Assault Weapons Ban of 2018

H.R. 34: Safe Students Act H.R. 38: Concealed Carry Reciprocity Act of 2017 H.R. 57: Accidental Firearms Transfers Reporting Act of 2017 H.R. 62: Gun Violence Reduction Resources Act of 2017 H.R. 163: Gun Manufacturers Accountability Act H.R. 256: Protect Our Military Families' 2nd Amendment Rights Act H.R. 358: To amend chapter 44 of title 18, United States Code, to more comprehensively address the interstate transportation of firearms or ammunition H.R. 367: Hearing Protection Act of 2017 S. 59: Hearing Protection Act of 2017 S. 80: A bill to protect the right of individuals to bear arms at water resources development projects H.R. 445: Buyback Our Safety Act H.R. 509: ATF Elimination Act S. 159: Firearms Manufacturers and Dealers Protection Act of 2017 S. 162: Second Amendment Enforcement Act of 2017 H.R. 613: Lieutenant Osvaldo Albarati Correctional Officer Self-Protection Act of 2017 H.R. 629: Veterans 2nd Amendment Protection Act S. 202: Social Security Beneficiary 2nd Amendment Rights Protection Act H.J.Res. 40: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Social Security Administration relating to Implementation of the NICS Improvement Amendments Act of 2007 H.R. 810: Hadiya Pendleton and Nyasia Pryear-Yard Stop Illegal Trafficking in Firearms Act of 2017 H. Res. 90: Expressing the sense of the House of Representatives that gun violence is a public health issue and Congress should enact by the end of the 115th Congress comprehensive Federal legislation that protects the Second Amendment and keeps communities safe and healthy, including expanding enforceable background checks for all commercial gun sales, improving the mental health system in the United States, and making gun trafficking and straw purchasing a Federal crime H.R. 1045: Recreational Lands Self-Defense Act of 2017 H.R. 1047: Fairness in Firearm Testing Act H.R. 1079: Campus Gun Policy Transparency Act S. 394: Protect Our Military Families' 2nd Amendment Rights Act H.R. 1137: Collectible Firearms Protection Act H.R. 1181: Veterans 2nd Amendment Protection Act S. 446: Constitutional Concealed Carry Reciprocity Act of 2017 H.R. 1278: Ghost Guns Are Guns Act S. 533: Undetectable Firearms Modernization Act of 2017 H.R. 1475: Gun Trafficking Prevention Act of 2017 H.R. 1478: Gun Violence Research Act S. 618: Lawful Interstate Transportation of Firearms Act H.R. 1537: Second Amendment Enforcement Act of 2017 H.R. 1612: Gun Show Loophole Closing Act of 2017 H.R. 1692: Countering Illegal Firearms Trafficking to Mexico Act H.R. 1708: Firearm Risk Protection Act of 2017 S. 733: Sportsmen's Act H.R. 1832: To authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention S. 834: A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention H.R. 1976: Protecting the Second Amendment Act H.R. 1982: Mental Health Access and Gun Violence Prevention Act of 2017 H.R. 2033: Undetectable Firearms Modernization Act H.R. 2097: ATF Wrongful Reclassification Act H.R. 2098: Second Amendment Defense Act of 2017 H.R. 2380: Handgun Trigger Safety Act of 2017 S. 1084: Lieutenant Osvaldo Albarati Correctional Officer Self-Protection Act of 2017 S. 1185: Stop Illegal Trafficking in Firearms Act of 2017 H.R. 2598: Gun Violence Restraining Order Act of 2017 H.R. 2620: Lawful Purpose and Self Defense Act S. 1212: Gun Violence Prevention Order Act of 2017 S. 1214: Hunting, Fishing, and Recreational Shooting Protection Act H.R. 2670: Protecting Domestic Violence and Stalking Victims Act H.Res. 361: Supporting the goals and ideals of "National Gun Violence Awareness Day" and "National Gun Violence Awareness Month" H.Res. 367: Establishing the Select Committee on Gun Violence Prevention S. Res. 179: A resolution expressing support for the designation of June 2, 2017, as "National Gun Violence Awareness Day" and June 2017 as "National Gun Violence Awareness Month" H.Res. 373: Expressing support for the designation of June 2017 as "National Gun Violence Awareness Month" and calling on Congress to address gun violence H.R. 2784: Good Neighbor Gun Dealer Act H.R. 2810: National Defense Authorization Act for Fiscal Year 2018 H.R. 2841: Disarm Hate Act S. 1324: Disarm Hate Act H.R. 2909: DC Personal Protection Reciprocity Act H.R. 2940: Congressional Self-Defense Act H.R. 2945: Congressional Personal Safety Act H.R. 2951: To allow Members of Congress to carry a concealed handgun anywhere in the United States, with exceptions H.R. 2980: Protecting Gun Owners in Bankruptcy Act of 2017 S. 1387: Protecting the Second Amendment Act H.R. 3054: Veterans' Heritage Firearms Act of 2017 S. 1435: Veterans' Heritage Firearms Act of 2017 H.R. 3139: Hearing Protection Act of 2017 S. 1505: SHUSH Act S. 1541: A bill to modify the definition of an antique firearm. H.R. 3361: SECURE Firearm Storage Act H.R. 3458: MICRO Act H.R. 3464: Background Check Completion Act of 2017 H.R. 3576: SAGA Act H.R. 3613: Safer Neighborhoods Gun Buyback Act of 2017 H.R. 3668: SHARE Act H. Amdt. 378: Description: Amendment sought to reduce the funding level for the Bureau of Alcohol, Tobacco, Firearms and Explosives by five percent H. Amdt. 386: At the end of division C (before the short title), insert the following: Sec. XXXX. None of the funds made available by this Act to the Bureau of Alcohol, Tobacco, Firearms and Explosives H.R. 3790: Federal Firearms Licensee Protection Act S. 1854: Federal Firearms Licensee Protection Act of 2017 H.R. 3947: Automatic Gunfire Prevention Act H.R. 3962: Stop Online Ammunition Sales Act of 2017 S. 1915: Handgun Trigger Safety Act of 2017 S. 1916: Automatic Gunfire Prevention Act S. 1917: Sentencing Reform and Corrections Act of 2017 H.R. 3984: Equal Access to Justice for Victims of Gun Violence Act H.R. 3986: Stopping the Iron Pipeline Act of 2017 H.R. 3987: Protecting Americans from Gun Violence Act of 2017 S. 1923: Background Check Completion Act of 2017 S. 1939: Equal Access to Justice for Victims of Gun Violence Act S. 1945: Keep Americans Safe Act H.R. 3998: Protect America Act of 2017 H.R. 3999: To amend title 18, United States Code, to prohibit the manufacture, possession, or transfer of any part or combination of parts that is designed and functions to increase the rate of fire of a semiautomatic rifle but does not convert the semiautomatic rifle into a machinegun, and for other purposes H.R. 4018: To provide for a 3-day waiting period before a person may receive a handgun, with exceptions H.R. 4025: Multiple Firearm Sales Reporting Modernization Act of 2017 H.R. 4052: Keep Americans Safe Act H.R. 4057: Denying Firearms and Explosives to Dangerous Terrorists Act of 2017 S. 1992: SECURE Firearm Storage Act S. 2009: Background Check Expansion Act H.R. 4142: Safer Communities Act of 2017 H.R. 4168: Closing the Bump-Stock Loophole Act H.R. 4183: Domestic Violence Records Reporting Improvement Act of 2017 H.R. 4192: Domestic Violence Gun Homicide Prevention Act of 2017 S. 2045: Domestic Violence Gun Homicide Prevention Act of 2017 H.R. 4240: Public Safety and Second Amendment Rights Protection Act of 2017 H.R. 4268: Gun Safety: Not Sorry Act of 2017 S. 2094: Domestic Violence Loophole Closure Act S. 2095: Assault Weapons Ban of 2017 H.R. 4342: Fire Sale Loophole Closing Act H.R. 4343: Unlawful Gun Buyer Alert Act H.R. 4344: End Purchase of Firearms by Dangerous Individuals Act of 2017 S. 2135: Fix NICS Act of 2017 H.R. 4434: Fix NICS Act of 2017 S. 2150: Imitation Firearms Safety Act of 2017 S. 2161: Hadiya Pendleton and Nyasia Pryear-Yard Gun Trafficking and Crime Prevention Act of 2017 H.R. 4471: NICS Denial Notification Act of 2017 H.R. 4477: Fix NICS Act of 2017 H. Res. 645: Providing for consideration of the bill (H.R. 38) to amend title 18, United States Code, to provide a means by which nonresidents of a State whose residents may carry concealed firearms may also do so in the State H.R. 4573: Gun Violence Research Act of 2017 H.R. 4721: Armor-Piercing Bullets Act of 2017 H.R. 4909: STOP School Violence Act of 2018 S. 2386: Veterans' Second Amendment Rights Restoration Act of 2018 H.R. 5077: Assault Weapons Ban of 2018 H.R. 5087: Assault Weapons Ban of 2018 H.R. 5090: Raise the Age Act H.R. 5103: Gun Violence Prevention and Safe Communities Act of 2018 H.R. 5106: Investor Choice Against Gun Proliferation Act H.R. 5112: SAFER Voter Act S. 2458: Terrorist Firearms Prevention Act S. 2470: Age 21 Act S. 2475: BUMP Act H.R. 5134: STOP Straw Purchases Act S. 2486: Safe Students Act H.R. 5161: To require the Surgeon General of the Public Health Service to submit to Congress an annual report on the effects of gun violence on public health. H.R. 5162: Firearm Safety Act of 2018 H.R. 5163: Keeping Guns from High-Risk Individuals Act S. 2492: NICS Denial Notification Act of 2018 S. 2495: STOP School Violence Act of 2018 S. 2502: Protecting Communities and Preserving the Second Amendment Act of 2018 H.R. 5225: Strengthening the National Instant Criminal Background Check System Act of 2018 S. 2521: Federal Extreme Risk Protection Order Act of 2018 H.R. 5271: Tiahrt Restrictions Repeal Act H.R. 5286: Mass Violence Prevention Reform Act S. 2546: MASS Act H.R. 5380: Securing Our Children Act of 2018 H.R. 5383: Ammunition Background Check Act of 2018 H.R. 5398: 21 to Buy Act S. 2607: Extreme Risk Protection Order and Violence Prevention Act of 2018 S. 2627: Ammunition Background Check Act of 2018 H.R. 5410: SAFER Now Act H.R. 5461: NICS Review Act of 2018 H.R. 5490: Handgun Purchaser Licensing Act S. 2662: Handgun Purchaser Licensing Act H.R. 5560: Defective Firearms Protection Act H.R. 5607: Handgun Licensing and Registration Act of 2018 H.R. 5720: Armed Prohibited Persons Act of 2018 H.R. 5652: State Access to Firearms Evading Revocation Act H.R. 5657: Gladys Ricart Gun Offender Registry Act H.R. 5682: FIRST STEP Act S. 2795: FIRST STEP Act H.R. 5941: Child Gun Access Prevention Act H.Res. 913: Expressing support for the goals and ideals of June 1 through June 3, 2018 as "National Gun Violence Awareness Weekend" and June 2018 as "National Gun Violence Awareness Month" S. 2974: Crime Gun Tracing Modernization Act S. Res. 524: A resolution expressing support for the designation of June 1 through June 3, 2018 as "National Gun Violence Awareness Weekend" and June 2018 as "National Gun Violence Awareness Month" H.Res. 920: Expressing support for the designation of June as National Gun Violence Awareness Month, and calling on Congress to address gun violence H.R. 6024: Blair Holt Firearm Owner Licensing and Record of Sale Act of 2018 S. 3002: Blair Holt Firearm Owner Licensing and Record of Sale Act of 2018 H.R. 6075: Keeping Gun Dealers Honest Act of 2018 S. 3135: Gun Owner Registration Information Protection Act H.R. 6278: AVERT Future Gun Violence Act H.R. 6297: Assault Weapons Ban and Regulatory Reform Act of 2018 H.Con.Res. 127: Condemning gun violence and its impact on youth by supporting the enactment of legislation to prevent future school and neighborhood shootings

