Electronic Health Fairness Act of 2015

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 3770, End Surprise Billing Act of 2015 Hospital Improvements for Payment Act Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling- Medicare sequestration QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

support HR 2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support funding for hospital/health care/safety related issues using health information technology;support Ellmers Meaningful Use letters;support HR 887 on meaningful use at ASCs;support HR 2531 on physician owned hospitals;support S.2425 hardship for health IT;support relief for underdevelopment HOPD

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1220 / S. 624 - Removing Barriers to Colorectal Cancer Screening Act S. 1347 / HR 887 -- The Electronic Health Fairness Act; A bill exempting patient encounters that occur in Ambulatory Surgery Centers when calculating attainment of the Medicare Electronic Health Record Meaningful Use requirements. Further Flexibility in HIT Reporting and Advancing Interoperability Act (FLEX-IT 2 Act) (H.R. 3309)

Client expense: Not reported · Firm income: $28,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1453/S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015 H.R. 1220/S. 624 - Removing Barriers to Colorectal Cancer Screening Act of 2015 H.R. 887/S. 1347 - Electronic Health Fairness Act of 2015 H.R. 1314 - Bipartisan Budget Act of 2015 H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 2299 - To amend title XVIII of the Social Security Act to provide for site-of-service price transparency under the Medicare program H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $201,900 · Firm income: Not reported

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

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Opposition to proposed Part B demo (81 FR 13229). MACRA Implementation (81 FR 28161). EHR Provision in HR 5273 -Helping Hospitals Improve Patient Care Act of 2016. Support for H.R.5122 - To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1453 & S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015. H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Section 203 of HR 5273 - Helping Hospitals Improve Patient Care Act of 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 815 and S.1661: Legislation which removes broker commissions from the MLR calculation in the health reform law. H.R. 30 and S. 40: To restore the traditional 40-hour workweek from 30-hours H.R. 762 and S. 379: To increase the eligibility and effectiveness of the small business tax credit H.R. 928 and S.183: Legislation to eliminate the new national premium tax H.R. 588: Legislation to restore the open-enrollment period for Medicare beneficiaries to make a one-time plan switch to another Medicare Advantage plan or return to traditional Medicare for 90 days after the beginning of each calendar year. H.R. 290: the CARES act, which would change the three-day inpatient hospital admission requirement for Medicare beneficiaries who are in need of skilled nursing facility services to also allow hospital stays under observation status to count. H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1624: To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. Senator Burr, Hatch, and Uptons Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act which would replace the Affordable Care Act H.R. 876: Amends title XVIII (Medicare) of the Social Security Act to require a hospital with an agreement with the Secretary of Health and Human Services to give each individual entitled to benefits under Medicare part A (Hospital Insurance), whom the hospital classifies for more than 24 hours as an outpatient under observation status or any other similar status, an adequate oral and written notification within 36 hours of that classification. H.R. 1533: To amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices, and for other purposes. S. 620 and H.R. 1189: The Preserving Employee Wellness Programs Act, looks to reaffirm existing law allowing employee wellness programs tied to financial awards H.R. 1547: To amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted as part of the Patient Protection and Affordable Care Act. H.R. 887: Electronic Health Fairness Act of 2015, Amends title XVIII (Medicare) of the Social Security Act to prohibit any patient encounter of an eligible professional occurring at an ambulatory surgical center from being treated as such an encounter in determining whether an eligible professional qualifies as a meaningful electronic health record (EHR) user. H.R. 1570: To provide for greater transparency and information with respect to Federal expenditures under the Medicaid and CHIP programs in the territories of the United States, and for other purposes. S. 254: Small Business Health Relief Act of 2015 H.R. 1270: Repeals provisions of the Internal Revenue Code, as added by the Patient Protection and Affordable Care Act, that limit payments for medications from health savings accounts, medical savings accounts, and health flexible spending arrangements to only prescription drugs or insulin (thus allowing distributions from such accounts for over-the-counter drugs). S. 884: A bill to improve access to emergency medical services, and for other purposes. S. 836: A bill to amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted by the Patient Protection and Affordable Care Act. S. 839: A bill to amend title XVIII of the Social Security Act to extend the rural add-on payment in the Medicare home health benefit, and for other purposes. S. 844: A bill to repeal the medical device excise tax, and for other purposes. S. 861: A bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs. H.R. 2712 and S. 1996: Commonsense Reporting and Verification Act of 2015, bill to ease PPACA employer reporting requirements. S. 1099: To amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market. S. 1415: To amend the Internal Revenue Code of 1986 to modify the definition of large employer for purposes of applying the employer mandate. H.R. 879: This bill repeals, effective for taxable years beginning after 2017, the excise tax on the excess benefit portion of high-cost employer-sponsored health care plans. H.R. 2050: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). H.R.2570: Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 H.R. 2911 and S. 1697: To provide an exception from certain group health plan requirements to allow small businesses to use pre-tax dollars to assist employees in the purchase of policies in the individual health insurance market, and for other purposes. House passed budget resolution for upcoming fiscal year S. 2045: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). S. 2075: This bill amends the Internal Revenue Code to repeal, for taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). The bill expresses the sense of the Senate that the revenue loss resulting from the repeal of such excise tax should be offset by corresponding revenue. -H.R.3762: Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 -H.R.2029: The Omnibus Appropriations bill -2015 Reconciliation bill -H.R. 5447 and S. 3060: Small Business Health Care Relief Act of 2016 -H.R. 3463: Aligning Children's Dental Coverage Act (ACDC) -H.R. 5589: To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. -S. 3244: The legislation clarifies that people outside the public Exchanges can have the same choices for dental coverage as people inside the public Exchanges. -H.R. 2488: Medicare Beneficiary Preservation of Choice Act of 2015 -H.R. 6184: legislation that would allow seniors enrolled in COBRA coverage to transition to Medicare Part B without a penalty -H.R 2581: Preservation of Access for Seniors in Medicare Advantage Act of 2015

