Protecting Patient Access to Emergency Medications Act of 2017

Support H.R. 304/S. 916, The Protecting Patient Access to Emergency Medications Act of 2017, a bill to amend the Controlled Substances Act with regard to the provision of emergency medical services and discussed companion legislation with the Senate; Support H.R. 372, The Competitive Health Insurance Reform Act of 2017, a bill to repeal McCarran-Ferguson with respect to the business of health insurance; Discussed with members of congress working on legislation that maintains coverage and improves Americas health care system through patient-centered care; Oppose HR 1156/ S 1133 , Patient Access to Higher Quality Health Care Act of 2017, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; Support HR 1215, Protecting Access to Care Act, a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; Urged CMS to release guidance pertaining to hospital co-location arrangements and to provide flexibility in the agencys co-location policies; Support HR 2141/ S 898, the Conrad State 30 and Physician Access Act of 2017, a bill that would reauthorize the Conrad State 30 Program and make other changes to improve patient access to care; Support S.781/ HR 1876. Good Samaritan Health Professional Act of 2017, a bill to amend the Public Health Service Act to limit the liability of health care professionals who volunteer to provide health care services in response to a disaster; Support HR 2212/ S 974Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2017, a bill to promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products; Meet with HRSA Administrator and senior staff on 340B drug pricing program; Discussed marketplace stabilization solutions with Hill staff; Support and Recommend changes to HR 1253, Mental Health and Substance Abuse Treatment Accessibility Act of 2017a bill to authorize the Secretary of Health and Human Services to make loans and loan guarantees for constructing or renovating, or planning construction or renovation of, qualified psychiatric and substance abuse treatment facilities, and for other purposes: advocated for changes to clarify/expand the entities that can be loan applicants/recipients; Urged the Administration to suspend the faulty star ratings from the Hospital Compare website; Eliminate barriers to care with the creation of an Anti-Kickback safe harbor for clinical integration arrangements that establishes the basic accountabilities for the use of incentive payment or shared savings programs among hospitals, physicians and other providers, along with a safe-harbor for assistance to patients that would protect providers from financial penalties under the Civil Monetary Penalties (CMPs) for providing an inducement to a patient; Advocated for changes including: eliminating geographic and setting locations requirements so patients outside of rural areas can benefit from telehealth; expanding the types of technology that can be used, including remote monitoring; and covering all services that are safe to provide, rather than a small list of approved services; Submit Statement Stabilizing Premiums and Helping Individuals in the Individual Insurance Market for 2018: Health Care Stakeholders about the importance of stabilizing the Health Insurance Marketplaces for 2018 and beyond; We urged Congress to pass legislation to fund the ACA cost-sharing reductions; Urged Senators to oppose the Graham-Cassidy proposal being considered in the Senate because this proposal would make significant changes to health care coverage and health care financing; Review of H.R. 3528, Every Prescription Conveyed Securely Act, a bill to amend title XVIII of the Social Security Act to require e-prescribing for coverage under part D of the Medicare program of prescription drugs that are controlled substances; Discussions with Congress on prescription drug monitoring programs, the dispensing of controlled substances, and clinical workflow; Discussions with Congress on draft legislation related to prescription drug monitoring programs; Urged Congress to consider advancing solutions aimed at making our health care system stronger, protecting access and coverage, and exploring new delivery system reforms that have the potential to make care both more affordable and safer; Review of The Combating the Opioid Epidemic Act, a bill to provide funding to combat the opioid epidemic; Discussions with the White House/Office of National Drug Control Policy about the opioid epidemic, including concerns about regulations that prohibit the sharing of substance use disorder records among health care providers; Support H.R. 4392 a bill to prevent cuts to the 340B drug savings program, which would provide relief from deep cuts to payments to hospitals participating in the 340B program; Letter to congress outlining AHA opposition to a potential policy that would cut payments to hospitals treating hospice patients; Oppose H.R. 4710, 340B Protecting Access for the Underserved and Safety-Net Entities (PAUSE) Act, a bill to amend the Public Health Service Act to establish a moratorium on the registration of certain new 340B hospitals and associated site; Sent comments to the Energy and Commerce Subcommittee on Oversight and Investigations for its hearing on Examining the Impact of Health Care Consolidation.; Letter sent to the Energy & Commerce Subcommittee for its hearing on, "Combating the Opioid Crisis: Helping Communities Balance Enforcement and Patient Safety"; Letter submitted to the Ways and Means Committee on policy recommendations to address the opioid epidemic; Sent letter to discuss the current state of health care costs, and efforts to increase transparency in the pricing of health care services and the quality of care; Addressed our concerns with the MedPAC Commissions draft recommendation to substantially reduce payments for off-campus stand-alone emergency departments (EDs) that are within 6 miles of an on-campus hospital ED.

Client expense: $4,960,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Implementation of P.L. 111-148, Patient Protection and Affordable Care Act; Implementation of P.L. 111-152, Health Care and Education Reconciliation Act of 2010; issues surrounding GAO and MedPAC reports; Medicare ambulance reimbursement issues; implementation of H.R. 2; Protecting Patient Access to Medications Act (H.R. 304); The Medicare Ambulance Access, Fraud Prevention and Reform Act (S. 967); Ambulance Medicare Budget and Operations Act (H.R. 3236); Comprehensive Operations, Sustainability, and Transport Act (H.R. 3729); the Bipartisan Budget Act of 2018.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation regarding use of controlled substances in emergency medical services; H.R. 304 & S.916, Protecting Patient Access to Emergency Medications Act of 2017, and comparable legislation in the Senate; development of legislating regarding reimbursement for medical directors and ambulance agencies.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied for passage of Protecting Patient Access to Emergency Medication Act (H.R. 304, S. 916).

Client expense: $280,000 · Firm income: Not reported

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

Lobbied for passage of Protecting Patient Access to Emergency Medication Act (H.R. 304, S. 916).

Client expense: $280,000 · Firm income: Not reported

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

Lobbied for passage of Protecting Patient Access to Emergency Medication Act (H.R. 304, S. 916).

Client expense: $280,000 · Firm income: Not reported

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

Lobbied for passage of Protecting Patient Access to Emergency Medication Act (H.R. 304).

Client expense: $280,000 · Firm income: Not reported

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

Alternatives to Opiates (ALTO) Bipartisan Health Care Stabilization Act of 2017 H.R.304-Protecting Patient Access to Emergency Medications Act of 2017 H.R.372-Competetive Health Insurance Reform Act of 2017 H.R.548-Health Care Safety Net Enhancement Act of 2017 H.R.582-Kari's Law Act of 2017 H.R.817-End Surprise Billing Act of 2017 H.R.849-Protecting Seniors' Access to Medicare Act of 2017 H.R.880-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act H.R.1057-Synthetics Trafficking and Overdose Prevention Act of 2017 H.R.1215-Protecting Access to Care Act of 2017 H.R.1323-Reducing Unnecessary Emergency Room Visits under Medicaid Act H.R.1421-Improving Access to Medicare Coverage Act of 2017 H.R.1492-Medical Controlled Substances Transportation Act of 2017 H.R.1565-Saving Lives, Saving Costs Act H.R.1628-American Health Care Act of 2017 H.R.1822-Good Samaritan Health Professionals Act of 2017 H.R.1876-Good Samaritan Health Professionals Act of 2017 H.R.2200-Frederick Douglass Trafficking Victims Prevention and Protection Reauthorization Act of 2017 H.R.2392-Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017 H.R.2430-FDA Reauthorization Act of 2017 HR 2843-Medicaid and Chip Quality Improvement Act of 2017 H.R.2851-Stop the Importation and Trafficking of Synthetic Analogues (SITSA) Act of 2017 H.R.2957-Save Rural Hospitals Act H.R.3181-Medicare Choices Empowerment and Protection Act H.R.3258-Marketplace Certainty Act H.R.3545-Overdose Prevention and Patient Safety (OPPS) Act H.R.3729-Comprehensive Operations, Sustainability, and Transport Act of 2017 H.R.3922-Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.J.Res.51-Approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act P.L.111-148-Patient Protection and Affordable Care Act S.191-Patient Freedom Act of 2017 S.222-Obamacare Replacement Act S.251-Protecting Medicare from Executive Action Act of 2017 S.260-Protecting Seniors' Access to Medicare Act of 2017 S.284-End Surprise Billing Act of 2017 S.372- Synthetics Trafficking and Overdose Prevention Act of 2017 S.527-Health Care Safety Net Enhancement Act of 2017 S.568-Improving Access to Medicare Coverage Act of 2017 S.781-Good Samaritan Health Professionals Act of 2017 S.916-Protecting Patient Access to Emergency Medications Act of 2017 S.934-FDA Reauthorization Act of 2017 S.1016-Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S.1022-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act S.1063-Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017 S.1130-Rural Emergency Acute Care Hospital (REACH) Act H.R.1148-Furthering Access to Stroke Telemedicine (FAST) Act S.1462-Marketplace Certainty Act S.1530- Medicare Choices Empowerment and Protection Act S.1827-Keep Kids Insurance Dependable and Secure (KIDS) Act of 2017 S.1835-Lower Premiums Through Reinsurance Act of 2017 S.Amdt.667 to S.Amdt.267 to H.R.1628-Better Care Reconciliation Act S.J.Res.16-A joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act S.J.Res.17-A joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act

Client expense: $672,362 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

H.R.304-Protecting Patient Access to Emergency Medications Act of 2017 H.R.582-Kari's Law Act of 2017 H.R.601-Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R.880-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act H.R.1822-Good Samaritan Health Professionals Act of 2017 H.R.1876-Good Samaritan Health Professionals Act of 2017 S.781-Good Samaritan Health Professionals Act of 2017 S.916-Protecting Patient Access to Emergency Medications Act of 2017 S.1022- Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act

Client expense: $672,362 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act. H.R. 1492 Medical Controlled Substances Transportation Act of 2017. H.R. 304/S. 916 Protecting Patient Access to Emergency Medications Act of 2017.

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

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

Issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act. H.R. 1492 Medical Controlled Substances Transportation Act of 2017. H.R. 304/S.916 Protecting Patient Access to Emergency Medications Act of 2017. Implementation of the CARA Act and its nurse practitioner/physician assistant prescribing provisions; H.R. 1628 American Health Care Act of 2017; H.R. 2430/ S. 934 FDA Reauthorization Act of 2017.

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

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

H.R. 931/S. 382, the Firefighter Cancer Registry Act. All issues related to the legislation. H.R. 304/S. 916, the Protecting Patient Access to Emergency Medications Act. All issues related to the legislation.

Client expense: $20,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Support H.R. 304/S. 916, The Protecting Patient Access to Emergency Medications Act of 2017, a bill to amend the Controlled Substances Act with regard to the provision of emergency medical services and discussed companion legislation with the Senate; Support H.R. 372, The Competitive Health Insurance Reform Act of 2017, a bill to repeal McCarran-Ferguson with respect to the business of health insurance; Discussed with members of congress working on legislation that maintains coverage and improves Americas health care system through patient-centered care; Oppose HR 1156 , Patient Access to Higher Quality Health Care Act of 2017, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; Support HR 1215, Protecting Access to Care Act, a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; Urged CMS to release guidance pertaining to hospital co-location arrangements and to provide flexibility in the agencys co-location policies; Support HR 2141/ S 898, the Conrad State 30 and Physician Access Act of 2017, a bill that would reauthorize the Conrad State 30 Program and make other changes to improve patient access to care; Support S.781/ HR 1876. Good Samaritan Health Professional Act of 2017, a bill to amend the Public Health Service Act to limit the liability of health care professionals who volunteer to provide health care services in response to a disaster; Support HR 2212/ S 974Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2017, a bill to promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products; opposition to S. 1133 Patient Access to Higher Quality Health Care Act of 2017,a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; Support a resolution promoting minority health awareness and supporting the goals and ideals of National Minority Health Month in April 2017 submit for the record our comments on information security in the health care field; Meet with HRSA Administrator and senior staff on 340B drug pricing program; Discussed marketplace stabilization solutions with Hill staff; Support and Recommend changes to HR 1253, Mental Health and Substance Abuse Treatment Accessibility Act of 2017a bill to authorize the Secretary of Health and Human Services to make loans and loan guarantees for constructing or renovating, or planning construction or renovation of, qualified psychiatric and substance abuse treatment facilities, and for other purposes: advocated for changes to clarify/expand the entities that can be loan applicants/recipients; Urged the Administration to suspend the faulty star ratings from the Hospital Compare website; Eliminate barriers to care with the creation of an Anti-Kickback safe harbor for clinical integration arrangements that establishes the basic accountabilities for the use of incentive payment or shared savings programs among hospitals, physicians and other providers, along with a safe-harbor for assistance to patients that would protect providers from financial penalties under the Civil Monetary Penalties (CMPs) for providing an inducement to a patient; Advocated for changes including: eliminating geographic and setting locations requirements so patients outside of rural areas can benefit from telehealth; expanding the types of technology that can be used, including remote monitoring; and covering all services that are safe to provide, rather than a small list of approved services; Submit Statement Stabilizing Premiums and Helping Individuals in the Individual Insurance Market for 2018: Health Care Stakeholders about the importance of stabilizing the Health Insurance Marketplaces for 2018 and beyond; We urged Congress to pass legislation to fund the cost-sharing reductions; Urged Senators to oppose the Graham-Cassidy proposal being considered in the Senate because this proposal would make significant changes to health care coverage and health care financing; Review of H.R. 3528, Every Prescription Conveyed Securely Act, a bill to amend title XVIII of the Social Security Act to require e-prescribing for coverage under part D of the Medicare program of prescription drugs that are controlled substances; Discussions with Congress on prescription drug monitoring programs, the dispensing of controlled substances, and clinical workflow; Discussions with Congress on draft legislation related to prescription drug monitoring programs; Urged Congress to consider advancing solutions aimed at making our health care system stronger, protecting access and coverage, and exploring new delivery system reforms that have the potential to make care both more affordable and safer; Review of The Combating the Opioid Epidemic Act, a bill to provide funding to combat the opioid epidemic; Discussions with the White House/Office of National Drug Control Policy about the opioid epidemic, including concerns about regulations that prohibit the sharing of substance use disorder records among health care providers; Support H.R. 4392 a bill to prevent cuts to the 340B drug savings program, which would provide relief from deep cuts to payments to hospitals participating in the 340B program; Letter to congress outlining AHA opposition to a potential policy that would cut payments to hospitals treating hospice patients.

Client expense: $4,630,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Legislation regarding use of controlled substances in emergency medical services; H.R. 304 & S.916, Protecting Patient Access to Emergency Medications Act of 2017, and comparable legislation in the Senate; development of legislating regarding reimbursement for medical directors and ambulance agencies.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of P.L. 111-148, Patient Protection and Affordable Care Act; Implementation of P.L. 111-152, Health Care and Education Reconciliation Act of 2010; issues surrounding GAO and MedPAC reports; Medicare ambulance reimbursement issues; implementation of H.R. 2; Protecting Patient Access to Medications Act (H.R. 304); The Medicare Ambulance Access, Fraud Prevention and Reform Act (S. 967); Ambulance Medicare Budget and Operations Act (H.R. 3236); Comprehensive Operations, Sustainability, and Transport Act (H.R. 3729).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1783, the Improving Veterans' Access to Quality Healthcare Act; H.R. 1253 the Mental Health and Substance Abuse Treatment Accessibility Act; H.R. 304/S. 916 the Protecting Patient Access to Emergency Medications Act; H.R. 880/ S. 1022 the MISSION ZERO Act; H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; H.R. 767/S. 256 SOAR to Health and Wellness Act; ACA repeal and replace legislation; H.R. 1478 Gun Violence Research Act; H.R. 3780 Air Ambulance Quality and Accountability Act

Client expense: $31,200 · 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. 3729, the Comprehensive Operations, Sustainability, and Transport Act of 2017, which would extend the 2% urban, 3% rural, and the 22.6% super rural bonus payments for 5 years, require annual full cost reporting, includes a hardship and appeals process for agencies, and monies for agency education; Support H.R. 304, the Protecting Patient Access to Emergency Medications Act of 2017; Advocate for the creation of a bill that would provide grants to EMS agencies operating in rural areas, specifically for training, recruitment, retention, education, and equipment. Support H.R. 1720/S.1239, the LOSAP Cap Adjustment Priority Act, and urge inclusion in the final tax bill; Support H.R.1876/S.781, the Good Samaritan Health Professionals Act of 2017; Urge Support to join the EMS Congressional Caucus.

Client expense: Not reported · Firm income: $30,578

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied for passage of Protecting Patient Access to Emergency Medication Act (H.R. 304, S. 916).

Client expense: $280,000 · Firm income: Not reported

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

Alternatives to Opiates (ALTO) H.R.304-Protecting Patient Access to Emergency Medications Act of 2017 H.R.372-Competetive Health Insurance Reform Act of 2017 H.R.548-Health Care Safety Net Enhancement Act of 2017 H.R.582-Kari's Law Act of 2017 H.R.817-End Surprise Billing Act of 2017 H.R.849-Protecting Seniors' Access to Medicare Act of 2017 H.R.880-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act H.R.1057-Synthetics Trafficking and Overdose Prevention Act of 2017 H.R.1215-Protecting Access to Care Act of 2017 H.R.1323-Reducing Unnecessary Emergency Room Visits under Medicaid Act H.R.1421-Improving Access to Medicare Coverage Act of 2017 H.R.1492-Medical Controlled Substances Transportation Act of 2017 H.R.1565-Saving Lives, Saving Costs Act H.R.1628-American Health Care Act of 2017 H.R.1822-Good Samaritan Health Professionals Act of 2017 H.R.1876-Good Samaritan Health Professionals Act of 2017 H.R.2200-Frederick Douglass Trafficking Victims Prevention and Protection Reauthorization Act of 2017 H.R.2392-Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017 H.R.2430-FDA Reauthorization Act of 2017 H.R.2851-Stop the Importation and Trafficking of Synthetic Analogues (SITSA) Act of 2017 H.R.2957-Save Rural Hospitals Act H.R.3181-Medicare Choices Empowerment and Protection Act H.R.3258-Marketplace Certainty Act H.R.3545-Overdose Prevention and Patient Safety (OPPS) Act H.R.3729-Comprehensive Operations, Sustainability, and Transport Act of 2017 H.J.Res.51-Approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act P.L.111-148-Patient Protection and Affordable Care Act S.191-Patient Freedom Act of 2017 S.222-Obamacare Replacement Act S.251-Protecting Medicare from Executive Action Act of 2017 S.260-Protecting Seniors' Access to Medicare Act of 2017 S.284-End Surprise Billing Act of 2017 S.372- Synthetics Trafficking and Overdose Prevention Act of 2017 S.527-Health Care Safety Net Enhancement Act of 2017 S.568-Improving Access to Medicare Coverage Act of 2017 S.781-Good Samaritan Health Professionals Act of 2017 S.916-Protecting Patient Access to Emergency Medications Act of 2017 S.934-FDA Reauthorization Act of 2017 S.1016-Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S.1022-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act S.1063-Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2017 S.1130-Rural Emergency Acute Care Hospital (REACH) Act H.R.1148-Furthering Access to Stroke Telemedicine (FAST) Act S.1462-Marketplace Certainty Act S.1530- Medicare Choices Empowerment and Protection Act S.Amdt.667 to S.Amdt.267 to H.R.1628-Better Care Reconciliation Act S.J.Res.16-A joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act S.J.Res.17-A joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act

Client expense: $568,275 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.304-Protecting Patient Access to Emergency Medications Act of 2017 H.R.582-Kari's Law Act of 2017 H.R.601-Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R.880-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act H.R.1822-Good Samaritan Health Professionals Act of 2017 H.R.1876-Good Samaritan Health Professionals Act of 2017 S.781-Good Samaritan Health Professionals Act of 2017 S.916-Protecting Patient Access to Emergency Medications Act of 2017 S.1022- Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act

Client expense: $568,275 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied for passage of Protecting Patient Access to Emergency Medication Act (H.R. 304, S. 916).

Client expense: $280,000 · Firm income: Not reported

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

H.R. 931/S. 382, the Firefighter Cancer Registry Act. All issues related to the legislation. H.R. 304/S. 916, the Protecting Patient Access to Emergency Medications Act. All issues related to the legislation.

Client expense: $20,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Support H.R. 304/S. 916, The Protecting Patient Access to Emergency Medications Act of 2017, a bill to amend the Controlled Substances Act with regard to the provision of emergency medical services and discussed companion legislation with the Senate; Support H.R. 372, The Competitive Health Insurance Reform Act of 2017, a bill to repeal McCarran-Ferguson with respect to the business of health insurance; Discussed with members of congress working on legislation that maintains coverage and improves Americas health care system through patient-centered care; Oppose HR 1156 , Patient Access to Higher Quality Health Care Act of 2017, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; Support HR 1215, Protecting Access to Care Act, a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; Urged CMS to release guidance pertaining to hospital co-location arrangements and to provide flexibility in the agencys co-location policies; Support HR 2141/ S 898, the Conrad State 30 and Physician Access Act of 2017, a bill that would reauthorize the Conrad State 30 Program and make other changes to improve patient access to care; Support S.781/ HR 1876. Good Samaritan Health Professional Act of 2017, a bill to amend the Public Health Service Act to limit the liability of health care professionals who volunteer to provide health care services in response to a disaster; Support HR 2212/ S 974Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2017, a bill to promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products; opposition to S. 1133 Patient Access to Higher Quality Health Care Act of 2017,a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; Support a resolution promoting minority health awareness and supporting the goals and ideals of National Minority Health Month in April 2017 submit for the record our comments on information security in the health care field; Meet with HRSA Administrator and senior staff on 340B drug pricing program; Discussed marketplace stabilization solutions with Hill staff; Support and Recommend changes to HR 1253, Mental Health and Substance Abuse Treatment Accessibility Act of 2017a bill to authorize the Secretary of Health and Human Services to make loans and loan guarantees for constructing or renovating, or planning construction or renovation of, qualified psychiatric and substance abuse treatment facilities, and for other purposes: advocated for changes to clarify/expand the entities that can be loan applicants/recipients; Urged the Administration to suspend the faulty star ratings from the Hospital Compare website; Eliminate barriers to care with the creation of an Anti-Kickback safe harbor for clinical integration arrangements that establishes the basic accountabilities for the use of incentive payment or shared savings programs among hospitals, physicians and other providers, along with a safe-harbor for assistance to patients that would protect providers from financial penalties under the Civil Monetary Penalties (CMPs) for providing an inducement to a patient; Advocated for changes including: eliminating geographic and setting locations requirements so patients outside of rural areas can benefit from telehealth; expanding the types of technology that can be used, including remote monitoring; and covering all services that are safe to provide, rather than a small list of approved services; Submit Statement Stabilizing Premiums and Helping Individuals in the Individual Insurance Market for 2018: Health Care Stakeholders about the importance of stabilizing the Health Insurance Marketplaces for 2018 and beyond; We urged Congress to pass legislation to fund the cost-sharing reductions; Urged Senators to oppose the Graham-Cassidy proposal being considered in the Senate because this proposal would make significant changes to health care coverage and health care financing; Review of H.R. 3528, Every Prescription Conveyed Securely Act, a bill to amend title XVIII of the Social Security Act to require e-prescribing for coverage under part D of the Medicare program of prescription drugs that are controlled substances; Discussions with Congress on prescription drug monitoring programs, the dispensing of controlled substances, and clinical workflow; Discussions with Congress on draft legislation related to prescription drug monitoring programs; Urged Congress to consider advancing solutions aimed at making our health care system stronger, protecting access and coverage, and exploring new delivery system reforms that have the potential to make care both more affordable and safer.

Client expense: $4,530,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act, S.Amdt. 1030 (Graham-Cassidy), Obamacare Repeal Reconciliation Act Medical liability reform (H.R. 1215, H.R. 548/S. 527) H.R. 1156 / S. 1133 - Patient Access to Higher Quality Health Care Act of 2017 Market stabilization policies H.R. 304, Protecting Patient Access to Emergency Medications Act 340B Drug Pricing Program Overdose Prevention and Patient Safety Act (H.R. 3545) Opioid issues CHIP funding reauthorization (HEALTHY KIDS Act)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act. H.R. 1492 Medical Controlled Substances Transportation Act of 2017. H.R. 304/S. 916 Protecting Patient Access to Emergency Medications Act of 2017.

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

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

Issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act. H.R. 1492 Medical Controlled Substances Transportation Act of 2017. H.R. 304/S.916 Protecting Patient Access to Emergency Medications Act of 2017. Implementation of the CARA Act and its nurse practitioner/physician assistant prescribing provisions; H.R. 1628 American Health Care Act of 2017; H.R. 2430/ S. 934 FDA Reauthorization Act of 2017.

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

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

Support S. 916/H.R. 304, the Protecting Patient Access to Emergency Medications Act of 2017; Urge House and Senate to pass legislation to extend the 2% urban, 3% rural, and super rural bonus increases. The Medicare ambulance add-on payments expire on December 31, 2017; Educate and urge support for specific EMS legislation that would strengthen EMS as a critical component of our nations emergency response and healthcare systems through the development of the EMS workforce, integration of EMS in all federal emergency, disaster and healthcare plans and programs, and quality improvements in all aspects of EMS patient care; Educate lawmakers and staff about the importance of inclusion of prehospital provisions in any trauma legislation and support the implementation of NASEMs recommendations to achieve zero preventable deaths; Support restoration of funding for the Emergency Medical Service for Children program(EMSC); Support S. 1167/H.R. 2485, the KiTs Act Support S. 1666/H.R. 2801, the HOT Cars Act of 2017; Support S. 382/H.R. 931, the Firefighter Cancer Registry Act of 2017; Support S.Con.Res. 15/H.Con.Res 56, Honoring the Nation's First Responder's Day; Support S. 1692/H.R.1037, to Establish a National EMS Memorial; Urge Support to join the EMS Caucus.

Client expense: Not reported · Firm income: $22,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of P.L. 111-148, Patient Protection and Affordable Care Act; Implementation of P.L. 111-152, Health Care and Education Reconciliation Act of 2010; issues surrounding GAO and MedPAC reports; Medicare ambulance reimbursement issues; implementation of H.R. 2; Protecting Patient Access to Medications Act (H.R. 304); The Medicare Ambulance Access, Fraud Prevention and Reform Act (S. 967); Ambulance Medicare Budget and Operations Act (H.R. 3236); Comprehensive Operations, Sustainability, and Transport Act (H.R. 3729).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1783, the Improving Veterans' Access to Quality Healthcare Act; H.R. 1253 the Mental Health and Substance Abuse Treatment Accessibility Act; H.R. 304/S. 916 the Protecting Patient Access to Emergency Medications Act; H.R. 880/ S. 1022 the MISSION ZERO Act; H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; H.R. 767/S. 256 SOAR to Health and Wellness Act; ACA repeal and replace legislation

Client expense: $31,035 · 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.304/S. 916, the Protecting Patient Access to Emergency Medications Act of 2017, provisions protecting standing orders for fire and EMS departments. Initiatives to improve the reimbursement of local fire and EMS departments that transport Medicare and Medicaid patients to hospitals, including the extension of add-on payments for Medicare transport. S. 967, the Medicare Ambulance Access, Fraud Prevention, and Reform Act of 2017, provisions to reauthorize the Ambulance Add-on Payments for the transportation of Medicare patients to the hospital. H.R. 3236, Ambulance Medicare Budget and Operations Act of 2017, provisions to reauthorize the Ambulance Add-on Payments for the transportation of Medicare patients to the hospital. H.R. 3729, the Comprehensive Operations, Sustainability, and Transport Act of 2017, provisions to reauthorize the Ambulance Add-on Payments for the transportation of Medicare patients to the hospital. Issues relating to the notification of firefighters and EMS personnel if they are exposed to bloodborne pathogens while providing emergency aid. H.R. 1991, the Protecting Volunteer Firefighters and Emergency Responders Act, provisions to exclude volunteer firefighters from the Employer Mandate in the Patient Protection and Affordable Care Act (P.L. 111-148). H.R. 437, the Medical Preparedness Allowable Use Act, provisions that would allow homeland security grants to be used for medical kits to protect first responders and their families from bioterrorism. H.R. 2825, the Department of Homeland Security Authorization Act and H.R. 2922, the Promoting Resilience and Efficiency in Preparing for Attacks and responding to Emergencies Act, provisions to allow the use of homeland security grants for medical preparedness and surge capacity in the case of a bioterrorist attack. H.R. 931/S. 382, the Firefighter Cancer Registry Act of 2017, provisions to establish a voluntary national registry of firefighters to examine the prevalence of cancer in firefighters. H.R. 1445, the Veterans Reimbursement for Emergency Ambulance Services Act, provisions to treat ambulance services as reimbursable emergency services.

Client expense: $20,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Central Intelligence Agency (CIA), Defense Logistics Agency, Defense, Dept of (DOD), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Highway Traffic Safety Administration (NHTSA), Natl Telecommunications & Information Administration (NTIA), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT), U.S. Forest Service

Legislation regarding use of controlled substances in emergency medical services; H.R. 304 & S.916, Protecting Patient Access to Emergency Medications Act of 2017, and comparable legislation in the Senate; development of legislating regarding reimbursement for medical directors and ambulance agencies.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.304-Protecting Patient Access to Emergency Medications Act of 2017 H.R.582-Kari's Law Act of 2017 H.R.880-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act H.R.1822-Good Samaritan Health Professionals Act of 2017 H.R.1876-Good Samaritan Health Professionals Act of 2017 S.781-Good Samaritan Health Professionals Act of 2017 S.916-Protecting Patient Access to Emergency Medications Act of 2017 S.1022- Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act

Client expense: $618,176 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.304-Protecting Patient Access to Emergency Medications Act of 2017 H.R.372-Competetive Health Insurance Reform Act of 2017 H.R.548-Health Care Safety Net Enhancement Act of 2017 H.R.582-Kari's Law Act of 2017 H.R.817-End Surprise Billing Act of 2017 H.R.849-Protecting Seniors' Access to Medicare Act of 2017 H.R.880-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act H.R.1057-Synthetics Trafficking and Overdose Prevention Act of 2017 H.R.1215-Protecting Access to Care Act of 2017 H.R.1323-Reducing Unnecessary Emergency Room Visits under Medicaid Act H.R.1421-Improving Access to Medicare Coverage Act of 2017 H.R.1565-Saving Lives, Saving Costs Act H.R.1628-American Health Care Act of 2017 H.R.1822-Good Samaritan Health Professionals Act of 2017 H.R.1876-Good Samaritan Health Professionals Act of 2017 H.R.2430-FDA Reauthorization Act of 2017 H.R.2851-Stop the Importation and Trafficking of Synthetic Analogues (SITSA) Act of 2017 H.J.Res.51-Approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act S.191-Patient Freedom Act of 2017 S.222-Obamacare Replacement Act S.251-Protecting Medicare from Executive Action Act of 2017 S.260-Protecting Seniors' Access to Medicare Act of 2017 S.284-End Surprise Billing Act of 2017 S.372- Synthetics Trafficking and Overdose Prevention Act of 2017 S.527-Health Care Safety Net Enhancement Act of 2017 S.568-Improving Access to Medicare Coverage Act of 2017 S.781-Good Samaritan Health Professionals Act of 2017 S.916-Protecting Patient Access to Emergency Medications Act of 2017 S.934-FDA Reauthorization Act of 2017 S.1016-Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S.1022-Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths Act S.1130-Rural Emergency Acute Care Hospital (REACH) Act S.J.Res.16-A joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act S.J.Res.17-A joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the Independent Medicare Advisory Board under section 1899A of the Social Security Act

Client expense: $618,176 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Controlled Substances Act provisions relating to the distribution of medication assisted therapies (The Protecting Patient Access to Emergency Medications Act, S. 916/H.R. 304. Adequacy of funding for opioid overuse disorder (OUD) treatment in the Affordable Care Act Repeal/Replace legislation.

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

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

H.R. 1628 - American Health Care Act of 2017 Better Care Reconciliation Act Medical liability reform (H.R. 1215, H.R. 548/S. 527) H.R. 1156 / S. 1133 - Patient Access to Higher Quality Health Care Act of 2017 Market stabilization policies H.R. 304, Protecting Patient Access to Emergency Medications Act 340B Drug Pricing Program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Development of legislation regarding use of controlled substances in emergency medical services; H.R. 304 & S.916, Protecting Patient Access to Emergency Medications Act of 2017, and comparable legislation in the Senate; development of legislating regarding reimbursement for medical directors and ambulance agencies.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of P.L. 111-148, Patient Protection and Affordable Care Act; Implementation of P.L. 111-152, Health Care and Education Reconciliation Act of 2010; issues surrounding GAO and MedPAC reports; Medicare ambulance reimbursement issues; implementation of H.R. 2; Protecting Patient Access to Medications Act (H.R. 304); The Medicare Ambulance Access, Fraud Prevention and Reform Act (S. 967).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support H.R. 304/S. 916, The Protecting Patient Access to Emergency Medications Act of 2017, a bill to amend the Controlled Substances Act with regard to the provision of emergency medical services and discussed companion legislation with the Senate; Support H.R. 372, The Competitive Health Insurance Reform Act of 2017, a bill to repeal McCarran-Ferguson with respect to the business of health insurance; Discussed with members of congress working on legislation that maintains coverage and improves Americas health care system through patient-centered care; Oppose HR 1156 , Patient Access to Higher Quality Health Care Act of 2017, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; Support HR 1215, Protecting Access to Care Act, a bill to improve patient access to health care services and provide improved medical care by reducing the excessive burden the liability system places on the health care delivery system; Urged CMS to release guidance pertaining to hospital co-location arrangements and to provide flexibility in the agencys co-location policies; Support HR 2141/ S 898, the Conrad State 30 and Physician Access Act of 2017, a bill that would reauthorize the Conrad State 30 Program and make other changes to improve patient access to care; Support S.781/ HR 1876.Good Samaritan Health Professional Act of 2017A bill to amend the Public Health Service Act to limit the liability of health care professionals who volunteer to provide health care services in response to a disaster; Support HR 2212/ S 974Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2017, a bill to promote competition in the market for drugs and biological products by facilitating the timely entry of lower-cost generic and biosimilar versions of those drugs and biological products; opposition to S. 1133 Patient Access to Higher Quality Health Care Act of 2017,a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; Support a resolution promoting minority health awareness and supporting the goals and ideals of National Minority Health Month in April 2017 submit for the record our comments on information security in the health care field; Meet with HRSA Administrator and senior staff on 340B drug pricing program; Discussed marketplace stabilization solutions with Hill staff; Support and Recommend changes to HR 1253, Mental Health and Substance Abuse Treatment Accessibility Act of 2017a bill to authorize the Secretary of Health and Human Services to make loans and loan guarantees for constructing or renovating, or planning construction or renovation of, qualified psychiatric and substance abuse treatment facilities, and for other purposes: advocated for changes to clarify/expand the entities that can be loan applicants/recipients; Review HR 1732 Synthetic Drug Control Act of 2017, a bill to amend the Controlled Substances Act to add certain synthetic substances to schedule I; Review HR 449 Synthetic Drug Awareness Act of 2017, a bill to require the Surgeon General of the Public Health Service to submit to Congress a report on the effects on public health of the increased rate of use of synthetic drugs; Urged CMS to release guidance related to hospital co-location policies; Held discussions regarding the Social Security Act definition of a hospital; Urged the Administration to suspend the faulty star ratings from the Hospital Compare website; Eliminate barriers to care with the creation of an Anti-Kickback safe harbor for clinical integration arrangements that establishes the basic accountabilities for the use of incentive payment or shared savings programs among hospitals, physicians and other providers, along with a safe-harbor for assistance to patients that would protect providers from financial penalties under the Civil Monetary Penalties (CMPs) for providing an inducement to a patient; Advocated for changes including: eliminating geographic and setting locations requirements so patients outside of rural areas can benefit from telehealth; expanding the types of technology that can be used, including remote monitoring; and covering all services that are safe to provide, rather than a small list of approved services.

Client expense: $3,820,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 1783, the Improving Veterans' Access to Quality Healthcare Act; H.R. 1253 the Mental Health and Substance Abuse Treatment Accessibility Act; H.R. 304/S. 916 the Protecting Patient Access to Emergency Medications Act; H.R. 880/ S. 1022 the MISSION ZERO Act; H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; ACA repeal and replace legislation

Client expense: $91,100 · 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)

Issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act. H.R. 1492 Medical Controlled Substances Transportation Act of 2017. H.R. 304/S.916 Protecting Patient Access to Emergency Medications Act of 2017. Implementation of the CARA Act and its nurse practitioner/physician assistant prescribing provisions; H.R. 1628 American Health Care Act of 2017; H.R. 2430/ S. 934 FDA Reauthorization Act of 2017.

Client expense: $35,000 · Firm income: Not reported

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

Issues related to funding for CARA, medication assisted treatment and 21st Century Cures Act. H.R. 1492 Medical Controlled Substances Transportation Act of 2017. H.R. 304/S. 916 Protecting Patient Access to Emergency Medications Act of 2017.

Client expense: $35,000 · Firm income: Not reported

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

Controlled Substances Act provisions relating to the distribution of medication assisted therapies (The Protecting Patient Access to Emergency Medications Act, S. 916/H.R. 304. Adequacy of funding for opioid overuse disorder (OUD) treatment in the Affordable Care Act Repeal/Replace legislation (no bill numbers). Adequacy of reimbursement for innovative medications to treat OUD.

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

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

H.R.304/S. 916, the Protecting Patient Access to Emergency Medications Act of 2017, provisions protecting standing orders for fire and EMS departments. Initiatives to improve the reimbursement of local fire and EMS departments that transport Medicare and Medicaid patients to hospitals, including the extension of add-on payments for Medicare transport. Issues relating to the notification of firefighters and EMS personnel if they are exposed to bloodborne pathogens while providing emergency aid. H.R. 1991, the Protecting Volunteer Firefighters and Emergency Responders Act, provisions to exclude volunteer firefighters from the Employer Mandate in the Patient Protection and Affordable Care Act (P.L. 111-148). H.R. 437, the Medical Preparedness Allowable Use Act, provisions that would allow homeland security grants to be used for medical kits to protect first responders and their families from bioterrorism. H.R. 2825, the Department of Homeland Security Authorization Act and H.R. 2922, the Promoting Resilience and Efficiency in Preparing for Attacks and responding to Emergencies Act, provisions to allow the use of homeland security grants for medical preparedness and surge capacity in the case of a bioterrorist attack. H.R. 931/S. 382, the Firefighter Cancer Registry Act of 2017, provisions to establish a voluntary national registry of firefighters to examine the prevalence of cancer in firefighters.

Client expense: $20,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Central Intelligence Agency (CIA), Defense Logistics Agency, Defense, Dept of (DOD), Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Federal Railroad Administration, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Highway Traffic Safety Administration (NHTSA), Natl Telecommunications & Information Administration (NTIA), Pipeline & Hazardous Materials Safety Administration, SENATE, Transportation, Dept of (DOT), U.S. Forest Service

H.R. 931/S. 382, the Firefighter Cancer Registry Act. All issues related to the legislation. H.R. 304, the Protecting Patient Access to Emergency Medications Act. All issues related to the legislation.

Client expense: $20,000 · Firm income: Not reported

Government targets: Bureau of Justice Assistance, Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE