PADME Act

H.R. 1427: Medicare CGM Access Act of 2014. H.R. 5210: Patient Access to DME Act.

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

Government targets: HOUSE OF REPRESENTATIVES

General Medicare issues and legislation affecting durable medical equipment (DME) reimbursement and regulation. H.R.5210: PADME Act.

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

Government targets: HOUSE OF REPRESENTATIVES

House Bills H.R. 712, the Sunshine for Regulatory Decrees and Settlements Act - support. H.R. 1671, Government Neutrality in Contracting Act - support. H.R. 4612, the Midnight Rule Relief Act - support. H.R. 3624, the Fraudulent Joinder Prevention Act - support. H.R. 4293, the Affordable Retirement Advice Protection Act - support. H.R. 4294, the Strengthening Access to Valuable Education and Retirement Support Act - support. Amendment included in Section 913 of S 1269 - oppose. H.R. 3765, The ADA Education and Reform Act of 2015 - support. H.R. 4773, the Protecting Workplace Advancement and Opportunity Act - support. H.R. 5447 (H.R. 2911), the Small Business Healthcare Relief Act - support. H.J. Res. 87, a Congressional Review Act resolution of disapproval in response to the controversial persuader rule issued by the U.S. Department of Labor (DOL) - support. Section 110 to the FY2017 Energy and Water Development, and Related Agencies Appropriations Act - support. Perry Amendment to H.R. 4974, ensuring fair and open competition for federal construction contracts funded by the Military Construction, Veterans Affairs (MilCon/VA) Appropriations Bill for Fiscal Year 2017 - support. FY2017 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act. H.R. 5210, PADME ACT - Patient Access to Durable Medical Equipment Act - support. H.R. 6094, the Regulatory Relief for Small Businesses, Schools, and Nonprofits Act - support. H.R. 3438, the Require Evaluation before Implementing Executive Wishlists (REVIEW) Act of 2016 - support. H.R. 5523, the Clyde-Hirsch-Sowers RESPECT Act - support. H.R. 5813, the Overtime Reform and Enhancement Act - support. Regulatory Accountability Act - support. H.R.5076 - The Main Street Fairness Act - support. H.R. 3765, the ADA Education and Reform Act - support. Section 18001 of HR 34 the 21st Century Cures Act - support. Senate Bills S. 2582, the Midnight Rule Relief Act - support. S. 2225, the Save our Small and Seasonal Businesses Act - support. S. 2707, the Protecting Workplace Advancement and Opportunity Act - support. S. 2847Prove It Act of 2016 - support. Hoeven Amendent to amendment to the FY2017 Energy and Water Development, and Related Agencies Appropriations Act - support. S. 2736, the Patient Access to Durable Medical Equipment Act of 2016 - support. S. 71, Government Neutrality in Contracting Act - support. S. 2844, the fiscal year (FY) 2017 Transportation, Housing and Urban Development, and Related Agencies (T-HUD) appropriations bill. S. 3060 / S. 1697, the Small Business Healthcare Relief Act - support. S. 2736, PADME ACT - Patient Access to Durable Medical Equipment Act - support. S. 3464, the Overtime Reform and Review Act - support. S. 3462, the Regulatory Relief for Small Businesses, Schools, and Nonprofits Act - support. S. 3446, the ADA Education and Reform Act - support. Section 18001 of HR 34 the 21st Century Cures Act - support. Comments December 19, 2016 - Department of the Interior - Advance Notice of Proposed Rulemaking on Traders with Indians Docket ID: BIA-2016-0007, 81 Fed. Reg. (December 9, 2016) November 22, 2016 - U.S. Department of Labor - RIN 1210-AB63 - Annual Reporting and Disclosure; Proposed Revision of Annual Information Return/Reports November 2, 2016 - Department of the Treasury - Docket No. IRS REG-163113- 02, RIN 1545-BB71; Comments of the National Federation of Independent Business (NFIB) on the Department of the Treasury and Internal Revenue Services Proposed Regulations on Estate, Gift, and Generation-Skipping Transfer Taxes; Restrictions on Liquidation of an Interest October 28, 2016 - Federal Motor Carrier Safety Administration - Docket IDs NHTSA-2016-0087; FMCSA-2014-0083 - Federal Motor Vehicle Safety Standards; Federal Motor Carrier Safety Regulations; Parts and Accessories Necessary for Safe Operation; Speed Limiting Devices; Proposed Rule Other Issues Tax Reform Joint employer standard PN1258 - Merrick Garland nomination to the U.S. Supreme Court Estate tax Speed Limiter Nominations for Secretaries of the Treasury, Health and Human Services, and Labor, Administrator of the Environmental Protection Agency, and U.S. Consumer Product Safety Commission

Client expense: $975,000 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Motor Carrier Safety Administration, HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation ***, no specific bill(s), diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling, PODs, Cost centers, ICD-10, Stark H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1470/S. 810 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R. 1021 - Protecting the Integrity of Medicare Act of 2015 S. 2425 - Patient Access and Medicare Protection Act H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5009/S. 2998 - Ensuring Access to Critical Breakthrough Products Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act H.R. 34 - 21st Century Cures Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (incorporating HR 284 and S. 148, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015), Pub. L. No. 114-10; Medicare audit issues related to reimbursement and implementation of the DMEPOS competitive bidding program; Implementing P.L 113-93 the Protecting Access to Medicare Act of 2014; HR 1021 Protecting the Integrity of Medicare Act of 2015; DMEPOS Prior Authorization rules; DMEPOS Medicare payment proposed rule and final rule implementation; DMEPOS prior authorization proposed and final rule; S. 2312,DME Access and Stabilization Act of 2015; H.R. 4185, Protecting Access through Competitive�pricing Transition Act of 2015; H.R. 5210 and S. 2736, the Patient Access to Durable Medical Equipment Act of 2016, the Beneficiary Respiratory Equipment Access and Transparency to Home Ventilator Care (BREATH) Act of 2016; H.R.6 and other versions of the 21st Century Cures Act.

Client expense: Not reported · Firm income: $37,500

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 H.R. 5164 - Rural Hospital Regulatory Relief Act H.R. 5122 - To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 5613/S. 3129 - Continuing Access to Hospitals Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act S. 2787 - States Achieve Medicaid Expansion (SAME) Act S. 3130 - Independence at Home Act of 2016

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

H.R. 1427/S.804 - Medicare CGM Access Act of 2015 - provisions related to continuous glucose monitoring. Issues related to competitive bidding for DME products. Issues related to physician-owned distributors. H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act - provisions related to patient access.

Client expense: $540,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to competitive bidding for DME products. H.R. 5210 and S. 2736- Patient Access to Durable Medical Equipment Act- provisions related to patient access. H.R. 1427/S.804- Medicare CGM Access Act of 2015- Provisions related to continuous glucose monitoring.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement issues; S.2736 - Patient Access to Durable Medical Equipment Act; H.R. 5210 - Patient Access to Durable Medical Equipment Act; Legislative work to address rural-relief, additional cuts to the DME industry in July 2016; Medicare Claim Audit Volume and CMS contractor inconsistencies; Implementation of Prior Authorization for Oxygen; H.R. 34 - 21st Century Cures Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical Foods Equity Act. S. 2736/H.R. 5210 Patient Access to Durable Medical Equipment Act.

Client expense: $627,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Treasury, Dept of

Issues related to the home healthcare equipment market. Issues related to Medicare reimbursement levels. Issues related to CMS Round 3 DME Rule. Issues related to the Patient Access to Durable Medical Equipment (PADME) Act of 2016 HR 5210 and S 2736. Issues related to the 21st Century Cures Act HR 34.

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

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

S. 2425 - Patient Access and Medicare Protection Act H.R. 605/S. 275 - Medicare Home Infusion Site of Care Act H.R. 4273 - Medicare and Medicaid Improvements and Adjustments Act, ASP H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 34 - 21st Century Cures Act **no specific bills; ASP, competitive bidding, Part B demonstration, MLN Learning Matters Billing Guidance H.R. 5122 - Part B demonstration

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

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R.6 - 21st Century Cures Act, competitive bidding issues; S.2425 - Patient Access and Medicare Protection Act, all provisions; H.R.4185/S.2312 - DME Rural Relief, all provisions; S.2736/H.R.5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions; H.R.6 21st Century Cures Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 314 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 592 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 1270 - Restoring Access to Medication Act of 2015 S. 709 - Restoring Access to Medication Act of 2015 S.776 - Medication Therapy Management Empowerment Act of 2015 H.R. 793 - Ensuring Seniors Access to Pharmacies Act of 2015 H.R. 1021, the Protecting the Integrity of Medicare Act (PIMA) of 2015 H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R.6 - 21st Century Cures Act S.1190 - Ensuring Seniors Access to Local Pharmacies Act of 2015 S. 1913 - Stopping Medication Abuse and Protecting Seniors Act of 2015 H.R.4878 - Better Care, Lower Cost Act S. 3094 - Price Relief, Innovation, and Competition for Essential Drugs Act HR 5573 - Price Relief, Innovation and Competition for Essential Drugs Act 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. HR 5210-Patient Access to Durable Medical Equipment Act S 2736-Patient Access to Durable Medical Equipment Act of 2016 H.R. 1192 - National Diabetes Clinical Care Commission Act S. 3056 - Creating and Restoring Equal Access to Equivalent Samples Act H.R. 5951- Improving Transparency and Accuracy in Medicare Part B Spending

Client expense: $380,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1516 and S. 1013, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015; H.R. 3229 and S. 2196, To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories; H.R. 5210 and S. 2736, Patient Access to Durable Medical Equipment (PADME) Act; H.R. 6, 21st Century Cures Act

Client expense: $100,876 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, all provisions; H.R. 284/S. 148 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, all provisions; Medicare Audit Improvement and Reform (AIR) Act, all provisions; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R. 6/H.R. 34 - 21st Century Cures Act, competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2437 - Creating prior authorization process for DME items, all provisions; Expanding and making permanent the Medicare power mobility device demonstration program, all provisions; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act of 2015, all provisions; H.R. 2 - Medicare Access and CHIP Re-authorization Act of 2015, competitive bidding provisions; H.R. 2029 - Omnibus Appropriations Bill, DME provisions; S. 2425 - Patient Access and Medicare Protection Act, all provisions; H.R. 4185/S. 2312 - DME Rural Relief, all provisions; H.R. 3229/S. 2196 - Complex Rehab Accessories Relief, all provisions; S. 2736/H.R. 5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.

Client expense: $160,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Competitive Bidding Program; CBIC Round 2 decisions; S.2312, DME Access and Stabilization Act of 2015; H.R. 5210 & S.2736, Patient Access to DME Act of 2016; 21st Century Cures Act (2016).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Transition to Independence Act (S.1604) creates a five year transition to independence medicaid buy in demonstration program. Complex Rehabilitation Technology Acts (S. 1013) (H.R. 1516) amend Medicare to cover complex rehabilitation technology that is designed to meet an individuals medical, physical, functional and capacity for activities for daily living. Lifespan Respite Care Act (H.R. 3248) increases the availability and coordination of respite care services for family caregivers of individuals with disabilities, regardless of age. Disability Integration Act of 2015 (S.2427) amends state and local governments plans to house people with disabilities in defined living spaces. Special Needs Trust Fairness Act of 2015 (H.R. 670) (S.349) Disability Community Support for Protecting Patient Access to Durable Medical Equipment of 2016 (H.R. 5210)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE

Durable medical equipment rural relief; HR 5210; S. 2736

Client expense: Not reported · Firm income: $19,595

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement issues; S.2736 - Patient Access to Durable Medical Equipment Act; H.R. 5210 - Patient Access to Durable Medical Equipment Act; Legislative work to address rural-relief, additional cuts to the DME industry in July 2016; Medicare Claim Audit Volume and CMS contractor inconsistencies; Implementation of Prior Authorization for Oxygen.

Client expense: Not reported · Firm income: $90,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (incorporating HR 284 and S. 148, the Medicare DMEPOS Competitive Bidding Improvement Act of 2015), Pub. L. No. 114-10; Medicare audit issues related to reimbursement and implementation of the DMEPOS competitive bidding program; Implementing P.L 113-93 the Protecting Access to Medicare Act of 2014; HR 1021 Protecting the Integrity of Medicare Act of 2015; DMEPOS Prior Authorization proposed rule; DMEPOS Medicare payment proposed rule and final rule implementation; DMEPOS prior authorization proposed and final rule; S. 2312,DME Access and Stabilization Act of 2015; H.R. 4185, Protecting Access through Competitive�pricing Transition Act of 2015; H.R. 5210 and S. 2736, the Patient Access to Durable Medical Equipment Act of 2016, the Beneficiary Respiratory Equipment Access and Transparency to Home Ventilator Care (BREATH) Act of 2016

Client expense: Not reported · Firm income: $37,500

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

H.R. 1427: Medicare CGM Access Act of 2014. H.R. 5210: Patient Access to DME Act. Issues related to Unique Device Identifiers and Medical Claims.

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

Government targets: HOUSE OF REPRESENTATIVES

Issues related to competitive bidding for DME products. H.R. 5210 and S. 2736- Patient Access to Durable Medical Equipment Act- provisions related to patient access. H.R. 1427/S.804- Medicare CGM Access Act of 2015- Provisions related to continuous glucose monitoring.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1427/S.804 - Medicare CGM Access Act of 2015 - provisions related to continuous glucose monitoring. Issues related to competitive bidding for DME products. Issues related to physician-owned distributors. H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act - provisions related to patient access.

Client expense: $940,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Transition to Independence Act (S.1604) creates a five year transition to independence medicaid buy in demonstration program. Complex Rehabilitation Technology Acts (S. 1013) (H.R. 1516) amend Medicare to cover complex rehabilitation technology that is designed to meet an individuals medical, physical, functional and capacity for activities for daily living. Lifespan Respite Care Act (H.R. 3248) increases the availability and coordination of respite care services for family caregivers of individuals with disabilities, regardless of age. Disability Integration Act of 2015 (S.2427) amends state and local governments plans to house people with disabilities in defined living spaces. Special Needs Trust Fairness Act of 2015 (H.R. 670) (S.349) Disability Community Support for Protecting Patient Access to Durable Medical Equipment of 2016 (H.R. 5210)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 H.R. 5164 - Rural Hospital Regulatory Relief Act H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 5613/S. 3129 - Continuing Access to Hospitals Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act S. 2787 - States Achieve Medicaid Expansion (SAME) Act S. 3130 - Independence at Home Act of 2016

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

- HR 1427/S 804, "Medicare CGM Access Act of 2015", regarding all provisions. - HR 284, "Medicare DMEPOS Competitive Bidding Improvement Act of 2015", regarding all provisions. - Issues regarding combination products. - Issues regarding Transferable Regulatory Exclusivity Incentive. - Issues related to Expanded Access. - S. 2736/ HR 5210, "Patient Access to Durable Medical Equipment Act of 2016", regarding all provisions. - Issues related to competitive bidding for DME products. - S. 2484, "Connect for Health Act", Provisions related to expanded use of RPM for certain patients with chronic conditions.

Client expense: $890,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, U.S. Trade Representative (USTR)

S. 314 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 592 - Pharmacy and Medically Underserved Areas Enhancement Act H.R. 1270 - Restoring Access to Medication Act of 2015 S. 709 - Restoring Access to Medication Act of 2015 S.776 - Medication Therapy Management Empowerment Act of 2015 H.R. 793 - Ensuring Seniors Access to Pharmacies Act of 2015 H.R. 1021, the Protecting the Integrity of Medicare Act (PIMA) of 2015 H.R.2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R.6 - 21st Century Cures Act S.1190 - Ensuring Seniors Access to Local Pharmacies Act of 2015 S. 1913 - Stopping Medication Abuse and Protecting Seniors Act of 2015 H.R.4878 - Better Care, Lower Cost Act S. 3094 - Price Relief, Innovation, and Competition for Essential Drugs Act HR 5573 - Price Relief, Innovation and Competition for Essential Drugs Act 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. HR 5210-Patient Access to Durable Medical Equipment Act S 2736-Patient Access to Durable Medical Equipment Act of 2016 H.R. 1192 - National Diabetes Clinical Care Commission Act S. 3056 - Creating and Restoring Equal Access to Equivalent Samples Act H.R. 5951- Improving Transparency and Accuracy in Medicare Part B Spending

Client expense: $920,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

General Medicare issues and legislation affecting durable medical equipment (DME) reimbursement and regulation. H.R.5210: PADME Act.

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

Government targets: HOUSE OF REPRESENTATIVES

S. 2425 - Patient Access and Medicare Protection Act H.R. 605/S. 275 - Medicare Home Infusion Site of Care Act H.R. 4273 - Medicare and Medicaid Improvements and Adjustments Act, ASP H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act **no specific bills; ASP, competitive bidding, Part B demonstration, MLN Learning Matters Billing Guidance H.R. 5122 - Part B demonstration

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

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

PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation ***, no specific bill(s), diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling, PODs, Cost centers, ICD-10, Stark H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1470/S. 810 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R. 1021 - Protecting the Integrity of Medicare Act of 2015 S. 2425 - Patient Access and Medicare Protection Act H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5009/S. 2998 - Ensuring Access to Critical Breakthrough Products Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

House Bills H.R. 712, the Sunshine for Regulatory Decrees and Settlements Act - support. H.R. 1671, Government Neutrality in Contracting Act - support. H.R. 4612, the Midnight Rule Relief Act - support. H.R. 3624, the Fraudulent Joinder Prevention Act - support. H.R. 4293, the Affordable Retirement Advice Protection Act - support. H.R. 4294, the Strengthening Access to Valuable Education and Retirement Support Act - support. H.R. 3433, the Protecting Orderly and Responsible Transit of Shipments (PORTS) Act - support. Amendment included in Section 913 of S 1269 - oppose. H.R. 3765, The ADA Education and Reform Act of 2015 - support. H.R. 4773, the Protecting Workplace Advancement and Opportunity Act - support. H.R. 5447 (H.R. 2911), the Small Business Healthcare Relief Act - support. H. J. Res. 87, a Congressional Review Act resolution of disapproval in response to the controversial persuader rule issued by the U.S. Department of Labor (DOL) - support. Section 110 to the FY2017 Energy and Water Development, and Related Agencies Appropriations Act - support. Perry Amendment to H.R. 4974, ensuring fair and open competition for federal construction contracts funded by the Military Construction, Veterans Affairs (MilCon/VA) Appropriations Bill for Fiscal Year 2017 - support. FY2017 Labor, Health and Human Services, Education, and Related Agencies Appropriations Act. H.R. 5210, PADME ACT - Patient Access to Durable Medical Equipment Act - support. H.R. 6094, the Regulatory Relief for Small Businesses, Schools, and Nonprofits Act - support. H.R. 3438, the Require Evaluation before Implementing Executive Wishlists (REVIEW) Act of 2016 - support. H.R. 5523, the Clyde-Hirsch-Sowers RESPECT Act - support. H.R. 5813, the Overtime Reform and Enhancement Act - support. Senate Bills S. 2582, the Midnight Rule Relief Act - support. S. 1519, the Protecting Orderly and Responsible Transit of Shipments (PORTS) Act - support. S. 2225, the Save our Small and Seasonal Businesses Act - support. S. 2707, the Protecting Workplace Advancement and Opportunity Act - support. Prove It Act of 2016 - support. Hoeven Amendent to amendment to the FY2017 Energy and Water Development, and Related Agencies Appropriations Act - support. S. 2736, the Patient Access to Durable Medical Equipment Act of 2016 - support. S. 71, Government Neutrality in Contracting Act - support. S. 2844, the fiscal year (FY) 2017 Transportation, Housing and Urban Development, and Related Agencies (T-HUD) appropriations bill. S. 3060 / S. 1697, the Small Business Healthcare Relief Act - support. S. 2736, PADME ACT - Patient Access to Durable Medical Equipment Act - support. S. 3464, the Overtime Reform and Review Act - support. S. 3462, the Regulatory Relief for Small Businesses, Schools, and Nonprofits Act - support. The ADA Education and Reform Act - support. Hearings Walter Carpenter testified before the Subcommittee on Human Resources Committee on Ways and Means on Unemployment Insurance: An Overview of the Challenges and Strengths of Todays System. September 7, 2016 Comments August 31, 2016 - Docket ID EPA-HQ-OPPT-2016-0126 - Section 610 Review of Lead-Based Paint Activities; Training and Certification for Renovation and Remodeling Section 402(c)(3) August 4, 2016 - Department of Treasury, IRS - RIN 1545-BB71. Estate, Gift, and Generation-skipping Transfer Taxes; Restrictions on Liquidation of an Interest. Other Issues Joint employer standard PN1258 - Merrick Garland nomination to the U.S. Supreme Court Estate tax

Client expense: $860,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

Medical Foods Equity Act. S. 2736/H.R. 5210 Patient Access to Durable Medical Equipment Act.

Client expense: $440,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Labor, Dept of (DOL), Pension Benefit Guaranty Corporation (PBGC), SENATE, Treasury, Dept of

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R.6 - 21st Century Cures Act, competitive bidding issues; S.2425 - Patient Access and Medicare Protection Act, all provisions; H.R.4185/S.2312 - DME Rural Relief, all provisions; S.2736/H.R.5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to the home healthcare equipment market. Issues related to Medicare reimbursement levels. Issues related to CMS Round 3 DME Rule. Issues related to the Patient Access to Durable Medical Equipment (PADME) Act of 2016 HR 5210 and S 2736.

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

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, all provisions; H.R. 284/S. 148 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, all provisions; Medicare Audit Improvement and Reform (AIR) Act, all provisions; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R. 6 - 21st Century Cures Act, competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2437 - Creating prior authorization process for DME items, all provisions; Expanding and making permanent the Medicare power mobility device demonstration program, all provisions; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act of 2015, all provisions; H.R. 2 - Medicare Access and CHIP Re-authorization Act of 2015, competitive bidding provisions; H.R. 2029 - Omnibus Appropriations Bill, DME provisions; S. 2425 - Patient Access and Medicare Protection Act, all provisions; H.R. 4185/S. 2312 - DME Rural Relief, all provisions; H.R. 3229/S. 2196 - Complex Rehab Accessories Relief, all provisions; S. 2736/H.R. 5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

H.R. 1516 and S. 1013, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015; H.R. 3229 and S. 2196, To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories; H.R. 5210 and S. 2736, Patient Access to Durable Medical Equipment (PADME) Act.

Client expense: $107,500 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

Competitive Bidding Program; CBIC Round 2 decisions; S.2312, DME Access and Stabilization Act of 2015; H.R. 5210 & S.2736, Patient Access to DME Act of 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement issues; S.2736 - Patient Access to Durable Medical Equipment Act; H.R. 5210 - Patient Access to Durable Medical Equipment Act; Legislative work to address rural-relief, additional cuts to the DME industry in July 2016; Medicare Claim Audit Volume and CMS contractor inconsistencies; Implementation of Prior Authorization for Oxygen.

Client expense: Not reported · Firm income: $100,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1427: Medicare CGM Access Act of 2014. H.R. 5210: Patient Access to DME Act. Issues related to Unique Device Identifiers and Medical Claims.

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

Government targets: HOUSE OF REPRESENTATIVES

H.R. 1427/S.804 - Medicare CGM Access Act of 2015 - provisions related to continuous glucose monitoring. Issues related to competitive bidding for DME products. Issues related to physician-owned distributors. H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act - provisions related to patient access.

