Hospital Quality Rating Transparency Act of 2016

Health and Human Services Appropriations - In support of increased funding for the Department of Health and Human Services including National Institutes of Health research programs and Title VII and Title VIII funding; Poison Control Centers and programs for teaching and research at academic medical centers. In support of the NIH peer review system and continued support of NIH funding. In support of funding for National Institute for Occupational Safety and Health. In support of funding for Agency for Healthcare Research and Quality. In support of extension for 340B Program. In support of 21st Century Cures bill, House amendment to the Senate amendment to H.R.34. In support of continuation of subsidized graduate student health care. In support of H.R.5273, Helping Hospitals Improve Patient Care Act. In support of legislation incorporating sociodemographics risk adjustment into Medicare Hospital Readmissions Reduction Program. In support of H.R.6088, the Hospital Quality Rating Transparency Act. In support of Sec. 603 of the Bipartisan Budget Act of 2015 re: site neutral policy. In support of Dr. Francis Collins remaining the National Institutes of Health Director.

Client expense: $140,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

H.R. 2124/S. 1148, Resident Physician Shortage Reduction Act of 2015 Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments H.R. 4774, The Training Tomorrows Doctors Today Act Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments. Increases transparency and accountability measures. Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose inclusion of Medicare add-on payments in Hospital-Acquired Condition (HAC) program. Issue: Oppose Medicare hospital cuts as offsets for physician payment reform Issue: Support delay of Enforcement of new Centers for Medicare and Medicaid Services inpatient criteria (e.g., "Two-Midnight" rule) in FY 2016 Inpatient Prospective Payment System (IPPS) final rule. H.R. 4732/S.2671, Advancing Medical Resident Training in Community Hospitals Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. H.R. 5273, Helping Hospitals Improve Patient Care Act of 2016 Issue: Support incorporating sociodemographic status Hospital Readmissions Reduction Program and addressing mid-build, off-campus outpatient departments under development at the time of enactment of the Bipartisan Budget Act of 2015. H.R. 1343/S. 688, Establishing Beneficiary Equity in the Hospital Readmissions Program Act of 2015 Issue: Support inclusion of socioeconomic status as part of hospital readmissions program. H.R. 3288, Strengthening DSH and Medicare through Subsidy Recapture and Payment Reform Act of 2015 Issue: Alter DSH payment methodology and increase DSH spending in non-Medicaid expansion states S. 2787, the States Achieve Medicaid Expansion (SAME) Act Issue: Support legislation providing three full years of federal Medicaid matching funding to states that expand Medicaid H.R. 3292, Medicare IME Pool Act of 2015 Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. H.R. 3291, Medicare Crosswalk Hospital Code Development Act of 2015 Issue: Create a crosswalk between Medicare Part A and Part B payments P.L. 114-10, Medicare Access and CHIP Reauthorization Act of 2015. Issues: Support repeal of Medicare's sustainable growth rate (SGR) formula; Medicare physician payment reform; extension of the Childrens Health Insurance Program (CHIP); and extension of mandatory funding for the National Health Service Corps (NHSC). H.R. 1117, Creating Access to Residency Education Act of 2015 Issue: Create CMS grant program for new residency programs. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Draft Hospital Improvements for Payment (HIP) Act of 2014 Issues: Support repeal of CMS Two-Midnights Rule, extending RAC audit moratorium for short stays, and permanent bundle program. Issue: Oppose further delays in the implementation of the ICD-10 system Issue: Support inclusion of socioeconomic status as part of hospital readmissions program including support for adoption of National Quality Forum (NQF) recommendations. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders H.R. 6088, Hospital Quality Rating Transparency Act of 2016 Issue: delay release of CMS Hospital Compare Star Ratings to give stakeholders time to work together to address concerns with methodology. Submitted comments to: --CMS on the Medicaid DSH Payment Proposed Rule. --CMS on the CY 2017 Outpatient Prospective Payment System (OPPS) Proposed Rule. --CMS on revisions to payment policies under the Physician Fee Schedule and other revisions to Part B for CY 2017. --CMS regarding concerns with Hospital Compare Star Ratings.

Preventive Health Savings Act (H.R. 3660/S. 3126) House FY17 Labor, Health and Human Services, and Education and Related Agencies (Labor-HHS) Appropriations Bill Comprehensive Addiction and Recovery Act of 2016 (H.R. 953/S. 524) Helping Hospitals Improve Patient Care Act of 2016 (H.R. 5273) Hospital outpatient department reimbursement legislation (no specific bill number) Hospital Quality Rating Transparency Act of 2016 (H.R. 6088) 21st Century Cures Act (H.R. 6) Senate Health Innovations Package Improving Health Information Technology Act (S. 2511) MACRA Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act (S. 3056) The ACO Improvement Act (H.R. 6101)

Client expense: $290,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1343/ S. 688 Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015. Issues pertaining to Hospitals Outpatient Department (HOPD) provisions in the 2015 Bipartisan Budget Act. HR 5273 Helping Hospitals Improve Patient Care Act of 2016, issues relating to HOPD. HR 6088 Hospital Quality Rating Transparency Act of 2016, issues regarding Star ratings

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

Health and Human Services Appropriations - In support of increased funding for the Department of Health and Human Services including National Institutes of Health research programs and Title VII and Title VIII funding; Poison Control Centers and programs for teaching and research at academic medical centers. In support of the NIH peer review system and continued support of NIH funding.In support of full restoration of NIH funding. In support of funding for National Institute for Occupational Safety and Health. In support of funding for Agency for Healthcare Research and Quality. In support of extension for 340B Program. In support of 21st Century Cures Initiative. In support of continuation of subsidized graduate student health care. In support of Centers for Medicare and Medicaid Services working with Congress to address concerns for Hospital Compare Star Ratings; in support of delay of Ratings release. In support of merger of Penn State Health and Pinnacle Health. In support of S.3056, Creating and Restoring Equal Access to Equivalent Samples Act. In support of H.R.5273, Helping Hospitals Improve Patient Care Act. In support of H.R.6088, the Hospital Quality Rating Transparency Act. In support of Sec. 603 of the Bipartisan Budget Act of 2015 re: site neutral policy. In support of authorization of center to coordinate data collection on college mental health sciences.

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