Stabilize Medicaid and CHIP Coverage Act

Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; Capped Medicaid Funding Proposals; H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

S.428/H.R.700, Stabilize Medicaid and CHIP Coverage Act of 2015. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

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

H.R. 546, Advancing Care for Exceptional Kids Act of 2015, all provisions; S.298, Advancing Care for Exceptional Kids Act of 2015, all provisions; H.R. 700, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; S.428, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; Medicaid reform, ensuring coverage for children.

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

Government targets: 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. 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

H.R. 546, Advancing Care for Exceptional Kids Act of 2015, all provisions; S.298, Advancing Care for Exceptional Kids Act of 2015, all provisions; H.R. 700, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; S.428, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; Policies to improve and streamline Medicaid credentialing for out-of-state pediatric providers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; Medicaid state financing mechanisms; Capped Medicaid Funding Proposals; CHIP funding extension; Impact of enhanced state flexibility in managing Medicaid programs; Marketing rule consistency across Medicaid and the Exchange; H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016

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

Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles H.R. 700, Stabilize Medicaid and CHIP Coverage Act High cost specialty medications Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment S. 428, Stabilize Medicaid and CHIP Coverage Act S. 737, Ensuring Access to Primary Care for Women & Children Act 50th Anniversary of Medicaid HR 2505 HR 2506 HR 2507 HR 2579 ACE Kids Act, HR 546/S 298 Mental Health and Medicaid HR 2646 Medicaid DOC Act; Provider directories S.2104 Impact of enhanced state flexibility in managing Medicaid programs Medicaid eligibility and enrollment issues Medicaid Provider Payments Fraud Waste and Abuse in Medicare and Medicaid H.R.3716/S.2669 regarding prohibiting federal payment under Medicaid for nonemergency services furnished by providers whose participation in Medicaid, Medicare, or CHIP has been terminated H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016

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

S.428/H.R.700, Stabilize Medicaid and CHIP Coverage Act of 2015. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

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

Prevention & Public Health Fund (PPHF) - support for funding/implementation of the ACA, including NECELC; support for S. 2713, the Advancing Precision Medicine Act of 2016; support for maintaining child nutrition reauthorization, specifically CACFP, school lunch and breakfast programs; support for S. 2680, the Mental Health Reform Act of 2016; support for Reducing Obesity in Youth Act S.3194; support for H.R. 4524, the Children's CARE Act; and discussions on S.298/HR 546 ACE Kids Act; S. 2821 True LEADership Act of 2016; S.689 Sports Medicine licensing; CHIPRA (no bill #); Race for Kids Act S.3239, H.R. 5858;Stabilize Medicaid and CHIP Coverage Act of 2015 (SMCA) - H.R.700/ S.428;

Client expense: $15,024 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of the Vice President of the United States, 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. 5273 - Helping Hospitals Improve Patient Care 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

Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles H.R. 700, Stabilize Medicaid and CHIP Coverage Act High cost specialty medications Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment S. 428, Stabilize Medicaid and CHIP Coverage Act S. 737, Ensuring Access to Primary Care for Women & Children Act 50th Anniversary of Medicaid HR 2505 HR 2506 HR 2507 HR 2579 ACE Kids Act, HR 546/S 298 Mental Health and Medicaid HR 2646 Medicaid DOC Act; Provider directories S.2104 Impact of enhanced state flexibility in managing Medicaid programs Medicaid eligibility and enrollment issues Medicaid Provider Payments Fraud Waste and Abuse in Medicare and Medicaid H.R.3716/S.2669 regarding prohibiting federal payment under Medicaid for nonemergency services furnished by providers whose participation in Medicaid, Medicare, or CHIP has been terminated H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016

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

S.428/H.R.700, Stabilize Medicaid and CHIP Coverage Act of 2015. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

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

Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Mental Health Parity; Network adequacy; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; H.R. 4588, Incentivizing Medicaid Expansion Act of 2016; Amendment to S. Con. Res. 11 Regarding Continuous Eligibility in Medicaid; Capped Medicaid Funding Proposals; H.R.3716/S.2669 regarding prohibiting federal payment under Medicaid for nonemergency services furnished by providers whose participation in Medicaid, Medicare, or CHIP has been terminated; H.R.5542 - Medicaid and CHIP Quality Improvement Act of 2016

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

H.R. 546, Advancing Care for Exceptional Kids Act of 2015, all provisions; S.298, Advancing Care for Exceptional Kids Act of 2015, all provisions; H.R. 700, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; S.428, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; Policies to improve and streamline Medicaid credentialing for out-of-state pediatric providers

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

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 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.428/H.R.700, Stabilize Medicaid and CHIP Coverage Act of 2015. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

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

340B drug discount program; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 3821, Medicaid Directory of Caregivers Act; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid Provider Payments; Medicaid quality measurement and improvement; Mental Health Issues and Legislation; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Provider Directories; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2438, Medicaid and CHIP Quality Improvement Act; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs; H.R. 4588, Incentivizing Medicaid Expansion Act of 2016; Medicaid expansion activities; Medicaid state financing mechanisms

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

H.R. 546, Advancing Care for Exceptional Kids Act of 2015, all provisions; S.298, Advancing Care for Exceptional Kids Act of 2015, all provisions; H.R. 700, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; S.428, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; Medicaid financing related to pediatric population and access to dental services.

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

Government targets: Administration for Children & Families (ACF), HOUSE OF REPRESENTATIVES, Office of the Vice President of the United States, SENATE

Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles H.R. 700, Stabilize Medicaid and CHIP Coverage Act High cost specialty medications Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment S. 428, Stabilize Medicaid and CHIP Coverage Act S. 737, Ensuring Access to Primary Care for Women & Children Act 50th Anniversary of Medicaid HR 2505 HR 2506 HR 2507 HR 2579 ACE Kids Act, HR 546/S 298 Mental Health and Medicaid HR 2646 Medicaid DOC Act; Provider directories S.2104 Impact of enhanced state flexibility in managing Medicaid programs Medicaid eligibility and enrollment issues Medicaid Provider Payments Fraud Waste and Abuse in Medicare and Medicaid

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 489 - To require States to report information on Medicaid payments to abortion providers: entire bill HR 610 - To amend title XIX of the Social Security Act to audit States to determine if such States used Medicaid funds in violation of the Hyde Amendment and other Federal prohibitions on funding for abortions, and for other purposes: entire bill HR 700/S 428 - Stabilize Medicaid and CHIP Coverage Act: entire bill HR 919 - CHIP Extension and Improvement Act: entire bill S 522 - Protecting And Retaining Our Children's Health Insurance Program Act: entire bill HR 2 - Medicare Access and CHIP Reauthorization Act: entire bill HR 1502 - Medicaid Parity Act: entire bill S 1549 - Care Planning Act: entire bill HR 2660 - WIC Act: entire bill H.R.3495 - Women's Public Health and Safety Act

Client expense: $42,941 · Firm income: Not reported

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. 2151 - Improving Oversight and Accountability in Medicaid Non-DSH Supplemental Payments 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 - Medicaid Directory of Caregivers (Medicaid DOC) Act 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

Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles H.R. 700, Stabilize Medicaid and CHIP Coverage Act High cost specialty medications Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment S. 428, Stabilize Medicaid and CHIP Coverage Act S. 737, Ensuring Access to Primary Care for Women & Children Act 50th Anniversary of Medicaid HR 2505 HR 2506 HR 2507 HR 2579 ACE Kids Act, HR 546/S 298 Mental Health and Medicaid HR 2646 Medicaid DOC Act; Provider directories S.2104 Impact of enhanced state flexibility in managing Medicaid programs

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Generic medications; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 3821, Medicaid Directory of Caregivers Act; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Home and community based services; Impact of enhanced state flexibility in managing Medicaid programs; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid Provider Payments; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Issues and Legislation; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Provider Directories; Psychotropic medication use among foster care children; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

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

S.428/H.R.700, Stabilize Medicaid and CHIP Coverage Act of 2015. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

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

H.R. 546, Advancing Care for Exceptional Kids Act of 2015, all provisions; S.298, Advancing Care for Exceptional Kids Act of 2015, all provisions; H.R. 700, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; S.428, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; Medicaid financing related to pediatric population.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 489 - To require States to report information on Medicaid payments to abortion providers: entire bill HR 610 - To amend title XIX of the Social Security Act to audit States to determine if such States used Medicaid funds in violation of the Hyde Amendment and other Federal prohibitions on funding for abortions, and for other purposes: entire bill HR 700/S 428 - Stabilize Medicaid and CHIP Coverage Act: entire bill HR 919 - CHIP Extension and Improvement Act: entire bill S 522 - Protecting And Retaining Our Children's Health Insurance Program Act: entire bill HR 2 - Medicare Access and CHIP Reauthorization Act: entire bill HR 1502 - Medicaid Parity Act: entire bill S 1549 - Care Planning Act: entire bill HR 2660 - WIC Act: entire bill H.R.3495 - Women's Public Health and Safety Act

Client expense: $278,546 · Firm income: Not reported

Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles H.R. 700, Stabilize Medicaid and CHIP Coverage Act High cost specialty medications Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment S. 428, Stabilize Medicaid and CHIP Coverage Act S. 737, Ensuring Access to Primary Care for Women & Children Act 50th Anniversary of Medicaid HR 2505 HR 2506 HR 2507 HR 2579 ACE Kids Act, HR 546/S 298 Mental Health and Medicaid HR 2646 Use of psychotropic drugs in Medicaid Medicaid DOC Act S.2104

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

Government targets: 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 Telehealth provisions of the discussion draft 21st Century Cures legislation 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. 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. 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 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

"State of Medicaid" Congressional briefing and related advocacy and policy documents; 50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. ___, Medicaid Directory of Caregivers Act; H.R. 2582, Seniors' Health Care Plan Protection Act of 2015; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Marketing rule consistency across Medicaid and the Exchange; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care external quality review standards; Medicaid managed care regulations; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Issues and Legislation; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Provider Directories; Psychotropic medication use among foster care children; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 2104, Preserving Medicare Advantage for all Medicare Beneficiaries Act of 2015; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

H.R. 546 - Advancing Care for Exceptional Kids Act of 2015 S. 298 - Advancing Care for Exceptional Kids Act of 2015 H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 Issues regarding The Children's Health Insurance Program (CHIP) S. 428 - Stabilize Medicaid and CHIP Coverage Act of 2015 H.R. 700 - Stabilize Medicaid and CHIP Coverage Act of 2015 H.R. 6 - 21st Century Cures Act, and untitled Senate HELP Committee innovations bill, issues relating to pediatric research S. 1893 - Mental Health Awareness and Improve Act of 2015, issues relating to pediatric mental health H.R. 1859 - The Ensuring Childrens Access to Specialty Care Act of 2015 Issues relating to 340B Drug Pricing Program Omnibus Guidance, and Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties Regulation FY 2016 Senate and House Labor-HHS appropriations provisions - Children's Hospital Graduate Medical Education (CHGME) program S. 799 - Protecting Our Infants Act of 2015 H.R. 1462 - Protecting Our Infants Act of 2015 S. 737 - Ensuring Access to Primary Care for Women & Children Act Issues related to extension of pediatric quality funding for the Pediatric Quality Measures Program (PQMP) and related demonstration grants Issues related to implementation of all provisions related to health, coverage, benefits, and Medicaid from H.R. 3590 - Patient Protection and Affordable Care Act Issues relating to pediatrics within Medicaid managed care Issues relating to health plan consumer information/Summary of Benefits and Coverage (SBC) Issues relating to modifications to Electronic Health Record Incentive Program, Stage 1 and Stage 2 of Meaningful Use Support for congressional approval of CMS administrator nomination

Client expense: $850,000 · Firm income: Not reported

H.R. 546, Advancing Care for Exceptional Kids Act of 2015, all provisions; S.298, Advancing Care for Exceptional Kids Act of 2015, all provisions; H.R. 700, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; S.428, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; Medicaid financing related to pediatric population.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.428/H.R.700, Stabilize Medicaid and CHIP Coverage Act of 2015. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

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

HR 489 - To require States to report information on Medicaid payments to abortion providers: entire bill HR 610 - To amend title XIX of the Social Security Act to audit States to determine if such States used Medicaid funds in violation of the Hyde Amendment and other Federal prohibitions on funding for abortions, and for other purposes: entire bill HR 700/S 428 - Stabilize Medicaid and CHIP Coverage Act: entire bill HR 919 - CHIP Extension and Improvement Act: entire bill S 522 - Protecting And Retaining Our Children's Health Insurance Program Act: entire bill HR 2 - Medicare Access and CHIP Reauthorization Act: entire bill HR 1502 - Medicaid Parity Act: entire bill S 1549 - Care Planning Act: entire bill HR 2660 - WIC Act: entire bill

