National Clinical Care Commission Act

Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S. 3129 Lower Costs, More Cures Act

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

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

Client expense: $650,000 · Firm income: Not reported

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

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

H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act H.R. 6800 - The Heroes Act Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

Client expense: $610,000 · Firm income: Not reported

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

H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act Medication affordability and access; general diabetes prevention; S. 1948/H.R. 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S. 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

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

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199/H.R. 4906 Insulin Price Reduction Act; H.R. 3 Elijah Cummings Lower Drug Costs Now Act; S. 1895 Lower Health Care Costs Act; H.R. 19/S 3129 Lower Costs, More Cures Act

Client expense: $920,000 · Firm income: Not reported

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; S 2199 Insulin Price Reduction Act; HR 3 Lower Drug Costs Now Act of 2019

Client expense: $570,000 · Firm income: Not reported

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

Medication affordability and access; general diabetes prevention; S 1948/HR 3709 Chronic Disease Management Act and general issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act

Client expense: $850,000 · Firm income: Not reported

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

Medication affordability and access; general diabetes prevention; issues related to High Deductible Health Plan pre-deductible coverage of treatments and services for chronic diseases; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act

Client expense: $440,000 · Firm income: Not reported

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

General diabetes prevention; medication affordability and access; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day; H.R.4978/S. 2410 Chronic Disease Management Act of 2018; Draft legislation related to "Medical Shared Savings for Citizens and Communities to Power Economic Development, Lower Health Care Costs and Expanded Insurance Coverage" i.e. Community Health Savings Accounts (HSAs); Growth Awareness Week 2018

Client expense: $870,000 · Firm income: Not reported

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

General diabetes prevention; medication affordability and access; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day; H.R.4978/S. 2410 Chronic Disease Management Act of 2018; Draft legislation related to "Medical Shared Savings for Citizens and Communities to Power Economic Development, Lower Health Care Costs and Expanded Insurance Coverage" i.e. Community Health Savings Accounts (HSAs); Growth Awareness Week 2018

Client expense: $700,000 · Firm income: Not reported

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

General diabetes prevention; medication affordability and access; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day; H.R.4978/S. 2410 Chronic Disease Management Act of 2018; Draft legislation related to "Medical Shared Savings for Citizens and Communities to Power Economic Development, Lower Health Care Costs and Expanded Insurance Coverage" i.e. Community Health Savings Accounts (HSAs)

Client expense: $977,600 · Firm income: Not reported

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

-- H.R. 309 / S. 920 - National Clinical Care Commission Act: Legislation to establish within the Department of Health and Human Services (HHS) a National Diabetes Clinical Care Commission to evaluate and make recommendations regarding better coordination and leveraging of federal programs that support appropriate clinical care for those with pre-diabetes and diabetes. Became Public Law No. 115-80: Contact with HHS regarding implementation -- H.R. 3358 / S. 1771 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018; H.R. 1892 - Continuing Resolution; H.R. 1625 - Vehicle for Consolidated Appropriations Act 2018: FY 2018 federal funding for diabetes research and the Centers for Disease Control and Prevention -- H.R. 849 / S. 260 - Protecting Seniors' Access to Medicare Act of 2017: IPAB repeal -- H.R. 1898 - To amend title XVIII of the Social Security Act to improve access to, and utilization of, bone mass measurement benefits under part B of the Medicare program by establishing a minimum payment amount under such part for bone mass measurement -- H.R. 1953 / S. 830 - Treat and Reduce Obesity Act of 2017

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

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

General diabetes prevention; medication affordability and access; implementation of P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day; H.R.4978/S. 2410 Chronic Disease Management Act of 2018.

Client expense: $1,460,000 · Firm income: Not reported

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

H.R. 309 - National Clinical Care Commission Act Issues related to reauthorization of the Food and Drug Administration User Fee Programs H.R. 1628, H. Rept. 115-52 - American Health Care Act of 2017, Better Care Reconciliation Act of 2017 H. Res. 228 -- Providing for consideration of the bill (H.R. 1628) to provide for reconciliation pursuant to title II of the concurrent resolution on the budget for fiscal year 2017.

Client expense: $730,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-- H.R. 309 / S. 920 - National Diabetes Clinical Care Commission Act: Legislation to establish within the Department of Health and Human Services (HHS) a National Diabetes Clinical Care Commission to evaluate and make recommendations regarding better coordination and leveraging of federal programs that support appropriate clinical care for those with pre-diabetes and diabetes. Became Public Law No. 115-80: Contact with HHS regarding implementation. -- H.R. 3358 / S. 1771 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018; H.J.Res. 123, H.R. 1370 - Continuing Resolutions: FY 2018 federal funding for diabetes research and the Centers for Disease Control and Prevention. -- H.R. 849 / S. 260 - Protecting Seniors' Access to Medicare Act of 2017: IPAB repeal.

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

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

-- H.R. 309 / S. 920 - National Diabetes Clinical Care Commission Act: Legislation to establish within the Department of Health and Human Services a National Diabetes Clinical Care Commission to evaluate and make recommendations regarding better coordination and leveraging of federal programs that support appropriate clinical care for those with pre-diabetes and diabetes. -- H.R. 3358 / S. 1771 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018; H.J.Res. 123, H.R. 1370 - Continuing Resolutions: FY 2018 federal funding for diabetes research and the Centers for Disease Control and Prevention. -- H.R. 849 / S. 260 - Protecting Seniors' Access to Medicare Act of 2017: IPAB repeal.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- General diabetes prevention - P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act - World Hemophilia Day - H. Res. 142 and S. Res. 63/S. Res. 325 (A resolution) expressing support for designation of the week of October 29 through November 4, 2017, as "National Obesity Care Week" - H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General diabetes prevention; P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day; Growth Awareness Week; H. Res. 142 and S. Res. 63/S. Res. 325 (A resolution) expressing support for designation of the week of October 29 through November 4, 2017, as "National Obesity Care Week".

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

1 and 2.) Federal Legislation and Issues (H.R. designates work with House of Representatives; S. designates work with Senate) S. 1724/H.R. 4260, the Healthy Food Access for All Americans Act. Support entire bill; encourages organizations and businesses to provide access to healthy foods in urban and rural food deserts. H.R. 309/S.920, the National Clinical Care Commission Act. Support entire bill; creates a commission to integrate federal research, prevention, and clinical efforts on diabetes and related metabolic and autoimmune diseases. H.R. 2593, the Preventive Health Savings Act. Support entire bill; legislation allows the Congressional Budget Office to analyze legislation beyond the first ten-year budget window to assess savings based on preventive health activities. H.R. 2077, the Restoring the Patients Voice Act of 2017. Support entire bill requires employer-sponsored health plans that employ step therapy to implement a clear process by which the patient or provider can request an exception and that the exceptions process must be made readily available on the website of the health plan. H.R. 3922, the CHAMPIONING HEALTHY KIDS Act. Oppose bill. The Association supports 2-year reauthorization of the Special Diabetes Program; opposes the legislations offset to the Prevention and Public Health Fund. The Association supports the Prevention and Public Health Fund established by the ACA and opposes any legislative efforts to weaken and or cut the fund. H.R. 1, the Tax Cuts and Jobs Act. Opposed the provision in the bill that repealed the individual mandate in the Affordable Care Act (ACA). The Association opposes legislative efforts to weaken the ACA. The Bipartisan Health Care Act (Alexander-Murray legislation.) Support the bill which would extend the cost-sharing reduction payments and provides other mechanisms to stabilize the insurance market. Issues worked on not yet reflected in legislation: Special Diabetes Program. The Association supports reauthorization of the program and is working on permanent or multi-year renewal before the September 2017 expiration date. A portion of the program was temporarily reauthorized through the Federal Aviation Administration reauthorization. Cost of prescription drugs. The Association is concerned about the rising cost of insulin and other diabetes medications. The Association has not endorsed any legislative proposal but has advocated for Congress to hold hearings with all parties in the insulin supply chain to increase transparency and ultimately make insulin more affordable for patients. Diabetes Self-Management Training (DSMT) Legislation. The Association supports efforts to reduce barriers and increase the utilization of DSMT, which is a covered benefit under Medicare. HCR

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, White House Office

General diabetes prevention; H.R.309/S.920, National Clinical Care Commission Act (P.L.115-80). National Obesity Care Week; H.Res.142, Expressing support for designation of the week of October 29 through November 4, 2017, as "National Obesity Care Week" and S.Res.63/S.Res.325, A resolution expressing support for designation of the week of October 29 through November 4, 2017, as "National Obesity Care Week".

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care quality; physician and hospital quality; Patient Protection and Affordable Care Act/health care reform implementation; Affordable Care Act repeal/replace/reform efforts, including the American Health Care Act, the Better Care Reconciliation Act, S 1835, the Lower Premiums Through Reinsurance Act of 2017, and the Graham/Cassidy amendment to the American Health Care Act; medical liability reform, including HR 1215, the Protecting Access to Care Act; unique device identifier policy and post-market surveillance for medical devices; FDA User Fee Program reauthorization; clinical trial design; clinical data registries; the Common Rule and registries; HIPAA and registries; federal funding/appropriations for HHS, NIH, AHRQ, CDC, HRSA, FDA, the Prevention & Public Health Fund, medical research, and prevention; HR 3592, the South Asian Heart Health Awareness and Research Act of 2017; research and scholarly communication policy, including S 1701/HR 3427, the Fair Access to Science and Technology Research Act of 2017; healthy diet/lifestyle; implementation and oversight of 21st Century Cures Act; data blocking/interoperability of electronic data; health disparities; S 477/HR 1222, the Congenital Heart Futures Reauthorization Act of 2017; HR 309/S 920, the National Diabetes Clinical Care Commission Act; reduction of administrative burdens; disaster relief funding; medical isotope production and supply; tax reform legislation and related issues, including HR 1, the Tax Cuts and Jobs Act.

Client expense: $440,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

General diabetes prevention; P.L. 115-80 (H.R. 309/S. 920) Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day; Growth Awareness Week; H. Res. 142 and S. Res. 63/S. Res. 325 (A resolution) expressing support for designation of the week of October 29 through November 4, 2017, as "National Obesity Care Week".

Client expense: $290,000 · Firm income: Not reported

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

Diabetes Prevention & Treatment, including related provisions of HR 309, The National Clinical Care Commission Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- Issues related to diabetes screening and prevention - Clinical Care Commission Act (H.R. 309/S. 920) - World Hemophilia Day - National Obesity Care Week (H. Res. 142/S. Res. 63) - American Health Care Act (H.R. 1628) and Better Care Reconciliation Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General diabetes prevention; H.R. 309/S. 920 Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day; Growth Awareness Week; National Obesity Care Week, H.Res. 142/S.Res. 63; H.R. 3921 Healthy Kids Act.

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

-- H.R. 309 / S. 920 - National Diabetes Clinical Care Commission Act: Legislation to establish within the Department of Health and Human Services a National Diabetes Clinical Care Commission to evaluate and make recommendations regarding better coordination and leveraging of federal programs that support appropriate clinical care for those with pre-diabetes and diabetes. -- H.R. 1628 - American Health Care Act of 2017 / Senate Better Care Reconciliation Act of 2017: Essential benefits package, Medicaid expansion and coverage assistance. -- H.R. 3358 / S. 1771 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018: FY 2018 federal funding for diabetes research and the Centers for Disease Control and Prevention. -- H.R. 849 / S. 260 - Protecting Seniors' Access to Medicare Act of 2017: IPAB repeal.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 772/S. 261, the Common Sense Nutrition Disclosure Act of 2017. Oppose entire bill; revises the nutritional information that restaurants and retail food establishments must disclose. S. 1724, the Healthy Food Access for All Americans Act. Support entire bill; encourages organizations and businesses to provide access to healthy foods in urban and rural food deserts. H.R. 2351, the Minority Diabetes Initiative Act. Support entire bill; provides grants for the treatment of diabetes in minority populations. H.R. 309/S.920, the National Clinical Care Commission Act. Support entire bill; creates a commission to integrate federal research, prevention, and clinical efforts on diabetes and related metabolic and autoimmune diseases. Better Care Reconciliation Act: Oppose entire bill; repeals the Affordable Care Act (ACA) through budget reconciliation by repealing key provisions of the current law including Medicaid expansion, the ACAs current tax subsidy structure and the Prevention and Public Health Fund. The legislation would drastically change the financing structure of the Medicaid program through a per capita caps mechanism. The Association opposes efforts to repeal the ACA without simultaneously enacting a replacement bill that offers equal or greater coverage and consumer protections. This legislation did not meet those standards. Graham-Cassidy ACA Repeal Legislation: Oppose entire bill; the bill would eliminate the ACA tax credits, cost-sharing reductions payments, and Medicaid expansion coverage funding, and create a block grant program to provide funding to states. This is extremely concerning because by eliminating all of these programs and turning them into one block grant it would cut hundreds of billions of dollars in funding leading to huge losses in coverage. The legislation also repeals the individual and employer mandates, and would roll back ACA consumer protections which would lead to higher costs for those with pre-existing conditions such as diabetes. The Association opposes efforts to repeal the ACA without simultaneously enacting a replacement bill that offers equal or greater coverage and consumer protections. This legislation did not meet those standards. H.R. 1101, Small Business Health Fairness Act of 2017. Oppose entire bill; the legislation would create federally certified association health plans (AHPs). The Association has serious concerns that AHPs would lead to a two-tiered market, in which AHPs offer inadequate coverage to healthy groups only. H.R. 2593, the Preventive Health Savings Act. Support entire bill; legislation allows the Congressional Budget Office to analyze legislation beyond the first ten-year budget window to assess savings based on preventive health activities. H.R. 2077, the Restoring the Patients Voice Act of 2017. Support entire bill; requires employer-sponsored health plans that employ step therapy to implement a clear process by which the patient or provider can request an exception and that the exceptions process must be made readily available on the website of the health plan. Issues worked on not yet reflected in legislation: Prevention and Public Health Fund. The Association supports the Prevention and Public Health Fund established by the ACA and opposes any legislative efforts to weaken and or cut the fund. Special Diabetes Program. The Association supports re-authorization of the program and is working on permanent or multi-year renewal before the September 2017 expiration date. A portion of the program was temporarily reauthorized through the Federal Aviation Administration re-authorization. Cost of prescription drugs. The Association is concerned about the rising cost of insulin and other diabetes medications. The Association has not endorsed any legislative proposal but has advocated for Congress to hold hearings with all parties in the insulin supply chain to increase transparency and ultimately make insulin more affordable for patients.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, White House Office

Health care quality; physician and hospital quality; Patient Protection and Affordable Care Act/health care reform implementation; Affordable Care Act repeal/replace reform efforts, including the American Health Care Act, the Better Care Reconciliation Act and the Graham/Cassidy amendment to the American Health Care Act; medical liability reform, including HR 1215, the Protecting Access to Care Act; unique device identifier policy and post-market surveillance for medical devices; FDA reauthorization; clinical trial design; clinical data registries; the Common Rule and registries; HIPAA and registries; federal funding/appropriations for HHS, NIH, AHRQ, CDC, HRSA, FDA, the Prevention & Public Health Fund, medical research, and prevention; healthy diet/lifestyle; implementation and oversight of 21st Century Cures Act; data blocking/interoperability of electronic data; health disparities; S 477/HR 1222, the Congenital Heart Futures Reauthorization Act of 2017; HR 309/S 920, the National Diabetes Clinical Care Commission Act; HR 3120, a bill to amend title XVIII of the Social Security Act to reduce the volume of future electronic health record-related significant hardship requests; reduction of administrative burdens; disaster relief funding.

Client expense: $730,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

General diabetes prevention; H.R.309/S.920, National Clinical Care Commission Act. Issues related to coverage and reimbursement of obesity; S.830/H.R.1953, Treat and Reduce Obesity Act of 2017. H.Res.142/S.Res.63, National Obesity Care Week.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 309, National Clinical Care Commission Act, all provisions S. 920, National Clinical Care Commission Act, all provisions H.R. 1270, Living Donor Protection Act of 2017, all provisions H.R. 3440, DREAM Act of 2017, all provisions S. 1615, DREAM Act of 2017, all provisions H.R. 394, Restoring Access to Medication Act of 2017, all provisions S. 85, Restoring Access to Medication Act of 2017, all provisions H.R. 1628, The American Health Care Act, all provisions and Graham-Cassidy amendment S. 1803, Marijuana Effective Drug Studies (MEDS) Act of 2017, all provisions H.R. 1057, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2017, all provisions S. 372, Synthetics Trafficking and Overdose Prevention (STOP) Act of 2017, all provisions H.R. 2077, Restoring the Patient's Voice Act of 2017, all provisions H.R. 2430, FDA Reauthorization Act of 2017, all provisions S. 934, FDA Reauthorization Act of 2017, all provisions S.1754 - Training the Next Generation of Primary Care Doctors Act of 2017, provisions relating to community health center fund reauthorization H.R.3394 - Teaching Health Centers Graduate Medical Education (THCGME) Extension Act of 2017, provisions relating to community health center fund reauthorization Better Care Reconciliation Act (BCRA), all provisions Obamacare Repeal Reconciliation Act (ORRA), all provisions The Healthcare Freedom Act, S. Amdt. 667 Affordable Care Act Repeal/Replace Affordable Care Act: market stabilization; Section 1557 Comprehensive Addiction and Recovery Act (CARA) partial fill policies Opioid Abuse Medication-Assisted Treatment (MAT) Immigration - DACA program Travel Ban Health Savings Accounts - Prescription requirement for over-the-counter medications Health Care Reform Regulatory Relief Telemedicine Technology-based Eye Care Services program Prior authorization Software as a Medical Device (SaMD) National Evaluation System for Health Technology (NEST) Mobile health apps Electronic prescribing of controlled substances Continuing Medical Education and opioid/pain management prescribing Prescription Drug Pricing Small practice/solo physician groups/FDA policies Rural communities/broadband coverage expansion National Service Fund cap HIPAA: Section 1557, gender identity protection Cybersecurity Digital medicine ICD-10 Hurricane Relief Drug Compounding Electronic Health Records (EHR) - interoperability, data blocking, certification National Practitioner Data Bank (NPDB) Nomination of Jerome Adams, MD for Surgeon General of the U.S.

Client expense: $4,860,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, U.S. Postal Service (USPS), Veterans Affairs, Dept of (VA), White House Office

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

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

General diabetes prevention; H.R. 309/S. 920 Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day; Growth Awareness Week; National Obesity Care Week H.Res. 142 / S. Res. 63

Client expense: $790,000 · Firm income: Not reported

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

-- H.R. 309 - National Diabetes Clinical Care Commission Act: Legislation to establish within the Department of Health and Human Services a National Diabetes Clinical Care Commission to evaluate and make recommendations regarding better coordination and leveraging of federal programs that support appropriate clinical care for those with pre-diabetes and diabetes. -- H.R. 1628 - American Health Care Act of 2017 / Senate Better Care Reconciliation Act of 2017: Essential benefits package, Medicaid expansion and coverage assistance. -- Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018; FY 2018 federal funding for diabetes research and the Centers for Disease Control and Prevention. -- H.R. 849 / S. 260 - Protecting Seniors' Access to Medicare Act of 2017: IPAB repeal.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Diabetes Prevention & Treatment, including related provisions of HR 309, The National Clinical Care Commission Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Health care quality; physician and hospital quality; Patient Protection and Affordable Care Act/health care reform implementation; Affordable Care Act repeal/replace reform efforts, including the American Health Care Act and the Better Care Reconciliation Act; medical liability reform, including HR 1215, the Protecting Access to Care Act; unique device identifier policy and post-market surveillance for medical devices; FDA reauthorization; clinical trial design; clinical data registries; the Common Rule and registries; HIPAA and registries; federal funding/appropriations for HHS, NIH, AHRQ, CDC, HRSA, FDA, the Prevention & Public Health Fund, medical research, and prevention; healthy diet/lifestyle; implementation and oversight of 21st Century Cures Act; data blocking/interoperability of electronic data; health disparities; S 477/HR 1222, the Congenital Heart Futures Reauthorization Act of 2017; HR 309, the National Diabetes Clinical Care Commission Act.

Client expense: $430,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

General diabetes prevention; H.R. 309/S. 920 Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day.

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Economic Council (NEC), SENATE

- Issues related to diabetes screening and prevention - Clinical Care Commission Act (H.R. 309/S. 920) - World Hemophilia Day - American Health Care Act (H.R. 1628) and Better Care Reconciliation Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 772/S. 261, the Common Sense Nutrition Disclosure Act of 2017. Oppose entire bill; revises the nutritional information that restaurants and retail food establishments must disclose. H.R. 309/S.920, the National Clinical Care Commission Act. Support entire bill; creates a commission to integrate federal research, prevention, and clinical efforts on diabetes and related metabolic and autoimmune diseases. H.R. 1628, American Health Care Act of 2017. Oppose entire bill; repeals the Affordable Care Act (ACA) through budget reconciliation by repealing key provisions of the current law including Medicaid expansion, the ACAs current tax subsidy structure and the Prevention and Public Health Fund. The legislation would drastically change the financing structure of the Medicaid program through a per capita caps mechanism. The Association opposes efforts to repeal the ACA without simultaneously enacting a replacement bill that offers equal or greater coverage and consumer protections. This legislation did not meet those standards. Better Care Reconciliation Act: Oppose entire bill; repeals the Affordable Care Act (ACA) through budget reconciliation by repealing key provisions of the current law including Medicaid expansion, the ACAs current tax subsidy structure and the Prevention and Public Health Fund. The legislation would drastically change the financing structure of the Medicaid program through a per capita caps mechanism. The Association opposes efforts to repeal the ACA without simultaneously enacting a replacement bill that offers equal or greater coverage and consumer protections. This legislation did not meet those standards. H.R. 1101, Small Business Health Fairness Act of 2017. Oppose entire bill; the legislation would create federally certified association health plans (AHPs). The Association has serious concerns that AHPs would lead to a two-tiered market, in which AHPs offer inadequate coverage to healthy groups only. H.R. 2593, the Preventive Health Savings Act. Support entire bill; legislation allows the Congressional Budget Office to analyze legislation beyond the first ten-year budget window to assess savings based on preventive health activities. H.R. 2077, the Restoring the Patients Voice Act of 2017. Support entire bill; requires employer-sponsored health plans that employ step therapy to implement a clear process by which the patient or provider can request an exception and that the exceptions process must be made readily available on the website of the health plan. Issues worked on not yet reflected in legislation: Prevention and Public Health Fund. The Association supports the Prevention and Public Health Fund established by the ACA and opposes any legislative efforts to weaken and or cut the fund. Special Diabetes Program. The Association supports reauthorization of the program and is working on permanent or multi-year renewal before the September 2017 expiration date. Farm Bill. The Association is interested in protecting nutrition programs under the jurisdiction of the 2018 Farm Bill. Cost of prescription drugs. The Association is concerned about the rising cost of insulin and other diabetes medications. The Association has not endorsed any legislative proposal but has advocated for Congress to hold hearings with all parties in the insulin supply chain to increase transparency and ultimately make insulin more affordable for patients.

Client expense: $201,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 309 - National Clinical Care Commission Act Issues related to reauthorization of the Food and Drug Administration User Fee Programs H.R. 1628, H. Rept. 115-52 - American Health Care Act of 2017, Better Care Reconciliation Act of 2017 H. Res. 228 -- Providing for consideration of the bill (H.R. 1628) to provide for reconciliation pursuant to title II of the concurrent resolution on the budget for fiscal year 2017.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.309, National Clinical Care Commission Act. General healthcare including issues related to diabetes and hemophilia. S.830/H.R.1953, A bill to amend title XVIII of the Social Security Act to provide for the coordination of programs to prevent and treat obesity, and for other purposes; issues related to coverage and reimbursement of obesity.

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

Government targets: HOUSE OF REPRESENTATIVES

General diabetes prevention; H.R. 309/S. 920 Clinical Care Commission Act; H.R. 1628 American Health Care Act (AHCA) and Better Care Reconciliation Act of 2017; World Hemophilia Day

Client expense: $830,000 · Firm income: Not reported

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

H.R. 2938 Removing Barriers to Medicaid and CHIP Addiction Treatment Act of 2017 H. Res. 142 Expressing support for "National Obesity Care Week" S. Res. 63 Expressing support for "National Obesity Care Week" H.R. 181 Close Annuity Loopholes in Medicaid Act H.R. 184 Protect Medical Innovation Act H.R. 244 Consolidated Appropriations Act, 2017 H.R. 284 Advancing Medical Resident Training in Community Hospitals Act H.R. 309 National Clinical Care Commission Act S. 920 National Clinical Care Commission Act H.R. 372 Competitive Health Insurance Reform Act H.R. 592 Pharmacy and Medically Underserved Areas Enhancement Act S. 109 Pharmacy and Medically Underserved Areas Enhancement Act H.R. 706 Plan Verification and Fairness Act H.R. 741 Rural Hospital Regulatory Relief Act S. 243 Rural Hospital Regulatory Relief Act H.R. 749 Lower Drug Costs through Competition Act H.R. 766 Amend Title XVII of the Social Security Act to Expand Telehealth in Medicare H.R. 829 Prioritizing the Most Vulnerable Over Lottery Winners Act H.R. 849 Protecting Seniors' Access to Medicare Act S. 260 Protecting Seniors' Access to Medicare Act H.R. 908 Medicare Advantage Quality Payment Relief Act H.R. 998 Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act H.R. 1004 Regulatory Integrity Act H.R. 1009 OIRA Insight, Reform, and Accountability Act S. 676 OIRA Insight, Reform, and Accountability Act H.R. 1038 Improving Transparency and Accuracy in Medicare Part D Spending H.R. 1072 Obamacare Replacement Act S. 222 Obamacare Replacement Act H.R. 1101 Small Business Health Fairness Act H.R. 1121 Pre-Existing Conditions Protection Act H.R. 1148 Furthering Access to Stroke Telemedicine (FAST) Act S. 431 Furthering Access to Stroke Telemedicine (FAST) Act H.R. 1215 Protecting Access to Care Act H.R. 1245 Affordable and Safe Prescription Drug Importation Act S. 469 Affordable and Safe Prescription Drug Importation Act H.R. 1267 Personal Health Investment Today (PHIT) Act S. 482 Personal Health Investment Today (PHIT) Act H.R. 1304 Self-Insurance Protection Act H.R. 1313 Preserving Employee Wellness Programs Act H.R. 1554 Jessie's Law S. 581 Jessie's Law H.R. 1565 Saving Lives, Saving Costs Act H.R. 1628 American Health Care Act H.R. 1703 Medical Product Communications Act H.R. 1776 Improving Access to Affordable Prescription Drugs Act S. 771 Improving Access to Affordable Prescription Drugs Act H.R. 1922 Foreign Medical School Accountability Fairness Act S. 850 Foreign Medical School Accountability Fairness Act H.R. 1953 Treat and Reduce Obesity Act (TROA) S. 830 Treat and Reduce Obesity Act (TROA) H.R. 2141 Conrad State 30 and Physician Access Reauthorization Act S. 898 Conrad State 30 and Physician Access Reauthorization Act H.R. 2192 To Amend the Public Health Service Act to Eliminate the Non-Application of Certain State Waiver Provisions to Members of Congress and Congressional Staff H.R. 2212 Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act S. 974 Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act H.R. 2267 Resident Physician Reduction Shortage Act H.R. 246 Jobs and Premium Protection Act H.R. 2550 Medicare Telehealth Parity Act H.R. 2556 CONNECT for Health Act S. 1016 CONNECT for Health Act H.R. 2953 Amend the Congressional Budget Act of 1974 Respecting the Scoring of Preventive Health Savings S. 108 Medical Device Access and Innovation Protection Act S. 183 Jobs and Premium Protection Act S. 191 Patient Freedom Act S. 251 Protecting Medicare from Executive Action Act S. 309 Community-Based Independence for Seniors Act S. 413 Improving Transparency and Accuracy in Medicare Part D Spending S. 464 Independence at Home Act S. 469 Affordable and Safe Prescription Drug Importation Act S. 64 Safe and Affordable Drugs from Canada Act S. 761 Health Care Options Act S. 771 Improving Access to Affordable Prescription Drugs Act S. 787, Telehealth Innovation and Improvement Act S. 870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act

Client expense: $180,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Diabetes Prevention & Treatment, including related provisions of HR 309, The National Clinical Care Commission Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE