VA MISSION Act of 2018

Ambulatory Surgical Center Quality and Access Act Removing Barriers to Colorectal Cancer Screening Act H.R.5674 - VA MISSION Act of 2018 H.R.4783/S.2239 - Veterans Deserve Better Act Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $168,102 · Firm income: Not reported

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

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; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. 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. 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 and the Administration 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 the long-term. Expand Coverage and Stabilizing the Insurance Market: Congress should work to help stabilize the individual health insurance market and expand coverage. Specifically, the College urged Congress to develop and introduce comprehensive market stabilization legislation that includes reinsurance options to help stabilize the markets; Expand 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; Introduce 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. Reduce Unnecessary Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines. Health Information Technology (HIT): The College made recommendations to HHSs Draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Recommendations included, the definition and measurement of interoperability should not focus solely on volumes of data transferred or access to every piece of health information ever collected; interoperability should focus on the breadth and depth of information involved in useful clinical management of patients as they transition through the healthcare system, the exchange of useful, meaningful data at the point of care, the ability to incorporate clinical perspective, and query health IT systems for up-to-date information related to specific and relevant clinical questions; work with industry stakeholders to develop industry guidance on best practices for implementing and managing provenance functionality in systems as a strategy to improve practical interoperability; health IT can improve clinical documentation by incorporating the patient narrative and including patient-generated data; documentation updates and auditing requirements need to be implemented uniformly across payers and vendors in order to burden to be reduced; waive clinical documentation requirements necessary for payment in order to test or administer alternative payment models (APMs); collaborate with private payers, EHR vendors, physician organizations, and other necessary stakeholders to establish agreed upon clinical definitions for data elements and report formats so that the health IT could be programmed to generate and send data automatically; the Promoting Interoperability Category within the Quality Payment Program should not be limited to a small set of required measures, but should incorporate a broader list of optional health IT activities from which clinicians can choose that are most appropriate to their scope of practice and specialty; collaborate with specialty societies, frontline clinicians, patients, and EHR vendors in the development, testing, and implementation of performance measures with a focus on decreasing clinician burden, ensuring patient- and family-centeredness, and integrating the measurement of and reporting on performance with quality improvement and care delivery. Reduce Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62), which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries, and the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019, (H.R. 965/S. 340), 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. Fund Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2020 for federal programs/initiatives designed to support primary care including Title VII Health Professions grants and the National Health Service Corps (NHSC). Equally important is the need to fund essential health services and medical research by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH) and public health programs supported by the Centers for Disease Control and Prevention (CDC). Reduce Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border last summer; urged congressional oversight of family separation policies. Climate Change: The College educated Congress on the harmful health impacts of climate change. Climate change adaptation strategies must be established, and mitigation measures, like switching to clean, renewable energy and promoting active transportation, must be adopted. The College opposed the United States withdrawal from the Paris Agreement. Governments should commit to providing substantial and sufficient climate change research funding to understand, adapt to, and mitigate the human health effects of climate change. The College opposes weakening the limits on carbon emissions from new and reconstructed sources, which would open the door for more greenhouse gas emissions. Medicaid: The College expressed concern about the possibility of the Centers for Medicare & Medicaid Services (CMS) approving pending section 1115 waiver requests to impose work-reporting requirements on very low-income parents and caregivers covered by Medicaid. The College noted that approval of these requests would be extremely harmful to very vulnerable children and their families and would directly contradict the objectives of the Medicaid program.

Client expense: $249,860 · Firm income: Not reported

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

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; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. 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. 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 and the Administration 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 the long-term. Expand Coverage and Stabilizing the Insurance Market: Congress should work to help stabilize the individual health insurance market and expand coverage. Specifically, the College urged Congress to develop and introduce comprehensive market stabilization legislation that includes reinsurance options to help stabilize the markets; Expand 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; Introduce 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. Reduce Unnecessary Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines. Health Information Technology (HIT): The College made recommendations to HHSs Draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs. Recommendations included, the definition and measurement of interoperability should not focus solely on volumes of data transferred or access to every piece of health information ever collected; interoperability should focus on the breadth and depth of information involved in useful clinical management of patients as they transition through the healthcare system, the exchange of useful, meaningful data at the point of care, the ability to incorporate clinical perspective, and query health IT systems for up-to-date information related to specific and relevant clinical questions; work with industry stakeholders to develop industry guidance on best practices for implementing and managing provenance functionality in systems as a strategy to improve practical interoperability; health IT can improve clinical documentation by incorporating the patient narrative and including patient-generated data; documentation updates and auditing requirements need to be implemented uniformly across payers and vendors in order to burden to be reduced; waive clinical documentation requirements necessary for payment in order to test or administer alternative payment models (APMs); collaborate with private payers, EHR vendors, physician organizations, and other necessary stakeholders to establish agreed upon clinical definitions for data elements and report formats so that the health IT could be programmed to generate and send data automatically; the Promoting Interoperability Category within the Quality Payment Program should not be limited to a small set of required measures, but should incorporate a broader list of optional health IT activities from which clinicians can choose that are most appropriate to their scope of practice and specialty; collaborate with specialty societies, frontline clinicians, patients, and EHR vendors in the development, testing, and implementation of performance measures with a focus on decreasing clinician burden, ensuring patient- and family-centeredness, and integrating the measurement of and reporting on performance with quality improvement and care delivery. Reduce Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62), which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries, and the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019, (H.R. 965/S. 340), 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. Fund Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2020 for federal programs/initiatives designed to support primary care including Title VII Health Professions grants and the National Health Service Corps (NHSC). Equally important is the need to fund essential health services and medical research by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH) and public health programs supported by the Centers for Disease Control and Prevention (CDC). Reduce Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border last summer; urged congressional oversight of family separation policies. Climate Change: The College educated Congress on the harmful health impacts of climate change. Climate change adaptation strategies must be established, and mitigation measures, like switching to clean, renewable energy and promoting active transportation, must be adopted. The College opposed the United States withdrawal from the Paris Agreement. Governments should commit to providing substantial and sufficient climate change research funding to understand, adapt to, and mitigate the human health effects of climate change. The College opposes weakening the limits on carbon emissions from new and reconstructed sources, which would open the door for more greenhouse gas emissions. Medicaid: The College expressed concern about the possibility of the Centers for Medicare & Medicaid Services (CMS) approving pending section 1115 waiver requests to impose work-reporting requirements on very low-income parents and caregivers covered by Medicaid. The College noted that approval of these requests would be extremely harmful to very vulnerable children and their families and would directly contradict the objectives of the Medicaid program.

Client expense: $92,631 · Firm income: Not reported

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

S. 2372 - VA MISSION Act of 2018 (section 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers) HR 5674 - VA MISSION Act of 2018 (section 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers)

Client expense: $560,000 · Firm income: Not reported

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

HR 91 -- Building Supportive Networks for Women Veterans Act -- To amend title 38, U.S.C., to make permanent the pilot program on counseling in retreat settings for women veterans newly separated from service in the Armed Forces - SUPPORT HR 93 -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans - SUPPORT HR 95 -- Veterans Access to Child Care Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to provide child care assistance to veterans receiving certain medical services provided by the Department of Veterans Affairs - SUPPORT HR 105 -- Protect Veterans from Financial Fraud Act of 2017 -- To amend title 38, U.S.C., to ensure that the Secretary of Veterans Affairs repays the misused benefits of veterans with fiduciaries, to establish an appeals process for determinations by the Secretary of Veterans Affairs of veterans mental capacity, and for other purposes - SUPPORT HR 299 -- Blue Water Navy Vietnam Veterans Act of 2017 -- To amend title 38, U.S.C., to clarify presumptions relating to the exposure of certain veterans who served in the vicinity of the Republic of Vietnam, and for other purposes - SUPPORT HR 467 -- VA Scheduling Accountability Act -- To direct the Secretary of Veterans Affairs to ensure that each medical facility of the Department of Veterans Affairs complies with requirements relating to scheduling veterans for health care appointments, to improve the uniform application of directives of the Department, and for other purposes - SUPPORT HR 501 -- VA Transparency Enhancement Act of 2017 -- To require increased reporting regarding certain surgeries scheduled at medical facilities of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 888 -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans - SUPPORT HR 906 -- Furthering Asbestos Claims Transparency (FACT) Act -- To amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos, and for other purposes - SUPPORT HR 907 -- Newborn Care Improvement Act -- To amend title 38, U.S.C., to improve the care provided by the Secretary of Veterans Affairs to newborn children - SUPPORT HR 918 -- Veteran Urgent Access to Mental Healthcare Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to furnish mental health care to certain former members of the Armed Forces who are not otherwise eligible to receive such care and for other purposes. - SUPPORT HR 1005 -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans - SUPPORT HR 1063 -- Veteran Prescription Continuity Act -- To ensure that an individual who is transitioning from receiving medical treatment furnished by the Secretary of Defense to medical treatment furnished by the Secretary of Veterans Affairs receives the pharmaceutical agents required for such transition - SUPPORT HR 1066 -- VA Management Alignment Act of 2017 -- To direct the Secretary of Veterans Affairs to submit to the Committees on Veterans Affairs of the Senate and the House of Representatives a report regarding the organizational structure of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 1162 -- No Hero Left Untreated Act -- To direct the Secretary of Veterans Affairs (VA) to carry out a pilot program to provide access to magnetic EEG/EKG-guided resonance therapy to veterans - OPPOSE HR 1181 -- Veterans 2nd Amendment Rights Protection Act -- To amend title 38, U.S.C., to clarify the conditions under which certain persons may be treated as adjudicated mentally incompetent for certain purposes - SUPPORT HR 1259 -- VA Accountability First Act of 2017 -- To amend title 38, U.S.C., to provide for the removal or demotion of employees of the Department of Veterans Affairs based on performance or misconduct, and for other purposes - SUPPORT HR 1328 -- American Heroes COLA Act of 2017 -- To amend title 38, United States Code, to provide for annual cost-of-living adjustments to be made automatically by law each year in the rates of disability compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for survivors of certain service-connected disabled veterans, and for other purposes - OPPOSE HR 1390 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization. -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization - SUPPORT HR 1506 -- VA Health Care Provider Education Debt Relief Act of 2017 -- To amend Title 38, United States Code, to increase the maximum amount of education debt reduction available for health care professionals employed by the Veterans Health Administration, and for other purposes - SUPPORT HR 1564 -- VA Beneficiary Travel Act of 2017 -- To amend section 504 of the Veterans Benefits Improvements Act of 1996 to specify the funding source for travel related to examinations by physicians not employed by the Department of Veterans Affairs regarding medical disabilities of applicants for benefits under title 38, U.S.C., to codify section 504 of the Veterans Benefits Improvements Act of 1996, and for other purposes - SUPPORT HR 1848 -- Veterans Affairs Medical Scribe Pilot Act of 2017 -- To direct the Secretary of Veterans Affairs to carry out a pilot program on the use of medical scribes in Department of Veterans Affairs medical centers - SUPPORT HR 1900 -- National Veterans Memorial and Museum Act -- To designate the Veterans Memorial and Museum in Columbus, Ohio as the National Veterans Memorial and Museum, and for other purposes - SUPPORT HR 1942 -- To amend title 28, United States Code, to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes. -- To amend title 28, U.S.C., to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes - SUPPORT HR 1972 -- VA Billing Accountability Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to waive the requirement of certain veterans to make copayments for hospital care and medical services in the case of an error by the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2006 -- VA Procurement Efficiency and Transparency Act -- To amend title 38, U.S.C., to improve the procurement practices of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2020 -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act. -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act - SUPPORT HR 2147 -- Veterans Treatment Court Improvement Act of 2017 -- To require the Secretary of Veterans Affairs to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT HR 2225 -- Veterans Dog Training Therapy Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy - SUPPORT HR 2322 -- Injured and Amputee Veterans Bill of Rights -- To direct the Secretary of Veterans Affairs to educate certain staff of the Department of Veterans Affairs and to inform veterans about the Injured and Amputee Veterans Bill of Rights, and for other purposes - OPPOSE HR 2327 -- Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 -- To direct the Secretary of Veterans Affairs to make grants to eligible organizations to provide service dogs to veterans with severe post-traumatic stress disorder, and for other purposes - SUPPORT HR 2409 -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed - SUPPORT HR 2506 -- Veterans Wellness Act -- To direct the Secretary of Veterans Affairs to establish a pilot program to award grants to nonprofit veterans service organizations to upgrade the community facilities of such organizations - SUPPORT HR 2601 -- Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 -- To amend the Veterans Access, Choice, and Accountability Act of 2014 to improve the access of veterans to organ transplants, and for other purposes - SUPPORT HR 2773 -- To Authorize the Secretary of Veterans Affairs to sell Pershing Hall -- To authorize the Secretary of Veterans Affairs to sell Pershing Hall - OPPOSE HR 2787 -- Veterans-Specific Education for Tomorrows Medical Doctors Act -- To establish in the Department of Veterans Affairs a pilot program instituting a clinical observation program for pre-med students preparing to attend medical school - SUPPORT HR 3557 -- To amend title 38, United States Code, to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program -- To amend title 38, U.S.C., to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program - SUPPORT HR 3605 -- Fairness for Korean DMZ Veterans Act of 2017 -- To amend title 38, United States Code, to provide for a presumption of herbicide exposure for certain veterans who served in Korea. - SUPPORT HR 3642 -- Military Sexual Assault Victims Empowerment (Military SAVE) Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program to improve the access to private health care for veterans who are survivors of military sexual trauma -SUPPORT HR 3657 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries - SUPPORT HR 3696 -- Injured and Amputee Veterans Bill of Rights -- To require the Secretary of Veterans Affairs to award grants to establish, or expand upon, masters degree programs in orthotics and prosthetics, and for other purposes - SUPPORT HR 3705 -- Veterans Fair Debt Notice Act of 2017 -- To direct the Secretary of Veterans Affairs to require the use of certified mail and plain language in certain debt collection activities - SUPPORT HR 3832 -- Veterans Opioid Abuse Prevention Act -- To direct the Secretary of Veterans Affairs to enter into a memorandum of understanding with the executive director of a national network of State-based prescription monitoring programs under with the Department of Veterans Affairs health care providers shall query such network, and for other purposes - SUPPORT HR 3866 -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan. -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan - SUPPORT HR 4242 -- VA Care in the Community Act -- To amend title 38, United States Code, to establish a permanent VA Care in the Community Program, and for other purposes - SUPPORT HR 4243 -- Asset and Infrastructure Review (AIR) Act of 2017 -- To establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction and management leases of the Department of Veterans Affairs, to amend and appropriate funds for the Veterans Choice Program, and for other purposes - SUPPORT (with modifications) HR 4245 -- Veterans Electronic Health Record Modernization Oversight Act of 2017 -- To direct the VA Secretary to submit to Congress certain documents relating to the Electronic Health Record Modernization Program of the Department of Veterans Affairs - SUPPORT HR 4334 -- Improving Oversight of Women Veterans Care Act of 2017 -- To provide for certain reporting requirements relating to medical care for women veterans provided by the Department of Veterans Affairs and through contracts entered into by the Secretary of Veterans Affairs with non-Department medical providers, and for other purposes - SUPPORT HR 4335 -- Servicemember Family Burial Act -- To amend title 38, United States Code, to provide for headstones and markers for, and interment in national cemeteries of, deceased spouses and dependent children of members of the Armed Forces serving on active duty, and for other purposes - SUPPORT HR 4635 -- To direct the Secretary of Veterans Affairs to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes -- To direct the VA Secretary to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes - SUPPORT HR 4958 -- Veterans Compensation Cost-of-Living Adjustment Act of 2018 -- To increase, effective as of December 1, 2018, the rates of compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for the survivors of certain disabled veterans, and for other purposes - SUPPORT HR 5467 -- Purple Heart and Disabled Veterans Equal Access Act of 2008 -- To amend title 10, U.S.C., to extend certain morale, welfare, and recreation privileges to certain veterans and their caregivers, to authorize the appropriation of funds for the purpose of improving the electronic physical access control system used by military commissaries and exchanges, and for other purposes - SUPPORT HR 5521 -- VA Hiring Enhancement Act -- To amend title 38, United States Code, to provide for the non-applicability of non-Department of Veterans Affairs covenants not to compete to the appointment of certain Veterans Health Administration personnel, to permit the Veterans Health Administration to make contingent appointments, and to require certain Veterans Health Administration physicians to complete residency training - SUPPORT HR 5649 -- Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 -- To amend title 38, United States Code, to establish the Veterans Economic Opportunity and Transition Administration, and for other purposes - SUPPORT Public Law 115-182 [HR 5674; S 2372] -- VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 or (VA MISSION Act of 2018). -- To establish a permanent community care program for veterans, to establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction of the Department of Veterans Affairs, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to the home loan program of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 5693 -- Long-Term Care Veterans Choice Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the placement of veterans in non-Department medical foster homes for certain veterans who are unable to live independently SUPPORT HR 5786 -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes. -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes - SUPPORT HR 5938 -- Veterans Serving Veterans Act of 2018 -- To amend the VA Choice and Quality Employment Act to direct the VA Secretary to establish a vacancy and recruitment database to facilitate the recruitment of certain members of the Armed Forces to satisfy the occupational needs of the VA, to establish and implement a training and certification program for intermediate care technicians in that Department, and for other purposes - SUPPORT HR 90; S 233 -- Providing Veterans Overdue Care Act of 2017 -- To authorize the Secretary of Veterans Affairs to carry out certain major medical facility leases of the Department of Veterans Affairs - SUPPORT HR 1133; S 115 -- Veterans Transplant Coverage Act -- To amend title 38, U.S.C., to authorize the VA Secretary to provide for an operation on a live donor for purposes of conducting a transplant procedure for a veteran, and for other purposes - SUPPORT HR 2123; S 925 -- Veterans E-Health and Telemedicine Support Act of 2017 (VETS Act) -- To amend title 38, United States Code, to improve the ability of health care professionals to treat veterans through the use of telemedicine, and for other purposes - SUPPORT HR 3262; S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT HR 4910; S 2372 -- Veteran Cemetery Benefit Correction Act -- To amend title 38, United States Code, to provide outer burial receptacles for remains buried in National Parks, and for other purposes - SUPPORT S Res 112 -- Designating April 5, 2017, as Gold Star Wives Day. -- Designating April 5, 2017, as Gold Star Wives Day - SUPPORT S 75 -- Arla Harrell Act -- To provide for the reconsideration of claims for disability compensation for veterans who were the subjects of experiments by the Department of Defense during World War II that were conducted to assess the effects of mustard gas or lewisite on people, and for other purposes - SUPPORT S 242 -- Working to Integrate Networks Guaranteeing Member Access Now Act or the WINGMAN Act -- To amend title 38, United States Code, to permit veterans to grant access to their records in the databases of the Veterans Benefits Administration to certain designated congressional employees, and for other purposes - OPPOSE S 283 -- Mark Takai Atomic Veterans Healthcare Parity Act -- To amend title 38, U.S.C., to provide for the treatment of veterans who participated in the cleanup of Enewetak Atoll as radiation exposed veterans for purposes of the presumption of service-connection of certain disabilities by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 423 -- CHAMPVA Childrens Care Protection Act of 2017 -- To amend title 38, to increase the maximum age for children eligible for medical care under the CHAMPVA program, and for other purposes - SUPPORT S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT S 591 -- Military and Veteran Caregiver Services Improvement Act of 2017 -- To expand eligibility for the program of comprehensive assistance for family caregivers of the Department of Veterans Affairs, to expand benefits available to participants under such program, to enhance special compensation for members of the uniformed services who require assistance in everyday life, and for other purposes - SUPPORT S 609 -- Chiropractic Care Available to All Veterans Act of 2017 -- To amend the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 and title 38, U.S.C., to require the provision of chiropractic care and services to veterans at all Department of Veterans Affairs medical centers and to expand access to such care and services, and for other purposes - SUPPORT S 681 -- Deborah Sampson Act -- To amend title 38, U.S.C., to improve the benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes - SUPPORT (w/modifications) S 683 -- Keeping Our Commitment to Disabled Veterans Act of 2017 -- To amend title 38, U.S.C., to extend the requirement to provide nursing home care to certain veterans with service-connected disabilities - SUPPORT S 706 -- Quicker Veterans Benefits Delivery Act of 2017 -- To amend title 38, United States Code, to improve the treatment of medical evidence provided by non-Department of Veterans Affairs medical professionals in support of claims for disability compensation under the laws administered by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 744 -- Protecting Veterans Credit Act of 2017 -- To amend the Fair Credit Reporting Act to delay the inclusion in consumer credit reports and to establish requirements for debt collectors with respect to medical debt information of veterans due to inappropriate or delayed billing payments or reimbursements from the Department of Veterans Affairs, and for other purposes. - SUPPORT S 758 -- Janey Ensminger Act of 2017 -- To amend the Public Health Service Act with respect to the Agency for Toxic Substances and Disease Registrys review and publication of illness and conditions relating to veterans stationed at Camp Lejeune, North Carolina, and their family members, and for other purposes - SUPPORT S 798 -- Yellow Ribbon Improvement Act of 2017 -- To amend title 38, U.S.C., to expand the Yellow Ribbon G.I. Education Enhancement Program to apply to individuals pursuing programs of education while on active duty, to recipients of the Marine Gunnery Sergeant John David Fry scholarship, and to programs of education pursued on half-time basis or less, and for other purposes - SUPPORT S 804 -- Women Veterans Access to Quality Care Act -- To improve the provision of health care for women veterans by the Department of Veterans Affairs, and for other purposes - SUPPORT S 833 -- Servicemembers and Veterans Empowerment and Support Act of 2017 -- To amend title 38, U.S.C., to expand health care and benefits from the VA for military sexual trauma, and for other purposes - SUPPORT S 899 -- To amend title 38, United States Code, to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes. -- To amend title 38, U.S.C., to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes - SUPPORT S 946 -- Veterans Treatment Courts Improvement Act of 2017 -- To require the VA Secretary to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT S 1153 -- Veterans Acquiring Community Care Expect Safe Services Act of 2017 (Veterans ACCESS Act) -- To prohibit or suspend certain health care providers from providing non-VA health care services to veterans, and for other purposes - SUPPORT

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

HR 91 -- Building Supportive Networks for Women Veterans Act -- To amend title 38, U.S.C., to make permanent the pilot program on counseling in retreat settings for women veterans newly separated from service in the Armed Forces - SUPPORT HR 93 -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans - SUPPORT HR 95 -- Veterans Access to Child Care Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to provide child care assistance to veterans receiving certain medical services provided by the Department of Veterans Affairs - SUPPORT HR 105 -- Protect Veterans from Financial Fraud Act of 2017 -- To amend title 38, U.S.C., to ensure that the Secretary of Veterans Affairs repays the misused benefits of veterans with fiduciaries, to establish an appeals process for determinations by the Secretary of Veterans Affairs of veterans mental capacity, and for other purposes - SUPPORT HR 299 -- Blue Water Navy Vietnam Veterans Act of 2017 -- To amend title 38, U.S.C., to clarify presumptions relating to the exposure of certain veterans who served in the vicinity of the Republic of Vietnam, and for other purposes - SUPPORT HR 467 -- VA Scheduling Accountability Act -- To direct the Secretary of Veterans Affairs to ensure that each medical facility of the Department of Veterans Affairs complies with requirements relating to scheduling veterans for health care appointments, to improve the uniform application of directives of the Department, and for other purposes - SUPPORT HR 501 -- VA Transparency Enhancement Act of 2017 -- To require increased reporting regarding certain surgeries scheduled at medical facilities of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 888 -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans - SUPPORT HR 906 -- Furthering Asbestos Claims Transparency (FACT) Act -- To amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos, and for other purposes - SUPPORT HR 907 -- Newborn Care Improvement Act -- To amend title 38, U.S.C., to improve the care provided by the Secretary of Veterans Affairs to newborn children - SUPPORT HR 918 -- Veteran Urgent Access to Mental Healthcare Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to furnish mental health care to certain former members of the Armed Forces who are not otherwise eligible to receive such care and for other purposes. - SUPPORT HR 1005 -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans - SUPPORT HR 1063 -- Veteran Prescription Continuity Act -- To ensure that an individual who is transitioning from receiving medical treatment furnished by the Secretary of Defense to medical treatment furnished by the Secretary of Veterans Affairs receives the pharmaceutical agents required for such transition - SUPPORT HR 1066 -- VA Management Alignment Act of 2017 -- To direct the Secretary of Veterans Affairs to submit to the Committees on Veterans Affairs of the Senate and the House of Representatives a report regarding the organizational structure of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 1162 -- No Hero Left Untreated Act -- To direct the Secretary of Veterans Affairs (VA) to carry out a pilot program to provide access to magnetic EEG/EKG-guided resonance therapy to veterans - OPPOSE HR 1181 -- Veterans 2nd Amendment Rights Protection Act -- To amend title 38, U.S.C., to clarify the conditions under which certain persons may be treated as adjudicated mentally incompetent for certain purposes - SUPPORT HR 1259 -- VA Accountability First Act of 2017 -- To amend title 38, U.S.C., to provide for the removal or demotion of employees of the Department of Veterans Affairs based on performance or misconduct, and for other purposes - SUPPORT HR 1328 -- American Heroes COLA Act of 2017 -- To amend title 38, United States Code, to provide for annual cost-of-living adjustments to be made automatically by law each year in the rates of disability compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for survivors of certain service-connected disabled veterans, and for other purposes - OPPOSE HR 1390 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization. -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization - SUPPORT HR 1506 -- VA Health Care Provider Education Debt Relief Act of 2017 -- To amend Title 38, United States Code, to increase the maximum amount of education debt reduction available for health care professionals employed by the Veterans Health Administration, and for other purposes - SUPPORT HR 1564 -- VA Beneficiary Travel Act of 2017 -- To amend section 504 of the Veterans Benefits Improvements Act of 1996 to specify the funding source for travel related to examinations by physicians not employed by the Department of Veterans Affairs regarding medical disabilities of applicants for benefits under title 38, U.S.C., to codify section 504 of the Veterans Benefits Improvements Act of 1996, and for other purposes - SUPPORT HR 1848 -- Veterans Affairs Medical Scribe Pilot Act of 2017 -- To direct the Secretary of Veterans Affairs to carry out a pilot program on the use of medical scribes in Department of Veterans Affairs medical centers - SUPPORT HR 1900 -- National Veterans Memorial and Museum Act -- To designate the Veterans Memorial and Museum in Columbus, Ohio as the National Veterans Memorial and Museum, and for other purposes - SUPPORT HR 1942 -- To amend title 28, United States Code, to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes. -- To amend title 28, U.S.C., to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes - SUPPORT HR 1972 -- VA Billing Accountability Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to waive the requirement of certain veterans to make copayments for hospital care and medical services in the case of an error by the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2006 -- VA Procurement Efficiency and Transparency Act -- To amend title 38, U.S.C., to improve the procurement practices of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2020 -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act. -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act - SUPPORT HR 2147 -- Veterans Treatment Court Improvement Act of 2017 -- To require the Secretary of Veterans Affairs to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT HR 2225 -- Veterans Dog Training Therapy Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy - SUPPORT HR 2322 -- Injured and Amputee Veterans Bill of Rights -- To direct the Secretary of Veterans Affairs to educate certain staff of the Department of Veterans Affairs and to inform veterans about the Injured and Amputee Veterans Bill of Rights, and for other purposes - OPPOSE HR 2327 -- Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 -- To direct the Secretary of Veterans Affairs to make grants to eligible organizations to provide service dogs to veterans with severe post-traumatic stress disorder, and for other purposes - SUPPORT HR 2409 -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed - SUPPORT HR 2506 -- Veterans Wellness Act -- To direct the Secretary of Veterans Affairs to establish a pilot program to award grants to nonprofit veterans service organizations to upgrade the community facilities of such organizations - SUPPORT HR 2601 -- Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 -- To amend the Veterans Access, Choice, and Accountability Act of 2014 to improve the access of veterans to organ transplants, and for other purposes - SUPPORT HR 2773 -- To Authorize the Secretary of Veterans Affairs to sell Pershing Hall -- To authorize the Secretary of Veterans Affairs to sell Pershing Hall - OPPOSE HR 2787 -- Veterans-Specific Education for Tomorrows Medical Doctors Act -- To establish in the Department of Veterans Affairs a pilot program instituting a clinical observation program for pre-med students preparing to attend medical school - SUPPORT HR 3557 -- To amend title 38, United States Code, to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program -- To amend title 38, U.S.C., to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program - SUPPORT HR 3605 -- Fairness for Korean DMZ Veterans Act of 2017 -- To amend title 38, United States Code, to provide for a presumption of herbicide exposure for certain veterans who served in Korea. - SUPPORT HR 3642 -- Military Sexual Assault Victims Empowerment (Military SAVE) Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program to improve the access to private health care for veterans who are survivors of military sexual trauma -SUPPORT HR 3657 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries - SUPPORT HR 3696 -- Injured and Amputee Veterans Bill of Rights -- To require the Secretary of Veterans Affairs to award grants to establish, or expand upon, masters degree programs in orthotics and prosthetics, and for other purposes - SUPPORT HR 3705 -- Veterans Fair Debt Notice Act of 2017 -- To direct the Secretary of Veterans Affairs to require the use of certified mail and plain language in certain debt collection activities - SUPPORT HR 3832 -- Veterans Opioid Abuse Prevention Act -- To direct the Secretary of Veterans Affairs to enter into a memorandum of understanding with the executive director of a national network of State-based prescription monitoring programs under with the Department of Veterans Affairs health care providers shall query such network, and for other purposes - SUPPORT HR 3866 -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan. -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan - SUPPORT HR 4242 -- VA Care in the Community Act -- To amend title 38, United States Code, to establish a permanent VA Care in the Community Program, and for other purposes - SUPPORT HR 4243 -- Asset and Infrastructure Review (AIR) Act of 2017 -- To establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction and management leases of the Department of Veterans Affairs, to amend and appropriate funds for the Veterans Choice Program, and for other purposes - SUPPORT (with modifications) HR 4245 -- Veterans Electronic Health Record Modernization Oversight Act of 2017 -- To direct the VA Secretary to submit to Congress certain documents relating to the Electronic Health Record Modernization Program of the Department of Veterans Affairs - SUPPORT HR 4334 -- Improving Oversight of Women Veterans Care Act of 2017 -- To provide for certain reporting requirements relating to medical care for women veterans provided by the Department of Veterans Affairs and through contracts entered into by the Secretary of Veterans Affairs with non-Department medical providers, and for other purposes - SUPPORT HR 4335 -- Servicemember Family Burial Act -- To amend title 38, United States Code, to provide for headstones and markers for, and interment in national cemeteries of, deceased spouses and dependent children of members of the Armed Forces serving on active duty, and for other purposes - SUPPORT HR 4635 -- To direct the Secretary of Veterans Affairs to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes -- To direct the VA Secretary to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes - SUPPORT HR 4958 -- Veterans Compensation Cost-of-Living Adjustment Act of 2018 -- To increase, effective as of December 1, 2018, the rates of compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for the survivors of certain disabled veterans, and for other purposes - SUPPORT HR 5467 -- Purple Heart and Disabled Veterans Equal Access Act of 2008 -- To amend title 10, U.S.C., to extend certain morale, welfare, and recreation privileges to certain veterans and their caregivers, to authorize the appropriation of funds for the purpose of improving the electronic physical access control system used by military commissaries and exchanges, and for other purposes - SUPPORT HR 5521 -- VA Hiring Enhancement Act -- To amend title 38, United States Code, to provide for the non-applicability of non-Department of Veterans Affairs covenants not to compete to the appointment of certain Veterans Health Administration personnel, to permit the Veterans Health Administration to make contingent appointments, and to require certain Veterans Health Administration physicians to complete residency training - SUPPORT HR 5649 -- Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 -- To amend title 38, United States Code, to establish the Veterans Economic Opportunity and Transition Administration, and for other purposes - SUPPORT Public Law 115-182 [HR 5674; S 2372] -- VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 or (VA MISSION Act of 2018). -- To establish a permanent community care program for veterans, to establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction of the Department of Veterans Affairs, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to the home loan program of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 5693 -- Long-Term Care Veterans Choice Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the placement of veterans in non-Department medical foster homes for certain veterans who are unable to live independently SUPPORT HR 5786 -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes. -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes - SUPPORT HR 5938 -- Veterans Serving Veterans Act of 2018 -- To amend the VA Choice and Quality Employment Act to direct the VA Secretary to establish a vacancy and recruitment database to facilitate the recruitment of certain members of the Armed Forces to satisfy the occupational needs of the VA, to establish and implement a training and certification program for intermediate care technicians in that Department, and for other purposes - SUPPORT HR 90; S 233 -- Providing Veterans Overdue Care Act of 2017 -- To authorize the Secretary of Veterans Affairs to carry out certain major medical facility leases of the Department of Veterans Affairs - SUPPORT HR 1133; S 115 -- Veterans Transplant Coverage Act -- To amend title 38, U.S.C., to authorize the VA Secretary to provide for an operation on a live donor for purposes of conducting a transplant procedure for a veteran, and for other purposes - SUPPORT HR 2123; S 925 -- Veterans E-Health and Telemedicine Support Act of 2017 (VETS Act) -- To amend title 38, United States Code, to improve the ability of health care professionals to treat veterans through the use of telemedicine, and for other purposes - SUPPORT HR 3262; S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT HR 4910; S 2372 -- Veteran Cemetery Benefit Correction Act -- To amend title 38, United States Code, to provide outer burial receptacles for remains buried in National Parks, and for other purposes - SUPPORT S Res 112 -- Designating April 5, 2017, as Gold Star Wives Day. -- Designating April 5, 2017, as Gold Star Wives Day - SUPPORT S 75 -- Arla Harrell Act -- To provide for the reconsideration of claims for disability compensation for veterans who were the subjects of experiments by the Department of Defense during World War II that were conducted to assess the effects of mustard gas or lewisite on people, and for other purposes - SUPPORT S 242 -- Working to Integrate Networks Guaranteeing Member Access Now Act or the WINGMAN Act -- To amend title 38, United States Code, to permit veterans to grant access to their records in the databases of the Veterans Benefits Administration to certain designated congressional employees, and for other purposes - OPPOSE S 283 -- Mark Takai Atomic Veterans Healthcare Parity Act -- To amend title 38, U.S.C., to provide for the treatment of veterans who participated in the cleanup of Enewetak Atoll as radiation exposed veterans for purposes of the presumption of service-connection of certain disabilities by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 423 -- CHAMPVA Childrens Care Protection Act of 2017 -- To amend title 38, to increase the maximum age for children eligible for medical care under the CHAMPVA program, and for other purposes - SUPPORT S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT S 591 -- Military and Veteran Caregiver Services Improvement Act of 2017 -- To expand eligibility for the program of comprehensive assistance for family caregivers of the Department of Veterans Affairs, to expand benefits available to participants under such program, to enhance special compensation for members of the uniformed services who require assistance in everyday life, and for other purposes - SUPPORT S 609 -- Chiropractic Care Available to All Veterans Act of 2017 -- To amend the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 and title 38, U.S.C., to require the provision of chiropractic care and services to veterans at all Department of Veterans Affairs medical centers and to expand access to such care and services, and for other purposes - SUPPORT S 681 -- Deborah Sampson Act -- To amend title 38, U.S.C., to improve the benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes - SUPPORT (w/modifications) S 683 -- Keeping Our Commitment to Disabled Veterans Act of 2017 -- To amend title 38, U.S.C., to extend the requirement to provide nursing home care to certain veterans with service-connected disabilities - SUPPORT S 706 -- Quicker Veterans Benefits Delivery Act of 2017 -- To amend title 38, United States Code, to improve the treatment of medical evidence provided by non-Department of Veterans Affairs medical professionals in support of claims for disability compensation under the laws administered by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 744 -- Protecting Veterans Credit Act of 2017 -- To amend the Fair Credit Reporting Act to delay the inclusion in consumer credit reports and to establish requirements for debt collectors with respect to medical debt information of veterans due to inappropriate or delayed billing payments or reimbursements from the Department of Veterans Affairs, and for other purposes. - SUPPORT S 758 -- Janey Ensminger Act of 2017 -- To amend the Public Health Service Act with respect to the Agency for Toxic Substances and Disease Registrys review and publication of illness and conditions relating to veterans stationed at Camp Lejeune, North Carolina, and their family members, and for other purposes - SUPPORT S 798 -- Yellow Ribbon Improvement Act of 2017 -- To amend title 38, U.S.C., to expand the Yellow Ribbon G.I. Education Enhancement Program to apply to individuals pursuing programs of education while on active duty, to recipients of the Marine Gunnery Sergeant John David Fry scholarship, and to programs of education pursued on half-time basis or less, and for other purposes - SUPPORT S 804 -- Women Veterans Access to Quality Care Act -- To improve the provision of health care for women veterans by the Department of Veterans Affairs, and for other purposes - SUPPORT S 833 -- Servicemembers and Veterans Empowerment and Support Act of 2017 -- To amend title 38, U.S.C., to expand health care and benefits from the VA for military sexual trauma, and for other purposes - SUPPORT S 899 -- To amend title 38, United States Code, to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes. -- To amend title 38, U.S.C., to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes - SUPPORT S 946 -- Veterans Treatment Courts Improvement Act of 2017 -- To require the VA Secretary to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT S 1153 -- Veterans Acquiring Community Care Expect Safe Services Act of 2017 (Veterans ACCESS Act) -- To prohibit or suspend certain health care providers from providing non-VA health care services to veterans, and for other purposes - SUPPORT

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

HR 91 -- Building Supportive Networks for Women Veterans Act -- To amend title 38, U.S.C., to make permanent the pilot program on counseling in retreat settings for women veterans newly separated from service in the Armed Forces - SUPPORT HR 93 -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans - SUPPORT HR 95 -- Veterans Access to Child Care Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to provide child care assistance to veterans receiving certain medical services provided by the Department of Veterans Affairs - SUPPORT HR 105 -- Protect Veterans from Financial Fraud Act of 2017 -- To amend title 38, U.S.C., to ensure that the Secretary of Veterans Affairs repays the misused benefits of veterans with fiduciaries, to establish an appeals process for determinations by the Secretary of Veterans Affairs of veterans mental capacity, and for other purposes - SUPPORT HR 299 -- Blue Water Navy Vietnam Veterans Act of 2017 -- To amend title 38, U.S.C., to clarify presumptions relating to the exposure of certain veterans who served in the vicinity of the Republic of Vietnam, and for other purposes - SUPPORT HR 467 -- VA Scheduling Accountability Act -- To direct the Secretary of Veterans Affairs to ensure that each medical facility of the Department of Veterans Affairs complies with requirements relating to scheduling veterans for health care appointments, to improve the uniform application of directives of the Department, and for other purposes - SUPPORT HR 501 -- VA Transparency Enhancement Act of 2017 -- To require increased reporting regarding certain surgeries scheduled at medical facilities of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 888 -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans - SUPPORT HR 906 -- Furthering Asbestos Claims Transparency (FACT) Act -- To amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos, and for other purposes - SUPPORT HR 907 -- Newborn Care Improvement Act -- To amend title 38, U.S.C., to improve the care provided by the Secretary of Veterans Affairs to newborn children - SUPPORT HR 918 -- Veteran Urgent Access to Mental Healthcare Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to furnish mental health care to certain former members of the Armed Forces who are not otherwise eligible to receive such care and for other purposes. - SUPPORT HR 1005 -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans - SUPPORT HR 1063 -- Veteran Prescription Continuity Act -- To ensure that an individual who is transitioning from receiving medical treatment furnished by the Secretary of Defense to medical treatment furnished by the Secretary of Veterans Affairs receives the pharmaceutical agents required for such transition - SUPPORT HR 1066 -- VA Management Alignment Act of 2017 -- To direct the Secretary of Veterans Affairs to submit to the Committees on Veterans Affairs of the Senate and the House of Representatives a report regarding the organizational structure of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 1162 -- No Hero Left Untreated Act -- To direct the Secretary of Veterans Affairs (VA) to carry out a pilot program to provide access to magnetic EEG/EKG-guided resonance therapy to veterans - OPPOSE HR 1181 -- Veterans 2nd Amendment Rights Protection Act -- To amend title 38, U.S.C., to clarify the conditions under which certain persons may be treated as adjudicated mentally incompetent for certain purposes - SUPPORT HR 1259 -- VA Accountability First Act of 2017 -- To amend title 38, U.S.C., to provide for the removal or demotion of employees of the Department of Veterans Affairs based on performance or misconduct, and for other purposes - SUPPORT HR 1328 -- American Heroes COLA Act of 2017 -- To amend title 38, United States Code, to provide for annual cost-of-living adjustments to be made automatically by law each year in the rates of disability compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for survivors of certain service-connected disabled veterans, and for other purposes - OPPOSE HR 1390 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization. -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization - SUPPORT HR 1506 -- VA Health Care Provider Education Debt Relief Act of 2017 -- To amend Title 38, United States Code, to increase the maximum amount of education debt reduction available for health care professionals employed by the Veterans Health Administration, and for other purposes - SUPPORT HR 1564 -- VA Beneficiary Travel Act of 2017 -- To amend section 504 of the Veterans Benefits Improvements Act of 1996 to specify the funding source for travel related to examinations by physicians not employed by the Department of Veterans Affairs regarding medical disabilities of applicants for benefits under title 38, U.S.C., to codify section 504 of the Veterans Benefits Improvements Act of 1996, and for other purposes - SUPPORT HR 1848 -- Veterans Affairs Medical Scribe Pilot Act of 2017 -- To direct the Secretary of Veterans Affairs to carry out a pilot program on the use of medical scribes in Department of Veterans Affairs medical centers - SUPPORT HR 1900 -- National Veterans Memorial and Museum Act -- To designate the Veterans Memorial and Museum in Columbus, Ohio as the National Veterans Memorial and Museum, and for other purposes - SUPPORT HR 1942 -- To amend title 28, United States Code, to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes. -- To amend title 28, U.S.C., to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes - SUPPORT HR 1972 -- VA Billing Accountability Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to waive the requirement of certain veterans to make copayments for hospital care and medical services in the case of an error by the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2006 -- VA Procurement Efficiency and Transparency Act -- To amend title 38, U.S.C., to improve the procurement practices of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2020 -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act. -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act - SUPPORT HR 2147 -- Veterans Treatment Court Improvement Act of 2017 -- To require the Secretary of Veterans Affairs to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT HR 2225 -- Veterans Dog Training Therapy Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy - SUPPORT HR 2322 -- Injured and Amputee Veterans Bill of Rights -- To direct the Secretary of Veterans Affairs to educate certain staff of the Department of Veterans Affairs and to inform veterans about the Injured and Amputee Veterans Bill of Rights, and for other purposes - OPPOSE HR 2327 -- Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 -- To direct the Secretary of Veterans Affairs to make grants to eligible organizations to provide service dogs to veterans with severe post-traumatic stress disorder, and for other purposes - SUPPORT HR 2409 -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed - SUPPORT HR 2506 -- Veterans Wellness Act -- To direct the Secretary of Veterans Affairs to establish a pilot program to award grants to nonprofit veterans service organizations to upgrade the community facilities of such organizations - SUPPORT HR 2601 -- Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 -- To amend the Veterans Access, Choice, and Accountability Act of 2014 to improve the access of veterans to organ transplants, and for other purposes - SUPPORT HR 2773 -- To Authorize the Secretary of Veterans Affairs to sell Pershing Hall -- To authorize the Secretary of Veterans Affairs to sell Pershing Hall - OPPOSE HR 2787 -- Veterans-Specific Education for Tomorrows Medical Doctors Act -- To establish in the Department of Veterans Affairs a pilot program instituting a clinical observation program for pre-med students preparing to attend medical school - SUPPORT HR 3557 -- To amend title 38, United States Code, to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program -- To amend title 38, U.S.C., to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program - SUPPORT HR 3605 -- Fairness for Korean DMZ Veterans Act of 2017 -- To amend title 38, United States Code, to provide for a presumption of herbicide exposure for certain veterans who served in Korea. - SUPPORT HR 3642 -- Military Sexual Assault Victims Empowerment (Military SAVE) Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program to improve the access to private health care for veterans who are survivors of military sexual trauma -SUPPORT HR 3657 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries - SUPPORT HR 3696 -- Injured and Amputee Veterans Bill of Rights -- To require the Secretary of Veterans Affairs to award grants to establish, or expand upon, masters degree programs in orthotics and prosthetics, and for other purposes - SUPPORT HR 3705 -- Veterans Fair Debt Notice Act of 2017 -- To direct the Secretary of Veterans Affairs to require the use of certified mail and plain language in certain debt collection activities - SUPPORT HR 3832 -- Veterans Opioid Abuse Prevention Act -- To direct the Secretary of Veterans Affairs to enter into a memorandum of understanding with the executive director of a national network of State-based prescription monitoring programs under with the Department of Veterans Affairs health care providers shall query such network, and for other purposes - SUPPORT HR 3866 -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan. -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan - SUPPORT HR 4242 -- VA Care in the Community Act -- To amend title 38, United States Code, to establish a permanent VA Care in the Community Program, and for other purposes - SUPPORT HR 4243 -- Asset and Infrastructure Review (AIR) Act of 2017 -- To establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction and management leases of the Department of Veterans Affairs, to amend and appropriate funds for the Veterans Choice Program, and for other purposes - SUPPORT (with modifications) HR 4245 -- Veterans Electronic Health Record Modernization Oversight Act of 2017 -- To direct the VA Secretary to submit to Congress certain documents relating to the Electronic Health Record Modernization Program of the Department of Veterans Affairs - SUPPORT HR 4334 -- Improving Oversight of Women Veterans Care Act of 2017 -- To provide for certain reporting requirements relating to medical care for women veterans provided by the Department of Veterans Affairs and through contracts entered into by the Secretary of Veterans Affairs with non-Department medical providers, and for other purposes - SUPPORT HR 4335 -- Servicemember Family Burial Act -- To amend title 38, United States Code, to provide for headstones and markers for, and interment in national cemeteries of, deceased spouses and dependent children of members of the Armed Forces serving on active duty, and for other purposes - SUPPORT HR 4635 -- To direct the Secretary of Veterans Affairs to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes -- To direct the VA Secretary to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes - SUPPORT HR 4958 -- Veterans Compensation Cost-of-Living Adjustment Act of 2018 -- To increase, effective as of December 1, 2018, the rates of compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for the survivors of certain disabled veterans, and for other purposes - SUPPORT HR 5467 -- Purple Heart and Disabled Veterans Equal Access Act of 2008 -- To amend title 10, U.S.C., to extend certain morale, welfare, and recreation privileges to certain veterans and their caregivers, to authorize the appropriation of funds for the purpose of improving the electronic physical access control system used by military commissaries and exchanges, and for other purposes - SUPPORT HR 5521 -- VA Hiring Enhancement Act -- To amend title 38, United States Code, to provide for the non-applicability of non-Department of Veterans Affairs covenants not to compete to the appointment of certain Veterans Health Administration personnel, to permit the Veterans Health Administration to make contingent appointments, and to require certain Veterans Health Administration physicians to complete residency training - SUPPORT HR 5649 -- Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 -- To amend title 38, United States Code, to establish the Veterans Economic Opportunity and Transition Administration, and for other purposes - SUPPORT Public Law 115-182 [HR 5674; S 2372] -- VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 or (VA MISSION Act of 2018). -- To establish a permanent community care program for veterans, to establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction of the Department of Veterans Affairs, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to the home loan program of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 5693 -- Long-Term Care Veterans Choice Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the placement of veterans in non-Department medical foster homes for certain veterans who are unable to live independently SUPPORT HR 5786 -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes. -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes - SUPPORT HR 5938 -- Veterans Serving Veterans Act of 2018 -- To amend the VA Choice and Quality Employment Act to direct the VA Secretary to establish a vacancy and recruitment database to facilitate the recruitment of certain members of the Armed Forces to satisfy the occupational needs of the VA, to establish and implement a training and certification program for intermediate care technicians in that Department, and for other purposes - SUPPORT HR 90; S 233 -- Providing Veterans Overdue Care Act of 2017 -- To authorize the Secretary of Veterans Affairs to carry out certain major medical facility leases of the Department of Veterans Affairs - SUPPORT HR 1133; S 115 -- Veterans Transplant Coverage Act -- To amend title 38, U.S.C., to authorize the VA Secretary to provide for an operation on a live donor for purposes of conducting a transplant procedure for a veteran, and for other purposes - SUPPORT HR 2123; S 925 -- Veterans E-Health and Telemedicine Support Act of 2017 (VETS Act) -- To amend title 38, United States Code, to improve the ability of health care professionals to treat veterans through the use of telemedicine, and for other purposes - SUPPORT HR 3262; S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT HR 4910; S 2372 -- Veteran Cemetery Benefit Correction Act -- To amend title 38, United States Code, to provide outer burial receptacles for remains buried in National Parks, and for other purposes - SUPPORT S Res 112 -- Designating April 5, 2017, as Gold Star Wives Day. -- Designating April 5, 2017, as Gold Star Wives Day - SUPPORT S 75 -- Arla Harrell Act -- To provide for the reconsideration of claims for disability compensation for veterans who were the subjects of experiments by the Department of Defense during World War II that were conducted to assess the effects of mustard gas or lewisite on people, and for other purposes - SUPPORT S 242 -- Working to Integrate Networks Guaranteeing Member Access Now Act or the WINGMAN Act -- To amend title 38, United States Code, to permit veterans to grant access to their records in the databases of the Veterans Benefits Administration to certain designated congressional employees, and for other purposes - OPPOSE S 283 -- Mark Takai Atomic Veterans Healthcare Parity Act -- To amend title 38, U.S.C., to provide for the treatment of veterans who participated in the cleanup of Enewetak Atoll as radiation exposed veterans for purposes of the presumption of service-connection of certain disabilities by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 423 -- CHAMPVA Childrens Care Protection Act of 2017 -- To amend title 38, to increase the maximum age for children eligible for medical care under the CHAMPVA program, and for other purposes - SUPPORT S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT S 591 -- Military and Veteran Caregiver Services Improvement Act of 2017 -- To expand eligibility for the program of comprehensive assistance for family caregivers of the Department of Veterans Affairs, to expand benefits available to participants under such program, to enhance special compensation for members of the uniformed services who require assistance in everyday life, and for other purposes - SUPPORT S 609 -- Chiropractic Care Available to All Veterans Act of 2017 -- To amend the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 and title 38, U.S.C., to require the provision of chiropractic care and services to veterans at all Department of Veterans Affairs medical centers and to expand access to such care and services, and for other purposes - SUPPORT S 681 -- Deborah Sampson Act -- To amend title 38, U.S.C., to improve the benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes - SUPPORT (w/modifications) S 683 -- Keeping Our Commitment to Disabled Veterans Act of 2017 -- To amend title 38, U.S.C., to extend the requirement to provide nursing home care to certain veterans with service-connected disabilities - SUPPORT S 706 -- Quicker Veterans Benefits Delivery Act of 2017 -- To amend title 38, United States Code, to improve the treatment of medical evidence provided by non-Department of Veterans Affairs medical professionals in support of claims for disability compensation under the laws administered by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 744 -- Protecting Veterans Credit Act of 2017 -- To amend the Fair Credit Reporting Act to delay the inclusion in consumer credit reports and to establish requirements for debt collectors with respect to medical debt information of veterans due to inappropriate or delayed billing payments or reimbursements from the Department of Veterans Affairs, and for other purposes. - SUPPORT S 758 -- Janey Ensminger Act of 2017 -- To amend the Public Health Service Act with respect to the Agency for Toxic Substances and Disease Registrys review and publication of illness and conditions relating to veterans stationed at Camp Lejeune, North Carolina, and their family members, and for other purposes - SUPPORT S 798 -- Yellow Ribbon Improvement Act of 2017 -- To amend title 38, U.S.C., to expand the Yellow Ribbon G.I. Education Enhancement Program to apply to individuals pursuing programs of education while on active duty, to recipients of the Marine Gunnery Sergeant John David Fry scholarship, and to programs of education pursued on half-time basis or less, and for other purposes - SUPPORT S 804 -- Women Veterans Access to Quality Care Act -- To improve the provision of health care for women veterans by the Department of Veterans Affairs, and for other purposes - SUPPORT S 833 -- Servicemembers and Veterans Empowerment and Support Act of 2017 -- To amend title 38, U.S.C., to expand health care and benefits from the VA for military sexual trauma, and for other purposes - SUPPORT S 899 -- To amend title 38, United States Code, to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes. -- To amend title 38, U.S.C., to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes - SUPPORT S 946 -- Veterans Treatment Courts Improvement Act of 2017 -- To require the VA Secretary to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT S 1153 -- Veterans Acquiring Community Care Expect Safe Services Act of 2017 (Veterans ACCESS Act) -- To prohibit or suspend certain health care providers from providing non-VA health care services to veterans, and for other purposes - SUPPORT

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

HR 91 -- Building Supportive Networks for Women Veterans Act -- To amend title 38, U.S.C., to make permanent the pilot program on counseling in retreat settings for women veterans newly separated from service in the Armed Forces - SUPPORT HR 93 -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans - SUPPORT HR 95 -- Veterans Access to Child Care Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to provide child care assistance to veterans receiving certain medical services provided by the Department of Veterans Affairs - SUPPORT HR 105 -- Protect Veterans from Financial Fraud Act of 2017 -- To amend title 38, U.S.C., to ensure that the Secretary of Veterans Affairs repays the misused benefits of veterans with fiduciaries, to establish an appeals process for determinations by the Secretary of Veterans Affairs of veterans mental capacity, and for other purposes - SUPPORT HR 299 -- Blue Water Navy Vietnam Veterans Act of 2017 -- To amend title 38, U.S.C., to clarify presumptions relating to the exposure of certain veterans who served in the vicinity of the Republic of Vietnam, and for other purposes - SUPPORT HR 467 -- VA Scheduling Accountability Act -- To direct the Secretary of Veterans Affairs to ensure that each medical facility of the Department of Veterans Affairs complies with requirements relating to scheduling veterans for health care appointments, to improve the uniform application of directives of the Department, and for other purposes - SUPPORT HR 501 -- VA Transparency Enhancement Act of 2017 -- To require increased reporting regarding certain surgeries scheduled at medical facilities of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 888 -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans - SUPPORT HR 906 -- Furthering Asbestos Claims Transparency (FACT) Act -- To amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos, and for other purposes - SUPPORT HR 907 -- Newborn Care Improvement Act -- To amend title 38, U.S.C., to improve the care provided by the Secretary of Veterans Affairs to newborn children - SUPPORT HR 918 -- Veteran Urgent Access to Mental Healthcare Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to furnish mental health care to certain former members of the Armed Forces who are not otherwise eligible to receive such care and for other purposes. - SUPPORT HR 1005 -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans - SUPPORT HR 1063 -- Veteran Prescription Continuity Act -- To ensure that an individual who is transitioning from receiving medical treatment furnished by the Secretary of Defense to medical treatment furnished by the Secretary of Veterans Affairs receives the pharmaceutical agents required for such transition - SUPPORT HR 1066 -- VA Management Alignment Act of 2017 -- To direct the Secretary of Veterans Affairs to submit to the Committees on Veterans Affairs of the Senate and the House of Representatives a report regarding the organizational structure of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 1162 -- No Hero Left Untreated Act -- To direct the Secretary of Veterans Affairs (VA) to carry out a pilot program to provide access to magnetic EEG/EKG-guided resonance therapy to veterans - OPPOSE HR 1181 -- Veterans 2nd Amendment Rights Protection Act -- To amend title 38, U.S.C., to clarify the conditions under which certain persons may be treated as adjudicated mentally incompetent for certain purposes - SUPPORT HR 1259 -- VA Accountability First Act of 2017 -- To amend title 38, U.S.C., to provide for the removal or demotion of employees of the Department of Veterans Affairs based on performance or misconduct, and for other purposes - SUPPORT HR 1328 -- American Heroes COLA Act of 2017 -- To amend title 38, United States Code, to provide for annual cost-of-living adjustments to be made automatically by law each year in the rates of disability compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for survivors of certain service-connected disabled veterans, and for other purposes - OPPOSE HR 1390 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization. -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization - SUPPORT HR 1506 -- VA Health Care Provider Education Debt Relief Act of 2017 -- To amend Title 38, United States Code, to increase the maximum amount of education debt reduction available for health care professionals employed by the Veterans Health Administration, and for other purposes - SUPPORT HR 1564 -- VA Beneficiary Travel Act of 2017 -- To amend section 504 of the Veterans Benefits Improvements Act of 1996 to specify the funding source for travel related to examinations by physicians not employed by the Department of Veterans Affairs regarding medical disabilities of applicants for benefits under title 38, U.S.C., to codify section 504 of the Veterans Benefits Improvements Act of 1996, and for other purposes - SUPPORT HR 1848 -- Veterans Affairs Medical Scribe Pilot Act of 2017 -- To direct the Secretary of Veterans Affairs to carry out a pilot program on the use of medical scribes in Department of Veterans Affairs medical centers - SUPPORT HR 1900 -- National Veterans Memorial and Museum Act -- To designate the Veterans Memorial and Museum in Columbus, Ohio as the National Veterans Memorial and Museum, and for other purposes - SUPPORT HR 1942 -- To amend title 28, United States Code, to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes. -- To amend title 28, U.S.C., to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes - SUPPORT HR 1972 -- VA Billing Accountability Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to waive the requirement of certain veterans to make copayments for hospital care and medical services in the case of an error by the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2006 -- VA Procurement Efficiency and Transparency Act -- To amend title 38, U.S.C., to improve the procurement practices of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2020 -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act. -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act - SUPPORT HR 2147 -- Veterans Treatment Court Improvement Act of 2017 -- To require the Secretary of Veterans Affairs to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT HR 2225 -- Veterans Dog Training Therapy Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy - SUPPORT HR 2322 -- Injured and Amputee Veterans Bill of Rights -- To direct the Secretary of Veterans Affairs to educate certain staff of the Department of Veterans Affairs and to inform veterans about the Injured and Amputee Veterans Bill of Rights, and for other purposes - OPPOSE HR 2327 -- Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 -- To direct the Secretary of Veterans Affairs to make grants to eligible organizations to provide service dogs to veterans with severe post-traumatic stress disorder, and for other purposes - SUPPORT HR 2409 -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed - SUPPORT HR 2506 -- Veterans Wellness Act -- To direct the Secretary of Veterans Affairs to establish a pilot program to award grants to nonprofit veterans service organizations to upgrade the community facilities of such organizations - SUPPORT HR 2601 -- Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 -- To amend the Veterans Access, Choice, and Accountability Act of 2014 to improve the access of veterans to organ transplants, and for other purposes - SUPPORT HR 2773 -- To Authorize the Secretary of Veterans Affairs to sell Pershing Hall -- To authorize the Secretary of Veterans Affairs to sell Pershing Hall - OPPOSE HR 2787 -- Veterans-Specific Education for Tomorrows Medical Doctors Act -- To establish in the Department of Veterans Affairs a pilot program instituting a clinical observation program for pre-med students preparing to attend medical school - SUPPORT HR 3557 -- To amend title 38, United States Code, to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program -- To amend title 38, U.S.C., to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program - SUPPORT HR 3605 -- Fairness for Korean DMZ Veterans Act of 2017 -- To amend title 38, United States Code, to provide for a presumption of herbicide exposure for certain veterans who served in Korea. - SUPPORT HR 3642 -- Military Sexual Assault Victims Empowerment (Military SAVE) Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program to improve the access to private health care for veterans who are survivors of military sexual trauma -SUPPORT HR 3657 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries - SUPPORT HR 3696 -- Injured and Amputee Veterans Bill of Rights -- To require the Secretary of Veterans Affairs to award grants to establish, or expand upon, masters degree programs in orthotics and prosthetics, and for other purposes - SUPPORT HR 3705 -- Veterans Fair Debt Notice Act of 2017 -- To direct the Secretary of Veterans Affairs to require the use of certified mail and plain language in certain debt collection activities - SUPPORT HR 3832 -- Veterans Opioid Abuse Prevention Act -- To direct the Secretary of Veterans Affairs to enter into a memorandum of understanding with the executive director of a national network of State-based prescription monitoring programs under with the Department of Veterans Affairs health care providers shall query such network, and for other purposes - SUPPORT HR 3866 -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan. -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan - SUPPORT HR 4242 -- VA Care in the Community Act -- To amend title 38, United States Code, to establish a permanent VA Care in the Community Program, and for other purposes - SUPPORT HR 4243 -- Asset and Infrastructure Review (AIR) Act of 2017 -- To establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction and management leases of the Department of Veterans Affairs, to amend and appropriate funds for the Veterans Choice Program, and for other purposes - SUPPORT (with modifications) HR 4245 -- Veterans Electronic Health Record Modernization Oversight Act of 2017 -- To direct the VA Secretary to submit to Congress certain documents relating to the Electronic Health Record Modernization Program of the Department of Veterans Affairs - SUPPORT HR 4334 -- Improving Oversight of Women Veterans Care Act of 2017 -- To provide for certain reporting requirements relating to medical care for women veterans provided by the Department of Veterans Affairs and through contracts entered into by the Secretary of Veterans Affairs with non-Department medical providers, and for other purposes - SUPPORT HR 4335 -- Servicemember Family Burial Act -- To amend title 38, United States Code, to provide for headstones and markers for, and interment in national cemeteries of, deceased spouses and dependent children of members of the Armed Forces serving on active duty, and for other purposes - SUPPORT HR 4635 -- To direct the Secretary of Veterans Affairs to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes -- To direct the VA Secretary to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes - SUPPORT HR 4958 -- Veterans Compensation Cost-of-Living Adjustment Act of 2018 -- To increase, effective as of December 1, 2018, the rates of compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for the survivors of certain disabled veterans, and for other purposes - SUPPORT HR 5467 -- Purple Heart and Disabled Veterans Equal Access Act of 2008 -- To amend title 10, U.S.C., to extend certain morale, welfare, and recreation privileges to certain veterans and their caregivers, to authorize the appropriation of funds for the purpose of improving the electronic physical access control system used by military commissaries and exchanges, and for other purposes - SUPPORT HR 5521 -- VA Hiring Enhancement Act -- To amend title 38, United States Code, to provide for the non-applicability of non-Department of Veterans Affairs covenants not to compete to the appointment of certain Veterans Health Administration personnel, to permit the Veterans Health Administration to make contingent appointments, and to require certain Veterans Health Administration physicians to complete residency training - SUPPORT HR 5649 -- Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 -- To amend title 38, United States Code, to establish the Veterans Economic Opportunity and Transition Administration, and for other purposes - SUPPORT Public Law 115-182 [HR 5674; S 2372] -- VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 or (VA MISSION Act of 2018). -- To establish a permanent community care program for veterans, to establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction of the Department of Veterans Affairs, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to the home loan program of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 5693 -- Long-Term Care Veterans Choice Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the placement of veterans in non-Department medical foster homes for certain veterans who are unable to live independently SUPPORT HR 5786 -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes. -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes - SUPPORT HR 5938 -- Veterans Serving Veterans Act of 2018 -- To amend the VA Choice and Quality Employment Act to direct the VA Secretary to establish a vacancy and recruitment database to facilitate the recruitment of certain members of the Armed Forces to satisfy the occupational needs of the VA, to establish and implement a training and certification program for intermediate care technicians in that Department, and for other purposes - SUPPORT HR 90; S 233 -- Providing Veterans Overdue Care Act of 2017 -- To authorize the Secretary of Veterans Affairs to carry out certain major medical facility leases of the Department of Veterans Affairs - SUPPORT HR 1133; S 115 -- Veterans Transplant Coverage Act -- To amend title 38, U.S.C., to authorize the VA Secretary to provide for an operation on a live donor for purposes of conducting a transplant procedure for a veteran, and for other purposes - SUPPORT HR 2123; S 925 -- Veterans E-Health and Telemedicine Support Act of 2017 (VETS Act) -- To amend title 38, United States Code, to improve the ability of health care professionals to treat veterans through the use of telemedicine, and for other purposes - SUPPORT HR 3262; S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT HR 4910; S 2372 -- Veteran Cemetery Benefit Correction Act -- To amend title 38, United States Code, to provide outer burial receptacles for remains buried in National Parks, and for other purposes - SUPPORT S Res 112 -- Designating April 5, 2017, as Gold Star Wives Day. -- Designating April 5, 2017, as Gold Star Wives Day - SUPPORT S 75 -- Arla Harrell Act -- To provide for the reconsideration of claims for disability compensation for veterans who were the subjects of experiments by the Department of Defense during World War II that were conducted to assess the effects of mustard gas or lewisite on people, and for other purposes - SUPPORT S 242 -- Working to Integrate Networks Guaranteeing Member Access Now Act or the WINGMAN Act -- To amend title 38, United States Code, to permit veterans to grant access to their records in the databases of the Veterans Benefits Administration to certain designated congressional employees, and for other purposes - OPPOSE S 283 -- Mark Takai Atomic Veterans Healthcare Parity Act -- To amend title 38, U.S.C., to provide for the treatment of veterans who participated in the cleanup of Enewetak Atoll as radiation exposed veterans for purposes of the presumption of service-connection of certain disabilities by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 423 -- CHAMPVA Childrens Care Protection Act of 2017 -- To amend title 38, to increase the maximum age for children eligible for medical care under the CHAMPVA program, and for other purposes - SUPPORT S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT S 591 -- Military and Veteran Caregiver Services Improvement Act of 2017 -- To expand eligibility for the program of comprehensive assistance for family caregivers of the Department of Veterans Affairs, to expand benefits available to participants under such program, to enhance special compensation for members of the uniformed services who require assistance in everyday life, and for other purposes - SUPPORT S 609 -- Chiropractic Care Available to All Veterans Act of 2017 -- To amend the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 and title 38, U.S.C., to require the provision of chiropractic care and services to veterans at all Department of Veterans Affairs medical centers and to expand access to such care and services, and for other purposes - SUPPORT S 681 -- Deborah Sampson Act -- To amend title 38, U.S.C., to improve the benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes - SUPPORT (w/modifications) S 683 -- Keeping Our Commitment to Disabled Veterans Act of 2017 -- To amend title 38, U.S.C., to extend the requirement to provide nursing home care to certain veterans with service-connected disabilities - SUPPORT S 706 -- Quicker Veterans Benefits Delivery Act of 2017 -- To amend title 38, United States Code, to improve the treatment of medical evidence provided by non-Department of Veterans Affairs medical professionals in support of claims for disability compensation under the laws administered by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 744 -- Protecting Veterans Credit Act of 2017 -- To amend the Fair Credit Reporting Act to delay the inclusion in consumer credit reports and to establish requirements for debt collectors with respect to medical debt information of veterans due to inappropriate or delayed billing payments or reimbursements from the Department of Veterans Affairs, and for other purposes. - SUPPORT S 758 -- Janey Ensminger Act of 2017 -- To amend the Public Health Service Act with respect to the Agency for Toxic Substances and Disease Registrys review and publication of illness and conditions relating to veterans stationed at Camp Lejeune, North Carolina, and their family members, and for other purposes - SUPPORT S 798 -- Yellow Ribbon Improvement Act of 2017 -- To amend title 38, U.S.C., to expand the Yellow Ribbon G.I. Education Enhancement Program to apply to individuals pursuing programs of education while on active duty, to recipients of the Marine Gunnery Sergeant John David Fry scholarship, and to programs of education pursued on half-time basis or less, and for other purposes - SUPPORT S 804 -- Women Veterans Access to Quality Care Act -- To improve the provision of health care for women veterans by the Department of Veterans Affairs, and for other purposes - SUPPORT S 833 -- Servicemembers and Veterans Empowerment and Support Act of 2017 -- To amend title 38, U.S.C., to expand health care and benefits from the VA for military sexual trauma, and for other purposes - SUPPORT S 899 -- To amend title 38, United States Code, to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes. -- To amend title 38, U.S.C., to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes - SUPPORT S 946 -- Veterans Treatment Courts Improvement Act of 2017 -- To require the VA Secretary to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT S 1153 -- Veterans Acquiring Community Care Expect Safe Services Act of 2017 (Veterans ACCESS Act) -- To prohibit or suspend certain health care providers from providing non-VA health care services to veterans, and for other purposes - SUPPORT

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

HR 91 -- Building Supportive Networks for Women Veterans Act -- To amend title 38, U.S.C., to make permanent the pilot program on counseling in retreat settings for women veterans newly separated from service in the Armed Forces - SUPPORT HR 93 -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans - SUPPORT HR 95 -- Veterans Access to Child Care Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to provide child care assistance to veterans receiving certain medical services provided by the Department of Veterans Affairs - SUPPORT HR 105 -- Protect Veterans from Financial Fraud Act of 2017 -- To amend title 38, U.S.C., to ensure that the Secretary of Veterans Affairs repays the misused benefits of veterans with fiduciaries, to establish an appeals process for determinations by the Secretary of Veterans Affairs of veterans mental capacity, and for other purposes - SUPPORT HR 299 -- Blue Water Navy Vietnam Veterans Act of 2017 -- To amend title 38, U.S.C., to clarify presumptions relating to the exposure of certain veterans who served in the vicinity of the Republic of Vietnam, and for other purposes - SUPPORT HR 467 -- VA Scheduling Accountability Act -- To direct the Secretary of Veterans Affairs to ensure that each medical facility of the Department of Veterans Affairs complies with requirements relating to scheduling veterans for health care appointments, to improve the uniform application of directives of the Department, and for other purposes - SUPPORT HR 501 -- VA Transparency Enhancement Act of 2017 -- To require increased reporting regarding certain surgeries scheduled at medical facilities of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 888 -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans - SUPPORT HR 906 -- Furthering Asbestos Claims Transparency (FACT) Act -- To amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos, and for other purposes - SUPPORT HR 907 -- Newborn Care Improvement Act -- To amend title 38, U.S.C., to improve the care provided by the Secretary of Veterans Affairs to newborn children - SUPPORT HR 918 -- Veteran Urgent Access to Mental Healthcare Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to furnish mental health care to certain former members of the Armed Forces who are not otherwise eligible to receive such care and for other purposes. - SUPPORT HR 1005 -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans - SUPPORT HR 1063 -- Veteran Prescription Continuity Act -- To ensure that an individual who is transitioning from receiving medical treatment furnished by the Secretary of Defense to medical treatment furnished by the Secretary of Veterans Affairs receives the pharmaceutical agents required for such transition - SUPPORT HR 1066 -- VA Management Alignment Act of 2017 -- To direct the Secretary of Veterans Affairs to submit to the Committees on Veterans Affairs of the Senate and the House of Representatives a report regarding the organizational structure of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 1162 -- No Hero Left Untreated Act -- To direct the Secretary of Veterans Affairs (VA) to carry out a pilot program to provide access to magnetic EEG/EKG-guided resonance therapy to veterans - OPPOSE HR 1181 -- Veterans 2nd Amendment Rights Protection Act -- To amend title 38, U.S.C., to clarify the conditions under which certain persons may be treated as adjudicated mentally incompetent for certain purposes - SUPPORT HR 1259 -- VA Accountability First Act of 2017 -- To amend title 38, U.S.C., to provide for the removal or demotion of employees of the Department of Veterans Affairs based on performance or misconduct, and for other purposes - SUPPORT HR 1328 -- American Heroes COLA Act of 2017 -- To amend title 38, United States Code, to provide for annual cost-of-living adjustments to be made automatically by law each year in the rates of disability compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for survivors of certain service-connected disabled veterans, and for other purposes - OPPOSE HR 1390 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization. -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization - SUPPORT HR 1506 -- VA Health Care Provider Education Debt Relief Act of 2017 -- To amend Title 38, United States Code, to increase the maximum amount of education debt reduction available for health care professionals employed by the Veterans Health Administration, and for other purposes - SUPPORT HR 1564 -- VA Beneficiary Travel Act of 2017 -- To amend section 504 of the Veterans Benefits Improvements Act of 1996 to specify the funding source for travel related to examinations by physicians not employed by the Department of Veterans Affairs regarding medical disabilities of applicants for benefits under title 38, U.S.C., to codify section 504 of the Veterans Benefits Improvements Act of 1996, and for other purposes - SUPPORT HR 1848 -- Veterans Affairs Medical Scribe Pilot Act of 2017 -- To direct the Secretary of Veterans Affairs to carry out a pilot program on the use of medical scribes in Department of Veterans Affairs medical centers - SUPPORT HR 1900 -- National Veterans Memorial and Museum Act -- To designate the Veterans Memorial and Museum in Columbus, Ohio as the National Veterans Memorial and Museum, and for other purposes - SUPPORT HR 1942 -- To amend title 28, United States Code, to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes. -- To amend title 28, U.S.C., to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes - SUPPORT HR 1972 -- VA Billing Accountability Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to waive the requirement of certain veterans to make copayments for hospital care and medical services in the case of an error by the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2006 -- VA Procurement Efficiency and Transparency Act -- To amend title 38, U.S.C., to improve the procurement practices of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2020 -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act. -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act - SUPPORT HR 2147 -- Veterans Treatment Court Improvement Act of 2017 -- To require the Secretary of Veterans Affairs to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT HR 2225 -- Veterans Dog Training Therapy Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy - SUPPORT HR 2322 -- Injured and Amputee Veterans Bill of Rights -- To direct the Secretary of Veterans Affairs to educate certain staff of the Department of Veterans Affairs and to inform veterans about the Injured and Amputee Veterans Bill of Rights, and for other purposes - OPPOSE HR 2327 -- Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 -- To direct the Secretary of Veterans Affairs to make grants to eligible organizations to provide service dogs to veterans with severe post-traumatic stress disorder, and for other purposes - SUPPORT HR 2409 -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed - SUPPORT HR 2506 -- Veterans Wellness Act -- To direct the Secretary of Veterans Affairs to establish a pilot program to award grants to nonprofit veterans service organizations to upgrade the community facilities of such organizations - SUPPORT HR 2601 -- Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 -- To amend the Veterans Access, Choice, and Accountability Act of 2014 to improve the access of veterans to organ transplants, and for other purposes - SUPPORT HR 2773 -- To Authorize the Secretary of Veterans Affairs to sell Pershing Hall -- To authorize the Secretary of Veterans Affairs to sell Pershing Hall - OPPOSE HR 2787 -- Veterans-Specific Education for Tomorrows Medical Doctors Act -- To establish in the Department of Veterans Affairs a pilot program instituting a clinical observation program for pre-med students preparing to attend medical school - SUPPORT HR 3557 -- To amend title 38, United States Code, to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program -- To amend title 38, U.S.C., to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program - SUPPORT HR 3605 -- Fairness for Korean DMZ Veterans Act of 2017 -- To amend title 38, United States Code, to provide for a presumption of herbicide exposure for certain veterans who served in Korea. - SUPPORT HR 3642 -- Military Sexual Assault Victims Empowerment (Military SAVE) Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program to improve the access to private health care for veterans who are survivors of military sexual trauma -SUPPORT HR 3657 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries - SUPPORT HR 3696 -- Injured and Amputee Veterans Bill of Rights -- To require the Secretary of Veterans Affairs to award grants to establish, or expand upon, masters degree programs in orthotics and prosthetics, and for other purposes - SUPPORT HR 3705 -- Veterans Fair Debt Notice Act of 2017 -- To direct the Secretary of Veterans Affairs to require the use of certified mail and plain language in certain debt collection activities - SUPPORT HR 3832 -- Veterans Opioid Abuse Prevention Act -- To direct the Secretary of Veterans Affairs to enter into a memorandum of understanding with the executive director of a national network of State-based prescription monitoring programs under with the Department of Veterans Affairs health care providers shall query such network, and for other purposes - SUPPORT HR 3866 -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan. -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan - SUPPORT HR 4242 -- VA Care in the Community Act -- To amend title 38, United States Code, to establish a permanent VA Care in the Community Program, and for other purposes - SUPPORT HR 4243 -- Asset and Infrastructure Review (AIR) Act of 2017 -- To establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction and management leases of the Department of Veterans Affairs, to amend and appropriate funds for the Veterans Choice Program, and for other purposes - SUPPORT (with modifications) HR 4245 -- Veterans Electronic Health Record Modernization Oversight Act of 2017 -- To direct the VA Secretary to submit to Congress certain documents relating to the Electronic Health Record Modernization Program of the Department of Veterans Affairs - SUPPORT HR 4334 -- Improving Oversight of Women Veterans Care Act of 2017 -- To provide for certain reporting requirements relating to medical care for women veterans provided by the Department of Veterans Affairs and through contracts entered into by the Secretary of Veterans Affairs with non-Department medical providers, and for other purposes - SUPPORT HR 4335 -- Servicemember Family Burial Act -- To amend title 38, United States Code, to provide for headstones and markers for, and interment in national cemeteries of, deceased spouses and dependent children of members of the Armed Forces serving on active duty, and for other purposes - SUPPORT HR 4635 -- To direct the Secretary of Veterans Affairs to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes -- To direct the VA Secretary to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes - SUPPORT HR 4958 -- Veterans Compensation Cost-of-Living Adjustment Act of 2018 -- To increase, effective as of December 1, 2018, the rates of compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for the survivors of certain disabled veterans, and for other purposes - SUPPORT HR 5467 -- Purple Heart and Disabled Veterans Equal Access Act of 2008 -- To amend title 10, U.S.C., to extend certain morale, welfare, and recreation privileges to certain veterans and their caregivers, to authorize the appropriation of funds for the purpose of improving the electronic physical access control system used by military commissaries and exchanges, and for other purposes - SUPPORT HR 5521 -- VA Hiring Enhancement Act -- To amend title 38, United States Code, to provide for the non-applicability of non-Department of Veterans Affairs covenants not to compete to the appointment of certain Veterans Health Administration personnel, to permit the Veterans Health Administration to make contingent appointments, and to require certain Veterans Health Administration physicians to complete residency training - SUPPORT HR 5649 -- Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 -- To amend title 38, United States Code, to establish the Veterans Economic Opportunity and Transition Administration, and for other purposes - SUPPORT Public Law 115-182 [HR 5674; S 2372] -- VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 or (VA MISSION Act of 2018). -- To establish a permanent community care program for veterans, to establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction of the Department of Veterans Affairs, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to the home loan program of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 5693 -- Long-Term Care Veterans Choice Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the placement of veterans in non-Department medical foster homes for certain veterans who are unable to live independently SUPPORT HR 5786 -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes. -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes - SUPPORT HR 5938 -- Veterans Serving Veterans Act of 2018 -- To amend the VA Choice and Quality Employment Act to direct the VA Secretary to establish a vacancy and recruitment database to facilitate the recruitment of certain members of the Armed Forces to satisfy the occupational needs of the VA, to establish and implement a training and certification program for intermediate care technicians in that Department, and for other purposes - SUPPORT HR 90; S 233 -- Providing Veterans Overdue Care Act of 2017 -- To authorize the Secretary of Veterans Affairs to carry out certain major medical facility leases of the Department of Veterans Affairs - SUPPORT HR 1133; S 115 -- Veterans Transplant Coverage Act -- To amend title 38, U.S.C., to authorize the VA Secretary to provide for an operation on a live donor for purposes of conducting a transplant procedure for a veteran, and for other purposes - SUPPORT HR 2123; S 925 -- Veterans E-Health and Telemedicine Support Act of 2017 (VETS Act) -- To amend title 38, United States Code, to improve the ability of health care professionals to treat veterans through the use of telemedicine, and for other purposes - SUPPORT HR 3262; S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT HR 4910; S 2372 -- Veteran Cemetery Benefit Correction Act -- To amend title 38, United States Code, to provide outer burial receptacles for remains buried in National Parks, and for other purposes - SUPPORT S Res 112 -- Designating April 5, 2017, as Gold Star Wives Day. -- Designating April 5, 2017, as Gold Star Wives Day - SUPPORT S 75 -- Arla Harrell Act -- To provide for the reconsideration of claims for disability compensation for veterans who were the subjects of experiments by the Department of Defense during World War II that were conducted to assess the effects of mustard gas or lewisite on people, and for other purposes - SUPPORT S 242 -- Working to Integrate Networks Guaranteeing Member Access Now Act or the WINGMAN Act -- To amend title 38, United States Code, to permit veterans to grant access to their records in the databases of the Veterans Benefits Administration to certain designated congressional employees, and for other purposes - OPPOSE S 283 -- Mark Takai Atomic Veterans Healthcare Parity Act -- To amend title 38, U.S.C., to provide for the treatment of veterans who participated in the cleanup of Enewetak Atoll as radiation exposed veterans for purposes of the presumption of service-connection of certain disabilities by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 423 -- CHAMPVA Childrens Care Protection Act of 2017 -- To amend title 38, to increase the maximum age for children eligible for medical care under the CHAMPVA program, and for other purposes - SUPPORT S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT S 591 -- Military and Veteran Caregiver Services Improvement Act of 2017 -- To expand eligibility for the program of comprehensive assistance for family caregivers of the Department of Veterans Affairs, to expand benefits available to participants under such program, to enhance special compensation for members of the uniformed services who require assistance in everyday life, and for other purposes - SUPPORT S 609 -- Chiropractic Care Available to All Veterans Act of 2017 -- To amend the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 and title 38, U.S.C., to require the provision of chiropractic care and services to veterans at all Department of Veterans Affairs medical centers and to expand access to such care and services, and for other purposes - SUPPORT S 681 -- Deborah Sampson Act -- To amend title 38, U.S.C., to improve the benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes - SUPPORT (w/modifications) S 683 -- Keeping Our Commitment to Disabled Veterans Act of 2017 -- To amend title 38, U.S.C., to extend the requirement to provide nursing home care to certain veterans with service-connected disabilities - SUPPORT S 706 -- Quicker Veterans Benefits Delivery Act of 2017 -- To amend title 38, United States Code, to improve the treatment of medical evidence provided by non-Department of Veterans Affairs medical professionals in support of claims for disability compensation under the laws administered by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 744 -- Protecting Veterans Credit Act of 2017 -- To amend the Fair Credit Reporting Act to delay the inclusion in consumer credit reports and to establish requirements for debt collectors with respect to medical debt information of veterans due to inappropriate or delayed billing payments or reimbursements from the Department of Veterans Affairs, and for other purposes. - SUPPORT S 758 -- Janey Ensminger Act of 2017 -- To amend the Public Health Service Act with respect to the Agency for Toxic Substances and Disease Registrys review and publication of illness and conditions relating to veterans stationed at Camp Lejeune, North Carolina, and their family members, and for other purposes - SUPPORT S 798 -- Yellow Ribbon Improvement Act of 2017 -- To amend title 38, U.S.C., to expand the Yellow Ribbon G.I. Education Enhancement Program to apply to individuals pursuing programs of education while on active duty, to recipients of the Marine Gunnery Sergeant John David Fry scholarship, and to programs of education pursued on half-time basis or less, and for other purposes - SUPPORT S 804 -- Women Veterans Access to Quality Care Act -- To improve the provision of health care for women veterans by the Department of Veterans Affairs, and for other purposes - SUPPORT S 833 -- Servicemembers and Veterans Empowerment and Support Act of 2017 -- To amend title 38, U.S.C., to expand health care and benefits from the VA for military sexual trauma, and for other purposes - SUPPORT S 899 -- To amend title 38, United States Code, to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes. -- To amend title 38, U.S.C., to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes - SUPPORT S 946 -- Veterans Treatment Courts Improvement Act of 2017 -- To require the VA Secretary to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT S 1153 -- Veterans Acquiring Community Care Expect Safe Services Act of 2017 (Veterans ACCESS Act) -- To prohibit or suspend certain health care providers from providing non-VA health care services to veterans, and for other purposes - SUPPORT

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

HR 91 -- Building Supportive Networks for Women Veterans Act -- To amend title 38, U.S.C., to make permanent the pilot program on counseling in retreat settings for women veterans newly separated from service in the Armed Forces - SUPPORT HR 93 -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans - SUPPORT HR 95 -- Veterans Access to Child Care Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to provide child care assistance to veterans receiving certain medical services provided by the Department of Veterans Affairs - SUPPORT HR 105 -- Protect Veterans from Financial Fraud Act of 2017 -- To amend title 38, U.S.C., to ensure that the Secretary of Veterans Affairs repays the misused benefits of veterans with fiduciaries, to establish an appeals process for determinations by the Secretary of Veterans Affairs of veterans mental capacity, and for other purposes - SUPPORT HR 299 -- Blue Water Navy Vietnam Veterans Act of 2017 -- To amend title 38, U.S.C., to clarify presumptions relating to the exposure of certain veterans who served in the vicinity of the Republic of Vietnam, and for other purposes - SUPPORT HR 467 -- VA Scheduling Accountability Act -- To direct the Secretary of Veterans Affairs to ensure that each medical facility of the Department of Veterans Affairs complies with requirements relating to scheduling veterans for health care appointments, to improve the uniform application of directives of the Department, and for other purposes - SUPPORT HR 501 -- VA Transparency Enhancement Act of 2017 -- To require increased reporting regarding certain surgeries scheduled at medical facilities of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 888 -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans - SUPPORT HR 906 -- Furthering Asbestos Claims Transparency (FACT) Act -- To amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos, and for other purposes - SUPPORT HR 907 -- Newborn Care Improvement Act -- To amend title 38, U.S.C., to improve the care provided by the Secretary of Veterans Affairs to newborn children - SUPPORT HR 918 -- Veteran Urgent Access to Mental Healthcare Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to furnish mental health care to certain former members of the Armed Forces who are not otherwise eligible to receive such care and for other purposes. - SUPPORT HR 1005 -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans - SUPPORT HR 1063 -- Veteran Prescription Continuity Act -- To ensure that an individual who is transitioning from receiving medical treatment furnished by the Secretary of Defense to medical treatment furnished by the Secretary of Veterans Affairs receives the pharmaceutical agents required for such transition - SUPPORT HR 1066 -- VA Management Alignment Act of 2017 -- To direct the Secretary of Veterans Affairs to submit to the Committees on Veterans Affairs of the Senate and the House of Representatives a report regarding the organizational structure of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 1162 -- No Hero Left Untreated Act -- To direct the Secretary of Veterans Affairs (VA) to carry out a pilot program to provide access to magnetic EEG/EKG-guided resonance therapy to veterans - OPPOSE HR 1181 -- Veterans 2nd Amendment Rights Protection Act -- To amend title 38, U.S.C., to clarify the conditions under which certain persons may be treated as adjudicated mentally incompetent for certain purposes - SUPPORT HR 1259 -- VA Accountability First Act of 2017 -- To amend title 38, U.S.C., to provide for the removal or demotion of employees of the Department of Veterans Affairs based on performance or misconduct, and for other purposes - SUPPORT HR 1328 -- American Heroes COLA Act of 2017 -- To amend title 38, United States Code, to provide for annual cost-of-living adjustments to be made automatically by law each year in the rates of disability compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for survivors of certain service-connected disabled veterans, and for other purposes - OPPOSE HR 1390 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization. -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization - SUPPORT HR 1506 -- VA Health Care Provider Education Debt Relief Act of 2017 -- To amend Title 38, United States Code, to increase the maximum amount of education debt reduction available for health care professionals employed by the Veterans Health Administration, and for other purposes - SUPPORT HR 1564 -- VA Beneficiary Travel Act of 2017 -- To amend section 504 of the Veterans Benefits Improvements Act of 1996 to specify the funding source for travel related to examinations by physicians not employed by the Department of Veterans Affairs regarding medical disabilities of applicants for benefits under title 38, U.S.C., to codify section 504 of the Veterans Benefits Improvements Act of 1996, and for other purposes - SUPPORT HR 1848 -- Veterans Affairs Medical Scribe Pilot Act of 2017 -- To direct the Secretary of Veterans Affairs to carry out a pilot program on the use of medical scribes in Department of Veterans Affairs medical centers - SUPPORT HR 1900 -- National Veterans Memorial and Museum Act -- To designate the Veterans Memorial and Museum in Columbus, Ohio as the National Veterans Memorial and Museum, and for other purposes - SUPPORT HR 1942 -- To amend title 28, United States Code, to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes. -- To amend title 28, U.S.C., to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes - SUPPORT HR 1972 -- VA Billing Accountability Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to waive the requirement of certain veterans to make copayments for hospital care and medical services in the case of an error by the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2006 -- VA Procurement Efficiency and Transparency Act -- To amend title 38, U.S.C., to improve the procurement practices of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2020 -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act. -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act - SUPPORT HR 2147 -- Veterans Treatment Court Improvement Act of 2017 -- To require the Secretary of Veterans Affairs to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT HR 2225 -- Veterans Dog Training Therapy Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy - SUPPORT HR 2322 -- Injured and Amputee Veterans Bill of Rights -- To direct the Secretary of Veterans Affairs to educate certain staff of the Department of Veterans Affairs and to inform veterans about the Injured and Amputee Veterans Bill of Rights, and for other purposes - OPPOSE HR 2327 -- Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 -- To direct the Secretary of Veterans Affairs to make grants to eligible organizations to provide service dogs to veterans with severe post-traumatic stress disorder, and for other purposes - SUPPORT HR 2409 -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed - SUPPORT HR 2506 -- Veterans Wellness Act -- To direct the Secretary of Veterans Affairs to establish a pilot program to award grants to nonprofit veterans service organizations to upgrade the community facilities of such organizations - SUPPORT HR 2601 -- Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 -- To amend the Veterans Access, Choice, and Accountability Act of 2014 to improve the access of veterans to organ transplants, and for other purposes - SUPPORT HR 2773 -- To Authorize the Secretary of Veterans Affairs to sell Pershing Hall -- To authorize the Secretary of Veterans Affairs to sell Pershing Hall - OPPOSE HR 2787 -- Veterans-Specific Education for Tomorrows Medical Doctors Act -- To establish in the Department of Veterans Affairs a pilot program instituting a clinical observation program for pre-med students preparing to attend medical school - SUPPORT HR 3557 -- To amend title 38, United States Code, to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program -- To amend title 38, U.S.C., to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program - SUPPORT HR 3605 -- Fairness for Korean DMZ Veterans Act of 2017 -- To amend title 38, United States Code, to provide for a presumption of herbicide exposure for certain veterans who served in Korea. - SUPPORT HR 3642 -- Military Sexual Assault Victims Empowerment (Military SAVE) Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program to improve the access to private health care for veterans who are survivors of military sexual trauma -SUPPORT HR 3657 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries - SUPPORT HR 3696 -- Injured and Amputee Veterans Bill of Rights -- To require the Secretary of Veterans Affairs to award grants to establish, or expand upon, masters degree programs in orthotics and prosthetics, and for other purposes - SUPPORT HR 3705 -- Veterans Fair Debt Notice Act of 2017 -- To direct the Secretary of Veterans Affairs to require the use of certified mail and plain language in certain debt collection activities - SUPPORT HR 3832 -- Veterans Opioid Abuse Prevention Act -- To direct the Secretary of Veterans Affairs to enter into a memorandum of understanding with the executive director of a national network of State-based prescription monitoring programs under with the Department of Veterans Affairs health care providers shall query such network, and for other purposes - SUPPORT HR 3866 -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan. -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan - SUPPORT HR 4242 -- VA Care in the Community Act -- To amend title 38, United States Code, to establish a permanent VA Care in the Community Program, and for other purposes - SUPPORT HR 4243 -- Asset and Infrastructure Review (AIR) Act of 2017 -- To establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction and management leases of the Department of Veterans Affairs, to amend and appropriate funds for the Veterans Choice Program, and for other purposes - SUPPORT (with modifications) HR 4245 -- Veterans Electronic Health Record Modernization Oversight Act of 2017 -- To direct the VA Secretary to submit to Congress certain documents relating to the Electronic Health Record Modernization Program of the Department of Veterans Affairs - SUPPORT HR 4334 -- Improving Oversight of Women Veterans Care Act of 2017 -- To provide for certain reporting requirements relating to medical care for women veterans provided by the Department of Veterans Affairs and through contracts entered into by the Secretary of Veterans Affairs with non-Department medical providers, and for other purposes - SUPPORT HR 4335 -- Servicemember Family Burial Act -- To amend title 38, United States Code, to provide for headstones and markers for, and interment in national cemeteries of, deceased spouses and dependent children of members of the Armed Forces serving on active duty, and for other purposes - SUPPORT HR 4635 -- To direct the Secretary of Veterans Affairs to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes -- To direct the VA Secretary to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes - SUPPORT HR 4958 -- Veterans Compensation Cost-of-Living Adjustment Act of 2018 -- To increase, effective as of December 1, 2018, the rates of compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for the survivors of certain disabled veterans, and for other purposes - SUPPORT HR 5467 -- Purple Heart and Disabled Veterans Equal Access Act of 2008 -- To amend title 10, U.S.C., to extend certain morale, welfare, and recreation privileges to certain veterans and their caregivers, to authorize the appropriation of funds for the purpose of improving the electronic physical access control system used by military commissaries and exchanges, and for other purposes - SUPPORT HR 5521 -- VA Hiring Enhancement Act -- To amend title 38, United States Code, to provide for the non-applicability of non-Department of Veterans Affairs covenants not to compete to the appointment of certain Veterans Health Administration personnel, to permit the Veterans Health Administration to make contingent appointments, and to require certain Veterans Health Administration physicians to complete residency training - SUPPORT HR 5649 -- Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 -- To amend title 38, United States Code, to establish the Veterans Economic Opportunity and Transition Administration, and for other purposes - SUPPORT Public Law 115-182 [HR 5674; S 2372] -- VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 or (VA MISSION Act of 2018). -- To establish a permanent community care program for veterans, to establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction of the Department of Veterans Affairs, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to the home loan program of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 5693 -- Long-Term Care Veterans Choice Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the placement of veterans in non-Department medical foster homes for certain veterans who are unable to live independently SUPPORT HR 5786 -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes. -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes - SUPPORT HR 5938 -- Veterans Serving Veterans Act of 2018 -- To amend the VA Choice and Quality Employment Act to direct the VA Secretary to establish a vacancy and recruitment database to facilitate the recruitment of certain members of the Armed Forces to satisfy the occupational needs of the VA, to establish and implement a training and certification program for intermediate care technicians in that Department, and for other purposes - SUPPORT HR 90; S 233 -- Providing Veterans Overdue Care Act of 2017 -- To authorize the Secretary of Veterans Affairs to carry out certain major medical facility leases of the Department of Veterans Affairs - SUPPORT HR 1133; S 115 -- Veterans Transplant Coverage Act -- To amend title 38, U.S.C., to authorize the VA Secretary to provide for an operation on a live donor for purposes of conducting a transplant procedure for a veteran, and for other purposes - SUPPORT HR 2123; S 925 -- Veterans E-Health and Telemedicine Support Act of 2017 (VETS Act) -- To amend title 38, United States Code, to improve the ability of health care professionals to treat veterans through the use of telemedicine, and for other purposes - SUPPORT HR 3262; S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT HR 4910; S 2372 -- Veteran Cemetery Benefit Correction Act -- To amend title 38, United States Code, to provide outer burial receptacles for remains buried in National Parks, and for other purposes - SUPPORT S Res 112 -- Designating April 5, 2017, as Gold Star Wives Day. -- Designating April 5, 2017, as Gold Star Wives Day - SUPPORT S 75 -- Arla Harrell Act -- To provide for the reconsideration of claims for disability compensation for veterans who were the subjects of experiments by the Department of Defense during World War II that were conducted to assess the effects of mustard gas or lewisite on people, and for other purposes - SUPPORT S 242 -- Working to Integrate Networks Guaranteeing Member Access Now Act or the WINGMAN Act -- To amend title 38, United States Code, to permit veterans to grant access to their records in the databases of the Veterans Benefits Administration to certain designated congressional employees, and for other purposes - OPPOSE S 283 -- Mark Takai Atomic Veterans Healthcare Parity Act -- To amend title 38, U.S.C., to provide for the treatment of veterans who participated in the cleanup of Enewetak Atoll as radiation exposed veterans for purposes of the presumption of service-connection of certain disabilities by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 423 -- CHAMPVA Childrens Care Protection Act of 2017 -- To amend title 38, to increase the maximum age for children eligible for medical care under the CHAMPVA program, and for other purposes - SUPPORT S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT S 591 -- Military and Veteran Caregiver Services Improvement Act of 2017 -- To expand eligibility for the program of comprehensive assistance for family caregivers of the Department of Veterans Affairs, to expand benefits available to participants under such program, to enhance special compensation for members of the uniformed services who require assistance in everyday life, and for other purposes - SUPPORT S 609 -- Chiropractic Care Available to All Veterans Act of 2017 -- To amend the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 and title 38, U.S.C., to require the provision of chiropractic care and services to veterans at all Department of Veterans Affairs medical centers and to expand access to such care and services, and for other purposes - SUPPORT S 681 -- Deborah Sampson Act -- To amend title 38, U.S.C., to improve the benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes - SUPPORT (w/modifications) S 683 -- Keeping Our Commitment to Disabled Veterans Act of 2017 -- To amend title 38, U.S.C., to extend the requirement to provide nursing home care to certain veterans with service-connected disabilities - SUPPORT S 706 -- Quicker Veterans Benefits Delivery Act of 2017 -- To amend title 38, United States Code, to improve the treatment of medical evidence provided by non-Department of Veterans Affairs medical professionals in support of claims for disability compensation under the laws administered by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 744 -- Protecting Veterans Credit Act of 2017 -- To amend the Fair Credit Reporting Act to delay the inclusion in consumer credit reports and to establish requirements for debt collectors with respect to medical debt information of veterans due to inappropriate or delayed billing payments or reimbursements from the Department of Veterans Affairs, and for other purposes. - SUPPORT S 758 -- Janey Ensminger Act of 2017 -- To amend the Public Health Service Act with respect to the Agency for Toxic Substances and Disease Registrys review and publication of illness and conditions relating to veterans stationed at Camp Lejeune, North Carolina, and their family members, and for other purposes - SUPPORT S 798 -- Yellow Ribbon Improvement Act of 2017 -- To amend title 38, U.S.C., to expand the Yellow Ribbon G.I. Education Enhancement Program to apply to individuals pursuing programs of education while on active duty, to recipients of the Marine Gunnery Sergeant John David Fry scholarship, and to programs of education pursued on half-time basis or less, and for other purposes - SUPPORT S 804 -- Women Veterans Access to Quality Care Act -- To improve the provision of health care for women veterans by the Department of Veterans Affairs, and for other purposes - SUPPORT S 833 -- Servicemembers and Veterans Empowerment and Support Act of 2017 -- To amend title 38, U.S.C., to expand health care and benefits from the VA for military sexual trauma, and for other purposes - SUPPORT S 899 -- To amend title 38, United States Code, to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes. -- To amend title 38, U.S.C., to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes - SUPPORT S 946 -- Veterans Treatment Courts Improvement Act of 2017 -- To require the VA Secretary to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT S 1153 -- Veterans Acquiring Community Care Expect Safe Services Act of 2017 (Veterans ACCESS Act) -- To prohibit or suspend certain health care providers from providing non-VA health care services to veterans, and for other purposes - SUPPORT

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: Emerging technologies: Blockchain Technology, cloud, AI, IOT, Quantum Computing; S. 2217, the FUTURE of Artificial Intelligence Act of 2017; S. 760 Open, Public, Electronic, and Necessary Government Data Act; H.R. 6227, National Quantum Initiative Act. Implementation of H.R. 6, 21st Century Cures Act; S. 1693 Stop Enabling Sex Traffickers Act of 2017; H.R. 1865 Allow States and Victims to Fight Online Sex Trafficking Act of 2017. HR5674/S.2372 - VA Mission Act. Draft Data Acquisition and Technology Accountability and Security Act; S. 1989 Honest Ads Act, S.2382/H.R. 4943 Clarifying Use of Data (CLOUD) Act; cybersecurity vulnerability disclosure policy. S. 1691 Internet of Things Cybersecurity Improvement Act of 2017; data privacy; data breach, data security.

Client expense: $2,078,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Employment & Training Administration, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Security Council (NSC), Patent & Trademark Office (PTO), SENATE, Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), U.S. Trade Representative (USTR), White House Office

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: Emerging technologies: Blockchain Technology, cloud, AI, IOT, Quantum Computing; S. 2217, the FUTURE of Artificial Intelligence Act of 2017; S. 760 Open, Public, Electronic, and Necessary Government Data Act; H.R. 6227, National Quantum Initiative Act. Implementation of H.R. 6, 21st Century Cures Act; S. 1693 Stop Enabling Sex Traffickers Act of 2017; H.R. 1865 Allow States and Victims to Fight Online Sex Trafficking Act of 2017. HR5674/S.2372 - VA Mission Act. Draft Data Acquisition and Technology Accountability and Security Act; S. 1989 Honest Ads Act, S.2382/H.R. 4943 Clarifying Use of Data (CLOUD) Act; cybersecurity vulnerability disclosure policy. S. 1691 Internet of Things Cybersecurity Improvement Act of 2017; data privacy; data breach, data security.

Client expense: $1,620,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Employment & Training Administration, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Security Council (NSC), Patent & Trademark Office (PTO), SENATE, Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), U.S. Trade Representative (USTR), White House Office

Improvements in veterans and survivor benefits. H.R. 299, Blue Water Navy Vietnam Veterans, to provide include as part of the Republic of Vietnam its territorial seas for purposes of the presumption of service connection for diseases associated with exposure by veterans to certain herbicide agents; H.R.5674 VA MISSION Act, to improve veterans health care; H.R.5895 FY19 Military Construction and Veterans Affairs Appropriations; S. 1596, to increase burial allowances; S. 1990, Dependency and Indemnity Compensation Improvement; S. 2485 Medal of Honor Surviving Spouses Recognition; S. 992, Veteran Overmedication Prevention Act, to create a study on veterans suicide

Client expense: $414,436 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), Government Accountability Office (GAO), Government Printing Office (GPO), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Guard, Natl Oceanic & Atmospheric Administration (NOAA), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Secretary of Defense, President of the U.S., SENATE, U.S. Coast Guard (USCG), U.S. Marines, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

HR 91 -- Building Supportive Networks for Women Veterans Act -- To amend title 38, U.S.C., to make permanent the pilot program on counseling in retreat settings for women veterans newly separated from service in the Armed Forces - SUPPORT HR 93 -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans -- To amend title 38, United States Code, to provide for increased access to Department of Veterans Affairs medical care for women veterans - SUPPORT HR 95 -- Veterans Access to Child Care Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to provide child care assistance to veterans receiving certain medical services provided by the Department of Veterans Affairs - SUPPORT HR 105 -- Protect Veterans from Financial Fraud Act of 2017 -- To amend title 38, U.S.C., to ensure that the Secretary of Veterans Affairs repays the misused benefits of veterans with fiduciaries, to establish an appeals process for determinations by the Secretary of Veterans Affairs of veterans mental capacity, and for other purposes - SUPPORT HR 299 -- Blue Water Navy Vietnam Veterans Act of 2017 -- To amend title 38, U.S.C., to clarify presumptions relating to the exposure of certain veterans who served in the vicinity of the Republic of Vietnam, and for other purposes - SUPPORT HR 467 -- VA Scheduling Accountability Act -- To direct the Secretary of Veterans Affairs to ensure that each medical facility of the Department of Veterans Affairs complies with requirements relating to scheduling veterans for health care appointments, to improve the uniform application of directives of the Department, and for other purposes - SUPPORT HR 501 -- VA Transparency Enhancement Act of 2017 -- To require increased reporting regarding certain surgeries scheduled at medical facilities of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 888 -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans -- To amend title 38, United States Code, to improve dependency and indemnity compensation for survivors of certain totally disabled veterans - SUPPORT HR 906 -- Furthering Asbestos Claims Transparency (FACT) Act -- To amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos, and for other purposes - SUPPORT HR 907 -- Newborn Care Improvement Act -- To amend title 38, U.S.C., to improve the care provided by the Secretary of Veterans Affairs to newborn children - SUPPORT HR 918 -- Veteran Urgent Access to Mental Healthcare Act -- To amend title 38, U.S.C., to direct the Secretary of Veterans Affairs to furnish mental health care to certain former members of the Armed Forces who are not otherwise eligible to receive such care and for other purposes. - SUPPORT HR 1005 -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans -- To amend title 38, U.S.C., to improve the provision of adult day health care services for veterans - SUPPORT HR 1063 -- Veteran Prescription Continuity Act -- To ensure that an individual who is transitioning from receiving medical treatment furnished by the Secretary of Defense to medical treatment furnished by the Secretary of Veterans Affairs receives the pharmaceutical agents required for such transition - SUPPORT HR 1066 -- VA Management Alignment Act of 2017 -- To direct the Secretary of Veterans Affairs to submit to the Committees on Veterans Affairs of the Senate and the House of Representatives a report regarding the organizational structure of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 1162 -- No Hero Left Untreated Act -- To direct the Secretary of Veterans Affairs (VA) to carry out a pilot program to provide access to magnetic EEG/EKG-guided resonance therapy to veterans - OPPOSE HR 1181 -- Veterans 2nd Amendment Rights Protection Act -- To amend title 38, U.S.C., to clarify the conditions under which certain persons may be treated as adjudicated mentally incompetent for certain purposes - SUPPORT HR 1259 -- VA Accountability First Act of 2017 -- To amend title 38, U.S.C., to provide for the removal or demotion of employees of the Department of Veterans Affairs based on performance or misconduct, and for other purposes - SUPPORT HR 1328 -- American Heroes COLA Act of 2017 -- To amend title 38, United States Code, to provide for annual cost-of-living adjustments to be made automatically by law each year in the rates of disability compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for survivors of certain service-connected disabled veterans, and for other purposes - OPPOSE HR 1390 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization. -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to pay costs relating to the transportation of certain deceased veterans to veterans cemeteries owned by a State or tribal organization - SUPPORT HR 1506 -- VA Health Care Provider Education Debt Relief Act of 2017 -- To amend Title 38, United States Code, to increase the maximum amount of education debt reduction available for health care professionals employed by the Veterans Health Administration, and for other purposes - SUPPORT HR 1564 -- VA Beneficiary Travel Act of 2017 -- To amend section 504 of the Veterans Benefits Improvements Act of 1996 to specify the funding source for travel related to examinations by physicians not employed by the Department of Veterans Affairs regarding medical disabilities of applicants for benefits under title 38, U.S.C., to codify section 504 of the Veterans Benefits Improvements Act of 1996, and for other purposes - SUPPORT HR 1848 -- Veterans Affairs Medical Scribe Pilot Act of 2017 -- To direct the Secretary of Veterans Affairs to carry out a pilot program on the use of medical scribes in Department of Veterans Affairs medical centers - SUPPORT HR 1900 -- National Veterans Memorial and Museum Act -- To designate the Veterans Memorial and Museum in Columbus, Ohio as the National Veterans Memorial and Museum, and for other purposes - SUPPORT HR 1942 -- To amend title 28, United States Code, to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes. -- To amend title 28, U.S.C., to direct the Comptroller General of the United States to periodically conduct an audit of the Veterans Health Administration budget, and for other purposes - SUPPORT HR 1972 -- VA Billing Accountability Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to waive the requirement of certain veterans to make copayments for hospital care and medical services in the case of an error by the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2006 -- VA Procurement Efficiency and Transparency Act -- To amend title 38, U.S.C., to improve the procurement practices of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 2020 -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act. -- To provide for the rescheduling of marijuana into schedule III of the Controlled Substances Act - SUPPORT HR 2147 -- Veterans Treatment Court Improvement Act of 2017 -- To require the Secretary of Veterans Affairs to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT HR 2225 -- Veterans Dog Training Therapy Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program on dog training therapy - SUPPORT HR 2322 -- Injured and Amputee Veterans Bill of Rights -- To direct the Secretary of Veterans Affairs to educate certain staff of the Department of Veterans Affairs and to inform veterans about the Injured and Amputee Veterans Bill of Rights, and for other purposes - OPPOSE HR 2327 -- Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 -- To direct the Secretary of Veterans Affairs to make grants to eligible organizations to provide service dogs to veterans with severe post-traumatic stress disorder, and for other purposes - SUPPORT HR 2409 -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed -- To allow servicemembers to terminate their cable, satellite television, and Internet access service contracts while deployed - SUPPORT HR 2506 -- Veterans Wellness Act -- To direct the Secretary of Veterans Affairs to establish a pilot program to award grants to nonprofit veterans service organizations to upgrade the community facilities of such organizations - SUPPORT HR 2601 -- Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 -- To amend the Veterans Access, Choice, and Accountability Act of 2014 to improve the access of veterans to organ transplants, and for other purposes - SUPPORT HR 2773 -- To Authorize the Secretary of Veterans Affairs to sell Pershing Hall -- To authorize the Secretary of Veterans Affairs to sell Pershing Hall - OPPOSE HR 2787 -- Veterans-Specific Education for Tomorrows Medical Doctors Act -- To establish in the Department of Veterans Affairs a pilot program instituting a clinical observation program for pre-med students preparing to attend medical school - SUPPORT HR 3557 -- To amend title 38, United States Code, to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program -- To amend title 38, U.S.C., to increase the number of health care professionals employed by the Department of Veterans Affairs by improving the Department of Veterans Affairs Education Debt Reduction Program - SUPPORT HR 3605 -- Fairness for Korean DMZ Veterans Act of 2017 -- To amend title 38, United States Code, to provide for a presumption of herbicide exposure for certain veterans who served in Korea. - SUPPORT HR 3642 -- Military Sexual Assault Victims Empowerment (Military SAVE) Act -- To direct the Secretary of Veterans Affairs to carry out a pilot program to improve the access to private health care for veterans who are survivors of military sexual trauma -SUPPORT HR 3657 -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries -- To amend title 38, U.S.C., to authorize the Secretary of Veterans Affairs to provide headstones and markers for the graves of spouses and children of veterans who are buried in tribal cemeteries - SUPPORT HR 3696 -- Injured and Amputee Veterans Bill of Rights -- To require the Secretary of Veterans Affairs to award grants to establish, or expand upon, masters degree programs in orthotics and prosthetics, and for other purposes - SUPPORT HR 3705 -- Veterans Fair Debt Notice Act of 2017 -- To direct the Secretary of Veterans Affairs to require the use of certified mail and plain language in certain debt collection activities - SUPPORT HR 3832 -- Veterans Opioid Abuse Prevention Act -- To direct the Secretary of Veterans Affairs to enter into a memorandum of understanding with the executive director of a national network of State-based prescription monitoring programs under with the Department of Veterans Affairs health care providers shall query such network, and for other purposes - SUPPORT HR 3866 -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan. -- To amend the Federal Credit Union Act to exclude extensions of credit made to veterans from the definition of a member business loan - SUPPORT HR 4242 -- VA Care in the Community Act -- To amend title 38, United States Code, to establish a permanent VA Care in the Community Program, and for other purposes - SUPPORT HR 4243 -- Asset and Infrastructure Review (AIR) Act of 2017 -- To establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction and management leases of the Department of Veterans Affairs, to amend and appropriate funds for the Veterans Choice Program, and for other purposes - SUPPORT (with modifications) HR 4245 -- Veterans Electronic Health Record Modernization Oversight Act of 2017 -- To direct the VA Secretary to submit to Congress certain documents relating to the Electronic Health Record Modernization Program of the Department of Veterans Affairs - SUPPORT HR 4334 -- Improving Oversight of Women Veterans Care Act of 2017 -- To provide for certain reporting requirements relating to medical care for women veterans provided by the Department of Veterans Affairs and through contracts entered into by the Secretary of Veterans Affairs with non-Department medical providers, and for other purposes - SUPPORT HR 4335 -- Servicemember Family Burial Act -- To amend title 38, United States Code, to provide for headstones and markers for, and interment in national cemeteries of, deceased spouses and dependent children of members of the Armed Forces serving on active duty, and for other purposes - SUPPORT HR 4635 -- To direct the Secretary of Veterans Affairs to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes -- To direct the VA Secretary to increase the number of peer-to-peer counselors providing counseling for women veterans, and for other purposes - SUPPORT HR 4958 -- Veterans Compensation Cost-of-Living Adjustment Act of 2018 -- To increase, effective as of December 1, 2018, the rates of compensation for veterans with service-connected disabilities and the rates of dependency and indemnity compensation for the survivors of certain disabled veterans, and for other purposes - SUPPORT HR 5467 -- Purple Heart and Disabled Veterans Equal Access Act of 2008 -- To amend title 10, U.S.C., to extend certain morale, welfare, and recreation privileges to certain veterans and their caregivers, to authorize the appropriation of funds for the purpose of improving the electronic physical access control system used by military commissaries and exchanges, and for other purposes - SUPPORT HR 5521 -- VA Hiring Enhancement Act -- To amend title 38, United States Code, to provide for the non-applicability of non-Department of Veterans Affairs covenants not to compete to the appointment of certain Veterans Health Administration personnel, to permit the Veterans Health Administration to make contingent appointments, and to require certain Veterans Health Administration physicians to complete residency training - SUPPORT HR 5649 -- Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 -- To amend title 38, United States Code, to establish the Veterans Economic Opportunity and Transition Administration, and for other purposes - SUPPORT Public Law 115-182 [HR 5674; S 2372] -- VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 or (VA MISSION Act of 2018). -- To establish a permanent community care program for veterans, to establish a commission for the purpose of making recommendations regarding the modernization or realignment of facilities of the Veterans Health Administration, to improve construction of the Department of Veterans Affairs, to make certain improvements in the laws administered by the Secretary of Veterans Affairs relating to the home loan program of the Department of Veterans Affairs, and for other purposes - SUPPORT HR 5693 -- Long-Term Care Veterans Choice Act -- To amend title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the placement of veterans in non-Department medical foster homes for certain veterans who are unable to live independently SUPPORT HR 5786 -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes. -- Making appropriations for military construction, the Department of Veterans Affairs, and related agencies for the fiscal year ending September 30, 2019, and for other purposes - SUPPORT HR 5938 -- Veterans Serving Veterans Act of 2018 -- To amend the VA Choice and Quality Employment Act to direct the VA Secretary to establish a vacancy and recruitment database to facilitate the recruitment of certain members of the Armed Forces to satisfy the occupational needs of the VA, to establish and implement a training and certification program for intermediate care technicians in that Department, and for other purposes - SUPPORT HR 90; S 233 -- Providing Veterans Overdue Care Act of 2017 -- To authorize the Secretary of Veterans Affairs to carry out certain major medical facility leases of the Department of Veterans Affairs - SUPPORT HR 1133; S 115 -- Veterans Transplant Coverage Act -- To amend title 38, U.S.C., to authorize the VA Secretary to provide for an operation on a live donor for purposes of conducting a transplant procedure for a veteran, and for other purposes - SUPPORT HR 2123; S 925 -- Veterans E-Health and Telemedicine Support Act of 2017 (VETS Act) -- To amend title 38, United States Code, to improve the ability of health care professionals to treat veterans through the use of telemedicine, and for other purposes - SUPPORT HR 3262; S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT HR 4910; S 2372 -- Veteran Cemetery Benefit Correction Act -- To amend title 38, United States Code, to provide outer burial receptacles for remains buried in National Parks, and for other purposes - SUPPORT S Res 112 -- Designating April 5, 2017, as Gold Star Wives Day. -- Designating April 5, 2017, as Gold Star Wives Day - SUPPORT S 75 -- Arla Harrell Act -- To provide for the reconsideration of claims for disability compensation for veterans who were the subjects of experiments by the Department of Defense during World War II that were conducted to assess the effects of mustard gas or lewisite on people, and for other purposes - SUPPORT S 242 -- Working to Integrate Networks Guaranteeing Member Access Now Act or the WINGMAN Act -- To amend title 38, United States Code, to permit veterans to grant access to their records in the databases of the Veterans Benefits Administration to certain designated congressional employees, and for other purposes - OPPOSE S 283 -- Mark Takai Atomic Veterans Healthcare Parity Act -- To amend title 38, U.S.C., to provide for the treatment of veterans who participated in the cleanup of Enewetak Atoll as radiation exposed veterans for purposes of the presumption of service-connection of certain disabilities by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 423 -- CHAMPVA Childrens Care Protection Act of 2017 -- To amend title 38, to increase the maximum age for children eligible for medical care under the CHAMPVA program, and for other purposes - SUPPORT S 426 -- Grow Our Own Directive: Physician Assistant Employment and Education Act of 2017 -- To increase educational assistance provided by the Department of Veterans Affairs for education and training of physician assistants of the Department, to establish pay grades and require competitive pay for physician assistants of the Department, and for other purposes - SUPPORT S 591 -- Military and Veteran Caregiver Services Improvement Act of 2017 -- To expand eligibility for the program of comprehensive assistance for family caregivers of the Department of Veterans Affairs, to expand benefits available to participants under such program, to enhance special compensation for members of the uniformed services who require assistance in everyday life, and for other purposes - SUPPORT S 609 -- Chiropractic Care Available to All Veterans Act of 2017 -- To amend the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 and title 38, U.S.C., to require the provision of chiropractic care and services to veterans at all Department of Veterans Affairs medical centers and to expand access to such care and services, and for other purposes - SUPPORT S 681 -- Deborah Sampson Act -- To amend title 38, U.S.C., to improve the benefits and services provided by the Department of Veterans Affairs to women veterans, and for other purposes - SUPPORT (w/modifications) S 683 -- Keeping Our Commitment to Disabled Veterans Act of 2017 -- To amend title 38, U.S.C., to extend the requirement to provide nursing home care to certain veterans with service-connected disabilities - SUPPORT S 706 -- Quicker Veterans Benefits Delivery Act of 2017 -- To amend title 38, United States Code, to improve the treatment of medical evidence provided by non-Department of Veterans Affairs medical professionals in support of claims for disability compensation under the laws administered by the Secretary of Veterans Affairs, and for other purposes - SUPPORT S 744 -- Protecting Veterans Credit Act of 2017 -- To amend the Fair Credit Reporting Act to delay the inclusion in consumer credit reports and to establish requirements for debt collectors with respect to medical debt information of veterans due to inappropriate or delayed billing payments or reimbursements from the Department of Veterans Affairs, and for other purposes. - SUPPORT S 758 -- Janey Ensminger Act of 2017 -- To amend the Public Health Service Act with respect to the Agency for Toxic Substances and Disease Registrys review and publication of illness and conditions relating to veterans stationed at Camp Lejeune, North Carolina, and their family members, and for other purposes - SUPPORT S 798 -- Yellow Ribbon Improvement Act of 2017 -- To amend title 38, U.S.C., to expand the Yellow Ribbon G.I. Education Enhancement Program to apply to individuals pursuing programs of education while on active duty, to recipients of the Marine Gunnery Sergeant John David Fry scholarship, and to programs of education pursued on half-time basis or less, and for other purposes - SUPPORT S 804 -- Women Veterans Access to Quality Care Act -- To improve the provision of health care for women veterans by the Department of Veterans Affairs, and for other purposes - SUPPORT S 833 -- Servicemembers and Veterans Empowerment and Support Act of 2017 -- To amend title 38, U.S.C., to expand health care and benefits from the VA for military sexual trauma, and for other purposes - SUPPORT S 899 -- To amend title 38, United States Code, to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes. -- To amend title 38, U.S.C., to ensure that the requirements that new Federal employees who are veterans with service-connected disabilities are provided leave for purposes of undergoing medical treatment for such disabilities apply to certain employees of the Veterans Health Administration, and for other purposes - SUPPORT S 946 -- Veterans Treatment Courts Improvement Act of 2017 -- To require the VA Secretary to hire additional Veterans Justice Outreach Specialists to provide treatment court services to justice-involved veterans, and for other purposes - SUPPORT S 1153 -- Veterans Acquiring Community Care Expect Safe Services Act of 2017 (Veterans ACCESS Act) -- To prohibit or suspend certain health care providers from providing non-VA health care services to veterans, and for other purposes - SUPPORT

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

H.R.1838/S.1001 - Ambulatory Surgical Center Quality and Access Act of 2017 H.R.1017/S.479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R.4679 - Ensuring Equal Access to Treatments Act of 2017 H.R.5804 - Post-Surgical Injections as an Opioid Alternative Act H.R.5809 - Postoperative Opioid Prevention Act of 2018 H.R.6138 - ASC Payment Transparency Act of 2018 H.R.5674 - VA MISSION Act of 2018 H.R.4783/S.2239 - Veterans Deserve Better Act Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $172,085 · Firm income: Not reported

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

Legislation and policies relating to: Revision and implementation of Department of Veterans Affairs regulation RIN 2900-AP44, Advanced Practice Registered Nurses H.R. 1783 - Improving Veterans Access to Quality Care Act of 2017 H.R. 2547 - Veterans Expanded Trucking Opportunities Act of 2017 H.R. 5674/S. 2372 - VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 S. 544 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to modify the termination date for the Veterans Choice Program S. 1393 - Jobs for Our Heroes Act

Client expense: Not reported · Firm income: $23,450

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Expanding Veterans Health Administration coverage to non-employed physicians. Support for H.R. 5674 VA Mission Act of 2018.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Teaching Health Centers; Health Information Technology and TeleHealth; Substance abuse and opioid use; 340B Drug Discount Program; Repeal/Replace of ACA; Training the Next Generation of Primary Care Doctors Act(S.1754); VA Community Care Enhancement Act(H.R.5047); Promoting Real Opportunity, Success, and Prosperity through Education Reform (PROSPER) Act(H.R.4508); TItle X Program; VA Mission Act(H.R.5674/S.2372); Support for Patients and Communities Act(H.R.6); Opioid Crisis Response Act(S.2680).

Client expense: $120,000 · Firm income: Not reported

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

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: Emerging technologies: Blockchain Technology, cloud, AI, IOT, Quantum Computing; S. 2217, the FUTURE of Artificial Intelligence Act of 2017; S. 760 Open, Public, Electronic, and Necessary Government Data Act; H.R. 6227, National Quantum Initiative Act. Implementation of H.R. 6, 21st Century Cures Act; S. 1693 Stop Enabling Sex Traffickers Act of 2017; H.R. 1865 Allow States and Victims to Fight Online Sex Trafficking Act of 2017. HR5674/S.2372 - VA Mission Act. Draft Data Acquisition and Technology Accountability and Security Act; S. 1989 Honest Ads Act, S.2382/H.R. 4943 Clarifying Use of Data (CLOUD) Act; cybersecurity vulnerability disclosure policy. S. 1691 Internet of Things Cybersecurity Improvement Act of 2017; data privacy; data breach, data security.

Client expense: $1,620,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Employment & Training Administration, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Security Council (NSC), Patent & Trademark Office (PTO), SENATE, Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), U.S. Trade Representative (USTR), White House Office

H.R. 91, the Building Supportive Networks for Women Veterans Act H.R. 93 H.R. 95, the Veterans Access to Child Care Act H.R. 105, the Protect Veterans from Financial Fraud Act of 2017 H.R. 282, the Military Residency Choice Act H.R. 299, the Blue Water Navy Vietnam Veterans Act of 2017 H.R. 369 H.R. 457 H.R. 467, the VA Scheduling Accountability Act of 2017 H.R. 501, the VA Transparency Enhancement Act of 2017 H.R. 611/ S. 152, the VA Accountability First and Appeals Modernization Act H.R. 907, the Newborn Improvement Act H.R. 918, the Veterans Urgent Access to Mental Health Care Act H.R. 927 H.R. 1005 H.R. 1058, VA Provider Equity Act H.R. 1063, the Veteran Prescription Continuity Act H.R. 1066, the VA Management Alignment Act of 2017 H.R. 1133, the Veterans Transplant Coverage Act of 2017 H.R. 1162, the No Hero Left Untreated Act H.R. 1206, the Reducing Barriers for Veterans Education Act H.R. 1259/ S. 493, the VA Accountability First Act H.R. 1328, the American Heroes COLA Act of 2017 H.R. 1329 H.R. 1390 H.R. 1472, the Military and Veteran Caregiver Services Improvement Act of 2017 H.R. 1506, the VA Health Care Provider Education Debt Relief Act of 2017 H.R. 1545, the VA Prescription Data Accountability Act of 2017 H.R. 1564 H.R. 1662 H.R. 1690, the Department of Veterans Affairs Bonus Transparency Act H.R. 1712, the Protection and Advocacy for Veterans Act H.R. 1721 H.R. 1725, the Quicker Veterans Benefits Delivery Act of 2017 H.R. 1802, the Military and Veteran Caregiver Services Improvement Act of 2017 H.R. 1848, the Veterans Affairs Medical Scribe Pilot Act of 2017 H.R. 1900, the National Veterans Memorial and Museum Act H.R. 1943, the Restoring Maximum Mobility to Our Nations Veterans Act of 2017 H.R. 1972, the VA Billing Accountability Act H.R. 2123, the Veterans E-Health and Telemedicine Support (VETS) Act of 2017 H.R. 2147/ S. 946, the Veterans Treatment Court Improvement Act of 2017 H.R. 2225, the Veterans Dog Training Therapy Act H.R. 2322, Injured and Amputee Veterans Bill of Rights H.R. 2327, the Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 H.R. 2409 H.R. 2601, the Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 H.R. 2631, the Justice for Service Members Act of 2017 H.R. 2683, the Protecting Veterans Credit Act H.R. 2772, the SEA Act H.R. 2787, the VET MD Act H.R. 3023 H.R. 3122, the Veterans Care Financial Protection Act of 2017 H.R. 3197, the PUPPERS Act of 2017 H.R. 3642, the Military Sexual Assault Victims Empowerment (SAVE) Act H.R. 3656 H.R. 3657 H.R. 3696, the Wounded Warrior Workforce Enhancement Act H.R. 3705, the Veterans Fair Debt Notice Act of 2017 H.R. 3832, the Veterans Opioid Abuse Prevention Act H.R. 3940, the Veterans Education Disabled Assistance Act H.R. 4099 H.R. 4242, the VA Care in the Community Act H.R. 4243 H.R. 4334, the Improving Oversight of Women Veterans' Care Act of 2017 H.R. 4369, the, Protecting Benefits for Disabled Veterans of America H.R. 4451, the Homeless Veterans Reintegration Programs Reauthorization Act of 2017 H.R. 4635, the Peer-2-Peer Act H.R. 4830, the SIT-REP Act H.R. 4835, the Job TOOLS for Veterans Act H.R. 5044, the Service-Disabled Veterans Small Business Continuation Act H.R. 5177, the Encouraging Veterans Employment Act H.R. 5413, the Improving Veterans Access to Congressional Services Act of 2018 H.R. 5418, the Veterans Affairs Medical-Surgical Purchasing Stabilization Act H.R. 5467, the Purple Heart and Disabled Veterans Equal Access Act of 2018 H.R. 5452, the Reduce Unemployment for Veterans of All Ages Act of 2018 H.R. 5520, the VA Medicinal Cannabis Research Act of 2018 H.R. 5521, the VA Hiring Enhancement Act H.R. 5538 H.R. 5644, the VET OPP Act H.R. 5649, the Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 H.R. 5671/S. 3181, the Burn Pits Accountability Act H.R. 5674, the VA MISSION Act of 2018 H.R. 5693, the Long-Term Care Veterans Choice Act H.R. 5864, the VA Hospitals Establishing Leadership Performance Act H.R. 5938, the Veterans Serving Veterans Act of 2018 H.R. 5974, the VA COST SAVINGS Enhancements Act H.R. 6066 H.R. 6419, the Justice for ALS Veterans Act of 2018 H.R. 6734, the Full Military Honors Act of 2018 H.R. 6869, the Violence Against Women Veterans Act H.R. 6993 H.R. 7138, the Accelerating Veterans Recovery Outdoors Act The Veteran Coordinated Access & Rewarding Experiences (CARE) Act House Draft Bill, the VA Energy Procurement and Environmental Assets House Draft Bill Regarding State Homes and Other Purposes House Draft Legislation Regarding the Veterans Crisis Line House Draft Bill Regarding Caregiver Expansion House Draft Bill Regarding HUD/VASH eligibility to include veterans with other than honorable discharges. House Draft Bill Regarding Access to Same Day Mental Health Services House Draft Bill, the Wounded Warrior Assistance Act House Draft Bill on improving access to housing adaptations through VA for veterans with ALS. The Honoring Yesterdays Heroes Act S. 75 the Arla Harrell Act S. 86 S. 111, the Filipino Veterans Promise Act S. 115, the Veterans Transplant Coverage Act S. 116 S. 152 S. 410, the Shawna Hill Post-9/11 Education Transferability Act S. 426, the Grow Our Own Directive: Physician Assistance Employment and Education Act of 2017 S. 473 S. 514, the No Hero Left Untreated Act S. 591, the Military and Veteran Caregiver Services Improvement Act of 2017 S. 681, the Deborah Sampson Act S. 683, the Keeping Our Commitment to Disabled Veterans Act of 2017 S. 712 S. 758, the Janey Ensminger Act of 2017 S. 764, the Veterans Education Priority Enrollment Act of 2017 S. 784, the Veterans Compensation Cost-of-Living Adjustment Act of 2017 S. 798, the Yellow Ribbon Improvement Act S. 833, the Servicemembers and Veterans Empowerment and Support Act of 2017 S. 882 S. 899, the Department of Veterans Affairs Veteran Transition Improvement Act S. 1024, the Veterans Appeals Improvement and Modernization Act of 2017 S. 1094, the Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017 S. 1111, the Violence Against Women Veterans Act S. 1153, the Veterans Acquiring Community Care Expect Safe Services Act of 2017 S. 1209 S. 1261, the Veterans Emergency Room Relief Act of 2017 S. 1266, the Enhancing Veteran Care Act S. 1279, the Veterans Health Administration Reform Act S. 1325, the Better Workforce for Veterans Act of 2017 S. 1550, the Department of Veterans Affairs Quality Employment Act of 2017 S. 1596, the BRAVE Act of 2017 S. 1952, the VA Financial Accountability Act of 2017 S. 1990, the Dependency and Indemnity Compensation Improvement Act of 2017 S. 2107, the VA Provider Accountability Act S. 2131, the VA Newborn Emergency Treatment Act S. 2193, the Caring for our Veterans Act of 2017 S. 2210, the Veteran PEER Act S. 2372, the VA MISSION Act of 2018 S. 2402 S. 2485, the Medal of Honor Surviving Spouses Recognition Act of 2018 S. 2679, the Veterans Small Business Enhancement Act of 2018 S. 2748, the BATTLE for Servicemembers Act S. 3184 S. 3269, the Department of Veterans Affairs Tribal Advisory Committee Act of 2018 S. 3302, the VA Hiring Enhancement Act S. 3313, the Veterans Dental Care Eligibility Expansion and Enhancement Act of 2018 S. 3355, the Agent Orange Exposure Fairness Act of 2018 S. 3507 S. 3528, the Care for Veterans Act of 2018 S. 3529, the VET PFAS Act S. 3620, the Chiropractic Health Parity for Military Beneficiaries Act S. 3683, the Department of Veterans Affairs Website Accessibility Act of 2018 Senate Draft, to provide child care assistance to veterans receiving certain training or vocational rehabilitation, and for other purposes. Senate Draft Bill, the PUPPERS Act of 2017 Senate protection and advocacy system draft legislation Senate Draft Bill, to require the Secretary of Veterans Affairs to establish a program to award grants to persons to provide and coordinate the provision of suicide prevention services for veterans transitioning from service in the Armed Forces who are at risk of suicide and for their families, and for other purposes. Senate Draft Bill, the Modernization of Medical Records Access for Veterans Act Senate Draft Bill on improving the Transition Assistance Program The Veterans Choice Act The Improving Veterans Access to Community Care Act Implementation of P.L. 113-146, the Veterans Access, Choice, and Accountability Act Implementation of P.L. 115-55, the Veterans Appeals Improvement and Modernization Act of 2017 Implementation of P.L. 115-48, the Harry W. Colmery Veterans Educational Assistance Act of 2017

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

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

S. 2372 - VA MISSION Act of 2018 (section 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers) HR 5674 - VA MISSION Act of 2018 (section 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers)

Client expense: $570,000 · Firm income: Not reported

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

Veteran's transplant issues (H.R.5674 & S.2372)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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. 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. 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. 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. Health Information Technology (HIT): The College provided feedback on the Centers for Disease Control and Prevention (CDC) Request for Information (RFI) Regarding a National Test Collaborative (NTC), which sought approaches for developing a NTC that would allow for the field testing of health information technology (HIT) in a live clinical setting; expressed concern that building an entirely new testing network will be prohibitively difficult and execution could go wrong unless it is carefully designed, piloted, and tested. Emailing and conference calling with every level of every organization is labor intensive and getting participants engaged in this process will be an enormous effort; urged the need to address the patient privacy issues associated with production settings. These privacy issues may cause concern amongst hospitals and may prevent them from wanting to participate unless addressed; recommended that CDC consider building a CDC-Vendor-End User communication methodology that may be a more manageable undertaking utilizing existing infrastructures. Such a system could allow for CDC to notify EHR vendors who would notify product users when they receive an alert or guidance from CDC, using a process similar to how software updates are released. This approach does not require the sharing of protected health information nor does it require direct access into the production system. 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); 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. 2019 Physician Fee Schedule (PFS) and Quality Payment Program (QPP): Commented on CMS final rule on the 2019 PFS and QPP including - Urged additional refinements are needed to the final E/M documentation and payment policies to provide for immediate documentation relief, ensure the needs of complex patients are appropriately addressed, and avert negative downstream consequences; supports separate payment for technology-based communication services but urges the Agency to reconsider patient cost sharing and burdensome consent polices which may prevent uptake of these critical services; appreciates the burden relief that will result from allowing physicians to delegate Appropriate Use Criteria (AUC) consultations to appropriate clinical staff, but reiterates need to reimburse clinicians for the additional time required to conduct these consultations and pilot testing AUC in limited clinical priority areas before deploying on a larger scale to prevent widespread payment disruptions. With regard to QPP, urged greater simplifying of MIPS scoring by basing point values for individual measures on their relative value to the total MIPS score, taking every opportunity to award cross category credit, and instituting a consistent minimum 90-day reporting period across all categories; develop more Advanced APMs, particularly for small and specialty practices; opposes the use of cost measures that are deemed unreliable or inaccurate and urges CMS not to increase the weight of the Cost Category until every measure meets rigorous reliability and accuracy standards; reduce overall number of quality measures and use only those deemed valid, relevant, and reliable, such as those recommended by ACPs Performance Measurement Committee. Public Charge: The College provided comments on the Department of Homeland Securitys Notice of Proposed Rulemaking: Inadmissibility on Public Charge Grounds (DHS Docket No. USCIS-2010-0012). ACP oppose the DHS proposed rule on public charge because if finalized it would put the health of millions of children and families at risk. The proposed changes would expand the number of programs that the federal government would consider in public charge determinations to include Medicaid, the Medicare Part D Low-Income Subsidy Program, the Supplemental Nutrition Assistance Program, and potentially the Childrens Health Insurance Program (CHIP), among others. By widening public charge determinations in this way, the proposed rule would make it much more likely that lawfully present immigrants and those seeking to lawfully immigrate to the U.S. could be denied lawful permanent resident status, be denied visas, or even be deported, merely on the basis of seeking essential health, nutrition, and housing services for themselves or their families. The proposed rule would undermine the physician-patient relationship and disrupt care continuity, and it is antithetical to the Colleges mission to ensure meaningful access to health care for our patients. Immigrant Children and Pregnant Women in U.S. Custody: The College commented to the U.S. Department of Homeland Security that conditions in the U.S. Customs and Border Protection (CBP) custody are inconsistent with evidence-based recommendations for appropriate care and treatment of children and pregnant women. As such, they are not appropriate for children or pregnant women. ACP calls for a full, transparent, and public investigation of Jakelin Caal Maquins (from Guatemala) death and the circumstances surrounding it, as well as any other deaths that may have occurred in CBP or Immigration and Customs Enforcement custody. The College strongly urges the Department of Homeland Security (DHS) to implement specific meaningful steps to ensure that all children and pregnant women in CBP custody receive appropriate medical and mental health screening and necessary follow-up care by trained providers.

Client expense: $249,755 · Firm income: Not reported

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

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. 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. 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. 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. Health Information Technology (HIT): The College provided feedback on the Centers for Disease Control and Prevention (CDC) Request for Information (RFI) Regarding a National Test Collaborative (NTC), which sought approaches for developing a NTC that would allow for the field testing of health information technology (HIT) in a live clinical setting; expressed concern that building an entirely new testing network will be prohibitively difficult and execution could go wrong unless it is carefully designed, piloted, and tested. Emailing and conference calling with every level of every organization is labor intensive and getting participants engaged in this process will be an enormous effort; urged the need to address the patient privacy issues associated with production settings. These privacy issues may cause concern amongst hospitals and may prevent them from wanting to participate unless addressed; recommended that CDC consider building a CDC-Vendor-End User communication methodology that may be a more manageable undertaking utilizing existing infrastructures. Such a system could allow for CDC to notify EHR vendors who would notify product users when they receive an alert or guidance from CDC, using a process similar to how software updates are released. This approach does not require the sharing of protected health information nor does it require direct access into the production system. 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); 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. 2019 Physician Fee Schedule (PFS) and Quality Payment Program (QPP): Commented on CMS final rule on the 2019 PFS and QPP including - Urged additional refinements are needed to the final E/M documentation and payment policies to provide for immediate documentation relief, ensure the needs of complex patients are appropriately addressed, and avert negative downstream consequences; supports separate payment for technology-based communication services but urges the Agency to reconsider patient cost sharing and burdensome consent polices which may prevent uptake of these critical services; appreciates the burden relief that will result from allowing physicians to delegate Appropriate Use Criteria (AUC) consultations to appropriate clinical staff, but reiterates need to reimburse clinicians for the additional time required to conduct these consultations and pilot testing AUC in limited clinical priority areas before deploying on a larger scale to prevent widespread payment disruptions. With regard to QPP, urged greater simplifying of MIPS scoring by basing point values for individual measures on their relative value to the total MIPS score, taking every opportunity to award cross category credit, and instituting a consistent minimum 90-day reporting period across all categories; develop more Advanced APMs, particularly for small and specialty practices; opposes the use of cost measures that are deemed unreliable or inaccurate and urges CMS not to increase the weight of the Cost Category until every measure meets rigorous reliability and accuracy standards; reduce overall number of quality measures and use only those deemed valid, relevant, and reliable, such as those recommended by ACPs Performance Measurement Committee. Public Charge: The College provided comments on the Department of Homeland Securitys Notice of Proposed Rulemaking: Inadmissibility on Public Charge Grounds (DHS Docket No. USCIS-2010-0012). ACP oppose the DHS proposed rule on public charge because if finalized it would put the health of millions of children and families at risk. The proposed changes would expand the number of programs that the federal government would consider in public charge determinations to include Medicaid, the Medicare Part D Low-Income Subsidy Program, the Supplemental Nutrition Assistance Program, and potentially the Childrens Health Insurance Program (CHIP), among others. By widening public charge determinations in this way, the proposed rule would make it much more likely that lawfully present immigrants and those seeking to lawfully immigrate to the U.S. could be denied lawful permanent resident status, be denied visas, or even be deported, merely on the basis of seeking essential health, nutrition, and housing services for themselves or their families. The proposed rule would undermine the physician-patient relationship and disrupt care continuity, and it is antithetical to the Colleges mission to ensure meaningful access to health care for our patients. Immigrant Children and Pregnant Women in U.S. Custody: The College commented to the U.S. Department of Homeland Security that conditions in the U.S. Customs and Border Protection (CBP) custody are inconsistent with evidence-based recommendations for appropriate care and treatment of children and pregnant women. As such, they are not appropriate for children or pregnant women. ACP calls for a full, transparent, and public investigation of Jakelin Caal Maquins (from Guatemala) death and the circumstances surrounding it, as well as any other deaths that may have occurred in CBP or Immigration and Customs Enforcement custody. The College strongly urges the Department of Homeland Security (DHS) to implement specific meaningful steps to ensure that all children and pregnant women in CBP custody receive appropriate medical and mental health screening and necessary follow-up care by trained providers.

Client expense: $92,631 · Firm income: Not reported

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

VA/Tribal Medical Residency Demonstration Program, S.2372, H.R. 5674 VA/Tribal Agreements, S. 2372, H.R. 5674

Client expense: Not reported · Firm income: $25,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.5674 - VA MISSION Act of 2018

Client expense: $140,000 · Firm income: Not reported

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

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

SCONRES 12 HR 1900 HR 1875 S 804 HR 1848 S 798 HR 1802 S 784 HR 1783 HR 1797 HR 1790 HR 1799 HR 1771 S 758 HR 1798 HR 1749 HR 1712 S 712 HR 1685 S 700 HR 1690 S 699 HR 1681 HRES 214 HR 1662 HR 1618 HR 1564 HR 1545 HR 1509 HR 1507 HR 1508 HR 1505 HR 1506 HR 1472 HR 1445 S 585 HR 1405 HR 1390 HR 1383 HR 1379 HR 1391 HR 1367 HR 1359 HR 1331 HR 1328 HR 1329 HR 1279 S 473 HR 1251 HR 1254 HR 1259 HR 1216 HR 1206 HR 1212 HR 1152 HR 1104 HR 1162 HR 1168 S 423 S 410 S 422 HR 1131 HR 1133 HR 1112 HR 1063 HR 1066 HR 1064 HR 1100 HR 1032 S 369 HR 1058 HR 1052 HR 1007 HR 1005 HR 996 HR 980 S 336 HCONRES 22 HR 927 HR 925 HR 974 HR 907 HR 906 HR 971 S 324 HR 918 S 315 HR 877 HR 897 HR 888 HR 874 S 319 HR 856 S 283 HR 814 HR 815 HR 809 HR 758 S 242 HR 703 HR 632 HR 645 S 233 HR 611 HR 609 S 152 HR 578 HR 512 HR 467 S 114 HR 476 S 111 S 113 S 115 HRES 46 S 112 HR 457 HR 411 S 86 HR 388 HR 418 S 75 HR 369 HR 333 HR 334 HR 337 S 57 HR 303 HR 299 S 35 S 24 HR 245 HR 282 S 23 HR 293 HR 91 HR 42 HR 28 HR 43 HR 107 HR 27 HR 103 HR 67 HR 104 HR 93 HR 154 HR 95 HR 90 HR 92 HR 102 HR 106 HR 101 HR 105 S 12 S 1836 HR 3781 HR 3754 HR 3752 S 1789 HR 3720 S 1775 HR 3705 HR 3696 HR 3680 HR 3666 HR 3657 HR 3656 HR 3642 HR 3634 HR 3640 HR 3605 HR 3562 HR 3558 HR 3557 HR 3561 HR 3492 S 1661 HR 3459 HR 3497 HR 3429 S 1635 S 1619 HR 3368 HR 3372 HR 3370 HCONRES 70 HRES 462 S 1611 HR 3335 S 1596 S 1598 HR 3308 HR 3272 HR 3262 S 1550 HR 3218 S 1566 HR 3195 HR 3194 HR 3197 HRES 436 HR 3185 HR 3177 S 1526 HR 3169 HR 3165 HR 3122 HR 3130 HR 3158 S 1473 SRES 205 HR 3095 S 1467 S 1449 HR 3054 HR 12 HR 3042 HR 3018 HR 3028 S 1424 HRES 391 HR 2920 S 1356 HR 2891 S 1325 HR 2839 S 1319 HR 2837 S 1330 HR 2838 HR 2827 HR 2772 HR 2787 HR 2785 HR 2758 HR 2694 HR 2738 HR 2733 S 1277 HR 2708 HR 2736 HR 2737 HR 2703 HR 2707 S 1279 S 1261 HR 2652 HR 2716 S 1266 HR 2692 HR 2744 HR 2699 HR 2698 HR 2648 HR 2631 HR 2634 HR 2625 S 1218 HR 2601 S 1209 S 1192 S 1198 HR 2555 HR 2549 S 1179 HR 2517 S 1163 S 1153 HR 2506 HR 2478 S 1161 HR 2452 HR 2409 S 1094 S 1111 S 1098 HR 2421 HR 2419 S 1072 HR 2312 S 1024 HR 2322 S 1014 S 1015 HR 2311 HR 2307 HR 2327 HR 2288 HCONRES 52 HR 2257 HR 2251 HR 2225 HR 2210 S 970 HR 2198 HR 2147 S 946 HR 2123 S 925 S 933 HR 2108 HR 2103 HR 2100 HR 2099 S 899 S 903 HR 1972 HR 1993 HR 1989 HR 2006 HRES 258 HR 1998 HR 1994 HR 2037 HR 1977 HR 1943 S 844 HR 1910 HR 1954 HR 1956 S 833 HR 1942 HR 6637 HR 6572 S 3130 HR 6161 HRES 950 HR 6027 HR 5047 HR 4366 HR 4338 HR 4173 HR 5538 HR 5397 S 2622 HR 5301 S 2541 HR 5215 S 2485 HR 5152 HR 5044 HRES 737 HR 4958 HR 4910 HR 4843 S 2304 S 2294 HR 4727 HR 4642 HR 4632 HR 4565 HR 4380 HR 4339 HR 4335 HR 4321 HR 4320 HR 4357 HR 4312 S 2105 S 2038 HR 4146 HR 4149 S 2433 HR 4360 HR 1844 HR 4687 HR 4533 HR 3946 S 3235 HR 4451 S 2768 HR 4835 S 2807 S 1952 S 1936 HR 4016 HR 3874 S 2906 HR 4242 HR 4369 S 2357 HR 6539 HR 6581 HR 5683 HR 6582 HR 5693 HR 5671 HR 5649 HR 4450 HR 5452 HR 4871 S 2884 HR 6151 HR 4362 HR 4059 HR 6101 HR 4716 HR 4783 S 2372 HR 5921 S 2719 HR 6419 HR 6234 HR 4728 HR 5986 S 3241 HR 3832 HR 4457 HR 5314 HR 5864 HR 3819 HRES 809 HR 4132 HR 5246 HR 4243 HR 5966 HR 6398 HR 6066 HR 4106 S 3089 S 1990 HR 4898 HR 6418 S 2288 HR 4113 HR 4245 HR 6285 HR 5830 HR 5674 HR 5095 HR 3933 HR 4099 HR 4653 HRES 613 S 2473 HRES 611 HR 4635 HR 3865 HR 5866 HRES 1025 HR 3940 HR 3949 S 2821 HR 5938 HR 5500 HR 5486 HR 6566 HR 4055 HR 4830 HR 4852 HR 4793 S 2548 S 2565 SRES 551 S 2748 HR 5644 HR 5882 S 2402 S 1871 S 2356 HR 5920 S 1873 HR 5781 HR 4670 HR 4346 HRES 590 S 1881 HR 4328 S 1951

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Maritime Administration (MARAD), Natl Archives & Records Administration (NARA), Navy, Dept of, SENATE, U.S. Coast Guard (USCG), Veterans Affairs, Dept of (VA), White House Office

S. 2372 - VA MISSION Act of 2018 (section 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers) HR 5674 - VA MISSION Act of 2018 (section 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers)

Client expense: $450,000 · Firm income: Not reported

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

Improvements in veterans and survivor benefits. H.R. 299, Blue Water Navy Vietnam Veterans, to provide include as part of the Republic of Vietnam its territorial seas for purposes of the presumption of service connection for diseases associated with exposure by veterans to certain herbicide agents; H.R. 5413 Improving Veterans Access to Congressional Services, permit Members of Congress to use facilities of the Department of Veterans Affairs for the purposes of meeting with constituents; H.R. 5418, Veterans Affairs Medical-Surgical Purchasing Stabilization, to ensure VA employees have relevant medical expertise; H.R.5674 VA MISSION Act, to improve veterans health care; H.R.5895 FY19 Military Construction and Veterans Affairs Appropriations; H.R.6418 VA Website Accessibility, to improve access to information for veterans with disabilities; S. 2372 VA MISSION Act; S. 3024 FY19 MilCon VA appropriations; S.3184, to modify the requirements for applications for construction of State home facilities to increase the maximum percentage of nonveterans allowed to be treated; S. 1596, to increase burial allowances; S.2881, Mare Island Naval Cemetery; S. 1952, to improve VA financial accountability; S. 1990, Dependency and Indemnity Compensation Improvement; S. 2485 Medal of Honor Surviving Spouses Recognition; S. 514, No Hero Left Untreated, to improve treatment for PTSD

Client expense: $414,436 · Firm income: Not reported

Government targets: Air Force, Dept of, Army, Dept of (Corps of Engineers), Army, Dept of (Other), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Defense Finance & Accounting Service (DFAS), Defense, Dept of (DOD), Government Accountability Office (GAO), Government Printing Office (GPO), HOUSE OF REPRESENTATIVES, Internal Revenue Service (IRS), Natl Guard, Natl Oceanic & Atmospheric Administration (NOAA), Navy, Dept of, Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Secretary of Defense, President of the U.S., SENATE, U.S. Coast Guard (USCG), U.S. Marines, Veterans Affairs, Dept of (VA), Veterans Employment & Training Service

Legislation and policies relating to: Revision and implementation of Department of Veterans Affairs regulation RIN 2900-AP44, Advanced Practice Registered Nurses H.R. 1783 - Improving Veterans Access to Quality Care Act of 2017 H.R. 2547 - Veterans Expanded Trucking Opportunities Act of 2017 H.R. 5674/S. 2372 - VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018 S. 544 - To amend the Veterans Access, Choice, and Accountability Act of 2014 to modify the termination date for the Veterans Choice Program S. 1393 - Jobs for Our Heroes Act

Client expense: Not reported · Firm income: $23,450

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Legislative & Regulatory Issues Related to Technology Policy, including R&D, Cybersecurity, Privacy, Health IT & Technology Procurement: Emerging technologies: Blockchain Technology, cloud, AI, IOT, Quantum Computing; S. 2217, the FUTURE of Artificial Intelligence Act of 2017; S. 760 Open, Public, Electronic, and Necessary Government Data Act; H.R. 6227, National Quantum Initiative Act. Implementation of H.R. 6, 21st Century Cures Act; S. 1693 Stop Enabling Sex Traffickers Act of 2017; H.R. 1865 Allow States and Victims to Fight Online Sex Trafficking Act of 2017. HR5674/S.2372 - VA Mission Act. Draft Data Acquisition and Technology Accountability and Security Act; S. 1989 Honest Ads Act, S.2382/H.R. 4943 Clarifying Use of Data (CLOUD) Act; cybersecurity vulnerability disclosure policy. S. 1691 Internet of Things Cybersecurity Improvement Act of 2017; data privacy; data breach, data security.

Client expense: $1,600,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Employment & Training Administration, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Intl Trade Administration (ITA), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Natl Security Council (NSC), Patent & Trademark Office (PTO), SENATE, Treasury, Dept of, U.S. Immigration & Customs Enforcement (ICE), U.S. Trade Representative (USTR), White House Office

H.R.1838/S.1001 - Ambulatory Surgical Center Quality and Access Act of 2017 H.R.1017/S.479 - Removing Barriers to Colorectal Cancer Screening Act of 2017 H.R.4679 - Ensuring Equal Access to Treatments Act of 2017 H.R.5804 - Post-Surgical Injections as an Opioid Alternative Act H.R.5809 - Postoperative Opioid Prevention Act of 2018 H.R.6138 - ASC Payment Transparency Act of 2018 H.R.5674 - VA MISSION Act of 2018 H.R.4783/S.2239 - Veterans Deserve Better Act Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $165,615 · Firm income: Not reported

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

S. 2372 - VA MISSION Act of 2018 (section 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers) HR 5674 - VA MISSION Act of 2018 (section 102. Authorization of agreements between Department of Veterans Affairs and non-Department providers)

Client expense: $460,000 · Firm income: Not reported

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

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

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

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

Expanding Veterans Health Administration coverage to non-employed physicians. Support for H.R. 5674 VA Mission Act of 2018.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

VA Mission Act, H.R. 5674, S. 2372

Client expense: Not reported · Firm income: $25,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

VA/Tribal Medical Residency Demonstration Program, S.2372, H.R. 5674 VA/Tribal Agreements, S. 2372, H.R. 5674

Client expense: Not reported · Firm income: $25,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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.

Client expense: $279,872 · Firm income: Not reported

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

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.

Client expense: $97,099 · Firm income: Not reported

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

H.R. 91, the Building Supportive Networks for Women Veterans Act H.R. 93 H.R. 95, the Veterans Access to Child Care Act H.R. 105, the Protect Veterans from Financial Fraud Act of 2017 H.R. 282, the Military Residency Choice Act H.R. 299, the Blue Water Navy Vietnam Veterans Act of 2017 H.R. 369 H.R. 457 H.R. 467, the VA Scheduling Accountability Act of 2017 H.R. 501, the VA Transparency Enhancement Act of 2017 H.R. 611/ S. 152, the VA Accountability First and Appeals Modernization Act H.R. 907, the Newborn Improvement Act H.R. 918, the Veterans Urgent Access to Mental Health Care Act H.R. 927 H.R. 1005 H.R. 1058, VA Provider Equity Act H.R. 1063, the Veteran Prescription Continuity Act H.R. 1066, the VA Management Alignment Act of 2017 H.R. 1133, the Veterans Transplant Coverage Act of 2017 H.R. 1162, the No Hero Left Untreated Act H.R. 1206, the Reducing Barriers for Veterans Education Act H.R. 1259/ S. 493, the VA Accountability First Act H.R. 1328, the American Heroes COLA Act of 2017 H.R. 1329 H.R. 1390 H.R. 1472, the Military and Veteran Caregiver Services Improvement Act of 2017 H.R. 1506, the VA Health Care Provider Education Debt Relief Act of 2017 H.R. 1545, the VA Prescription Data Accountability Act of 2017 H.R. 1564 H.R. 1662 H.R. 1690, the Department of Veterans Affairs Bonus Transparency Act H.R. 1712, the Protection and Advocacy for Veterans Act H.R. 1721 H.R. 1725, the Quicker Veterans Benefits Delivery Act of 2017 H.R. 1802, the Military and Veteran Caregiver Services Improvement Act of 2017 H.R. 1848, the Veterans Affairs Medical Scribe Pilot Act of 2017 H.R. 1900, the National Veterans Memorial and Museum Act H.R. 1943, the Restoring Maximum Mobility to Our Nations Veterans Act of 2017 H.R. 1972, the VA Billing Accountability Act H.R. 2123, the Veterans E-Health and Telemedicine Support (VETS) Act of 2017 H.R. 2147/ S. 946, the Veterans Treatment Court Improvement Act of 2017 H.R. 2225, the Veterans Dog Training Therapy Act H.R. 2322, Injured and Amputee Veterans Bill of Rights H.R. 2327, the Puppies Assisting Wounded Servicemembers (PAWS) Act of 2017 H.R. 2409 H.R. 2601, the Veterans Increased Choice for Transplanted Organs and Recovery (VICTOR) Act of 2017 H.R. 2631, the Justice for Service Members Act of 2017 H.R. 2683, the Protecting Veterans Credit Act H.R. 2772, the SEA Act H.R. 2787, the VET MD Act H.R. 3023 H.R. 3122, the Veterans Care Financial Protection Act of 2017 H.R. 3197, the PUPPERS Act of 2017 H.R. 3642, the Military Sexual Assault Victims Empowerment (SAVE) Act H.R. 3656 H.R. 3657 H.R. 3696, the Wounded Warrior Workforce Enhancement Act H.R. 3705, the Veterans Fair Debt Notice Act of 2017 H.R. 3832, the Veterans Opioid Abuse Prevention Act H.R. 3940, the Veterans Education Disabled Assistance Act H.R. 4099 H.R. 4242, the VA Care in the Community Act H.R. 4243 H.R. 4334, the Improving Oversight of Women Veterans' Care Act of 2017 H.R. 4369, the, Protecting Benefits for Disabled Veterans of America H.R. 4451, the Homeless Veterans Reintegration Programs Reauthorization Act of 2017 H.R. 4635, the Peer-2-Peer Act H.R. 4830, the SIT-REP Act H.R. 4835, the Job TOOLS for Veterans Act H.R. 5044, the Service-Disabled Veterans Small Business Continuation Act H.R. 5177, the Encouraging Veterans Employment Act H.R. 5413, the Improving Veterans Access to Congressional Services Act of 2018 H.R. 5418, the Veterans Affairs Medical-Surgical Purchasing Stabilization Act H.R. 5467, the Purple Heart and Disabled Veterans Equal Access Act of 2018 H.R. 5452, the Reduce Unemployment for Veterans of All Ages Act of 2018 H.R. 5520, the VA Medicinal Cannabis Research Act of 2018 H.R. 5521, the VA Hiring Enhancement Act H.R. 5538 H.R. 5644, the VET OPP Act H.R. 5649, the Navy SEAL Chief Petty Officer William Bill Mulder (Ret.) Transition Improvement Act of 2018 H.R. 5671/S. 3181, the Burn Pits Accountability Act H.R. 5674, the VA MISSION Act of 2018 H.R. 5693, the Long-Term Care Veterans Choice Act H.R. 5864, the VA Hospitals Establishing Leadership Performance Act H.R. 5938, the Veterans Serving Veterans Act of 2018 H.R. 5974, the VA COST SAVINGS Enhancements Act H.R. 6066 H.R. 6419, the Justice for ALS Veterans Act of 2018 H.R. 6764, the Full Military Honors Act of 2018 H.R. 6869, the Violence Against Women Veterans Act H.R. 6993 The Veteran Coordinated Access & Rewarding Experiences (CARE) Act House Draft Bill, the VA Energy Procurement and Environmental Assets House Draft Bill Regarding State Homes and Other Purposes House Draft Legislation Regarding the Veterans Crisis Line House Draft Bill Regarding Caregiver Expansion House Draft Bill Regarding HUD/VASH eligibility to include veterans with other than honorable discharges. House Draft Bill Regarding Access to Same Day Mental Health Services House Draft Bill, the Wounded Warrior Assistance Act House Draft Bill on improving access to housing adaptations through VA for veterans with ALS. The Honoring Yesterdays Heroes Act S. 75 the Arla Harrell Act S. 86 S. 111, the Filipino Veterans Promise Act S. 115, the Veterans Transplant Coverage Act S. 116 S. 152 S. 410, the Shawna Hill Post-9/11 Education Transferability Act S. 426, the Grow Our Own Directive: Physician Assistance Employment and Education Act of 2017 S. 473 S. 514, the No Hero Left Untreated Act S. 591, the Military and Veteran Caregiver Services Improvement Act of 2017 S. 681, the Deborah Sampson Act S. 683, the Keeping Our Commitment to Disabled Veterans Act of 2017 S. 712 S. 758, the Janey Ensminger Act of 2017 S. 764, the Veterans Education Priority Enrollment Act of 2017 S. 784, the Veterans Compensation Cost-of-Living Adjustment Act of 2017 S. 798, the Yellow Ribbon Improvement Act S. 833, the Servicemembers and Veterans Empowerment and Support Act of 2017 S. 882 S. 899, the Department of Veterans Affairs Veteran Transition Improvement Act S. 1024, the Veterans Appeals Improvement and Modernization Act of 2017 S. 1094, the Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017 S. 1111, the Violence Against Women Veterans Act S. 1153, the Veterans Acquiring Community Care Expect Safe Services Act of 2017 S. 1209 S. 1261, the Veterans Emergency Room Relief Act of 2017 S. 1266, the Enhancing Veteran Care Act S. 1279, the Veterans Health Administration Reform Act S. 1325, the Better Workforce for Veterans Act of 2017 S. 1550, the Department of Veterans Affairs Quality Employment Act of 2017 S. 1596, the BRAVE Act of 2017 S. 1952, the VA Financial Accountability Act of 2017 S. 1990, the Dependency and Indemnity Compensation Improvement Act of 2017 S. 2107, the VA Provider Accountability Act S. 2131, the VA Newborn Emergency Treatment Act S. 2193, the Caring for our Veterans Act of 2017 S. 2210, the Veteran PEER Act S. 2372, the VA MISSION Act of 2018 S. 2402 S. 2485, the Medal of Honor Surviving Spouses Recognition Act of 2018 S. 2679, the Veterans Small Business Enhancement Act of 2018 S. 2748, the BATTLE for Servicemembers Act S. 3184 S. 3302, the VA Hiring Enhancement Act S. 3313, the Veterans Dental Care Eligibility Expansion and Enhancement Act of 2018 S. 3507 S. 3528, the Care for Veterans Act of 2018 S. 3529, the VET PFAS Act Senate Draft, to provide child care assistance to veterans receiving certain training or vocational rehabilitation, and for other purposes. Senate Draft Bill, the PUPPERS Act of 2017 Senate protection and advocacy system draft legislation Senate Draft Bill, to require the Secretary of Veterans Affairs to establish a program to award grants to persons to provide and coordinate the provision of suicide prevention services for veterans transitioning from service in the Armed Forces who are at risk of suicide and for their families, and for other purposes. Senate Draft Bill, the Modernization of Medical Records Access for Veterans Act Senate Draft Bill on improving the Transition Assistance Program The Veterans Choice Act The Improving Veterans Access to Community Care Act Implementation of P.L. 113-146, the Veterans Access, Choice, and Accountability Act Implementation of P.L. 115-55, the Veterans Appeals Improvement and Modernization Act of 2017 Implementation of P.L. 115-48, the Harry W. Colmery Veterans Educational Assistance Act of 2017

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

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