RAISE Family Caregivers Act

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the implementation of the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $1,060,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

Issues relating to access to care, health disparities, childhood cancer, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, tanning beds, clinical trials, skin cancer, and wellness, including: HR 1010, to provide that the short-term rule has no force or effect; HR 986 & S 466, Protecting Americans with Pre-Existing Conditions Act; HR 1425, State Health Care Premium Reduction Act; HR 1386, Expand Navigators Resources for Outreach, Learning, and Longevity Act of 2019; HR 1884, Protecting Pre-Existing Conditions & Making Health Care More Affordable Act of 2019; HR 987, Marketing and Outreach Restoration to Empower Health Education Act of 2019; Issues relating to curbing health care costs; Issues related to surprise medical billing; H.R.647, the Palliative Care and Hospice Education and Training Act; Issues related to Breast Density and Mammography Reporting; H.R.820 & S.292, the Childhood Cancer STAR Act; Anti-cancer medication cost-sharing parity respecting H.R. 1409; A national family caregiving strategy respecting S. 1719 and H.R. 1028; Access to medicines respecting S.204, the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017, as well as H.R.878, the Right to Try Act of 2017; Issues relating to FDA regulation of laboratory tests, Verifying Accurate Leading-edge IVCT Development Act of 2018 or the VALID Act of 2018; H.R. 4897 & S. 2358 Women and Lung Cancer Research and Preventive Services Act of 2018; Caregiving, including H.R. 3759/S. 1028, the RAISE Family Caregivers Act; H. Res. 282, supporting initiatives to encourage parents and guardians to take measures to prevent sunburns in minors they care for; H.R. 1966 & S 946, the Henrietta Lacks Enhancing Cancer Research Act of 2019, regarding decreasing disparities in access to cancer clinical trials; Additional issues related to reducing disparities in cancer clinical trials; Issues related to improving quality of life for cancer survivorship; H.R. 2222 and S. 1107, the Women and Lung Cancer Research and Preventative Services Act; and H.R. 1730 and S. 741, the Cancer Drug Parity Act.

Client expense: $660,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the implementation of the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $1,060,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Veterans Affairs, Dept of (VA)

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018

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

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

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $970,000 · Firm income: Not reported

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

Issues relating to access to care, health disparities, childhood cancer, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, tanning beds, clinical trials, skin cancer, and wellness, including: H.R.1676 & S.693, the Palliative Care and Hospice Education and Training Act; H.R. 4122 & S. 2006, the Breast Density & Mammography Reporting Act; and H.R.820 & S.292, the Childhood Cancer STAR Act. Issues relating to anti-cancer medication cost-sharing parity respecting H.R. 1409. Issues regarding a national family caregiving strategy respecting S. 1719 and H.R. 1028. Issues regarding access to medicines respecting S.204, the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017, as well as H.R.878, the Right to Try Act of 2017. Issues regarding lymphedema treatment respecting The Lymphedema Treatment Act, H.R. 930 and S. 497. The proposed Medical Records Fairness Act (no number yet). Issues regarding the Affordable Care Act premium tax credits and catastrophic plans, HR 6311. Issues regarding protections for people with pre-existing conditions, including S. 3388, HR 6898, and H. Res. 1066. Resolutions to disapprove the short-term rule, H.J. Res 140 and S. J. Res. 63. Advocacy against including the Association Health Plan provision of the House Farm bill in the conference report, H.R. 2 and s. 3042 (section 6004 of the House-passed version of the legislation). Issues involving patient navigation, including the Patient Navigation Assistance Act, HR 6808. H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, respecting Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, and protecting communities. Draft legislation on patient access to medical records. Draft legislation on FDA regulation of laboratory tests, Verifying Accurate Leading-edge IVCT Development Act of 2018 or the VALID Act of 2018. H.R. 4897 & S. 2358 Women and Lung Cancer Research and Preventive Services Act of 2018. Issues related to caregiving, including H.R. 3759/S. 1028, the RAISE Family Caregivers Act, H. Res. 282, supporting initiatives to encourage parents and guardians to take measures to prevent sunburns in minors they care for.

Client expense: $1,610,710 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Palliative Care and Hospice Education and Training Act (H.R. 1676, S. 693) - Urged Congress to support palliative care education for medical providers and reduce barriers to care for patients with serious or life-threatening illnesses. Patient Choice and Quality Care Act (H.R. 2797, S. 1334) - Supported the compassionate delivery of healthcare services to those with serious advanced illnesses. The Raise Family Caregivers Act (H.R. 3759) - Supported the development of programs which assist caregivers in administering care to critically ill family members. (FDA-2017-N-5608) - Urged the FDA to consider the benefits of opioid prescribing in light of seriously ill patients, and to increase provider education guidelines on pain management, palliative care and opioid misuse while developing criteria for the Opioid Policy Steering Committee. The Opioid Crisis Response Act of 2018 (S. 2680) - Supported palliative care patient access to pain management prescriptions. (CMS-9924-P) - Urged CMS to not finalize the proposed rule on short-term, limited-duration insurance plans.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE

Administrative and legislative monitoring and outreach related to healthcare. Monitor and outreach relating to the implementation of H.R. 3759, RAISE Family Caregivers Act (P.L. 115-119). H.R. 3325, ACE Kids Act. Monitor and outreach relating to the implementation of H.R. 6157, Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 (P.L. 115-245). H.R.6648, RAISE Act of 2018.

Client expense: Not reported · Firm income: $10,000

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

Administrative and legislative monitoring and outreach related to healthcare. Monitor and outreach relating to the implementation of H.R. 3759, RAISE Family Caregivers Act (P.L. 115-119). H.R. 3325, ACE Kids Act. Monitor and outreach relating to the implementation of H.R. 6157, Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 (P.L. 115-245). H.R.6648, RAISE Act of 2018.

Client expense: Not reported · Firm income: $10,000

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

PL 108173: Medicare Prescription Drug and Modernization Act of 2003; PL 111148: Patient Protection and Affordable Care Act; PL 111-152, 124 Stat. 1029: Health Care and Education Reconciliation Act of 2010; PL 113157: Autism CARES (Collaboration, Accountability, Research, Education and Support) Act of 2014; HR 1628: American Health Care Act of 2017; FY 2019 Labor, Health and Human Services, Education Appropriations; HR 1628: American Health Care Act of 2017/Better Care Reconciliation Act of 2017; HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; HR 3759/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 115-119); 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; and H.R. 5912/S. 2897: To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services and home health services furnished without an electronic visit verification system, and for other purposes.

Client expense: $55,061 · 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

H.R. 750, the Ensuring Access to Quality Complex Rehabilitation Technology Act H.R. 1628, the American Health Care Act H.R. 3759/S. 1028, the RAISE Family Care Givers Act Senate Draft Bill comprehensive vision coverage The Better Care Reconciliation Act The Draft Graham-Cassidy Health Care Bill The Community Choice Act Implementation of P.L. 111-148, the Patient Protection and Affordable Care Act

Client expense: $65,208 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CAN bill)

Client expense: $980,000 · Firm income: Not reported

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

Issues relating to access to care, health disparities, childhood cancer, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, tanning beds, skin cancer, and wellness, including: H.R.1676 & S.693, the Palliative Care and Hospice Education and Training Act; H.R. 4122 & S. 2006, the Breast Density & Mammography Reporting Act; H.R.820 & S.292, the Childhood Cancer STAR Act; and, H.R. 1231 & S. 456, the RACE for Children Act. In addition, issues related to reform of laboratory and diagnostic tests and the development of a new discussion draft for the Diagnostic Accuracy and Innovation Act; and H.R.772 and S.261, the Common Sense Nutrition Disclosure Act. Issues relating to anti-cancer medication cost-sharing parity respecting H.R. 1409. Issues regarding a national family caregiving strategy respecting S. 1719 and H.R. 1028. Issues regarding access to medicines respecting S.204, the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017, as well as H.R.878, the Right to Try Act of 2017. Issues regarding lymphedema treatment respecting The Lymphedema Treatment Act, H.R. 930 and S. 497. The proposed Medical Records Fairness Act (no number yet). Issues regarding the Affordable Care Act premium tax credits and catastrophic plans, HR 6311. Issues regarding protections for people with pre-existing conditions, including S. 3388, HR 6898, and H. Res. 1066. Resolutions to disapprove the short-term rule, H.J. Res 140 and S. J. Res. 63. Advocacy against including the Association Health Plan provision of the House Farm bill in the conference report, H.R. 2 and s. 3042 (section 6004 of the House-passed version of the legislation). Issues involving patient navigation, including the Patient Navigation Assistance Act, HR 6808. H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, respecting Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, and protecting communities. Draft legislation on patient access to medical records. Draft legislation on FDA regulation of laboratory tests. H.R. 4897 & S. 2358 Women and Lung Cancer Research and Preventive Services Act of 2018. Issues related to caregiving, including H.R. 3759/S. 1028, the RAISE Family Caregivers Act.

Client expense: $1,230,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Energy, Dept of, Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

S. 1625, FY 2018 Consolidated Appropriations Act (Royce) - funding for HHS programs and agencies, opioid initiatives, ACA risk corridors S. 2460, Every Prescription Conveyed Securely Act (Bennet) - opioid issues S. 2680, Opioid Crisis Response Act (Alexander) - opioid initiatives, mental health parity S. 2789, Substance Abuse Prevention Act (Cornyn) - opioid initiatives, restrictions on step therapy S. 2812, Air Ambulance Consumer Protection Act (McCaskill) - air ambulance S. 2891, Fighting the Opioid Epidemic with Sunshine Act (Grassley) - opioid issues S. 2892, Peer Support Enhancement and Evaluation Review Act (Cardin) - opioid issues S. 2898, Medication-Assisted Treatment Improvement Act (Casey) - opioid issues S. 2899, Caring Recovery for Infants and Babies Act (Brown) - opioid issues S. 2900, Comprehensive Screenings for Seniors Act (Brown) - opioid issues S. 2902, Better Data Sharing to Combat the Opioid Crisis Act (Cassidy) - opioid issues S. 2905, Strengthening Partnerships to Prevent Opioid Abuse Act (Toomey) - opioid issues S. 2910, Telehealth for Childrens Access to Services and Treatment Act (Roberts) - opioid issues S. 2911, Enhancing Patient Access to Non-Opioid Treatment Options (Heller) - opioid issues S. 2912, Opioid Addiction Treatment Programs Enhancement Act (Cassidy) - opioid issues S. 2920, Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act (McCaskill) - opioid issues S. 2922, Help for Moms and Babies Act (Stabenow) - opioid issues S. 2923, Building Capacity for Family-Focused Residential Treatment Act (Grassley) - opioid issues S. 2924, Supporting Family-Focused Residential Treatment Act (Scott) - opioid issues S. 2987, National Defense Authorization Act (Inhofe) S. 3120, the HEAL Substance Use Disorders Act (Hatch) - opioid initiatives S. 3158, FY 2019 Labor, HHS, Education Appropriations Act (Blunt) - HHS funding, ACA issues House version of FY 2019 Labor, HHS, Education Appropriations Act (Cole) - HHS funding, ACA issues H.R. 6, SUPPORT Patients and Families Act (Walden) - opioid initiatives, budget offsets H.R. 1215, Protecting Access to Care Act (King) - medical liability reform H.R. 1313, Preserving Employee Wellness Programs Act (Foxx) - employee wellness programs H.R. 2422, Action for Dental Health Act (Kelly) - oral health services and education for underserved populations H.R. 3331, adoption and use of EHR technology by behavioral health providers (Jenkins) - opioid issues H.R. 3528, Every Prescription Conveyed Securely Act (Clark) - opioid issues H.R. 3759, RAISE Family Caregivers Act (Harper-Castor) - support for family caregivers H.R. 4841, Standardizing Electronic Prior Authorization for Safe Prescribing Act (Schweikert) - opioid issues H.R. 4998, Health Insurance for Former Foster Youth Act (Bass) - opioid issues H.R. 5477, Rural DOCS Act (O'Halleran) - opioid issues H.R. 5562, Protecting NAS Babies Act (Jenkins) - opioid issues H.R. 5582, Abuse Deterrent Access Act (Carter) - opioid issues H.R. 5583, State reporting on certain adult health quality measures (Clarke) - opioid issues H.R. 5590, CMS Action Plan (Kinzinger) - opioid issues H.R. 5515, National Defense Authorization Act (Thornberry) H.R. 5714, Education for Disposal of Unused Opioids Act (Black) - opioid issues H.R. 5715, Strengthening Partnerships to Prevent Opioid Abuse Act (Renacci) - opioid issues H.R. 5716, COMPASS Act (Roskam) - opioid issues H.R. 5723, Expanding Oversight of Opioid Prescribing and Payment Act (Tenney) - opioid issues H.R. 5725, BEST Act (Roskam) - opioid issues H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act (Curbelo) - opioid issues H.R. 5775, Providing Reliable Options for Patients and Educational Resources Act (Paulsen) - opioid issues H.R. 5776, MOST Act (Neal) - opioid issues H.R. 5789, protections for pregnant and post-partum women (Foster) - opioid issues H.R. 5795, Overdose Prevention and Patient Safety Act (Blumenauer) - confidential sharing of substance use disorder information H.R. 5796, Responsible Education Achieves Care and Healthy Outcomes for Users' Treatment Act (Fitzpatrick) - opioid issues H.R. 5801, PARTNERSHIP Act (Griffith) - opioid issues H.R. 6082, Overdose Prevention and Patient Safety Act (Mullin) - confidential sharing of substance use disorder information Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to short term limited duration products; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to association health plans; issues related to cost-sharing reductions (CSRs); issues related to the refundable credit for coverage under a qualified health plan; issues related to small employer group size; issues related to Certificate of Public Advantage; issues relating to veterans health care; issues relating to family caregivers; and other issues relating to health care reform implementation.

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

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

Senators Alexander-Murray legislative proposal - Supported the continuation of Cost-sharing Reduction payments and marketplace outreach for greater enrollment as well as the implementation of a reinsurance program. Palliative Care and Hospice Education and Training Act (H.R. 1676, S. 693) - Urged Congress to support palliative care education for medical providers and reduce barriers to care for patients with serious or life-threatening illnesses. Patient Choice and Quality Care Act (H.R. 2797, S. 1334) - Supported the compassionate delivery of healthcare services to those with serious advanced illnesses. The Raise Family Caregivers Act (H.R. 3759) - Supported the development of programs which assist caregivers in administering care to critically ill family members. (FDA-2017-N-5608) - Urged the FDA to consider the benefits of opioid prescribing in light of seriously ill patients, and to increase provider education guidelines on pain management, palliative care and opioid misuse while developing criteria for the Opioid Policy Steering Committee. Protecting Jessica Grubbs' Legacy Act (S. 1850)/ Overdose Prevention and Patient Safety Act (H.R. 6082) - Supported amending the Health Insurance Portability and Accountability Act of 1996 to ensure provider access to patient substance abuse records. The Opioid Crisis Response Act of 2018 (S. 2680) - Supported palliative care patient access to pain management prescriptions. (CMS-9924-P) - Urged CMS to not finalize the proposed rule on short-term, limited-duration insurance plans.

Client expense: $170,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE

HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs Authority of Health Care Providers To Practice Telehealth S. 1028, H.R.3759 Recognize, Assist, Include, Support, and Engage Family Caregivers Act of 2017 or the RAISE Family Caregivers Act The Medicare Part D Six Protected Class Drugs Florida coverage determination regarding DAT-SPECT imaging with I-123 Ioflupane SPECT diagnostic imaging The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) system amendments regarding Parkinson's disease "OFF" episodes. Medicare drug formulary flexibility General drug pricing Drug Pricing Request for Information S.2553, the Know the Lowest Price Act of 2018, which prohibits restrictions, known as gag clauses, so that pharmacists will be free to provide important guidance to patients regarding how to effectively minimize their prescription drug costs S.2554, the Patient Right to Know Drug Prices Act, which prohibits restrictions, known as gag clauses, so that pharmacists will be free to provide important guidance to patients regarding how to effectively minimize their prescription drug costs H.R.6502, the RUSH Act of 2018, which would establish a program to allow qualified group practices to furnish certain items and services at qualified skilled nursing facilities to individuals entitled to benefits under part A and enrolled under part B of the Medicare program to reduce unnecessary hospitalizations, and for other purposes. Extension of the current 7.5 percent threshold for the medical expense deduction in Rep. Brady's Tax 2.0 legislation Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2019

Client expense: $18,530 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

PL 108173: Medicare Prescription Drug and Modernization Act of 2003; PL 111148: Patient Protection and Affordable Care Act; PL 111-152, 124 Stat. 1029: Health Care and Education Reconciliation Act of 2010; PL 113157: Autism CARES (Collaboration, Accountability, Research, Education and Support) Act of 2014; HR 1628: American Health Care Act of 2017; FY 2019 Labor, Health and Human Services, Education Appropriations; HR 1628: American Health Care Act of 2017/Better Care Reconciliation Act of 2017; HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; HR 3759/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 115-119); 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; and HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act; and H.R. 5912/S. 2897: To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services and home health services furnished without an electronic visit verification system, and for other purposes.

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

H.R. 750, the Ensuring Access to Quality Complex Rehabilitation Technology Act H.R. 1628, the American Health Care Act H.R. 3759/S. 1028, the RAISE Family Care Givers Act The Better Care Reconciliation Act The Draft Graham-Cassidy Health Care Bill The Community Choice Act Implementation of P.L. 111-148, the Patient Protection and Affordable Care Act

Client expense: $46,327 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Access to quality spiritual care; H.R. 1676 / S. 693, the Palliative Care and Hospice Education and Training Act (PCHETA); H.R. 2797 / S. 1334, the Patient Choice and Quality Care Act (PCQCA); H.R. 3759 / S. 1028, the Recognize, Assist, Include, and Engage (RAISE) Family Caregivers Act.

Client expense: Not reported · Firm income: $10,000

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

Access to quality spiritual care; H.R. 1676 / S. 693, the Palliative Care and Hospice Education and Training Act (PCHETA); H.R. 2797 / S. 1334, the Patient Choice and Quality Care Act (PCQCA); H.R. 3759 / S. 1028, the Recognize, Assist, Include, and Engage (RAISE) Family Caregivers Act.

Client expense: Not reported · Firm income: $10,000

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

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c).

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

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

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018

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

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

S. 1625, FY 2018 Consolidated Appropriations Act (Royce) - funding for HHS programs and agencies, opioid initiatives, ACA risk corridors S. 2460, Every Prescription Conveyed Securely Act (Bennet) - opioid issues S. 2680, Opioid Crisis Response Act (Alexander) - opioid initiatives, mental health parity S. 2789, Substance Abuse Prevention Act (Cornyn) - opioid initiatives, restrictions on step therapy S. 2812, Air Ambulance Consumer Protection Act (McCaskill) - air ambulance S. 2891, Fighting the Opioid Epidemic with Sunshine Act (Grassley) - opioid issues S. 2892, Peer Support Enhancement and Evaluation Review Act (Cardin) - opioid issues S. 2898, Medication-Assisted Treatment Improvement Act (Casey) - opioid issues S. 2899, Caring Recovery for Infants and Babies Act (Brown) - opioid issues S. 2900, Comprehensive Screenings for Seniors Act (Brown) - opioid issues S. 2902, Better Data Sharing to Combat the Opioid Crisis Act (Cassidy) - opioid issues S. 2905, Strengthening Partnerships to Prevent Opioid Abuse Act (Toomey) - opioid issues S. 2910, Telehealth for Childrens Access to Services and Treatment Act (Roberts) - opioid issues S. 2911, Enhancing Patient Access to Non-Opioid Treatment Options (Heller) - opioid issues S. 2912, Opioid Addiction Treatment Programs Enhancement Act (Cassidy) - opioid issues S. 2920, Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act (McCaskill) - opioid issues S. 2922, Help for Moms and Babies Act (Stabenow) - opioid issues S. 2923, Building Capacity for Family-Focused Residential Treatment Act (Grassley) - opioid issues S. 2924, Supporting Family-Focused Residential Treatment Act (Scott) - opioid issues S. 2987, National Defense Authorization Act (Inhofe) S. 3120, the HEAL Substance Use Disorders Act (Hatch) - opioid initiatives S. 3158, FY 2019 Labor, HHS, Education Appropriations Act (Blunt) - HHS funding, ACA issues House version of FY 2019 Labor, HHS, Education Appropriations Act (Cole) - HHS funding, ACA issues H.R. 6, SUPPORT Patients and Families Act (Walden) - opioid initiatives, budget offsets H.R. 1215, Protecting Access to Care Act (King) - medical liability reform H.R. 1313, Preserving Employee Wellness Programs Act (Foxx) - employee wellness programs H.R. 2422, Action for Dental Health Act (Kelly) - oral health services and education for underserved populations H.R. 3331, adoption and use of EHR technology by behavioral health providers (Jenkins) - opioid issues H.R. 3528, Every Prescription Conveyed Securely Act (Clark) - opioid issues H.R. 3759, RAISE Family Caregivers Act (Harper-Castor) - support for family caregivers H.R. 4841, Standardizing Electronic Prior Authorization for Safe Prescribing Act (Schweikert) - opioid issues H.R. 4998, Health Insurance for Former Foster Youth Act (Bass) - opioid issues H.R. 5477, Rural DOCS Act (O'Halleran) - opioid issues H.R. 5562, Protecting NAS Babies Act (Jenkins) - opioid issues H.R. 5582, Abuse Deterrent Access Act (Carter) - opioid issues H.R. 5583, State reporting on certain adult health quality measures (Clarke) - opioid issues H.R. 5590, CMS Action Plan (Kinzinger) - opioid issues H.R. 5515, National Defense Authorization Act (Thornberry) H.R. 5714, Education for Disposal of Unused Opioids Act (Black) - opioid issues H.R. 5715, Strengthening Partnerships to Prevent Opioid Abuse Act (Renacci) - opioid issues H.R. 5716, COMPASS Act (Roskam) - opioid issues H.R. 5723, Expanding Oversight of Opioid Prescribing and Payment Act (Tenney) - opioid issues H.R. 5725, BEST Act (Roskam) - opioid issues H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act (Curbelo) - opioid issues H.R. 5775, Providing Reliable Options for Patients and Educational Resources Act (Paulsen) - opioid issues H.R. 5776, MOST Act (Neal) - opioid issues H.R. 5789, protections for pregnant and post-partum women (Foster) - opioid issues H.R. 5795, Overdose Prevention and Patient Safety Act (Blumenauer) - confidential sharing of substance use disorder information H.R. 5796, Responsible Education Achieves Care and Healthy Outcomes for Users' Treatment Act (Fitzpatrick) - opioid issues H.R. 5801, PARTNERSHIP Act (Griffith) - opioid issues H.R. 6082, Overdose Prevention and Patient Safety Act (Mullin) - confidential sharing of substance use disorder information Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to short term limited duration products; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to association health plans; issues related to cost-sharing reductions (CSRs); issues related to the refundable credit for coverage under a qualified health plan; issues related to small employer group size; issues related to Certificate of Public Advantage; issues relating to veterans health care; issues relating to family caregivers; and other issues relating to health care reform implementation.

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

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

PL 108173: Medicare Prescription Drug and Modernization Act of 2003; PL 111148: Patient Protection and Affordable Care Act; PL 111-152, 124 Stat. 1029: Health Care and Education Reconciliation Act of 2010; PL 113157: Autism CARES (Collaboration, Accountability, Research, Education and Support) Act of 2014; HR 1628: American Health Care Act of 2017; FY 2019 Labor, Health and Human Services, Education Appropriations; HR 1628: American Health Care Act of 2017/Better Care Reconciliation Act of 2017; HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; HR 3759/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 115-119); 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; and HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act; and H.R. 5912/S. 2897: To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services and home health services furnished without an electronic visit verification system, and for other purposes.

Client expense: $47,764 · 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

H.R. 750, the Ensuring Access to Quality Complex Rehabilitation Technology Act H.R. 1628, the American Health Care Act H.R. 3759/S. 1028, the RAISE Family Care Givers Act The Better Care Reconciliation Act The Draft Graham-Cassidy Health Care Bill The Community Choice Act Implementation of P.L. 111-148, the Patient Protection and Affordable Care Act

Client expense: $53,114 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Senators Alexander-Murray legislative proposal - Supported the continuation of Cost-sharing Reduction payments and marketplace outreach for greater enrollment as well as the implementation of a reinsurance program. Palliative Care and Hospice Education and Training Act (H.R. 1676, S. 639) - Urged Congress to support palliative care education for medical providers and reduce barriers to care for patients with serious or life-threatening illnesses. Patient Choice and Quality Care Act (H.R. 2797, S. 1334) - Supported the compassionate delivery of healthcare services to those with serious advanced illnesses. The Raise Family Caregivers Act (H.R. 3759) - Supported the development of programs which assist caregivers in administering care to critically ill family members. (FDA-2017-N-5608) - Urged the FDA to consider the benefits of opioid prescribing in light of seriously ill patients, and to increase provider education guidelines on pain management, palliative care and opioid misuse while developing criteria for the Opioid Policy Steering Committee. Protecting Jessica Grubbs' Legacy Act (S. 1850) - Supported amending the Health Insurance Portability and Accountability Act of 1996 to ensure provider access to patient substance abuse records. The Opioid Crisis Response Act of 2018 (S. 2680) - Supported palliative care patient access to pain management prescriptions. (CMS-9924-P) - Urged CMS to not finalize the proposed rule on short-term, limited-duration insurance plans.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE

H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S.870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 S.670/H.R. 1652 - Over-the-Counter Hearing Aid Act H.R. 6 - SUPPORT for Patients and Communities Act H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. S.1732 - Improving Access to Behavioral Health Information Technology Act S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act S.1016/H.R. 2556 - CONNECT for Health Act of 2017 S.2120/H.R. 5034 - International Violence Against Women Act of 2017 S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 H.R.620 - ADA Education and Reform Act of 2017 S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 S. 1015/H.R.2345 - National Suicide Hotline Improvement Act of 2017 H.R.4704 - Nursing Home CARE Act S.2227/H.R. 5306 - EMPOWER Care Act S.2076/H.R. 4256 - BOLD Infrastructure for Alzheimer's Act S.2680 - Opioid Crisis Response Act of 2018 Improving Parity for Mental Health and Substance Use Disorder Coverage. H.R. 5942 - Health Equity and Accountability Act of 2018 Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities Opioid Epidemic 340B drug pricing issues Section 1115 waiver approval issues Medicare Part D program issues Medicaid non-emergency medical transportation (NEMT) issues

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018

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

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

Medicaid block grant/per capita caps; Medicaid Funding Threats/Reform; opposition to the ADA Education and Reform Act (H.R 620); ABLE Age Adjustment Act (H.R. 1874); ABLE to Work Act (H.R 1896); ABLE Financial Planning Act (H.R. 1897/S. 816); Able Age Adjustment Act (S. 817); Disability Integration Act (H.R. 2472/S. 910); Extension of Money Follows the Person Demonstration Project and support for the Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act (also known as the EMPOWER Care Act, S.2227/H.R. 5306); RAISE Family Caregiver Act (S. 1028/ H.R. 3759); Improving Access to Behavioral Health Information Technology Act (S. 1732/H.R. 3331) and CONNECT for Health Act (S. 1732/H.R. 2556); Administration Efforts regarding Opioid Use; Disproportionate Share Hospital Funding; Disability Integration Act (S. 910 /HR 2472); and other Extender Issues (Medicare Therapy Caps, Maternal, Infant, and Early Childhood Home Visiting Program; DSH Cut Delay).

Client expense: $196,828 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018.

Client expense: $990,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

HR 195 & HR 1625 - FY 2018 HHS Appropriations: AAFP FY 2018 federal spending priorities for primary care, training, research and Access. HR 3759 - RAISE Family Caregivers Act: Support family caregivers. HR 1892 - Teaching Health Centers GME program: Reauthorize THCGME funding. HR 1892 - Children's Health Insurance Program: Reauthorize CHIP Program for 5 years. HR 1892 - Community Health Centers: Reauthorize CHC funding for 5 years. HR 1892 - Medicaid disproportionate share hospital payments: Reauthorize Medicaid DSH. HR 3862 & S 1899 & HR 1892 - National Health Service Corps: Sustainable funding for NHSC to provide access and debt relief. HR 3964 & drafts - Preventing Opioid Misuse/Diversion: Improve treatment access, Partial Fill and Drug Monitoring; support evidence-based approaches to curb opioid abuse. No Bill No. - Direct Primary Care:advocate for co-sponsorship of bill to allow Americans with HSAs to use DPCs. No Bill No. - Administrative Burden: Advocate for end to E/M documentation guidelines, AUC, etc. in WM Red Tape Relief initiative; 1 hour of clinical time = 2 additional hours of EHR. No Bill No. - Physician Payment: Share details about APC-APM, ask for support in getting model tested at HHS. No Bill No. - Insurance Market Stabilization: Healthcare coverage for all - premium reduction, reinsurance & cost sharing reduction; urge congress to include legislative provisions for premium reduction, reinsurance and funding for Cost Sharing Reduction benefits in the Omnibus bill. 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. - Association Health Plans: AHPs do not provide meaningful insurance coverage. 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

HR 3759 - RAISE Family Caregivers Act: Support family caregivers.

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

HR 195 & HR 1625 - FY 2018 HHS Appropriations: AAFP FY 2018 federal spending priorities for primary care, training, research and Access. HR 1892 - Children's Health Insurance Program: Reauthorize CHIP Program for 5 years. HR 1892 - Community Health Centers: Reauthorize CHC funding for 5 years. HR 1892 - Medicaid disproportionate share hospital payments: Reauthorize Medicaid DSH. HR 3759 - RAISE Family Caregivers Act: Support family caregivers. HR 3862 & S 1899 & HR 1892 - National Health Service Corps: Sustainable funding for NHSC to provide access and debt relief. 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 E/M documentation guidelines, AUC, etc. in WM Red Tape Relief initiative; 1 hour of clinical time = 2 additional hours of EHR. No Bill No. - Physician Payment: Share details about APC-APM, ask for support in getting model tested at HHS. No Bill No. - President's FY2019 budget request for AHRQ, HRSA, CMS, CDC, SAMHSA: AAFP federal spending priorities. No Bill No. - 2019 Medicare Advantage and Part D: Access to services, CARA implementation. No Bill No. - Reducing burdens in HIT: How to make EHR use easier for MDs. No Bill No. - Medicare shared savings program: Areas impacted by hurricanes/fires. No Bill No. - Part 2 of 2019 Medicare Advantage Rule: Less prior authorizations. No Bill No. - Clinical lab personnel changes: Education requirements for lab employees. No Bill No. - MyHealthEData: Access to patient's info and EHR use. No Bill Mo. - Support of the AAFP's APC-APML Urging Sec to support the PTAC recommendation. 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

-Bipartisan Health Care Stabilization Act, support bipartisan efforts led by Senators Alexander and Murray to stabilize and improve the individual health insurance market while protecting people with chronic conditions. -H.R. 807/S.253, Medicare Access to Rehabilitation Services Act, support passage. -H.R. 1892, Bipartisan Budget Act of 2018, support repeal of the Medicare therapy cap. -S. 1028/H.R. 3759, RAISE Family Caregivers Act, support passage. -H.R. 2439/S. 1131, FAIR Drug Pricing Act, support passage. - H.R. 2212/ S. 974, Creating and Restoring Equal Access To Equivalent Samples Act of 2017 (CREATES Act), support passage. -H.R. 2077, Restoring Patients Voice Act, support passage. -S. 637, Creating Transparency to Have Drug Rebates Unlocked (C-THRU) Act, support passage. - H.R. 2051, Fair Access for Safe and Timely Generics Act of 2017 (FAST Generics Act), support passage. -H.R. 750, support passage of the Ensuring Access to Quality Complex Rehabilitation Technology Act. -H.R. 1361/S. 486/H.R. 3730, support passage to protect access to complex rehabilitative technology accessories. -H.R. 2535/S. 1188, Lifespan Respite Care Reauthorization Act, support reauthorization of the Lifespan Respite Care Program. -HR 2575/S. 1909, Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act

Client expense: $149,531 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Children's Health Insurance Program (CHIP) Support a five-year extension through to fiscal year 2022. H.R.1749, VET CARE Act of 2017. Support. H.R.3759/S.1028, RAISE Family Caregivers Act. Support. Need to fill the Chief Dental Officer vacancy at CMS. (no bill) General discussion of oral health's importance to one's overall, systemic health and well-being.

Client expense: Not reported · Firm income: $6,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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.

Client expense: $2,190,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Equal Employment Opportunity Commission (EEOC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Veterans Affairs, Dept of (VA)

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.

Client expense: $2,109,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Equal Employment Opportunity Commission (EEOC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Veterans Affairs, Dept of (VA)

H.R. 1215, Protecting Access to Care Act (King) - medical liability reform H.R. 1313, Preserving Employee Wellness Programs Act (Foxx) - employee wellness programs S. 1625, FY 2018 Consolidated Appropriations Act (Royce) - funding for HHS programs and agencies, opioid initiatives, ACA risk corridors H.R. 2422, Action for Dental Health Act (Kelly) - oral health services and education for underserved populations H.R. 3759, RAISE Family Caregivers Act (Harper-Castor) - support for family caregivers Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; cybersecurity; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment; dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations; issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to short term limited duration products; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); issues related to business continuity in relation to pandemics or natural events (e.g., hurricane, tornado, etc.); issues related to association health plans; issues related to cost-sharing reductions (CSRs); issues related to the refundable credit for coverage under a qualified health plan; issues related to small employer group size; issues related to Certificate of Public Advantage; issues relating to veterans health care; issues relating to family caregivers; and other issues relating to health care reform implementation.

Client expense: $2,280,000 · Firm income: Not reported

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

* S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 * H.R.3728 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness Act of 2017 (EMPOWER Act) * S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 * H.R.3692 - Addiction Treatment Access Improvement Act of 2017 * S. 2317 - Addiction Treatment Access Improvement Act of 2018 * S. 2456/H.R. 5311- CARA 2.0 Act of 2018 * H.R.1478 - Gun Violence Research Act * Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act * Priorities for health care reform * Opioid Abuse Epidemic

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

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

PL 108173: Medicare Prescription Drug and Modernization Act of 2003; PL 111148: Patient Protection and Affordable Care Act; PL 111-152, 124 Stat. 1029: Health Care and Education Reconciliation Act of 2010; PL 113157: Autism CARES (Collaboration, Accountability, Research, Education and Support) Act of 2014; HR 1628: American Health Care Act of 2017; FY 2019 Labor, Health and Human Services, Education Appropriations; HR 1628: American Health Care Act of 2017/Better Care Reconciliation Act of 2017; HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; HR 3759/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 115-119); 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; and HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act.

Client expense: $64,578 · 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

Support for - RAISE Family Caregivers Act (S.1028/HR3759)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

"H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act "S.870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 "Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act "S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 "S.670/H.R. 1652 - Over-the-Counter Hearing Aid Act "H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. "S.1732 - Improving Access to Behavioral Health Information Technology Act "S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act "S.1016/H.R. 2556 - CONNECT for Health Act of 2017 "S.2120/H.R. 5034 - International Violence Against Women Act of 2017 "S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. "S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 "H.R.620 - ADA Education and Reform Act of 2017 "S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. "H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. "H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act "S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 "S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 "S. 1015/H.R.2345 - National Suicide Hotline Improvement Act of 2017 "H.R.4704 - Nursing Home CARE Act "S.2227/H.R. 5306 - EMPOWER Care Act "S.2076/H.R. 4256 - BOLD Infrastructure for Alzheimer's Act "Improving Parity for Mental Health and Substance Use Disorder Coverage. "Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. "Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities "Opioid Epidemic

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

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

"S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 "S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 "H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 "S. 2317 - Addiction Treatment Access Improvement Act of 2018 "S. 2456/H.R. 5311- CARA 2.0 Act of 2018 "H.R.1478 - Gun Violence Research Act "Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act "Priorities for health care reform "Opioid Abuse Epidemic

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

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

H.R. 750, the Ensuring Access to Quality Complex Rehabilitation Technology Act H.R. 1628, the American Health Care Act H.R. 3759, the RAISE Family Care Givers Act S. 1028, the RAISE Family Care Givers Act The Better Care Reconciliation Act The Draft Graham-Cassidy Health Care Bill The Community Choice Act Implementation of P.L. 111-148, the Patient Protection and Affordable Care Act

Client expense: $68,584 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Access to quality spiritual care; S. 870, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act; H.R. 1676 / S. 693, the Palliative Care and Hospice Education and Training Act (PCHETA); H.R. 2797 / S. 1334, the Patient Choice and Quality Care Act (PCQCA); H.R. 3759 / S. 1028, the Recognize, Assist, Include, and Engage (RAISE) Family Caregivers Act.

Client expense: Not reported · Firm income: $10,000

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