Home Health Documentation and Program Improvement Act of 2017

Issues regarding Medicare and Medicaid reimbursement for home health, hospice and palliative care services. Specifically, H.R. 3992 related to establishing a new Medicare home health payment system, H.R. 2663 related to paperwork requirements, H.R. 1825/S.445 related to allowing non-physicians to certify for home health services and federal budget bills that could impact these policies, including H.R. 195 (no title) and "The Bipartisan Budget Act of 2018 (H.R. 1892).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Support H.R. 6986, the Nursing Home Workforce Quality Act, to modify the nurse aide training lock-out provisions of the Omnibus Budget Reconciliation Act of 1987. Support S. 1334/HR 2797, the Patient Choice and Quality Care Act, to allow for better service coordination for Medicare beneficiaries with advanced illnesses. Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Support H.R. 2797/S. 1334, the Patient Choice and Quality Care Act, to create a new Medicare model for advanced illness care. Support H.R. 2663, Home Health Documentation and Program Improvement Act, to address the current backlog of appeals on claims for Medicare reimbursement. Support H.R. 3098, Medicare Adult Day Services Act Advocating for modification of the "settings rule" for Medicaid coverage of home care services provided to beneficiaries living on the campus of a nursing home or assisted living facility. Oppose revisions to Medicaid to set lifetime limits on coverage.

Client expense: $91,901 · Firm income: Not reported

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

Issues related to home care and hospice, telehealth, Medicare reimbursement and state's health insurance program legislation. Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. S. 1028, RAISE Family Caregivers Act.

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

Modifications to the Medicare home health provisions in the Bipartisan Budget Act. Oppose home health and hospice payment cuts and co-pays. Home health rural add on payment adjustment. Hospice payment policy. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Chronic care management proposals. Long-term services and supports coverage under Medicare. Medicare Advantage hospice proposals. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. H.R. 6042 (EVV Delay) To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services furnished without an electronic visit verification system, and for other purposes. H.R. 3992, Rural Health Extension and Regulatory Relief Act. 1115 Waivers eliminating retroactive coverage in Florida and Arizona. Labor-HHS Appropriations. Proposed amendments to the Bipartisan Budget Act (Pub. L. No. 115-123) including provisions related to physician assistants as hospice attending physicians and hospital early discharge to hospice care. HHGM regulatory proposal. S. 3458/H.R. 6932, Medicare home health payment reform legislation. Appropriations for family caregiver support programs. S. 2227/H.R. 5306, EMPOWER Act. RAISE Family Caregivers Act - HHS implementation. Medicare Part B Time-limited equitable relief issues. Value based purchasing and bundling.

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

Medicare reform Medicaid expansion and reform Medicare and Medicaid Disproportionate Share (DSH) funding Wage index Medicare inpatient and outpatient payment system Integrated health care delivery Medical education for teaching hospitals Health information technology (HIT) and telehealth Behavioral health Off-campus hospital outpatient department (HOPD) funding 340B program Post acute care programs/funding including H.R.2663 (the Home Health Documentation and Program Improvement Act of 2017) H.R. 1421/S.568: The Improving Access to Medicare Coverage Act of 2017.(allowing observation days to count towards 3-day stay requirement of Medicare) CAR-T funding support

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

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

Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Advocating for modification of the nurse aide training lock-out provisions of the Omnibus Budget Reconciliation Act of 1987. Support S. 1334/HR 2797, the Patient Choice and Quality Care Act, to allow for better service coordination for Medicare beneficiaries with advanced illnesses. Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Support H.R. 2797/S. 1334, the Patient Choice and Quality Care Act, to create a new Medicare model for advanced illness care. Support H.R. 2663, Home Health Documentation and Program Improvement Act, to address the current backlog of appeals on claims for Medicare reimbursement. Support H.R. 3098, Medicare Adult Day Services Act Advocating for modification of the "settings rule" for Medicaid coverage of home care services provided to beneficiaries living on the campus of a nursing home or assisted living facility. Oppose revisions to Medicaid to set lifetime limits on coverage.

Client expense: $32,306 · Firm income: Not reported

Issues related to home care and hospice, telehealth, Medicare reimbursement and state's health insurance program legislation. Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. S. 1028, RAISE Family Caregivers Act.

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

Modifications to the Medicare home health provisions in the Bipartisan Budget Act. Oppose home health and hospice payment cuts and co-pays. Home health rural add on payment adjustment. Hospice payment policy. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Chronic care management proposals. Long-term services and supports coverage under Medicare. Medicare Advantage hospice proposals. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. H.R. 6042 (EVV Delay) To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services furnished without an electronic visit verification system, and for other purposes. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 3728, EMPOWER Act. 1115 Waivers eliminating retroactive coverage in Florida and Arizona. Labor-HHS Appropriations. Proposed amendments to the Bipartisan Budget Act (Pub. L. No. 115-123) including provisions related to physician assistants as hospice attending physicians and hospital early discharge to hospice care. HHGM regulatory proposal.

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

Medicare reform Medicaid expansion and reform Medicare and Medicaid Disproportionate Share (DSH) funding Wage index Medicare inpatient and outpatient payment system Integrated health care delivery Medical education for teaching hospitals Health information technology (HIT) and telehealth Behavioral health Off-campus hospital outpatient department (HOPD) funding 340B program Post acute care programs/funding including H.R.2663 (the Home Health Documentation and Program Improvement Act of 2017) H.R. 1421/S.568: The Improving Access to Medicare Coverage Act of 2017.(allowing observation days to count towards 3-day stay requirement of Medicare) CAR-T funding support

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

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

Issues regarding Medicare and Medicaid reimbursement for home health, hospice and palliative care services. Specifically, H.R. 3992 related to establishing a new Medicare home health payment system, H.R. 2663 related to paperwork requirements, H.R. 1825/S.445 related to allowing non-physicians to certify for home health services and federal budget bills that could impact these policies, including H.R. 195 (no title) and "The Bipartisan Budget Act of 2018 (H.R. 1892).

Client expense: $5,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Support H.R. 807/S. 253 to repeal caps on Medicare coverage of outpatient therapy. Favored these provisions of Bipartisan Budget Act, H.R. 1892. Support S. 870, the CHRONIC Care Act, to improve Medicare coverage for beneficiaries with chronic health conditions. Supported these provisions of H.R. 1892. Advocating for modification of the nurse aide training lock-out provisions of the Omnibus Budget Reconciliation Act of 1987. Support S. 1334/HR 2797, the Patient Choice and Quality Care Act, to allow for better service coordination for Medicare beneficiaries with advanced illnesses. Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Support H.R. 2797/S. 1334, the Patient Choice and Quality Care Act, to create a new Medicare model for advanced illness care. Support H.R. 2663, Home Health Documentation and Program Improvement Act, to address the current backlog of appeals on claims for Medicare reimbursement. Support H.R. 3098, Medicare Adult Day Services Act Advocating for modification of the "settings rule" for Medicaid coverage of home care services provided to beneficiaries living on the campus of a nursing home or assisted living facility.

Client expense: $76,987 · Firm income: Not reported

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Recognition and payment for telehealth services under Medicare and Medicaid. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Advance care planning services. Appropriations for family caregiver support programs. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. H.R. 3728, EMPOWER Act. Medicare Part D Auto-escalation. Independent Payment Advisory Board Repeal. Protection for recipients of home and community-based services against spousal impoverishment. H.R. 3493, Care Corps Demonstration Act of 2017. S. 1028, RAISE Family Caregivers Act. H.R. 1892, Bipartisan Budget Act of 2018. H.R. 1625, Consolidated Appropriations Act of 2018.

Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; Home Health Care Planning Improvement Act H.R.1825, S.445; Preserve Access to Medicare Rural Home Health Services Act -S.353; Home Health Documentation and Program Improvement Act of 2017, H.R.2663; Bipartisan Budget Act of 2018; Consolidated Appropriations Act of 2018 (H.R. 1625).

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

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

Medicare reform Medicaid expansion and reform Medicare and Medicaid Disproportionate Share (DSH) funding Wage index Medicare inpatient and outpatient payment system Integrated health care delivery Medical education for teaching hospitals Health information technology (HIT) and telehealth Behavioral health Off-campus hospital outpatient department (HOPD) funding 340B program Post acute care programs/funding including H.R.2663 (the Home Health Documentation and Program Improvement Act of 2017) H.R. 1421/S.568: The Improving Access to Medicare Coverage Act of 2017.(allowing observation days to count towards 3-day stay requirement of Medicare)

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

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

Issues regarding Medicare and Medicaid reimbursement for home health, hospice and palliative care services. Specifically, H.R. 3992 related to establishing a new Medicare home health payment system, H.R. 2663 related to paperwork requirements, H.R. 1825/S.445 related to allowing non-physicians to certify for home health services and federal budget bills that could impact these policies, including H.R. 195 (no title) and "The Bipartisan Budget Act of 2018 (H.R. 1892).

Client expense: Not reported · Firm income: $5,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Home Health Face to Face Requirement, Home Health Documentation and Program Improvement Act (HR 2663), Home Health Care Planning Improvement Act (HR 1825, S. 445), Palliative Care Hospice Education & Training Act (HR 1676, S. 693), Preserve Access to Medicare Rural Home Health Services Act (S. 353), Home Health Groupings Model

Client expense: $17,856 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Home Health Face to Face Requirement, Home Health Documentation and Program Improvement Act (HR 2663), Home Health Care Planning Improvement Act (HR 1825, S. 445), Palliative Care Hospice Education & Training Act (HR 1676, S. 693), Preserve Access to Medicare Rural Home Health Services Act (S. 353), Home Health Groupings Model

Client expense: $17,856 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reform Medicaid expansion and reform Medicare and Medicaid Disproportionate Share (DSH) funding Wage index Medicare inpatient and outpatient payment system Integrated health care delivery Medical education for teaching hospitals Health information technology (HIT) and telehealth Behavioral health Off-campus hospital outpatient department (HOPD) funding 340B program Post acute care programs/funding including H.R.2663 (the Home Health Documentation and Program Improvement Act of 2017)

Client expense: $40,000 · 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)

Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Support H.R. 807/S. 253 to repeal caps on Medicare coverage of outpatient therapy. Support S. 870, the CHRONIC Care Act, to improve Medicare coverage for beneficiaries with chronic health conditions Support S. 1334/HR 2797, the Patient Choice and Quality Care Act, to allow for better service coordination for Medicare beneficiaries with advanced illnesses. Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Oppose H.R. 1394, to weaken Medicaid coverage of nonemergency medical transportation. Support H.R. 2797/S. 1334, the Patient Choice and Quality Care Act, to create a new Medicare model for advanced illness care. Support H.R. 2663, Home Health Documentation and Program Improvement Act, to address the current backlog of appeals on claims for Medicare reimbursement. Support H.R. 3098, Medicare Adult Day Services Act Advocating for modification of the "settings rule" for Medicaid coverage of home care services provided to beneficiaries living on the campus of a nursing home or assisted living facility.

Client expense: $41,704 · Firm income: Not reported

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Advance care planning services. Appropriations for family caregiver support programs. Case mix creep payment cuts. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. Medicare Home Health Rebasing Relief and Reassessment Act (pending). H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). Home Health Access Protection Act (draft legislation) Verifying Electronically the Receipt of In-Home Care for Individuals Act or the VERIFI Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Audit and Appeals Fairness, Integrity, and Reforms in Medicare (AFIRM) Act (pending). Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. S. 227, EMPOWER Act. Medicare Part D Auto-escalation. Independent Payment Advisory Board Repeal. Cuts to Medicare and Medicaid via tax reform. Protection for recipients of home and community-based services against spousal impoverishment. H.R. 3493, Care Corps Demonstration Act of 2017. S. 1028, RAISE Family Caregivers Act.

ACA Repeal and Replace: The Better Care Reconciliation Act (BCRA), the Obamacare Repeal and Reconciliation Act (ORRA), the Health Care Freedom Act (HCFA), and Graham-Cassidy-Heller-Johnson; House and Senate FY 2018 Budget Resolutions; ACA Market Stabilization (Senate HELP Committee); Extension of the Childrens Health Insurance Program (CHIP); Reductions to Medicare Part B payment for drugs acquired through the 340B Drug Pricing Program (OPPS Rule); Imputed Rural Floor for all-urban states; DSH cut delay; Home Health Grouping Model delay; CHRONIC Care Act; Opioid State of Emergency; White House Opioid Commission; Home Health Documentation and Program Improvement Act (H.R. 2663); Improving Access to Medicare Coverage Act (observation bill) (H.R. 1421/S. 568); Delay move of Medicare post-acute payments to value-based purchasing; Protecting provider payments from cuts to fund tax reform, deficit reductions, and other priorities; Site-neutral payments for Hospital outpatient department (HOPDs) (Section 603 of BBA 2015) (oppose in general; oppose FY 2018 PFS cuts specifically) Public Service Loan Forgiveness (PSLF) Program; Overdose Prevention and Patient Safety Act (H.R. 3545); Furthering Access to Stroke Telemedicine (FAST) Act of 2017; Removing requirement that requires the HHS Secretary to continue to make meaningful use standards more stringent over time (H.R. 3120); Extension of Medicare Independence at Home Medical demonstration (H.R. 3263); Spending cuts in exchange for raising the Debt Ceiling; FDA User Fees; Medicare and Medicaid Extenders; Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; Final rule: Revising the Requirements of Participation (RoP) for long-term care (LTC facilities).

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

Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; Home Health Care Planning Improvement Act H.R.1825, S.445; Preserve Access to Medicare Rural Home Health Services Act -S.353; Home Health Documentation and Program Improvement Act of 2017, H.R.2663; Home Health Groupings Model/ Calendar Year 2018 Home Health Prospective Payment System (HHPPS) Rate Update Proposed Rule

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

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

Issues regarding Medicare and Medicaid reimbursement for home health, hospice and palliative care services. Specifically, H.R. 3992 related to establishing a new Medicare home health payment system, H.R. 2663 related to paperwork requirements and H.R. 1825/S.445 related to allowing non-physicians to certify for home health services.

Client expense: Not reported · Firm income: $5,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Home Health Face to Face Requirement, Home Health Documentation and Program Improvement Act (HR 2663), Home Health Care Planning Improvement Act (HR 1825, S. 445), Palliative Care Hospice Education & Training Act (HR 1676, S. 693), Preserve Access to Medicare Rural Home Health Services Act (S. 353), Home Health Groupings Model

Client expense: $17,856 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Home Health Face to Face Requirement, Home Health Documentation and Program Improvement Act (HR 2663), Home Health Care Planning Improvement Act (HR 1825, S. 445), Palliative Care Hospice Education & Training Act (HR 1676, S. 693), Preserve Access to Medicare Rural Home Health Services Act (S. 353), Home Health Groupings Model

Client expense: $17,856 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reform Medicaid expansion and reform Medicare and Medicaid Disproportionate Share (DSH) funding Wage index Medicare inpatient and outpatient payment system Integrated health care delivery Medical education for teaching hospitals Health information technology (HIT) and telehealth Behavioral health Off-campus hospital outpatient department (HOPD) funding 340B program Post acute care programs/funding including H.R.2663 (the Home Health Documentation and Program Improvement Act of 2017)

Client expense: $40,000 · 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)

Oppose home health and hospice payment and co-pays. Legislative and regulatory proposals affection home care and hospice. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Medicare reimbursement of advanced care planning services. Appropriations for family caregiver support programs. Case mix creep payment cuts. S. 353, Preserve Access to Medicare Rural Home Health Services Act. S. 445, Home Health Care Planning Improvement Act. S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284, Medicare Patient Access to Hospice Act. H.R. 1676, Palliative Care and Hospice Education and Training Act. H.R. 1825, Home Health Care Planning Improvement Act. H.R. 1828/S. 980, Rural Access to Hospice Act. Medicare Home Health Rebasing Relief and Reassessment Act (pending). H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). Home Health Access Protection Act (draft legislation) Verifying Electronically the Receipt of In-Home Care for Individuals Act or the VERIFI Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Audit and Appeals Fairness, Integrity, and Reforms in Medicare (AFIRM) Act (pending). Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. Pre-Claim Undermines Seniors Health (PUSH) Act (pending). H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment.

Lobbied against the American Health Care Act, H.R. 1628, especially its provisions for eliminating Medicaid expansion and transforming Medicaid into per capita capped allocations to states. Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Support H.R. 807/S. 253 to repeal caps on Medicare coverage of outpatient therapy. Support S. 870, the CHRONIC Care Act, to improve Medicare coverage for beneficiaries with chronic health conditions Support S. 1334/HR 2797, the Patient Choice and Quality Care Act, to allow for better service coordination for Medicare beneficiaries with advanced illnesses. Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Oppose H.R. 1394, to weaken Medicaid coverage of nonemergency medical transportation. Support H.R. 2797/S. 1334, the Patient Choice and Quality Care Act, to create a new Medicare model for advanced illness care. Support H.R. 2663, Home Health Documentation and Program Improvement Act, to address the current backlog of appeals on claims for Medicare reimbursement. Support H.R. 3098, Medicare Adult Day Services Act

Client expense: $22,943 · Firm income: Not reported

Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; Home Health Care Planning Improvement Act H.R.1825, S.445; Preserve Access to Medicare Rural Home Health Services Act -S.353; Home Health Documentation and Program Improvement Act of 2017, H.R.2663; Home Health Groupings Model/ Calendar Year 2018 Home Health Prospective Payment System (HHPPS) Rate Update Proposed Rule

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

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

Lobbied against the American Health Care Act, H.R. 1628, especially its provisions for eliminating Medicaid expansion and transforming Medicaid into per capita capped allocations to states. Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Support H.R. 807/S. 253 to repeal caps on Medicare coverage of outpatient therapy. Support S. 870, the CHRONIC Care Act, to improve Medicare coverage for beneficiaries with chronic health conditions Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Oppose H.R. 1394, to weaken Medicaid coverage of nonemergency medical transportation. Support H.R. 2797/S. 1334, the Patient Choice and Quality Care Act, to create a new Medicare model for advanced illness care. Support H.R. 2663, Home Health Documentation and Program Improvement Act, to address the current backlog of appeals on claims for Medicare reimbursement. Support H.R. 3098, Medicare Adult Day Services Act

Client expense: $22,943 · Firm income: Not reported

Issues regarding Medicare and Medicaid reimbursement for home health, hospice and palliative care services. Specifically, H.R. 3992 related to establishing a new Medicare home health payment system, H.R. 2663 related to paperwork requirements and H.R. 1825/S.445 related to allowing non-physicians to certify for home health services.

Client expense: Not reported · Firm income: $15,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues regarding Medicare and Medicaid coverage of home health, hospice and palliative care services. Specifically, H.R. 3992 related to establishing a new Medicare home health payment system, H.R. 2663 related to Medicare paperwork rules, and H.R. 1825/S.445 related to allowing non-physicians to certify for Medicare home care services.

Client expense: Not reported · Firm income: Not reported

ACA Repeal and Replace: The Better Care Reconciliation Act (BCRA), the Obamacare Repeal and Reconciliation Act (ORRA), the Health Care Freedom Act (HCFA), and Graham-Cassidy-Heller-Johnson; House and Senate FY 2018 Budget Resolutions; ACA Market Stabilization (Senate HELP Committee); Extension of the Childrens Health Insurance Program (CHIP); Reductions to Medicare Part B payment for drugs acquired through the 340B Drug Pricing Program (OPPS Rule); Imputed Rural Floor for all-urban states; DSH cut delay; Home Health Grouping Model delay; CHRONIC Care Act; Opioid State of Emergency; White House Opioid Commission; Home Health Documentation and Program Improvement Act (H.R. 2663); Improving Access to Medicare Coverage Act (observation bill) (H.R. 1421/S. 568); Delay move of Medicare post-acute payments to value-based purchasing; Protecting provider payments from cuts to fund tax reform, deficit reductions, and other priorities; Site-neutral payments for Hospital outpatient department (HOPDs) (Section 603 of BBA 2015) (oppose in general; oppose FY 2018 PFS cuts specifically) Public Service Loan Forgiveness (PSLF) Program; Overdose Prevention and Patient Safety Act (H.R. 3545); Furthering Access to Stroke Telemedicine (FAST) Act of 2017; Removing requirement that requires the HHS Secretary to continue to make meaningful use standards more stringent over time (H.R. 3120); Extension of Medicare Independence at Home Medical demonstration (H.R. 3263); Spending cuts in exchange for raising the Debt Ceiling; FDA User Fees; Medicare and Medicaid Extenders; Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; Final rule: Revising the Requirements of Participation (RoP) for long-term care (LTC facilities).

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

Lobbied against the American Health Care Act, H.R. 1628, especially its provisions for eliminating Medicaid expansion and transforming Medicaid into per capita capped allocations to states. Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Support H.R. 807/S. 253 to repeal caps on Medicare coverage of outpatient therapy. Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Oppose H.R. 1394, to weaken Medicaid coverage of nonemergency medical transportation. Support H.R. 2797/S. 1334, the Patient Choice and Quality Care Act, to create a new Medicare model for advanced illness care. Support H.R. 2663, Home Health Documentation and Program Improvement Act, to address the current backlog of appeals on claims for Medicare reimbursement. Support H.R. 3098, Medicare Adult Day Services Act

Client expense: $98,817 · Firm income: Not reported

Oppose home health and hospice payment and co-pays. Legislative and regulatory proposals affection home care and hospice. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Medicare reimbursement of advanced care planning services. Appropriations for family caregiver support programs. Case mix creep payment cuts. S. 353, Preserve Access to Medicare Rural Home Health Services Act. S. 445, Home Health Care Planning Improvement Act. S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284, Medicare Patient Access to Hospice Act. H.R. 1676, Palliative Care and Hospice Education and Training Act. H.R. 1825, Home Health Care Planning Improvement Act. H.R. 1828, Rural Access to Hospice Act. Medicare Home Health Rebasing Relief and Reassessment Act (pending). H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). Home Health Access Protection Act (draft legislation) Verifying Electronically the Receipt of In-Home Care for Individuals Act or the VERIFI Act (pending). Medicare Home Health Flexibility Act (pending). S. 870, CHRONIC Care Act. Chronic care management proposals. Audit and Appeals Fairness, Integrity, and Reforms in Medicare (AFIRM) Act (pending). Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. Pre-Claim Undermines Seniors Health (PUSH) Act (pending). H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances.

Client expense: $90,000 · Firm income: Not reported

Issues relating to home health care and hospice, including post-acute payment policy; H.R.2, the Medicare Access and CHIP Reauthorization Act of 2015; H.R.2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; H.R.3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; H.R.513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; S.445, Home Health Care Planning and Improvement Act of 2017; H.R.6226, Pre-Claims Undermine Seniors Health Act of 2016; S.353, Preserve Access to Medicare Rural Home Health Services Act of 2017; H.R.1284, Medicare Patient Access to Hospice Act of 2017; H.R.1828, Rural Access to Hospice Act of 2017; S.870, the CHRONIC Care Act of 2017 and H.R.2663, Home Health Documentation and Program Improvement Act of 2017.

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

Issues relating to home health care and hospice, including post-acute payment policy; H.R.2, the Medicare Access and CHIP Reauthorization Act of 2015; H.R.2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; H.R.3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; H.R.513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; S.445, Home Health Care Planning and Improvement Act of 2017; H.R.6226, Pre-Claims Undermine Seniors Health Act of 2016; S.353, Preserve Access to Medicare Rural Home Health Services Act of 2017; H.R.1284, Medicare Patient Access to Hospice Act of 2017; H.R.1828, Rural Access to Hospice Act of 2017; S.870, the CHRONIC Care Act of 2017 and H.R.2663, Home Health Documentation and Program Improvement Act of 2017.

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

Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; Home Health Care Planning Improvement Act H.R.1825, S.445; Preserve Access to Medicare Rural Home Health Services Act -S.353; Home Health Documentation and Program Improvement Act of 2017, H.R.2663; Home Health Groupings Model/ Calendar Year 2018 Home Health Prospective Payment System (HHPPS) Rate Update Proposed Rule

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

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