Client expense: $920,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supports H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015 - Creates a separate benefit under Medicare for complex rehab technology. Supports H.R. 3229/S. 2196 - This bill amends title XVIII (Medicare) of the Social Security Act to prohibit the application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories. (A competitive bidding program has replaced the use of established fee schedule amounts to determine payments under Medicare for certain durable medical equipment such as wheelchairs.) Conducted a Congressional Expo and Briefing on HR 1516/S. 1013 and H.R. 3229 and S. 2196 and educated Congress and the Government Accountability Office on the differences between manual and power CRT. United Spinal, as one of several consumer and disability stakeholders, raised concerns with the Administration for Community Living and the Centers for Medicare and Medicaid Services on access to durable medical equipment as urological and ostomy supplies with the expansion of competitive bidding under Medicare. United Spinal, in collaboration with United Spinals Urology Coalition, opposes expanding Medicares competitive bidding program to urology and ostomy supplies, as laid out in the Presidents Budget. United Spinal also sent a consumer and clinician letter to the committees of jurisdiction opposing the expansion. Part B Demonstration United Spinal signed onto two separate letters led by the Partnership to Improve Patient Care and the MS Coalition, to the Centers for Medicare and Medicaid Services opposing tying payment of drugs to cost-effectiveness. In early 2016, several bipartisan and nonpartisan organizations, including the Bipartisan Policy Center and the Long-Term Care Financing Collaborative, released reports on a path forward for future financing of our nations long-term care needs. The problem is clear: while our nation is aging and people are living longer with disabilities and chronic conditions, we lack a coherent plan on how to provide for their care and supports. Our current financing system relies almost entirely on Medicaid and unpaid family caregivers, both of which thwart family financial planning and hinder the economic opportunities of women, people of color, and people with disabilities. The Consortium for Citizens with Disabilities (CCD) Long-Term Services and Supports Task Force of CCD released a statement, which United Spinal endorsed, to weigh in on the recent reports on long-term care financing, express our support for Medicaid improvements, and support the emerging consensus on the need for a public insurance program. United Spinal signed onto an ITEM Coalition letter in support of HR 5210, the Protecting Patient Access to Durable Medical Equipment Act to Secretary Sylvia Burwell of the Department of Health and Human Services. This letter urged the Centers for Medicare and Medicaid Services (CMS) to extend the current six-month phase-in of modified payment for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) for an additional 12 months to avoid disruption in care to beneficiaries. United Spinal is working on increasing coverage for powered exoskeleton devices and on a Congressional advocacy campaign to make Congress aware of research showing benefits to SCI individual in the use of these devices and to help powered exoskeleton devices gain and maintain regulatory approvals and additional insurance carrier recognition.

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

Transition to Independence Act (S.1604) creates a five year transition to independence medicaid buy in demonstration program. Complex Rehabilitation Technology Acts (S. 1013) (H.R. 1516) amend Medicare to cover complex rehabilitation technology that is designed to meet an individuals medical, physical, functional and capacity for activities for daily living. Lifespan Respite Care Act (H.R. 3248) increases the availability and coordination of respite care services for family caregivers of individuals with disabilities, regardless of age. Disability Integration Act of 2015 (S.2427) amends state and local governments plans to house people with disabilities in defined living spaces. Special Needs Trust Fairness Act of 2015 (H.R. 670) (S.349) Disability Community Support for Protecting Patient Access to Durable Medical Equipment of 2016 (H.R. 5210)

Client expense: Not reported · Firm income: Not reported

Government targets: Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation ***, no specific bill(s), diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling, PODs, Cost centers, ICD-10, Stark H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1470/S. 810 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R. 1021 - Protecting the Integrity of Medicare Act of 2015 S. 2425 - Patient Access and Medicare Protection Act H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 2425 - Patient Access and Medicare Protection Act H.R. 605/S. 275 - Medicare Home Infusion Site of Care Act H.R. 4273 - Medicare and Medicaid Improvements and Adjustments Act, ASP H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act **no specific bills; ASP, competitive bidding, Part B demonstration H.R. 5122 - Part B demonstration

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE