Promoting Access to Diabetic Shoes Act

S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R. 315 [P.L. No: 115-320] - Improving Access to Maternity Care Act S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R.3692 - Addiction Treatment Access Improvement Act of 2017 H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act H.R. 3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 449 - Synthetic Drug Awareness Act of 2017 H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 Medicare Carrier Advisory Committees Reducing Regulatory Burdens H.R.6310 - Primary Care Enhancement Act of 2018 H.R.6317 - Primary Care Enhancement Act of 2018 H.R.6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018

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

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

S.445/H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R.315 [P.L. No: 115-320] - Improving Access to Maternity Care Act H.R.3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to H.R. 1628 - American Health Care Act of 2017 H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S. 222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 934 - FDA Reauthorization Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 449 - The Synthetic Drug Awareness Act of 2017 S. 191 - Patient Freedom Act of 2017 S. 403 - Health Savings Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act H.R. 3331/S.1732 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 H.Res 1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R. 6310/H.R. 6317 - Primary Care Enhancement Act of 2018 H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6502 - Reducing Unnecessary Senior Hospitalizations Act of 2018 Medical Record Documentation Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Medicare Carrier Advisory Committees Reducing Regulatory Burdens

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program 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 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 3178 - Medicare Part B Improvement Act of 2017 H.R. 3635 - Local Coverage Determination Clarification Act of 2017 H.R. 5306/S. 2227 - Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources (EMPOWER) and Care Act S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 S. 428/H.R. 3325 - Advancing Care for Exceptional Kids (ACE Kids) Act S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S. 1227/H.R. 2628 - Stabilize Medicaid and CHIP Coverage Act of 2017 S. 3067/H.R. 1617 - Promoting Access to Diabetic Shoes Act

Client expense: Not reported · Firm income: $23,450

Medicare reimbursement, PA hospice, Transparency, Veterans Health Care, Promote Access to Diabetic Shoes - HR 1617, Direct payment for PAs - H.R. 5506, Opioid and substance use disorder treatment - H.R. 6, Medicare Home Health.

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

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

Medicare reimbursement, Transparency, regulatory reform, PA Direct Pay Act (HR 5506), Home Health (S 445, HR 1825), Promote Access to Diabetic Shoes (S 3067, HR 1617), Supervise cardiac and pulmonary rehab (S 1361, HR 1155), ACO assignment (HR 1160), Palliative Care and Hospice Education and Training Act (S 693, HR 1676), Treatment of PA Education in the National Defense Authorization Act (HR 5515), PA Educational and Workforce Training Program Funding (FY19 L/HHS Appropriations), issues related to federal PA workforce at the Department of Veterans Affairs, federal workers compensation, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (HR 6), Addiction Treatment Access Improvement Act(HR 3692, S 2317), and provisions related to medication assisted treatment and requirements for opioid prescribers (S 2456, HR 5311).

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

S.445/H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R.315 - Improving Access to Maternity Care Act H.R.3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to H.R. 1628 - American Health Care Act of 2017 H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S. 222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 934 - FDA Reauthorization Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 449 - The Synthetic Drug Awareness Act of 2017 S. 191 - Patient Freedom Act of 2017 S. 403 - Health Savings Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act H.R. 3331/S.1732 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 H.Res 1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R. 6310/H.R. 6317 - Primary Care Enhancement Act of 2018 H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 Medical Record Documentation Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Medicare Carrier Advisory Committees Reducing Regulatory Burdens

* 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R. 315 - Improving Access to Maternity Care Act S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R.3692 - Addiction Treatment Access Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act H.R. 3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 449 - Synthetic Drug Awareness Act of 2017 H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 Medicare Carrier Advisory Committees Reducing Regulatory Burdens H.R.6310 - Primary Care Enhancement Act of 2018 H.R.6317 - Primary Care Enhancement Act of 2018 H.R.6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program Reauthorization of funding for the Childrens Health Insurance Program 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 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act H.R. 3178 - Medicare Part B Improvement Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 S. 428 - Advancing Care for Exceptional Kids (ACE Kids) Act S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S. 1227/H.R. 2628 - Stabilize Medicaid and CHIP Coverage Act of 2017 S. 3067/H.R. 1617 - Promoting Access to Diabetic Shoes Act

Client expense: Not reported · Firm income: $23,450

Medicare reimbursement, transparency, regulatory reform, Home Health (S 445, HR 1825),Veterans Administration issues, Promote Access to Diabetic Shoes (HR 1617, S. 3067), ACO assignment (HR 1160), federal mandatory education requirements for prescribing opioids, H.R. 5506 - Direct payment for PAs, Opioid and substance use disorder treatment - H.R. 6, H.R. 3692, S. 2650.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement, transparency, regulatory reform, PA Direct Pay Act (HR 5506), Home Health (S 445, HR 1825),Veterans Administration issues, Promote Access to Diabetic Shoes (S 3067, HR 1617), Supervise cardiac and pulmonary rehab (S 1361, HR 1155), ACO assignment (HR 1160), Treat and Reduce Obesity Act (S 830, HR 1953), Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (HR 6), Palliative Care and Hospice Education and Training Act (S 693, HR 1676), Treatment of PA Education in the National Defense Authorization Act, PA Educational and Workforce Training Program Funding (FY19 L/HHS Appropriations), issues related to federal PA workforce at the Department of Veterans Affairs (FY19 Military Construction, Veterans Affairs and Related Agencies Appropriations), Addiction Treatment Access Improvement Act(HR 3692, S 2317), federal mandatory education requirements for prescribing opioids and federal workers compensation, federal limits on prescribing opioids and provisions related to medication assisted treatment (S 2456, HR 5311).

Client expense: $300,000 · Firm income: Not reported

S.445/H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R.315 - Improving Access to Maternity Care Act H.R.3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to H.R. 1628 - American Health Care Act of 2017 H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S. 222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 934 - FDA Reauthorization Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 449 - The Synthetic Drug Awareness Act of 2017 S. 191 - Patient Freedom Act of 2017 S. 403 - Health Savings Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act H.R. 3331/S.1732 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Medicare Carrier Advisory Committees Reducing Regulatory Burdens

S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R. 315 - Improving Access to Maternity Care Act S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R.3692 - Addiction Treatment Access Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act H.R. 3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 449 - Synthetic Drug Awareness Act of 2017 H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 Medicare Carrier Advisory Committees Reducing Regulatory Burdens

S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617/S.3067 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R. 315 - Improving Access to Maternity Care Act S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R.3692 - Addiction Treatment Access Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act H.R. 5605 - Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act H.R. 3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology H.R. 449 - Synthetic Drug Awareness Act of 2017 H.R. 5002/S.2406 - Advancing Cutting-Edge (ACE) Research Act H.R. 5796 - Responsible Education Achieves Care and Healthy Outcomes for Users Treatment Act H.R. 5798 - Opioid Screening and Chronic Pain Management Alternatives for Seniors Act S.3120 - Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 Medicare Carrier Advisory Committees Reducing Regulatory Burdens

