To amend title XVIII of the Social Security Act to provide under the Medicare program for independent accreditation for dialysis facilities and assurance of high quality surveys with respect to such facilities.

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017 ESRD Prospective Payment System CY 2018 and Quality Incentive Program PY 2019-21 Proposed Rule ESRD Five Star Program charitable premium assistance Issues related to End Stage Renal Disease (ESRD) program and Chronic Kidney Disease (CKD) S.870, CHRONIC Care Act of 2017 SNP reauthorization H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act of 2017 Medicare extenders package H.R. 3178, Medicare Part B Improvement Act of 2017 Issues related to healthcare discussions/offsets for budget deal and healthcare extender policies H.R. 1892 / PL 115-123, Bipartisan Budget Act of 2018 H.R. 1625 / PL 115-141, Omnibus/Consolidated Appropriations Act of 2018

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

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

The ESRD Seamless Care Organization (ESCO); Chronic Care; Acute Kidney Injury; Integrated Kidney Care; Kidney Care Delay issues. H.R. 2644 - Chronic Kidney Disease Improvement in Research and Treatment Act of 2017. H.R. 3178 - Medicare Part B Improvement Act of 2017. H.R. 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017. H.R. 3166/S. 1729 - Dialysis Access Improvement Act of 2017.

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

The ESRD Seamless Care Organization (ESCO); Chronic Care; Acute Kidney Injury; Integrated Kidney Care; Kidney Care Delay issues. H.R. 2644 - Chronic Kidney Disease Improvement in Research and Treatment Act of 2017. H.R. 3178 - Medicare Part B Improvement Act of 2017. H.R. 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017. H.R. 3166/S. 1729 - Dialysis Access Improvement Act of 2017.

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P); Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality, Survey and Certification Group; Issues related to charitable premium assistance for individuals with ESRD; H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017; H.R. 5942 PATIENTs Act (114th Congress); S. 870, CHRONIC Act of 2017; H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017; H.R. 2644, CKD Improvement in Research and Treatment Act of 2017; Issues related to End Stage Renal Disease (ESRD) program and Chronic Kidney Disease (CKD); H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act of 2017; Issues related to opioid policies and offsets - H.R. 6, SUBSTANCE USE-DISORDER PREVENTION THAT PROMOTES OPIOID RECOVERY AND TREATMENT (SUPPORT) FOR PATIENTS AND COMMUNITIES ACTS. 3120: Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018 S.2680 - Opioid Crisis Response Act of 2018; ESRD Prospective Payment System CY 2018 and Quality Incentive Program PY 2019-21 Proposed Rule; ESRD Five Star Program; charitable premium assistance; Skilled Nursing Facility Proposed rule (issues related to hospital discharge information)

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017 ESRD Prospective Payment System CY 2018 and Quality Incentive Program PY 2019-21 Proposed Rule ESRD Five Star Program charitable premium assistance Issues related to End Stage Renal Disease (ESRD) program and Chronic Kidney Disease (CKD) S.870, CHRONIC Care Act of 2017 SNP reauthorization H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act of 2017 Medicare extenders package H.R. 3178, Medicare Part B Improvement Act of 2017 Issues related to healthcare discussions/offsets for budget deal and healthcare extender policies H.R. 1892 / PL 115-123, Bipartisan Budget Act of 2018 H.R. 1625 / PL 115-141, Omnibus/Consolidated Appropriations Act of 2018

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

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

The ESRD Seamless Care Organization (ESCO); Chronic Care; Acute Kidney Injury; Integrated Kidney Care; Kidney Care Delay issues. H.R. 2644 - Chronic Kidney Disease Improvement in Research and Treatment Act of 2017. H.R. 3178 - Medicare Part B Improvement Act of 2017. H.R. 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017. H.R. 3166/S. 1729 - Dialysis Access Improvement Act of 2017.

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017 ESRD Prospective Payment System CY 2018 and Quality Incentive Program PY 2019-21 Proposed Rule ESRD Five Star Program charitable premium assistance Issues related to End Stage Renal Disease (ESRD) program and Chronic Kidney Disease (CKD) S.870, CHRONIC Care Act of 2017 SNP reauthorization H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act of 2017 Medicare extenders package H.R. 3178, Medicare Part B Improvement Act of 2017 Issues related to healthcare discussions/offsets for budget deal and healthcare extender policies H.R. 1892 / PL 115-123, Bipartisan Budget Act of 2018 H.R. 1625 / PL 115-141, Omnibus/Consolidated Appropriations Act of 2018

Client expense: $310,000 · Firm income: Not reported

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017 ESRD Prospective Payment System CY 2018 and Quality Incentive Program PY 2019-21 Proposed Rule ESRD Five Star Program charitable premium assistance Issues related to End Stage Renal Disease (ESRD) program and Chronic Kidney Disease (CKD) S.870, CHRONIC Care Act of 2017 SNP reauthorization H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act of 2017 Medicare extenders package H.R. 3178, Medicare Part B Improvement Act of 2017 Issues related to healthcare discussions/offsets for budget deal and healthcare extender policies H.R. 1892 / PL 115-123, Bipartisan Budget Act of 2018 H.R. 1625 / PL 115-141, Omnibus/Consolidated Appropriations Act of 2018

Client expense: $310,000 · Firm income: Not reported

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

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

Home Health Care Planning Improvement Act; S.1890/ H.R. 2644- Chronic Kidney Disease Improvement in Research and Treatment Act; H.R. 3166, To amend title XVIII of the Social Security Act to provide under the Medicare program for independent accreditation for dialysis facilities and assurance of high quality surveys with respect to such facilities; S 1729- the Dialysis Access Improvement Act.

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

The ESRD Seamless Care Organization (ESCO); Chronic Care; Acute Kidney Injury; Integrated Kidney Care; Kidney Care Delay issues. S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care Act (CHRONIC Act). H.R. 2644 - Chronic Kidney Disease Improvement in Research and Treatment Act of 2017. H.R. 3178 - Medicare Part B Improvement Act of 2017. H.R. 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017. H.R. 3166/S. 1729 - Dialysis Access Improvement Act of 2017.

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

Policies affecting dialysis facilities in H.R. 3166 and H.R. 3178, the Medicare Part B Improvement Act; policies related to third party payments; H.R. 4143/S.2065 and P.L. 115-123, the Balanced Budget Act of 2018, Dialysis PATIENTS Demonstration Act of 2017.

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

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

H.R. 4143/S. 2065 Dialysis PATIENTS Demonstration Act of 2017, all provisions H.R. 1892, Bipartisan Budget Act of 2018, provisions related to dialysis CMS-3317-IFC, Conditions for Coverage for End-Stage Renal Disease Facilities-Third Party Payment S. 870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, provisions related to end stage renal disease H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act, all provisions H.R. 2556/S. 1016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 3178, Medicare Part B Improvement Act, all provisions S. 1729, Dialysis Access Improvement Act of 2017, all provisions H.R. 3168, To amend title XVIII of the Social Security Act to provide continued access to specialized Medicare Advantage plans for special needs individuals, and for other purposes H.R. 3166, To amend title XVIII of the Social Security Act to provide under the Medicare program for independent accreditation for dialysis facilities and assurance of high quality surveys with respect to such facilities H.R. 3976, Access to Marketplace Insurance Act, all provisions

Client expense: $1,240,000 · Firm income: Not reported

H.R. 4143/S. 2065, Dialysis PATIENT Demonstration Act of 2017, all provisions H.R. 1892, Bipartisan Budget Act of 2018, provisions related to dialysis CMS-3317-IFC, Conditions for Coverage for End-Stage Renal Disease (ESRD) Facilities-Third Party Payment CMS regulations pertaining to reimbursement rates for ESRD-related services S. 870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, provisions related to end stage renal disease H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act, all provisions H.R. 2556/S. 1016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 3178, Medicare Part B Improvement Act, all provisions S. 1729, Dialysis Access Improvement Act of 2017, all provisions H.R. 3168, To amend title XVIII of the Social Security Act to provide continued access to specialized Medicare Advantage plans for special needs individuals, and for other purposes H.R. 3166, To amend title XVIII of the Social Security Act to provide under the Medicare program for independent accreditation for dialysis facilities and assurance of high quality surveys with respect to such facilities H.R. 3976, Access to Marketplace Insurance Act, all provisions

Client expense: $1,240,000 · Firm income: Not reported

Implementation of the Protecting Access to Medicare Act of 2014 (Pub. L. 113-93); Implementation of the Patient Protection and Affordable Care Act (Pub. L. 111-148); HHS Notice of Benefit and Payment Parameters for 2017, Final 2017 Letter to Issuers in the Federally-facilitated Marketplaces; Medicare Advantage; Senate Finance Committee Chronic Care Working Group; Integrated care legislation; Access to coverage in Health Insurance Marketplaces for ESRD; Implementation of Pub. L. 114-27, the Trade Preferences Extension Act of 2015; OCR anti-discrimination proposed and final rules; ERSD quality programs; ERSD payment rules; ESRD prospective payment system CY 2017; Quality Incentive Program PY 2020 Final Rule; CMS proposed updates to policies and payment rates for end-stage renal disease prospective payment system, quality incentive program, and payment for renal dialysis services furnished to individuals with acute kidney injury (CMS 1674-P); Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality, Survey and Certification Group; Issues related to charitable premium assistance for individuals with ESRD; H.R. 3976, the Protecting Access to Marketplace Insurance Act of 2017; H.R. 5942, the PATIENTs Act (114th Congress); S. 870, the CHRONIC Act of 2017; H.R. 3178, the Medicare Part B Improvement Act (includes H.R. 3166, dialysis factility accreditation legislation) of 2017; H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

Client expense: $140,000 · Firm income: Not reported

Implementation of the Protecting Access to Medicare Act of 2014 (Pub. L. 113-93); Implementation of the Patient Protection and Affordable Care Act (Pub. L. 111-148); HHS Notice of Benefit and Payment Parameters for 2017, Final 2017 Letter to Issuers in the Federally-facilitated Marketplaces; Medicare Advantage; Senate Finance Committee Chronic Care Working Group; Integrated care legislation; Access to coverage in Health Insurance Marketplaces for ESRD; Implementation of Pub. L. 114-27, the Trade Preferences Extension Act of 2015; OCR anti-discrimination proposed and final rules; ERSD quality programs; ERSD payment rules; ESRD prospective payment system CY 2017; Quality Incentive Program PY 2020 Final Rule; CMS proposed updates to policies and payment rates for end-stage renal disease prospective payment system, quality incentive program, and payment for renal dialysis services furnished to individuals with acute kidney injury (CMS 1674-P); Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality, Survey and Certification Group; Issues related to charitable premium assistance for individuals with ESRD; H.R. 3976, the Protecting Access to Marketplace Insurance Act of 2017; H.R. 5942, the PATIENTs Act (114th Congress); S. 870, the CHRONIC Act of 2017; H.R. 3178, the Medicare Part B Improvement Act (includes H.R. 3166, dialysis factility accreditation legislation) of 2017; H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

Client expense: $140,000 · Firm income: Not reported

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

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

H.R. 4143/S. 2065 Dialysis PATIENTS Demonstration Act of 2017, all provisions 7 CMS-3317-IFC, Conditions for Coverage for End-Stage Renal Disease Facilities-Third Party Payment S. 870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, provisions related to end stage renal disease H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act, all provisions H.R. 2556/S. 1016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 3178, Medicare Part B Improvement Act, all provisions S. 1729, Dialysis Access Improvement Act of 2017, all provisions H.R. 3168, To amend title XVIII of the Social Security Act to provide continued access to specialized Medicare Advantage plans for special needs individuals, and for other purposes H.R. 3166, To amend title XVIII of the Social Security Act to provide under the Medicare program for independent accreditation for dialysis facilities and assurance of high quality surveys with respect to such facilities H.R. 3976, Access to Marketplace Insurance Act, all provisions

Client expense: $930,000 · Firm income: Not reported

H.R. 4143/S. 2065, Dialysis PATIENT Demonstration Act of 2017, all provisions CMS-3317-IFC, Conditions for Coverage for End-Stage Renal Disease (ESRD) Facilities-Third Party Payment CMS regulations pertaining to reimbursement rates for ESRD-related services S. 870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, provisions related to end stage renal disease H.R. 2644/S. 1890, Chronic Kidney Disease Improvement in Research and Treatment Act, all provisions H.R. 2556/S. 1016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 3178, Medicare Part B Improvement Act, all provisions S. 1729, Dialysis Access Improvement Act of 2017, all provisions H.R. 3168, To amend title XVIII of the Social Security Act to provide continued access to specialized Medicare Advantage plans for special needs individuals, and for other purposes H.R. 3166, To amend title XVIII of the Social Security Act to provide under the Medicare program for independent accreditation for dialysis facilities and assurance of high quality surveys with respect to such facilities H.R. 3976, Access to Marketplace Insurance Act, all provisions

Client expense: $930,000 · Firm income: Not reported

The ESRD Seamless Care Organization (ESCO); Chronic Care; Acute Kidney Injury; Integrated Kidney Care; Kidney Care Delay issues. S. 870 - Creating High Quality Results and Outcomes Necessary to Improve Chronic Care Act (CHRONIC Act). H.R. 2644 - Chronic Kidney Disease Improvement in Research and Treatment Act of 2017. H.R. 3178 - Medicare Part B Improvement Act of 2017. H.R. 4143/S. 2065 - Dialysis PATIENTS Demonstration Act of 2017. H.R. 3166/S. 1729 - Dialysis Access Improvement Act of 2017.

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

Policies affecting dialysis facilities in H.R. 3166 and H.R. 3178, the Medicare Part B Improvement Act; policies related to third party payments.

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

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

Home Health Care Planning Improvement Act; S.1890/ H.R. 2644- Chronic Kidney Disease Improvement in Research and Treatment Act; H.R. 3166/ S 1729- the Dialysis Access Improvement Act.

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

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

CMS Proposed Updates to Policies and Payment Rates for End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (CMS 1674-P) Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality Issues related to charitable premium assistance for individuals with ESRD H.R. 3976, The Protecting Access to Marketplace Insurance Act of 2017 H.R. 5942 PATIENTs Act (114th Congress) S. 870, CHRONIC Act of 2017 H.R. 3178, Medicare Part B Improvement Act (includes H.R. 3166, dialysis facility accreditation legislation) of 2017 H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

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

Implementation of the Protecting Access to Medicare Act of 2014 (Pub. L. 113-93); Implementation of the Patient Protection and Affordable Care Act (Pub. L. 111-148); HHS Notice of Benefit and Payment Parameters for 2017, Final 2017 Letter to Issuers in the Federally-facilitated Marketplaces; Medicare Advantage; Senate Finance Committee Chronic Care Working Group; Integrated care legislation; Access to coverage in Health Insurance Marketplaces for ESRD; Implementation of Pub. L. 114-27, the Trade Preferences Extension Act of 2015; OCR anti-discrimination proposed and final rules; ERSD quality programs; ERSD payment rules; ESRD prospective payment system CY 2017; Quality Incentive Program PY 2020 Final Rule; CMS proposed updates to policies and payment rates for end-stage renal disease prospective payment system, quality incentive program, and payment for renal dialysis services furnished to individuals with acute kidney injury (CMS 1674-P); Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality, Survey and Certification Group; Issues related to charitable premium assistance for individuals with ESRD; H.R. 3976, the Protecting Access to Marketplace Insurance Act of 2017; H.R. 5942, the PATIENTs Act (114th Congress); S. 870, the CHRONIC Act of 2017; H.R. 3178, the Medicare Part B Improvement Act (includes H.R. 3166, dialysis factility accreditation legislation) of 2017; H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

Client expense: $140,000 · Firm income: Not reported

Implementation of the Protecting Access to Medicare Act of 2014 (Pub. L. 113-93); Implementation of the Patient Protection and Affordable Care Act (Pub. L. 111-148); HHS Notice of Benefit and Payment Parameters for 2017, Final 2017 Letter to Issuers in the Federally-facilitated Marketplaces; Medicare Advantage; Senate Finance Committee Chronic Care Working Group; Integrated care legislation; Access to coverage in Health Insurance Marketplaces for ESRD; Implementation of Pub. L. 114-27, the Trade Preferences Extension Act of 2015; OCR anti-discrimination proposed and final rules; ERSD quality programs; ERSD payment rules; ESRD prospective payment system CY 2017; Quality Incentive Program PY 2020 Final Rule; CMS proposed updates to policies and payment rates for end-stage renal disease prospective payment system, quality incentive program, and payment for renal dialysis services furnished to individuals with acute kidney injury (CMS 1674-P); Issues related to survey and certification of dialysis facilities under sub-regulatory guidance issued by the CMS Centers for Clinical Standards and Quality, Survey and Certification Group; Issues related to charitable premium assistance for individuals with ESRD; H.R. 3976, the Protecting Access to Marketplace Insurance Act of 2017; H.R. 5942, the PATIENTs Act (114th Congress); S. 870, the CHRONIC Act of 2017; H.R. 3178, the Medicare Part B Improvement Act (includes H.R. 3166, dialysis factility accreditation legislation) of 2017; H.R. 2644, CKD Improvement in Research and Treatment Act of 2017

Client expense: $140,000 · Firm income: Not reported

Home Health Care Planning Improvement Act; Chronic Kidney Care Act; Introduction of Chronic Kidney Disease Improvement in Research and Treatment Act; H.R. 3166/ S 1729- the Dialysis Access Improvement Act.

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

Government targets: SENATE

Policies affecting dialysis facilities in H.R. 3166 and H.R. 3178, the Medicare Part B Improvement Act; policies related to third party payments.

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

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

H.R. 5942/S. 3090 Dialysis PATIENT Demonstration Act of 2016, all provisions (bill number for 114th Congress) CMS-3317-IFC, Conditions for Coverage for End-Stage Renal Disease Facilities-Third Party Payment CMS regulations pertaining to reimbursement rates for ESRD-related services CMS survey and certification of kidney dialysis centers S. 870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, provisions related to end stage renal disease H.R. 2644, Chronic Kidney Disease Improvement in Research and Treatment Act, all provisions H.R. 2556 and S. 1016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 3178, Medicare Part B Improvement Act, all provisions S. 1729, Dialysis Access Improvement Act of 2017, all provisions H.R. 3168, To amend title XVIII of the Social Security Act to provide continued access to specialized Medicare Advantage plans for special needs individuals, and for other purposes H.R. 3166, To amend title XVIII of the Social Security Act to provide under the Medicare program for independent accreditation for dialysis facilities and assurance of high quality surveys with respect to such facilities

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

H.R. 5942/S. 3090, Dialysis PATIENT Demonstration Act of 2016, all provisions (bill number for 114th Congress) CMS-3317-IFC, Conditions for Coverage for End-Stage Renal Disease (ESRD) Facilities-Third Party Payment CMS regulations pertaining to reimbursement rates for ESRD-related services CMS/Medicare Advantage ESRD rate formulation S. 870, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, provisions related to end stage renal disease H.R. 2644, Chronic Kidney Disease Improvement in Research and Treatment Act, all provisions H.R. 2556 and S. 1016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 3178, Medicare Part B Improvement Act, all provisions S. 1729, Dialysis Access Improvement Act of 2017, all provisions H.R. 3168, To amend title XVIII of the Social Security Act to provide continued access to specialized Medicare Advantage plans for special needs individuals, and for other purposes H.R. 3166, To amend title XVIII of the Social Security Act to provide under the Medicare program for independent accreditation for dialysis facilities and assurance of high quality surveys with respect to such facilities

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