Opioid Use Disorder Treatment Expansion and Modernization Act

Confronting the opioid and mental illness epidemic HR 2872, Opioid Addiction and Modernization Act HR 4981, Opioid Use Disorder Treatment Expansion and Modernization Act S. 524, Comprehensive Addiction and Recovery Act Implementation Further Continuing and Security Assistance Appropriations Act, 2017 - $500M in opioid treatment funding

Client expense: $830,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Legislation and policies relating to: H.R. 471/S. 483 - Ensuring Patient Access and Effective Drug Enforcement Act H.R. 639 - Improving Regulatory Transparency for New Medical Therapies Act H.R. 953/S. 524 - Comprehensive Addiction and Recovery Act of 2015 H.R. 2536/S. 1455 - Recovery Enhancement for Addiction Treatment (TREAT) Act H.R. 4435 - Comprehensive Behavioral Health Reform and Recovery Act of 2016 H.R. 4843 - Infant Plan of Safe Care Improvement Act H.R. 4978 - NAS Healthy Babies Act H.R. 4981 - Opioid Use Disorder Treatment Expansion and Modernization Act H.R. 5046 - Comprehensive Opioid Abuse Reduction Act of 2016 H.R. 5052 - Opioid Program Evaluation Act S. 1392 - Safe Prescribing of Controlled Substances Act S. 2423 - A bill making appropriations to address the heroin and opioid drug abuse epidemic for the fiscal year ending September 30, 2016, and for other purposes S. 3075 - Addiction Prevention and Responsible Opioid Practices Act S. 3223 - Expanded Access to Treatment and Recovery Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

S.1455, Recovery Enhancement for Addiction Treatment (TREAT) Act, Access to medication assisted treatment H.R.4981, Opioid Use Disorder Treatment Expansion and Modernization Act, Access to medication assisted treatment H.R.3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016, Treatment for pregnant and postpartum women H.R.3680, Co-Prescribing to Reduce Overdoses Act of 2016, Naloxone coprescribing H.R.1725/S.480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015, Prescription drug monitoring H.R.4063, Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act or the Jason Simcakoski PROMISE Act", Prescribing guidelines H.R.953/S.524, Comprehensive Addiction and Recovery Act of 2015, generally H.R.5046, Comprehensive Opioid Abuse Reduction Act of 2016 Public Law 114-255, 21st Century Cures Act, generally Public Law 114-254, Further Continuing and Security Assistance Appropriations Act, FY2017, generally

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S.1455, Recovery Enhancement for Addiction Treatment (TREAT) Act, Access to medication assisted treatment H.R.4981, Opioid Use Disorder Treatment Expansion and Modernization Act, Access to medication assisted treatment H.R.3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016, Treatment for pregnant and postpartum women H.R.3680, Co-Prescribing to Reduce Overdoses Act of 2016, Naloxone coprescribing H.R.1725/S.480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015, Prescription drug monitoring H.R.4063, Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act or the Jason Simcakoski PROMISE Act", Prescribing guidelines H.R.953/S.524, Comprehensive Addiction and Recovery Act of 2015, generally H.R.5046, Comprehensive Opioid Abuse Reduction Act of 2016, generally Public Law 114-255, 21st Century Cures Act, generally

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Expanding access to medication assisted treatment for addiction; TREAT Act (S. 1455 and H.R. 2536); H.R. 4981.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/H.R.3355 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Medication Assisted Therapies (MATs) Accountable Care Organizations (ACOs) Opioid Abuse Epidemic

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

Primary care, Medicare reimbursement, PA Hospice (HR 1202/S 1354), Transparency, Mental Health Treatment (HR 2646/S. 2680), VA issues, GOOD Bill (S 2134/HR 3974), Treatment for Opioid Addiction(S 524, S 1455, HR 4981), Independence at Home Legislation (S.3130), Home Health (HR 1342/S 578), & PA Educational Program Funding (FY 17 L/HHS Appropriations), Promote Access to Diabetic Shoes (HR 4756).

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S.1641 Jason Simcakoski Memorial Opioid Safety Act S. 2259, H.R. 6261 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act Medication Assisted Therapies (MATs) S. 1455, H.R. 2536 Recovery Enhancement for Addiction Treatment Act (TREAT) Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act H.R.2948 Medicare Telehealth Parity Act of 2015 S.488, H.R. 3355 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 4981 Opioid Use Disorder Treatment Expansion and Modernization Act Opioid Abuse Epidemic Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Accountable Care Organization (ACO)

Client expense: $153,601 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/H.R.3355 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Medication Assisted Therapies (MATs) Accountable Care Organizations (ACOs) Opioid Abuse Epidemic

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

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

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.

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

Issues related to S. 1455/H.R. 2356, The Recovery Enhancement for Addiction Treatment (TREAT) Act. Issues related to S. 524/H.R. 4981, The Comprehensive Addiction and Recovery Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: H.R. 471/S. 483 - Ensuring Patient Access and Effective Drug Enforcement Act H.R. 639 - Improving Regulatory Transparency for New Medical Therapies Act H.R. 953/S. 524 - Comprehensive Addiction and Recovery Act of 2015 H.R. 2536/S. 1455 - Recovery Enhancement for Addiction Treatment (TREAT) Act H.R. 4435 - Comprehensive Behavioral Health Reform and Recovery Act of 2016 H.R. 4843 - Infant Plan of Safe Care Improvement Act H.R. 4978 - NAS Healthy Babies Act H.R. 4981 - Opioid Use Disorder Treatment Expansion and Modernization Act H.R. 5046 - Comprehensive Opioid Abuse Reduction Act of 2016 H.R. 5052 - Opioid Program Evaluation Act S. 1392 - Safe Prescribing of Controlled Substances Act S. 2423 - A bill making appropriations to address the heroin and opioid drug abuse epidemic for the fiscal year ending September 30, 2016, and for other purposes S. 3075 - Addiction Prevention and Responsible Opioid Practices Act S. 3223 - Expanded Access to Treatment and Recovery Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Expanding access to medication assisted treatment for addiction; TREAT Act (S. 1455 and H.R. 2536); H.R. 4981

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Primary care, Medicare reimbursement, PA Hospice (HR 1202/S 1354), Transparency, Mental Health Treatment (HR 2646/S. 2680), VA issues, GOOD Bill (S 2134/HR 3974), Treatment for Opioid Addiction (S 524, S 1455, HR 4981), Independence at Home Legislation (S.3130), Home Health (HR 1342/S 578), & PA Educational Program Funding (FY 17 L/HHS Appropriations).

Client expense: $120,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

H.R. 2872 Opioid Addiction Treatment Modernization Act. H.R. 1821/S. 707 Opioid Overdose Reduction Act of 2015. H.R. 2536/S. 1455 TREAT ACT. H.R. 953/S. 524 Comprehensive Addiction and Recovery Act of 2016. H.R. 5046 Comprehensive Opioid Abuse Reduction Act. H.R. 4981 Opioid Use Disorder Treatment Expansion & Modernization Act. Controlled Substances act issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2872 Opioid Addiction Treatment Modernization Act. H.R. 1821/S. 707 Opioid Overdose Reduction Act of 2015. H.R. 2536/S. 1455 TREAT ACT. H.R. 953/S. 524 Comprehensive Addiction and Recovery Act of 2016. H.R. 5046 Comprehensive Opioid Abuse Reduction Act. H.R. 4981 Opioid Use Disorder Treatment Expansion & Modernization Act. Controlled Substances act issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2872 Opioid Addiction Treatment Modernization Act. H.R. 1821/S. 707 Opioid Overdose Reduction Act of 2015. H.R. 2536/S. 1455 TREAT ACT. H.R. 953/S. 524 Comprehensive Addiction and Recovery Act of 2016. H.R. 5046 Comprehensive Opioid Abuse Reduction Act. H.R. 4981 Opioid Use Disorder Treatment Expansion & Modernization Act. Controlled Substances act issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 793 & S. 1190 - Ensuring Seniors Access to Local Pharmacies Act; H.R. 244 -The MAC Transparency Act; HR 4981 -The Opioid Use Disorder Treatment Expansion and Modernization Act; HR 4599 - Reducing Unused Medications Act of 2016; S. 2256 - Co-Prescribing Saves Lives; HR 3680 - Co-Prescribing to Reduce Overdoses Act of 2016; S. 524 Comprehensive Addiction and Recovery Act (CARA)

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

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

HR 4981 -Opioid Use Disorder Treatment Expansion and Modernization Act; HR 4976 - Opioid Review Modernization Act of 2016; S. 524 Comprehensive Addiction and Recovery Act (CARA)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.524: Comprehensive Addiction and Recovery Act, focused on Prescription Drug Management Plans (PDMPs), Medicare lock-ins, partial fills and co-prescribing. S.480/H.R.1725: National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015, educating on the importance of PDMPs and the need for federal funding. HR.4981: The Opioid Use Disorder Treatment Expansion and Modernization Act. H.R.4599/S.2578: Reducing Unused Medications Act of 2016. H.R.3680: Co-Prescribing to Reduce Overdoses Act of 2016. S.2256: Co-Prescribing Saves Lives Act of 2016. S.1945: Senate HELP mental health reform package, Mental Health Reform Act of 2016, mental health parity treatment of step therapy and prior-authorization. S.2615: Increasing Competition in Pharmaceuticals Act, support increasing generic availability. H.R.6: The 21st Century Cures Act and Senate companions, ensuring no new barriers to generic and biosimilar market entry. Generic Drug User Fee Act Reauthorization, support increasing generic availability. H.R.1600: The Patients' Access to Treatment Act, educating on the importance of step therapy to ensuring optimal therapy access and cost control. H.R.2841: the FAST Generics Act. S.3056: the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act. S.2700: Workforce Authorities Modernization Act, Section 11, Biological Product Innovation - treatment of USP compendia in approving biologics and biosimilars. Role of PBMs in Mylan pricing before Congressional hearings/investigation of Mylan. Drug pricing in general. H.R.6043 and S.3335, "Fair Accountability and Innovative Research Drug Pricing Act of 2016".

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Potential future guidance on DIR: Direct and Indirect Renumeration for Pharmacies. S.524: "Comprehensive Addiction and Recovery Act," focused on Prescription Drug Management Plans (PDMPs). S.480/H.R.1725: "National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015," educating on the importance of PDMPs and the need for federal funding. H.R.4981: The Opioid Use Disorder Treatment Expansion and Modernization Act. H.R.4599/S.2578: Reducing Unused Medications Act of 2016. H.R.3680: Co-Prescribing to Reduce Overdoses Act of 2016. S.2256: Co-Prescribing Saves Lives Act of 2016. H.R.244: "MAC Transparency Act," educating on how MAC pricing helps control costs for consumers. H.R.793/S.1190: "Ensuring Seniors Access to Local Pharmacies Act of 2015," importance of pharmacy networks in reducing costs. H.R.1600: "The Patients' Access to Treatment Act," educating on the importance of step therapy to ensuring optimal therapy access and cost control. Drug pricing in general. H.R.5951 and S.3308, Improving Transparency and Accuracy in Medicare Part D Spending Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.524: Comprehensive Addiction and Recovery Act, focused on Prescription Drug Management Plans (PDMPs), Medicare lock-in, partial fills and co-prescribing. S.480/H.R.1725: National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015, educating on the importance of PDMPs and the need for federal funding. H.R.4981: The Opioid Use Disorder Treatment Expansion and Modernization Act. H.R.4599/S.2578: Reducing Unused Medications Act of 2016. H.R.3680: Co-Prescribing to Reduce Overdoses Act of 2016. S.2256: Co-Prescribing Saves Lives Act of 2016. H.R.4784: Lower Drug Costs Through Competition Act, support increasing generic availability. S.2680: A bill to amend the Public Health Service Act to provide comprehensive mental health reform, and for other purposes. S.2615: the Increasing Competition in Pharmaceuticals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2872, Opioid Addiction and Modernization Act; P.L.114-198, Comprehensive Addiction and Recovery Act of 2016; S.1455, Recovery Enhancement for Addiction Treatment Act (TREAT Act); S.2256, Co-Prescribing Saves Lives Act of 2015; H.R.4981, Opioid Use Disorder Treatment Expansion and Modernization Act; confronting the opioid and mental illness epidemic.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/H.R.3355 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care Accountable Care Organizations (ACOs)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/H.R.3355 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care Accountable Care Organizations (ACOs)

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

Confronting the opioid and mental illness epidemic HR 2872, Opioid Addiction and Modernization Act HR 4981, Opioid Use Disorder Treatment Expansion and Modernization Act

Client expense: $1,150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institute on Alcohol Abuse & Alcoholism (NIAA), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S.1455, Recovery Enhancement for Addiction Treatment (TREAT) Act, Access to medication assisted treatment H.R.4981, Opioid Use Disorder Treatment Expansion and Modernization Act, Access to medication assisted treatment H.R.3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016, Treatment for pregnant and postpartum women H.R.3680, Co-Prescribing to Reduce Overdoses Act of 2016, Naloxone coprescribing H.R.1725/S.480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015, Prescription drug monitoring H.R.4063, Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act or the Jason Simcakoski PROMISE Act", Prescribing guidelines H.R.953/S.524, Comprehensive Addiction and Recovery Act of 2015, generally H.R.5046, Comprehensive Opioid Abuse Reduction Act of 2016

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S.1455, Recovery Enhancement for Addiction Treatment (TREAT) Act, Access to medication assisted treatment H.R.4981, Opioid Use Disorder Treatment Expansion and Modernization Act, Access to medication assisted treatment H.R.3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016, Treatment for pregnant and postpartum women H.R.3680, Co-Prescribing to Reduce Overdoses Act of 2016, Naloxone coprescribing H.R.1725/S.480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015, Prescription drug monitoring H.R.4063, Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act or the Jason Simcakoski PROMISE Act", Prescribing guidelines H.R.953/S.524, Comprehensive Addiction and Recovery Act of 2015, generally H.R.5046, Comprehensive Opioid Abuse Reduction Act of 2016

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S.1641 Jason Simcakoski Memorial Opioid Safety Act S. 2259, H.R. 6261 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act Medication Assisted Therapies (MATs) S. 1455, H.R. 2536 Recovery Enhancement for Addiction Treatment Act (TREAT) S. 524, H.R. 953 Comprehensive Addiction and Recovery Act of 2015 (CARA) S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act H.R.2948 Medicare Telehealth Parity Act of 2015 S.488, H.R. 3355 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 4981 Opioid Use Disorder Treatment Expansion and Modernization Act Opioid Abuse Epidemic Chronic Care Accountable Care Organization (ACO)

Client expense: $125,547 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

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.

Client expense: $696,751 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), 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, Veterans Affairs, Dept of (VA), White House Office

Legislation and policies relating to: H.R. 471/S. 483 - Ensuring Patient Access and Effective Drug Enforcement Act H.R. 639 - Improving Regulatory Transparency for New Medical Therapies Act H.R. 953/S. 524 - Comprehensive Addiction and Recovery Act of 2015 H.R. 2536/S. 1455 - Recovery Enhancement for Addiction Treatment (TREAT) Act H.R. 4435 - Comprehensive Behavioral Health Reform and Recovery Act of 2016 H.R. 4843 - Infant Plan of Safe Care Improvement Act H.R. 4978 - NAS Healthy Babies Act H.R. 4981 - Opioid Use Disorder Treatment Expansion and Modernization Act H.R. 5046 - Comprehensive Opioid Abuse Reduction Act of 2016 H.R. 5052 - Opioid Program Evaluation Act S. 1392 - Safe Prescribing of Controlled Substances Act S. 2423 - A bill making appropriations to address the heroin and opioid drug abuse epidemic for the fiscal year ending September 30, 2016, and for other purposes S. 3075 - Addiction Prevention and Responsible Opioid Practices Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Comprehensive Addiction and Recovery Act (S 524) Conference Report Zika Virus Response Funding (HR 2577) Mental Health Programs and Policies (HR 2646) Health Savings Accounts (HR 1270) National All Schedules Prescription Electronic Reporting Act (S. 480/HR 1725) Mental Health Reform Act of 2016 (S 2680) Recovery Enhancement for Addiction Treatment Act (S. 1455) The Co-Prescribing Saves Lives Act of 2016 (S. 2256) The Plan of Safe Care Improvement Act (S. 2687) The Partial Fill Amendment within the Managers Amendments to S 2680 Comprehensive Addiction and Recovery Act (S. 524) Comprehensive Opioid Abuse Reduction Act (HR 5046) Interagency Opioid Task Force (HR 4641) The Opioid Use Disorder Treatment Expansion and Modernization Act (HR 4981) Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act - Veterans Administration (HR 4063) Good Samaritan Assessment Act (HR 4058) Opioid Program Evaluation (OPEN) Act (HR 5022) Infant Plan of Safe Care Improvement Act (HR 4843) Nurturing and Supporting Healthy Babies Act (HR 4978) Improving Treatment for Pregnant and Postpartum Women Act (HR 3691) Ensuring Removal of Terminated Providers from Medicaid & CHIP (H.R. 3716) Medication Assisted Treatment for Opioid Use Disorders (SAMHSA, RIN 0930-AA22)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

H.R. 2872 Opioid Addiction Treatment Modernization Act. H.R. 1821/S. 707 Opioid Overdose Reduction Act of 2015. H.R. 2536/S. 1455 TREAT ACT. H.R. 953/S. 524 Comprehensive Addiction and Recovery Act of 2015. H.R. 5046 Comprehensive Opioid Abuse Reduction Act. H.R. 4981 Opioid Use Disorder Treatment Expansion & Modernization Act. Controlled Substances act issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2872 Opioid Addiction Treatment Modernization Act. H.R. 1821/S. 707 Opioid Overdose Reduction Act of 2015. H.R. 2536/S. 1455 TREAT ACT. H.R. 953/S. 524 Comprehensive Addiction and Recovery Act of 2015. H.R. 5046 Comprehensive Opioid Abuse Reduction Act. H.R. 4981 Opioid Use Disorder Treatment Expansion & Modernization Act. Controlled Substances act issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2872 Opioid Addiction Treatment Modernization Act. H.R. 1821/S. 707 Opioid Overdose Reduction Act of 2015. H.R. 2536/S. 1455 TREAT ACT. H.R. 953/S. 524 Comprehensive Addiction and Recovery Act of 2015. H.R. 5046 Comprehensive Opioid Abuse Reduction Act. H.R. 4981 Opioid Use Disorder Treatment Expansion & Modernization Act. Controlled Substances act issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to S. 1455/H.R. 2356, The Recovery Enhancement for Addiction Treatment (TREAT) Act. Issues related to S. 524/H.R. 4981, The Comprehensive Addiction and Recovery Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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

Client expense: $4,310,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.2872, Opioid Addiction and Modernization Act; S.524, Comprehensive Addiction and Recovery Act of 2016; S.1455, Recovery Enhancement for Addiction Treatment Act (TREAT Act); S.2256, Co-Prescribing Saves Lives Act of 2015; H.R.4981, Opioid Use Disorder Treatment Expansion and Modernization Act; confronting the opioid and mental illness epidemic.

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

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.

Client expense: $696,751 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), 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, Veterans Affairs, Dept of (VA), White House Office

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care

Client expense: Not reported · Firm income: $80,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 4981 -Opioid Use Disorder Treatment Expansion and Modernization Act; HR 4976 - Opioid Review Modernization Act of 2016; S. 524 Comprehensive Addiction and Recovery Act (CARA)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE