Access to Frontline Health Care Act of 2017

Supported H.R. 2550, the Medicare Telehealth Parity Act which would allow audiologists to be reimbursed by Medicare for services administered via telehealth. The Academy has met with congressional offices on the Access to Frontline Health Care Act (H.R. 2042). This legislation would allow for medical practitioners in certain fields to have some of their student loans covered by the Department of Health and Human Services in exchange for practicing for two years in federally-defined frontline shortage areas. AAA met with Congressional offices to learn about the possible viability of legislation that would expand Medicare to cover hearing aids and related services to hearing aids in the 116th Congress. AAA has engaged in efforts to educate legislators about the recommendations relative to implementation of the Over-the-Counter Hearing Aid Act (S.670, H.R. 1652), as put forth in a white paper co-authored by organizations representing audiologists and hearing aid dispensers. AAA also met with the Food and Drug Administration regarding recommendations related to labeling and specifications of the forthcoming over-the-counter hearing aids.

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

Government targets: Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

No bill# - Advocated for the inclusion of occupational therapy in a bill promoting health workforce in rural areas. HR 2042 - Access to Frontline Healthcare Act of 2017: Support passage. S. 3796/HR 6897 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2018: Advocate for inclusion of occupational therapy and educate about role of occupational therapy.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Medicare Appeals Procedures) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Targeted Medical Review Essential Health Benefits MIPS/PPP Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act H.R. 5261 Teach Act Opioid related H.R. 5197 Alto Act Opioid related Administrative Burden H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act H.R. 5773, Preventing Addiction for Susceptible Seniors Act H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act H.R. 5718, Perioperative Reduction for Opioids Act H.R. 5719, Reduce Overprescribing Opioids in Treatment Act H.R. 5722, Dr. Todd Graham Pain Management Improvement Act H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act. S. 3120, HEAL Act S. 2680, Opioid Crisis Response Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Certified EHR technology HR 7217 Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act (IMPROVE ACT) S. 3458: Improvements to Home Health HR 3635: Local Coverage Determination Clarification Act of 2018

H.R. - 1628 American Health Care Act S.Con.Res.3 - Concurrent Resolution Setting Forth Budgetary Levels for FY 18-26 H.R. 1378 - National Health Service Corps Improvement Act H.R. 372 - Competitive Health Insurance Reform Act H.R. 302 - Sports Medicine Licensure Clarity Act S. 808 Sports Medicine Licensure Clarity Act H.R. 1628 Better Care Reconciliation Act H.R. 2202 Chiropractic Membership in the Public Health Service Commissioned Corps Act H.R. 1370 Continuing Resolution H.J. Res. 123 Continuing Resolution H.R. 1625 Vehicle for Consolidated Appropriations Act 2018 H.R. 2042 Access to Frontline Health Act H.R. 5722 Dr. Todd Graham Pain Management Improvement Act S. 3008 Dr. Todd Graham Pain Management Improvement Act H.R. 5776 MOST Act H.R. 4508 PROSPER Act H.R. 6157 Appropriations for DOD, Labor/HHS/Education and Continuing Appropriations for all other agencies

Client expense: $72,063 · Firm income: Not reported

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

Supported H.R. 2550, the Medicare Telehealth Parity Act which would allow audiologists to be reimbursed by Medicare for services administered via telehealth. The Academy has met with congressional offices on the Access to Frontline Health Care Act (H.R. 2042). This legislation would allow for medical practitioners in certain fields to have some of their student loans covered by the Department of Health and Human Services in exchange for practicing for two years in federally-defined frontline shortage areas. AAA has engaged in efforts to educate legislators about the recommendations relative to implementation of the Over-the-Counter Hearing Aid Act (S.670, H.R. 1652), as put forth in a white paper co-authored by organizations representing audiologists and hearing aid dispensers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3158/H.R.6470 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019, and HR. 6157 - Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019. Advocated for increased FY19 funding for the Behavioral Health Workforce Education Training and Mental and Behavioral Health Education and Training grants, to maintain eligibility for occupational therapy programs in both, and inclusion of specific language to ensure masters and doctoral level occupational therapy programs be included in both grants. Advocated for an increase to the Title IVA block grant and for it to remain a formulary grant in FY19. Advocated for an increase to the Individuals with Disabilities Education Act (IDEA) in FY19. No bill# - Advocated for the inclusion of occupational therapy in a bill promoting health workforce in rural areas. HR 2042 - Access to Frontline Healthcare Act of 2017: Support passage.

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

H.R. - 1628 American Health Care Act S.Con.Res.3 - Concurrent Resolution Setting Forth Budgetary Levels for FY 18-26 H.R. 1378 - National Health Service Corps Improvement Act H.R. 372 - Competitive Health Insurance Reform Act H.R. 302 - Sports Medicine Licensure Clarity Act S. 808 Sports Medicine Licensure Clarity Act H.R. 1628 Better Care Reconciliation Act H.R. 2202 Chiropractic Membership in the Public Health Service Commissioned Corps Act H.R. 1370 Continuing Resolution H.J. Res. 123 Continuing Resolution H.R. 1625 Vehicle for Consolidated Appropriations Act 2018 H.R. 2042 Access to Frontline Health Act H.R. 5722 Dr. Todd Graham Pain Management Improvement Act S. 3008 Dr. Todd Graham Pain Management Improvement Act H.R. 5776 MOST Act H.R. 4508 PROSPER Act H.R. 6157 Appropriations for DOD, Labor/HHS/Education and Continuing Appropriations for all other agencies

Client expense: $72,063 · Firm income: Not reported

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

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Targeted Medical Review Essential Health Benefits MIPS/PPP Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act H.R. 5261 Teach Act Opioid related H.R. 5197 Alto Act Opioid related Administrative Burden H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act H.R. 5773, Preventing Addiction for Susceptible Seniors Act H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act H.R. 5718, Perioperative Reduction for Opioids Act H.R. 5719, Reduce Overprescribing Opioids in Treatment Act H.R. 5722, Dr. Todd Graham Pain Management Improvement Act H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act. S. 3120, HEAL Act S. 2680, Opioid Crisis Response Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Certified EHR technology

S. 3158 and no bill # in House: Labor-HHS-Education Appropriations Advocated to maintain authorization language when appropriating funds and to provide level funding to the Behavioral Health Workforce Education Training Grants program and other Title VII and VIII project workforce programs. Advocated for occupational therapy educational programs to remain eligible for HRSA behavioral health training programs. No bill# - Advocated for the inclusion of occupational therapy in a bill promoting health workforce in rural areas. HR 2042 - Access to Frontline Healthcare Act of 2017: Support passage.

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

Supported H.R. 2550, the Medicare Telehealth Parity Act which would allow audiologists to be reimbursed by Medicare for services administered via telehealth. The Academy has met with congressional offices on the Access to Frontline Health Care Act (H.R. 2042). This legislation would allow for medical practitioners in certain fields to have some of their student loans covered by the Department of Health and Human Services in exchange for practicing for two years in federally-defined frontline shortage areas. Met with offices on H.R. 2276 and S. 2575, the Audiology Patient Choice Act, to gather information on the legislation and on viability of provisions found within the bill. Contacted CMS to explore effects of regulatory implementation of the Audiology Patient Choice Act on the practice of audiology.

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

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

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Targeted Medical Review Essential Health Benefits MIPS/PPP Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act H.R. 5261 Teach Act Opioid related H.R. 5197 Alto Act Opioid related Administrative Burden H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act H.R. 5773, Preventing Addiction for Susceptible Seniors Act H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act H.R. 5718, Perioperative Reduction for Opioids Act H.R. 5719, Reduce Overprescribing Opioids in Treatment Act H.R. 5722, Dr. Todd Graham Pain Management Improvement Act H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act. S. 3120, HEAL Act S. 2680, Opioid Crisis Response Act

H.R. - 1628 American Health Care Act S.Con.Res.3 - Concurrent Resolution Setting Forth Budgetary Levels for FY 18-26 H.R. 1378 - National Health Service Corps Improvement Act H.R. 372 - Competitive Health Insurance Reform Act H.R. 302 - Sports Medicine Licensure Clarity Act S. 808 Sports Medicine Licensure Clarity Act H.R. 1628 Better Care Reconciliation Act H.R. 2202 Chiropractic Membership in the Public Health Service Commissioned Corps Act H.R. 1370 Continuing Resolution H.J. Res. 123 Continuing Resolution H.R. 1625 Vehicle for Consolidated Appropriations Act 2018 H.R. 2042 Access to Frontline Health Act H.R. 5722 Dr. Todd Graham Pain Management Improvement Act S. 3008 Dr. Todd Graham Pain Management Improvement Act H.R. 5776 MOST Act H.R. 4508 PROSPER Act

Client expense: $46,125 · Firm income: Not reported

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

Labor-HHS-Education Appropriations (no bill #): Advocated to maintain authorization language when appropriating funds and to provide level funding to the Behavioral Health Workforce Education Training Grants program and other Title VII and VIII project workforce programs. Behavioral Health Workforce Education Training Grants - no bill#: Advocating to maintain authorization language when appropriating funds and to provide level funding to the program. No bill# - Advocated for the inclusion of occupational therapy in a bill promoting health workforce in rural areas. HR 2042 - Access to Frontline Healthcare Act of 2017: Support passage.

Client expense: $139,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Targeted Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act H.R. 5261 Teach Act Opioid related H.R. 5197 Alto Act Opioid related Administrative Burden

Client expense: $252,000 · Firm income: Not reported

Supported H.R. 2550, the Medicare Telehealth Parity Act which would allow audiologists to be reimbursed by Medicare for services administered via telehealth. The Academy has met with congressional offices on the Access to Frontline Health Care Act (H.R. 2042). This legislation would allow for medical practitioners in certain fields to have some of their student loans covered by the Department of Health and Human Services in exchange for practicing for two years in federally-defined frontline shortage areas. Submitted list of hearing health care organizations and contact information for educational purposes to the FDA on January 12, 2018.

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes EMG Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act

Client expense: $254,609 · Firm income: Not reported

Labor-HHS-Education Appropriations (no bill #): Advocated to maintain authorization language when appropriating funds and to provide level funding to the Behavioral Health Workforce Education Training Grants program and other Title VII and VIII project workforce programs. Behavioral Health Workforce Education Training Grants - no bill#: Advocating to maintain authorization language when appropriating funds and to provide level funding to the program. No bill# - Advocated for the inclusion of occupational therapy in a bill promoting health workforce in rural areas expected to be introduced before the end of 2017. HR 2042 - Access to Frontline Healthcare Act of 2017: Support passage.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes EMG Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act

Client expense: $254,609 · Firm income: Not reported

Supported the Early Hearing Detection and Intervention Act (H.R. 1539, S. 562), a bill that proposes to amend the Public Health Service Act to reauthorize a program for early detection, diagnosis, and treatment regarding deaf and hard-of-hearing newborns, infants, and young children. Met with the FDA to discuss the potential regulations that would be promulgated from the Over-the-Counter Hearing Aid Act (S. 670, H.R. 1652) and the Medical Device User Fee Amendments (S. 934, H.R. 2430). This legislation authorized the FDA to create a category of hearing aids available over the counter for individuals who perceive that they have mild-to-moderate hearing loss. Supported H.R. 2550, the Medicare Telehealth Parity Act which would allow audiologists to be reimbursed by Medicare for services administered via telehealth. The Academy has met with congressional offices on the Access to Frontline Health Care Act (H.R. 2042). This legislation would allow for medical practitioners in certain fields to have some of their student loans covered by the Department of Health and Human Services in exchange for practicing for two years in federally-defined frontline shortage areas.

Client expense: $25,000 · Firm income: Not reported

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes EMG Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act

Client expense: $239,504 · Firm income: Not reported

Labor-HHS-Education Appropriations (no bill #): Advocated to maintain authorization language when appropriating funds and to provide level funding to the Behavioral Health Workforce Education Training Grants program and other Title VII and VIII project workforce programs. Behavioral Health Workforce Education Training Grants - no bill#: Advocating to maintain authorization language when appropriating funds and to provide level funding to the program. No bill# - Advocated for the inclusion of occupational therapy in a bill promoting health workforce in rural areas expected to be introduced before the end of 2017. HR 2042 - Access to Frontline Healthcare Act of 2017: Support passage.

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Supported the Early Hearing Detection and Intervention Act (H.R. 1539, S. 562), a bill that proposes to amend the Public Health Service Act to reauthorize a program for early detection, diagnosis, and treatment regarding deaf and hard-of-hearing newborns, infants, and young children. Met with congressional offices to discuss the Over-the Counter Hearing Aid Act (S. 670, H.R. 1652)and the Medical Device User Fee Amendments (S. 934, H.R. 2430). This legislation authorizes the FDA to create a category of hearing aids available over the counter for individuals who perceive that they have mild-to-moderate hearing loss. Supported H.R. 2550, the Medicare Telehealth Parity Act which would allow audiologists to be reimbursed by Medicare for services administered via telehealth. Also, the Academy has met with congressional offices on the Access to Frontline Health Care Act (H.R. 2042). This legislation would allow for medical practitioners in certain fields to have some of their student loans covered by the Department of Health and Human Services in exchange for practicing for two years in federally-defined frontline shortage areas.

Client expense: $25,000 · Firm income: Not reported

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes EMG Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME

Client expense: $246,629 · Firm income: Not reported

Supported the introduction and advancement of the Early Hearing Detection and Intervention Act (H.R. 1539, S. 562), a bill that proposes to amend the Public Health Service Act to reauthorize a program for early detection, diagnosis, and treatment regarding deaf and hard-of-hearing newborns, infants, and young children. Met with congressional offices to discuss the Over-the Counter Hearing Aid Act (S. 670, H.R. 1652)and the Medical Device User Fee Amendments (S. 934, H.R. 2430). This legislation will create a category of hearing aids available over the counter for individuals who perceive that they have mild-to-moderate hearing loss. Also, we have met with congressional offices on the Access to Frontline Health Care Act (H.R. 2042). This legislation would allow for medical practitioners in certain fields to have some of their student loans covered by the Department of Health and Human Services in exchange for practicing for two years in federally-defined frontline shortage areas.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE