. No Bill No. - 2016 Family Medicine Congressional Conference: MACRA curb RX abuse, THCGME, workforce and research. No Bill No. - Primary Care Forum: Robert Graham Center Research. No Bill No. - Friends of AHRQ - Primary Care Research & Support for PC transformation. No Bill No. - National Advisory Council on the National Health Service Corps: NHSC-scholarships, student debt repayment, access . No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Increase support for Title VII. No Bill No. - Nomination to HRSA NACNHSC - naming a family physician to the NACNHSC. No Bill No. - Nomination to HRSA ACTPCMD - naming a family physicians and/or teacher of family medicine. No Bill No. - Health IT/90 Day bill: Meeting to urge policy makers to support Meaningful Use flexibility legislation. No Bill No. - Zika Budget Meeting: Meeting to urge policy makers to fund Zika monies and to support public health infectious disease control. No Bill No.- FY2017 appropriations: Retain funding for HRSA's Title VII Health Professions Grants and for AHRQ. No Bill No.- Ban on public finding for research into gun violence: End restrictions on research into gun violence. No Bill No. - FDA final rule on coverage of tobacco regulatory authority: Recommend that OMB release FDA final "deeming" rule on tobacco control authority. No Bill No. - Medicare Access and CHIP Reauthorization Act (MACRA): Testified that CMS needs to support primary care in upcoming proposed rule on MACRA. No Bill No. - Prescription Drug Abuse: Invest in prescription drug monitoring programs and physician education. No Bill No. - FDA regulatory authority over tobacco products: Eliminate House Agriculture appropriations bill's exemption of cigars from FDA regulation and the softening of pre-market review requirements of e-cigarettes. No Bill No. - Implementation of MACRA by CMS: Make sure primary care physicians have a clear path to Alternative Payment Models. No Bill No. - Mental Health reforms: Coverage of mental health services by family physicians. No Bill No. - Medicare Part B Drug Demonstration Program: Support value-based purchasing of Medicare Part Drugs. No Bill No. - Interoperability of Information Systems: Measure key compoents of HIT interoperability. No Bill No.- Rural Training Tracks: Production of primary care physicians is needed to meet needs of rural America. No Bill No. - MACRA proposed rule: Preserve the role of primary care in the physician payment system. No Bill No. - Confidentiality of Substance Use Disorder Patient Records: Patient privacy, EHRs. No Bill No. - Hep C virus administration by PCPs: Ability of PCPs to admin hep c treatment. No Bill No. - PCP recommendations for MACRA: PCP recs for the MACRA proposed rule. PCP prescribing diabetic testing supplies: Admin hassles with prescribing for diabetic patients. No Bill No. - Nomination for Health Promotion: Nominating FPs to an HHS committee. No Bill No. - FDA Regulation over nicotine delivery devices: Urging the Administration to finalize the FDA deeming regulations over tobacco. No Bill No. - How MACRA should be implemented: Sign on letter to CMS on MACRA implementation. No Bill No. - Urging the APOE to cover MA: Urging CMS's outreach office to educate on Medicare Advantage plans. No Bill No. - Contraceptives for men and women: Urging CMS to cover contraceptives for all. No Bill No. - CMS on the PCMH: How CMS and MACRA should consider the PCMH. No Bill No. - MY and interoperability issues and MACRA: Further meaningful use concerns. No Bill No. - Nominating FPs to a primary workgroup: Putting FPs on a primary care committee. No Bill No. - VA on prescription drug monitoring programs: That VA should follow state based PDMPs. No Bill No. - Medicare Part B Drug proposed rule: Concerns with rising Part B and D costs. No Bill No. - USPSTF nominations: Getting FPs on the USPSTF. No Bill No. - RFI on interoperability and MACRA: Further EHR suggestions. No Bill No. - GME provisions withing IPPS regulation: Need more GME slots for rural PCPs. No Bill No. - comments on antibiotic resistant bacteria: How to combat antibiotic resistant bacteria. No Bill No. - Comments on the MACRA proposed rule: 107 page comment letter on the MACRA proposed rule. No Bill No. - Health Insurance Marketplace issues and Provider Involvement with Patient Enrollment: Network adequacy, Patient Enrollment in Marketplaces. No Bill No. - Childrens Health Insurance: CHIP Medicaid. No Bill No. - VA Nursing Handbook: Scope of Practice. No Bill No. - Medicaid: Medicaid alternative Proposals. No Bill No. - MACRA: Meetings to discuss current efforts to prepare for the MACRA law. No Bill No. - Adult Vaccine Meeting - Meetings to discuss current efforts to increase adult vaccine access through Medicare access and interoperability. No Bill No. - Mental Health Reform: Engagement to educate policy makers about primary care integration, insurance reforms and workforce policies.

Provisions relating to Community Health Centers as follows: Public Law 114-10, Medicare Access and CHIP Reauthorization Act of 2015 S.524, Comprehensive Addiction and Recovery Act of 2016 Zika supplemental H.R.2577, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017 H.R.5243, Zika Response Appropriations Act, 2016 H.R.897, Zika Vector Control Act S.3040, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY2017 H.R.5046, Comprehensive Opioid Abuse Reduction Act of 2016 H.R.3680, Co-Prescribing to Reduce Overdoses Act of 2016 H.R.4981, Opioid Use Disorder Treatment Expansion and Modernization Act H.R.3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016 H.R.4976, Opioid Review Modernization Act of 2016 H.R.4599, Reducing Unused Medications Act of 2016 H.R.4969, John Thomas Decker 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.4982, Examining Opioid Treatment Infrastructure Act of 2016 H.R.4978, NAS Healthy Babies Act H.R.1818, Veteran Emergency Medical Technician Support Act of 2016 H.R.3250, DXM Abuse Prevention Act of 2015 S.2680, Mental Health Reform Act of 2016 H.R.2536/S.1455, Recovery Enhancement for Addiction Treatment Act (TREAT Act) S.2256, Co-Prescribing Saves Lives Act of 2016 S.480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2016 S.2687, Plan of Safe Care Improvement Act

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

S.3040, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY2017, provisions relating to NIH and drug abuse and treatment H.R.6, 21st Century Cures Act, Medical research issues. Drug abuse research and treatment related issues: S. 2030, The Advancing Targeted Therapies for Rare Diseases Act of 2015 S. 1622, The FDA Device Accountability Act of 2015 S. 2014, Next Generation Researchers Act S. 800, The Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act S. 849, Advancing Research for Neurological Diseases Act of 2015 S. 2503, Preventing Superbugs and Protecting Patients Act S. 2511, Improving Health Information Technology S. 1878, The Advancing Hope Act of 2015 S. 1077, The Advancing Breakthrough Medical Devices for Patients Act of 2015 S. 1101, The Medical Electronic Data Technology Enhancement for Consumers Health Act S. 2055, The Medical Countermeasures Innovation Act of 2015 S. 1767, The Combination Products Innovation Act of 2015 S. 1597, Patient Focused Impact Assessment Act of 2015 S. 2512, Adding Zika Virus to the FDA Priority Review Voucher Program Act S. 2700, FDA and NIH Workforce Authorities Modernization Act S. 185, Promise for Antibiotics and Therapeutics for Health Act S. 2713, Advancing Precision Medicine Act of 2016 S. 2745, Advancing NIH Strategic Planning and Representation in Medical Research Act S. 2742, Promoting Biomedical Research and Public Health for Patients Act Opioid abuse legislation. H.R.2872, Opioid Addiction Treatment Modernization Act H.R.3537, Synthetic Drug Control Act of 2015 H.R.2536/S.1455, Recovery Enhancement for Addiction Treatment Act TREAT Act H.R.2805, Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 H.R.3014, Medical Controlled Substances Transportation Act of 2015 H.R.3716, Ensuring Terminated Providers are Removed from Medicaid and CHIP Act H.R.3821, Medicaid DOC Act H.R.2646, Helping Families in Mental Health Crisis Act of 2015 S.524, Comprehensive Addiction and Recovery Act of 2016 H.R.4396, Heroin and Prescription Drug Abuse Prevention and Reduction Act S.2256, Co-Prescribing Saves Lives Act of 2015 S.480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 S.2680, Mental Health Reform Act of 2016 S.2687, Plan of Safe Care Improvement Act S.2423/H.R.4447, Opioid and Heroin Epidemic Emergency Supplemental Appropriations Act S.1455/H.R.2536, Recovery Enhancement for Addiction Treatment Act (TREAT Act) H.R.5046, Comprehensive Opioid Abuse Reduction Act of 2016 H.R.3680, Co-Prescribing to Reduce Overdoses Act of 2016 H.R.4981, Opioid Use Disorder Treatment Expansion and Modernization Act H.R.3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016 H.R.4586, Lali's Law H.R.4976, Opioid Review Modernization Act of 2016 H.R.4599, Reducing Unused Medications Act of 2016 H.R.4969, John Thomas Decker 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.4978, NAS Healthy Babies Act H.R.3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016 H.R.4229/S.36, Protecting Our Youth from Dangerous Synthetic Drugs Act of 2015

S. 524/H.R. 953 - Comprehensive Addiction and Recovery Act; S.1392/H.R. 3889 - Safer Prescribing of Controlled Substances Act; H.R. 4586 - Lalis Law; H.R. 4969 - John Thomas Decker Act; S. 1641 - Jason Simcakoski Memorial Opioid Safety Act; S.2256 - Co-Prescribing Saves Lives Act of 2015; prescription drug monitoring programs; drug testing programs; opioid prescribing guidelines; opioid abuse treatment; prescription drug overdose prevention in general; injury prevention in general

Client expense: $6,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Federal Communications Commission (FCC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Highway Traffic Safety Administration (NHTSA), Occupational Safety & Health Administration (OSHA), Office of Natl Drug Control Policy (NDCP), SENATE, Small Business Administration (SBA), Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)