Client expense: $330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 3770, End Surprise Billing Act of 2015 Hospital Improvements for Payment Act Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling- Medicare sequestration QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

Client expense: $190,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

support HR2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR 2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support funding for hospital/health care/safety related issues using health information technology;support Ellmers Meaningful Use letters;support HR 887 on meaningful use at ASCs;support HR 2531 on physician owned hospitals;support S.2425 hardship for health IT;support relief for underdevelopment HOPD

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1220 / S. 624 - Removing Barriers to Colorectal Cancer Screening Act S. 1347 / HR 887 -- The Electronic Health Fairness Act; A bill exempting patient encounters that occur in Ambulatory Surgery Centers when calculating attainment of the Medicare Electronic Health Record Meaningful Use requirements. Urge CMS to adopt a reporting policy that would allow a 90-day continuous period for participants in the MU program in 2016, as was the policy for 2015. (HR 3309)

Client expense: Not reported · Firm income: $28,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1453 & S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015. H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Section 203 of HR 5273 - Helping Hospitals Improve Patient Care Act of 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1453/S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015 H.R. 1220/S. 624 - Removing Barriers to Colorectal Cancer Screening Act of 2015 H.R. 887/S. 1347 - Electronic Health Fairness Act of 2015 H.R. 1314 - Bipartisan Budget Act of 2015 H.R. 2299 - To amend title XVIII of the Social Security Act to provide for site-of-service price transparency under the Medicare program H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $202,438 · Firm income: Not reported

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

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Education and advocacy regarding proposed colonoscopy cuts in CY 2016 Proposed Rule for Medicare Physician Fee Schedule. Opposition to proposed Part B demo (81 FR 13229). MACRA Implementation (81 FR 28161). EHR Provision in HR 5273 -Helping Hospitals Improve Patient Care Act of 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act H.R. 1470, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 S.810, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 1247, Improving Access to Quality Care Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

Client expense: $260,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

H.R. 815 and S.1661: Legislation which removes broker commissions from the MLR calculation in the health reform law. H.R. 30 and S. 40: To restore the traditional 40-hour workweek from 30-hours H.R. 762 and S. 379: To increase the eligibility and effectiveness of the small business tax credit H.R. 928 and S.183: Legislation to eliminate the new national premium tax H.R. 588: Legislation to restore the open-enrollment period for Medicare beneficiaries to make a one-time plan switch to another Medicare Advantage plan or return to traditional Medicare for 90 days after the beginning of each calendar year. H.R. 290: the CARES act, which would change the three-day inpatient hospital admission requirement for Medicare beneficiaries who are in need of skilled nursing facility services to also allow hospital stays under observation status to count. H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1624: To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. Senator Burr, Hatch, and Uptons Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act which would replace the Affordable Care Act H.R. 876: Amends title XVIII (Medicare) of the Social Security Act to require a hospital with an agreement with the Secretary of Health and Human Services to give each individual entitled to benefits under Medicare part A (Hospital Insurance), whom the hospital classifies for more than 24 hours as an outpatient under observation status or any other similar status, an adequate oral and written notification within 36 hours of that classification. H.R. 1533: To amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices, and for other purposes. S. 620 and H.R. 1189: The Preserving Employee Wellness Programs Act, looks to reaffirm existing law allowing employee wellness programs tied to financial awards H.R. 1547: To amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted as part of the Patient Protection and Affordable Care Act. H.R. 887: Electronic Health Fairness Act of 2015, Amends title XVIII (Medicare) of the Social Security Act to prohibit any patient encounter of an eligible professional occurring at an ambulatory surgical center from being treated as such an encounter in determining whether an eligible professional qualifies as a meaningful electronic health record (EHR) user. H.R. 1570: To provide for greater transparency and information with respect to Federal expenditures under the Medicaid and CHIP programs in the territories of the United States, and for other purposes. S. 254: Small Business Health Relief Act of 2015 H.R. 1270: Repeals provisions of the Internal Revenue Code, as added by the Patient Protection and Affordable Care Act, that limit payments for medications from health savings accounts, medical savings accounts, and health flexible spending arrangements to only prescription drugs or insulin (thus allowing distributions from such accounts for over-the-counter drugs). S. 884: A bill to improve access to emergency medical services, and for other purposes. S. 836: A bill to amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted by the Patient Protection and Affordable Care Act. S. 839: A bill to amend title XVIII of the Social Security Act to extend the rural add-on payment in the Medicare home health benefit, and for other purposes. S. 844: A bill to repeal the medical device excise tax, and for other purposes. S. 861: A bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs. H.R. 2712 and S. 1996: Commonsense Reporting and Verification Act of 2015, bill to ease PPACA employer reporting requirements. S. 1099: To amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market. S. 1415: To amend the Internal Revenue Code of 1986 to modify the definition of large employer for purposes of applying the employer mandate. H.R. 879: This bill repeals, effective for taxable years beginning after 2017, the excise tax on the excess benefit portion of high-cost employer-sponsored health care plans. H.R. 2050: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). H.R.2570: Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 H.R. 2911 and S. 1697: To provide an exception from certain group health plan requirements to allow small businesses to use pre-tax dollars to assist employees in the purchase of policies in the individual health insurance market, and for other purposes. House passed budget resolution for upcoming fiscal year S. 2045: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). S. 2075: This bill amends the Internal Revenue Code to repeal, for taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). The bill expresses the sense of the Senate that the revenue loss resulting from the repeal of such excise tax should be offset by corresponding revenue. -H.R.3762: Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 -H.R.2029: The Omnibus Appropriations bill -2015 Reconciliation bill -H.R. 5447 and S. 3060: Small Business Health Care Relief Act of 2016 -H.R. 3463: Aligning Children's Dental Coverage Act (ACDC) -H.R. 5589: To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. -S. 3244: The legislation clarifies that people outside the public Exchanges can have the same choices for dental coverage as people inside the public Exchanges. -H.R. 2488: Medicare Beneficiary Preservation of Choice Act of 2015

Client expense: $330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

support HR2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR 2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support funding for hospital/health care/safety related issues using health information technology;support Ellmers Meaningful Use letters;support HR 887 on meaningful use at ASCs;support HR 2531 on physician owned hospitals;support S.2425 hardship for health IT;support relief for underdevelopment HOPD

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Education and advocacy regarding proposed colonoscopy cuts in CY 2016 Proposed Rule for Medicare Physician Fee Schedule. S.2425, Patient Access and Medicare Protection Act. Opposition to proposed Part B demo (81 FR 13229)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1453 & S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015. H.R.887 & S.1347 - Electronic Health Fairness Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1220 / S. 624 - Removing Barriers to Colorectal Cancer Screening Act S. 1347 / HR 887 -- The Electronic Health Fairness Act; A bill exempting patient encounters that occur in Ambulatory Surgery Centers when calculating attainment of the Medicare Electronic Health Record Meaningful Use requirements. Urge CMS to adopt a reporting policy that would allow a 90-day continuous period for participants in the MU program in 2016, as was the policy for 2015. (no specific bill) Request for stakeholder input and Centers for Medicare and Medicaid Services transparency related to implementation of the Medicare Access and CHIP Reauthorization Act. (no specific bill)

Client expense: Not reported · Firm income: $28,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1453/S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015 H.R. 1220/S. 624 - Removing Barriers to Colorectal Cancer Screening Act of 2015 H.R. 887/S. 1347 - Electronic Health Fairness Act of 2015 H.R. 2299 - To amend title XVIII of the Social Security Act to provide for site-of-service price transparency under the Medicare program H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $182,027 · Firm income: Not reported

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

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Education and advocacy regarding proposed colonoscopy cuts in CY 2016 Proposed Rule for Medicare Physician Fee Schedule. S.2425, Patient Access and Medicare Protection Act. Opposition to proposed Part B demo (81 FR 13229)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1453 & S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015. H.R.887 & S.1347 - Electronic Health Fairness Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act H.R. 1470, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 S.810, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 1247, Improving Access to Quality Care Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

H.R. 815 and S.1661: Legislation which removes broker commissions from the MLR calculation in the health reform law. H.R. 30 and S. 40: To restore the traditional 40-hour workweek from 30-hours H.R. 762 and S. 379: To increase the eligibility and effectiveness of the small business tax credit H.R. 928 and S.183: Legislation to eliminate the new national premium tax H.R. 588: Legislation to restore the open-enrollment period for Medicare beneficiaries to make a one-time plan switch to another Medicare Advantage plan or return to traditional Medicare for 90 days after the beginning of each calendar year. H.R. 290: the CARES act, which would change the three-day inpatient hospital admission requirement for Medicare beneficiaries who are in need of skilled nursing facility services to also allow hospital stays under observation status to count. H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1624: To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. Senator Burr, Hatch, and Uptons Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act which would replace the Affordable Care Act H.R. 876: Amends title XVIII (Medicare) of the Social Security Act to require a hospital with an agreement with the Secretary of Health and Human Services to give each individual entitled to benefits under Medicare part A (Hospital Insurance), whom the hospital classifies for more than 24 hours as an outpatient under observation status or any other similar status, an adequate oral and written notification within 36 hours of that classification. H.R. 1533: To amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices, and for other purposes. S. 620 and H.R. 1189: The Preserving Employee Wellness Programs Act, looks to reaffirm existing law allowing employee wellness programs tied to financial awards H.R. 1547: To amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted as part of the Patient Protection and Affordable Care Act. H.R. 887: Electronic Health Fairness Act of 2015, Amends title XVIII (Medicare) of the Social Security Act to prohibit any patient encounter of an eligible professional occurring at an ambulatory surgical center from being treated as such an encounter in determining whether an eligible professional qualifies as a meaningful electronic health record (EHR) user. H.R. 1570: To provide for greater transparency and information with respect to Federal expenditures under the Medicaid and CHIP programs in the territories of the United States, and for other purposes. S. 254: Small Business Health Relief Act of 2015 H.R. 1270: Repeals provisions of the Internal Revenue Code, as added by the Patient Protection and Affordable Care Act, that limit payments for medications from health savings accounts, medical savings accounts, and health flexible spending arrangements to only prescription drugs or insulin (thus allowing distributions from such accounts for over-the-counter drugs). S. 884: A bill to improve access to emergency medical services, and for other purposes. S. 836: A bill to amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted by the Patient Protection and Affordable Care Act. S. 839: A bill to amend title XVIII of the Social Security Act to extend the rural add-on payment in the Medicare home health benefit, and for other purposes. S. 844: A bill to repeal the medical device excise tax, and for other purposes. S. 861: A bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs. H.R. 2712 and S. 1996: Commonsense Reporting and Verification Act of 2015, bill to ease PPACA employer reporting requirements. S. 1099: To amend the Patient Protection and Affordable Care Act to provide States with flexibility in determining the size of employers in the small group market. S. 1415: To amend the Internal Revenue Code of 1986 to modify the definition of large employer for purposes of applying the employer mandate. H.R. 879: This bill repeals, effective for taxable years beginning after 2017, the excise tax on the excess benefit portion of high-cost employer-sponsored health care plans. H.R. 2050: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). H.R.2570: Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 H.R. 2911 and S. 1697: To provide an exception from certain group health plan requirements to allow small businesses to use pre-tax dollars to assist employees in the purchase of policies in the individual health insurance market, and for other purposes. House passed budget resolution for upcoming fiscal year S. 2045: Amends the Internal Revenue Code to repeal, beginning with taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). S. 2075: This bill amends the Internal Revenue Code to repeal, for taxable years beginning after December 31, 2017, the excise tax on employer-sponsored health care coverage for which there is an excess benefit (high-cost plans). The bill expresses the sense of the Senate that the revenue loss resulting from the repeal of such excise tax should be offset by corresponding revenue. -H.R.3762: Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 -H.R.2029: The Omnibus Appropriations bill -2015 Reconciliation bill

Client expense: $330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

support HR 2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);support SGR reform (HR2)

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support HR2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);support SGR reform (HR2)

Client expense: Not reported · Firm income: $24,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

support funding for hospital/health care/safety related issues using health information technology;support Ellmers Meaningful Use letters;support HR 887 on meaningful use at ASCs;support HR 2531 on physician owned hospitals;support S.2425 hardship for health IT;support relief for underdevelopment HOPD

Client expense: Not reported · Firm income: $33,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 815: Legislation which removes broker commissions from the MLR calculation in the health reform law. H.R. 30 and S. 40: To restore the traditional 40-hour workweek from 30-hours H.R. 762 and S. 379: To increase the eligibility and effectiveness of the small business tax credit H.R. 928 and S.183: Legislation to eliminate the new national premium tax H.R. 588: Legislation to restore the open-enrollment period for Medicare beneficiaries to make a one-time plan switch to another Medicare Advantage plan or return to traditional Medicare for 90 days after the beginning of each calendar year. H.R. 290: the CARES act, which would change the three-day inpatient hospital admission requirement for Medicare beneficiaries who are in need of skilled nursing facility services to also allow hospital stays under observation status to count. H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1624: To amend title I of the Patient Protection and Affordable Care Act and title XXVII of the Public Health Service Act to revise the definition of small employer. Senator Burr, Hatch, and Uptons Patient Choice, Affordability, Responsibility, and Empowerment (CARE) Act which would replace the Affordable Care Act H.R. 876: Amends title XVIII (Medicare) of the Social Security Act to require a hospital with an agreement with the Secretary of Health and Human Services to give each individual entitled to benefits under Medicare part A (Hospital Insurance), whom the hospital classifies for more than 24 hours as an outpatient under observation status or any other similar status, an adequate oral and written notification within 36 hours of that classification. H.R. 1533: To amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices, and for other purposes. S. 620 and H.R. 1189: The Preserving Employee Wellness Programs Act, looks to reaffirm existing law allowing employee wellness programs tied to financial awards H.R. 1547: To amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted as part of the Patient Protection and Affordable Care Act. H.R. 887: Electronic Health Fairness Act of 2015, Amends title XVIII (Medicare) of the Social Security Act to prohibit any patient encounter of an eligible professional occurring at an ambulatory surgical center from being treated as such an encounter in determining whether an eligible professional qualifies as a meaningful electronic health record (EHR) user. H.R. 1570: To provide for greater transparency and information with respect to Federal expenditures under the Medicaid and CHIP programs in the territories of the United States, and for other purposes. S. 254: Small Business Health Relief Act of 2015 H.R. 1270: Repeals provisions of the Internal Revenue Code, as added by the Patient Protection and Affordable Care Act, that limit payments for medications from health savings accounts, medical savings accounts, and health flexible spending arrangements to only prescription drugs or insulin (thus allowing distributions from such accounts for over-the-counter drugs). S. 884: A bill to improve access to emergency medical services, and for other purposes. S. 836: A bill to amend the Internal Revenue Code of 1986 to repeal certain limitations on health care benefits enacted by the Patient Protection and Affordable Care Act. S. 839: A bill to amend title XVIII of the Social Security Act to extend the rural add-on payment in the Medicare home health benefit, and for other purposes. S. 844: A bill to repeal the medical device excise tax, and for other purposes. S. 861: A bill to amend titles XVIII and XIX of the Social Security Act to curb waste, fraud, and abuse in the Medicare and Medicaid programs. House passed budget resolution for upcoming fiscal year

Client expense: $330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), SENATE, Treasury, Dept of, White House Office

HR 1220 / S. 624 - Removing Barriers to Colorectal Cancer Screening Act HR 3940 - A bill authorizing a blanket Medicare Electronic Health Record Meaningful Use hardship exemption for the 2015 reporting period. S. 1347 / HR 887 -- The Electronic Health Fairness Act; A bill exempting patient encounters that occur in Ambulatory Surgery Centers when calculating attainment of the Medicare Electronic Health Record Meaningful Use requirements.

Client expense: Not reported · Firm income: $28,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Education and advocacy regarding proposed colonoscopy cuts in CY 2016 Proposed Rule for Medicare Physician Fee Schedule. S.2425, Patient Access and Medicare Protection Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1453 - Ambulatory Surgical Center Quality and Access Act of 2015. H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Section 3121, Medicare Site-of-Service Price Transparency in H.R.6 - 21st Century Cures Act. S.2425, Patient Access and Medicare Protection Act. H.R.2029 - Consolidated Appropriations Act, 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 887, Electronic Health Fairness Act: issues related to EHR meaningful use implementation.

Client expense: Not reported · Firm income: $10,000

Government targets: Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

H.R. 1453/S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015 H.R. 1220/S. 624 - Removing Barriers to Colorectal Cancer Screening Act of 2015 H.R. 887/S. 1347 - Electronic Health Fairness Act of 2015 H.R. 2299 - To amend title XVIII of the Social Security Act to provide for site-of-service price transparency under the Medicare program H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $163,651 · Firm income: Not reported

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

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act H.R. 1470, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 S.810, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 1247, Improving Access to Quality Care Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2015 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

Client expense: $180,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill H. Res 487 - Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care HR 2846 - Planning Actively for Cancer Treatment (PACT) Act of 2015 HR 3119 - Palliative Care and Hospice Education and Training Act S. 1170 - Breast Cancer Research Stamp Reauthorization Act of 2015 GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Firearm safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues General Surgery, Rural Surgery Bonuses Chronic Care Issues Qualified clinical data registry (QCDR) and Physician Quality Reporting System (PQRS)

Client expense: $20,300 · Firm income: Not reported

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

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill H. Res 487 - Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care HR 2846 - Planning Actively for Cancer Treatment (PACT) Act of 2015 HR 3119 - Palliative Care and Hospice Education and Training Act S. 1170 - Breast Cancer Research Stamp Reauthorization Act of 2015 GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Firearm safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues General Surgery, Rural Surgery Bonuses Chronic Care Issues Qualified clinical data registry (QCDR) and Physician Quality Reporting System (PQRS)

Client expense: $20,300 · Firm income: Not reported

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

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill H. Res 487 - Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care HR 2846 - Planning Actively for Cancer Treatment (PACT) Act of 2015 HR 3119 - Palliative Care and Hospice Education and Training Act S. 1170 - Breast Cancer Research Stamp Reauthorization Act of 2015 GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Firearm safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues General Surgery, Rural Surgery Bonuses Chronic Care Issues Qualified clinical data registry (QCDR) and Physician Quality Reporting System (PQRS)

Client expense: $96,000 · Firm income: Not reported

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

H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 258/H.R. 169 - Critical Access Hospital Relief Act of 2015 H.R. 3796 (113th) - Comprehensive Care Payment Innovation Act H.R. 648/S. 763 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 1070 (113th) - Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 33/S. 420 - Protecting Volunteer Firefighters and Emergency Responders Act/Standard of Care protection act H.R. 1462/S. 799 - Protecting Our Infants Act of 2015 H.R. 531 - Accelerating Biomedical Research Act H.R. 887 - Electronic Health Fairness Act of 2015 H.R. 865 - Good Samaritan health professionals act H.R. 1220 - Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 289 - American Cures Act H.R. 2603 /S. 1475 - Savings Lives, Saving Costs Act S. 884/H.R. 836 - the Health Care Safety Net Enhancement Act H.R. 647 - the Access to Life-Saving Trauma Care for All Americans Act S. 1148 - the Resident Physician Shortage Reduction Act of 2015 H.R. 1707 - the Access to Frontline Health Care Act H.R. 1859 - Ensuring Childrens Access to Specialty Care Act H.R. 1934 - Cancer Care Payment Reform Act of 2015 H.R. 1936 - Improving the Integrity of Disability Evidence Act H.R. 1688 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to designate 20 graduate medical education residency positions specifically for the study of optometry. H.R. 3309 - Flex-IT 2 Act H.R. 3024 - Disproportionate Share Hospital bill H. Res 487 - Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care HR 2846 - Planning Actively for Cancer Treatment (PACT) Act of 2015 HR 3119 - Palliative Care and Hospice Education and Training Act S. 1170 - Breast Cancer Research Stamp Reauthorization Act of 2015 GME Surgical Workforce Shortages/Issues ICD-10 HEALTH Act Response to Senate FDA report HPSA Surgical Incentive Program Cancer Program Accreditation IPAB Electronic Health Records Breast Cancer Research In-Office Ancillary Services Exception BETOS coding system Health Insurance Mergers Stark Law APMS Alternative Payment Models Meaningful Use Stage 3 Delay Firearm safety Primary Care Incentive Payment Merit-Based Incentive Payment System (MIPS) implementation Medicare Physician Fee Schedule Quality and Payment Issues General Surgery, Rural Surgery Bonuses Chronic Care Issues Qualified clinical data registry (QCDR) and Physician Quality Reporting System (PQRS)

Client expense: $96,000 · Firm income: Not reported

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