Client expense: $375,539 · Firm income: Not reported

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Various issues relating to the Arms Export Control Act; U.S.C Chapter 18; firearm technology; 27 CFR 555.11; firearm bans and sales; ammunition bans and restrictions; reporting requirements for the Securities and Exchange Commission concerning firearms manufacturers; proposed restrictions on firearms dealers; undetectable firearms; and related matters. H.R.1137, H.R.2033, H.R.2380, S.1541, H.R.3947, H.R.3962, S.1915, S.1916, H.R.3986, H.R.3999, H.R.4064, S.2095, H.R.4344, S.2150, H.R.4721, H.R.4765, H.R.5077, H.R.5087, H.R.5103, H.R.5106, H.R.5271, S.2627, H.R.5383, H.R.5410, H.R.5560, H.R.6109, H.R.6296, H.R.6297, S.3211, H.R.6624, H.R.6643, S.3300, S.3304, H.R.6649, H.R.6654

Client expense: $2,100,000 · Firm income: Not reported

Preserve Access to Primary Care Services: Address the shortage of primary care physicians; provide scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas; provide grants for medical school mentorship programs and primary care training in community health centers; increase Title VII funding for primary care health programs; increase funding for the National Health Service Corps, provide regulatory relief for primary care physicians; H.R. 7192/S. 1174, the Preserving Patient Access to Primary Care Act (as first introduced in the 111th Congress). Support the Affordable Care Act (P.L. 111-148, P.L. 111-152) by: Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes. Medicare Physician Payment Reform: Advocated in support of H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA), which was enacted in April 2015 and repealed Medicares Sustainable Growth Rate (SGR) formula and moved us to a new value-based payment and delivery system under Medicare; Advocated with CMS on numerous aspects of the MACRA proposed and final rules, including: proposing a distinctive alternative scoring methodology, developed by ACP, which combines, simplifies, aligns and reduces the complexity of the four reporting categories that will qualify physicians for FFS payment adjustments; proposing specific alternatives to CMS Advancing Care Information program that replaced the Meaningful Use program; proposing additional improvements to simplify the reporting requirements for the Quality, Advancing Care Information and Improvement Activities categories; urging CMS to immediately create virtual reporting options and to create safe harbors for smaller practices until such options are available; proposing more options and flexibility, instead of a one-size fits all approach, for practices to be certified as Patient-Centered Medical Homes or Patient-Centered Medical Home specialty practices, qualifying them for the highest possible score for the Clinical Practice Improvement Activity reporting category; Proposing four different options for Medical Home practices to qualify as advanced Alternative Payment Models, instead of the single option proposed by CMS, including options to allow PCMHs to qualify without taking financial risk: Advocated with CMS on Patient Relationship Categories and Codes, as required by MACRA, specifically: that CMS work to ensure that patients, families, and the relationship of patients and families with their physicians are at the forefront of the Agencys thinking in the development of both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) pathways; that the implementation of these categories and codes is carried out in a manner that fully considers and minimizes the impact of reporting burden on the participating clinicians and that has appropriate flexibility to allow for learning and improvement in the approach by both the Agency and the clinicians. Improve Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. The College believes that strong oversight is needed when determining the initial benchmark plan (and whether it reflects the coverage requirements of the Affordable Care Act) and how the package will be updated, particularly if insurers are given the ability to substitute benefits within and across categories. State and the federal government must work in concert with physicians, health care providers and payers to determine and promote use of clinically effective and cost-effective services that result in improved patient health while bending the cost curve. Under the Affordable Care Act, advocated to ensure that people residing in states with health insurance marketplaces operated by the federal government do not lose their cost-sharing reduction subsidies (CSRs) and that those CSRs should be continued indefinitely as part of a larger bipartisan effort to stabilize the individual insurance market. Pilot test Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Veterans Care: Regarding the VA Mission Act of 2018 (H.R. 5674), the College urged Congress to ensure that veterans have access to timely, contiguous care across the spectrum of health care services, with coordination and management of that care in the hands of a primary clinician or clinical care team; that the expansion of care to non-VHA facilities does not come at the cost of maintaining or improving existing VHA services or infrastructure; and that recruitment and retention of clinicians to the VHA is valued appropriately, including reimbursement for services provided; Advocated with Congress on the need for adequate funding for the VHA for FY2019 and the long-term. Immigration: Voiced support to Congress on the need to pass the Development, Relief, and Education for Alien Minors (DREAM) Act of 2017, H.R. 3440. This legislation would establish a three-step pathway to U.S. citizenship through college, work, or the armed services for individuals who were born in another country and brought illegally to the U.S. at a young age (DREAMers). Clinical Labs: Commented to the Centers for Medicare and Medicaid Services (CMS) on issues pertaining to the Protecting Access to Medicare Act of 2014 (PAMA), specifically citing concerns about the potential impacts of PAMA on patient access to critical rapid clinical testing services offered to patients while they are receiving medical care in their physicians office; expressed further concerns about impending cuts on Jan. 1, 2018 for physician office-based testing services. Expand Coverage and Stabilizing the Insurance Market: Congress should work to help stabilize the individual health insurance market and expand coverage. Specifically by develop and introduce comprehensive market stabilization legislation that includes reinsurance options to help stabilize the markets; Expanding cost-sharing assistance eligibility to purchase insurance in the exchanges as well as increase the level of premium tax credits and cost sharing subsidies offered to purchase a qualified health plan; Introducing legislation that would block the expansion of access to short-term health plans or Association Health Plans that allow insurers to charge more to individuals with pre-existing conditions and permit them to exclude from coverage essential medical care; Supporting $690 million in discretionary funding for federal exchanges within CMS Program Operations as part of the FY2019 Labor, Health and Human Services, and Education Appropriations bill. Reduce Unnecessary Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: Passing the Standardizing Electronic Prior Authorization for Safe Prescribing Act (H.R. 4841), which standardizes electronic prior authorization for prescription drugs under Medicare Part D. Adopt even greater harmonization of such standards across the health care industry; Passing the CONNECTIONS Act (H.R. 5812) by Reps. Griffith (R-VA) and Pallone (D-NJ) that would authorize CDC grants to state-run PDMPs to improve data collection and integration into physician clinical workflow specifically, of controlled substances overdose prevention and surveillance activities; Urging health care committees in Congress with jurisdiction over Medicare to exercise their oversight authority of CMS effort to overhaul clinical documentation guidelines with input from practicing clinicians; Passing the Improving Access to Medicare Coverage Act of 2017 (S. 568/H.R. 1421), which deems patients under observation as inpatients for the purposes of satisfying the Medicare 3-day inpatient stay requirement. Reduce Prescription Drug Costs: Congress should increase transparency and accountability in prescription drug pricing and improve access to lower-cost generic medications by passing the Drug Price Transparency in Communications Act (S. 2157), which would require drug companies to disclose the Wholesale Acquisition Cost of an Rx in Direct-to-Consumer Advertising. Representatives should introduce the companion bill; Passing the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2017 (S. 974/H.R. 2212), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market; Passing the Medicare Prescription Drug Price Negotiation Act of 2017 (S. 41/H.R. 242), which would grant authority to the Secretary of HHS to negotiate prescription drug prices with manufacturers for high�cost drugs and biologics covered under Part D; Passing the Fair Accountability and Innovative Research (FAIR) Pricing Act (S. 1131/H.R. 2439), which would require drug manufacturers to disclose and provide more information about planned drug price increases, including R&D costs. Fund Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2019 for federal programs/initiatives designed to support primary care and reject funding rescissions that would harm childrens health coverage or CMS Innovation Center. This includes funding the Primary Care and Training Enhancement (PCTE) at $71 million in order to maintain and expand the pipeline for individuals training in primary care; Funding the National Health Service Corps (NHSC) at least at $415 million in total program funding to fund scholarships and loan repayment to health care professionals to help expand the countrys primary care workforce and meet the health care needs of underserved communities; Funding the Centers for Disease Control and Prevention (CDC) and Prevention and Public Health Fund (PPHF) at $8.45 billion; including PPHF funding at $805 million; Funding the Agency for Healthcare Research and Quality (AHRQ) at $454 million, restoring the agency to its FY2010 enacted level adjusting for inflation after cuts in FY2016 and FY2017 and a small increase in FY2018 so it can help clinicians help patients by making evidence-informed decisions, fund research that serves as the evidence engine for much of the private sectors work to keep patients safe; Funding the National Institutes of Health (NIH) at $39 billion so that this nations biomedical research can continue to fund cures for disease and maintain the U.S. standing as the world leader in medical and biomedical research. Promote Continued Action to Address the Epidemic of Opioid Use: Congress should pass a comprehensive legislative package to improve prevention, education, treatment and recovery for those suffering from opioid-related addictions, including: Providing for sufficient and increased funding to address the opioid epidemic, building and expanding upon the $4.65 billion in the omnibus bill approved by Congress, with at least $1 billion for programs as authorized by CARA 2.0; Expanding access and coverage for medication assisted treatment (methadone, buprenorphine, and naltrexone to prevent opioid and substance use disorders; Rejecting any proposal to impose a three day prescribing limit for initial opioid prescriptions to ensure that doctors have appropriate flexibility to determine the proper duration of each opioid prescription; Passing the Comprehensive Addiction and Recovery Act 2.0 of 2018 (S. 2456/H.R. 5311) as a step toward a more comprehensive opioids-related package. Reduce Firearms-Related Injury and Death: Congress should pass the Assault Weapons Ban of 2018 (S. 2095/H.R. 5077), which would ban the sale of high velocity, rapid file assault rifles and large capacity ammunition magazines and bump stocks; Pass the Brady Background Expansion Act (S. 2009), to expand background checks to virtually all firearm sales in the United States; Pass the Stop Illegal Trafficking in Firearms Act of 2017 (S. 1185), and the Stop Straw Purchases Act (H.R. 5134). Both would increase penalties for individuals who unlawfully purchase firearms for other persons who are prohibited from possessing firearms (known as straw purchasers); Repeal the Dickey amendment restricting firearms-related research by federal agencies and support $50 million in funding for the CDC to conduct such research; Pass S. 834/H.R. 1832 that authorizes funding for the CDC to conduct such research. Make Graduate Medical Education (GME) Funding More Effective: Congress should develop and pass legislation to reform GME to prioritize funding toward physician specialties where millions of patients lack access, including internal medicine specialists trained in comprehensive primary care, to: Increase the number of GME slots by at least 3,000 per year over five years for specialties facing shortages, including internal medicine, as contained in the Resident Physician Shortage Reduction Act of 2017 (S. 1301/H.R. 2267); Combine DGME/IME into a single, more functional program; broaden the GME financing structure to include all payers; Allocate GME funds transparently and to activities that further the educational mission of teaching and training residents/fellows with input from practicing clinicians and in collaboration with their professional organizations; Support continued adequate funding for the VHA and its substantial contributions to the ongoing training of the next generation of physicians. Title X Regulations: Commented to HHS in July on the proposed rule to revise Title X regulations (Title X of the Public Health Service Act) to ensure compliance with, and enhance implementation of, the statutory requirement that none of the funds appropriated for Title X may be used in programs where pregnancy termination is a method of family planning and related statutory requirements. The College asserts that women should have sufficient access to evidence-based family planning and sexual health information and the full range of medically accepted forms of contraception. The College opposes government restrictions that would erode or abrogate a woman's right to continue or discontinue a pregnancy. The College opposes any legislation or regulations that limit access to comprehensive reproductive health care by putting medically unnecessary restrictions on health care professionals or facilities. Kentucky Health Waiver: The College commented to CMS on Kentuckys Health Waiver expressing concern that: it would impose a substantial monthly premium on Medicaid beneficiaries; would also create a six-month lock-out period for certain enrollees who do not pay their premiums on time, which is unduly harsh; that proposed work requirements will impose an unnecessary and unjustified burden on patients to document that they are eligible for an exemption and an unnecessary and unjustified burden on physicians who may be asked to attest that their patients have an exempted medical condition. 2019 Physician Fee Schedule and Quality Payment Program: Advocated to CMS that: cognitive care of more complex patients must be recognized with higher allowed payment rates than less complex care patients; supports the overall direction of CMS's proposal to reduce the burden of documentation for E/M services, but strongly disagrees that such improvements should be contingent on acceptance of the proposal to pay a single flat fee for levels 2-5; CMS not establish a regulatory deadline (e.g. January 1, 2019 or January 1, 2020) for finalizing and implementing its flat fee E/M proposals or possible alternatives that change how E/M services would be paid; calls on CMS to move forward with implementation of their proposal to simplify E/M documentation requirements effective January 1, 2019, while alternatives to the flat fee structure are being developed and pilot-tested; supports implementation on January 1, 2019 of proposals to pay for virtual check-ins, other telehealth and technology-based services, and prolonged face-to-face visits. Short-Term Health Plans: Urged Congress to support the joint resolutions disapproving of the rule related to short-term, limited-duration insurance, as published in the federal register on August 3, 2018, that such rule shall have no force or effect.