Client expense: $172,805 · Firm income: Not reported

H.R. 546 - Advancing Care for Exceptional Kids Act of 2015 S.298 - Advancing Care for Exceptional Kids Act of 2015 2016 ACE Kids Act Budget Amendment H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 Issues regarding The Children 's Health Insurance Program (CHIP) S.428 - Stabilize Medicaid and CHIP Coverage Act of 2015 H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 6 - 21st Century Cures Act, issues relating to pediatric research Issues related to the 340B Drug Discount Program FY 2016 Senate and House Labor-HHS appropriations provisions - Children's Hospital Graduate Medical Education (CHGME) program S.799 - Protecting Our Infants Act of 2015 H.R. 1462 - Protecting Our Infants Act of 2015 S. 737 - Ensuring Access to Primary Care for Women & Children Act H.R. 647 - Access to Life-Saving Trauma Care for All Americans Act H.R. 648 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act Issues related to extension of pediatric quality funding for the Pediatric Quality Measures Program and related demonstration grants Issues related to pediatric network adequacy, benefits and services Issues related to implementation of all provisions related to health, coverage, benefits, and Medicaid from H.R. 3590 - Patient Protection and Affordable Care Act Issues relating to health plan consumer information/Summary of Benefits and Coverage (SBC) Issues relating to modifications to Stage 1 and Stage 2 of Meaningful Use

Client expense: $1,160,000 · Firm income: Not reported

Actuarial soundness Amendment to S.Con.Res.11 regarding continuous enrollment in Medicaid Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs CHIP funding extension Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015 H.R. 700, Stabilize Medicaid and CHIP Coverage Act High cost specialty medications Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Marketing rule consistency across Medicaid and the Exchange Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid PCP rate increase Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment S. 428, Stabilize Medicaid and CHIP Coverage Act S. 737, Ensuring Access to Primary Care for Women & Children Act SNP reauthorization 50th Anniversary of Medicaid HR 2505 HR 2506 HR 2507 HR 2579 HR 546/S 298 Medicaid eligibility programs including TMA and QI

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

S.428/H.R.700, Stabilize Medicaid and CHIP Coverage Act of 2015. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

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 Medicare Payment Advisory Commission draft recommendations on per-beneficiary payment for primary care services Medicaid and CHIP Payment and Access Commission draft report to Congress on the adequacy of pediatric provider networks in qualified health plans. Telehealth provisions of the discussion draft 21st Century Cures legislation 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. 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. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act 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

50th Anniversary of Medicaid; Actuarial soundness; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; Capped Medicaid Funding Proposals; Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; Fraud, waste, and abuse issues for Medicare and Medicaid; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 2505, Medicare Advantage Coverage Transparency Act of 2015; H.R. 2506, Seniors' Health Care Plan Protection Act of 2015; H.R. 2507, Increasing Regulatory Fairness Act of 2015; H.R. 2579, Securing Care for Seniors Act of 2015; H.R. 546 and S. 298, The Advancing Care for Exceptional (ACE) Kids Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Impact of significant budget cuts in Medicaid; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid eligibility programs including TMA and QI; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care best practices; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Mental Health Parity; Network adequacy; Protecting Medicaid from reductions made during budget reconciliation; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; SNP reauthorization; SNP sustainability and improvements to MMPs

H.R. 546, Advancing Care for Exceptional Kids Act of 2015, all provisions; S.298, Advancing Care for Exceptional Kids Act of 2015, all provisions; H.R. 700, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; S.428, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; Medicaid financing related to pediatric population.

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

Government targets: 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 Medicare Payment Advisory Commission draft recommendations on per-beneficiary payment for primary care services Medicaid and CHIP Payment and Access Commission draft report to Congress on the adequacy of pediatric provider networks in qualified health plans. Telehealth provisions of the discussion draft 21st Century Cures legislation HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans H.R. 2 - Medicare Access and CHIP Reauthorization 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. 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. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act 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 - Ensuring Access to Primary Care for Women & Children Act

HR 489 - To require States to report information on Medicaid payments to abortion providers: entire bill HR 610 - To amend title XIX of the Social Security Act to audit States to determine if such States used Medicaid funds in violation of the Hyde Amendment and other Federal prohibitions on funding for abortions, and for other purposes: entire bill HR 700/S 428 - Stabilize Medicaid and CHIP Coverage Act: entire bill HR 919 - CHIP Extension and Improvement Act: entire bill S 522 - Protecting And Retaining Our Children's Health Insurance Program Act: entire bill HR 2 - Medicare Access and CHIP Reauthorization Act: entire bill HR 1502 - Medicaid Parity Act: entire bill

Client expense: $119,054 · Firm income: Not reported

H.R. 546 - Advancing Care for Exceptional Kids Act of 2015 S. 298 - Advancing Care for Exceptional Kids Act of 2015 FY 2016 ACE Kids Act Budget Amendment H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 Issues regarding The Childrens Health Insurance Program (CHIP) S. 428 - Stabilize Medicaid and CHIP Coverage Act of 2015 H.R. 700 - Stabilize Medicaid and CHIP Coverage Act S.799 - Protecting Our Infants Act of 2015 H.R. 1462 - Protecting Our Infants Act of 2015 S. 737 - Ensuring Access to Primary Care for Women & Children Act 21st Century Cures Initiative FY 2016 Senate and House Labor-HHS appropriations provisions - Emergency Medical Services for Children (EMSC) program FY 2016 Senate and House Labor-HHS appropriations provisions - Children's Hospital Graduate Medical Education (CHGME) program 340B Drug Discount Program H.R. 647 - Access to Life-Saving Trauma Care for All Americans Act H.R. 648 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act Issues related to extension of pediatric quality funding for the Pediatric Quality Measures Program and related demonstration grants Issues related to pediatric network adequacy, benefits and services Issues related to implementation of all provisions related to health, coverage, benefits, and Medicaid from H.R. 3590 - Patient Protection and Affordable Care Act Issues regarding pediatric quality measures program reauthorization generally (no bill number)

Client expense: $570,000 · Firm income: Not reported

Actuarial soundness Amendment to S.Con.Res.11 regarding continuous enrollment in Medicaid Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs CHIP funding extension Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015 H.R. 700, Stabilize Medicaid and CHIP Coverage Act High cost specialty medications Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Marketing rule consistency across Medicaid and the Exchange Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid PCP rate increase Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment S. 428, Stabilize Medicaid and CHIP Coverage Act S. 737, Ensuring Access to Primary Care for Women & Children Act SNP reauthorization

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Actuarial soundness; Amendment to S.Con.Res.11 regarding continuous enrollment in Medicaid; Appropriate payment, including risk adjustment, for D-SNPs and MMPs; Appropriate quality measurement for D-SNPs and MMPs; CHIP funding extension; Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 700, Stabilize Medicaid and CHIP Coverage Act; High cost specialty medications; Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs; Marketing rule consistency across Medicaid and the Exchange; Medicaid and Medicare reform discussions with MACPAC and MedPAC; Medicaid eligibility and enrollment issues; Medicaid health plans serving as qualified health plans in the Exchange; Medicaid managed care regulations; Medicaid PCP rate increase; Medicaid quality measurement and improvement; Medical loss ratio for Medicaid managed care plans; Network adequacy; Regulatory and systematic impact of Medicaid continuous coverage; Risk adjustment; S. 428, Stabilize Medicaid and CHIP Coverage Act; S. 737, Ensuring Access to Primary Care for Women & Children Act; SNP reauthorization

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

H.R. 546, Advancing Care for Exceptional Kids Act of 2015, all provisions; S.298, Advancing Care for Exceptional Kids Act of 2015, all provisions; H.R. 2, Medicare Access and CHIP Reauthorization Act, Title II extension of the Childrens Health Insurance Program and Sec.218 Maternal Infant and Early Childhood Home Visiting Program; H.R. 700, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions; S.428, Stabilize Medicaid and CHIP Continuous Enrollment Act of 2015, all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.428/H.R.700, Stabilize Medicaid and CHIP Coverage Act of 2015. Issues related to hospital, physician and other provider reimbursements. Issues related to Medicaid enrollment practices. Issues related to managed care. Issues relating to Medicare Advantage quality and special needs plans.

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

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