National Health Service Corps Strengthening Act of 2017

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 195 & HR 1625 - FY 2018 HHS Appropriations: AAFP FY 2018 federal spending priorities for primary care, training, research and Access. HR 1892 - Teaching Health Centers GME program: Reauthorize THCGME funding. HR 1892 - Children's Health Insurance Program: Reauthorize CHIP Program for 5 years. HR 1892 - Maternal Infant and Early Childhood Home visiting Program: Reauthorize MIECHV funding. HR 1892 - Community Health Centers: Reauthorize CHC funding. 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. No Bill No. - Insurance Market Stabilization: Healthcare coverage for all - premium reduction, reinsurance & cost sharing reduction. No Bill No. - President's FY2019 budget request for AHRQ, HRSA, CMS, CDC, SAMHSA: AAFP federal spending priorities.

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

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.

Funding for the National Health Service Corps. HR3862 - National Health Service Corps Strengthening Act of 2017 S1899 - Community Health Investment, Modernization and Excellence Act of 2017 HR 3358 & S 1771 - FY18 Labor, HHS Appropriations HR1370 - Continuing Resolution (through Jan. 19) HR 1625 - Vehicle for Consolidated Appropriations Act 2018 HR 1892 - Bipartisan Budget Act of 2018

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE

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

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

Funding for the National Health Service Corps. HR3862 - National Health Service Corps Strengthening Act of 2017 S1899 - Community Health Investment, Modernization and Excellence Act of 2017 HR 3358 & S 1771 - FY18 Labor, HHS Appropriations HJRes 123 - Continuing Resolution (through Dec. 22) HR1370 - Continuing Resolution (through Jan. 19)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE

Pesidents Budget, FY 2019 P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division F H.R. 3358 / S.1771, Labor, HHS, Education and Related Agencies Act, 2018, Titles II and III Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), the National Center for Health Statistics (NCHS), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue and embryonic stem cell research. Support funding for Health Resources and Services Administration (HRSA) and Title VII and Title VIII health professions and nursing education programs. Support funding for CDC Racial and Ethnic Approaches to Community Health program (REACH). Support funding for Department of Education and federal student aid. Issue: Support increased 302(b) subcommittee allocations for Labor, HHS, Education and Related Agencies P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division K H.R. 3219, Make America Secure Appropriations Act, 2018, Title II H.R. 2998 / S. 1557, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2018, Title II, Title VI Issue: Support funding for Veterans Affairs medical research, research infrastructure, and community care. Oppose restrictions on use of canines in VA medical research. Support funding for DOD Congressionally Directed Medical Research Programs (CDMRP) P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division C H.R. 3267, Commerce, Justice, Science, and Related Agencies Appropriations Bill, 2018, Title III Issue: Support funding for the National Science Foundation (NSF) FY 2017 Budget Resolution Issue: Repeal and replace of the ACA. Oppose reconciliation instructions to cut health, education, and research programs. Support non-defense discretionary spending P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3922, the Community Health and Medical Professional Improve our National (CHAMPION) Act of 2017 H.R. 3862, the National Health Service Corps Strengthening Act of 2017 Support mandatory funding for the National Health Service Corps (NHSC) the Teaching Health Center Graduate Medical Education (THCGME) program and the Children's Health Insurance Program (CHIP). Oppose cuts to the Prevention and Public Health Fund Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending. Issue: Support emergency supplemental funding for the CDC Public Health Emergency Preparedness Program and the Assistant Secretary for Preparedness and Responses Hospital Preparedness Program. Issue: Support budget agreement that raises defense and non-defense spending caps and overrides sequestration.

HR 1 Tax Cuts and Jobs Act: opposed to: 1)repeal of the Individual Mandate; 2)elimination of student Loan deductabililty; 3) automatic cuts to Medicare program; 4) eliminaiton of medical expense. HR 1370 HJRes 123 - Stop Gap funding bills for FY2018: AAFP FY 2018 federal spending priorities. HR 3358 & S 1771 - Funding for CDC Section 317 Program at the CDC: Public Health/Raising Tobacco Age. HR 3268, S 1603 HR 3358, S1771- Oppose tobacco riders in Ag bill & cut CDC's office on Smoking and Health: Public Health/Tobacco Control. HR 3862 & S 1899 - National Health Service Corps: NHSC funding for access to scholarships and debt relief; Support reauthorization of NHSC funding for five years. No Bill No. Tax Reform - Individual Mandate: educate members and staff on AAFP's positions on health care for all; advocate for changes to the BCRA and ultimately lobby against the bill. No Bill No.- Other Tax Reform Issues including student loan interest deduction, medical expenses deduction: Convey AAFP position on the individual mandate during tax reform debate. No Bill No. - Direct Primary Care:advocate for co-sponsorship of bill to allow Americans with HSAs to use DPCs. No Bill No. - Children's Health Insurance Program: advocate for extension of CHIP beyond Sept. 30 funding deadline; reauthorize the CHIP program for 5 years. No Bill No. - Administrative Burden: advocate for end to appropriate use mandates for advanced imaging, etc. No Bill No. - Physician Payment: advocate for hold harmless for primary care provision in the misvalued codes policy. No Bill No. - Preventing Opioid Misuse/Diversion: Improve treatment access, Partial Fill and Drug Monitoring Program. No Bill No. - 2nd Annual Public Health Fair: promoting HealthLandscape. No Bill No. - 2017 Value Based Payment Study: Adequate payment for Health care transformation. No Bill No. - Section 1332 State Innovation Waivers: Health care coverage for all. No Bill No. - Primary Care and Preventative Health: Promoting healthy communities via primary care, disease prevention and workforce programs. No Bill No.- Congressional Primary Care Caucus: Urge members to join the Caucus and support Primary Care to achieve the triple aim in healthcare. No Bill No. - Nominations to HIV/AIDs council: Nominating 5 FPs to the Council No Bill No. - Nominations to Minority Health Committee: Nominating 5 FPs to the committee. No Bill No. - Comments on the 2018 QPP final rule: Quality Payment Program. No Bill No. - Comments on small practices and AAPMs: Advanced Payment models and small practices. No Bill No. - FDA and needed regulations: food menu labeling laws, prescription drug monitoring programs. No Bill No. - Religious and moral exemptions for contraceptives: Healthcare for all, access for contraceptives. No Bill No. - MEDAC nominations: Two FPs nominated No Bill No. - 2019 marketplace rules: essential heath benefits defended. No Bill No. - RFI from CMMI on patient-centered models:patient centered medical homes. No Bill No. - VA and telehealth issues: state laws vs the VA No Bill No. - HRSA rural committee nomination: nominating one FP No Bill No. - Health of the Public: comments on 2018-2022 draft plan No Bill No. - Lab payments: Concerns with PAMA implementation No Bill No. - Food labeling laws: enforce the food labeling laws No Bill No. - Child resistant packaging: child packaging statements in drug products. No Bill No. - Affordable Care Act Defense: Support continued funding for Affordable Care Act. No Bill No. - Defend Medicaid Cuts: Defend changes to the entitlement nature of medicaid. No Bill No. - Defend MACRA and support its implementation: Defend MACRA from program changes.

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

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

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

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

HR 3862 & S 1899 - National Health Service Corps: NHSC funding for access to scholarships and debt relief: Support reauthorization of NHSC funding for 5 years. HR 3922 - Championing Healthy Kids Act: Reauthorize CHIP, NHSC, THCGME programs. No Bill No. Tax Reform - Individual Mandate: educate members and staff on AAFP's positions on health care for all; advocate for changes to the BCRA and ultimately lobby against the bill. No Bill No. - Children's Health Insurance Program: advocate for extension of CHIP beyond Sept. 30 funding deadline. No Bill No. - Federal Employee Health Benefit Program: Health Care Coverage. No Bill Mo. - Healthcare IT/Interoperability: Letter to the Senate HELP Committee regarding health IT administrative reductions improvements. No Bill No. - Affordable Care Act Defense: Support continued funding for Affordable Care Act. No Bill No. - Defend Medicaid Cuts: Defend changes to the entitlement nature of medicaid. No Bill No. - Defend MACRA and support its implementation: Defend MACRA from program changes.

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

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

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

P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division F H.R. 3358 / S.1771, Labor, HHS, Education and Related Agencies Act, 2018, Titles II and III Presidents Budget, FY 2018 Issues: Support funding for National Institutes of Health (NIH), Agency for Healthcare Research and Quality (AHRQ), Childrens Hospitals Graduate Medical Education (CHGME), Centers for Disease Control and Prevention (CDC), the National Center for Health Statistics (NCHS), the Prevention and Public Health Fund (PPHF), Hospital Preparedness Program, and biodefense and public health preparedness programs. Oppose limitations on facilities and administrative reimbursement. Maintain NIH salary cap at Executive Level II. Oppose reorganization of NIH and AHRQ without stakeholder input and deliberation. Oppose restrictions on fetal tissue and embryonic stem cell research. Support funding for Health Resources and Services Administration (HRSA) and Title VII and Title VIII health professions and nursing education programs. Support funding for Department of Education and federal student aid. Issue: Support increased 302(b) subcommittee allocations for Labor, HHS, Education and Related Agencies P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division K H.R. 3219, Make America Secure Appropriations Act, 2018, Title II H.R. 2998 / S. 1557, Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2018, Title II, Title VI Presidents Budget, FY 2018 Issue: Support funding for Veterans Affairs medical research, research infrastructure, and community care. Oppose restrictions on use of canines in VA medical research. Support funding for DOD Congressionally Directed Medical Research Programs (CDMRP) P.L. 115-56, Continuing Appropriations Act, 2018 and Supplemental Appropriations for Disaster Relief Requirements Act, 2017 H.R. 3354, Make America Secure and Prosperous Appropriations Act, 2018, Division C H.R. 3267, Commerce, Justice, Science, and Related Agencies Appropriations Bill, 2018, Title III Issue: Support funding for the National Science Foundation (NSF) FY 2017 Budget Resolution Issue: Repeal and replace of the ACA. Oppose reconciliation instructions to cut health, education, and research programs. Support non-defense discretionary spending H.R. 3922, the Community Health and Medical Professional Improve our National (CHAMPION) Act of 2017 H.R. 3862, the National Health Service Corps Strengthening Act of 2017 Support mandatory funding for the National Health Service Corps (NHSC) and the Teaching Health Center Graduate Medical Education (THCGME) program. Oppose cuts to the Prevention and Public Health Fund Issue: Oppose Medicare payment reductions as offsets for non-Medicare spending.

Funding for the National Health Service Corps. HR3862 - National Health Service Corps Strengthening Act of 2017 S1899 - Community Health Investment, Modernization and Excellence Act of 2017 HR 3358 & S 1771 - FY18 Labor, HHS Appropriations

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE

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

HR 1628 - American Health Care Act of 2017 (Graham Cassidy Amendment) Better Care Reconcilliation Act: Protecting ACA coverage gains, supporting bipartisan solutions; Educate members and staff on AAFP's positions on Health Care for all; advocate for changes to the AHCA and ultimately lobby against the bill. HR 3358 & S 1771 - FY18 appropriations for AHRQ, CMS, HRSA-Titles VII & X, NHSC, SAMSHA: AAFP FY 2018 federal spending priorities. HR 3862 & HR 3922 - National Health Service Corps: Reauthorize NHSC funding for access to scholarships, debt relief and healthcare workforce. No Bill No - Direct Primary Care: advocate for introduction and co-sponsorship of a bill to allow more patients access to the DPC model; DPC alternative to to fee-for-service payment model. No Bill No. - Protecting access to Medicare Act of 2014 Lab Fee Regulation advocacy: Raised awareness to the Medicare Lab Fee Schedule, Need for better data, and potential primary care barriers. No Bill No. - Standard Primary Care Benefit Proposal: Support Primary Care benefit; educate members on AAFPs policy for a primary care insurance benefit for HDHPs No Bill No. - Primary Care Insurance Benefit: educate members on AAFP's policy for a primary-care insurance benefit for HDHP's. No Bill No. - Children's Health Insurance Program: Reauthorize CHIP program for 5 years; advocate for extension of CHIP beyond Sept. 30 funding deadline.

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

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

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

No Bill No. - Veteran's Administration family medicine GME program: Increase training of family medicine residents under VACAA in non-VA settings. HR 3862 & HR 3922 - National Health Service Corps: Raising awareness about the AAFP's support for NHSC and other primary care workforce programs.

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

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

HR 1628 - American Health Care Act of 2017 (Graham Cassidy Amendment) Better Care Reconcilliation Act: Protecting ACA coverage gains, supporting bipartisan solutions; Educate members and staff on AAFP's positions on Health Care for all; advocate for changes to the AHCA and ultimately lobby against the bill. HR 3268 & S 1603 - FY18 Ag Approps: Public health-tobacco prevention HR 3358 & S 1771 - FY18 appropriations for AHRQ, CMS, HRSA-Titles VII & X, NHSC, SAMSHA: AAFP FY 2018 federal spending priorities. HR 3728 - Educating Medical Professionals & Optimizing Workforce Efficiency and Readiness Act: Reauthorize Title VII health professions training grants. HR 3862 & HR 3922 - National Health Service Corps: Reauthorize NHSC funding for access to scholarships, debt relief and healthcare workforce. No Bill No. - Children's Health Insurance Program: Reauthorize CHIP program for 5 years; advocate for extension of CHIP beyond Sept. 30 funding dedline. No Bill No. Congressional Primary Care Caucus: Urge Members to join the caucus and support primary care to achieve the triple aim in healthcare. No Bill No. - Primary Care Insurance Benefit: educate members on AAFP's policy for a primary-care insurance benefit for HDHP's. No Bill No. - Preventing Opioid Misuse/Diversion: Improve treatment, Prescription Drug Monitoring Program, Naloxone No Bill No. - Health Professions and Nursing Education Coalition (HPNEC): FY18 funding for Title VII health professions training grants. No Bill No. - HRSA Advisory Committee on Training in Primary Care Medicine & Dentistry: Support for primary care in Title VII health professions grants. No Bill No. - House Primary Care Caucus: Promoting Primary Care No Bill No. - Direct Primary Care: DPC alternative to fee for service payment model. No Bill No. - AHRQ US Preventative Service Task Force, Natl Guideline Clearinghouse: Primary care research at AHRQ. No Bill No. - Standard Primary Care Benefit Proposal: Support Primary Care benefit; educate members on AAFPs policy for a primary care insurance benefit for HDHPs No Bill No. - Healthcare Town Hall: Protecting ACA coverage gains supporting bipartisan solutions No Bill No. - Medicaid Forum: Protecting ACA coverage gains. No Bill No. - Adult Vaccine Access Coalition: Raising awareness of vaccine and health care, and coordinating within the coalition. No Bill No. - Healthy People Framework - Response to draft Healthy People 2030 framework. No Bill No. - Response to the 2018 proposed Medicare physician fee schedule: Making the fee schedule primary care friendly. No Bill No. - Response to the 2018 proposed Quality Payment Program: How to implement MIPS and APMs in 2018. No Bill No. - Urging CMS to use3 USPSTF recommendations: Need to focus on prevention No Bill No. - Oral contraceptives for adolescents: Include adolescents in oral contraceptive studies. No Bill No. - Restoring internet freedom/open internet: open internet, no user fees No Bill No. - How to reduce regulatory burdens: Responding to request for ideas on reg reduction No Bill No. - Training prescribers on opioids: no mandatory training.

H. Con. Res. 71 Fiscal Year 2018 Budget Resolution H. Res. 142/S. Res. 63 National Obesity Care Week Resolution S. J. Res. 16 a joint resolution approving the discontinuation of the process for consideration and automatic implementation of the annual proposal of the independent payment Medicare advisory board H.J. Res 51/S. J. Res 17 Independent Payment Advisory Board Repeal H.R 1995 Value Based Insurance Design for Better Care Act H.R. 1004 Regulatory Integrity Act H.R. 1009/S. 676 OIRA Insight, Reform, and Accountability Act H.R. 1038/S. 413 Improving Transparency and Accuracy in Medicare Part D Spending H.R. 1072/S. 222 Obamacare Replacement Act H.R. 1101 Small Business Health Fairness Act H.R. 1121 Pre-Existing Conditions Protection Act H.R. 1148/S. 431 Furthering Access to Stroke Telemedicine (FAST) Act H.R. 1215 Protecting Access to Care Act H.R. 1245/S. 469 Affordable and Safe Prescription Drug Importation Act H.R. 1267/S. 482 Personal Health Investment Today Act H.R. 1304 Self-Insurance Protection Act H.R. 1313 Preserving Employee Wellness Programs Act H.R. 1554/S. 581 Jessie's Law H.R. 1565 Saving Lives, Saving Costs Act H.R. 1617 Promoting Access to Diabetic Shoes Act H.R. 1628 American Health Care Act H.R. 1703 Medical Product Communications Act H.R. 1776/S. 771 Improving Access to Affordable Prescription Drugs Act H.R. 184 Protect Medical Innovation Act H.R. 1953/S. 830 Treat and Reduce Obesity Act H.R. 2192/S. 1569 to eliminate the non-application of certain state waiver provisions to members of Congress and Congressional staff H.R. 2212/S. 974 Creating and Restoring Equal Access to Equivalent Samples Act H.R. 2267/S. 1301 Resident Physician Shortage Reduction Act H.R. 2372 Veterans Equal Treatment Ensures Relief and Access Now Act H.R. 246/S. 183 Jobs and Premium Protection Act H.R. 2550 Medicare Telehealth Parity Act H.R. 2556/S. 1016 CONNECT for Health Act H.R. 2579 Broader Options for Americans Act H.R. 2581 Verify First Act H.R. 2797/S. 1334 Patient Choice and Quality Care Act H.R. 2824 Increasing Opportunity and Success for Children and Parents Through Evidence -Based Home Visiting Act H.R. 284/S. 1291 Advancing Medical Resident Training in Community Hospitals Act H.R. 2953 Preventive Health Savings Act H.R. 3044 to expand supplemental benefits to meet the needs of chronically ill Medicare Advantage enrollees H.R. 3059/S. 1441 Community Health Center and Primary Care Workforce Expansion Act H.R. 309/S. 920 National Clinical Care Commission Act H.R. 3120 to reduce the volume of future electronic health record-related significant hardship requests H.R. 3124/S. 1299 Preventing Diabetes in Medicare Act H.R. 3168 to provide continued access to Medicare Advantage plans for special needs H.R. 3224 Critical Access and Rural Equity Act H.R. 3245 Medicare Civil and Criminal Penalties Act H.R. 3263 to extend the Medicare independence at home medical demonstration program H.R. 3271/S. 1914 Protecting Access to Diabetes Supplies Act H.R. 3358/S. 1771 Fiscal Year 2018 Labor-Health and Human Services-Education Appropriations Bill H.R. 3394 Teaching Health Centers Graduate Medical Education Extension Act H.R. 3447 Furthering Access to Coordinated Treatment for Seniors Act H.R. 3536/S.1681 to require persons who undertake federally funded research and development of drugs to enter into reasonable pricing agreements H.R. 372 Competitive Health Insurance Reform Act H.R. 3726 Stark Administrative Simplification Act of 2017 H.R. 3728 Empowering Medical Professionals and Optimizing Workforce Efficiency and Readiness Act H.R. 3820/S. 977 Medicare Home Health Flexibility Act H.R. 3862 National Health Service Corps Strengthening Act H.R. 3921 Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act H.R. 4006 Community-Based Independence for Seniors Act of 2017 H.R. 592/S. 109 Pharmacy and Medically Underserved Areas Enhancement Act H.R. 706 Plan Verification and Fairness Act H.R. 741/S. 243 Rural Hospital Regulatory Relief Act H.R. 749 Lower Drug Costs Through Competition Act H.R. 766 Amend Title XVII of the Social Security Act to expand telehealth in Medicare H.R. 849/S. 260 Protecting Seniors' Access to Medicare Act H.R. 908 Medicare Advantage Quality Payment Relief Act H.R. 998 Searching for and Cutting Regulations that are Unnecessarily Burdensome(SCRUB) Act H.R.3545 Overdose Prevention and Patient Safety Act H.R.3727 To amend title XVIII of the Social Security Act to include additional telehealth services for purposes of MA organization bids, and for other purposes Introduction of the Stark Law Modernization Act of 2017 Pub L. 114-198 Comprehensive Addiction and Recovery Act Pub L. 115-31 Fiscal Year 2017 Consolidated Appropriations Act Pub. L. 102-143 Telephone Consumer Protection Act Pub. L. 111-148 Patient Protection and Affordable Care Act (PPACA) Pub. L. 111-5 The American Recovery and Reinvestment Act Pub. L. 114-10 Medicare Access and CHIP Reauthorization Act (MACRA) Pub. L. 114-255, 21st Century Cures Act Pub. L. 114-270 Expanding Capacity for Health Outcomes Act (ECHO) Pub. L. 114-329 American Innovation and Competitiveness Act Pub L. 115-63 Disaster Relief & Airway Extension Act S. 108 Medical Device Access and Innovation Protection Act S. 297 Increasing Competition in Pharmaceuticals Act S. 1688 Empowering Medicare Seniors to Negotiate Drug Prices Act S. 1754 Training the Next Generation of Primary Care Doctors Act S. 1804 Medicare for All Act S. 1827 Keep Kids' Insurance Dependable and Secure Act S. 1829 Strong Families Act S. 1850 Protecting Jessica Grubbs Legacy Act, (The Legacy Act) S. 1859 Healthcare Tax Relief Act S. 1899 to reauthorize and extend funding for community health centers and the National Health Service Corps S. 191 Patient Freedom Act S. 251 Protecting Medicare from Executive Action Act S. 309 Community Based Independence for Seniors Act S. 464 Independence at Home Act S. 64 Safe and Affordable Drugs from Canada Act H .R. 1933/S. 761 Health Care Options Act of 2017 S. 787 Telehealth Innovation and Improvement Act S. 870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act S. Con. Res. 3 Budget Resolution