Preserve Access to Primary Care Services: Address the shortage of primary care physicians; provide scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas; provide grants for medical school mentorship programs and primary care training in community health centers; increase Title VII funding for primary care health programs; increase funding for the National Health Service Corps, provide regulatory relief for primary care physicians; H.R. 7192/S. 1174, the Preserving Patient Access to Primary Care Act (as first introduced in the 111th Congress). Support the Affordable Care Act (P.L. 111-148, P.L. 111-152) by: Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes. Medicare Physician Payment Reform: Advocated in support of H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA), which was enacted in April 2015 and repealed Medicares Sustainable Growth Rate (SGR) formula and moved us to a new value-based payment and delivery system under Medicare; Advocated with CMS on numerous aspects of the MACRA proposed and final rules, including: proposing a distinctive alternative scoring methodology, developed by ACP, which combines, simplifies, aligns and reduces the complexity of the four reporting categories that will qualify physicians for FFS payment adjustments; proposing specific alternatives to CMS Advancing Care Information program that replaced the Meaningful Use program; proposing additional improvements to simplify the reporting requirements for the Quality, Advancing Care Information and Improvement Activities categories; urging CMS to immediately create virtual reporting options and to create safe harbors for smaller practices until such options are available; proposing more options and flexibility, instead of a one-size fits all approach, for practices to be certified as Patient-Centered Medical Homes or Patient-Centered Medical Home specialty practices, qualifying them for the highest possible score for the Clinical Practice Improvement Activity reporting category; Proposing four different options for Medical Home practices to qualify as advanced Alternative Payment Models, instead of the single option proposed by CMS, including options to allow PCMHs to qualify without taking financial risk: Advocated with CMS on Patient Relationship Categories and Codes, as required by MACRA, specifically: that CMS work to ensure that patients, families, and the relationship of patients and families with their physicians are at the forefront of the Agencys thinking in the development of both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) pathways; that the implementation of these categories and codes is carried out in a manner that fully considers and minimizes the impact of reporting burden on the participating clinicians and that has appropriate flexibility to allow for learning and improvement in the approach by both the Agency and the clinicians. Improve Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. The College believes that strong oversight is needed when determining the initial benchmark plan (and whether it reflects the coverage requirements of the Affordable Care Act) and how the package will be updated, particularly if insurers are given the ability to substitute benefits within and across categories. State and the federal government must work in concert with physicians, health care providers and payers to determine and promote use of clinically effective and cost-effective services that result in improved patient health while bending the cost curve. Under the Affordable Care Act, advocated to ensure that people residing in states with health insurance marketplaces operated by the federal government do not lose their cost-sharing reduction subsidies (CSRs) and that those CSRs should be continued indefinitely as part of a larger bipartisan effort to stabilize the individual insurance market. Pilot test Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Veterans Care: Regarding the VA Mission Act of 2018 (H.R. 5674), the College urged Congress to ensure that veterans have access to timely, contiguous care across the spectrum of health care services, with coordination and management of that care in the hands of a primary clinician or clinical care team; that the expansion of care to non-VHA facilities does not come at the cost of maintaining or improving existing VHA services or infrastructure; and that recruitment and retention of clinicians to the VHA is valued appropriately, including reimbursement for services provided; Advocated with Congress on the need for adequate funding for the VHA for FY2019 and the long-term. Immigration: Voiced support to Congress on the need to pass the Development, Relief, and Education for Alien Minors (DREAM) Act of 2017, H.R. 3440. This legislation would establish a three-step pathway to U.S. citizenship through college, work, or the armed services for individuals who were born in another country and brought illegally to the U.S. at a young age (DREAMers). Clinical Labs: Commented to the Centers for Medicare and Medicaid Services (CMS) on issues pertaining to the Protecting Access to Medicare Act of 2014 (PAMA), specifically citing concerns about the potential impacts of PAMA on patient access to critical rapid clinical testing services offered to patients while they are receiving medical care in their physicians office; expressed further concerns about impending cuts on Jan. 1, 2018 for physician office-based testing services. Expand Coverage and Stabilizing the Insurance Market: Congress should work to help stabilize the individual health insurance market and expand coverage. Specifically by develop and introduce comprehensive market stabilization legislation that includes reinsurance options to help stabilize the markets; Expanding cost-sharing assistance eligibility to purchase insurance in the exchanges as well as increase the level of premium tax credits and cost sharing subsidies offered to purchase a qualified health plan; Introducing legislation that would block the expansion of access to short-term health plans or Association Health Plans that allow insurers to charge more to individuals with pre-existing conditions and permit them to exclude from coverage essential medical care; Supporting $690 million in discretionary funding for federal exchanges within CMS Program Operations as part of the FY2019 Labor, Health and Human Services, and Education Appropriations bill. Reduce Unnecessary Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: Passing the Standardizing Electronic Prior Authorization for Safe Prescribing Act (H.R. 4841), which standardizes electronic prior authorization for prescription drugs under Medicare Part D. Adopt even greater harmonization of such standards across the health care industry; Passing the CONNECTIONS Act (H.R. 5812) by Reps. Griffith (R-VA) and Pallone (D-NJ) that would authorize CDC grants to state-run PDMPs to improve data collection and integration into physician clinical workflow specifically, of controlled substances overdose prevention and surveillance activities; Urging health care committees in Congress with jurisdiction over Medicare to exercise their oversight authority of CMS effort to overhaul clinical documentation guidelines with input from practicing clinicians; Passing the Improving Access to Medicare Coverage Act of 2017 (S. 568/H.R. 1421), which deems patients under observation as inpatients for the purposes of satisfying the Medicare 3-day inpatient stay requirement. Reduce Prescription Drug Costs: Congress should increase transparency and accountability in prescription drug pricing and improve access to lower-cost generic medications by passing the Drug Price Transparency in Communications Act (S. 2157), which would require drug companies to disclose the Wholesale Acquisition Cost of an Rx in Direct-to-Consumer Advertising. Representatives should introduce the companion bill; Passing the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2017 (S. 974/H.R. 2212), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market; Passing the Medicare Prescription Drug Price Negotiation Act of 2017 (S. 41/H.R. 242), which would grant authority to the Secretary of HHS to negotiate prescription drug prices with manufacturers for high�cost drugs and biologics covered under Part D; Passing the Fair Accountability and Innovative Research (FAIR) Pricing Act (S. 1131/H.R. 2439), which would require drug manufacturers to disclose and provide more information about planned drug price increases, including R&D costs. Fund Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2019 for federal programs/initiatives designed to support primary care and reject funding rescissions that would harm childrens health coverage or CMS Innovation Center. This includes funding the Primary Care and Training Enhancement (PCTE) at $71 million in order to maintain and expand the pipeline for individuals training in primary care; Funding the National Health Service Corps (NHSC) at least at $415 million in total program funding to fund scholarships and loan repayment to health care professionals to help expand the countrys primary care workforce and meet the health care needs of underserved communities; Funding the Centers for Disease Control and Prevention (CDC) and Prevention and Public Health Fund (PPHF) at $8.45 billion; including PPHF funding at $805 million; Funding the Agency for Healthcare Research and Quality (AHRQ) at $454 million, restoring the agency to its FY2010 enacted level adjusting for inflation after cuts in FY2016 and FY2017 and a small increase in FY2018 so it can help clinicians help patients by making evidence-informed decisions, fund research that serves as the evidence engine for much of the private sectors work to keep patients safe; Funding the National Institutes of Health (NIH) at $39 billion so that this nations biomedical research can continue to fund cures for disease and maintain the U.S. standing as the world leader in medical and biomedical research. Promote Continued Action to Address the Epidemic of Opioid Use: Congress should pass a comprehensive legislative package to improve prevention, education, treatment and recovery for those suffering from opioid-related addictions, including: Providing for sufficient and increased funding to address the opioid epidemic, building and expanding upon the $4.65 billion in the omnibus bill approved by Congress, with at least $1 billion for programs as authorized by CARA 2.0; Expanding access and coverage for medication assisted treatment (methadone, buprenorphine, and naltrexone to prevent opioid and substance use disorders; Rejecting any proposal to impose a three day prescribing limit for initial opioid prescriptions to ensure that doctors have appropriate flexibility to determine the proper duration of each opioid prescription; Passing the Comprehensive Addiction and Recovery Act 2.0 of 2018 (S. 2456/H.R. 5311) as a step toward a more comprehensive opioids-related package. Reduce Firearms-Related Injury and Death: Congress should pass the Assault Weapons Ban of 2018 (S. 2095/H.R. 5077), which would ban the sale of high velocity, rapid file assault rifles and large capacity ammunition magazines and bump stocks; Pass the Brady Background Expansion Act (S. 2009), to expand background checks to virtually all firearm sales in the United States; Pass the Stop Illegal Trafficking in Firearms Act of 2017 (S. 1185), and the Stop Straw Purchases Act (H.R. 5134). Both would increase penalties for individuals who unlawfully purchase firearms for other persons who are prohibited from possessing firearms (known as straw purchasers); Repeal the Dickey amendment restricting firearms-related research by federal agencies and support $50 million in funding for the CDC to conduct such research; Pass S. 834/H.R. 1832 that authorizes funding for the CDC to conduct such research. Make Graduate Medical Education (GME) Funding More Effective: Congress should develop and pass legislation to reform GME to prioritize funding toward physician specialties where millions of patients lack access, including internal medicine specialists trained in comprehensive primary care, to: Increase the number of GME slots by at least 3,000 per year over five years for specialties facing shortages, including internal medicine, as contained in the Resident Physician Shortage Reduction Act of 2017 (S. 1301/H.R. 2267); Combine DGME/IME into a single, more functional program; broaden the GME financing structure to include all payers; Allocate GME funds transparently and to activities that further the educational mission of teaching and training residents/fellows with input from practicing clinicians and in collaboration with their professional organizations; Support continued adequate funding for the VHA and its substantial contributions to the ongoing training of the next generation of physicians. Title X Regulations: Commented to HHS in July on the proposed rule to revise Title X regulations (Title X of the Public Health Service Act) to ensure compliance with, and enhance implementation of, the statutory requirement that none of the funds appropriated for Title X may be used in programs where pregnancy termination is a method of family planning and related statutory requirements. The College asserts that women should have sufficient access to evidence-based family planning and sexual health information and the full range of medically accepted forms of contraception. The College opposes government restrictions that would erode or abrogate a woman's right to continue or discontinue a pregnancy. The College opposes any legislation or regulations that limit access to comprehensive reproductive health care by putting medically unnecessary restrictions on health care professionals or facilities. Kentucky Health Waiver: The College commented to CMS on Kentuckys Health Waiver expressing concern that: it would impose a substantial monthly premium on Medicaid beneficiaries; would also create a six-month lock-out period for certain enrollees who do not pay their premiums on time, which is unduly harsh; that proposed work requirements will impose an unnecessary and unjustified burden on patients to document that they are eligible for an exemption and an unnecessary and unjustified burden on physicians who may be asked to attest that their patients have an exempted medical condition. 2019 Physician Fee Schedule and Quality Payment Program: Advocated to CMS that: cognitive care of more complex patients must be recognized with higher allowed payment rates than less complex care patients; supports the overall direction of CMS's proposal to reduce the burden of documentation for E/M services, but strongly disagrees that such improvements should be contingent on acceptance of the proposal to pay a single flat fee for levels 2-5; CMS not establish a regulatory deadline (e.g. January 1, 2019 or January 1, 2020) for finalizing and implementing its flat fee E/M proposals or possible alternatives that change how E/M services would be paid; calls on CMS to move forward with implementation of their proposal to simplify E/M documentation requirements effective January 1, 2019, while alternatives to the flat fee structure are being developed and pilot-tested; supports implementation on January 1, 2019 of proposals to pay for virtual check-ins, other telehealth and technology-based services, and prolonged face-to-face visits. Short-Term Health Plans: Urged Congress to support the joint resolutions disapproving of the rule related to short-term, limited-duration insurance, as published in the federal register on August 3, 2018, that such rule shall have no force or effect.

H.R. 34: Safe Students Act H.R. 38: Concealed Carry Reciprocity Act of 2017 H.R. 57: Accidental Firearms Transfers Reporting Act of 2017 H.R. 62: Gun Violence Reduction Resources Act of 2017 H.R. 163: Gun Manufacturers Accountability Act H.R. 256: Protect Our Military Families' 2nd Amendment Rights Act H.R. 358: To amend chapter 44 of title 18, United States Code, to more comprehensively address the interstate transportation of firearms or ammunition H.R. 367: Hearing Protection Act of 2017 S. 59: Hearing Protection Act of 2017 S. 80: A bill to protect the right of individuals to bear arms at water resources development projects H.R. 445: Buyback Our Safety Act H.R. 509: ATF Elimination Act S. 159: Firearms Manufacturers and Dealers Protection Act of 2017 S. 162: Second Amendment Enforcement Act of 2017 H.R. 613: Lieutenant Osvaldo Albarati Correctional Officer Self-Protection Act of 2017 H.R. 629: Veterans 2nd Amendment Protection Act S. 202: Social Security Beneficiary 2nd Amendment Rights Protection Act H.J.Res. 40: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Social Security Administration relating to Implementation of the NICS Improvement Amendments Act of 2007 H.R. 810: Hadiya Pendleton and Nyasia Pryear-Yard Stop Illegal Trafficking in Firearms Act of 2017 H. Res. 90: Expressing the sense of the House of Representatives that gun violence is a public health issue and Congress should enact by the end of the 115th Congress comprehensive Federal legislation that protects the Second Amendment and keeps communities safe and healthy, including expanding enforceable background checks for all commercial gun sales, improving the mental health system in the United States, and making gun trafficking and straw purchasing a Federal crime H.R. 1045: Recreational Lands Self-Defense Act of 2017 H.R. 1047: Fairness in Firearm Testing Act H.R. 1079: Campus Gun Policy Transparency Act S. 394: Protect Our Military Families' 2nd Amendment Rights Act H.R. 1137: Collectible Firearms Protection Act H.R. 1181: Veterans 2nd Amendment Protection Act S. 446: Constitutional Concealed Carry Reciprocity Act of 2017 H.R. 1278: Ghost Guns Are Guns Act S. 533: Undetectable Firearms Modernization Act of 2017 H.R. 1475: Gun Trafficking Prevention Act of 2017 H.R. 1478: Gun Violence Research Act S. 618: Lawful Interstate Transportation of Firearms Act H.R. 1537: Second Amendment Enforcement Act of 2017 H.R. 1612: Gun Show Loophole Closing Act of 2017 H.R. 1692: Countering Illegal Firearms Trafficking to Mexico Act H.R. 1708: Firearm Risk Protection Act of 2017 S. 733: Sportsmen's Act H.R. 1832: To authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention S. 834: A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention H.R. 1976: Protecting the Second Amendment Act H.R. 1982: Mental Health Access and Gun Violence Prevention Act of 2017 H.R. 2033: Undetectable Firearms Modernization Act H.R. 2097: ATF Wrongful Reclassification Act H.R. 2098: Second Amendment Defense Act of 2017 H.R. 2380: Handgun Trigger Safety Act of 2017 S. 1084: Lieutenant Osvaldo Albarati Correctional Officer Self-Protection Act of 2017 S. 1185: Stop Illegal Trafficking in Firearms Act of 2017 H.R. 2598: Gun Violence Restraining Order Act of 2017 H.R. 2620: Lawful Purpose and Self Defense Act S. 1212: Gun Violence Prevention Order Act of 2017 S. 1214: Hunting, Fishing, and Recreational Shooting Protection Act H.R. 2670: Protecting Domestic Violence and Stalking Victims Act H.Res. 361: Supporting the goals and ideals of "National Gun Violence Awareness Day" and "National Gun Violence Awareness Month" H.Res. 367: Establishing the Select Committee on Gun Violence Prevention S. Res. 179: A resolution expressing support for the designation of June 2, 2017, as "National Gun Violence Awareness Day" and June 2017 as "National Gun Violence Awareness Month" H.Res. 373: Expressing support for the designation of June 2017 as "National Gun Violence Awareness Month" and calling on Congress to address gun violence H.R. 2784: Good Neighbor Gun Dealer Act H.R. 2810: National Defense Authorization Act for Fiscal Year 2018 H.R. 2841: Disarm Hate Act S. 1324: Disarm Hate Act H.R. 2909: DC Personal Protection Reciprocity Act H.R. 2940: Congressional Self-Defense Act H.R. 2945: Congressional Personal Safety Act H.R. 2951: To allow Members of Congress to carry a concealed handgun anywhere in the United States, with exceptions H.R. 2980: Protecting Gun Owners in Bankruptcy Act of 2017 S. 1387: Protecting the Second Amendment Act H.R. 3054: Veterans' Heritage Firearms Act of 2017 S. 1435: Veterans' Heritage Firearms Act of 2017 H.R. 3139: Hearing Protection Act of 2017 S. 1505: SHUSH Act S. 1541: A bill to modify the definition of an antique firearm. H.R. 3361: SECURE Firearm Storage Act H.R. 3458: MICRO Act H.R. 3464: Background Check Completion Act of 2017 H.R. 3576: SAGA Act H.R. 3613: Safer Neighborhoods Gun Buyback Act of 2017 H.R. 3668: SHARE Act H. Amdt. 378: Description: Amendment sought to reduce the funding level for the Bureau of Alcohol, Tobacco, Firearms and Explosives by five percent H. Amdt. 386: At the end of division C (before the short title), insert the following: Sec. XXXX. None of the funds made available by this Act to the Bureau of Alcohol, Tobacco, Firearms and Explosives H.R. 3790: Federal Firearms Licensee Protection Act S. 1854: Federal Firearms Licensee Protection Act of 2017 H.R. 3947: Automatic Gunfire Prevention Act H.R. 3962: Stop Online Ammunition Sales Act of 2017 S. 1915: Handgun Trigger Safety Act of 2017 S. 1916: Automatic Gunfire Prevention Act S. 1917: Sentencing Reform and Corrections Act of 2017 H.R. 3984: Equal Access to Justice for Victims of Gun Violence Act H.R. 3986: Stopping the Iron Pipeline Act of 2017 H.R. 3987: Protecting Americans from Gun Violence Act of 2017 S. 1923: Background Check Completion Act of 2017 S. 1939: Equal Access to Justice for Victims of Gun Violence Act S. 1945: Keep Americans Safe Act H.R. 3998: Protect America Act of 2017 H.R. 3999: To amend title 18, United States Code, to prohibit the manufacture, possession, or transfer of any part or combination of parts that is designed and functions to increase the rate of fire of a semiautomatic rifle but does not convert the semiautomatic rifle into a machinegun, and for other purposes H.R. 4018: To provide for a 3-day waiting period before a person may receive a handgun, with exceptions H.R. 4025: Multiple Firearm Sales Reporting Modernization Act of 2017 H.R. 4052: Keep Americans Safe Act H.R. 4057: Denying Firearms and Explosives to Dangerous Terrorists Act of 2017 S. 1992: SECURE Firearm Storage Act S. 2009: Background Check Expansion Act H.R. 4142: Safer Communities Act of 2017 H.R. 4168: Closing the Bump-Stock Loophole Act H.R. 4183: Domestic Violence Records Reporting Improvement Act of 2017 H.R. 4192: Domestic Violence Gun Homicide Prevention Act of 2017 S. 2045: Domestic Violence Gun Homicide Prevention Act of 2017 H.R. 4240: Public Safety and Second Amendment Rights Protection Act of 2017 H.R. 4268: Gun Safety: Not Sorry Act of 2017 S. 2094: Domestic Violence Loophole Closure Act S. 2095: Assault Weapons Ban of 2017 H.R. 4342: Fire Sale Loophole Closing Act H.R. 4343: Unlawful Gun Buyer Alert Act H.R. 4344: End Purchase of Firearms by Dangerous Individuals Act of 2017 S. 2135: Fix NICS Act of 2017 H.R. 4434: Fix NICS Act of 2017 S. 2150: Imitation Firearms Safety Act of 2017 S. 2161: Hadiya Pendleton and Nyasia Pryear-Yard Gun Trafficking and Crime Prevention Act of 2017 H.R. 4471: NICS Denial Notification Act of 2017 H.R. 4477: Fix NICS Act of 2017 H. Res. 645: Providing for consideration of the bill (H.R. 38) to amend title 18, United States Code, to provide a means by which nonresidents of a State whose residents may carry concealed firearms may also do so in the State H.R. 4573: Gun Violence Research Act of 2017 H.R. 4721: Armor-Piercing Bullets Act of 2017 H.R. 4909: STOP School Violence Act of 2018 S. 2386: Veterans' Second Amendment Rights Restoration Act of 2018 H.R. 5077: Assault Weapons Ban of 2018 H.R. 5087: Assault Weapons Ban of 2018 H.R. 5090: Raise the Age Act H.R. 5103: Gun Violence Prevention and Safe Communities Act of 2018 H.R. 5106: Investor Choice Against Gun Proliferation Act H.R. 5112: SAFER Voter Act S. 2458: Terrorist Firearms Prevention Act S. 2470: Age 21 Act S. 2475: BUMP Act H.R. 5134: STOP Straw Purchases Act S. 2486: Safe Students Act H.R. 5161: To require the Surgeon General of the Public Health Service to submit to Congress an annual report on the effects of gun violence on public health. H.R. 5162: Firearm Safety Act of 2018 H.R. 5163: Keeping Guns from High-Risk Individuals Act S. 2492: NICS Denial Notification Act of 2018 S. 2495: STOP School Violence Act of 2018 S. 2502: Protecting Communities and Preserving the Second Amendment Act of 2018 H.R. 5225: Strengthening the National Instant Criminal Background Check System Act of 2018 S. 2521: Federal Extreme Risk Protection Order Act of 2018 H.R. 5271: Tiahrt Restrictions Repeal Act H.R. 5286: Mass Violence Prevention Reform Act S. 2546: MASS Act H.R. 5380: Securing Our Children Act of 2018 H.R. 5383: Ammunition Background Check Act of 2018 H.R. 5398: 21 to Buy Act S. 2607: Extreme Risk Protection Order and Violence Prevention Act of 2018 S. 2627: Ammunition Background Check Act of 2018 H.R. 5410: SAFER Now Act H.R. 5461: NICS Review Act of 2018 H.R. 5490: Handgun Purchaser Licensing Act S. 2662: Handgun Purchaser Licensing Act H.R. 5560: Defective Firearms Protection Act H.R. 5607: Handgun Licensing and Registration Act of 2018 H.R. 5720: Armed Prohibited Persons Act of 2018 H.R. 5652: State Access to Firearms Evading Revocation Act H.R. 5657: Gladys Ricart Gun Offender Registry Act H.R. 5682: FIRST STEP Act S. 2795: FIRST STEP Act H.R. 5941: Child Gun Access Prevention Act H.Res. 913: Expressing support for the goals and ideals of June 1 through June 3, 2018 as "National Gun Violence Awareness Weekend" and June 2018 as "National Gun Violence Awareness Month" S. 2974: Crime Gun Tracing Modernization Act S. Res. 524: A resolution expressing support for the designation of June 1 through June 3, 2018 as "National Gun Violence Awareness Weekend" and June 2018 as "National Gun Violence Awareness Month" H.Res. 920: Expressing support for the designation of June as National Gun Violence Awareness Month, and calling on Congress to address gun violence H.R. 6024: Blair Holt Firearm Owner Licensing and Record of Sale Act of 2018 S. 3002: Blair Holt Firearm Owner Licensing and Record of Sale Act of 2018 H.R. 6075: Keeping Gun Dealers Honest Act of 2018 S. 3135: Gun Owner Registration Information Protection Act H.R. 6278: AVERT Future Gun Violence Act H.R. 6297: Assault Weapons Ban and Regulatory Reform Act of 2018 H.Con.Res. 127: Condemning gun violence and its impact on youth by supporting the enactment of legislation to prevent future school and neighborhood shootings

H.R. 34: Safe Students Act H.R. 38: Concealed Carry Reciprocity Act of 2017 H.R. 57: Accidental Firearms Transfers Reporting Act of 2017 H.R. 62: Gun Violence Reduction Resources Act of 2017 H.R. 163: Gun Manufacturers Accountability Act H.R. 256: Protect Our Military Families' 2nd Amendment Rights Act H.R. 358: To amend chapter 44 of title 18, United States Code, to more comprehensively address the interstate transportation of firearms or ammunition H.R. 367: Hearing Protection Act of 2017 S. 59: Hearing Protection Act of 2017 S. 80: A bill to protect the right of individuals to bear arms at water resources development projects H.R. 445: Buyback Our Safety Act H.R. 509: ATF Elimination Act S. 159: Firearms Manufacturers and Dealers Protection Act of 2017 S. 162: Second Amendment Enforcement Act of 2017 H.R. 613: Lieutenant Osvaldo Albarati Correctional Officer Self-Protection Act of 2017 H.R. 629: Veterans 2nd Amendment Protection Act S. 202: Social Security Beneficiary 2nd Amendment Rights Protection Act H.J.Res. 40: Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Social Security Administration relating to Implementation of the NICS Improvement Amendments Act of 2007 H.R. 810: Hadiya Pendleton and Nyasia Pryear-Yard Stop Illegal Trafficking in Firearms Act of 2017 H. Res. 90: Expressing the sense of the House of Representatives that gun violence is a public health issue and Congress should enact by the end of the 115th Congress comprehensive Federal legislation that protects the Second Amendment and keeps communities safe and healthy, including expanding enforceable background checks for all commercial gun sales, improving the mental health system in the United States, and making gun trafficking and straw purchasing a Federal crime H.R. 1045: Recreational Lands Self-Defense Act of 2017 H.R. 1047: Fairness in Firearm Testing Act H.R. 1079: Campus Gun Policy Transparency Act S. 394: Protect Our Military Families' 2nd Amendment Rights Act H.R. 1137: Collectible Firearms Protection Act H.R. 1181: Veterans 2nd Amendment Protection Act S. 446: Constitutional Concealed Carry Reciprocity Act of 2017 H.R. 1278: Ghost Guns Are Guns Act S. 533: Undetectable Firearms Modernization Act of 2017 H.R. 1475: Gun Trafficking Prevention Act of 2017 H.R. 1478: Gun Violence Research Act S. 618: Lawful Interstate Transportation of Firearms Act H.R. 1537: Second Amendment Enforcement Act of 2017 H.R. 1612: Gun Show Loophole Closing Act of 2017 H.R. 1692: Countering Illegal Firearms Trafficking to Mexico Act H.R. 1708: Firearm Risk Protection Act of 2017 S. 733: Sportsmen's Act H.R. 1832: To authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention S. 834: A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention H.R. 1976: Protecting the Second Amendment Act H.R. 1982: Mental Health Access and Gun Violence Prevention Act of 2017 H.R. 2033: Undetectable Firearms Modernization Act H.R. 2097: ATF Wrongful Reclassification Act H.R. 2098: Second Amendment Defense Act of 2017 H.R. 2380: Handgun Trigger Safety Act of 2017 S. 1084: Lieutenant Osvaldo Albarati Correctional Officer Self-Protection Act of 2017 S. 1185: Stop Illegal Trafficking in Firearms Act of 2017 H.R. 2598: Gun Violence Restraining Order Act of 2017 H.R. 2620: Lawful Purpose and Self Defense Act S. 1212: Gun Violence Prevention Order Act of 2017 S. 1214: Hunting, Fishing, and Recreational Shooting Protection Act H.R. 2670: Protecting Domestic Violence and Stalking Victims Act H.Res. 361: Supporting the goals and ideals of "National Gun Violence Awareness Day" and "National Gun Violence Awareness Month" H.Res. 367: Establishing the Select Committee on Gun Violence Prevention S. Res. 179: A resolution expressing support for the designation of June 2, 2017, as "National Gun Violence Awareness Day" and June 2017 as "National Gun Violence Awareness Month" H.Res. 373: Expressing support for the designation of June 2017 as "National Gun Violence Awareness Month" and calling on Congress to address gun violence H.R. 2784: Good Neighbor Gun Dealer Act H.R. 2810: National Defense Authorization Act for Fiscal Year 2018 H.R. 2841: Disarm Hate Act S. 1324: Disarm Hate Act H.R. 2909: DC Personal Protection Reciprocity Act H.R. 2940: Congressional Self-Defense Act H.R. 2945: Congressional Personal Safety Act H.R. 2951: To allow Members of Congress to carry a concealed handgun anywhere in the United States, with exceptions H.R. 2980: Protecting Gun Owners in Bankruptcy Act of 2017 S. 1387: Protecting the Second Amendment Act H.R. 3054: Veterans' Heritage Firearms Act of 2017 S. 1435: Veterans' Heritage Firearms Act of 2017 H.R. 3139: Hearing Protection Act of 2017 S. 1505: SHUSH Act S. 1541: A bill to modify the definition of an antique firearm. H.R. 3361: SECURE Firearm Storage Act H.R. 3458: MICRO Act H.R. 3464: Background Check Completion Act of 2017 H.R. 3576: SAGA Act H.R. 3613: Safer Neighborhoods Gun Buyback Act of 2017 H.R. 3668: SHARE Act H. Amdt. 378: Description: Amendment sought to reduce the funding level for the Bureau of Alcohol, Tobacco, Firearms and Explosives by five percent H. Amdt. 386: At the end of division C (before the short title), insert the following: Sec. XXXX. None of the funds made available by this Act to the Bureau of Alcohol, Tobacco, Firearms and Explosives H.R. 3790: Federal Firearms Licensee Protection Act S. 1854: Federal Firearms Licensee Protection Act of 2017 H.R. 3947: Automatic Gunfire Prevention Act H.R. 3962: Stop Online Ammunition Sales Act of 2017 S. 1915: Handgun Trigger Safety Act of 2017 S. 1916: Automatic Gunfire Prevention Act S. 1917: Sentencing Reform and Corrections Act of 2017 H.R. 3984: Equal Access to Justice for Victims of Gun Violence Act H.R. 3986: Stopping the Iron Pipeline Act of 2017 H.R. 3987: Protecting Americans from Gun Violence Act of 2017 S. 1923: Background Check Completion Act of 2017 S. 1939: Equal Access to Justice for Victims of Gun Violence Act S. 1945: Keep Americans Safe Act H.R. 3998: Protect America Act of 2017 H.R. 3999: To amend title 18, United States Code, to prohibit the manufacture, possession, or transfer of any part or combination of parts that is designed and functions to increase the rate of fire of a semiautomatic rifle but does not convert the semiautomatic rifle into a machinegun, and for other purposes H.R. 4018: To provide for a 3-day waiting period before a person may receive a handgun, with exceptions H.R. 4025: Multiple Firearm Sales Reporting Modernization Act of 2017 H.R. 4052: Keep Americans Safe Act H.R. 4057: Denying Firearms and Explosives to Dangerous Terrorists Act of 2017 S. 1992: SECURE Firearm Storage Act S. 2009: Background Check Expansion Act H.R. 4142: Safer Communities Act of 2017 H.R. 4168: Closing the Bump-Stock Loophole Act H.R. 4183: Domestic Violence Records Reporting Improvement Act of 2017 H.R. 4192: Domestic Violence Gun Homicide Prevention Act of 2017 S. 2045: Domestic Violence Gun Homicide Prevention Act of 2017 H.R. 4240: Public Safety and Second Amendment Rights Protection Act of 2017 H.R. 4268: Gun Safety: Not Sorry Act of 2017 S. 2094: Domestic Violence Loophole Closure Act S. 2095: Assault Weapons Ban of 2017 H.R. 4342: Fire Sale Loophole Closing Act H.R. 4343: Unlawful Gun Buyer Alert Act H.R. 4344: End Purchase of Firearms by Dangerous Individuals Act of 2017 S. 2135: Fix NICS Act of 2017 H.R. 4434: Fix NICS Act of 2017 S. 2150: Imitation Firearms Safety Act of 2017 S. 2161: Hadiya Pendleton and Nyasia Pryear-Yard Gun Trafficking and Crime Prevention Act of 2017 H.R. 4471: NICS Denial Notification Act of 2017 H.R. 4477: Fix NICS Act of 2017 H. Res. 645: Providing for consideration of the bill (H.R. 38) to amend title 18, United States Code, to provide a means by which nonresidents of a State whose residents may carry concealed firearms may also do so in the State H.R. 4573: Gun Violence Research Act of 2017 H.R. 4721: Armor-Piercing Bullets Act of 2017 H.R. 4909: STOP School Violence Act of 2018 S. 2386: Veterans' Second Amendment Rights Restoration Act of 2018 H.R. 5077: Assault Weapons Ban of 2018 H.R. 5087: Assault Weapons Ban of 2018 H.R. 5090: Raise the Age Act H.R. 5103: Gun Violence Prevention and Safe Communities Act of 2018 H.R. 5106: Investor Choice Against Gun Proliferation Act H.R. 5112: SAFER Voter Act S. 2458: Terrorist Firearms Prevention Act S. 2470: Age 21 Act S. 2475: BUMP Act H.R. 5134: STOP Straw Purchases Act S. 2486: Safe Students Act H.R. 5161: To require the Surgeon General of the Public Health Service to submit to Congress an annual report on the effects of gun violence on public health. H.R. 5162: Firearm Safety Act of 2018 H.R. 5163: Keeping Guns from High-Risk Individuals Act S. 2492: NICS Denial Notification Act of 2018 S. 2495: STOP School Violence Act of 2018 S. 2502: Protecting Communities and Preserving the Second Amendment Act of 2018 H.R. 5225: Strengthening the National Instant Criminal Background Check System Act of 2018 S. 2521: Federal Extreme Risk Protection Order Act of 2018 H.R. 5271: Tiahrt Restrictions Repeal Act H.R. 5286: Mass Violence Prevention Reform Act S. 2546: MASS Act H.R. 5380: Securing Our Children Act of 2018 H.R. 5383: Ammunition Background Check Act of 2018 H.R. 5398: 21 to Buy Act S. 2607: Extreme Risk Protection Order and Violence Prevention Act of 2018 S. 2627: Ammunition Background Check Act of 2018 H.R. 5410: SAFER Now Act

Firearms: H.R.1137 - Collectible Firearms Protection Act - To amend the Arms Export Control Act to provide that certain firearms listed as curios or relics may be imported into the United States by a licensed importer without obtaining authorization from the Department of State or the Department of Defense, and for other purposes. H.R.2033 - Undetectable Firearms Modernization Act - To modernize the Undetectable Firearms Act of 1988. H.R.2380 - Handgun Trigger Safety Act of 2017 - To provide for the development and use of technology for personalized handguns, to require that all handguns manufactured or sold in, or imported into, the United States incorporate such technology, and for other purposes. S.1541 - A bill to modify the definition of an antique firearm. H.R.3947 - Automatic Gunfire Prevention Act- To prohibit the possession or transfer of certain firearm accessories, and for other purposes. H.R.3962 - Stop Online Ammunition Sales Act of 2017- To require face-to-face purchases of ammunition, to require licensing of ammunition dealers, and to require reporting regarding bulk purchases of ammunition. S.1915 - Handgun Trigger Safety Act of 2017- To provide for the development and use of technology for personalized handguns, to require that all handguns manufactured or sold in, or imported into, the United States incorporate such technology, and for other purposes. S.1916 - Automatic Gunfire Prevention Act- To prohibit the possession or transfer of certain firearm accessories, and for other purposes. H.R.3986 - Stopping the Iron Pipeline Act of 2017- To provide for the establishment of a national standard for incorporating a passive identification ability into all firearms sold in the United States. H.R.3999 - To amend title 18, United States Code, to prohibit the manufacture, possession, or transfer of any part or combination of parts that is designed and functions to increase the rate of fire of a semiautomatic rifle but does not convert the semiautomatic rifle into a machinegun, and for other purposes.- To amend title 18, United States Code, to prohibit the manufacture, possession, or transfer of any part or combination of parts that is designed and functions to increase the rate of fire of a semiautomatic rifle but does not convert the semiautomatic rifle into a machinegun, and for other purposes. H.R.4064 - To impose restrictions on the sale of binary explosives, and for other purposes.- To impose restrictions on the sale of binary explosives, and for other purposes. S.2095 - Assault Weapons Ban of 2017- To regulate assault weapons, to ensure that the right to keep and bear arms is not unlimited, and for other purposes. H.R.4344 - End Purchase of Firearms by Dangerous Individuals Act of 2017- To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes. S.2150 - Imitation Firearms Safety Act of 2017- To improve requirements for entering into commerce of imitation firearms, and for other purposes. H.R.4721 - Armor-Piercing Bullets Act of 2017- To enact into law a framework for deciding whether certain projectiles are primarily intended for sporting purposes for purposes of determining whether the projectiles are armor piercing ammunition. H.R.4765 - Prevent Crime and Terrorism Act of 2018- To amend the Arms Export Control Act to prohibit the removal of certain items under category I, II, or III of the United States Munitions List for purposes of transferring the item to or controlling the item under any portion of the Commerce Control List of dual-use items in the Export Administration Regulations. H.R.5077 - Assault Weapons Ban of 2018- To regulate assault weapons, to ensure that the right to keep and bear arms is not unlimited, and for other purposes. H.R.5087 - Assault Weapons Ban of 2018- To regulate the importation, manufacture, possession, sale or transfer of assault weapons, and for other purposes. H.R.5103 - Gun Violence Prevention and Safe Communities Act of 2018- To amend the Internal Revenue Code of 1986 to increase the excise tax and special occupational tax in respect of firearms and to increase the transfer tax on any other weapon, and for other purposes. H.R.5106 - Investor Choice Against Gun Proliferation Act- To amend the Securities Exchange Act of 1934 to require issuers to disclose in an annual report any substantial financial relationship with any manufacturer or dealer of firearms or ammunition. H.R.5271 - Tiahrt Restrictions Repeal Act- To repeal certain impediments to the administration of the firearms laws. S.2627 - A bill to appropriately restrict sales of ammunition - To appropriately restrict sales of ammunition. H.R.5383 - Ammunition Background Check Act of 2018- To prevent the purchase of ammunition by prohibited purchasers. H.R.5410 - SAFER Now Act - To improve public safety through sensible reforms to firearms regulations. H.R.5560 - Defective Firearms Protection Act- To amend the consumer product safety laws to repeal of exclusion of pistols, revolvers, and other firearms from the definition of consumer product under such laws. H.R.6109 - SAFETY Act- To amend the Internal Revenue Code of 1986 to provide an enhanced research credit for the development of smart gun technologies. H.R.6296 - To amend the Arms Export Control Act to modify certification and report requirements relating to sales of major defense equipment with respect to which nonrecurring costs of research, development, and production are waived or reduced under the Arms Export Control Act, and for other purposes.- To amend the Arms Export Control Act to modify certification and report requirements relating to sales of major defense equipment with respect to which nonrecurring costs of research, development, and production are waived or reduced under the Arms Export Control Act, and for other purposes. H.R.6297 - To regulate the importation, manufacture, possession, sale or transfer of assault weapons, and for other purposes.- To regulate the importation, manufacture, possession, sale or transfer of assault weapons, and for other purposes.

Preserve Access to Primary Care Services: Address the shortage of primary care physicians; provide scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas; provide grants for medical school mentorship programs and primary care training in community health centers; increase Title VII funding for primary care health programs; increase funding for the National Health Service Corps, provide regulatory relief for primary care physicians; H.R. 7192/S. 1174, the Preserving Patient Access to Primary Care Act (as first introduced in the 111th Congress). Support the Affordable Care Act (P.L. 111-148, P.L. 111-152) by: Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes. Medicare Physician Payment Reform: Advocated in support of H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA), which was enacted in April 2015 and repealed Medicares Sustainable Growth Rate (SGR) formula and moved us to a new value-based payment and delivery system under Medicare; Advocated with CMS on numerous aspects of the MACRA proposed and final rules, including: proposing a distinctive alternative scoring methodology, developed by ACP, which combines, simplifies, aligns and reduces the complexity of the four reporting categories that will qualify physicians for FFS payment adjustments; proposing specific alternatives to CMS Advancing Care Information program that replaced the Meaningful Use program; proposing additional improvements to simplify the reporting requirements for the Quality, Advancing Care Information and Improvement Activities categories; urging CMS to immediately create virtual reporting options and to create safe harbors for smaller practices until such options are available; proposing more options and flexibility, instead of a one-size fits all approach, for practices to be certified as Patient-Centered Medical Homes or Patient-Centered Medical Home specialty practices, qualifying them for the highest possible score for the Clinical Practice Improvement Activity reporting category; Proposing four different options for Medical Home practices to qualify as advanced Alternative Payment Models, instead of the single option proposed by CMS, including options to allow PCMHs to qualify without taking financial risk: Advocated with CMS on Patient Relationship Categories and Codes, as required by MACRA, specifically: that CMS work to ensure that patients, families, and the relationship of patients and families with their physicians are at the forefront of the Agencys thinking in the development of both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) pathways; that the implementation of these categories and codes is carried out in a manner that fully considers and minimizes the impact of reporting burden on the participating clinicians and that has appropriate flexibility to allow for learning and improvement in the approach by both the Agency and the clinicians. Improve Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. The College believes that strong oversight is needed when determining the initial benchmark plan (and whether it reflects the coverage requirements of the Affordable Care Act) and how the package will be updated, particularly if insurers are given the ability to substitute benefits within and across categories. State and the federal government must work in concert with physicians, health care providers and payers to determine and promote use of clinically effective and cost-effective services that result in improved patient health while bending the cost curve. Under the Affordable Care Act, advocated to ensure that people residing in states with health insurance marketplaces operated by the federal government do not lose their cost-sharing reduction subsidies (CSRs) and that those CSRs should be continued indefinitely as part of a larger bipartisan effort to stabilize the individual insurance market. Pilot test Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Maternal Health: Advocated for the Preventing Maternal Deaths Act, H.R. 1318, which supports state Maternal Mortality Review Committees, and promotes national information sharing through the Centers for Disease Control and Prevention (CDC), so that states can continue to learn from best practices and collaborate as needed. This bill will also put data to work through demonstration projects to eliminate disparities in maternal health outcomes. Veterans Care: Regarding the VA Mission Act of 2018 (H.R. 5674), the College urged Congress to ensure that veterans have access to timely, contiguous care across the spectrum of health care services, with coordination and management of that care in the hands of a primary clinician or clinical care team; that the expansion of care to non-VHA facilities does not come at the cost of maintaining or improving existing VHA services or infrastructure; and that recruitment and retention of clinicians to the VHA is valued appropriately, including reimbursement for services provided. Non-discrimination Protections: Urged the U.S. Department of Health and Human Services not to weaken nondiscrimination protections for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) individuals under Section 1557 of the Affordable Care Act. Immigration: Voiced support to Congress on the need to pass the Development, Relief, and Education for Alien Minors (DREAM) Act of 2017, H.R. 3440. This legislation would establish a three-step pathway to U.S. citizenship through college, work, or the armed services for individuals who were born in another country and brought illegally to the U.S. at a young age (DREAMers). Clinical Labs: Commented to the Centers for Medicare and Medicaid Services (CMS) on issues pertaining to the Protecting Access to Medicare Act of 2014 (PAMA), specifically citing concerns about the potential impacts of PAMA on patient access to critical rapid clinical testing services offered to patients while they are receiving medical care in their physicians office; expressed further concerns about impending cuts on Jan. 1, 2018 for physician office-based testing services. Expand Coverage and Stabilizing the Insurance Market: Congress should work to help stabilize the individual health insurance market and expand coverage. Specifically by develop and introduce comprehensive market stabilization legislation that includes reinsurance options to help stabilize the markets; Expanding cost-sharing assistance eligibility to purchase insurance in the exchanges as well as increase the level of premium tax credits and cost sharing subsidies offered to purchase a qualified health plan; Introducing legislation that would block the expansion of access to short-term health plans or Association Health Plans that allow insurers to charge more to individuals with pre-existing conditions and permit them to exclude from coverage essential medical care; Supporting $690 million in discretionary funding for federal exchanges within CMS Program Operations as part of the FY2019 Labor, Health and Human Services, and Education Appropriations bill. Reduce Unnecessary Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: Passing the Standardizing Electronic Prior Authorization for Safe Prescribing Act (H.R. 4841), which standardizes electronic prior authorization for prescription drugs under Medicare Part D. Adopt even greater harmonization of such standards across the health care industry; Passing the CONNECTIONS Act (H.R. 5812) by Reps. Griffith (R-VA) and Pallone (D-NJ) that would authorize CDC grants to state-run PDMPs to improve data collection and integration into physician clinical workflow specifically, of controlled substances overdose prevention and surveillance activities; Urging health care committees in Congress with jurisdiction over Medicare to exercise their oversight authority of CMS effort to overhaul clinical documentation guidelines with input from practicing clinicians; Passing the Improving Access to Medicare Coverage Act of 2017 (S. 568/H.R. 1421), which deems patients under observation as inpatients for the purposes of satisfying the Medicare 3-day inpatient stay requirement. Reduce Prescription Drug Costs: Congress should increase transparency and accountability in prescription drug pricing and improve access to lower-cost generic medications by passing the Drug Price Transparency in Communications Act (S. 2157), which would require drug companies to disclose the Wholesale Acquisition Cost of an Rx in Direct-to-Consumer Advertising. Representatives should introduce the companion bill; Passing the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2017 (S. 974/H.R. 2212), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market; Passing the Medicare Prescription Drug Price Negotiation Act of 2017 (S. 41/H.R. 242), which would grant authority to the Secretary of HHS to negotiate prescription drug prices with manufacturers for high�cost drugs and biologics covered under Part D; Passing the Fair Accountability and Innovative Research (FAIR) Pricing Act (S. 1131/H.R. 2439), which would require drug manufacturers to disclose and provide more information about planned drug price increases, including R&D costs. Fund Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2019 for federal programs/initiatives designed to support primary care and reject funding rescissions that would harm childrens health coverage or CMS Innovation Center. This includes funding the Primary Care and Training Enhancement (PCTE) at $71 million in order to maintain and expand the pipeline for individuals training in primary care; Funding the National Health Service Corps (NHSC) at least at $415 million in total program funding to fund scholarships and loan repayment to health care professionals to help expand the countrys primary care workforce and meet the health care needs of underserved communities; Funding the Centers for Disease Control and Prevention (CDC) and Prevention and Public Health Fund (PPHF) at $8.45 billion; including PPHF funding at $805 million; Funding the Agency for Healthcare Research and Quality (AHRQ) at $454 million, restoring the agency to its FY2010 enacted level adjusting for inflation after cuts in FY2016 and FY2017 and a small increase in FY2018 so it can help clinicians help patients by making evidence-informed decisions, fund research that serves as the evidence engine for much of the private sectors work to keep patients safe; Funding the National Institutes of Health (NIH) at $39 billion so that this nations biomedical research can continue to fund cures for disease and maintain the U.S. standing as the world leader in medical and biomedical research. Promote Continued Action to Address the Epidemic of Opioid Use: Congress should pass a comprehensive legislative package to improve prevention, education, treatment and recovery for those suffering from opioid-related addictions, including: Providing for sufficient and increased funding to address the opioid epidemic, building and expanding upon the $4.65 billion in the omnibus bill approved by Congress, with at least $1 billion for programs as authorized by CARA 2.0; Expanding access and coverage for medication assisted treatment (methadone, buprenorphine, and naltrexone to prevent opioid and substance use disorders; Rejecting any proposal to impose a three day prescribing limit for initial opioid prescriptions to ensure that doctors have appropriate flexibility to determine the proper duration of each opioid prescription; Passing the Comprehensive Addiction and Recovery Act 2.0 of 2018 (S. 2456/H.R. 5311) as a step toward a more comprehensive opioids-related package. Reduce Firearms-Related Injury and Death: Congress should pass the Assault Weapons Ban of 2018 (S. 2095/H.R. 5077), which would ban the sale of high velocity, rapid file assault rifles and large capacity ammunition magazines and bump stocks; Pass the Brady Background Expansion Act (S. 2009), to expand background checks to virtually all firearm sales in the United States; Pass the Stop Illegal Trafficking in Firearms Act of 2017 (S. 1185), and the Stop Straw Purchases Act (H.R. 5134). Both would increase penalties for individuals who unlawfully purchase firearms for other persons who are prohibited from possessing firearms (known as straw purchasers); Repeal the Dickey amendment restricting firearms-related research by federal agencies and support $50 million in funding for the CDC to conduct such research; Pass S. 834/H.R. 1832 that authorizes funding for the CDC to conduct such research. Make Graduate Medical Education (GME) Funding More Effective: Congress should develop and pass legislation to reform GME to prioritize funding toward physician specialties where millions of patients lack access, including internal medicine specialists trained in comprehensive primary care, to: Increase the number of GME slots by at least 3,000 per year over five years for specialties facing shortages, including internal medicine, as contained in the Resident Physician Shortage Reduction Act of 2017 (S. 1301/H.R. 2267); Combine DGME/IME into a single, more functional program; broaden the GME financing structure to include all payers; Allocate GME funds transparently and to activities that further the educational mission of teaching and training residents/fellows with input from practicing clinicians and in collaboration with their professional organizations; Support continued adequate funding for the VHA and its substantial contributions to the ongoing training of the next generation of physicians.

Preserve Access to Primary Care Services: Address the shortage of primary care physicians; provide scholarships and loan forgiveness in exchange for primary care service commitments to practice in critical shortage areas; provide grants for medical school mentorship programs and primary care training in community health centers; increase Title VII funding for primary care health programs; increase funding for the National Health Service Corps, provide regulatory relief for primary care physicians; H.R. 7192/S. 1174, the Preserving Patient Access to Primary Care Act (as first introduced in the 111th Congress). Support the Affordable Care Act (P.L. 111-148, P.L. 111-152) by: Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes. Medicare Physician Payment Reform: Advocated in support of H.R. 2, the Medicare Access and CHIP Reauthorization Act (MACRA), which was enacted in April 2015 and repealed Medicares Sustainable Growth Rate (SGR) formula and moved us to a new value-based payment and delivery system under Medicare; Advocated with CMS on numerous aspects of the MACRA proposed and final rules, including: proposing a distinctive alternative scoring methodology, developed by ACP, which combines, simplifies, aligns and reduces the complexity of the four reporting categories that will qualify physicians for FFS payment adjustments; proposing specific alternatives to CMS Advancing Care Information program that replaced the Meaningful Use program; proposing additional improvements to simplify the reporting requirements for the Quality, Advancing Care Information and Improvement Activities categories; urging CMS to immediately create virtual reporting options and to create safe harbors for smaller practices until such options are available; proposing more options and flexibility, instead of a one-size fits all approach, for practices to be certified as Patient-Centered Medical Homes or Patient-Centered Medical Home specialty practices, qualifying them for the highest possible score for the Clinical Practice Improvement Activity reporting category; Proposing four different options for Medical Home practices to qualify as advanced Alternative Payment Models, instead of the single option proposed by CMS, including options to allow PCMHs to qualify without taking financial risk: Advocated with CMS on Patient Relationship Categories and Codes, as required by MACRA, specifically: that CMS work to ensure that patients, families, and the relationship of patients and families with their physicians are at the forefront of the Agencys thinking in the development of both the Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) pathways; that the implementation of these categories and codes is carried out in a manner that fully considers and minimizes the impact of reporting burden on the participating clinicians and that has appropriate flexibility to allow for learning and improvement in the approach by both the Agency and the clinicians. Improve Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. The College believes that strong oversight is needed when determining the initial benchmark plan (and whether it reflects the coverage requirements of the Affordable Care Act) and how the package will be updated, particularly if insurers are given the ability to substitute benefits within and across categories. State and the federal government must work in concert with physicians, health care providers and payers to determine and promote use of clinically effective and cost-effective services that result in improved patient health while bending the cost curve. Under the Affordable Care Act, advocated to ensure that people residing in states with health insurance marketplaces operated by the federal government do not lose their cost-sharing reduction subsidies (CSRs) and that those CSRs should be continued indefinitely as part of a larger bipartisan effort to stabilize the individual insurance market. Pilot test Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Maternal Health: Advocated for the Preventing Maternal Deaths Act, H.R. 1318, which supports state Maternal Mortality Review Committees, and promotes national information sharing through the Centers for Disease Control and Prevention (CDC), so that states can continue to learn from best practices and collaborate as needed. This bill will also put data to work through demonstration projects to eliminate disparities in maternal health outcomes. Veterans Care: Regarding the VA Mission Act of 2018 (H.R. 5674), the College urged Congress to ensure that veterans have access to timely, contiguous care across the spectrum of health care services, with coordination and management of that care in the hands of a primary clinician or clinical care team; that the expansion of care to non-VHA facilities does not come at the cost of maintaining or improving existing VHA services or infrastructure; and that recruitment and retention of clinicians to the VHA is valued appropriately, including reimbursement for services provided. Non-discrimination Protections: Urged the U.S. Department of Health and Human Services not to weaken nondiscrimination protections for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) individuals under Section 1557 of the Affordable Care Act. Immigration: Voiced support to Congress on the need to pass the Development, Relief, and Education for Alien Minors (DREAM) Act of 2017, H.R. 3440. This legislation would establish a three-step pathway to U.S. citizenship through college, work, or the armed services for individuals who were born in another country and brought illegally to the U.S. at a young age (DREAMers). Clinical Labs: Commented to the Centers for Medicare and Medicaid Services (CMS) on issues pertaining to the Protecting Access to Medicare Act of 2014 (PAMA), specifically citing concerns about the potential impacts of PAMA on patient access to critical rapid clinical testing services offered to patients while they are receiving medical care in their physicians office; expressed further concerns about impending cuts on Jan. 1, 2018 for physician office-based testing services. Expand Coverage and Stabilizing the Insurance Market: Congress should work to help stabilize the individual health insurance market and expand coverage. Specifically by develop and introduce comprehensive market stabilization legislation that includes reinsurance options to help stabilize the markets; Expanding cost-sharing assistance eligibility to purchase insurance in the exchanges as well as increase the level of premium tax credits and cost sharing subsidies offered to purchase a qualified health plan; Introducing legislation that would block the expansion of access to short-term health plans or Association Health Plans that allow insurers to charge more to individuals with pre-existing conditions and permit them to exclude from coverage essential medical care; Supporting $690 million in discretionary funding for federal exchanges within CMS Program Operations as part of the FY2019 Labor, Health and Human Services, and Education Appropriations bill. Reduce Unnecessary Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: Passing the Standardizing Electronic Prior Authorization for Safe Prescribing Act (H.R. 4841), which standardizes electronic prior authorization for prescription drugs under Medicare Part D. Adopt even greater harmonization of such standards across the health care industry; Passing the CONNECTIONS Act (H.R. 5812) by Reps. Griffith (R-VA) and Pallone (D-NJ) that would authorize CDC grants to state-run PDMPs to improve data collection and integration into physician clinical workflow specifically, of controlled substances overdose prevention and surveillance activities; Urging health care committees in Congress with jurisdiction over Medicare to exercise their oversight authority of CMS effort to overhaul clinical documentation guidelines with input from practicing clinicians; Passing the Improving Access to Medicare Coverage Act of 2017 (S. 568/H.R. 1421), which deems patients under observation as inpatients for the purposes of satisfying the Medicare 3-day inpatient stay requirement. Reduce Prescription Drug Costs: Congress should increase transparency and accountability in prescription drug pricing and improve access to lower-cost generic medications by passing the Drug Price Transparency in Communications Act (S. 2157), which would require drug companies to disclose the Wholesale Acquisition Cost of an Rx in Direct-to-Consumer Advertising. Representatives should introduce the companion bill; Passing the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2017 (S. 974/H.R. 2212), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market; Passing the Medicare Prescription Drug Price Negotiation Act of 2017 (S. 41/H.R. 242), which would grant authority to the Secretary of HHS to negotiate prescription drug prices with manufacturers for high�cost drugs and biologics covered under Part D; Passing the Fair Accountability and Innovative Research (FAIR) Pricing Act (S. 1131/H.R. 2439), which would require drug manufacturers to disclose and provide more information about planned drug price increases, including R&D costs. Fund Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2019 for federal programs/initiatives designed to support primary care and reject funding rescissions that would harm childrens health coverage or CMS Innovation Center. This includes funding the Primary Care and Training Enhancement (PCTE) at $71 million in order to maintain and expand the pipeline for individuals training in primary care; Funding the National Health Service Corps (NHSC) at least at $415 million in total program funding to fund scholarships and loan repayment to health care professionals to help expand the countrys primary care workforce and meet the health care needs of underserved communities; Funding the Centers for Disease Control and Prevention (CDC) and Prevention and Public Health Fund (PPHF) at $8.45 billion; including PPHF funding at $805 million; Funding the Agency for Healthcare Research and Quality (AHRQ) at $454 million, restoring the agency to its FY2010 enacted level adjusting for inflation after cuts in FY2016 and FY2017 and a small increase in FY2018 so it can help clinicians help patients by making evidence-informed decisions, fund research that serves as the evidence engine for much of the private sectors work to keep patients safe; Funding the National Institutes of Health (NIH) at $39 billion so that this nations biomedical research can continue to fund cures for disease and maintain the U.S. standing as the world leader in medical and biomedical research. Promote Continued Action to Address the Epidemic of Opioid Use: Congress should pass a comprehensive legislative package to improve prevention, education, treatment and recovery for those suffering from opioid-related addictions, including: Providing for sufficient and increased funding to address the opioid epidemic, building and expanding upon the $4.65 billion in the omnibus bill approved by Congress, with at least $1 billion for programs as authorized by CARA 2.0; Expanding access and coverage for medication assisted treatment (methadone, buprenorphine, and naltrexone to prevent opioid and substance use disorders; Rejecting any proposal to impose a three day prescribing limit for initial opioid prescriptions to ensure that doctors have appropriate flexibility to determine the proper duration of each opioid prescription; Passing the Comprehensive Addiction and Recovery Act 2.0 of 2018 (S. 2456/H.R. 5311) as a step toward a more comprehensive opioids-related package. Reduce Firearms-Related Injury and Death: Congress should pass the Assault Weapons Ban of 2018 (S. 2095/H.R. 5077), which would ban the sale of high velocity, rapid file assault rifles and large capacity ammunition magazines and bump stocks; Pass the Brady Background Expansion Act (S. 2009), to expand background checks to virtually all firearm sales in the United States; Pass the Stop Illegal Trafficking in Firearms Act of 2017 (S. 1185), and the Stop Straw Purchases Act (H.R. 5134). Both would increase penalties for individuals who unlawfully purchase firearms for other persons who are prohibited from possessing firearms (known as straw purchasers); Repeal the Dickey amendment restricting firearms-related research by federal agencies and support $50 million in funding for the CDC to conduct such research; Pass S. 834/H.R. 1832 that authorizes funding for the CDC to conduct such research. Make Graduate Medical Education (GME) Funding More Effective: Congress should develop and pass legislation to reform GME to prioritize funding toward physician specialties where millions of patients lack access, including internal medicine specialists trained in comprehensive primary care, to: Increase the number of GME slots by at least 3,000 per year over five years for specialties facing shortages, including internal medicine, as contained in the Resident Physician Shortage Reduction Act of 2017 (S. 1301/H.R. 2267); Combine DGME/IME into a single, more functional program; broaden the GME financing structure to include all payers; Allocate GME funds transparently and to activities that further the educational mission of teaching and training residents/fellows with input from practicing clinicians and in collaboration with their professional organizations; Support continued adequate funding for the VHA and its substantial contributions to the ongoing training of the next generation of physicians.

H.R.1137 - Collectible Firearms Protection Act - To amend the Arms Export Control Act to provide that certain firearms listed as curios or relics may be imported into the United States by a licensed importer without obtaining authorization from the Department of State or the Department of Defense, and for other purposes. H.R.2033 - Undetectable Firearms Modernization Act - To modernize the Undetectable Firearms Act of 1988. H.R.2380 - Handgun Trigger Safety Act of 2017 - To provide for the development and use of technology for personalized handguns, to require that all handguns manufactured or sold in, or imported into, the United States incorporate such technology, and for other purposes. S.1541 - A bill to modify the definition of an antique firearm. H.R.3947 - Automatic Gunfire Prevention Act- To prohibit the possession or transfer of certain firearm accessories, and for other purposes. H.R.3962 - Stop Online Ammunition Sales Act of 2017- To require face-to-face purchases of ammunition, to require licensing of ammunition dealers, and to require reporting regarding bulk purchases of ammunition. S.1915 - Handgun Trigger Safety Act of 2017- To provide for the development and use of technology for personalized handguns, to require that all handguns manufactured or sold in, or imported into, the United States incorporate such technology, and for other purposes. S.1916 - Automatic Gunfire Prevention Act- To prohibit the possession or transfer of certain firearm accessories, and for other purposes. H.R.3986 - Stopping the Iron Pipeline Act of 2017- To provide for the establishment of a national standard for incorporating a passive identification ability into all firearms sold in the United States. H.R.3999 - To amend title 18, United States Code, to prohibit the manufacture, possession, or transfer of any part or combination of parts that is designed and functions to increase the rate of fire of a semiautomatic rifle but does not convert the semiautomatic rifle into a machinegun, and for other purposes.- To amend title 18, United States Code, to prohibit the manufacture, possession, or transfer of any part or combination of parts that is designed and functions to increase the rate of fire of a semiautomatic rifle but does not convert the semiautomatic rifle into a machinegun, and for other purposes. H.R.4064 - To impose restrictions on the sale of binary explosives, and for other purposes.- To impose restrictions on the sale of binary explosives, and for other purposes. S.2095 - Assault Weapons Ban of 2017- To regulate assault weapons, to ensure that the right to keep and bear arms is not unlimited, and for other purposes. H.R.4344 - End Purchase of Firearms by Dangerous Individuals Act of 2017- To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes. S.2150 - Imitation Firearms Safety Act of 2017- To improve requirements for entering into commerce of imitation firearms, and for other purposes. H.R.4721 - Armor-Piercing Bullets Act of 2017- To enact into law a framework for deciding whether certain projectiles are primarily intended for sporting purposes for purposes of determining whether the projectiles are armor piercing ammunition. H.R.4765 - Prevent Crime and Terrorism Act of 2018- To amend the Arms Export Control Act to prohibit the removal of certain items under category I, II, or III of the United States Munitions List for purposes of transferring the item to or controlling the item under any portion of the Commerce Control List of dual-use items in the Export Administration Regulations. H.R.5077 - Assault Weapons Ban of 2018- To regulate assault weapons, to ensure that the right to keep and bear arms is not unlimited, and for other purposes. H.R.5087 - Assault Weapons Ban of 2018- To regulate the importation, manufacture, possession, sale or transfer of assault weapons, and for other purposes. H.R.5103 - Gun Violence Prevention and Safe Communities Act of 2018- To amend the Internal Revenue Code of 1986 to increase the excise tax and special occupational tax in respect of firearms and to increase the transfer tax on any other weapon, and for other purposes. H.R.5106 - Investor Choice Against Gun Proliferation Act- To amend the Securities Exchange Act of 1934 to require issuers to disclose in an annual report any substantial financial relationship with any manufacturer or dealer of firearms or ammunition. H.R.5271 - Tiahrt Restrictions Repeal Act- To repeal certain impediments to the administration of the firearms laws. S.2627 - A bill to appropriately restrict sales of ammunition - To appropriately restrict sales of ammunition. H.R.5383 - Ammunition Background Check Act of 2018- To prevent the purchase of ammunition by prohibited purchasers. H.R.5410 - SAFER Now Act - To improve public safety through sensible reforms to firearms regulations.

FY 2017 Senate Intelligence Authorization Act, S. 3017 FY 2017 House Intelligence Authorization Act, H.R. 5077 FY 2017 National Defense Authorization Act, S. 2943, H.R. 4909

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

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, Joint Chiefs of Staff, Natl Geospatial Intelligence Agency, Natl Security Council (NSC), Office of the Secretary of Defense, SENATE, State, Dept of (DOS)

H.R. 5077 and S. 3017 Intelligence Authorization Act Fiscal Year 2017. Intelligence Programs and Funding.

Client expense: $4,770,000 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Defense, Dept of (DOD), Energy, Dept of, Environmental Protection Agency (EPA), Export-Import Bank of the United States (EXIM Bank), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Navy, Dept of, SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill. Specific issues: Intelligence Programs/Systems; Missile Defense; Army Vehicles; Naval Warfare Centers; Sustainable Products; Paint Systems; Advanced Space Data Exploitation & Integration; Cross Domain Solution; Force Readiness Reporting; Explosive Safety Board Regulation Modernization.

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

FY 2017 Senate Intelligence Authorization Act, S. 3017 FY 2017 House Intelligence Authorization Act, H.R. 5077 FY 2017 National Defense Authorization Act, S. 2943, H.R. 4909

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

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, Joint Chiefs of Staff, Natl Geospatial Intelligence Agency, Natl Security Council (NSC), Office of the Secretary of Defense, SENATE, State, Dept of (DOS)

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 4741, FY 2017 Acquisition Agility Act; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill; FY 2018 Acquisition Agility Act. Specific issues: Fire Control Programs; Intelligence Contracting; Intelligence Surveillance and Reconnaissance; National Security Space Programs; Optics; Intellectual Property/Data Rights; Directed Energy.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill. Specific issues: Intelligence & National Security Space Programs.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill. Specific issue: Commercial Imagery Satellite Programs & Policy.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill. Specific issue: Intelligence Systems.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill. Specific issue: Satellite communications; Military radios.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill. Specific issues: Intelligence Programs and Contracting Issues; Microelectronics Policy Issues; Aircraft Programs; Armor Programs; Space Technology.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 4741, FY 2017 Acquisition Agility Act; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 Acquisition Agility Act. Specific issue: SBIR Reauthorization.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA)

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 4741, FY 2017 Acquisition Agility Act; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill FY 2018 Acquisition Agility Act. Specific issues: Small Business Acquisition issues and Defense Contract Audit Agency issues.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA)

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill. Specific issues: Gorgon Stare; Electronic Warfare; F-16 Radar; Patriot Missile Systems.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; H.R. 3180, FY 2018 House Intelligence Authorization Bill; FY 2018 Senate Intelligence Authorization Bill. Specific issues: Intelligence Programs and Policy; Shipbuilding, Armored Vehicles (Abrams, Stryker); Information Technology Issues; ISR Programs; National Security Space Programs; Littoral Combat Ship; Submarines.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Energy and Water Development Appropriation Acts. Specific issues: Intelligence Programs/Systems; Missile Defense; Army Vehicles; Naval Warfare Centers; Sustainable Products; Paint Systems; Power Grid; Advanced Space Data Exploitation & Integration; Cross Domain Solution; Force Readiness Reporting; Explosive Safety Board Regulation Modernization; Technical Support for Energy Modernization.

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

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issue: Intelligence Systems.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issues: Gorgon Stare; Electronic Warfare; F-16 Radar; Patriot Missile Systems.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issues: Intelligence Programs and Policy; Shipbuilding, Armored Vehicles (Abrams, Stryker); Information Technology Issues; ISR Programs; National Security Space Programs; Littoral Combat Ship; Submarines.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 2810, FY 2018 House Defense Authorization Bill; S. 1519, FY 2018 Senate Defense Authorization Bill; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific Issues: Intelligence Programs and Contracting Issues; ISR Programs; National Security Space Programs.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5077 and S. 3017 Intelligence Authorization Act Fiscal Year 2017. Intelligence Programs and Funding.

Client expense: $3,980,000 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Other), Commerce, Dept of (DOC), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Export-Import Bank of the United States (EXIM Bank), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Economic Council (NEC), Navy, Dept of, SENATE, State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific Issues: Intelligence Programs and Contracting Issues; ISR Programs; National Security Space Programs.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

FY 2017 Senate Intelligence Authorization Act, S. 3017 FY 2017 House Intelligence Authorization Act, H.R. 5077 FY 2017 National Defense Authorization Act, S. 2943, H.R. 4909

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

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, Joint Chiefs of Staff, Natl Geospatial Intelligence Agency, Natl Security Council (NSC), Office of the Secretary of Defense, SENATE, State, Dept of (DOS)

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 4741, FY 2017 Acquisition Agility Act; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills; FY 2018 Acquisition Agility Act. Specific issues: Fire Control Programs; Optics Programs; Intelligence Contracting; Intelligence Surveillance and Reconnaissance; National Security Space Programs; Optics; Intellectual Property/Data Rights.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issues: Intelligence & National Security Space Programs.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issue: Commercial Imagery Satellite Programs & Policy.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issues: Intelligence Programs/Systems; Missile Defense; Army Vehicles; Naval Warfare Centers; Sustainable Products; Paint Systems; Power Grid; Advanced Space Data Exploitation & Integration; Cross Domain Solution; Force Readiness Reporting; Explosive Safety Board Regulation Modernization; Technical Support for Energy Modernization.

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

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issue: Intelligence Systems.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issue: Satellite communications; Military radios.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issues: Intelligence Programs and Contracting Issues; Microelectronics Policy Issues; Aircraft Programs; Armor Programs; Space Technology.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 4741, FY 2017 Acquisition Agility Act; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 Acquisition Agility Act. Specific issues: Small Business Acquisition issues and Defense Contract Audit Agency issues.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA)

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; H.R. 4741, FY 2017 Acquisition Agility Act; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 Acquisition Agility Act; H.R. 4783, Commercializing on Small Business Innovation Act of 2016; S. 2812, SBIR/STTR Reauthorization Act of 2016. Specific issue: SBIR Reauthorization.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE, Small Business Administration (SBA)

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issues: Gorgon Stare; Electronic Warfare; F-16 Radar; Patriot Missile Systems.

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4909 and S. 2943, FY 2017 House and Senate Defense Authorization Bills; H.R. 5299 and S. 3000, FY 2017 House and Senate Defense Appropriations Acts; H.R. 5077 and S. 3017, FY 2017 House and Senate Intelligence Authorization Bills; FY 2018 House and Senate Defense Authorization Bills; FY 2018 House and Senate Defense Appropriations Acts; FY 2018 House and Senate Intelligence Authorization Bills. Specific issues: Intelligence Programs and Policy; Shipbuilding, Armored Vehicles (Abrams, Stryker); Information Technology Issues; ISR Programs; National Security Space Programs; Littoral Combat Ship; Submarines.

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

Government targets: Defense, Dept of (DOD), Director of National Intelligence (ODNI), HOUSE OF REPRESENTATIVES, SENATE

H.R. 5077/S. 3017, Intelligence Authorization Act for Fiscal Year 2017 -Funding for language acquisition and cognition research

Client expense: $15,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE