PIMA of 2016

Medicare reimbursement for radiation oncology, patient safety, quality improvement. Medicare fraud and abuse. In-office ancillary services exception to Stark law. Reforming the way Medicare pays for radiation oncology services by tying payment to quality and value. Preserving access to radiation therapy services under the Medicare Physician Fee Schedule. H.R. 5273, Helping Hospitals Improve Patient Care Act. H.R. 5088, PIMA H.R. 2, Medicare Access: CHIP Reauthorization Act of 2015 implementation.

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

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

S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 5088) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 1549, To amend title XVIII of the Social Security Act to provide for advanced illness care coordination services for Medicare beneficiaries, and for other purposes. Helping Hospitals Improve Patient Care (H.R. 5273) H.R. 5721 Local Coverage Determination Clarification Act of 2016

Client expense: $169,918 · Firm income: Not reported

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. FDA review process of medical devices; The Medical Device Guardians Act of 2016 (H.R. 5404) Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exception to the Stark Law for radiation oncology services; Protecting Integrity in Medicare Act (H.R. 5088) Oppose Non-Burning Sunshine Report Language Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, 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 Radiation Oncology reimbursement Radiation Oncology safety Cancer Moonshot Initiative H.R. 5721 Local Coverage Determination Clarification Act of 2016

Client expense: $169,918 · Firm income: Not reported

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. FDA review process of medical devices; The Medical Device Guardians Act of 2016 (H.R. 5404) Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exception to the Stark Law for radiation oncology services; Protecting Integrity in Medicare Act (H.R. 5088) Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, 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 Radiation Oncology reimbursement Radiation Oncology safety Cancer Moonshot Initiative H.R. 5721 Local Coverage Determination Clarification Act of 2016

Client expense: $124,957 · Firm income: Not reported

S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 5088) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 1549, To amend title XVIII of the Social Security Act to provide for advanced illness care coordination services for Medicare beneficiaries, and for other purposes. Helping Hospitals Improve Patient Care (H.R. 5273) H.R. 5721 Local Coverage Determination Clarification Act of 2016

Client expense: $124,957 · Firm income: Not reported

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referra/Stark Law American Cures Act H.R. 1608/S. 2373 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Flexibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters 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. S. 524/H.R. 953 Comprehensive Addiction & Recovery Act of 2015 H.R. 5088 PIMA H.R. 5045 Preserving Access to Modern Prosthetic Limbs Act of 2016 H.R. 4266 Nurse & Health Care Worker Protection Act H.R. 1516 Ensuring Access to Quality CRT H.R. 1530 Medicare O&P Improvement Act H.R. 1420 National TBI Research & Treatment Improvement Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 800/H.R. 1631 Enhancing the Stature and Visibility of Medicare Research at NIH Act

Client expense: $258,406 · Firm income: Not reported

Medicare reimbursement for radiation oncology, patient safety, quality improvement. Medicare fraud and abuse. In-office ancillary services exception to Stark law. Support for reforming the way Medicare pays for radiation oncology services by tying payment to quality and value. Support for preserving access to radiation therapy services under the Medicare Physician Fee Schedule. Medicare Physician Payment Reform. H.R. 5273, Helping Hospitals Improve Patient Care Act. H.R. 5088, PIMA

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

HR556/S313, Prevent Interruptions to Physical Therapy: adding physical therapists to the Medicare locum tenens program HR775/S539, Medicare Access to Rehabilitation Services: to repeal the monetary cap on physical therapy for Medicare beneficiaries. HR2948, Medicare Telehealth Parity to allow for Medicare to reimburse all eligible providers--including physical therapists--for care provided via telehealth. HR1650/S1849, Medicare Patient Empowerment Act: to allow Medicare providers to opt out of Medicare on a case-by-case basis to empower patients to chose their provider and how to pay for care. HR2712, Commonsense Reporting and Verification Act and S1996, Commonsense Reporting Act: simplify the process for employer reporting of employees using the ACA Marketplace to purchase health insurance while increasing transparency and disclosure for employees. HR2799/S1465; Furthering Access to Stroke Telemedicine (FAST) Act: to allow for stroke assessment via telehealth regardless of location of the originating site. HR4442/S2484, CONNECT for Health Act of 2016: telehealth reform bill in three parts: 1. allowing for Medicare Advantage to provide telehealth coverage as a basic benefit; 2. allowing stroke assessment via telehealth regardless of originating site; and 3. allow for MIPS providers to be covered for use of telehealth, and allows for HHS Secretary to add additional providers such as physical therapists; Medicare Telehealth Parity Act (H.R.2948) to allow for complete access to care via telehealth for Medicare beneficiaries. Supporting the Promoting Integrity in Medicare Act (H.R.5088)to remove physical therapists from the in-office ancillary services exception. Also lobbying for any reforms to veterans health coverage to ensure continued access to community based providers.

Client expense: Not reported · Firm income: Not reported

S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 4714, Removing Barriers to Clinical Research Act: Medicare coverage of medical costs of Medicare patients participating in FDA-approved clinical trials. H.R. 4774, Training Tomorrows Doctors Today Act: Graduate medical education funding H.R. 5088, Promoting Integrity in Medicare Act: in-office ancillary services exception (IOASE) H.R. 5273, Helping Hospitals Improve Patient Care Act of 2016: physician owned specialty hospitals No bill: Medicare Part B Drug Payment Model No bill: Medicare Access and CHIP Reauthorization Act oversight, MIPS and APMs No bill: Responsible Data Transparency Act: Restrictions on use of Medicare physician claims data

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

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

S.1148, Resident Physician Shortage Reduction Act: Graduate medical education funding H.R. 2124, Resident Physician Shortage Reduction Act: Graduate medical education H.R.4714, Removing Barriers to Clinical Research Act: Medicare coverage of medical costs of Medicare patients participating in FDA-approved clinical trials. H.R. 4774, Training Tomorrows Doctors Today Act: Graduate medical education funding H.R. 5088, Promoting Integrity in Medicare Act: in-office ancillary services exception (IOASE) H.R. 5273, Helping Hospitals Improve Patient Care Act of 2016: physician owned specialty hospitals No bill: Medicare Part B Drug Payment Model No bill: Medicare Access and CHIP Reauthorization Act oversight, MIPS and APMs No bill: Responsible Data Transparency Act: Restrictions on use of Medicare physician claims data

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

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

Support for a national reporting database of medical errors related to the delivery of radiation therapy. Support for the development of an appropriate medical event definition. Support to ensure that patient care advances in biomedical research impacting patient care are not compromised by any policies imposed on the medical use and research applications of cesium chloride. FDA review process of medical devices; The Medical Device Guardians Act of 2016 (H.R. 5404) Support for NRC Commissioner nominee to have medical background. Support patient choice in treatment options by closing the in-office ancillary services exception to the Stark Law for radiation oncology services; Protecting Integrity in Medicare Act (H.R. 5088) Oppose HR 2698, Tanning Tax Repeal Act of 2015 Support HR 239, 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 Radiation Oncology reimbursement Radiation Oncology safety Cancer Moonshot Initiative

Client expense: $250,351 · Firm income: Not reported

S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 5088) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 1549, To amend title XVIII of the Social Security Act to provide for advanced illness care coordination services for Medicare beneficiaries, and for other purposes. Helping Hospitals Improve Patient Care (H.R. 5273)

Client expense: $250,351 · Firm income: Not reported

Implementation/Expansion of CDC Falls Program Implementation of Affordable Care Act - provisions pertaining to Essential Health Benefits & Health Insurance Exchanges AHRQ provisions pertaining to PT H.R. 582/S. 307 ConTACT Act H.R. 1383 Medicare Adult Day Services Act H.R. 263 Adult Day Care Enhancement Act H.R. 1707 Access to Frontline Healthcare Act H.R. 395/S. 536 Indian Health Service Health Professionals Tax Fairness Act H.R. 2 SGR Repeal Physician self-referral American Cures Act H.R. 1608/S. 2373 Lymphadema Treatment Act Health Information Technology Nominations to PCORI Methodology Committees H.R. 1190/S. 141 IPAB repeal H.R. 1741 Truth In Healthcare Marketing Act Medicaid Expansion HR. 2342/S. 1426 Physical Therapist Workforce & Patient Access Act Physician owned distributerships H.R. 921/S. 689 Sports Medicine Licensure Clarity Act S. 2364 Medicare Home Health Flexibility Act MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Insurance Benefit parameters 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. S. 524/H.R. 953 Comprehensive Addiction & Recovery Act of 2015 H.R. 5088 PIMA H.R. 5045 Preserving Access to Modern Prosthetic Limbs Act of 2016 H.R. 4266 Nurse & Health Care Worker Protection Act H.R. 1516 Ensuring Access to Quality CRT H.R. 1530 Medicare O&P Improvement Act H.R. 1420 National TBI Research & Treatment Improvement Act H.R. 2948 Medicare Telehealth Parity Act of 2015 S. 800/H.R. 1631 Enhancing the Stature and Visibility of Medicare Research at NIH Act

Client expense: $253,752 · Firm income: Not reported

Medicare reimbursement for radiation oncology, patient safety, quality improvement. Medicare fraud and abuse. In-office ancillary services exception to Stark law. Support for reforming the way Medicare pays for radiation oncology services by tying payment to quality and value. Support for preserving access to radiation therapy services under the Medicare Physician Fee Schedule. Medicare Physician Payment Reform. H.R. 5273, Helping Hospitals Improve Patient Care Act. H.R. 5088, PIMA

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

HR 5088 - the Protecting Integrity in Medicare Act of 2016. Discussion of value-based medicine and its impact on physician self-referral. HR 921 - The Sports Medicine Licensure Clarity Act of 2015. Discussion of licensing traveling team physicians who provide services to high school, university, club, and professional athletics teams. Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models - Discussion of the newly proposed MIPS program and its impact on orthopaedic clinics.

Client expense: Not reported · Firm income: Not reported

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

Notice of Proposed Rulemaking on Merit-based Incentive Payment Plans and Alternative Payment Models under MACRA; in-office ancillary services exception in Medicare/HR 5088; Program Enhancements to the Provider Enrollment Process

Client expense: Not reported · Firm income: Not reported

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