Teaching Health Centers Graduate Medical Education Extension Act of 2017

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.; Substance Use Disorder Workforce Loan Repayment Act of 2018 (H.R. 5102/S. 2524); Opioid Workforce Act of 2018, H.R. 5818/S. 2843

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.; Substance Use Disorder Workforce Loan Repayment Act of 2018 (H.R. 5102/S. 2524)

Client expense: $220,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Teaching Health Centers; Health Information Technology and TeleHealth; Substance abuse and opioid use; 340B Drug Discount Program; Repeal/Replace of ACA; Teaching Health Centers Graduate Medical Education Act(H.R.3394); Training the Next Generation of Primary Care Doctors Act(S.1754); VA Community Care Enhancement Act (H.R.5047); Promoting Real Opportunity, Success, and Prosperity through Education Reform (PROSPER) Act (H.R. 4508); Title X Program; VA Mission Act (H.R.5674/S.2372); Rural Docs Act (H.R.5477); Comprehensive Opioid Recovery Centers Act (H.R.5327/S.2589); Crisis Response Act (S.2680); Medicare and Opioid Safe Treatment Act(H.R.5776); Expanding Access to Treatment Act(H.R.5769).

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

HR 195 & HR 1625 - FY 2018 HHS Appropriations: AAFP FY 2018 federal spending priorities for primary care, training, research and Access. HR 1892 - Teaching Health Centers GME program: Reauthorize THCGME funding. HR 3394 - Teaching Health Center GME: Help educate members about the need to extend the program No Bill No. - Medicare GME Reform:advocate for AAFP GME policy, including redistribution of financing for fellowships, thresholds for primary care. No Bill No. - President's FY2019 budget request for AHRQ, HRSA, CMS, CDC, SAMHSA: AAFP federal spending priorities. No Bill No. - Inter-Professional Oral Health and Primary Care Training Programs: Health Profession Training Grants Title VII section 747. No Bill No.- Congressional Primary Care Caucus: Urge members to join the Caucus and support Primary Care to achieve the triple aim in healthcare.

Client expense: $763,588 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Financial Management Service (FMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Interior, Dept of (DOI), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.; Substance Use Disorder Workforce Loan Repayment Act of 2018 (H.R. 5102/S. 2524)

Client expense: $130,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Funding for Teaching Health Centers Graduate Medical Education (THCGME) program S.1754 (Training the Next Generation of Primary Care Doctors Act of 2017), all provisions H.R. 3394 (Teaching Health Centers Graduate Medical Education Extension Act of 2017), all provisions H.R. 1892 (Bipartisan Budget Act of 2018), Division E--ACCESS Act, Title IX, Section 50901, regarding reauthorization of THCGME program Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program

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

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

Funding for Teaching Health Centers Graduate Medical Education (THCGME) program S. 1754 (Training the Next Generation of Primary Care Doctors Act of 2017), all provisions H.R. 3394 (Teaching Health Centers Graduate Medical Education Extension Act of 2017), all provisions H.R. 1892 (Bipartisan Budget Act of 2018), Division E--ACCESS Act, Title IX, Section 50901, regarding reauthorization of THCGME program Implementation of Public Law 115-123 (Bipartisan Budget Act of 2018), regarding funding of THCGME program

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Teaching Health Centers; Health Information Technology and TeleHealth; Substance abuse and opioid use; 340B Drug Discount Program; Repeal/Replace of ACA; Teaching Health Centers Graduate Medical Education Act(H.R.3394); Training the Next Generation of Primary Care Doctors Act(S.1754); VA Community Care Enhancement Act (H.R.5047); Promoting Real Opportunity, Success, and Prosperity through Education Reform (PROSPER) Act (H.R. 4508).

Client expense: $220,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Agency for Healthcare Research and Quality Public Health Services Act, Title VII Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Student Loan Funding Teaching Health Centers, including reauthorization and funding-H.R.3394, S.1754, & H.R.3922 (Championing Healthy Kids Act) Bipartisan Budget Act of 2018

Client expense: $57,379 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Health Insurance Coverage (general); Genetic Screening and Testing (general); Health Disparities (general); Emergency Contraception (general); Breastfeeding (general); Pregnancy Intention (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Domestic Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Conscience Refusals (general); Child Welfare (general); Prematurity (general); Health Disparities (general); Maternal Mortality and Morbidity (general); Imaging (general); Graduate Medical Education (general); Lab Developed Tests (general); Stem Cell Research (general); Contraception (general); Preeclampsia (general); National Health Service Corps (general); Community Health Centers (general); Abortion (general); Indian Health (general); Opioid Epidemic (general); Teaching Health Centers (general); H.R.3394/S. 1754, Teaching Health Centers Graduate Medical Education Extension Act of 2017/Training the Next Generation of Primary Care Doctors Act of 2017; Teen Pregnancy Prevention Program (general); Research in Pregnant and Breastfeeding Women (general); Healthy Start (general); Zika Virus (general); Health Care Reform (general); H.R. 5457/S. 2637, Quality Care for Moms and Babies Act; H.R. 1318/S 1112, Preventing Maternal Deaths Act/Maternal Health Accountability Act; H.R. ___, Kiras Law; H.R. 1876/S. 781, Good Samaritan Health Professionals Act; H.R. 1215/S.___ Protecting Access to Care Act; H.R. 1565, Saving Lives, Saving Costs Act; H.R. 3120, To amend title XVIII of the Social Security Act to reduce the volume of future electronic health record-related significant hardship requests; H.R. 315/S. 783, Improving Access to Maternity Care Act; Hyde Amendment (General); H.R. 671/ S. 210, the Global Health Empowerment and Rights (Global HER) Act; HR 4418, the Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2017; H.R. 3602/S. 1653, Real Education for Healthy Youth Act; H.R. 421/S. 93, Allowing Greater Access to Safe and Effective Contraception Act; H. Res. 205, expressing the sense of the House of Representatives with respect to ensuring that womens health care under current law is preserved; H.R. 2567/ S. 2259, Access to Birth Control (ABC) Act; H.R. 4082/S. 1985, Protect Access to Birth Control Act; S. 1045, Save Womens Preventive Care Act; H.R. 490, Heartbeat Protection Act; H.R. 36/S. 2311, Pain-Capable Unborn Child Protection Act; HR 4712, Born-Alive Abortion Survivors Protection Act; H.R. 3842, Healthy Start Reauthorization Act; H.R.__/S. ___, the PREEMIE Reauthorization Act; H.R. 3692, Addiction Treatment Access Improvement Act; H.R. 253/S. 1268, Family First Prevention Services Act/Child Protection and Family Support Act; H.R. 2545/S. 747, Special Diabetes Program for Indians Reauthorization Act; S. 1113, Personal Care Products Safety Act; Personal Responsibility Education Program (general); Womens Preventive Services (general); S. ___, Bipartisan Heath Care Stabilization Act; H.Res. 403/S.Res. 451, Supporting the designation of March 2018 as Endometriosis Awareness Month; Implementation of P.L. 114-91, Protecting Our Infants Act; Implementation of P.L. 114-198, Comprehensive Addiction and Recovery Act; Implementation of P.L. 114-255, 21st Century Cures Act.

Client expense: $553,520 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

S. J. Res. 16 a joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the independent payment Medicare advisory board H.J. Res 51/S. J. Res 17 Independent Payment Advisory Board Repeal H.R 1995 Value Based Insurance Design for Better Care Act H.R. 1004 Regulatory Integrity Act H.R. 1009/S. 676 OIRA Insight, Reform, and Accountability Act H.R. 1038/S. 413 Improving Transparency and Accuracy in Medicare Part D Spending H.R. 1148/S. 431 Furthering Access to Stroke Telemedicine (FAST) Act H.R. 1215 Protecting Access to Care Act H.R. 1554 Jessie's Law H.R. 1565 Saving Lives, Saving Costs Act H.R. 1628 American Health Care Act H.R. 1953/S. 830 Treat and Reduce Obesity Act H.R. 2267/S. 1301 Resident Physician Shortage Reduction Act H.R. 246/S. 183 Jobs and Premium Protection Act H.R. 2550 Medicare Telehealth Parity Act H.R. 2556/S. 1016 CONNECT for Health Act H.R. 2797/S. 1334 Patient Choice and Quality Care Act H.R. 284 Advancing Medical Resident Training in Community Hospitals Act H.R. 2953/S. 2164 Preventive Health Savings Act H.R. 3044 to expand supplemental benefits to meet the needs of chronically ill Medicare Advantage enrollees H.R. 3059/S. 1441 Community Health Center and Primary Care Workforce Expansion Act H.R. 3120 to reduce the volume of future electronic health record-related significant hardship requests H.R. 3124/S. 1299 Preventing Diabetes in Medicare Act H.R. 3168 to provide continued access to Medicare Advantage plans for special needs H.R. 3224 Critical Access and Rural Equity Act H.R. 3245 Medicare Civil and Criminal Penalties Act H.R. 3263 to extend the Medicare independence at home medical demonstration program H.R. 3394 Teaching Health Centers Graduate Medical Education Extension Act H.R. 3447 Furthering Access to Coordinated Treatment for Seniors Act H.R. 3726 Stark Administrative Simplification Act of 2017 H.R. 3728 Empowering Medical Professionals and Optimizing Workforce Efficiency and Readiness Act H.R. 3820/S. 977 Medicare Home Health Flexibility Act H.R. 3862 National Health Service Corps Strengthening Act H.R. 3921 Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 3922 Continuing Community Health and Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 4541 Continuing Community Health and Medical Professional Programs to Improve Our Nation and Keep Insurance Delivery Stable H.R. 4613 Ensuring Patient Access to Healthcare Records Act H.R. 4618 to provide for a temporary moratorium on certain taxes affecting purchases of prescription medication H.R. 4619 to provide temporary relief from the annual fee imposed on health insurance providers, to the extent that such fee is due to Puerto Rican health insurance H.R. 4620 Protecting Families and Small Businesses Act H.R. 4006 Community-Based Independence for Seniors Act of 2017 H.R. 4520 to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017 H.R. 4552/S. 1291 Advancing Medical Training in Community Hospitals Act H.R. 4105 to extend the health professions workforce demonstration project H.R. 4841 Standardizing Electronic Prior Authorization for Safe Prescribing Act H.R. 592/S. 109 Pharmacy and Medically Underserved Areas Enhancement Act H.R. 741/S. 243 Rural Hospital Regulatory Relief Act H.R. 766 Amend Title XVII of the Social Security Act to expand telehealth in Medicare H.R. 849/S. 260 Protecting Seniors' Access to Medicare Act H.R. 908 Medicare Advantage Quality Payment Relief Act H.R. 998 Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act H.R. 2687/S. 1169 Medicaid Coverage for Addiction Recovery Expansion Act H.R.3727 To amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes H.R. 4206/S. 2051 Medicare Care Coordination Improvement Act Pub L. 114-198 Comprehensive Addiction and Recovery Act Pub. L. 115-120 Fiscal Year 2018 Continuing Resolution Pub L. 115-123 Bipartisan Budget Act Pub L. 115-141 Fiscal Year 2018 Omnibus Appropriations Act Pub. L. 111-148 Patient Protection and Affordable Care Act (PPACA) Pub. L. 111-5 The American Recovery and Reinvestment Act Pub. L. 114-10 Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255 21st Century Cures Act Pub. L. 114-270 Expanding Capacity for Health Outcomes Act (ECHO) Pub L. 115-63 Disaster Relief and Airway Extension Act Reintroduction of TELE-MED Act of 2015 S. 1754 Training the Next Generation of Primary Care Doctors Act S. 1827 Keep Kids' Insurance Dependable and Secure Act S. 1859 Healthcare Tax Relief Act S. 1899 to reauthorize and extend funding for community health centers and the National Health Service Corps S. 251 Protecting Medicare from Executive Action Act S. 309 Community Based Independence for Seniors Act S. 464 Independence at Home Act S. 787 Telehealth Innovation and Improvement Act S. 870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act S. 1978 Small Business and Family Health Tax Relief Act S. Con. Res. 3 Budget Resolution H.R. 3545 Overdose Prevention and Patient Safety Act H.R. 4613 Ensuring Patient Access to Healthcare Records Act S.1850 Jessie's Law H.R. 4206/S.2501 Medicare Care Coordination Improvement Act

Client expense: $200,000 · Firm income: Not reported

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

S. J. Res. 16 a joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the independent payment Medicare advisory board H.J. Res 51/S. J. Res 17 Independent Payment Advisory Board Repeal H.R 1995 Value Based Insurance Design for Better Care Act H.R. 1004 Regulatory Integrity Act H.R. 1009/S. 676 OIRA Insight, Reform, and Accountability Act H.R. 1038/S. 413 Improving Transparency and Accuracy in Medicare Part D Spending H.R. 1101 Small Business Health Fairness Act H.R. 1121 Pre-Existing Conditions Protection Act H.R. 1148/S. 431 Furthering Access to Stroke Telemedicine (FAST) Act H.R. 1215 Protecting Access to Care Act H.R. 1267/S. 482 Personal Health Investment Today Act H.R. 1304 Self-Insurance Protection Act H.R. 1313 Preserving Employee Wellness Programs Act H.R. 1554 Jessie's Law H.R. 1565 Saving Lives, Saving Costs Act H.R. 1628 American Health Care Act H.R. 1703 Medical Product Communications Act H.R. 184 Protect Medical Innovation Act H.R. 1876 Good Samaritan Health Professionals Act H.R. 1953/S. 830 Treat and Reduce Obesity Act H.R. 2267/S. 1301 Resident Physician Shortage Reduction Act H.R. 246/S. 183 Jobs and Premium Protection Act H.R. 2550 Medicare Telehealth Parity Act H.R. 2556/S. 1016 CONNECT for Health Act H.R. 2797/S. 1334 Patient Choice and Quality Care Act H.R. 284 Advancing Medical Resident Training in Community Hospitals Act H.R. 2953/S. 2164 Preventive Health Savings Act H.R. 3044 to expand supplemental benefits to meet the needs of chronically ill Medicare Advantage enrollees H.R. 3059/S. 1441 Community Health Center and Primary Care Workforce Expansion Act H.R. 3120 to reduce the volume of future electronic health record-related significant hardship requests H.R. 3124/S. 1299 Preventing Diabetes in Medicare Act H.R. 3168 to provide continued access to Medicare Advantage plans for special needs H.R. 3224 Critical Access and Rural Equity Act H.R. 3245 Medicare Civil and Criminal Penalties Act H.R. 3263 to extend the Medicare independence at home medical demonstration program H.R. 3394 Teaching Health Centers Graduate Medical Education Extension Act H.R. 3447 Furthering Access to Coordinated Treatment for Seniors Act H.R. 3726 Stark Administrative Simplification Act of 2017 H.R. 3728 Empowering Medical Professionals and Optimizing Workforce Efficiency and Readiness Act H.R. 3820/S. 977 Medicare Home Health Flexibility Act H.R. 3862 National Health Service Corps Strengthening Act H.R. 3921 Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 3922 Continuing Community Health and Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 4541 Continuing Community Health and Medical Professional Programs to Improve Our Nation and Keep Insurance Delivery Stable H.R. 4613 Ensuring Patient Access to Healthcare Records Act H.R. 4616 to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage H.R. 4617 to provide for a temporary moratorium on the medical device excise tax H.R. 4618 to provide for a temporary moratorium on certain taxes affecting purchases of prescription medication H.R. 4619 to provide temporary relief from the annual fee imposed on health insurance providers, to the extent that such fee is due to Puerto Rican health insurance H.R. 4620 Protecting Families and Small Businesses Act H.R. 4006 Community-Based Independence for Seniors Act of 2017 H.R. 4200/S. 2052 Healthcare Market Certainty and Mandate Relief Act H.R. 4520 to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017 H.R. 4552/S. 1291 Advancing Medical Training in Community Hospitals Act H.R. 4105 to extend the health professions workforce demonstration project H.R. 4841 Standardizing Electronic Prior Authorization for Safe Prescribing Act H.R. 592/S. 109 Pharmacy and Medically Underserved Areas Enhancement Act H.R. 706 Plan Verification and Fairness Act H.R. 741/S. 243 Rural Hospital Regulatory Relief Act H.R. 749 Lower Drug Costs Through Competition Act H.R. 766 Amend Title XVII of the Social Security Act to expand telehealth in Medicare H.R. 849/S. 260 Protecting Seniors' Access to Medicare Act H.R. 908 Medicare Advantage Quality Payment Relief Act H.R. 998 Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act H.R. 2687/S. 1169 Medicaid Coverage for Addiction Recovery Expansion Act H.R.3727 To amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes H.R. 4206/S. 2051 Medicare Care Coordination Improvement Act H.R. 5138 Bipartisan Health Savings Accounts Improvement Act Introduction of the Healthcare Cybersecurity Improvement Act Introduction of the Stark Law Modernization Act Pub L. 114-198 Comprehensive Addiction and Recovery Act Pub. L. 115-120 Fiscal Year 2018 Continuing Resolution Pub L. 115-80 National Clinical Care Commission Act Pub L. 115-123 Bipartisan Budget Act Pub L. 115-141 Fiscal Year 2018 Omnibus Appropriations Act Pub. L. 102-143 Telephone Consumer Protection Act Pub. L. 111-148 Patient Protection and Affordable Care Act (PPACA) Pub. L. 111-5 The American Recovery and Reinvestment Act Pub. L. 114-10 Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255 21st Century Cures Act Pub. L. 114-270 Expanding Capacity for Health Outcomes Act (ECHO) Pub. L. 114-329 American Innovation and Competitiveness Act Pub L. 115-63 Disaster Relief and Airway Extension Act Pub. L. 115-97 Tax Cuts and Jobs Act Reintroduction of TELE-MED Act of 2015 S. 108 Medical Device Access and Innovation Protection Act S. 297 Increasing Competition in Pharmaceuticals Act S. 1754 Training the Next Generation of Primary Care Doctors Act S. 1827 Keep Kids' Insurance Dependable and Secure Act S. 1829 Strong Families Act S. 1859 Healthcare Tax Relief Act S. 1899 to reauthorize and extend funding for community health centers and the National Health Service Corps S. 1967 Mandate Relief Act S. 251 Protecting Medicare from Executive Action Act S. 2278 State Offices of Rural Health Reauthorization Act S. 309 Community Based Independence for Seniors Act S. 464 Independence at Home Act H .R. 1933/S. 761 Health Care Options Act S. 787 Telehealth Innovation and Improvement Act S. 870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act S. 1978 Small Business and Family Health Tax Relief Act S. Con. Res. 3 Budget Resolution H.R. 3545 Overdose Prevention and Patient Safety Act H.R. 4613 Ensuring Patient Access to Healthcare Records Act S.1850 Jessie's Law H.R. 4206/S.2501 Medicare Care Coordination Improvement Act

Client expense: $200,000 · Firm income: Not reported

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

-Advocacy on behalf of preserving of the state option to expand Medicaid eligibility up to 138% of FPL and opposition to proposals that reduce federal support for state Medicaid programs. -Advocacy on behalf of HR 3394, the Teaching Health Center Graduate Medical Education Act, stable funding for the Children's Health Insurance Program and the National Health Service Corps; -Advocacy on behalf of expanding the preventive services safe harbor for Health Savings Account-eligible High-Deductible Health Plans to provide for better coverage of chronic care services -Advocacy related to a potential legislative response to the opioid and substance abuse crisis, including but not limited to advocacy in support of S.1169/H.R.2687 the Medicaid Coverage for Addiction Recovery Expansion Act, S.2460/H.R. 3528 the Every Prescription Conveyed Securely Act, and S.2317/H.R.3692 the Addiction Treatment Access Improvement Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Building a Health Care Workforce for the Future Act, H.R. 2574; and Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.

Client expense: $110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-Advocacy on behalf of preserving of the state option to expand Medicaid eligibility up to 138% of FPL and opposition to proposals that reduce federal support for state Medicaid programs. -Advocacy on behalf of HR 3394, the Teaching Health Center Graduate Medical Education Act, stable funding for the Children's Health Insurance Program and the National Health Service Corps; -Advocacy on behalf of expanding the preventive services safe harbor for Health Savings Account-eligible High-Deductible Health Plans to provide for better coverage of chronic care services

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Building a Health Care Workforce for the Future Act, H.R. 2574; and Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Teaching Health Center and Community Health Centers, as follows: H.R.1148, FAST Act of 2017 H.R.3394, Teaching Health Centers Graduate Medical Education Extension Act of 2017 H.R.3823, Disaster Tax Relief and Airport and Airway Extension Act of 2017 Public Law 115-96, An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes, Further Additional Continuing Appropriations Act, FY2018 Public Law 115-97, An Act to provide for reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018, Tax Cuts and Job Acts H.R.3921, HEALTHY KIDS Act H.R.3922, CHAMPIONING HEALTHY KIDS Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1 Tax Cuts and Jobs Act: Protect coverage gains, student debt relief, medical expense deduction. HR 1370 HJRes 123 - Stop Gap funding bills for FY2018: AAFP FY 2018 federal spending priorities. HR 3358, S 1771 - Title VII HRSA Health Benefit Program: Funding for primary care training; AAFP FY 2018 federal spending priorities. HR 3358, S 1771 - FY 2018 appropriations for AHRQ: AAFP FY 2018 federal spending priorities. HR 3358, S 1771 & 4508 - Public Service Loan Forgiveness Program: Medical Student Debt Relief. HR 3394 - Teaching Health Center GME: Help educate members about the need to extend the program; reauthorize THCGME program; Support continued funding for THC program. HR 3862 & S 1899 - National Health Service Corps: NHSC funding for access to scholarships and debt relief. HR 3922 - Championing Healthy Kids Act: Reauthorize CHIP, NHSC, THCGME programs. No Bill No.- Other Tax Reform Issues including student loan interest deduction, medical expenses deduction: Convey AAFP position on the individual mandate during tax reform debate. No Bill No. - Medicare GME Reform:advocate for AAFP GME policy, including redistribution of financing for fellowships, thresholds for primary care. No Bill No. - Primary Care and Preventative Health: Promoting healthy communities via primary care, disease prevention and workforce programs. No Bill No. - Support for Community Health Funding: Testimony and letters supporting the community health center program. No Bill No.- Congressional Primary Care Caucus: Urge members to join the Caucus and support Primary Care to achieve the triple aim in healthcare. No Bill No. - VA and telehealth issues: State laws vs. the VA

Client expense: $897,384 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA)

HR 1 Tax Cuts and Jobs Act: opposed to: 1)repeal of the Individual Mandate; 2)elimination of student Loan deductabililty; 3) automatic cuts to Medicare program; 4) elimination of medical expense. HR 1370 HJRes 123 - Stop Gap funding bills for FY2018: AAFP FY 2018 federal spending priorities. HR 3394 - Teaching Health Centers GME program: Reauthorize and expand the THCGME program; Support continued funding for THC program. HR 3862 & S 1899 - National Health Service Corps: NHSC funding for access to scholarships and debt relief; Support reauthorization of NHSC funding for five years. No Bill No. Tax Reform - Individual Mandate: educate member. HR 3922 - Championing Healthy Kids Act: Reauthorize CHIP, NHSC, THCGME programs. No Bill No. - Medicare GME Reform:advocate for AAFP GME policy, including redistribution of financing for fellowships, thresholds for primary care. No Bill No. - Administrative Burden: advocate for end to appropriate use mandates for advanced imaging, etc. No Bill No. - Physician Payment: advocate for hold harmless for primary care provision in the misvalued codes policy. No Bill No. - Federal Employee Health Benefit Program: Health Care Coverage. No Bill No. - 2017 Value Based Payment Study: Adequate payment for Health care transformation. No Bill No. - Primary Care and Preventative Health: Promoting healthy communities via primary care, disease prevention and workforce programs. No Bill No. - Children's Health Insurance Program: Reauthorize CHIP program for 5 years. No Bill Mo. - Healthcare IT/Interoperability: Letter to the Senate HELP Committee regarding health IT administrative reductions improvements. No Bill No. - Support for Community Health Funding: Testimony and letters supporting the community health center program. No Bill No.- Congressional Primary Care Caucus: Urge members to join the Caucus and support Primary Care to achieve the triple aim in healthcare. No Bill No. - Comments on the 2018 QPP final rule: Quality Payment Program. No Bill No. - Comments on small practices and AAPMs: Advanced Payment models and small practices. No Bill No. - 2019 marketplace rules: essential heath benefits defended. No Bill No. - RFI from CMMI on patient-centered models:patient centered medical homes. No Bill No. - Lab payments: Concerns with PAMA implementation No Bill No. - Affordable Care Act Defense: Support continued funding for Affordable Care Act. No Bill No. - Defend Medicaid Cuts: Defend changes to the entitlement nature of medicaid. No Bill No. - Defend MACRA and support its implementation: Defend MACRA from program changes.

Client expense: $897,384 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA)

HR 1 Tax Cuts and Jobs Act: opposed to: 1)repeal of the Individual Mandate; 2)elimination of student Loan deductabililty; 3) automatic cuts to Medicare program; 4) eliminaiton of medical expense. HR 1370 HJRes 123 - Stop Gap funding bills for FY2018: AAFP FY 2018 federal spending priorities. HR 3358 & S 1771 - Title VII HRSA Health Benefit Program: Funding for primary care training;AAFP FY 2018 federal spending priorities. HR 3358 & S 1771 - Funding for CDC Section 317 Program at the CDC: Public Health/Raising Tobacco Age. HR 3358, S 1771 & 4508 - Public Service Loan Forgiveness Program: Medical Student Debt Relief. HR 3358, S 1771 - FY 2018 appropriations for AHRQ: AAFP FY 2018 federal spending priorities. HR 3268, S 1603 HR 3358, S1771- Oppose tobacco riders in Ag bill & cut CDC's office on Smoking and Health: Public Health/Tobacco Control. HR 3394 - Teaching Health Centers GME program: Reauthorize and expand the THCGME program; Support continued funding for THC program. HR 3862 & S 1899 - National Health Service Corps: Support reauthorization of NHSC funding for five years. HR 3922 - Championing Healthy Kids Act: Reauthorize CHIP, NHSC, THCGME programs. No Bill No. - 2017 Value Based Payment Study: Adequate payment for Health care transformation. No Bill No. - Raising the budget caps for prevent sequester cuts: AAFP FY 2018 Federal spending priorities. No Bill No. - Primary Care and Preventative Health: Promoting healthy communities via primary care, disease prevention and workforce programs. No Bill No. - Children's Health Insurance Program: Reauthorize CHIP program for 5 years. No Bill No. - Support for Community Health Funding: Testimony and letters supporting the community health center program. No Bill No. - Affordable Care Act Defense: Support continued funding for Affordable Care Act. No Bill No. - Defend Medicaid Cuts: Defend changes to the entitlement nature of medicaid. No Bill No. - Defend MACRA and support its implementation: Defend MACRA from program changes.

Client expense: $897,384 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA)

Funding for Teaching Health Centers Graduate Medical Education (THCGME) program S. 1754 (Training the Next Generation of Primary Care Doctors Act of 2017), all provisions H.R. 3394 (Teaching Health Centers Graduate Medical Education Extension Act of 2017), all provisions H.R. 1370, Continuing Resolution, Section 3101 regarding funding for Teaching Health Centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-The Bipartisan Health Care Stabilization Act of 2017 (Alexander-Murray) (Health Reform) -Graham-Cassidy Affordable Care Act Repeal; Block Grant (Health Reform/Medicaid) -HR 3921, HR 3922, HR 3394, S 1827: Childrens Health Insurance Program (CHIP) reauthorization/Teaching Health Center Graduate Medical Education Program extension -Deferred Action for Childhood Arrivals (DACA) - Permanent Solution for DACA Status individuals including medical students and residents -Opioid Abuse Prevention and Treatment Funding

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

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

Teaching Health Centers; Health Information Technology and TeleHealth; Substance abuse and opioid use; 340B Drug Discount Program; Repeal/Replace of ACA; Graham-Cassidy Senate Amendment to the AHCA(1030); Teaching Health Centers Graduate Medical Education Act(H.R.3394); Training the Next Generation of Primary Care Doctors Act(S.1754).

Client expense: $250,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Funding for Teaching Health Centers Graduate Medical Education (THCGME) program S.1754 (Training the Next Generation of Primary Care Doctors Act of 2017), all provisions H.R. 3394 (Teaching Health Centers Graduate Medical Education Extension Act of 2017), all provisions H.R. 1370, Continuing Resolution, Section 3101 regarding funding for Teaching Health Centers

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Strengthening the Addiction Treatment Workforce Act (S.1453) All provisions related to adding addictions treatment facilities to the National Health Service Corps list of eligible sites for loan forgiveness, providing an incentive to providers who seek jobs at these facilities in underserved communities. The Second Chance Reauthorization Act of 2017 (H.R. 2899), all provisions related to supporting state and local reentry programs to reduce relapse and provides people leaving prison with post-release supportive services, including mental health and addiction treatment. Training the Next Generation of Primary Care Doctors Act of 2017 (H.R. 3394), all provisions related to reauthorizing the Teaching Health Center Graduate Medical Education (THCGME) Program for three more years.

Client expense: $51,019 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Agency for Healthcare Research and Quality Public Health Services Act, Title VII HR3728 Empower Act Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Student Loan Funding Teaching Health Centers, including reauthorization and funding-H.R.3394, S.1754, & H.R.3922 (Championing Healthy Kids Act)

Client expense: $58,400 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Health Insurance Coverage (general); Genetic Screening and Testing (general); Health Disparities (general); Emergency Contraception (general); Breastfeeding (general); Pregnancy Intention (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic Devices (general); Reproductive Health (general); Domestic Violence (general); Gun Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Child Welfare (general); Prematurity (general); Health Disparities (general); Prevention and Public Health Fund (general); Maternal Mortality and Morbidity (general); Imaging (general); Graduate Medical Education (general); Lab Developed Tests (general); Stem Cell Research (general); Contraception (general); Preeclampsia (general); National Health Service Corps (general); Community Health Centers (general); Abortion (general); Indian Health (general); Teaching Health Centers (general); H.R.3394/S. 1754, Teaching Health Centers Graduate Medical Education Extension Act of 2017/Training the Next Generation of Primary Care Doctors Act of 2017; Teen Pregnancy Prevention Program (general); Research in Pregnant and Breastfeeding Women (general); Healthy Start (general); Zika Virus (general); Health Care Reform (general); H.R.__/S. ___ Quality Care for Moms and Babies Act; H.R. 1318/S 1112, Preventing Maternal Deaths Act/Maternal Health Accountability Act; H.R. 1876/S. 781, Good Samaritan Health Professionals Act; H.R. 1215/S.___ Protecting Access to Care Act; H.R. 1704, Accessible Care by Curbing Excessive Lawsuits (ACCESS) Act; H.R. 1565, Saving Lives, Saving Costs Act;; H.R. 3120, To amend title XVIII of the Social Security Act to reduce the volume of future electronic health record-related significant hardship requests; H.R. 315/S. 783, Improving Access to Maternity Care Act; S. Res. 319, a resolution supporting the goals, activities, and ideals of Prematurity Awareness Month; H.Res. 495/S.Res. 336, a resolution recognizing the seriousness of Polycystic Ovary Syndrome; Hyde Amendment (General);; H.R. 671/ S. 210, the Global Health Empowerment and Rights (Global HER) Act; HR 4418, the Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act of 2017; H.R. 3602/S. 1653, Real Education for Healthy Youth Act; H.R. 421/S. 93, Allowing Greater Access to Safe and Effective Contraception Act; H. Res. 205, expressing the sense of the House of Representatives with respect to ensuring that womens health care under current law is preserved; H.R. 2567/ S. 2259, Access to Birth Control (ABC) Act; H.R. 4082/S. 1985, Protect Access to Birth Control Act; H.R. 490, Heartbeat Protection Act; H.R. 36, Pain-Capable Unborn Child Protection Act; H.R. 3842, Healthy Start Reauthorization Act; H.R.__/S. ___, the PREEMIE Reauthorization Act; H.R. 3692, Addiction Treatment Access Improvement Act;; H.R. 253/S. 1268, Family First Prevention Services Act/Child Protection and Family Support Act; H.R. 2545/S. 747, Special Diabetes Program for Indians Reauthorization Act; Personal Responsibility Education Program (general); Womens Preventive Services (general); S. ___, Bipartisan Heath Care Stabilization Act; H.R. ____, CHAMPION Act; H.R. 4101, School Milk Nutrition Act; H.R. 2417/ S. 1101, Pregnant Workers Fairness Act; Implementation of P.L. 114-91, Protecting Our Infants Act; Implementation of P.L. 114-198, Comprehensive Addiction and Recovery Act; Implementation of P.L. 114-255, 21st Century Cures Act.

Client expense: $485,365 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

S. J. Res. 16 a joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the independent payment Medicare advisory board H.J. Res 51/S. J. Res 17 Independent Payment Advisory Board Repeal H.R 1995 Value Based Insurance Design for Better Care Act H.R. 1038/S. 413 Improving Transparency and Accuracy in Medicare Part D Spending H.R. 1072/S. 222 Obamacare Replacement Act H.R. 1148/S. 431 Furthering Access to Stroke Telemedicine (FAST) Act H.R. 1628 American Health Care Act H.R. 1953/S. 830 Treat and Reduce Obesity Act H.R. 2267/S. 1301 Resident Physician Shortage Reduction Act H.R. 2550 Medicare Telehealth Parity Act H.R. 2556/S. 1016 CONNECT for Health Act H.R. 2797/S. 1334 Patient Choice and Quality Care Act H.R. 2824 Increasing Opportunity and Success for Children and Parents Through Evidence-Based Home Visiting Act H.R. 284 Advancing Medical Resident Training in Community Hospitals Act H.R. 2953/S. 2164 Preventive Health Savings Act H.R. 3044 to expand supplemental benefits to meet the needs of chronically ill Medicare Advantage enrollees H.R. 3059/S. 1441 Community Health Center and Primary Care Workforce Expansion Act H.R. 3124/S. 1299 Preventing Diabetes in Medicare Act H.R. 3168 to provide continued access to Medicare Advantage plans for special needs H.R. 3224 Critical Access and Rural Equity Act H.R. 3245 Medicare Civil and Criminal Penalties Act H.R. 3263 to extend the Medicare independence at home medical demonstration program H.R. 3358/S. 1771 Fiscal Year 2018 Labor-Health and Human Services-Education Appropriations Bill H.R. 3394 Teaching Health Centers Graduate Medical Education Extension Act H.R. 3447 Furthering Access to Coordinated Treatment for Seniors Act H.R. 3726 Stark Administrative Simplification Act of 2017 H.R. 3728 Empowering Medical Professionals and Optimizing Workforce Efficiency and Readiness Act H.R. 3820/S. 977 Medicare Home Health Flexibility Act H.R. 3862 National Health Service Corps Strengthening Act H.R. 3921 Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 3922 Continuing Community Health and Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 4541 Continuing Community Health and Medical Professional Programs to Improve Our Nation and Keep Insurance Delivery Stable H.R. 4613 Ensuring Patient Access to Healthcare Records Act H.R. 4619 to provide temporary relief from the annual fee imposed on health insurance providers, to the extent that such fee is due to Puerto Rican health insurance H.R. 4620 Protecting Families and Small Businesses Act H.R. 4006 Community-Based Independence for Seniors Act of 2017 H.R. 4520 to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017 H.R. 4552/S. 1291 Advancing Medical Training in Community Hospitals Act H.R. 4105 to extend the health professions workforce demonstration project H.R. 592/S. 109 Pharmacy and Medically Underserved Areas Enhancement Act H.R. 741/S. 243 Rural Hospital Regulatory Relief Act H.R. 766 Amend Title XVII of the Social Security Act to expand telehealth in Medicare H.R. 849/S. 260 Protecting Seniors' Access to Medicare Act H.R. 908 Medicare Advantage Quality Payment Relief Act H.R.3727 To amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes H.R. 4206/S. 2051 Medicare Care Coordination Improvement Act Introduction of the Healthcare Cybersecurity Improvement Act Introduction of the Stark Law Modernization Act of 2017 Pub L. 114-198 Comprehensive Addiction and Recovery Act Pub L. 115-31 Fiscal Year 2017 Consolidated Appropriations Act Pub L. 115-80 National Clinical Care Commission Act Pub. L. 102-143 Telephone Consumer Protection Act Pub. L. 111-148 Patient Protection and Affordable Care Act (PPACA) Pub. L. 111-5 The American Recovery and Reinvestment Act Pub. L. 114-10 Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255, 21st Century Cures Act Pub. L. 114-270 Expanding Capacity for Health Outcomes Act (ECHO) Pub L. 115-63 Disaster Relief and Airway Extension Act Pub. L. 115-96 2018 Continuing Resolution Reintroduction of TELE-MED Act of 2015 S. 1754 Training the Next Generation of Primary Care Doctors Act S. 1827 Keep Kids' Insurance Dependable and Secure Act S. 1829 Strong Families Act S. 1859 Healthcare Tax Relief Act S. 1899 to reauthorize and extend funding for community health centers and the National Health Service Corps S. 1967 Mandate Relief Act S. 191 Patient Freedom Act S. 251 Protecting Medicare from Executive Action Act S. 309 Community Based Independence for Seniors Act S. 464 Independence at Home Act S. 787 Telehealth Innovation and Improvement Act S. 870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act S. 1978 Small Business and Family Health Tax Relief Act

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

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

H. Res. 142/S. Res. 63 National Obesity Care Week Resolution S. Res. 325 National Obesity Care Week Resolution S. J. Res. 16 a joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the independent payment Medicare advisory board H.J. Res 51/S. J. Res 17 Independent Payment Advisory Board Repeal H.R 1995 Value Based Insurance Design for Better Care Act H.R. 1004 Regulatory Integrity Act H.R. 1009/S. 676 OIRA Insight, Reform, and Accountability Act H.R. 1038/S. 413 Improving Transparency and Accuracy in Medicare Part D Spending H.R. 1072/S. 222 Obamacare Replacement Act H.R. 1101 Small Business Health Fairness Act H.R. 1121 Pre-Existing Conditions Protection Act H.R. 1148/S. 431 Furthering Access to Stroke Telemedicine (FAST) Act H.R. 1215 Protecting Access to Care Act H.R. 1267/S. 482 Personal Health Investment Today Act H.R. 1304 Self-Insurance Protection Act H.R. 1313 Preserving Employee Wellness Programs Act H.R. 1554 Jessie's Law H.R. 1565 Saving Lives, Saving Costs Act H.R. 1628 American Health Care Act H.R. 1703 Medical Product Communications Act H.R. 184 Protect Medical Innovation Act H.R. 1953/S. 830 Treat and Reduce Obesity Act H.R. 2267/S. 1301 Resident Physician Shortage Reduction Act H.R. 246/S. 183 Jobs and Premium Protection Act H.R. 2550 Medicare Telehealth Parity Act H.R. 2556/S. 1016 CONNECT for Health Act H.R. 2797/S. 1334 Patient Choice and Quality Care Act H.R. 2824 Increasing Opportunity and Success for Children and Parents Through Evidence-Based Home Visiting Act H.R. 284 Advancing Medical Resident Training in Community Hospitals Act H.R. 2953/S. 2164 Preventive Health Savings Act H.R. 3044 to expand supplemental benefits to meet the needs of chronically ill Medicare Advantage enrollees H.R. 3059/S. 1441 Community Health Center and Primary Care Workforce Expansion Act H.R. 3120 to reduce the volume of future electronic health record-related significant hardship requests H.R. 3124/S. 1299 Preventing Diabetes in Medicare Act H.R. 3168 to provide continued access to Medicare Advantage plans for special needs H.R. 3224 Critical Access and Rural Equity Act H.R. 3245 Medicare Civil and Criminal Penalties Act H.R. 3263 to extend the Medicare independence at home medical demonstration program H.R. 3358/S. 1771 Fiscal Year 2018 Labor-Health and Human Services-Education Appropriations Bill H.R. 3394 Teaching Health Centers Graduate Medical Education Extension Act H.R. 3447 Furthering Access to Coordinated Treatment for Seniors Act H.R. 3545 Overdoes Prevention and Patient Safety Act H.R. 3726 Stark Administrative Simplification Act of 2017 H.R. 3728 Empowering Medical Professionals and Optimizing Workforce Efficiency and Readiness Act H.R. 3820/S. 977 Medicare Home Health Flexibility Act H.R. 3862 National Health Service Corps Strengthening Act H.R. 3921 Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 3922 Continuing Community Health and Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 4541 Continuing Community Health and Medical Professional Programs to Improve Our Nation and Keep Insurance Delivery Stable H.R. 4613 Ensuring Patient Access to Healthcare Records Act H.R. 4616 to provide for a temporary moratorium on the employer mandate and to provide for a delay in the implementation of the excise tax on high cost employer-sponsored health coverage H.R. 4617 to provide for a temporary moratorium on the medical device excise tax H.R. 4618 to provide for a temporary moratorium on certain taxes affecting purchases of prescription medication H.R. 4619 to provide temporary relief from the annual fee imposed on health insurance providers, to the extent that such fee is due to Puerto Rican health insurance H.R. 4620 Protecting Families and Small Businesses Act H.R. 4006 Community-Based Independence for Seniors Act of 2017 H.R. 4200/S. 2052 Healthcare Market Certainty and Mandate Relief Act H.R. 4520 to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2017 H.R. 4552/S. 1291 Advancing Medical Training in Community Hospitals Act H.R. 4105 to extend the health professions workforce demonstration project H.R. 592/S. 109 Pharmacy and Medically Underserved Areas Enhancement Act H.R. 706 Plan Verification and Fairness Act H.R. 741/S. 243 Rural Hospital Regulatory Relief Act H.R. 749 Lower Drug Costs Through Competition Act H.R. 766 Amend Title XVII of the Social Security Act to expand telehealth in Medicare H.R. 849/S. 260 Protecting Seniors' Access to Medicare Act H.R. 908 Medicare Advantage Quality Payment Relief Act H.R. 998 Searching for and Cutting Regulations that are Unnecessarily Burdensome (SCRUB) Act H.R.3545 Overdose Prevention and Patient Safety Act H.R.3727 To amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes H.R. 4206/S. 2051 Medicare Care Coordination Improvement Act Introduction of the Healthcare Cybersecurity Improvement Act Introduction of the Stark Law Modernization Act of 2017 Pub L. 114-198 Comprehensive Addiction and Recovery Act Pub L. 115-31 Fiscal Year 2017 Consolidated Appropriations Act Pub L. 115-80 National Clinical Care Commission Act Pub. L. 102-143 Telephone Consumer Protection Act Pub. L. 111-148 Patient Protection and Affordable Care Act (PPACA) Pub. L. 111-5 The American Recovery and Reinvestment Act Pub. L. 114-10 Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255, 21st Century Cures Act Pub. L. 114-270 Expanding Capacity for Health Outcomes Act (ECHO) Pub. L. 114-328 National Defense Authorization Act for Fiscal Year Pub. L. 114-329 American Innovation and Competitiveness Act Pub L. 115-63 Disaster Relief and Airway Extension Act Pub. L. 115-96 2018 Continuing Resolution Pub. L. 115-97 Tax Cuts and Jobs Act Reintroduction of TELE-MED Act of 2015 S. 108 Medical Device Access and Innovation Protection Act S. 297 Increasing Competition in Pharmaceuticals Act S. 1754 Training the Next Generation of Primary Care Doctors Act S. 1827 Keep Kids' Insurance Dependable and Secure Act S. 1829 Strong Families Act S. 1850 Protecting Jessica Grubbs Legacy Act (The Legacy Act) S. 1859 Healthcare Tax Relief Act S. 1899 to reauthorize and extend funding for community health centers and the National Health Service Corps S. 1967 Mandate Relief Act S. 191 Patient Freedom Act S. 251 Protecting Medicare from Executive Action Act S. 309 Community Based Independence for Seniors Act S. 464 Independence at Home Act H .R. 1933/S. 761 Health Care Options Act of 2017 S. 787 Telehealth Innovation and Improvement Act S. 870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act S. 1978 Small Business and Family Health Tax Relief Act S. Con. Res. 3 Budget Resolution

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

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

Teaching Health Center and Community Health Centers as follows: H.R.1148, Fast Act of 2017 H.R.3394, Teaching Health Centers Graduate Medical Education Extension Act of 2017 H.R.3823, Disaster Tax Relief and Airport and Airway Extension Act of 2017 Public Law 115-96, An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes, Further Additional Continuing Appropriations Act, FY2018 Public Law 115-97, An Act to provide for reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018, Tax Cuts and Job Acts H.R.3921, HEALTHY KIDS Act H.R.3922, CHAMPIONING HEALTHY KIDS Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

21st Century Cures Act (Public Law No: 114-255) H.R. 1628, American Health Care Act of 2017 H.R. 1628, Better Care Reconciliation Act (BCRA) Bipartisan Health Care Stabilization Act of 2017 Graham-Cassidy Repeal and Replace Bill S.1016, CONNECT for Health Act of 2017 S. 1850, Protecting Jessica Grubbs Legacy Act HR 3545, Overdose Prevention and Patient Safety Act H.R. 3394, Teaching Health Centers Graduate Medical Education Extension Act of 2017 Docket ID: SAMHSA-4162-20, Confidentiality of Substance Use Disorder Patient Records Childrens Health Insurance Program Reauthorization H.R. 3192 CHIP Mental Health Parity Act S. 1301 Resident Physician Shortage Reduction Act of 2017

Client expense: $60,261 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

-Advocacy related to the American Health Care Act and the Better Care Reconciliation Act, particularly preservation of the state option to expand Medicaid eligibility up to 138% of FPL and opposition to proposals that reduce federal support for state Medicaid programs. -Advocacy on behalf of HR 3394, the Teaching Health Center Graduate Medical Education Act, stable funding for the Children's Health Insurance Program and the National Health Service Corps; -Advocacy on behalf of expanding the preventive services safe harbor for Health Savings Account-eligible High-Deductible Health Plans to provide for better coverage of chronic care services

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Funding for Teaching Health Centers Graduate Medical Education (THCGME) program S. 1754 (Training the Next Generation of Primary Care Doctors Act of 2017), all provisions H.R. 3394 (Teaching Health Centers Graduate Medical Education Extension Act of 2017), all provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Funding for Teaching Health Centers Graduate Medical Education (THCGME) program S.1754 (Training the Next Generation of Primary Care Doctors Act of 2017), all provisions H.R. 3394 (Teaching Health Centers Graduate Medical Education Extension Act of 2017), all provisions

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

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

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Building a Health Care Workforce for the Future Act, H.R. 2574; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754; Educating Medical Professional and Optimizing Workforce Efficiency and Readiness Act of 2017, H.R. 3728.

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models; Proposed Rule (CMS-5517-FC) MACRA MIPS and APM Quality Payment Program administrative regulatory reductions for 2018. H.R. 1628, The American Health Care Act H.R. 2779: Assessing Critical Care Efforts to Strengthen Services (Access Act of 2017) H.R. 3921 HEALTHY KIDS ACT of 2017 (Childrens Health insurance Program Reauthorization (CHIP)) H.R. 3440 The Dream Act of 2017 H.R. 3394 Teaching Health Center Graduate Medical Education Extension Act of 2017 H.R. 3451 CARE Act: Creating Additional Residency Expansion Act (Teaching Health Centers) H.R. 2779 Access Act Health Care Reform Better Care Reconciliation Act Graham Cassidy Amendment to the American Health Care Act Senate HELP Committee Individual Market Stabilization S 1827 KIDS Act: Keep Kids Insurance Dependable and Secure Act of 2017 (Childrens Health Insurance Program Reauthorization (CHIP)) S 1615 The Dream Act of 2017

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

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

Health Insurance Coverage, Genetic Screening and Testing (general); Health Disparities (general); Emergency Contraception (general); Breastfeeding (general); Pregnancy Intention (general); Smoking Cessation (general); Substance Use Disorder (general); Gynecologic Cancer (general); Gynecologic devices (general); Reproductive Health (general); Domestic Violence (general); Immunization (general); Breast Cancer (general); E-Cigarettes (general); Medical Liability Reform (general); Health IT (general); Patient-Physician Relationship (general); Child Welfare (general); Prematurity (general); Health Disparities (general); Prevention and Public Health Fund (general); Maternal Mortality and Morbidity (general); Electronic Health Records (general); Imaging (general); Graduate Medical Education (general); Quality Improvement Measurement (general); Lab Developed Tests (general); Stem Cell Research (general); Contraception (general); Postpartum Depression (general); Preeclampsia (general); National Health Service Corps (general); Community Health Centers (general); Abortion (general); Indian Health Care Improvement Act (general); Indian Health (general); Teaching Health Centers (general); H.R.3394/S. 1754, Teaching Health Centers Graduate Medical Education Extension Act of 2017/Training the Next Generation of Primary Care Doctors Act of 2017; Teen Pregnancy Prevention Program (general); Research in Pregnant and Breastfeeding Women (general); Healthy Start (general); Zika Virus (general); Health Care Reform (general); Federal funding for Planned Parenthood (general); H.R.__/S. ___ Quality Care for Moms and Babies Act; H.R. 1318/S 1112, Preventing Maternal Deaths Act/Maternal Health Accountability Act; H.R. 1876/S. 781, Good Samaritan Health Professionals Act; H.R. 1215 Protecting Access to Care Act; H.R. 1704, Accessible Care by Curbing Excessive Lawsuits (ACCESS) Act; H.R. 1565, Saving Lives, Saving Costs Act; HR 548/S 527, Health Care Safety Net Enhancement Act; HR 3120, To amend title XVIII of the Social Security Act to reduce the volume of future electronic health record-related significant hardship requests; H.R. 315/S. 783, Improving Access to Maternity Care Act; Hyde Amendment (General); H.R. 421/S. 93, Allowing Greater Access to Safe and Effective Contraception Act; H.R3842, Healthy Start Reauthorization Act; H.R.__/S. ___, the PREEMIE Reauthorization Act; H.R. ___ legislation to protect the confidentiality of health care services; H.R. 3382, the Youth Opioid Use Treatment Help Act; H.R. 3692, Addiction Treatment Access Improvement Act; S. 1045, Save Womens Preventive Care Act; H.R. 253/S. 1268, Family First Prevention Services Act/Child Protection and Family Support Act; Gun violence (general); H.R. 2545/S. 747, Special Diabetes Program for Indians Reauthorization Act; Personal Responsibility Education Program (general); Womens Preventive Services (general); H.R. 1628, American Health Care Act/Better Care Reconciliation Act, Obamacare Repeal Reconciliation Act, Healthcare Freedom Act, Graham-Cassidy-Heller-Johnson Amendment ; H.R. 3635, Local Coverage Determination Clarification Act of 2017; H.R. 3922, CHAMPION Act; Implementation of P.L. 114-91, Protecting Our Infants Act; Implementation of P.L. 114-198, Comprehensive Addiction and Recovery Act; Implementation of P.L. 114-255, 21st Century Cures Act.

Client expense: $451,075 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Indian Health Service, Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), U.S. Agency for International Development (USAID), Veterans Affairs, Dept of (VA), White House Office

HR 1628 - American Health Care Act of 2017 (Graham Cassidy Amendment) Better Care Reconcilliation Act: Protecting ACA coverage gains, supporting bipartisan solutions; Educate members and staff on AAFP's positions on Health Care for all; advocate for changes to the AHCA and ultimately lobby against the bill. HR 3358 & S 1771 - FY18 appropriations for AHRQ, CMS, HRSA-Titles VII & X, NHSC, SAMSHA: AAFP FY 2018 federal spending priorities. HR 3394 - Teaching Health Centers GME program: Reauthorize and expand the innovative THCGME program; support continued funding for THC program. HR 3862 & HR 3922 - National Health Service Corps: Reauthorize NHSC funding for access to scholarships, debt relief and healthcare workforce. No Bill No. - Children's Health Insurance Program: Reauthorize CHIP program for 5 years; advocate for extension of CHIP beyond Sept. 30 funding dedline. No Bill No.- Congressional Primary Care Caucus: Urge members to join the Caucus and support Primary Care to achieve the triple aim in healthcare. No Bill No. - Direct Primary Care: DPC alternative to fee for service payment model. No Bill No. - Response to the 2018 proposed Medicare physician fee schedule: Making the fee schedule primary care friendly. No Bill No. - Response to the 2018 proposed Quality Payment Program: How to implement MIPS and APMs in 2018. No Bill No. - Urging CMS to use USPSTF recommendations: Need to focus on prevention No Bill No. - How to reduce regulatory burdens: Responding to request for ideas on reg reduction No Bill No. - Protecting access to Medicare Act of 2014 Lab Fee Regulation advocacy: Raised awareness to the Medicare Lab Fee Schedule, Need for better data, and potential primary care barriers. No Bill No. - Healthcare Town Hall: Protecting ACA coverage gains supporting bipartisan solutions No Bill No. - Medicaid Forum: Protecting ACA coverage gains.

Client expense: $706,028 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

HR 3358 & S 1771 - FY18 appropriations for AHRQ, CMS, HRSA-Titles VII & X, NHSC, SAMSHA: AAFP FY 2018 federal spending priorities. HR 3394 - Teaching Health Center GME: Help educate members about the need to extend the program; Support continued funding for THC program; Reauthorize and expand the innovative THCGME program. HR 3728 - Educating Medical Professionals & Optimizing Workforce Efficiency and Readiness Act: Reauthorize Title VII health professions training grants. HR 3862 & HR 3922 - National Health Service Corps: Reauthorize NHSC funding for access to scholarships, debt relief and healthcare workforce. No Bill No. - HRSA Advisory Committee on Training in Primary Care Medicine & Dentistry: Support for primary care in Title VII health professions grants. No Bill No. - Veteran's Administration family medicine GME program: Increase training of family medicine residents under VACAA in non-VA settings. No Bill No. Congressional Primary Care Caucus: Urge Members to join the caucus and support primary care to achieve the triple aim in healthcare.

Client expense: $706,028 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

HR 3358 & S 1771 - FY18 appropriations for AHRQ, CMS, HRSA-Titles VII & X, NHSC, SAMSHA: AAFP FY 2018 federal spending priorities. HR 3394 - Teaching Health Centers GME program: Reauthorize and expand the innovative THCGME program; support continued funding for THC program. No Bill No. - Health Professions and Nursing Education Coalition (HPNEC): FY18 funding for Title VII health professions training grants. No Bill No. - HRSA Advisory Committee on Training in Primary Care Medicine & Dentistry: Support for primary care in Title VII health professions grants. No Bill No. - Children's Health Insurance Program: Reauthorize CHIP program for 5 years.

Client expense: $706,028 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

H.R.1628, American Health Care Act of 2017, Health coverage issues Better Care Reconciliation Act H.R.1148, FAST Act of 2017 H.R.3394, Teaching Health Centers Graduate Medical Education Extension Act of 2017 H.R.3823, Disaster Tax Relief and Airport and Airway Extension Act of 2017, Teaching Health Center reauthorization provisions

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Agency for Healthcare Research and Quality Public Health Services Act, Title VII HR3728 Empower Act Council on Graduate Medical Education HRSA Primary Care Medicine and Dentistry Advisory Committee Affordable Care Act Implementation Student Loan Funding Teaching Health Centers, including reauthorization and funding - HR 3394, S 1754

Client expense: $54,624 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)

Teaching Health Centers; Health Information Technology and TeleHealth; Substance abuse and opioid use; 340B Drug Discount Program; Repeal/Replace of ACA; American Health Care Act(H.R.1628); To Amend the Veterans Access, Choice, and Accountability Act of 2014(S.544); Better Care Reconciliation Act (BCRA); Marketplace Certainty Act; Community Health Center and Primary Care Workforce Expansions Act (S.1441/H.R.3059). Graham-Cassidy Senate Amendment to the AHCA(1030); Teaching Health Centers Graduate Medical Education Act(H.R.3394); Training the Next Generation of Primary Care Doctors Act(S.1754).

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

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

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

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

American Health Care Act (H.R. 1628), all provisions related to the repeal and replacement of the Affordable Care Act, restructuring the Medicaid program into a block grant or per capita cap system and the elimination of required insurance coverage services like mental health and substance use. Better Care Reconciliation Act (Senate discussion draft), all provisions related to the repeal and replacement of the Affordable Care Act, restructuring the Medicaid program into a block grant or per capita cap system and the elimination of required insurance coverage services like mental health and substance use. Graham/Cassidy bill (Senate discussion draft) all provisions related to the repeal and replacement of the Affordable Care Act, restructuring the Medicaid program into a block grant or per capita cap system and the elimination of required insurance coverage services like mental health and substance use. Strengthening the Addiction Treatment Workforce Act (S.1453) All provisions related to adding addictions treatment facilities to the National Health Service Corps list of eligible sites for loan forgiveness, providing an incentive to providers who seek jobs at these facilities in underserved communities. The Second Chance Reauthorization Act of 2017 (H.R. 2899), all provisions related to supporting state and local reentry programs to reduce relapse and provides people leaving prison with post-release supportive services, including mental health and addiction treatment. Training the Next Generation of Primary Care Doctors Act of 2017 (H.R. 3394), all provisions related to reauthorizing the Teaching Health Center Graduate Medical Education (THCGME) Program for three more years.

Client expense: $221,390 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE