Telehealth Enhancement Act of 2017

S. 413, Improving Transparency and Accuracy in Medicare Part D Spending Act (Capito) -PDP/MA-PD payments on clean claims from pharmacies S. 428, ACE Kids Act (Grassley) - coordinated care for children with complex medical conditions S. 1016, CONNECT For Health Act (Schatz) - telehealth S. 1169, Medicaid CARE Act (Durbin-Portman) - changes to Medicaid IMD exclusion S. 1688, Empowering Medicare Seniors to Negotiate Drug Prices Act (Klobuchar) - Part D price negotiations S. 1804, Medicare for All Act (Sanders) - single payer health system S. 1827, Keep Kids Insurance Dependable and Secure Act (Hatch-Wyden) - federal CHIP funding S. 1890, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Cardin) - Medigap coverage for beneficiaries with end-stage renal disease S. 2027, Medicaid Third Party Liability Act (Portman) - Medicaid third party liability S. 2227, EMPOWER Care Act (Portman-Cantwell) - Medicaid Money Follows the Person Demonstration S. 2707, Informing Seniors About Opioids Act (Nelson) - opioid issues S. 2901, Expanding Telehealth Response to Ensure Addiction Treatment Act (Thune) - opioid issues S. 2904, Medicaid Substance Use Disorder Treatment Via Telehealth Act (Carper) - opioid issues S. 2908, Electronic Prior Authorization in Medicare Part D Act (Roberts) - opioid issues Draft Medicare Long-Term Care Services and Supports Act (Pallone) - Long-Term Services and Supports Program H.R. 195, Extension of Continuing Appropriations Act - CHIP funding extension for 2018-2023 and related provisions H.R. 849, Protecting Seniors Access to Medicare Act (Roe) - Independent Payment Advisory Board H.R. 908, Medicare Advantage Quality Payment Relief Act (Kelly) - MA payment cap H.R. 1038, Improving Transparency and Accuracy in Medicare Part D Spending Act (Griffith) - PDP/MA-PD payments on clean claims from pharmacies H.R. 1148, FAST Act (Griffith) - access to telehealth-eligible stroke services under Medicare H.R. 1316, Prescription Drug Price Transparency Act (Collins) - PBM standards for MA and PDP plans H.R. 1892, Bipartisan Budget Act (Larson) - permanent authorization of Medicare Advantage Special Needs Plans; MA chronic care reforms: telehealth, supplemental benefits, value-based insurance design, star ratings; changes to Medicare Part D coverage gap and related discounts; CHIP funding extension for 2024-2027; funding for Puerto Ricos Medicaid program H.R. 1995, V-BID for Better Care Act (Black) - value-based insurance design in Medicare Advantage H.R. 2556, CONNECT For Health Act (Black) - telehealth H.R. 2644, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Marino) - Medigap coverage for beneficiaries with end-stage renal disease H.R. 2687, Medicaid CARE Act (Foster-Fitzpatrick) - changes to Medicaid IMD exclusion H.R. 3044, Supplemental Benefits for Chronically Ill Medicare Advantage Enrollees (Meehan) H.R. 3168, Special Needs Plans (Tiberi-Levin) - SNP reauthorization H.R. 3263, Medicare Independence at Home Model of Care (Burgess) - demonstration program H.R. 3325, ACE Kids Act (Barton) - coordinated care for children with complex medical conditions H.R. 3360, Telehealth Enhancement Act (Harper) - telehealth in Medicare H.R. 3727, Increasing Telehealth Access in Medicare Act (Black) - telehealth in MA plans H.R. 3921, HEALTHY KIDS Act (Burgess) - CHIP funding H.R. 4952, Improving Seniors Access to Quality Benefits Act (Kelly) - MA benchmark cap study H.R. 5603, Access to Telehealth Services for Substance Use Disorders Act (Matsui) - opioid issues H.R. 5605, Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act (Ruiz) - opioid issues H.R. 5675, drug management programs for at-risk Medicare beneficiaries (Bilirakis) - opioid issues H.R. 5676, SENIOR Communities Protection Act (MacArthur) - preventing fraudulent opioid prescriptions H.R. 5684, Protecting Seniors from Opioid Abuse Act (Kelly) - opioid issues H.R. 5685, Medicare Opioid Safety Education Act (Faso) - opioid issues H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act (Paulsen) - opioid issues H.R. 5715, Strengthening Partnerships to Prevent Opioid Abuse Act (Renacci) - communication between Medicare plan sponsors and CMS H.R. 5773, Preventing Addiction for Susceptible Seniors Act (Roskam) - opioid issues H.R. 5797, IMD CARE Act (Walters) - Medicaid IMD exclusion H.R. 5798, Opioid Screening and Chronic Pain Management Alternatives for Seniors Act (Bucshon) - opioid issues H.R. 5799, Medicaid Drug Review, Utilization, Good Governance Improvement Act (Blackburn) - opioid issues H.R. 5800, Medicaid IMD ADDITIONAL INFO Act (Upton) - opioid issues H.R. 5804, Post-Surgical Injections as an Opioid Alternative Act (Shimkus) - opioid issues H.R. 5808, Medicaid Pharmaceutical Home Act (Bilirakis) - opioid issues H.R. 5809, Postoperative Opioid Prevention Act (Peters) - opioid issues H.R. 5810, Medicaid Health Homes for Opioid-Use-Disorder Medicaid Enrollees Encouraged Act (Lance) - opioid issues H.R. 5812, Improving Medicaid Data Timeliness Act (Griffith) - opioid issues Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2019 policy and technical regulation for MA and Part D; issues relating to 2019 Rate Notice and Call Letter; in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Bipartisan Budget Act of 2018 changes to SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); CMS's proposed Part B drug demonstration program; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS' substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; issues relating to prescription drug price blueprint; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

Client expense: $1,410,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

S. 977/HR 3820 and HR 6225: Medicare Home Health Flexibility Act - Advocate for passage . HR 2550: Medicare Telehealth Parity Act of 2017 - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. HR2556: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; S787: A bill to require the Center for Medicare and Medicaid Innovation to test the effect of including telehealth services in Medicare health care delivery reform models; HR3360: Telehealth Enhancement Act; HR3482: Evidence-Based Telehealth Expansion Act; S1016: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; and HR3727: A bill to amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes. - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. No bill# Red Tape Reduction Initiative from Ways and Means Committee: Submitted following priorities for occupational therapy red tape reduction - 1) Initiation of Home Health Therapy Services Under Medicare (S. 977/HR 3820 now HR 6225), 2) Recognition of Occupational Therapy as a Primary Rehab Service (no bill number), 3) Permanently Eliminate Outside Certification Requirement for Occupational Therapists to Fabricate Custom Orthotics and Prosthetic Items (no bill number), 4) Modify or Eliminate Claims-Based Data Collection of Functional Limitation Information for Therapy Services (no bill number), 5) Add Doctor-prescribed Compression Supplies to the Durable Medical Equipment category (S 497/HR 930), and 6) Medicare Opt-out Option (no bill number). No Bill: Discussed how Stark laws affect the ability of occupational therapy practitioners to provide coordinated care services, particularly as it relates to the management of chronic conditions. S. 497/HR 930: Lymphedema Treatment Act - Support passage. No bill: Advocate for role of skilled therapy in changing reimbursement under Medicare Part A and Part B. HR 6, HR 5722, HR 5774, HR 5776, HR 6110, S 3008 and S 3120: (Various Bills on Opioids) Educate Members of Congress about the role of occupational therapy in the non-pharmacological management of pain, and advocate for any legislation that includes studies or funding for these alternatives, includes occupational therapy. Discussed and examined the effect of changes to reimbursement for occupational therapy assistants included in the Bi-partisan Budget Act, and possibly requesting a report from the GAO.

S. 413, Improving Transparency and Accuracy in Medicare Part D Spending Act (Capito) -PDP/MA-PD payments on clean claims from pharmacies S. 428, ACE Kids Act (Grassley) - coordinated care for children with complex medical conditions S. 1016, CONNECT For Health Act (Schatz) - telehealth S. 1169, Medicaid CARE Act (Durbin-Portman) - changes to Medicaid IMD exclusion S. 1688, Empowering Medicare Seniors to Negotiate Drug Prices Act (Klobuchar) - Part D price negotiations S. 1804, Medicare for All Act (Sanders) - single payer health system S. 1827, Keep Kids Insurance Dependable and Secure Act (Hatch-Wyden) - federal CHIP funding S. 1890, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Cardin) - Medigap coverage for beneficiaries with end-stage renal disease S. 2027, Medicaid Third Party Liability Act (Portman) - Medicaid third party liability S. 2227, EMPOWER Care Act (Portman-Cantwell) - Medicaid Money Follows the Person Demonstration S. 2707, Informing Seniors About Opioids Act (Nelson) - opioid issues S. 2901, Expanding Telehealth Response to Ensure Addiction Treatment Act (Thune) - opioid issues S. 2904, Medicaid Substance Use Disorder Treatment Via Telehealth Act (Carper) - opioid issues S. 2908, Electronic Prior Authorization in Medicare Part D Act (Roberts) - opioid issues Draft Medicare Long-Term Care Services and Supports Act (Pallone) - Long-Term Services and Supports Program H.R. 195, Extension of Continuing Appropriations Act - CHIP funding extension for 2018-2023 and related provisions H.R. 849, Protecting Seniors Access to Medicare Act (Roe) - Independent Payment Advisory Board H.R. 908, Medicare Advantage Quality Payment Relief Act (Kelly) - MA payment cap H.R. 1038, Improving Transparency and Accuracy in Medicare Part D Spending Act (Griffith) - PDP/MA-PD payments on clean claims from pharmacies H.R. 1148, FAST Act (Griffith) - access to telehealth-eligible stroke services under Medicare H.R. 1316, Prescription Drug Price Transparency Act (Collins) - PBM standards for MA and PDP plans H.R. 1892, Bipartisan Budget Act (Larson) - permanent authorization of Medicare Advantage Special Needs Plans; MA chronic care reforms: telehealth, supplemental benefits, value-based insurance design, star ratings; changes to Medicare Part D coverage gap and related discounts; CHIP funding extension for 2024-2027; funding for Puerto Ricos Medicaid program H.R. 1995, V-BID for Better Care Act (Black) - value-based insurance design in Medicare Advantage H.R. 2556, CONNECT For Health Act (Black) - telehealth H.R. 2644, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Marino) - Medigap coverage for beneficiaries with end-stage renal disease H.R. 2687, Medicaid CARE Act (Foster-Fitzpatrick) - changes to Medicaid IMD exclusion H.R. 3044, Supplemental Benefits for Chronically Ill Medicare Advantage Enrollees (Meehan) H.R. 3168, Special Needs Plans (Tiberi-Levin) - SNP reauthorization H.R. 3263, Medicare Independence at Home Model of Care (Burgess) - demonstration program H.R. 3325, ACE Kids Act (Barton) - coordinated care for children with complex medical conditions H.R. 3360, Telehealth Enhancement Act (Harper) - telehealth in Medicare H.R. 3727, Increasing Telehealth Access in Medicare Act (Black) - telehealth in MA plans H.R. 3921, HEALTHY KIDS Act (Burgess) - CHIP funding H.R. 4952, Improving Seniors Access to Quality Benefits Act (Kelly) - MA benchmark cap study H.R. 5603, Access to Telehealth Services for Substance Use Disorders Act (Matsui) - opioid issues H.R. 5605, Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act (Ruiz) - opioid issues H.R. 5675, drug management programs for at-risk Medicare beneficiaries (Bilirakis) - opioid issues H.R. 5676, SENIOR Communities Protection Act (MacArthur) - preventing fraudulent opioid prescriptions H.R. 5684, Protecting Seniors from Opioid Abuse Act (Kelly) - opioid issues H.R. 5685, Medicare Opioid Safety Education Act (Faso) - opioid issues H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act (Paulsen) - opioid issues H.R. 5715, Strengthening Partnerships to Prevent Opioid Abuse Act (Renacci) - communication between Medicare plan sponsors and CMS H.R. 5773, Preventing Addiction for Susceptible Seniors Act (Roskam) - opioid issues H.R. 5797, IMD CARE Act (Walters) - Medicaid IMD exclusion H.R. 5798, Opioid Screening and Chronic Pain Management Alternatives for Seniors Act (Bucshon) - opioid issues H.R. 5799, Medicaid Drug Review, Utilization, Good Governance Improvement Act (Blackburn) - opioid issues H.R. 5800, Medicaid IMD ADDITIONAL INFO Act (Upton) - opioid issues H.R. 5804, Post-Surgical Injections as an Opioid Alternative Act (Shimkus) - opioid issues H.R. 5808, Medicaid Pharmaceutical Home Act (Bilirakis) - opioid issues H.R. 5809, Postoperative Opioid Prevention Act (Peters) - opioid issues H.R. 5810, Medicaid Health Homes for Opioid-Use-Disorder Medicaid Enrollees Encouraged Act (Lance) - opioid issues H.R. 5812, Improving Medicaid Data Timeliness Act (Griffith) - opioid issues Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); calendar year 2019 policy and technical regulation for MA and Part D; issues relating to 2019 Rate Notice and Call Letter; in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Bipartisan Budget Act of 2018 changes to SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); CMS's proposed Part B drug demonstration program; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS' substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; issues relating to prescription drug price blueprint; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

S. 977/HR 3820 and HR 6225: Medicare Home Health Flexibility Act - Advocate for passage . HR 2550: Medicare Telehealth Parity Act of 2017 - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. HR2556: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; S787: A bill to require the Center for Medicare and Medicaid Innovation to test the effect of including telehealth services in Medicare health care delivery reform models; HR3360: Telehealth Enhancement Act; HR3482: Evidence-Based Telehealth Expansion Act; S1016: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; and HR3727: A bill to amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes. - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. No bill# Red Tape Reduction Initiative from Ways and Means Committee: Submitted following priorities for occupational therapy red tape reduction - 1) Initiation of Home Health Therapy Services Under Medicare (S. 977/HR 3820 now HR 6225), 2) Recognition of Occupational Therapy as a Primary Rehab Service (no bill number), 3) Permanently Eliminate Outside Certification Requirement for Occupational Therapists to Fabricate Custom Orthotics and Prosthetic Items (no bill number), 4) Modify or Eliminate Claims-Based Data Collection of Functional Limitation Information for Therapy Services (no bill number), 5) Add Doctor-prescribed Compression Supplies to the Durable Medical Equipment category (S 497/HR 930), and 6) Medicare Opt-out Option (no bill number). No Bill: Discussed how Stark laws affect the ability of occupational therapy practitioners to provide coordinated care services, particularly as it relates to the management of chronic conditions. S. 497/HR 930: Lymphedema Treatment Act - Support passage. No bill: Advocate for role of skilled therapy in changing reimbursement under Medicare Part A. HR 6, HR 5722, HR 5774, HR 5776, HR 6110, S 3008 and S 3120: (Various Bills on Opioids) Educate Members of Congress about the role of occupational therapy in the non-pharmacological management of pain, and advocate for any legislation that includes studies or funding for these alternatives, includes occupational therapy. Discussed and examined the effect of changes to reimbursement for occupational therapy assistants included in the Bi-partisan Budget Act, and possibly requesting a report from the GAO.

-HR 5 - Regulatory Accountability Act of 2017 - all provisions related to cable. -HR 21 - Midnight Rules Relief Act of 2017 - all provisions related to cable. -HR 26 - Regulations from the Executive in Need of Scrutiny Act of 2017 - all provisions related to cable. -HR 52 - Jobs, On-the-Job Earn While You Learn Training, and Apprenticeships for African-American Young Men Act - all provisions related to cable. -HR 244 - Consolidated Appropriations Act, 2017 - all provisions related to cable. -HR 288 - Small Business Broadband Deployment Act - all provisions related to cable. -HR 387 - Email Privacy Act - all provisions related to cable. -HR 423 - Anti-Spoofing Act of 2017 - all provisions related to cable. -HR 460 - Improving Rural Call Quality and Reliability Act - all provisions related to cable. -HR 547 - National Infrastructure Development Bank Act of 2017 - all provisions related to cable. -HR 686 - Developing Innovation and Growing the Internet of Things Act (DIGIT) - all provisions related to cable. -HR 709 - We Are Watching You Act of 2017 - all provisions related to cable. -HR 800 - New Deal Rural Broadband Act of 2017 - all provisions related to cable. -HR 883 - Targeting Child Predators Act of 2017 - all provisions related to cable. -HR 1061 - Cell Location Privacy Act of 2017 - all provisions related to cable. -HR 1062 - Geolocational Privacy and Surveillance (GPS) Act - all provisions related to cable. -HR 1084 - Todays American Dream Act - all provisions related to cable. -HR 1097 - Unsubscribe Act of 2017 - all provisions related to cable. -HR 1139 - Preserving State Commission (PSC) Oversight Act of 2017 - all provisions related to cable. -HR 1300 - United States Call Center Worker and Consumer Protection Act of 2017 - all provisions related to cable. -HR 1148 - Furthering Access to Stroke Telemedicine (FAST) Act - all provisions related to cable. -HR 1183 - Wildfire Prevention Act of 2017 - all provisions related to cable. -HR 1301 - Department of Defense Appropriations Act of 2017 - all provisions related to cable. -HR 1374 - Arbitration Fairness Act of 2017 - all provisions related to cable. -HR 1534 - 21st Century Worker Opportunity Act - all provisions related to cable. -HR 1546 - Rural Wireless Access Act of 2017 - all provisions related to cable. -HR 1581 - Tribal Digital Access Act of 2017 - all provisions related to cable. -HR 1591 - WiFi Capable Mobile Devices Act of 2017 - all provisions related to cable. -HR 1669 - Partnership to Build America Act of 2017 - all provisions related to cable. -HR 1670 - Infrastructure 2.0 Act - all provisions related to cable. -HR 1754 - To amend the Federal Trade Commission Act to clarify the scope of the exception for common carriers - all provisions related to cable. -HR 1761 - Protecting Against Child Exploitation Act of 2017 - all provisions related to cable. -HR 1814 - Rural Spectrum Accessibility Act of 2017 - all provisions related to cable. -HR 1846 - Providing Resources, Officers, and Technology to Eradicate Cyber Threats to (PROTECT) Our Children Act of 2017 - all provisions related to cable. -HR 1862 - Global Child Protection Act of 2017 - all provisions related to cable. -HR 1868 - Restoring American Privacy Act of 2017 - all provisions related to cable. -HR 1888 - Federal Spectrum Incentive Act of 2017 - all provisions related to cable. -HR 2356 - Managing Your Data Against Telecom Abuses (MY DATA) Act of 2017 - all provisions related to cable. -HR 2425 - Public Lands Telecommunications Act - all provisions related to cable. -HR 2479 - Leading Infrastructure for Tomorrows America Act - all provisions related to cable. -HR 2520 - Balancing the Rights of Web Surfers Equally and Responsibly (BROWSER) Act of 2017 - all provisions related to cable. -HR 2803 - Abolish Human Trafficking Act of 2017 - all provisions related to cable. -HR 2870 - Gigabit Opportunity Act - all provisions related to cable. -HR 2903 - Rural Reasonable and Comparable Wireless Access Act of 2017 - all provisions related to cable. -HR 3175 - Online Privacy Act - all provisions related to cable. -HR 3267 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3280 - Financial Services and General Government Appropriations Act, 2018 - all provisions related to cable. -HR 3289 - To amend the Communications Act of 1934 to require identification and description on the website of the Federal Communications Commission of items to be decided on authority delegated by the Commission - all provisions related to cable. -HR 3353 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3354 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3360 - Telehealth Enhancement Act of 2017 - all provisions related to cable. -HR 3388 - Safely Ensuring Lives Future Deployment and Research in Vehicle Evolution Act or the SELF DRIVE Act - all provisions related to cable. -HR 3393 - New Collar Jobs Act of 2017 - all provisions related to cable. -HR 3470 - GPS Act - all provisions related to cable. -HR 3482 - Evidence-Based Telehealth Expansion Act of 2017 - all provisions related to cable. -HR 3523 - To require the Comptroller General of the United States to conduct a study and submit a report on filing requirements under the Universal Service Fund programs - all provisions related to cable. -HR 3787 - Small Entity Regulatory Relief Opportunity Act of 2017 - all provisions related to cable. -HR 3806 - Personal Data Notification and Protection Act of 2017 - all provisions related to cable. -HR 3895 - Smart Cities and Communities Act of 2017 - all provisions related to cable. -HR 3896 - Secure and Protect Americans Data Act - all provisions related to cable. -HR 3904 - Data Protection Act of 2017 - all provisions related to cable. -HR 3945 - CASE Act of 2017 - all provisions related to cable. -HR 3994 - ACCESS BROADBAND Act - all provisions related to cable. -HR 3995 - Improving Broadband Access for Veterans Act of 2017 - all provisions related to cable. -HR 3977 - Infrastructure Bank for America Act of 2017 - all provisions related to cable. -HR 4050 - Vehicle Innovation Act of 2017 - all provisions related to cable. -HR 4081 - Consumer Privacy Protection Act of 2017 - all provisions related to cable. -HR 4098 - Dont Block LGBTQ Act of 2017 - all provisions related to cable. -HR 4109 - Spectrum Auction Deposits Act of 2017 - all provisions related to cable. -HR 4151 - STREET Act - all provisions related to cable. -HR 4232 - Broadband Connections for Rural Opportunities Program Act (B-CROP Act) - all provisions related to cable. -HR 4287 - Broadband Infrastructure Finance and Innovation Act of 2017 - all provisions related to cable. -HR 4291 - Precision Farming Act - all provisions related to cable. -HR 4308 - Rural Broadband Expansion Act - all provisions related to cable. -HR 4472 - To amend title 18, United States Code, to provide that it is unlawful to knowingly distribute a private, visual depiction of an individuals intimate parts or of an individual engaging in sexually explicit conduct, with reckless disregard for the individuals lack of consent to the distribution, and for other purposes - all provisions related to cable. -HR 4527 - Stop HATE Act of 2017 - all provisions related to cable. -HR 4543 - To establish a regulatory framework for the comprehensive protection of personal data for individuals under the aegis of the Federal Trade Commission, to amend the Childrens Online Privacy Protection Act of 1998 - all provisions related to cable. -HR 4585 - To prohibit the Federal Communications Commission from relying on the Notice of Proposed Rulemaking in the matter of restoring internet freedom to adopt, amend, revoke, or otherwise modify any rule of the Commission - all provisions related to cable. -HR 4625 - FUTURE of Artificial Intelligence Act of 2017 - all provisions related to cable. -HR 4667 - Making further supplemental appropriations for the fiscal year ending September 30, 2018, for disaster assistance for Hurricanes Harvey, Irma, and Maria, and calendar year 2017 wildfires - all provisions related to cable. -HR 4672 - Next Generation 9-1-1 Act of 2017 - all provisions related to cable. -HR 4677 - Small Business Broadband and Emerging Information Technology Enhancement Act of 2017 - all provisions related to cable. -HR 4682 - Open Internet Preservation Act - all provisions related to cable. -HR 4739 - Build America Act of 2018 - all provisions related to cable. -HR 4795 - Communications Facilities Deployment on Federal Property Act of 2018 - all provisions related to cable. -HR 4798 - Inventory of Assets for Communications Facilities Act of 2018 - all provisions related to cable. -HR 4800 - Broadband Conduit Deployment Act of 2018 (Dig Once) - all provisions related to cable. -HR 4802 - Streamlining and Expediting Approval for Communications Technologies Act - all provisions related to cable. -HR 4810 - Making Available Plans to Promote Investment in Next Generation Networks without Overbuilding and Waste (MAPPING NOW) Act - all provisions related to cable. -HR 4813 - Wireless Internet Focus on Innovation in Spectrum Technology for Unlicensed Deployment (WIFI STUDY) Act - all provisions related to cable. -HR 4814 - Community Broadband Act - all provisions related to cable. -HR 4817 - Promoting Exchanges for Enhanced Routing of Information so Networks are Great (PEERING) Act of 2018 - all provisions related to cable. -HR 4824 - Rural Broadband Permitting Efficiency Act of 2018 - all provisions related to cable. -HR 4832 - Restoring Economic Strength and Telecommunications Operations by Releasing Expected Dollars (RESTORED) Act - all provisions related to cable. -HR 4839 - Broadband Infrastructure Inventory Act of 2018 - all provisions related to cable. -HR 4842 - Streamlining Permitting to Enable Efficient Deployment of Broadband Infrastructure Act of 2018 - all provisions related to cable. -HR 4845 - Connecting Communities Post Disasters Act - all provisions related to cable. -HR 4847 - Broadband Deployment Streaming Act - all provisions related to cable. -HR 4858 - Clearing Local Impediments Makes Broadband Open to New Competition and Enhancements (CLIMB ONCE) Act - all provisions related to cable. -HR 4876 - Connecting Broadband Deserts Act of 2018 - all provisions related to cable. -HR 4947 - Rural Infrastructure Development and Partnerships Act - all provisions related to cable. -HR 4953 - Advancing Innovation and Reinvigorating Widespread Access to Viable Electromagnetic Spectrum (AIRWAVES) Act - all provisions related to cable. -HR 4986 - RAY BAUMS Act of 2018 - all provisions related to cable. -HR 5007 - Tribal Broadband Deployment Act of 2018 - all provisions related to cable. -HR 5016 - The Revitalize Rural America Act - all provisions related to cable. -HR 5093 - Measuring the Economic Impact of Broadband Act of 2018 - all provisions related to cable. -HR 5172 - To assist Indian tribes in maintaining, expanding, and deploying broadband systems - all provisions related to cable. -HR 5213 - Expanding Rural Access to Broadband Act - all provisions related to cable. -HR 5250 - To reauthorize the Rural Economic Area Partnership Zones Program through fiscal year 2023 - all provisions related to cable. -HR 5310 - Municipal Infrastructure Savings and Transparency Act - all provisions related to cable. -HR 5325 - To amend title 40, United States Code, to reauthorize regional economic and infrastructure development programs - all provisions related to cable. -HR 5378 - Reducing Antiquated Permitting for Infrastructure Deployments (RAPID) Act - all provisions related to cable. -HJRes 129 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Communications Commission relating to Restoring Internet Freedom - all provisions related to cable. -HRes 53 - Expressing the sense of the House of Representatives that in order to continue aggressive growth in the Nations telecommunications and technology industries, the U.S. Government should Get Out of the Way and Stay Out of the Way - all provisions related to cable. -HRes 521 - Expressing the sense of the House of Representatives about a strategy to deploy fifth generation mobile networks (5G networks) and next-generation wireless and wired technologies to promote economic development and digital innovation throughout the United States - all provisions related to cable. -HRes 687 - Expressing the sense of the House of Representatives that Federal, State, and local taxes, fees, regulations, and permitting policies should be coordinated and reconciled to maximize the benefits of broadband investment - all provisions related to cable. -HRes 689 - Expressing the sense of the House of Representatives that any infrastructure legislation that provides Federal funds to wireless broadband providers to promote wireless broadband deployment should prioritize funds for wireless broadband providers in States that have enacted streamlined siting requirements for small cells - all provisions related to cable. -HRes 690 - Expressing the sense of the House of Representatives that no Federal funds granted, awarded, or loaned pursuant to any legislation, infrastructure-specific or otherwise, should be used to fund the construction, improvement, or acquisition of broadband facilities or service in areas where there is an existing broadband provider that meets certain minimum standards - all provisions related to cable. -HRes 691 - Expressing the sense of the House of Representatives that any infrastructure legislation to promote broadband internet access or communications facilities deployment should treat all broadband and communications facilities in a competitively and technologically neutral manner - all provisions related to cable. -HRes 701 - Expressing the sense of the House of Representatives that with respect to any study required to be conducted by the Federal Communications Commission, or any entity regulated by the Commission under the Federal Communications Act of 1934, under the National Environmental Policy Act of 1969 or division A of subtitle III of title 54, United States Code (formerly known as the National Historic Preservation Act), for the provision of broadband infrastructure, the area to be studied should be limited to the area of impact - all provisions related to cable. -HJRes 124 - Making further additional continuing appropriations for fiscal year 2018, and for other purposes - all provisions related to cable. -HConRes 71 - Establishing the congressional budget for the United States Government for fiscal year 2018 and setting forth the appropriate budgetary levels for fiscal years 2019 through 2027 - all provisions related to cable. -S 19 - Making Opportunities for Broadband Investment and Limiting Excessive and Needless Obstacles to Wireless Act (MOBILE NOW) - all provisions related to cable. -S 21 - Regulations from the Executive in Need of Scrutiny Act of 2017 - all provisions related to cable. -S 34 - Midnight Rules Relief Act of 2017 - all provisions related to cable. -S 56 - Regulations Endanger Democracy (RED) Act of 2017 - all provisions related to cable. -S 88 - Developing Innovation and Growing the Internet of Things Act (DIGIT) - all provisions related to cable. -S 96 - Improving Rural Quality and Reliability Act of 2017 - all provisions related to cable. -S 134 - Spoofing Prevention Act of 2017 - all provisions related to cable. -S 123 - Karis Law Act of 2017 - all provisions related to cable. -S 277 - Rural Telecommunications and Broadband Service Act of 2017 - all provisions related to cable. -S 278 - Support for Rapid Innovation Act of 2017 - all provisions related to cable. -S 395 - Geolocational Privacy and Surveillance (GPS) Act - all provisions related to cable. -S 421 - Preserving State Commission (PSC) Oversight Act of 2017 - all provisions related to cable. -S 431 - Furthering Access to Stroke Telemedicine (FAST) Act - all provisions related to cable. -S 449 - Driving Innovation and Growth in Internet Technology and Launching Universal Access to the Global Economy (DIGITAL AGE) Act of 2017 - all provisions related to cable. -S 515 - United States Call Center Worker and Consumer Protection Act of 2017 - all provisions related to cable. -S 542 - Safety Over Arbitration Act of 2017 - all provisions related to cable. -S 564 - Help Americans Never Get Unwanted Phone calls (HANGUP) Act of 2017 - all provisions related to cable. -S 604 - Highway Rights-of-Way Permitting Efficiency Act of 2017 - all provisions related to cable. -S 645 - Measuring the Economic Impact of Broadband Act of 2017 - all provisions related to cable. -S 742 - Community Broadband Act of 2017 - all provisions related to cable. -S 782 - Providing Resources, Officers, and Technology to Eradicate Cyber Threats to (PROTECT) Our Children Act of 2017 - all provisions related to cable. -S 875 - A bill to require the Comptroller General of the United States to conduct a study and submit a report on filing requirements under the Universal Service Fund programs - all provisions related to cable. -S 878 - A bill to establish privacy protections for customers of broadband Internet access service and other telecommunications service - all provisions related to cable. -S 964 - Managing Your Data Against Telecom Abuses (MY DATA) Act of 2017 - all provisions related to cable. -S 993 - Restoring Internet Freedom Act - all provisions related to cable. -S 1104 - Rural Wireless Access Act of 2017 - all provisions related to cable. -S 1013 - Gigabit Opportunity Act - all provisions related to cable. -S 1168 - Building and Renewing Infrastructure for Development and Growth in Employment (BRIDGE) Act - all provisions related to cable. -S 1225 - Vehicle Innovation Act of 2017 - all provisions related to cable. -S 1311 - Abolish Human Trafficking Act of 2017 - all provisions related to cable. -S 1312 - Trafficking Victims Protection Act of 2017 - all provisions related to cable. -S 1363 - Rural Broadband Deployment Streamlining Act - all provisions related to cable. -S 1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act - all provisions relating to cable. -S 1603 - Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1654 - Email Privacy Act - all provisions related to cable. -S 1655 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1657 - ECPA Modernization Act of 2017 - all provisions related to cable. -S 1662 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1676 - Broadband Connections for Rural Opportunities Program Act (B-CROP Act) - all provisions related to cable. -S 1693 - Stop Enabling Sex Traffickers Act of 2017 - all provisions related to cable. -S 1811 - Merger Enforcement Improvement Act - all provisions related to cable. -S 1812 - Consolidation Prevention and Competition Promotion Act of 2017 - all provisions related to cable. -S 1815 - Data Broker Accountability and Transparency Act of 2017 - all provisions related to cable. -S 1885 - American Vision for Safer Transportation through Advancement of Revolutionary Technologies Act (AV START Act) - all provisions related to cable. -S 1904 - Smart Cities and Communities Act of 2017 - all provisions related to cable. -S 1950 - Improving Broadband Access for Veterans Act of 2017 - all provisions related to cable. -S 1988 - SPEED Act - all provisions related to cable. -S 2061 - Next Generation 9-1-1 Act of 2017 - all provisions related to cable. -S 2162 - A bill to amend title 18, United States Code, to provide that it is unlawful to knowingly distribute a private, visual depiction of an individuals intimate parts or of an individual engaging in sexually explicit conduct, with reckless disregard for the individuals lack of consent to the distribution, and for other purposes - all provisions related to cable. -S 2205 - A bill to improve access by Indian tribes to support from the Schools and Libraries Universal Service Support program (E-rate) of the Federal Communications Commission, and for other purposes - all provisions related to cable. -S 2217 - FUTURE of Artificial Intelligence Act of 2017 - all provisions related to cable. -S 2220 - National Timing Resilience and Security Act of 2017 - all provisions related to cable. -S 2381 - Streamlining and Investing in Broadband Infrastructure Act - all provisions related to cable. -S 2418 - The Bipartisan Rural Reasonable and Comparable Wireless Access Act of 2018 - all provisions related to cable. -S 2489 - Tribal Food and Housing Security Act - all provisions related to cable. -S 2510 - Open Internet Preservation Act - all provisions related to cable. -S 2573- To amend the Consolidated Farm and Rural Development Act to reauthorize the appropriate technology transfer for rural areas program - all provisions related to cable. -S 2576 - Reducing Antiquated Permitting for Infrastructure Deployments (RAPID) Act - all provisions related to cable. -SConRes 3 - Concurrent Resolution on the Budget for Fiscal Year 2017 - all provisions related to cable. -SConRes 25 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2018 and setting forth the appropriate budgetary levels for fiscal years 2019 through 2027 - all provisions related to cable. -SJRes 34 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Communications Commission relating to Protecting the Privacy of Customers of Broadband and Other Telecommunications Services - all provisions related to cable. -SJRes 52 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Communications Commission relating to Restoring Internet Freedom - all provisions related to cable. -SRes 242 - A resolution expressing the sense of the Senate about a strategy to deploy fifth generation mobile networks (5G networks) and next-generation wireless and wired technologies to promote economic development and digital innovation throughout the United States - all provisions related to cable.

S. 413, Improving Transparency and Accuracy in Medicare Part D Spending Act (Capito) -PDP/MA-PD payments on clean claims from pharmacies S. 428, ACE Kids Act (Grassley) - coordinated care for children with complex medical conditions S. 1016, CONNECT For Health Act (Schatz) - telehealth S. 1169, Medicaid CARE Act (Durbin-Portman) - changes to Medicaid IMD exclusion S. 1688, Empowering Medicare Seniors to Negotiate Drug Prices Act (Klobuchar) - Part D price negotiations S. 1804, Medicare for All Act (Sanders) - single payer health system S. 1827, Keep Kids Insurance Dependable and Secure Act (Hatch-Wyden) - federal CHIP funding S. 1890, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Cardin) - Medigap coverage for beneficiaries with end-stage renal disease S. 2027, Medicaid Third Party Liability Act (Portman) - Medicaid third party liability S. 2227, EMPOWER Care Act (Portman-Cantwell) - Medicaid Money Follows the Person Demonstration Draft Medicare Extenders Bill (Senate Finance Committee) - continuation of expiring Medicare provisions H.R. 195, Extension of Continuing Appropriations Act - CHIP funding extension for 2018-2023 and related provisions H.R. 849, Protecting Seniors Access to Medicare Act (Roe) - Independent Payment Advisory Board H.R. 908, Medicare Advantage Quality Payment Relief Act (Kelly) - MA payment cap H.R. 1038, Improving Transparency and Accuracy in Medicare Part D Spending Act (Griffith) - PDP/MA-PD payments on clean claims from pharmacies H.R. 1148, FAST Act (Griffith) - access to telehealth-eligible stroke services under Medicare H.R. 1316, Prescription Drug Price Transparency Act (Collins) - PBM standards for MA and PDP plans H.R. 1892, Bipartisan Budget Act (Larson) - permanent authorization of Medicare Advantage Special Needs Plans; MA chronic care reforms: telehealth, supplemental benefits, value-based insurance design, star ratings; changes to Medicare Part D coverage gap and related discounts; CHIP funding extension for 2024-2027; funding for Puerto Ricos Medicaid program H.R. 1995, V-BID for Better Care Act (Black) - value-based insurance design in Medicare Advantage H.R. 2556, CONNECT For Health Act (Black) - telehealth H.R. 2644, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Marino) - Medigap coverage for beneficiaries with end-stage renal disease H.R. 2687, Medicaid CARE Act (Foster-Fitzpatrick) - changes to Medicaid IMD exclusion H.R. 3044, Supplemental Benefits for Chronically Ill Medicare Advantage Enrollees (Meehan) H.R. 3168, Special Needs Plans (Tiberi-Levin) - SNP reauthorization H.R. 3263, Medicare Independence at Home Model of Care (Burgess) - demonstration program H.R. 3325, ACE Kids Act (Barton) - coordinated care for children with complex medical conditions H.R. 3360, Telehealth Enhancement Act (Harper) - telehealth in Medicare H.R. 3727, Increasing Telehealth Access in Medicare Act (Black) - telehealth in MA plans H.R. 3921, HEALTHY KIDS Act (Burgess) - CHIP funding Medicare Extenders Package (House Ways and Means Committee) - reauthorization of Special Needs Plans, telehealth, CMS authority to terminate MA contracts Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); proposed calendar year 2019 policy and technical regulation for MA and Part D; in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Bipartisan Budget Act of 2018 changes to SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); CMS's proposed Part B drug demonstration program; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) and the Bipartisan Budget Act of 2018 changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS' substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

S 253/HR 807 - Medicare Access to Rehabilitation Services Act of 2017: Support passage to repeal the Medicare Part B Therapy cap on outpatient rehabilitation, including occupational therapy. S. 977/HR 3820: Medicare Home Health Flexibility Act - Advocate for passage HR 2550: Medicare Telehealth Parity Act of 2017 - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. HR2556: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; S787: A bill to require the Center for Medicare and Medicaid Innovation to test the effect of including telehealth services in Medicare health care delivery reform models; HR3360: Telehealth Enhancement Act; HR3482: Evidence-Based Telehealth Expansion Act; S1016: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; and HR3727: A bill to amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes. - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. No bill# Red Tape Reduction Initiative from Ways and Means Committee: Submitted following priorities for occupational therapy red tape reduction - 1) Initiation of Home Health Therapy Services Under Medicare (HR 3820), 2) Recognition of Occupational Therapy as a Primary Rehab Service (no bill number), 3) Permanently Eliminate Outside Certification Requirement for Occupational Therapists to Fabricate Custom Orthotics and Prosthetic Items (no bill number), 4) Modify or Eliminate Claims-Based Data Collection of Functional Limitation Information for Therapy Services (no bill number), 5) Add Doctor-prescribed Compression Supplies to the Durable Medical Equipment category (S 497/HR 930), and 6) Medicare Opt-out Option (no bill number). S. 497/HR 930: Lymphedema Treatment Act - Support passage. HR 1892 - Bipartisan Budget Act of 2018: support of Medicare Outpatient Part B Therapy Cap Repeal, opposition to home health payment reform treatment of therapy services, and changes to occupational therapy assistant reimbursement for Medicare Part B. HR 1625 - Fiscal 2018 Omnibus Appropriations: opposition to proposed changes to payment for group and concurrent therapy in skilled nursing facilities. No bill: Advocate for role of skilled therapy in changing reimbursement under Medicare Part A.

-HR 5 - Regulatory Accountability Act of 2017 - all provisions related to cable. -HR 21 - Midnight Rules Relief Act of 2017 - all provisions related to cable. -HR 26 - Regulations from the Executive in Need of Scrutiny Act of 2017 - all provisions related to cable. -HR 52 - Jobs, On-the-Job Earn While You Learn Training, and Apprenticeships for African-American Young Men Act - all provisions related to cable. -HR 244 - Consolidated Appropriations Act, 2017 - all provisions related to cable. -HR 288 - Small Business Broadband Deployment Act - all provisions related to cable. -HR 387 - Email Privacy Act - all provisions related to cable. -HR 423 - Anti-Spoofing Act of 2017 - all provisions related to cable. -HR 460 - Improving Rural Call Quality and Reliability Act - all provisions related to cable. -HR 547 - National Infrastructure Development Bank Act of 2017 - all provisions related to cable. -HR 582 - Kari's Law Act of 2017 - all provisions related to cable. -HR 601 - Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 - all provisions related to cable. -HR 686 - Developing Innovation and Growing the Internet of Things Act (DIGIT) - all provisions related to cable. -HR 709 - We Are Watching You Act of 2017 - all provisions related to cable. -HR 800 - New Deal Rural Broadband Act of 2017 - all provisions related to cable. -HR 883 - Targeting Child Predators Act of 2017 - all provisions related to cable. -HR 1061 - Cell Location Privacy Act of 2017 - all provisions related to cable. -HR 1062 - Geolocational Privacy and Surveillance (GPS) Act - all provisions related to cable. -HR 1084 - Today's American Dream Act - all provisions related to cable. -HR 1097 - Unsubscribe Act of 2017 - all provisions related to cable. -HR 1139 - Preserving State Commission (PSC) Oversight Act of 2017 - all provisions related to cable. -HR 1300 - United States Call Center Worker and Consumer Protection Act of 2017 - all provisions related to cable. -HR 1148 - Furthering Access to Stroke Telemedicine (FAST) Act - all provisions related to cable. -HR 1183 - Wildfire Prevention Act of 2017 - all provisions related to cable. -HR 1301 - Department of Defense Appropriations Act of 2017 - all provisions related to cable. -HR 1374 - Arbitration Fairness Act of 2017 - all provisions related to cable. -HR 1534 - 21st Century Worker Opportunity Act - all provisions related to cable. -HR 1546 - Rural Wireless Access Act of 2017 - all provisions related to cable. -HR 1581 - Tribal Digital Access Act of 2017 - all provisions related to cable. -HR 1591 - WiFi Capable Mobile Devices Act of 2017 - all provisions related to cable. -HR 1669 - Partnership to Build America Act of 2017 - all provisions related to cable. -HR 1670 - Infrastructure 2.0 Act - all provisions related to cable. -HR 1754 - To amend the Federal Trade Commission Act to clarify the scope of the exception for common carriers - all provisions related to cable. -HR 1761 - Protecting Against Child Exploitation Act of 2017 - all provisions related to cable. -HR 1814 - Rural Spectrum Accessibility Act of 2017 - all provisions related to cable. -HR 1846 - Providing Resources, Officers, and Technology to Eradicate Cyber Threats to (PROTECT) Our Children Act of 2017 - all provisions related to cable. -HR 1862 - Global Child Protection Act of 2017 - all provisions related to cable. -HR 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 - all provisions related to cable. -HR 1868 - Restoring American Privacy Act of 2017 - all provisions related to cable. -HR 1888 - Federal Spectrum Incentive Act of 2017 - all provisions related to cable. -HR 2356 - Managing Your Data Against Telecom Abuses (MY DATA) Act of 2017 - all provisions related to cable. -HR 2425 - Public Lands Telecommunications Act - all provisions related to cable. -HR 2479 - Leading Infrastructure for Tomorrows America Act - all provisions related to cable. -HR 2520 - Balancing the Rights of Web Surfers Equally and Responsibly (BROWSER) Act of 2017 - all provisions related to cable. -HR 2803 - Abolish Human Trafficking Act of 2017 - all provisions related to cable. -HR 2870 - Gigabit Opportunity Act - all provisions related to cable. -HR 2903 - Rural Reasonable and Comparable Wireless Access Act of 2017 - all provisions related to cable. -HR 3175 - Online Privacy Act - all provisions related to cable. -HR 3267 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3280 - Financial Services and General Government Appropriations Act, 2018 - all provisions related to cable. -HR 3289 - To amend the Communications Act of 1934 to require identification and description on the website of the Federal Communications Commission of items to be decided on authority delegated by the Commission - all provisions related to cable. -HR 3353 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3354 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3360 - Telehealth Enhancement Act of 2017 - all provisions related to cable. -HR 3388 - Designating Each Cars Automation Level (DECAL) Act - all provisions related to cable. -HR 3393 - New Collar Jobs Act of 2017 - all provisions related to cable. -HR 3470 - GPS Act - all provisions related to cable. -HR 3482 - Evidence-Based Telehealth Expansion Act of 2017 - all provisions related to cable. -HR 3523 - To require the Comptroller General of the United States to conduct a study and submit a report on filing requirements under the Universal Service Fund programs - all provisions related to cable. -HR 3787 - Small Entity Regulatory Relief Opportunity Act of 2017 - all provisions related to cable. -HR 3806 - Personal Data Notification and Protection Act of 2017 - all provisions related to cable. -HR 3823 - Disaster Tax Relief and Airport and Airway Extension Act of 2017 - all provisions related to cable. -HR 3895 - Smart Cities and Communities Act of 2017 - all provisions related to cable. -HR 3896 - Secure and Protect Americans Data Act - all provisions related to cable. -HR 3904 - Data Protection Act of 2017 - all provisions related to cable. -HR 3945 - CASE Act of 2017 - all provisions related to cable. -HR 3994 - ACCESS BROADBAND Act - all provisions related to cable. -HR 3995 - Improving Broadband Access for Veterans Act of 2017 - all provisions related to cable. -HR 3977 - Infrastructure Bank for America Act of 2017 - all provisions related to cable. -HR 4050 - Vehicle Innovation Act of 2017 - all provisions related to cable. -HR 4081 - Consumer Privacy Protection Act of 2017 - all provisions related to cable. -HR 4098 - Dont Block LGBTQ Act of 2017 - all provisions related to cable. -HR 4109 - Spectrum Auction Deposits Act of 2017 - all provisions related to cable. -HR 4151 - STREET Act - all provisions related to cable. -HR 4232 - To amend the Rural Electrification Act of 1936 to provide grants for access to broadband telecommunications services in rural areas, and for other purposes - all provisions related to cable. -HR 4287 - Broadband Infrastructure Finance and Innovation Act of 2017 - all provisions related to cable. -HR 4291 - Precision Farming Act - all provisions related to cable. -HR 4308 - Rural Broadband Expansion Act - all provisions related to cable. -HR 4472 - To amend title 18, United States Code, to provide that it is unlawful to knowingly distribute a private, visual depiction of an individuals intimate parts or of an individual engaging in sexually explicit conduct, with reckless disregard for the individuals lack of consent to the distribution, and for other purposes - all provisions related to cable. -HR 4527 - Stop HATE Act of 2017 - all provisions related to cable. -HR 4543 - To establish a regulatory framework for the comprehensive protection of personal data for individuals under the aegis of the Federal Trade Commission, to amend the Childrens Online Privacy Protection Act of 1998 - all provisions related to cable. -HR 4585 - To prohibit the Federal Communications Commission from relying on the Notice of Proposed Rulemaking in the matter of restoring internet freedom to adopt, amend, revoke, or otherwise modify any rule of the Commission - all provisions related to cable. -HR 4625 - To require the Secretary of Commerce to establish the Federal Advisory Committee on the Development and Implementation of Artificial Intelligence, and for other purposes - all provisions related to cable. -HR 4667 - Making further supplemental appropriations for the fiscal year ending September 30, 2018, for disaster assistance for Hurricanes Harvey, Irma, and Maria, and calendar year 2017 wildfires - all provisions related to cable. -HR 4672 - Next Generation 9-1-1 Act of 2017 - all provisions related to cable. -HR 4677 - Small Business Broadband and Emerging Information Technology Enhancement Act of 2017 - all provisions related to cable. -HR 4682 - Open Internet Preservation Act - all provisions related to cable. -HRes 53 - Expressing the sense of the House of Representatives that in order to continue aggressive growth in the Nations telecommunications and technology industries, the U.S. Government should Get Out of the Way and Stay Out of the Way - all provisions related to cable. -HRes 521 - Expressing the sense of the House of Representatives about a strategy to deploy fifth generation mobile networks (5G networks) and next-generation wireless and wired technologies to promote economic development and digital innovation throughout the United States - all provisions related to cable. -HJ Res 124 - Making further additional continuing appropriations for fiscal year 2018, and for other purposes - all provisions related to cable. -HConRes 71 - Establishing the congressional budget for the United States Government for fiscal year 2018 and setting forth the appropriate budgetary levels for fiscal years 2019 through 2027 - all provisions related to cable. -S 19 - Making Opportunities for Broadband Investment and Limiting Excessive and Needless Obstacles to Wireless Act (MOBILE NOW) - all provisions related to cable. -S 21 - Regulations from the Executive in Need of Scrutiny Act of 2017 - all provisions related to cable. -S 34 - Midnight Rules Relief Act of 2017 - all provisions related to cable. -S 56 - Regulations Endanger Democracy (RED) Act of 2017 - all provisions related to cable. -S 88 - Developing Innovation and Growing the Internet of Things Act (DIGIT) - all provisions related to cable. -S 96 - Improving Rural Quality and Reliability Act of 2017 - all provisions related to cable. -S 134 - Spoofing Prevention Act of 2017 - all provisions related to cable. -S 123 - Kari's Law Act of 2017 - all provisions related to cable. -S 277 - Rural Telecommunications and Broadband Service Act of 2017 - all provisions related to cable. -S 278 - Support for Rapid Innovation Act of 2017 - all provisions related to cable. -S 395 - Geolocational Privacy and Surveillance (GPS) Act - all provisions related to cable. -S 421 - Preserving State Commission (PSC) Oversight Act of 2017 - all provisions related to cable. -S 431 - Furthering Access to Stroke Telemedicine (FAST) Act - all provisions related to cable. -S 449 - Driving Innovation and Growth in Internet Technology and Launching Universal Access to the Global Economy (DIGITAL AGE) Act of 2017 - all provisions related to cable. -S 515 - United States Call Center Worker and Consumer Protection Act of 2017 - all provisions related to cable. -S 542 - Safety Over Arbitration Act of 2017 - all provisions related to cable. -S 564 - Help Americans Never Get Unwanted Phone calls (HANGUP) Act of 2017 - all provisions related to cable. -S 604 - Highway Rights-of-Way Permitting Efficiency Act of 2017 - all provisions related to cable. -S 645 - Measuring the Economic Impact of Broadband Act of 2017 - all provisions related to cable. -S 742 - Community Broadband Act of 2017 - all provisions related to cable. -S 782 - Providing Resources, Officers, and Technology to Eradicate Cyber Threats to (PROTECT) Our Children Act of 2017 - all provisions related to cable. -S 875 - A bill to require the Comptroller General of the United States to conduct a study and submit a report on filing requirements under the Universal Service Fund programs - all provisions related to cable. -S 878 - A bill to establish privacy protections for customers of broadband Internet access service and other telecommunications service - all provisions related to cable. -S 964 - Managing Your Data Against Telecom Abuses (MY DATA) Act of 2017 - all provisions related to cable. -S 993 - Restoring Internet Freedom Act - all provisions related to cable. -S 1104 - Rural Wireless Access Act of 2017 - all provisions related to cable. -S 1013 - Gigabit Opportunity Act - all provisions related to cable. -S 1168 - Building and Renewing Infrastructure for Development and Growth in Employment (BRIDGE) Act - all provisions related to cable. -S 1225 - Vehicle Innovation Act of 2017 - all provisions related to cable. -S 1311 - Abolish Human Trafficking Act of 2017 - all provisions related to cable. -S 1312 - Trafficking Victims Protection Act of 2017 - all provisions related to cable. -S 1363 - Rural Broadband Deployment Streamlining Act - all provisions related to cable. -S 1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act - all provisions relating to cable. -S 1654 - Email Privacy Act - all provisions related to cable. -S 1657 - ECPA Modernization Act of 2017 - all provisions related to cable. -S 1603 - Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1655 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1662 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1811 - Merger Enforcement Improvement Act - all provisions related to cable. -S 1812 - Consolidation Prevention and Competition Promotion Act of 2017 - all provisions related to cable. -S 1815 - Data Broker Accountability and Transparency Act of 2017 - all provisions related to cable. -S 1904 - Smart Cities and Communities Act of 2017 - all provisions related to cable. -S 1950 - Improving Broadband Access for Veterans Act of 2017 - all provisions related to cable. -S 1988 - SPEED Act - all provisions related to cable. -S 2061 - Next Generation 9-1-1 Act of 2017 - all provisions related to cable. -S 2205 - A bill to improve access by Indian tribes to support from the Schools and Libraries Universal Service Support program (E-rate) of the Federal Communications Commission, and for other purposes - all provisions related to cable. -SConRes 3 - Concurrent Resolution on the Budget for Fiscal Year 2017 - all provisions related to cable. -SConRes 25 - An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2018 and setting forth the appropriate budgetary levels for fiscal years 2019 through 2027 - all provisions related to cable. -S 2162 - A bill to amend title 18, United States Code, to provide that it is unlawful to knowingly distribute a private, visual depiction of an individuals intimate parts or of an individual engaging in sexually explicit conduct, with reckless disregard for the individuals lack of consent to the distribution, and for other purposes - all provisions related to cable. -S 2217 - A bill to require the Secretary of Commerce to establish the Federal Advisory Committee on the Development and Implementation of Artificial Intelligence, and for other purposes - all provisions related to cable. -S 2220 - A bill to provide for the development, construction and operation of a backup to the Global Positioning System, and for other purposes - all provisions related to cable. -SJRes 34 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Communications Commission relating to Protecting the Privacy of Customers of Broadband and Other Telecommunications Services - all provisions related to cable. -SRes 242 - A resolution expressing the sense of the Senate about a strategy to deploy fifth generation mobile networks (5G networks) and next-generation wireless and wired technologies to promote economic development and digital innovation throughout the United States - all provisions related to cable.

Better Care Reconciliation Act (Enzi) - ACA repeal and replace issues; Medicaid provisions S. 413, Improving Transparency and Accuracy in Medicare Part D Spending Act (Capito) -PDP/MA-PD payments on clean claims from pharmacies S. 428, ACE Kids Act (Grassley) - coordinated care for children with complex medical conditions S. 870, CHRONIC Care Act (Hatch-Wyden) - chronic care reforms, Medicare Advantage and Part D provisions S. 1016, CONNECT For Health Act (Schatz) - telehealth S. 1688, Empowering Medicare Seniors to Negotiate Drug Prices Act (Klobuchar) - Part D price negotiations S. 1804, Medicare for All Act (Sanders) - single payer health system S. 1827, Keep Kids Insurance Dependable and Secure Act (Hatch-Wyden) - federal CHIP funding S. 1890, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Cardin) - Medigap coverage for beneficiaries with end-stage renal disease S. 2027, Medicaid Third Party Liability Act (Portman) - Medicaid third party liability S. 2227, EMPOWER Care Act (Portman-Cantwell) - Medicaid Money Follows the Person Demonstration Draft Medicare Extenders Bill (Senate Finance Committee) - continuation of expiring Medicare provisions H.R. 352, State Health Flexibility Act (Rokita) - Medicaid block grants H.R. 849, Protecting Seniors Access to Medicare Act (Roe) - Independent Payment Advisory Board H.R. 908, Medicare Advantage Quality Payment Relief Act (Kelly) - MA payment cap H.R. 1038, Improving Transparency and Accuracy in Medicare Part D Spending Act (Griffith) - PDP/MA-PD payments on clean claims from pharmacies H.R. 1148, FAST Act (Griffith) - access to telehealth-eligible stroke services under Medicare H.R. 1316, Prescription Drug Price Transparency Act (Collins) - PBM standards for MA and PDP plans H.R. 1370, Continuing Resolution (Frelinghuysen) - 6-month CHIP funding extension, community health center funding, paygo exemption to prevent sequestration cuts H.R. 1628, American Health Care Act (Black) - ACA repeal and replace issues; Medicaid provisions H.R. 1995, V-BID for Better Care Act (Black) - value-based insurance design in Medicare Advantage H.R. 2556, CONNECT For Health Act (Black) - telehealth H.R. 2644, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Marino) - Medigap coverage for beneficiaries with end-stage renal disease H.R. 3044, Supplemental Benefits for Chronically Ill Medicare Advantage Enrollees (Meehan) H.R. 3168, Special Needs Plans (Tiberi-Levin) - SNP reauthorization H.R. 3263, Medicare Independence at Home Model of Care (Burgess) - demonstration program H.R. 3325, ACE Kids Act (Barton) - coordinated care for children with complex medical conditions H.R. 3360, Telehealth Enhancement Act (Harper) - telehealth in Medicare H.R. 3727, Increasing Telehealth Access in Medicare Act (Black) - telehealth in MA plans H.R. 3921, HEALTHY KIDS Act (Burgess) - CHIP funding H.J.Res. 123, Continuing Resolution (Frelinghuysen) - redistribution of unused CHIP allotments H.J.Res. 124, Continuing Resolution (Frelinghuysen) -extension of federal CHIP funding Medicare Extenders Package (House Ways and Means Committee) - reauthorization of Special Needs Plans, telehealth, CMS authority to terminate MA contracts Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); proposed calendar year 2019 policy and technical regulation for MA and Part D; in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); CMS's proposed Part B drug demonstration program; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS' substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

S 253/HR 807 - Medicare Access to Rehabilitation Services Act of 2017: Support passage to repeal the Medicare Part B Therapy cap on outpatient rehabilitation, including occupational therapy. S. 977/HR 3820: Medicare Home Health Flexibility Act - Advocate for passage and introduction in House of Representatives. HR 2550: Medicare Telehealth Parity Act of 2017 - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. HR2556: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; S787: A bill to require the Center for Medicare and Medicaid Innovation to test the effect of including telehealth services in Medicare health care delivery reform models; HR3360: Telehealth Enhancement Act; HR3482: Evidence-Based Telehealth Expansion Act; S1016: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; and HR3727: A bill to amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes. - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. No bill# Red Tape Reduction Initiative from Ways and Means Committee: Submitted following priorities for occupational therapy red tape reduction - 1) Initiation of Home Health Therapy Services Under Medicare (HR 3820), 2) Recognition of Occupational Therapy as a Primary Rehab Service (no bill number), 3) Permanently Eliminate Outside Certification Requirement for Occupational Therapists to Fabricate Custom Orthotics and Prosthetic Items (no bill number), 4) Modify or Eliminate Claims-Based Data Collection of Functional Limitation Information for Therapy Services (no bill number), 5) Add Doctor-prescribed Compression Supplies to the Durable Medical Equipment category (S 497/HR 930), and 6) Medicare Opt-out Option (no bill number). HR 1628: American Health Care Act - Advocated for mandatory Medicaid benefits such as EPSDT, Medicaid reimbursement in schools, and essential health benefits such as rehab/habilitation and mental health. Better Care Reconciliation Act, no bill# - Advocated for mandatory Medicaid benefits such as EPSDT, Medicaid reimbursement in schools, and essential health benefits such as rehab/habilitation and mental health. Graham/Cassidy health care bill,no bill# - Advocated for mandatory Medicaid benefits such as EPSDT, Medicaid reimbursement in schools, and essential health benefits such as rehab/habilitation and mental health. S. 497/HR 930: Lymphedema Treatment Act - Support passage. HR 2810 - National Defense Authorization Act of 2018: Advocated for the inclusion of occupational therapy and physical therapist assistants under Tricare coverage and Senate amendments. HR 1 (PL 115-97), Tax Cuts and Jobs Act: advocated against changes to the tax status of tuition assistance programs included in the House bill; advocated for pay-go to be waived concurrent with the passage of the bill.

Better Care Reconciliation Act (Enzi) - ACA repeal and replace issues; Medicaid provisions S. 413, Improving Transparency and Accuracy in Medicare Part D Spending Act (Capito) -PDP/MA-PD payments on clean claims from pharmacies S. 428, ACE Kids Act (Grassley) - coordinated care for children with complex medical conditions S. 870, CHRONIC Care Act (Hatch-Wyden) - chronic care reforms, Medicare Advantage and Part D provisions S. 1016, CONNECT For Health Act (Schatz) - telehealth S. 1688, Empowering Medicare Seniors to Negotiate Drug Prices Act (Klobuchar) - Part D price negotiations S. 1804, Medicare for All Act (Sanders) - single payer health system S. 1827, Keep Kids Insurance Dependable and Secure Act (Hatch-Wyden) - federal CHIP funding S. 1890, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Cardin) - Medigap coverage for beneficiaries with end-stage renal disease H.R. 352, State Health Flexibility Act (Rokita) - Medicaid block grants H.R. 908, Medicare Advantage Quality Payment Relief Act (Kelly) - MA payment cap H.R. 1038, Improving Transparency and Accuracy in Medicare Part D Spending Act (Griffith) - PDP/MA-PD payments on clean claims from pharmacies H.R. 1148, FAST Act (Griffith) - access to telehealth-eligible stroke services under Medicare H.R. 1316, Prescription Drug Price Transparency Act (Collins) - PBM standards for MA and PDP plans H.R. 1628, American Health Care Act (Black) - ACA repeal and replace issues; Medicaid provisions H.R. 1995, V-BID for Better Care Act (Black) - value-based insurance design in Medicare Advantage H.R. 2556, CONNECT For Health Act (Black) - telehealth H.R. 2644, Chronic Kidney Disease Improvement in Research and Treatment and Medigap Access (Marino) - Medigap coverage for beneficiaries with end-stage renal disease H.R. 3044, Supplemental Benefits for Chronically Ill Medicare Advantage Enrollees (Meehan) H.R. 3168, Special Needs Plans (Tiberi-Levin) - SNP reauthorization H.R. 3263, Medicare Independence at Home Model of Care (Burgess) - demonstration program H.R. 3325, ACE Kids Act (Barton) - coordinated care for children with complex medical conditions H.R. 3360, Telehealth Enhancement Act (Harper) - telehealth in Medicare H.R. 3727, Increasing Telehealth Access in Medicare Act (Black) - telehealth in MA plans H.R. 3921, HEALTHY KIDS Act (Burgess) - CHIP funding Regulatory Issues: Ongoing implementation issues for the Medicare Advantage (MA) and Medicare Part D prescription drug programs, including risk adjustment methodology, network adequacy and provider directories, encounter data and other data-related issues, and audit issues; bidding and payment issues (including MA rate assumptions, MA coding intensity, MA Secondary Payer issues, Part D reinsurance, Part D low income subsidies, Part D direct and indirect remuneration (DIR), and audits); in-home health risk assessments; Medicare Medical Loss Ratio issues; implementation of sequestration under the Medicare Advantage and Part D programs; implications of the health insurer fee for MA and Part D plans; application process, audits to evaluate compliance with MA and Part D program rules, benefit design rules, enrollment rules, requirements for notice and denial forms, marketing materials review and approval, marketing activities, including conduct and compensation of brokers and agents and plan sponsor marketing staff; measurement and oversight of plan performance including Special Needs Plans (SNPs); quality measures, grievance and appeals processes, fraud and abuse compliance including training; contracting issues for Dual Eligible SNPs; Federal preemption of State authority under MA and Part D programs, Part D prescription drug event data reporting, Part D formulary rules, Part D pharmacy access standards, Part D coverage gap discount program, including employer group waiver plan (EGWP) issues, and other operational issues; issues raised by Part D coverage of new specialty drugs, the Part D non-interference policy and related issues (e.g., preferred pharmacy and any willing pharmacy requirements, standards for network pharmacy reimbursement, and policies regarding sponsor negotiation of pharmacy price concessions); CMS's proposed Part B drug demonstration program; Medication Therapy Management Program requirements and the Center for Medicare and Medicaid Innovation (CMMI) Demonstration; MA EGWP issues; CMMI's value-based insurance design (VBID) demonstration; Part D requirements for offering basic and enhanced alternative plans; MA and Part D systems issues affecting enrollment and disenrollment processing and payment and other operational issues; issues relating to MA and Part D Star Rating system including measures, the methodology for calculating ratings, and the role of the ratings for payment purposes; implementation of the Affordable Care Act (ACA) changes to the Part D coverage gap; functionality of the Medicare Personal Plan Finder and Drug Plan Finder; National Medicare Education Program; Medicare demonstration program on performance-based payments for physician groups; physician quality reporting initiative; issues relating to Medicare coverage policy and national coverage decisions; new payment system for physicians under MACRA, including implications for MA and Part D plans; Medicare clinical trials; Medicare/Medicaid integration for dual eligibles, including implementation of the Capitated Financial Alignment Demonstration and related issues (e.g., quality ratings); Medicaid managed care regulations and policies, including CMS' substantial revisions to the managed care regulations, mental health parity rules, the Medicaid managed care actuarial soundness standard, quality oversight, Medicaid and CHIP Payment and Access Commission (MACPAC), grievance and appeals processes, fraud and abuse compliance, beneficiary information requirements, treatment of Medicaid health plan member hospital days in the upper payment limit calculation; policies affecting State Medicaid funding, including block grants, the calculation of the federal medical assistance (federal matching) percentage (FMAP), and intergovernmental transfers (IGTs); coordination of benefits with state Medicaid programs; Medicaid prescription drug cost issues affecting Medicaid health plans including issues raised by Medicaid coverage of new specialty drugs; health plan-related Childrens Health Insurance Program (CHIP) issues, including eligibility and outreach issues and CHIP reauthorization; implementation of Medicaid changes made in Deficit Reduction Act of 2005, including Medicaid managed care organization provider tax issues; standards for electronic prescribing; implementation of Medicaid changes of interest to Medicaid health plans made in the ACA including Medicaid expansion, the managed care organization (MCO) prescription drug rebate provisions, minimum payments to primary care providers (PCPs), interactions between the Medicaid program and health insurance exchanges, and Medicaid and CHIP maintenance of effort (MOE) requirements; implications of the health insurer fee for Medicaid health plans; issues related to Medicaid Managed long-term care including home and community-based waiver services (HCBS); expanding the availability of Medicare Advantage and Medicaid health plan telemedicine programs; implications of the new non-discrimination rules for health plans participating in public programs; issues related to Medigap coverage; issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); cybersecurity; provider directories; value-based insurance design models; Part D prescriber enrollment requirements; Part D recovery audit contractor programs; issues relating to enrollment of beneficiaries with ESRD into MA plans; socioeconomic status impacts on star ratings related to MA and Part D programs; and other issues relating to health care reform implementation.

-HR 5 - Regulatory Accountability Act of 2017 - all provisions related to cable. -HR 21 - Midnight Rules Relief Act of 2017 - all provisions related to cable. -HR 26 - Regulations from the Executive in Need of Scrutiny Act of 2017 - all provisions related to cable. -HR 52 - Jobs, On-the-Job Earn While You Learn Training, and Apprenticeships for African-American Young Men Act - all provisions related to cable. -HR 244 - Consolidated Appropriations Act, 2017 - all provisions related to cable. -HR 288 - Small Business Broadband Deployment Act - all provisions related to cable. -HR 387 - Email Privacy Act - all provisions related to cable. -HR 423 - Anti-Spoofing Act of 2017 - all provisions related to cable. -HR 460 - Improving Rural Call Quality and Reliability Act - all provisions related to cable. -HR 547 - National Infrastructure Development Bank Act of 2017 - all provisions related to cable. -HR 582 - Kari's Law Act of 2017 - all provisions related to cable. -HR 601 - Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 - all provisions related to cable. -HR 686 - Developing Innovation and Growing the Internet of Things Act (DIGIT) - all provisions related to cable. -HR 709 - We Are Watching You Act of 2017 - all provisions related to cable. -HR 800 - New Deal Rural Broadband Act of 2017 - all provisions related to cable. -HR 883 - Targeting Child Predators Act of 2017 - all provisions related to cable. -HR 1061 - Cell Location Privacy Act of 2017 - all provisions related to cable. -HR 1062 - Geolocational Privacy and Surveillance (GPS) Act - all provisions related to cable. -HR 1084 - Today's American Dream Act - all provisions related to cable. -HR 1097 - Unsubscribe Act of 2017 - all provisions related to cable. -HR 1139 - Preserving State Commission (PSC) Oversight Act of 2017 - all provisions related to cable. -HR 1300 - United States Call Center Worker and Consumer Protection Act of 2017 - all provisions related to cable. -HR 1148 - Furthering Access to Stroke Telemedicine (FAST) Act - all provisions related to cable. -HR 1183 - Wildfire Prevention Act of 2017 - all provisions related to cable. -HR 1301 - Department of Defense Appropriations Act of 2017 - all provisions related to cable. -HR 1374 - Arbitration Fairness Act of 2017 - all provisions related to cable. -HR 1534 - 21st Century Worker Opportunity Act - all provisions related to cable. -HR 1546 - Rural Wireless Access Act of 2017 - all provisions related to cable. -HR 1581 - Tribal Digital Access Act of 2017 - all provisions related to cable. -HR 1591 - WiFi Capable Mobile Devices Act of 2017 - all provisions related to cable. -HR 1669 - Partnership to Build America Act of 2017 - all provisions related to cable. -HR 1670 - Infrastructure 2.0 Act - all provisions related to cable. -HR 1754 - To amend the Federal Trade Commission Act to clarify the scope of the exception for common carriers - all provisions related to cable. -HR 1761 - Protecting Against Child Exploitation Act of 2017 - all provisions related to cable. -HR 1814 - Rural Spectrum Accessibility Act of 2017 - all provisions related to cable. -HR 1846 - Providing Resources, Officers, and Technology to Eradicate Cyber Threats to (PROTECT) Our Children Act of 2017 - all provisions related to cable. -HR 1862 - Global Child Protection Act of 2017 - all provisions related to cable. -HR 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 - all provisions related to cable. -HR 1868 - Restoring American Privacy Act of 2017 - all provisions related to cable. -HR 1888 - Federal Spectrum Incentive Act of 2017 - all provisions related to cable. -HR 2356 - Managing Your Data Against Telecom Abuses (MY DATA) Act of 2017 all provisions related to cable. -HR 2425 - Public Lands Telecommunications Act - all provisions related to cable. -HR 2479 - Leading Infrastructure for Tomorrows America Act - all provisions related to cable. -HR 2520 - Balancing the Rights of Web Surfers Equally and Responsibly (BROWSER) Act of 2017 - all provisions related to cable. -HR 2803 - Abolish Human Trafficking Act of 2017 - all provisions related to cable. -HR 2870 - Gigabit Opportunity Act - all provisions related to cable. -HR 2903 - Rural Reasonable and Comparable Wireless Access Act of 2017 - all provisions related to cable. -HR 3175 - Online Privacy Act - all provisions related to cable. -HR 3267 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3280 - Financial Services and General Government Appropriations Act, 2018 - all provisions related to cable. -HR 3289 - To amend the Communications Act of 1934 to require identification and description on the website of the Federal Communications Commission of items to be decided on authority delegated by the Commission - all provisions related to cable. -HR 3353 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3354 - Department of the Interior, Environment, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -HR 3360 - Telehealth Enhancement Act of 2017 - all provisions related to cable. -HR 3388 - Designating Each Cars Automation Level (DECAL) Act - all provisions related to cable. -HR 3393 - New Collar Jobs Act of 2017 - all provisions related to cable. -HR 3470 - GPS Act - all provisions related to cable. -HR 3482 - Evidence-Based Telehealth Expansion Act of 2017 - all provisions related to cable. -HR 3523 - To require the Comptroller General of the United States to conduct a study and submit a report on filing requirements under the Universal Service Fund programs - all provisions related to cable. -HR 3787 - Small Entity Regulatory Relief Opportunity Act of 2017 - all provisions related to cable. -HR 3806 - Personal Data Notification and Protection Act of 2017 - all provisions related to cable. -HR 3823 - Disaster Tax Relief and Airport and Airway Extension Act of 2017 - all provisions related to cable. -HRes 53 - Expressing the sense of the House of Representatives that in order to continue aggressive growth in the Nations telecommunications and technology industries, the U.S. Government should Get Out of the Way and Stay Out of the Way - all provisions related to cable. -HRes 521 - Expressing the sense of the House of Representatives about a strategy to deploy fifth generation mobile networks (5G networks) and next-generation wireless and wired technologies to promote economic development and digital innovation throughout the United States - all provisions related to cable. -HJRes 99 - Making further continuing appropriations for fiscal year 2017, and for other purposes - all provisions related to cable. -HConRes 71 - Establishing the congressional budget for the United States Government for fiscal year 2018 and setting forth the appropriate budgetary levels for fiscal years 2019 through 2027 - all provisions related to cable. -S 19 - Making Opportunities for Broadband Investment and Limiting Excessive and Needless Obstacles to Wireless Act (MOBILE NOW) - all provisions related to cable. -S 21 - Regulations from the Executive in Need of Scrutiny Act of 2017 - all provisions related to cable. -S 34 - Midnight Rules Relief Act of 2017 - all provisions related to cable. -S 56 - Regulations Endanger Democracy (RED) Act of 2017 - all provisions related to cable. -S 88 - Developing Innovation and Growing the Internet of Things Act (DIGIT) - all provisions related to cable. -S 96 - Improving Rural Quality and Reliability Act of 2017 - all provisions related to cable. -S 134 - Spoofing Prevention Act of 2017 - all provisions related to cable. -S 123 - Kari's Law Act of 2017 - all provisions related to cable. -S 277 - Rural Telecommunications and Broadband Service Act of 2017 - all provisions related to cable. -S 278 - Support for Rapid Innovation Act of 2017 - all provisions related to cable. -S 395 - Geolocational Privacy and Surveillance (GPS) Act - all provisions related to cable. -S 421 - Preserving State Commission (PSC) Oversight Act of 2017 - all provisions related to cable. -S 431 - Furthering Access to Stroke Telemedicine (FAST) Act - all provisions related to cable. -S 449 - Driving Innovation and Growth in Internet Technology and Launching Universal Access to the Global Economy (DIGITAL AGE) Act of 2017 - all provisions related to cable. -S 515 - United States Call Center Worker and Consumer Protection Act of 2017 - all provisions related to cable. -S 542 - Safety Over Arbitration Act of 2017 - all provisions related to cable. -S 564 - Help Americans Never Get Unwanted Phone calls (HANGUP) Act of 2017 - all provisions related to cable. -S 604 - Highway Rights-of-Way Permitting Efficiency Act of 2017 - all provisions related to cable. -S 645 - Measuring the Economic Impact of Broadband Act of 2017 - all provisions related to cable. -S 742 - Community Broadband Act of 2017 - all provisions related to cable. -S 782 - Providing Resources, Officers, and Technology to Eradicate Cyber Threats to (PROTECT) Our Children Act of 2017 - all provisions related to cable. -S 875 - A bill to require the Comptroller General of the United States to conduct a study and submit a report on filing requirements under the Universal Service Fund programs - all provisions related to cable. -S 878 - A bill to establish privacy protections for customers of broadband Internet access service and other telecommunications service - all provisions related to cable. -S 964 - Managing Your Data Against Telecom Abuses (MY DATA) Act of 2017 - all provisions related to cable. -S 993 - Restoring Internet Freedom Act - all provisions related to cable. -S 1104 - Rural Wireless Access Act of 2017 - all provisions related to cable. -S 1013 - Gigabit Opportunity Act - all provisions related to cable. -S 1168 - Building and Renewing Infrastructure for Development and Growth in Employment (BRIDGE) Act - all provisions related to cable. -S 1225 - Vehicle Innovation Act of 2017 - all provisions related to cable. -S 1311 - Abolish Human Trafficking Act of 2017 - all provisions related to cable. -S 1312 - Trafficking Victims Protection Act of 2017 - all provisions related to cable. -S 1363 - Rural Broadband Deployment Streamlining Act - all provisions related to cable. -S 1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act - all provisions relating to cable. -S 1654 - Email Privacy Act - all provisions related to cable. -S 1657 - ECPA Modernization Act of 2017 - all provisions related to cable. -S 1603 - Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1655 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1662 - Commerce, Justice, Science, and Related Agencies Appropriations Act, 2018 - all provisions related to cable. -S 1811 - Merger Enforcement Improvement Act - all provisions related to cable. -S 1812 - Consolidation Prevention and Competition Promotion Act of 2017 - all provisions related to cable. -S 1815 - Data Broker Accountability and Transparency Act of 2017 - all provisions related to cable. -SConRes 3 - Concurrent Resolution on the Budget for Fiscal Year 2017 - all provisions related to cable. -SJRes 34 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Federal Communications Commission relating to Protecting the Privacy of Customers of Broadband and Other Telecommunications Services - all provisions related to cable. -SRes 242 - A resolution expressing the sense of the Senate about a strategy to deploy fifth generation mobile networks (5G networks) and next-generation wireless and wired technologies to promote economic development and digital innovation throughout the United States - all provisions related to cable.

S 253/HR 807 - Medicare Access to Rehabilitation Services Act of 2017: Support passage to repeal the Medicare Part B Therapy cap on outpatient rehabilitation, including occupational therapy. S. 977/HR 3820: Medicare Home Health Flexibility Act - Advocate for passage and introduction in House of Representatives. HR 2550: Medicare Telehealth Parity Act of 2017 - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. HR2556: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; S787: A bill to require the Center for Medicare and Medicaid Innovation to test the effect of including telehealth services in Medicare health care delivery reform models; HR3360: Telehealth Enhancement Act; HR3482: Evidence-Based Telehealth Expansion Act; S1016: Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act; and HR3727: A bill to amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes. - Advocated for the inclusion of occupational therapy as part of telehealth legislation that would allow for reimbursement of certain telehealth services under Medicare. No bill# Red Tape Reduction Initiative from Ways and Means Committee: Submitted following priorities for occupational therapy red tape reduction - 1) Initiation of Home Health Therapy Services Under Medicare (HR 3820), 2) Recognition of Occupational Therapy as a Primary Rehab Service (no bill number), 3) Permanently Eliminate Outside Certification Requirement for Occupational Therapists to Fabricate Custom Orthotics and Prosthetic Items (no bill number), 4) Modify or Eliminate Claims-Based Data Collection of Functional Limitation Information for Therapy Services (no bill number), 5) Add Doctor-prescribed Compression Supplies to the Durable Medical Equipment category (S 497/HR 930), and 6) Medicare Opt-out Option (no bill number). HR 1628: American Health Care Act - Advocated for mandatory Medicaid benefits such as EPSDT, Medicaid reimbursement in schools, and essential health benefits such as rehab/habilitation and mental health. Better Care Reconciliation Act, no bill# - Advocated for mandatory Medicaid benefits such as EPSDT, Medicaid reimbursement in schools, and essential health benefits such as rehab/habilitation and mental health. Graham/Cassidy health care bill,no bill# - Advocated for mandatory Medicaid benefits such as EPSDT, Medicaid reimbursement in schools, and essential health benefits such as rehab/habilitation and mental health. S. 497/HR 930: Lymphedema Treatment Act - Support passage. HR 2810 - National Defense Authorization Act of 2018: Advocated for the inclusion of occupational therapy and physical therapist assistants under Tricare coverage and Senate amendments.