Care Corps Demonstration Act of 2017

PL 109442: Lifespan Respite Care Act; PL 109365: Older Americans Act Amendments of 2006; PL 111148: The Patient Protection and Affordable Care Act; PL 111152: Affordable Health Care for America Act; PHS 42 USC 254C8: Healthy Start Reauthorization of 2007; PL 111192: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act; PL 111-152, 124 Stat. 1029: Health Care & Education Reconciliation Act; HR 1628: American Health Care Act of 2017; S 253/HR 807: Medicaid Access to Rehabilitation Services Act of 2017; FY 2017/2018 Labor, Health and Human Services, Education Appropriations; HR 3758/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 11-119); HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act; HR 3493: Care Corps Demonstration Act; HR 6: SUPPORT (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment) for Patients and Communities Act; S 1091/HR 3105: Supporting Grandparents Raising Grandchildren Act (PL 115-196); and HR 6157: Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 (PL 115-245); and S 2227/H 5306: EMPOWER (Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources) Care Act.

Client expense: $46,018 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

P.L. 115-119, RAISE Family Caregivers Act - Discussed implementation and funding with ACL, HHS, Senate, and House staff. S. 1151/H.R. 2505, Credit for Caring Act, H.R. 3493, Care Corps Demonstration Act; Assisting Caregivers Today (ACT) Caucus - Discussed these bills and the ACT Caucus, family caregiving more broadly and the long-term care/direct care workforce. Shared information and data on family caregiving and suggested other resources with Senate staff. P.L. 115-119, RAISE Family Caregivers Act; S. 1151/H.R. 2505, Credit for Caring Act - Discussed bills and provided feedback on policy ideas regarding caregiving and retirement security with GAO staff. No bill number, Guardianship Abuse Prevention Act - Provided feedback on draft bill for Senate staff. No bill number, Lifespan Respite Care Reauthorization Act of 2018 - Discussed and provided feedback on family caregiving bill with House staff. H.R. 3493, Care Corps Demonstration Act - Provided feedback on revised bill and discussed the legislation with House staff. Discussed social isolation with Senate staff. H.R. 2535/S. 1188, Lifespan Respite Care Reauthorization Act; H.R. 4219, the Workflex in the 21st Century Act; Assisting Caregivers Today (ACT) Caucus; Older Americans Act law (no bill number) - Discussed these bills, family caregiving broadly and paid direct care workforce issues. Shared information and data on family caregiving and suggested other resources. Sent materials from Family Caregiving: Medicare and Medicaid briefing to House and Senate staff attendees. Discussed Patient Choice and Quality Care Act (S. 1334/H.R. 2797), Elder Abuse Prevention and Prosecution Act (P.L. 115-70) and guardianship broadly in response to Senate Aging Committee stakeholder inquiry. H.R.6157, Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 - Lobbied in support of funding for various programs, including Social Security administrative expenses, senior nutrition (USDA Commodity Supplemental Food program and Older Americans Act Title III), caregiving, energy assistance, supportive services, housing and volunteer community service programs. Sent Treasury letter requesting guidance on the recently enacted tax credit to encourage employers to provide paid family and medical leave. Discussed opposition to paid family leave through Social Security.

P.L. 111-375 National Alzheimer's Project Act, All Sections S.311/H.R.2972 Alzheimer's Caregiver Support Act H.R. 1676/S. 693 The Palliative Care and Hospice Education and Training Act S. Res 49 A resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority H.R.2953/S.2164 Preventive Health Savings Act S. 464 the Independence at Home Act of 2017 S. 547 Senior Financial Empowerment Act of 2017 S. 1606 In-Home CARE Act H.R.2505/S.1151 Credit for Caring Act H.R.2797/S.1334 Patient Choice and Quality Care Act H.R.2973/S.2208 Alzheimer's Disease Semipostal Stamp Act S.2076/H.R.4256 BOLD Infrastructure for Alzheimer's Act S.1188/H.R.2535 Lifespan Respite Care Reauthorization Act H.R.5191 Medical Improvement of Neurodegenerative Diseases (MIND) Act of 2018 S.2387/H.R.4957 Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act of 2018 H.R.3493 Care Corps Demonstration Act

Client expense: $400,000 · Firm income: Not reported

S. 3158, Labor-HHS Appropriations bill for FY 2019 - Lobbied in support of funding for various programs, including Social Security administrative expenses, senior nutrition (USDA Commodity Supplemental Food program and Older Americans Act Title III), caregiving, energy assistance, supportive services, housing and volunteer community service programs. P.L. 115-119, RAISE Family Caregivers Act - Discussed implementation and thank you for support and passage of the legislation. P.L. 115-119, Sent letter on RAISE Family Caregivers Act implementation. P.L. 115-119, Requested a hearing question be asked of HHS Secretary Azar on RAISE Family Caregivers Act implementation. Family Caregiving: Medicare and Medicaid Hill briefing - discussed family caregiving, Medicare and Medicaid and RAISE Family Caregivers Act (P.L. 115-119). Invited House and Senate staff. Discussed invitation to AARP PPI roundtable on family caregiving with ACL staff. H.R. 3493, Care Corps Demonstration Act - Discussed the bill itself and support for the legislation; shared letter of support. Discussed family caregiver tax credit. Discussed family caregiving and opioids. P.L. 115-196, S. 1091/H.R. 3105, Discussed support for Supporting Grandparents Raising Grandchildren Act. Discussed family caregiving roundtable discussion invitation with ACL staff. Discussed family caregiving and retirement security including (P.L. 115-119) RAISE Family Caregivers Act and (S. 1151/H.R. 250) Credit for Caring Act with GAO staff. Discussed, caregiving, long-term care, voter education, issues important to older adults. Discussed support for family caregivers. Scheduled meeting to discuss Caregiver Corps. Discussed Medicare post-acute care, family caregivers and ways to support them. Lobbied on paid leave thru Social Security (no bill); S. 337, FAMILY Act

Client expense: $2,220,000 · Firm income: Not reported

Mental health and substance use treatment workers Health Care Workplace Violence Prevention Act Improving the working conditions for EMS workers HR 3493, HR 3494- National Care Corps Program Improving staffing levels in state veterans homes Federal income tax exclusion for employer-sponsored health care HR 173, S 58- Middle Class Health Benefits Tax Repeal Act, 40% tax on employer-sponsored high-cost health benefits Children's Health Insurance Program (CHIP) Puerto Rico Medicaid Funding: Par with states

Client expense: $580,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6- Expanding access to psychiatric and substance use disorder treatment Protecting the rights of Homecare workers HR 3493, HR 3494- National Care Corps Program HR 6042- Delay of electronic visit verification requirement Improving staffing levels in state veterans homes Medicaid funding, benefits, coverage Medicare funding, benefits, policy, eligibility age, means tests, spending equity across jurisdictions

Client expense: $580,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 5102, S 2524- Loan repayment for Substance Use Disorder Workforce Mental health and substance use treatment workers Funding for workers health and safety programs Health Care Workplace Violence Prevention Act Improving the working conditions for EMS workers Protecting the rights of Homecare workers HR 3493, HR 3494- National Care Corps Program HR 355, HR 3858- DOL Fiduciary Rule Federal employee pension benefits HR 1364- Official Time, including Official Time Reform Act Federal Employee health care, retirement, other benefits Collection of Union Dues Federal Labor Relations Authority Regional Office Closings Jobs Guarantee Bill HR 6238, S 3151- Public Service Workers Fairness Act HR 4548- WAGE Act S 140- Tribal Labor Sovereignty S 2810- Workplace Democracy Act Public Service Freedom to Negotiate Act Janus- Right-to-Work Policies

Client expense: $580,000 · Firm income: Not reported

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Recognition and payment for telehealth services under Medicare and Medicaid. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Advance care planning services. Appropriations for family caregiver support programs. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. H.R. 3728, EMPOWER Act. Medicare Part D Auto-escalation. Independent Payment Advisory Board Repeal. Protection for recipients of home and community-based services against spousal impoverishment. H.R. 3493, Care Corps Demonstration Act of 2017. S. 1028, RAISE Family Caregivers Act. H.R. 1892, Bipartisan Budget Act of 2018. H.R. 1625, Consolidated Appropriations Act of 2018.

S. 1028/H.R.3759, P.L. 115-119, RAISE Family Caregivers Act - Discussed RAISE Family Caregivers Act implementation, Older Americans Act; social isolation (shared report and related invitation to an event); and homelessness/housing for older adults (shared related research and resources). (HHS ASPE) S. 1028/H.R.3759, P.L. 115-119, RAISE Family Caregivers Act - Discussed Senate consideration of the bill, thanked House and Senate offices, discussed implementation and letter to HHS on implementation. (House and Senate) Discussed the Assisting Caregivers Today (ACT) Caucus, abuse in nursing homes, long-term care facility arbitration, long-term care ombudsman program, and elder financial abuse. Responded to inquiry on family caregivers of people with mental health needs and mental health education programs. (no bill number) (Senate) S.1151/H.R. 2505, Credit for Caring Act - Discussed the legislation and next steps. H.R. 3493, Care Corps Demonstration Act of 2017 - Discussed this legislation in response to an inquiry. (Senate) Provided ideas on possible long-term services and supports briefing speakers. (no bill number) (Senate) Responded to inquiry on family caregiving and retirement security. (GAO) S. 218/H.R. 624, P.L. 115-59, Social Security Number Fraud Prevention Act; S. 223/H.R. 3758, Senior Safe Act; H.R. 2721, Seniors Tax Simplification Act; S. 547, Senior Financial Empowerment Act - Discussed AARPs support for these bills and provided family caregiving resources. H.R. 1625, Consolidated Appropriations Act for FY 2018, (P.L. 115-141), H.R.3354, Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R. 244, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3268 & S. 1603) Agriculture-Rural Development & Related Agencies bill for FY 2018, Labor-HHS Appropriations bill for FY 2018 (H.R. 3358 & S. 1771), Transportation-HUD Appropriations bill for FY 2018 (H.R. 3353 & S. 1655), and Energy & Water Appropriation bill for FY 2018 (H.R. 3266 & S. 1609) - Lobbied in support of funding for various programs, including Social Security administrative expenses, senior nutrition (Commodity Supplemental Food program and Older Americans Act Title III), caregiving, energy assistance, supportive services, housing and volunteer community service programs.

S. 1028/H.R.3759, P.L. 115-119, RAISE Family Caregivers Act - Discussed RAISE Family Caregivers Act implementation, Older Americans Act; social isolation (shared report and related invitation to an event); and homelessness/housing for older adults (shared related research and resources). (HHS ASPE) S. 1028/H.R.3759, P.L. 115-119, RAISE Family Caregivers Act - Discussed Senate consideration of the bill, thanked House and Senate offices, discussed implementation and letter to HHS on implementation. (House and Senate) Discussed the Assisting Caregivers Today (ACT) Caucus, abuse in nursing homes, long-term care facility arbitration, long-term care ombudsman program, and elder financial abuse. Responded to inquiry on family caregivers of people with mental health needs and mental health education programs. (no bill number) (Senate) S.1151/H.R. 2505, Credit for Caring Act - Discussed the legislation and next steps. H.R. 3493, Care Corps Demonstration Act of 2017 - Discussed this legislation in response to an inquiry. (Senate) Provided ideas on possible long-term services and supports briefing speakers. (no bill number) (Senate) Responded to inquiry on family caregiving and retirement security. (GAO) S. 218/H.R. 624, P.L. 115-59, Social Security Number Fraud Prevention Act; S. 223/H.R. 3758, Senior Safe Act; H.R. 2721, Seniors Tax Simplification Act; S. 547, Senior Financial Empowerment Act - Discussed AARPs support for these bills and provided family caregiving resources. H.R. 1625, Consolidated Appropriations Act for FY 2018, (P.L. 115-141), H.R.3354, Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R. 244, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3268 & S. 1603) Agriculture-Rural Development & Related Agencies bill for FY 2018, Labor-HHS Appropriations bill for FY 2018 (H.R. 3358 & S. 1771), Transportation-HUD Appropriations bill for FY 2018 (H.R. 3353 & S. 1655), and Energy & Water Appropriation bill for FY 2018 (H.R. 3266 & S. 1609) - Lobbied in support of funding for various programs, including Social Security administrative expenses, senior nutrition (Commodity Supplemental Food program and Older Americans Act Title III), caregiving, energy assistance, supportive services, housing and volunteer community service programs.

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Advance care planning services. Appropriations for family caregiver support programs. Case mix creep payment cuts. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. Medicare Home Health Rebasing Relief and Reassessment Act (pending). H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). Home Health Access Protection Act (draft legislation) Verifying Electronically the Receipt of In-Home Care for Individuals Act or the VERIFI Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Audit and Appeals Fairness, Integrity, and Reforms in Medicare (AFIRM) Act (pending). Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. S. 227, EMPOWER Act. Medicare Part D Auto-escalation. Independent Payment Advisory Board Repeal. Cuts to Medicare and Medicaid via tax reform. Protection for recipients of home and community-based services against spousal impoverishment. H.R. 3493, Care Corps Demonstration Act of 2017. S. 1028, RAISE Family Caregivers Act.

S. 1151, H.R. 2505, Credit for Caring Act - Discussed AARP support for/endorsement of the bill and urged cosponsorship. Discussed logistics with invited Members of Congress/Senators offices to speak at an event regarding family caregiving, Credit for Caring Act, and tax reform. S. 1028,H.R. 3759, Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act - Discussed AARP support for/endorsement of the bill, changes to the bill, Senate action on bill, and reintroduction of the bill in the House and urged cosponsorship. Responded to questions regarding Virtual Caregiving Fair. S. 1606, In-Home Caregiver Assessment Resources and Education Act - Discussed and endorsed bill. Discussed the Assisting Caregivers Today (ACT) Caucus and encouraged joining the caucus. Discussed our support for the RAISE Family Caregivers Act (S. 1028/H.R. 3759), Credit for Caring Act (S. 1151/H.R. 2505), and administrative ways to support family caregivers (HHS). Discussed long-term services and supports financing recommendations. Shared information on family caregiver out-of-pocket costs, rural family caregivers, and military caregivers. H.R. 3493, Care Corps Demonstration Act - Discussed bill. Responded to inquiry from Medicares Beneficiary and Family Centered Care - National Coordinating Center (BFCC-NCC) (CMS). Inquired about accessing BRFSS family caregiver data (CDC). Discussed family caregiver assessment provision in 1915(i) final rule (CMS). Discussed programs that pay family caregivers to provide care and shared publication on promising practices to support dementia caregivers. Extended invitations to MoCs/Senators to participate in a panel at a caregiving event. H.J. Res. 99 (P.L. 115-30), H.R. 244, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3268 & S. 1603) Agriculture-Rural Development & Related Agencies bill for FY 2108, Labor-HHS Appropriations bill for FY 2018 (H.R. 3358 & S. 1771), Transportation-HUD Appropriations bill for FY 2018 (H.R. 3353 & S. 1655), and Energy & Water Appropriation bill for FY 2018 (H.R. 3266 & S. 1609) - Lobbied in support of funding for various programs, including Social Security administrative expenses, senior nutrition (Commodity Supplemental Food program and Older Americans Act Title III), caregiving, energy assistance, supportive services, housing and volunteer community service programs.