H.R. 5138 "Bipartisan Health Savings Accounts (HSAs) Improvement Act" H.R. 5625 "Easy Enrollment Act" H.R. 1876 "Good Samaritan Health Professionals Act" S. 2278 "State Offices of Rural Health Reathorization Act" H.R. 5674 "VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act" H.R. 5102 "Substance Use Disorder Workforce Loan Repayment Act" H.R. 5261 "Treatment, Education, and Community Help to Combat Addiction Act" S. 2680 "Opioid Crisis Response Act" which included S. 1850 "Jessie's Law" S. 2597 "Children's Hospital GME Support Reauthorization Act" S. 2852 "Pandemic and All-Hazards Preparedness and Advancing Innovation Act" S. 204 "Right to Try Act" H.R. 2026 "Pharmaceutical Information Exchange (PIE) Act" H.R. 5795 "Overdose Prevention and Patient Safety Act" H.R. 3545 "Overdose Prevention and Patient Safety Act" H.R. 6082 "Overdose Prevention and Patient Safety Act" H.R. 4613 "Ensuring Access to Patient Healthcare Records Act" S. 1732 "Improving Access to Behavioral Health Information Technology Act" H.R. 5603 "Access to Telehealth Services for Opioid Use Disorder Act" H.R. 5483 "Special Registration for Telemedicine Clarification Act" H.R. 2 "Agricultural and Nutrition Act" S. 925 "Veterans in E-Health and Telemedicine Support Act" (H.R. 2123) S. 2315 "Over-the-Counter Drug Safety, Innovation, and Reform Act" H.R. 2953 / S. 2164 a bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings S. 1028 RAISE Family Caregivers Act (P.L. 115-119) S. 445 "home Health Planning Improvement Act" H.R. 1617 "Promoting Access to Diabetic Shoes Act" H.R. 5385 "Children's Hospital GME Support Reauthorization Act" S. 2483 "Opioid Workforce Act" H.R. 5176 "Preventing Overdoses while in Emergency Rooms (POWER) Act of 2018" H.R. 5327 "Comprehensive Opioid Recovery Centers (CORC) Act of 2018" H.R. 5261 "Training, Education, and Community Help (TEACH) to Combat Addiction Act of 2018" H.R. 5695 "Emmett's Law" H.R. 5735 "Transitional Housing for Recovery in Viable Environments (THRIVE) Act" H.R. 5041 "Safe Disposal of Unused Medication Act" H.R. 4684 "Ensuring Access to Quality Sober Living Act of 2018" H.R. 5587 "Peer Support Communities of Recovery Act" H.R. 449 "Synthetic Drug Awareness Act" H.R. 4275 "Empowering Pharmacists in the Fight Against Opioid Abuse Act" H.R. 5197 "Alternatives to Opioids (ALTO) in the Emergency Department Act" H.R. 6 "Support for Patients and Communities Act" H.R. 1565 "Saving Lives, Saving Costs Act" S. 1850 "Protecting Jessica Grubb's Legacy Act" P.L. 115-141 omnibus appropriations

Medicare reimbursement, transparency, regulatory reform, PA Hospice (HR 1284, S 2214), Home Health (S 445, HR 1825),Veterans Administration issues, GOOD bill (S 426), Promote Access to Diabetic Shoes (HR 1617), Supervise cardiac and pulmonary rehab (S 1361, HR 1155), ACO assignment (HR 1160), Palliative Care and Hospice Education and Training Act (S 693, HR 1676), Addiction Treatment Access Improvement Act(HR 3692, S 2317), federal mandatory education requirements for prescribing opioids, federal workers compensation, and direct payment for PAs.

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

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) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program Reauthorization of funding for the Childrens Health Insurance Program 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 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act H.R. 3178 - Medicare Part B Improvement Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 S. 428 - Advancing Care for Exceptional Kids (ACE Kids) Act S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S. 1227/H.R. 2628 - Stabilize Medicaid and CHIP Coverage Act of 2017

Client expense: Not reported · Firm income: $23,450

S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 S.783/H.R. 315 - Improving Access to Maternity Care Act H.R.3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 H.R. 1478 - Gun Violence Research Act Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to H.R. 1628 - American Health Care Act of 2017 H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S. 222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 934 - FDA Reauthorization Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 449 - The Synthetic Drug Awareness Act of 2017 S. 191 - Patient Freedom Act of 2017 S. 403 - Health Savings Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 Medicare Extenders Home Infusion Therapy Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Medicare Carrier Advisory Committees Reducing Regulatory Burdens

Medicare reimbursement, transparency, regulatory reform, PA Hospice (HR 1284, S 2214), Home Health (S 445, HR 1825),Veterans Administration issues, GOOD bill (S 426),Caring for our Veterans Act of 2017(S 2193), Veterans Affairs Medical Scribe Pilot Act of 2017 (HR 1848), Promote Access to Diabetic Shoes (HR 1617), Supervise cardiac and pulmonary rehab (S 1361, HR 1155), ACO assignment (HR 1160), Treat and Reduce Obesity Act (S 830, HR 1953), Palliative Care and Hospice Education and Training Act (S 693, HR 1676), Treatment of PA Education in the National Defense Authorization Act, PA Educational and Workforce Training Program Funding (FY18 & FY19 L/HHS Appropriations), Addiction Treatment Access Improvement Act(HR 3692, S 2317), federal mandatory education requirements for prescribing opioids and federal workers compensation.

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

"S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 "H.R.1617 - Promoting Access to Diabetic Shoes Act "S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 "H.R.1160 - ACO Assignment Improvement Act of 2017 "H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. "S.1361 - Improving Access to Cardiac and Pulmonary Rehabilitation Act of 2017 "S.783/H.R. 315 - Improving Access to Maternity Care Act "H.R.3692 - Addiction Treatment Access Improvement Act of 2017 "S. 2317 - Addiction Treatment Access Improvement Act of 2018 "S.2004 / H.R. 4501- Combating the Opioid Epidemic Act "S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 "S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 "H.R. 2547- Veterans Expanded Trucking Opportunities Act of 2017 "Public Law 115-105 (S.1393) Jobs for Our Heroes Act "H.R. 3922 - CHAMPIONING HEALTHY KIDS Act "S. 1827: KIDS Act of 2017 "Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 "S.1835 - Lower Premiums Through Reinsurance Act of 2017 "H.R. 1478 - Gun Violence Research Act "Medicare Extenders "Home Infusion Therapy "Medication-Assisted Therapies (MATs) "Opioid Abuse Epidemic

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

Medicare reimbursement, transparency, regulatory reform, PA Hospice (HR 1284, S 2214), Home Health (S 445, HR 1825),Veterans Administration issues, GOOD bill (S 426), Promote Access to Diabetic Shoes (HR 1617), Supervise cardiac and pulmonary rehab (S 1361, HR 1155), ACO assignment (HR 1160), Palliative Care and Hospice Education and Training Act (S 693, HR 1676), Addiction Treatment Access Improvement Act(HR 3692, S 2317), federal mandatory education requirements for prescribing opioids and federal workers compensation

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

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

Medicare reimbursement, transparency, regulatory reform, PA Hospice (HR 1284, S 2214), Home Health (S 445, HR 1825),Veterans Administration issues, GOOD bill (S 426), Veterans Expanded Trucking Opportunities (HR 2547), Jobs for Our Heroes (S 1393),Caring for our Veterans Act of 2017(S 2193), Veterans Affairs Medical Scribe Pilot Act of 2017 (HR 1848), Promote Access to Diabetic Shoes (HR 1617), Supervise cardiac and pulmonary rehab (S 1361, HR 1155), ACO assignment (HR 1160), Treat and Reduce Obesity Act (S 830, HR 1953), Palliative Care and Hospice Education and Training Act (S 693, HR 1676), Treatment of PA Education in the National Defense Authorization Act (HR 2810), PA Educational and Workforce Training Program Funding (FY18 & FY19 L/HHS Appropriations), Addiction Treatment Access Improvement Act(HR 3692, S 2317), federal mandatory education requirements for prescribing opioids and federal workers compensation.

Client expense: $190,000 · 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) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program Reauthorization of funding for the Childrens Health Insurance Program 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 H.R. 849 - Protecting Seniors Access to Medicare Act H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act H.R. 1628 - American Health Care Act of 2017 H.R. 3178 - Medicare Part B Improvement Act of 2017 Senate substitute for H.R. 1628 - Better Care Reconciliation Act S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 S. 428 - Advancing Care for Exceptional Kids (ACE Kids) Act S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S. 1227/H.R. 2628 - Stabilize Medicaid and CHIP Coverage Act of 2017

Client expense: Not reported · Firm income: $23,450

Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to H.R. 1628 - American Health Care Act of 2017 H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S. 222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act S. 1109/H.R. 959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 315 - The Improving Access to Maternity Care Act S. 934 - FDA Reauthorization Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 H.R. 2547 - Veterans Expanded Trucking Opportunities Act of 2017 S. 1393 - Jobs for Our Heroes Act H.R. 449 - The Synthetic Drug Awareness Act of 2017 S. 191 - Patient Freedom Act of 2017 S. 403 - Health Savings Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 H.R. 3922 - Championing Healthy Kids Act S. 1827 - KIDS Act of 2017 S. 2004/H.R. 4501 - Combating the Opioid Epidemic Act S. 1835 - Lower Premiums Through Reinsurance Act of 2017 Medicare Carrier Advisory Committees Medicare Extenders Murray Alexander Market Stabilization discussions Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Home Infusion Therapy Reducing Regulatory Burdens

Client expense: $187,332 · Firm income: Not reported

Alexander-Murray Bipartisan Health Care Stabilization Act of 2017 S.1835 - Lower Premiums Through Reinsurance Act of 2017 Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to HR 1628 - American Health Care Act of 2017 H.R.1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S.222 - Obamacare Replacement Act H.R.372 - Competitive Health Insurance Reform Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 315 - The Improving Access to Maternity Care Act S.934- FDA Reauthorization Act of 2017 S.870- Creating High-Quality Results and Outcomes Necessary to Improve Chornic (CHRONIC) Care Act of 2017 H.R.3692 - Addiction Treatment Access Improvement Act of 2017 S.2004 / H.R. 4501- Combating the Opioid Epidemic Act H.R. 2547- Veterans Expanded Trucking Opportunities Act of 2017 Public Law 115-161 (S.1393) Jobs for Our Heroes Act H.R.3922 - CHAMPIONING HEALTHY KIDS Act S. 1827: KIDS Act of 2017 Medicare Extenders Home Infusion Therapy Medication Assisted Therapies (MATs) Opioid Abuse Epidemic

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program Reauthorization of funding for the Childrens Health Insurance Program 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 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act H.R. 1628 - American Health Care Act of 2017 H.R. 2688 - Incentivizing Medicaid Expansion Act H.R. 3178 - Medicare Part B Improvement Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 S. 428 - Advancing Care for Exceptional Kids (ACE Kids) Act S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S. 1227/H.R. 2628 - Stabilize Medicaid and CHIP Coverage Act of 2017

Client expense: Not reported · Firm income: $23,450

Medicare reimbursement, H.R 1284 - PA Hospice, Transparency and Veterans'health care, S. 426 - Grow Our Own Directive Act, H.R. 1617 - Promoting Access to Diabetic Shoes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement, transparency, regulatory reform, PA Hospice (HR 1284), Veterans Administration issues, GOOD bill (S 426), Home Health (S 445, HR 1825), Veterans Expanded Trucking Opportunities (HR 2547), Jobs for Our Heroes (S 1393), Promote Access to Diabetic Shoes (HR 1617), Supervise cardiac and pulmonary rehab (S 1361, HR 1155), ACO assignment (HR 1160), Restoring Accountability in the Indian Health Services Act of 2017 (S 1250, HR 3096), Veterans Affairs Medical Scribe Pilot Act of 2017 (HR 1848), Treat and Reduce Obesity Act (S 830, HR 1953), Palliative Care and Hospice Education and Training Act (S 693, HR 1676), Treatment of PA Education in the National Defense Authorization Act (HR 2810), PA Educational and Workforce Training Program Funding (FY17 & FY18 L/HHS Appropriations), American Health Care Act (HR 1628), federal workers compensation, and treating opioid addiction.

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

Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to H.R. 1628 - American Health Care Act of 2017 H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S. 222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act S. 1109/H.R. 959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 315 - The Improving Access to Maternity Care Act S. 934 - FDA Reauthorization Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 H.R. 2547 - Veterans Expanded Trucking Opportunities Act of 2017 S. 1393 - Jobs for Our Heroes Act H.R. 449 - The Synthetic Drug Awareness Act of 2017 S. 191 - Patient Freedom Act of 2017 S. 403 - Health Savings Act of 2017 S. 204/H.R. 878 - Trickett Wendler Right to Try Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 Murray Alexander Market Stabilization discussions Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Home Infusion Therapy Reducing Regulatory Burdens

Client expense: $159,335 · Firm income: Not reported

H. Con. Res. 71 Fiscal Year 2018 Budget Resolution H. Res. 142/S. Res. 63 National Obesity Care Week Resolution S. J. Res. 16 a joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the independent payment Medicare advisory board H.J. Res 51/S. J. Res 17 Independent Payment Advisory Board Repeal H.R 1995 Value Based Insurance Design for Better Care Act H.R. 1004 Regulatory Integrity Act H.R. 1009/S. 676 OIRA Insight, Reform, and Accountability Act H.R. 1038/S. 413 Improving Transparency and Accuracy in Medicare Part D Spending H.R. 1072/S. 222 Obamacare Replacement Act H.R. 1101 Small Business Health Fairness Act H.R. 1121 Pre-Existing Conditions Protection Act H.R. 1148/S. 431 Furthering Access to Stroke Telemedicine (FAST) Act H.R. 1215 Protecting Access to Care Act H.R. 1245/S. 469 Affordable and Safe Prescription Drug Importation Act H.R. 1267/S. 482 Personal Health Investment Today Act H.R. 1304 Self-Insurance Protection Act H.R. 1313 Preserving Employee Wellness Programs Act H.R. 1554/S. 581 Jessie's Law H.R. 1565 Saving Lives, Saving Costs Act H.R. 1617 Promoting Access to Diabetic Shoes Act H.R. 1628 American Health Care Act H.R. 1703 Medical Product Communications Act H.R. 1776/S. 771 Improving Access to Affordable Prescription Drugs Act H.R. 184 Protect Medical Innovation Act H.R. 1953/S. 830 Treat and Reduce Obesity Act H.R. 2192/S. 1569 to eliminate the non-application of certain state waiver provisions to members of Congress and Congressional staff H.R. 2212/S. 974 Creating and Restoring Equal Access to Equivalent Samples Act H.R. 2267/S. 1301 Resident Physician Shortage Reduction Act H.R. 2372 Veterans Equal Treatment Ensures Relief and Access Now Act H.R. 246/S. 183 Jobs and Premium Protection Act H.R. 2550 Medicare Telehealth Parity Act H.R. 2556/S. 1016 CONNECT for Health Act H.R. 2579 Broader Options for Americans Act H.R. 2581 Verify First Act H.R. 2797/S. 1334 Patient Choice and Quality Care Act H.R. 2824 Increasing Opportunity and Success for Children and Parents Through Evidence -Based Home Visiting Act H.R. 284/S. 1291 Advancing Medical Resident Training in Community Hospitals Act H.R. 2953 Preventive Health Savings Act H.R. 3044 to expand supplemental benefits to meet the needs of chronically ill Medicare Advantage enrollees H.R. 3059/S. 1441 Community Health Center and Primary Care Workforce Expansion Act H.R. 309/S. 920 National Clinical Care Commission Act H.R. 3120 to reduce the volume of future electronic health record-related significant hardship requests H.R. 3124/S. 1299 Preventing Diabetes in Medicare Act H.R. 3168 to provide continued access to Medicare Advantage plans for special needs H.R. 3224 Critical Access and Rural Equity Act H.R. 3245 Medicare Civil and Criminal Penalties Act H.R. 3263 to extend the Medicare independence at home medical demonstration program H.R. 3271/S. 1914 Protecting Access to Diabetes Supplies Act H.R. 3358/S. 1771 Fiscal Year 2018 Labor-Health and Human Services-Education Appropriations Bill H.R. 3394 Teaching Health Centers Graduate Medical Education Extension Act H.R. 3447 Furthering Access to Coordinated Treatment for Seniors Act H.R. 3536/S.1681 to require persons who undertake federally funded research and development of drugs to enter into reasonable pricing agreements H.R. 372 Competitive Health Insurance Reform Act H.R. 3726 Stark Administrative Simplification Act of 2017 H.R. 3728 Empowering Medical Professionals and Optimizing Workforce Efficiency and Readiness Act H.R. 3820/S. 977 Medicare Home Health Flexibility Act H.R. 3862 National Health Service Corps Strengthening Act H.R. 3921 Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 4006 Community-Based Independence for Seniors Act of 2017 H.R. 592/S. 109 Pharmacy and Medically Underserved Areas Enhancement Act H.R. 706 Plan Verification and Fairness Act H.R. 741/S. 243 Rural Hospital Regulatory Relief Act H.R. 749 Lower Drug Costs Through Competition Act H.R. 766 Amend Title XVII of the Social Security Act to expand telehealth in Medicare H.R. 849/S. 260 Protecting Seniors' Access to Medicare Act H.R. 908 Medicare Advantage Quality Payment Relief Act H.R. 998 Searching for and Cutting Regulations that are Unnecessarily Burdensome(SCRUB) Act H.R.3545 Overdose Prevention and Patient Safety Act H.R.3727 To amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes Introduction of the Stark Law Modernization Act of 2017 Pub L. 114-198 Comprehensive Addiction and Recovery Act Pub L. 115-31 Fiscal Year 2017 Consolidated Appropriations Act Pub. L. 102-143 Telephone Consumer Protection Act Pub. L. 111-148 Patient Protection and Affordable Care Act (PPACA) Pub. L. 111-5 The American Recovery and Reinvestment Act Pub. L. 114-10 Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255, 21st Century Cures Act Pub. L. 114-270 Expanding Capacity for Health Outcomes Act (ECHO) Pub. L. 114-329 American Innovation and Competitiveness Act Pub L. 115-63 Disaster Relief & Airway Extension Act S. 108 Medical Device Access and Innovation Protection Act S. 297 Increasing Competition in Pharmaceuticals Act S. 1688 Empowering Medicare Seniors to Negotiate Drug Prices Act S. 1754 Training the Next Generation of Primary Care Doctors Act S. 1804 Medicare for All Act S. 1827 Keep Kids' Insurance Dependable and Secure Act S. 1829 Strong Families Act S. 1850 Protecting Jessica Grubbs Legacy Act, (The Legacy Act) S. 1859 Healthcare Tax Relief Act S. 1899 to reauthorize and extend funding for community health centers and the National Health Service Corps S. 191 Patient Freedom Act S. 251 Protecting Medicare from Executive Action Act S. 309 Community Based Independence for Seniors Act S. 464 Independence at Home Act S. 64 Safe and Affordable Drugs from Canada Act H .R. 1933/S. 761 Health Care Options Act of 2017 S. 787 Telehealth Innovation and Improvement Act S. 870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act S. Con. Res. 3 Budget Resolution

Alexander-Murray Health InsuranceMarketStabilization Measure Graham-Cassidy-Heller-Johnson Amendment in the nature of a substitute to HR 1628 - American Health Care Act of 2017 H.R.1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S.222 - Obamacare Replacement Act H.R.372 - Competitive Health Insurance Reform Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 315 - The Improving Access to Maternity Care Act S.934- FDA Reauthorization Act of 2017 S.870- Creating High-Quality Results and Outcomes Necessary to Improve Chornic (CHRONIC) Care Act of 2017 H.R.3692 - Addiction Treatment Access Improvement Act of 2017 H.R. 2547- Veterans Expanded Trucking Opportunities Act of 2017 S.1393 - Jobs for Our Heroes Act Home Infusion Therapy Medication Assisted Therapies (MATs) Opioid Abuse Epidemic

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

S. 426 - Grow Our Own Directive Act, H.R. 1617 - Promoting Access to Diabetic Shoes.

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

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) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program 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 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act H.R. 1628 - American Health Care Act of 2017 H.R. 2688 - Incentivizing Medicaid Expansion Act S. 191 - Patient Freedom Act S. 222/H.R. 1072 - Obamacare Replacement Act S. 403/H.R. 1175 - Health Savings Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 S. 428 - Advancing Care for Exceptional Kids (ACE Kids) Act S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 S. 1227/H.R. 2628 - Stabilize Medicaid and CHIP Coverage Act of 2017

Client expense: Not reported · Firm income: $23,450

H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S. 222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act S. 1109/H.R. 959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 315 - The Improving Access to Maternity Care Act S. 934 - FDA Reauthorization Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 2547 - Veterans Expanded Trucking Opportunities Act of 2017 H.R. 449 - The Synthetic Drug Awareness Act of 2017 S. 191 - Patient Freedom Act of 2017 H.R. 1020 - Compassionate Freedom of Choice Act S. 403 - Health Savings Act of 2017 S. 204/H.R. 878 - Trickett Wendler Right to Try Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Home Infusion Therapy Reducing Regulatory Burdens

Client expense: $162,747 · Firm income: Not reported

Medicare reimbursement, PA Hospice (HR 1284), Veterans Administration issues, GOOD bill (S 426), Home Health (S 445, HR 1825), Veterans Expanded Trucking Opportunities (HR 2547), Jobs for Our Heroes (S 1393), Promote Access to Diabetic Shoes (HR 1617), Supervise cardiac and pulmonary rehab (HR 1155), ACO assignment (HR 1160), Transparency, PA Educational Program Funding (FY17 & FY18 L/HHS Appropriations), American Health Care Act (HR 1628), federal workers compensation, treating opioid addiction.

Client expense: $170,000 · Firm income: Not reported

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

H.R.1628 - American Health Care Act of 2017 Better Care Reconciliation Act Discussion Draft S.222 - Obamacare Replacement Act H.R.372 - Competitive Health Insurance Reform Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617 - Promoting Access to Diabetic Shoes Act S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 315 - The Improving Access to Maternity Care Act S.934- FDA Reauthorization Act of 2017 S.870- Creating High-Quality Results and Outcomes Necessary to Improve Chornic (CHRONIC) Care Act of 2017 H.R. 2547- Veterans Expanded Trucking Opportunities Act of 2017 Home Infusion Therapy Medication Assisted Therapies (MATs) Opioid Abuse Epidemic

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program 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 H.R. 181 - Close Annuity Loopholes in Medicaid Act H.R. 365 - Primary Care Enhancement Act of 2017 H.R. 829 - Prioritizing the Most Vulnerable Over Lottery Winners Act of 2017 H.R. 1121 - Pre-Existing Conditions Protection Act H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act H.R. 1628 - American Health Care Act of 2017 S. 191 - Patient Freedom Act S. 222/H.R. 1072 - Obamacare Replacement Act S. 251 - Protecting Medicare from Executive Action Act of 2017 S. 260/H.R. 849 - Protecting Seniors' Access to Medicare Act of 2017 S. 403/H.R. 1175 - Health Savings Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 S. 428 - Advancing Care for Exceptional Kids (ACE Kids) Act

Client expense: Not reported · Firm income: $23,450

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.

Medicare reimbursement; H.R. 1284 -PA Hospice; Transparency; the chronic care workgroup; and Veterans health care; Opioid addiction treatment/chronic care. H.R. 1617 - Promoting access to diabetic shoes. S. 426 - Physician Assistant Employment and Education Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1628 - American Health Care Act of 2017 S.222 - Obamacare Replacement Act H.R. 372 - Competitive Health Insurance Reform Act of 2017 S. 445/H.R. 1825 - Home Health Care Planning Improvement Act of 2017 H.R. 1617 - Promoting Access to Diabetic Shoes Act H.R. 959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 315 - The Improving Access to Maternity Care Act S. 191 - Patient Freedom Act of 2017 H.R. 1020 - Compassionate Freedom of Choice Act S. 403 - Health Savings Act of 2017 S. 204/H.R. 878 - Trickett Wendler Right to Try Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Home Infusion Therapy

Client expense: $150,349 · Firm income: Not reported

Primary care, Medicare reimbursement, PA Hospice (HR 1284), VA issues, GOOD bill (S 426), Home Health (S 445), Promote Access to Diabetic Shoes (HR 1617), Supervise cardiac and pulmonary rehab (HR 1155), ACO assignment (HR 1160), Transparency, PA Educational Program Funding (FY17 & FY18 L/HHS Appropriations), federal workers compensation, treating opioid addiction, mental health treatment.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1628 - American Health Care Act of 2017 S.222 - Obamacare Replacement Act H.R.372 - Competitive Health Insurance Reform Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R.1617 - Promoting Access to Diabetic Shoes Act H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R.1160 - ACO Assignment Improvement Act of 2017 H.R. 1155 - To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. H.R. 315 - The Improving Access to Maternity Care Act S. 191 - Patient Freedom Act of 2017 H.R. 1020 - Compassionate Freedom of Choice Act S. 403 - Health Savings Act of 2017 H.R. 878/S. 204 - Right to Try Act of 2017 H.R. 1136 - FDA Deeming Authority Clarification Act of 2017 Home Infusion Therapy Medication Assisted Therapies (MATs) Opioid Abuse Epidemic

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