Stabilize Medicaid and CHIP Coverage Act

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Health provisions in budget legislation, including continuing resolutions Appropriate quality measurement for D-SNPS and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibiles Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Impact of substance use disorder treatment privacy protections on Medicare/Medicaid beneficiaries (42 CFR Part 2) H.R.2628/S.1277, Stabilize Medicaid and CHIP Coverage Act H.R.2843/S.1317, Medicaid and CHIP Continuous Quality Improvement Act H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act H.R. 5583, to amend title XI of the Social Security Act to require states to annually report on certain adult health quality measures, and for other purposes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) 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

Health provisions in budget legislation, including continuing resolutions Appropriate quality measurement for D-SNPS and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibiles Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement Impact of substance use disorder treatment privacy protections on Medicare/Medicaid beneficiaries (42 CFR Part 2) H.R.2628/S.1277, Stabilize Medicaid and CHIP Coverage Act H.R.2843/S.1317, Medicaid and CHIP Continuous Quality Improvement Act S 3120, Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 Opioid Crisis Response Act of 2018 H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act H.R. 5583, to amend title XI of the Social Security Act to require states to annually report on certain adult health quality measures, and for other purposes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1850 - Protecting Jessica Grubb's Legacy Act HR 3545 - Overdose Prevention and Patient Safety Act (OPPS Act) S 581 - Jessie's Law Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Impact of enhanced state flexibility in managing Medicaid programs Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) H.R.3168 re. Medicare Advantage D-SNP reauthorization S. 1827, the KIDS Act H.R.3921 -- HEALTHY KIDS Act H.R.3922 - CHAMPIONING HEALTHY KIDS ACT CHIP funding extension in H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) CHIP funding extension in S.1892, Bipartisan Budget Act Inclusion of Permanent reauthorization and policy changes for MA Dual Special Needs Plans programs in H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) Implications on Safety Net Health Plans in S 2001, State Public Option Act

Monitoring and outreach on issues related to TORT Reform Health IT. H.R. 1892, Bipartisan Budget Act of 2018 (P.L. 115-123). H.R. 195, Extension of Continuing Appropriations Act, 2018 (P.L. 115-120). H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017.

Client expense: Not reported · Firm income: Not reported

Government targets: SENATE

Monitoring and outreach on issues related to Medicare and Medicaid. H.R. 1892, Bipartisan Budget Act of 2018 (P.L. 115-123). H.R. 195, Extension of Continuing Appropriations Act, 2018 (P.L. 115-120). H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017.

Client expense: Not reported · Firm income: Not reported

Government targets: SENATE

S. 1850 - Protecting Jessica Grubb's Legacy Act HR 3545 - Overdose Prevention and Patient Safety Act (OPPS Act) S 581 - Jessie's Law Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Impact of enhanced state flexibility in managing Medicaid programs Medicaid PCP rate increase Medical loss ratio for Medicaid managed care plans Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) H.R.3168 re. Medicare Advantage D-SNP reauthorization S. 1827, the KIDS Act H.R.3921 -- HEALTHY KIDS Act H.R.3922 - CHAMPIONING HEALTHY KIDS ACT CHIP funding extension in H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) CHIP funding extension in S.1892, Bipartisan Budget Act Inclusion of Permanent reauthorization and policy changes for MA Dual Special Needs Plans programs in H.R. 195, HEALTHY KIDS ACT (Continuing Resolution) Implications on Safety Net Health Plans in S 2001, State Public Option Act Inclusion of Permanent reauthorization and policy changes for MA Dual Speical Needs Plans programs in in S.1892, Bipartisan Budget Act

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

Health provisions in budget legislation, including continuing resolutions H.R.195, HEALTHY KIDS Act (continuing resolution) S.1892, Bipartisan Budget Act (CHIP funding, Medicare Advantage D-SNP reauthorization) Appropriate quality measurement for D-SNPS and MMPs Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibiles Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement CHIP funding extension SNP reauthorization SNP sustainability and improvements to MMPs Impact of substance use disorder treatment privacy protections on Medicare/Medicaid beneficiaries (42 CFR Part 2) H.R.2628/S.1277, Stabilize Medicaid and CHIP Coverage Act H.R.2843/S.1317, Medicaid and CHIP Continuous Quality Improvement Act CHIP funding extension in H.R.195, HEALTHY KIDS Act (continuing resolution) CHIP funding extension in S.1892, Bipartisan Budget Act Inclusion of permanent authorization and policy changes for MA Dual Eligible Special Needs Plans programs in H.R.195 Implications on safety net health plans in S.2001, State Public Option Act Inclusion of permanent reauthorization and policy changes for MA Dual Eligible Special Needs Plans program in S.1892

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

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R.1, An Act to provide for reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018. H.R. 2843, Medicaid and CHIP Quality Improvement Act of 2017. S. 1317, Medicaid and CHIP Quality Improvement Act of 2017. H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R.1, An Act to provide for reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018. H.R. 2843, Medicaid and CHIP Quality Improvement Act of 2017. S. 1317, Medicaid and CHIP Quality Improvement Act of 2017. H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Capped allotments in Medicaid Affordable Care Act Medicaid expansion HR 1628, the American Health Care Act Actuarial Soundness in Medicaid Re-authorization of the Medicare Advantage Special Needs Plan program S.870, the CHRONIC Care Act H.R.3168 Fraud, waste, and abuse issues for Medicare and Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility H.R.2628/S.1277 Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement H.R.2843/S.1317 S.1827, KIDS Act H.R.3922, CHAMPIONING HEALTHY KIDS Act Long-term extension of CHIP funding Preserving Actuarial Soundness in Medicaid under 1115 Waivers Appropriate quality measurement in MA and DSNPS Impact of Medicaid cuts in AINS Graham-Cassidy to the American Health Care Act AINS Better Care Reconciliation Act (Medicaid cuts/per capita allotments) Impact of elimination of State and Local Tax Deduction on Medicaid revenues (H.R.1) Impact of the elimination of medical expense deduction on Medicaid beneficiaries (H.R.1)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal activity related to quality indications and specialty requirements for pediatric hospitals. Monitor movement toward alternative payment methodologies for childrens hospitals providing services. H.R. 3325, ACE Kids Act. S. 428, ACE Kids Act of 2017. H.R. 2628, Stabilize Medicaid and CHIP Coverage Act S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3325, ACE Kids Act. S. 428, ACE Kids Act of 2017. H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring and outreach on issues related to TORT Reform Health IT. H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017. H.R. 1955, Rural Hospital Access Act of 2017. S. 872, Rural Hospital Access Act of 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitoring and outreach on issues related to Medicare and Medicaid. H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017. H.R. 1955, Rural Hospital Access Act of 2017. S. 872, Rural Hospital Access Act of 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Outreach and monitoring related to employer healthcare issues. Outreach and monitoring related to healthcare reform. Outreach and monitoring related to ERISA. Outreach and monitoring related to comprehensive tax reform. H.R. 2628 Stabilize Medicaid and CHIP Coverage Act. S. 1227 Stabilize Medicaid and CHIP Coverage Act of 2017. H.R. 1, Tax Cuts and Jobs Act (P.L. 115-97).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL)

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R. 1628, American Health Care Act of 2017. H.R. 2843, Medicaid and CHIP Quality Improvement Act of 2017. S. 1317, Medicaid and CHIP Quality Improvement Act of 2017. H.R. 4710, 340B PAUSE Act. H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017. H.R. 4392, To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes.

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

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

Outreach and monitoring related to health, Medicaid and Medicare issues. H.R. 1628, American Health Care Act of 2017. H.R. 2843, Medicaid and CHIP Quality Improvement Act of 2017. S. 1317, Medicaid and CHIP Quality Improvement Act of 2017. H.R. 4710, 340B PAUSE Act. H.R. 2628, Stabilize Medicaid and CHIP Coverage Act. S. 1227, Stabilize Medicaid and CHIP Coverage Act of 2017. H.R. 4392, To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes.

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) 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

S. 1850 - Protecting Jessica Grubb's Legacy Act HR 3545 - Overdose Prevention and Patient Safety Act (OPPS Act) S 581 - Jessie's Law Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Network adequacy Protecting Medicaid from reductions made during budget reconciliation Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Impact of enhanced state flexibility in managing Medicaid programs Medical loss ratio for Medicaid managed care plans Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) S.870, the CHRONIC Care Act Impact of Medicaid cuts in Graham-Cassidy Budget Alternative H.R.3168 re. Medicare Advantage D-SNP reauthorization Tax Cuts and Jobs Act of 2017 Impact on elimination of Medical Expense deduction on Medicaid beneficiaries in H.R.1 Impact on elimination of deductability of SALT on cuts in Medicaid under H.R.1 S. 1827, the KIDS Act H.R.3921 -- HEALTHY KIDS Act H.R.3922 - CHAMPIONING HEALTHY KIDS AcT

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

Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Network adequacy Protecting Medicaid from reductions made during budget reconciliation Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Home and community based services Impact of enhanced state flexibility in managing Medicaid programs H.R.1628, American Health Care Act AINS, Better Care Reconciliation Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) S.870, the CHRONIC Care Act Impact of Medicaid cuts in Graham-Cassidy Budget Alternative H.R.3168 re. Medicare Advantage D-SNP reauthorization

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

Capped allotments in Medicaid Affordable Care Act Medicaid expansion HR 1628, the American Health Care Act Actuarial Soundness in Medicaid Re-authorization of the Medicare Advantage Special Needs Plan program S.870, the CHRONIC Care Act H.R.3168 Fraud, waste, and abuse issues for Medicare and Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility H.R.2628/S.1277 Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement H.R.2843/S.1317 CHIP funding extension Preserving Actuarial Soundness in Medicaid under 1115 Waivers Appropriate quality measurement in MA and DSNPS Impact of Medicaid cuts in AINS Graham-Cassidy AINS Better Care Reconciliation Act (Medicaid cuts/per capita allotments)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

340B drug discount program Actuarial soundness Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs Changes to Medicare/Medicaid programs as part of entitlement reform and deficit reduction efforts Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles High cost specialty medications Impact of significant budget cuts in Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility and improve quality measurement in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Medicaid quality measurement and improvement Mental Health Parity Network adequacy Protecting Medicaid from reductions made during budget reconciliation Provider Directories Regulatory and systematic impact of Medicaid continuous coverage Risk adjustment SNP reauthorization SNP sustainability and improvements to MMPs Medicaid expansion activities Medicaid state financing mechanisms Capped Medicaid Funding Proposals CHIP funding extension Home and community based services Impact of enhanced state flexibility in managing Medicaid programs S.Con.Res.3, related to Medicaid H.R.1628, American Health Care Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) AINS, Better Care Reconciliation Act Substance Use Disorder Treatment Privacy Protections (42 CFR Part 2) H.R.2628/S.1277 (Stabilize Medicaid and CHIP Coverage Act) H.R.2843/S.1317 (Medicaid and CHIP Continuous Quality Improvement Act) S.870, the CHRONIC Care Act H.R.3168 re. Medicare Advantage D-SNP reauthorization

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

Capped allotments in Medicaid Affordable Care Act Medicaid expansion HR 1628, the American Health Care Act Better Care Reconciliation Act Actuarial Soundness in Medicaid Re-authorization of the Medicare Advantage Special Needs Plan program S.870, the CHRONIC Care Act H.R.3168 Fraud, waste, and abuse issues for Medicare and Medicaid Legislative solution to address churning in Medicaid/CHIP eligibility H.R.2628/S.1277 Medicaid eligibility and enrollment issues Medicaid quality measurement and improvement H.R.2843/S.1317 CHIP funding extension Preserving Actuarial Soundness in Medicaid under 1115 Waivers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE