HELLPP Act

Issues related to H.R. 1542 / S. 1533 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians (HELLPP) Act. Issues related H.R. 1625, the Consolidated Appropriations Act of 2018. Issues relating to physicians payments (E&M codes).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Diabetes Prevention Program; diabetes self-management education; H.R. 3124/S. 1299/Preventing Diabetes in Medicare Act; H.R. 1953/S. 830 Treat and Reduce Obesity Act; Issues related to Medicare Part D including coverage gap ("donut hole") access and averting catastrophic coverage Out of Pocket (OOP) "cliff"; Protecting Seniors Access to Medicare Act of 2017 and S. 251 Protecting Medicare from Executive Action Act of 2017 (IPAB Repeal); H.R. 1542 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act (HELLPP Act); H.R. 3921 HEALTHY KIDS Act (CHIP Reauthorization; H.R. 5768 Expanding Access to Diabetes Self-Management Training (DSMT)Act of 2018; HR 6639 Diabetic Vision Loss and Blindness Prevention Act of 2018 and related Medicare Physician Fee Schedule diabetes issues; CMS coverage of diabetes technologies/services; virtual Medicare Diabetes Prevention Program (DPP)

Client expense: $700,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE, Veterans Affairs, Dept of (VA)

Medicaid access to podiatry and program integrity (HR 1542/S 1533); Medicare Therapeutic Shoe Program for Patients with Diabetes (HR 1542/S 1533); Affordable Care Act Repeal; IPAB Repeal; MARCA/MIPS implementation as pertains to physicians and providers; 21st Century Cures Act implementation as pertains to physicians and providers; CMS Medicare Proposed Physician Fee Schedule for 2019.

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

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

Medicaid access to podiatry and program integrity (HR 1542/S 1533); Medicare Therapeutic Shoe Program for Patients with Diabetes (HR 1542/S 1533); Affordable Care Act Repeal; IPAB Repeal; MARCA/MIPS implementation as pertains to physicians and providers; 21st Century Cures Act implementation as pertains to physicians and providers.

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

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

Issues related to H.R. 1542 / S. 1533 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians (HELLPP) Act. Issues related H.R. 1625, the Consolidated Appropriations Act of 2018

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Diabetes Prevention Program; diabetes self-management education; H.R. 3124/S. 1299/Preventing Diabetes in Medicare Act; H.R. 1953/S. 830 Treat and Reduce Obesity Act; Issues related to Medicare Part D included in H.R. 1892 (P.L. 115-123)Bipartisan Budget Act and H.R. 1625 (P.L. 115-141) Consolidated Appropriations Act; H.R. 849/S. 260; Protecting Seniors Access to Medicare Act of 2017 and S. 251 Protecting Medicare from Executive Action Act of 2017 (IPAB Repeal); H.R. 1542 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act (HELLPP Act); H.R. 3921 HEALTHY KIDS Act (CHIP Reauthorization; H.R. 5768 Expanding Access to Diabetes Self-Management Training (DSMT)Act of 2018

Client expense: $977,600 · Firm income: Not reported

Medicaid access to podiatry and program integrity (HR 1542/S 1533); Medicare Therapeutic Shoe Program for Patients with Diabetes (HR 1542/S 1533); Affordable Care Act Repeal; IPAB Repeal; MARCA/MIPS implementation as pertains to physicians and providers; 21st Century Cures Act implementation as pertains to physicians and providers;

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

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

Issues related to H.R. 1542 / S. 1533 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians (HELLPP) Act. Issues related H.R. 1625, the Consolidated Appropriations Act of 2018

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Diabetes Prevention Program; diabetes self-management education; H.R. 3124/S. 1299/Preventing Diabetes in Medicare Act; H.R. 1953/S. 830 Treat and Reduce Obesity Act; Issues related to Medicare Part D included in H.R. 1892 (P.L. 115-123)Bipartisan Budget Act and H.R. 1625 (P.L. 115-141) Consolidated Appropriations Act; H.R. 849/S. 260; Protecting Seniors Access to Medicare Act of 2017 and S. 251 Protecting Medicare from Executive Action Act of 2017 (IPAB Repeal); H.R. 1542 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act (HELLPP Act); H.R. 3921 HEALTHY KIDS Act (CHIP Reauthorization)

Client expense: $1,460,000 · Firm income: Not reported

Medicaid access to podiatry and program integrity (HR 1542/S 1533); Medicare Therapeutic Shoe Program for Patients with Diabetes (HR 1542/S 1533); Affordable Care Act Repeal; IPAB Repeal; MARCA/MIPS implementation as pertains to physicians and providers; 21st Century Cures Act implementation as pertains to physicians and providers;

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

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

Medicaid access to podiatry and program integrity (HR 1542/S 1533); Medicare Therapeutic Shoe Program for Patients with Diabetes (HR 1542/S 1533); Affordable Care Act Repeal; IPAB Repeal; MARCA/MIPS implementation as pertains to physicians and providers; 21st Century Cures Act implementation as pertains to physicians and providers;

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

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

Medicare Diabetes Prevention Program; diabetes self-management education; H.R. 3124/S. 1299/Preventing Diabetes in Medicare Act; H.R. 1953/S. 830 Treat and Reduce Obesity Act; Issues related to Medicare Part D; H.R. 849/S. 260 Protecting Seniors Access to Medicare Act of 2017 and S. 251 Protecting Medicare from Executive Action Act of 2017 (IPAB Repeal); H.R. 1542 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act (HELLPP Act); H.R. 3921 HEALTHY KIDS Act (CHIP Reauthorization)

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE

Support for H.R. 1542/S. 1533, the Helping Ensure Life-and Limb-Saving Access to Podiatric Physicians (HELLPP) Act, to amend title XIX of the Social Security Act to cover physician services delivered by podiatric physicians to ensure access by Medicaid beneficiaries to appropriate quality and foot and ankle care and Title XVIII to modify the requirements for diabetic shoes to be included under Medicare. Support for H.R. 1058, the VA Provider Equity Act, to amend title 38 of United States Code to clarify the role of podiatrists in the Department of Veterans Affairs.

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

Medicare Diabetes Prevention Program; diabetes self-management education; H.R. 3124/S. 1299/Preventing Diabetes in Medicare Act; H.R. 1953/S. 830 Treat and Reduce Obesity Act; Issues related to Medicare Part D; H.R. 849/S. 260 Protecting Seniors Access to Medicare Act of 2017 and S. 251 Protecting Medicare from Executive Action Act of 2017 (IPAB Repeal); H.R. 1542 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act (HELLPP Act).

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

Support for H.R. 1542/S. 1533, the Helping Ensure Life-and Limb-Saving Access to Podiatric Physicians (HELLPP) Act, to amend title XIX of the Social Security Act to cover physician services delivered by podiatric physicians to ensure access by Medicaid beneficiaries to appropriate quality and foot and ankle care and Title XVIII to modify the requirements for diabetic shoes to be included under Medicare. Support for H.R. 1058, the VA Provider Equity Act, to amend title 38 of United States Code to clarify the role of podiatrists in the Department of Veterans Affairs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Diabetes Prevention Program; diabetes self-management education; H.R. 3124/S. 1299/Preventing Diabetes in Medicare Act; H.R. 1953/S. 830 Treat and Reduce Obesity Act; Issues related to Medicare Part D; H.R. 849/S. 260 Protecting Seniors Access to Medicare Act of 2017 and S. 251 Protecting Medicare from Executive Action Act of 2017 (IPAB Repeal); H.R. 1542 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act (HELLPP Act); H.R. 3921 HEALTHY KIDS Act (CHIP Reauthorization)

Client expense: $790,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE

Medicaid access to podiatry and program integrity (HR 1542/S 1533); Medicare Therapeutic Shoe Program for Patients with Diabetes (HR 1542/S 1533); Affordable Care Act Repeal; IPAB Repeal; MARCA/MIPS implementation as pertains to physicians and providers; 21st Century Cures Act implementation as pertains to physicians and providers;

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

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

Medicaid access to podiatry and program integrity (HR 1542/S 1533); Medicare Therapeutic Shoe Program for Patients with Diabetes (HR 1542/S 1533); Affordable Care Act Repeal; IPAB Repeal; MARCA/MIPS implementation as pertains to physicians and providers; 21st Century Cures Act implementation as pertains to physicians and providers;

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

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

Medicare Diabetes Prevention Program; diabetes self-management education; H.R. 3124/S. 1299/Preventing Diabetes in Medicare Act; H.R. 1953/S. 830 Treat and Reduce Obesity Act; Issues related to Medicare Part D; H.R. 849/S. 260 Protecting Seniors Access to Medicare Act of 2017 and S. 251 Protecting Medicare from Executive Action Act of 2017 (IPAB Repeal); H.R. 1542 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act (HELLPP Act).

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

Support for H.R. 1542/S. 1533, the Helping Ensure Life-and Limb-Saving Access to Podiatric Physicians (HELLPP) Act, to amend title XIX of the Social Security Act to cover physician services delivered by podiatric physicians to ensure access by Medicaid beneficiaries to appropriate quality and foot and ankle care and Title XVIII to modify the requirements for diabetic shoes to be included under Medicare. Support for H.R. 1058, the VA Provider Equity Act, to amend title 38 of United States Code to clarify the role of podiatrists in the Department of Veterans Affairs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Diabetes Prevention Program; diabetes self-management education; H.R. 3124/S. 1299/Preventing Diabetes in Medicare Act; H.R. 1953/S. 830 Treat and Reduce Obesity Act; Issues related to Medicare Part D; H.R. 849/S. 260 Protecting Seniors Access to Medicare Act of 2017 and S. 251 Protecting Medicare from Executive Action Act of 2017 (IPAB Repeal); H.R. 1542 Helping Ensure Life- and Limb-Saving Access to Podiatric Physicians Act (HELLPP Act)

Client expense: $830,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Economic Council (NEC), SENATE

Medigap; Medicare Advantage; CHIP Reform; Medicare Access & CHIP Reauthorization Act of 2015 (MACRA); Chronic Care Reform; Exchanges; Site-neutral Payments; Network Breadth Advisory Council; Rate Notice and Call Letter; Postal Reform HR 756 Postal Service Reform Act of 2017 Introduced January 31, 2017by Jason Chaffetz (R-UT) To restore the financial solvency and improve the governance of the United States Postal Service in order to ensure the efficient and affordable nationwide delivery of mail, and for other purposes. HR 1290 Improving Access to Mental Health Act Introduced March 1, 2017 by Barbara Lee (D-CA) To amend title XVIII of the Social Security Act to improve access to mental health services under the Medicare program. HR 1298 CT Colonography Screening for Colorectal Cancer Act of 2017 Introduced March 1, 2017 by Brad Wenstrup (R-OH) To amend title XVIII of the Social Security Act to cover screening computed tomography colonography as a colorectal cancer screening test under the Medicare program. HR 1361 Introduced March 2, 2017 by Lee Zeldin (R-NY) To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates HR 1369 Introduced March 6, 2017 by Tom Cole (R-OK) To amend the Indian Health Care Improvement Act to revise and extend that Act, and for other purposes. HR 1381 Introduced March 7, 2017 by Morgan Griffith (R-VA) To amend title XIX of the Social Security Act to permit States to impose an individual responsibility requirement for nondisabled, nonelderly, non-pregnant individuals made eligible for medical assistance. HR 1394 Introduced March 7, 2017 by Susan Brooks (R-IN) To amend title XIX of the Social Security Act to provide States with flexibility with respect to providing coverage for nonemergency transportation under Medicaid. HR 1389 Increasing State Flexibility in Care Coordination for the Most Vulnerable Act of 2017 Introduced March 7, 2017 by Gus Bilirakis (R-FL) To amend title XIX of the Social Security Act to provide States with flexibility to provide care coordination under Medicaid for the most vulnerable through managed care. HR 1395 MACPAC Improvement Act of 2017 Introduced March 7, 2017 by Michael Burgess (R-TX) To amend title XIX of the Social Security Act to improve the Medicaid and CHIP Payment and Access Commission (MACPAC). HR 1421 Improving Access to Medicare Act of 2017 Introduced March 8, 2017 by Joe Courtney (D-CT) To amend title XVIII of the Social Security Act to count a period of receipt of outpatient observation services in a hospital toward satisfying the 3-day inpatient hospital stay requirement for coverage of skilled nursing facility services under Medicare, and for other purposes. HR 1435 Exchange Inclusion for a Healthy America Act Introduced March 8, 2017 by Luis Gutierrez (D-IL) To amend the Patient Protection and Affordable Care Act to remove citizenship and immigration barriers to access the Exchanges under such Act. HR 1469 Welfare Benefit Reform and Alignment Commission Act Introduced March 9, 2017 by Warren Davidson (R-OH) To establish the Benefit Reform and Alignment Commission to consolidate and realign means-tested direct spending program outlays. HR 1542 HELLPP Act Introduced March 15, 2017 by Bill Johnson (R-OH) To amend title XIX of the Social Security Act to cover physician services delivered by podiatric physicians to ensure access by Medicaid beneficiaries to appropriate quality foot and ankle care, to amend title XVIII of such Act to modify the requirements for diabetic shoes to be included under Medicare, and for other purposes. HR 1604 Health IT Modernization for Underserved Communities Act of 2017 Introduced March 17, 2017 by Karen Bass (D-CA) To amend title XIX of the Social Security Act to extend to physician assistants eligibility for Medicaid incentive payments for the adoption and use of certified electronic health records, whether or not such physician assistants practice at a rural health center or Federally qualified health center. HR 1617 Promoting Access to Diabetic Shoes Act Introduced March 17, 2017 by Tom Reed II (R-NY) To amend title XVIII of the Social Security Act to permit nurse practitioners and physician assistants to satisfy the documentation requirement under the Medicare program for coverage of certain shoes for individuals with diabetes. HR 1621 Protecting Seniors from Health Care Fraud Act of 2017 Introduced March 17, 2017 by Raul Ruiz (D-CA) This bill amends title XVIII (Medicare) of the Social Security Act to direct the Department of Health and Human Services (HHS) to report annually to Congress and the public on: (1) the ten most prevalent health care fraud schemes targeted to seniors, (2) steps being taken to combat such schemes, and (3) policy suggestions to improve protections for seniors. HHS may omit certain information from an annual report if public disclosure would compromise an ongoing investigation or educate criminals rather than seniors. HHS shall disseminate reports to Medicare beneficiaries as specified by the bill.

H.R. 1542: HELLPP Act; ACA reform.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE