Ensuring Access to Quality Complex Rehabilitation Technology Act of 2017

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

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

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

Bipartisan Health Care Stabilization Act, support bipartisan efforts led by Senators Alexander and Murray to stabilize and improve the individual health insurance market while protecting people with chronic conditions. -H.R. 2439/S. 1131, FAIR Drug Pricing Act, support passage. - H.R. 2212/ S. 974, Creating and Restoring Equal Access To Equivalent Samples Act of 2017 (CREATES Act), support passage. -H.R. 2077, Restoring Patients Voice Act, support passage. -S. 637, Creating Transparency to Have Drug Rebates Unlocked (C-THRU) Act, support passage. -H.R. 4841/S. 2908, Standardizing Electronic Prior Authorization for Safe Prescribing Act, support passage. - H.R. 2051, Fair Access for Safe and Timely Generics Act of 2017 (FAST Generics Act), support passage. -H.R. 750, support passage of the Ensuring Access to Quality Complex Rehabilitation Technology Act. -H.R. 1361/S. 486/H.R. 3730, support passage to protect access to complex rehabilitative technology accessories. -H.R. 2535/S. 1188, Lifespan Respite Care Reauthorization Act, support reauthorization of the Lifespan Respite Care Program. -HR 2575/S. 1909, Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act

Client expense: $59,856 · Firm income: Not reported

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

-H.R. 750, support passage of the Ensuring Access to Quality Complex Rehabilitation Technology Act. -H.R. 1361/S. 486/H.R. 3730, support passage to protect access to complex rehabilitative technology accessories. -HR 2575/S. 1909, Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act

Client expense: $59,856 · Firm income: Not reported

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration; H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act; H.R. 1361/S. 486/H.R. 3730 - To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories (Protecting Beneficiary Access to Complex Rehab Technology Act of 2017); The IMPROVE Act; H.R. 7217; Issues related to reimbursement cuts in noncompetitive bidding areas, all provisions; 21st Century Cures Act (H.R. 6/H.R. 34 in the 114th Congress), competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2445 - the DMEPOS Access and Transparency Act of 2017 (DATA Act), all provisions; H.R. 4229 - Protecting HOME Access Act of 2017, all provisions; H.R. 2550 - Medicare Telehealth Parity Act of 2017, all provisions; H.R. 1625 - Consolidated Appropriations Act of 2018; issues pertaining to the Interim Final Rule (IFR) regarding non CB Area Relief for DME Items; Expanding and making permanent the Medicare power mobility device demonstration program; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act, all provisions (S. 2368 in the 114th Congress); DME issues in the FY2019 President's Budget and CMS ESRD/DEMPOS proposed and final rules.

Client expense: Not reported · Firm income: $45,000

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration; H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act; H.R. 1361/S. 486/H.R. 3730 - To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories (Protecting Beneficiary Access to Complex Rehab Technology Act of 2017); H.R. 7217 - The IMPROVE Act, all provisions; Issues related to reimbursement cuts in noncompetitive bidding areas, all provisions; 21st Century Cures Act (H.R. 6/H.R. 34 in the 114th Congress), competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2445 - the DMEPOS Access and Transparency Act of 2017 (DATA Act), all provisions; H.R. 4229 - Protecting HOME Access Act of 2017, all provisions; H.R. 2550 - Medicare Telehealth Parity Act of 2017, all provisions; H.R. 1625 - Consolidated Appropriations Act of 2018; issues pertaining to the Interim Final Rule (IFR) regarding non CB Area Relief for DME Items; Expanding and making permanent the Medicare power mobility device demonstration program; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act, all provisions (S. 2368 in the 114th Congress); DME issues in the FY2019 President's Budget and CMS ESRD/DEMPOS proposed and final rules.

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

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

Develop a legislative and regulatory strategy to lobby and obtain relief for the Complex Rehab Technology industry (H.R. 3730, H.R. 750). HR 7217.

Client expense: Not reported · Firm income: $16,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1.) Passage of H.R. 750 to create a Separate Benefit Category for Complex Rehab Technology within the Medicare program. 2.) Passage of H.R 3730 to prevent CMS from using Competitive Bid Program pricing to set payment rates for Complex Rehab Technology manual wheelchairs within the Medicare program.

Client expense: $68,000 · Firm income: Not reported

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

Develop a legislative and regulatory strategy to lobby and obtain relief for the Complex Rehab Technology industry (H.R. 3730, H.R. 750).

Client expense: Not reported · Firm income: $16,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Client expense: Not reported · Firm income: $75,000

Government targets: AMTRAK - Natl Railroad Passenger Corporation, Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Health care issues affecting individuals with neuromuscular disease, including therapy development and newborn screening. Health care reform including H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2017; S. 379/H.R. 1171 - ALS Disability Insurance Access Act

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

Government targets: Executive Office of the President (EOP), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT)

-H.R. 750, support passage of the Ensuring Access to Quality Complex Rehabilitation Technology Act. -H.R. 1361/S. 486/H.R. 3730, support passage to protect access to complex rehabilitative technology accessories. -HR 2575/S. 1909, Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act

Client expense: $105,700 · Firm income: Not reported

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

-Bipartisan Health Care Stabilization Act, support bipartisan efforts led by Senators Alexander and Murray to stabilize and improve the individual health insurance market while protecting people with chronic conditions. -H.R. 2439/S. 1131, FAIR Drug Pricing Act, support passage. - H.R. 2212/ S. 974, Creating and Restoring Equal Access To Equivalent Samples Act of 2017 (CREATES Act), support passage. -H.R. 2077, Restoring Patients Voice Act, support passage. -S. 637, Creating Transparency to Have Drug Rebates Unlocked (C-THRU) Act, support passage. -H.R. 4841/S. 2908, Standardizing Electronic Prior Authorization for Safe Prescribing Act, support passage. - H.R. 2051, Fair Access for Safe and Timely Generics Act of 2017 (FAST Generics Act), support passage. -H.R. 750, support passage of the Ensuring Access to Quality Complex Rehabilitation Technology Act. -H.R. 1361/S. 486/H.R. 3730, support passage to protect access to complex rehabilitative technology accessories. -H.R. 2535/S. 1188, Lifespan Respite Care Reauthorization Act, support reauthorization of the Lifespan Respite Care Program. -HR 2575/S. 1909, Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act

Client expense: $105,700 · Firm income: Not reported

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

HR 1361, S 486, HR 750, HR 4229, CMS-1687-IFC Durable Medical Equipment Fee Schedule adjustments, Implementation of Medicaid cuts for Durable Medical Equipment in the 21st Century Cures law to protect Complex Rehabilitation Technology (CRT), CMS proposed CY2019 proposed rule (CMS-1691-P) to protect access for patients with severe disabilities.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

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

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

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration; H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act; H.R. 1361/S. 486/H.R. 3730 - To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories (Protecting Beneficiary Access to Complex Rehab Technology Act of 2017); Issues related to reimbursement cuts in noncompetitive bidding areas, all provisions; 21st Century Cures Act (H.R. 6/H.R. 34 in the 114th Congress), competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2445 - the DMEPOS Access and Transparency Act of 2017 (DATA Act), all provisions; H.R. 4229 - Protecting HOME Access Act of 2017, all provisions; H.R. 2550 - Medicare Telehealth Parity Act of 2017, all provisions; H.R. 1625 - Consolidated Appropriations Act of 2018; issues pertaining to the Interim Final Rule (IFR) regarding non CB Area Relief for DME Items; Expanding and making permanent the Medicare power mobility device demonstration program; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act, all provisions (S. 2368 in the 114th Congress) ; DME issues in the FY2019 President's Budget and ESRD/DEMPOS proposed rule.

Client expense: Not reported · Firm income: $45,000

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration; H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act; H.R. 1361/S. 486/H.R. 3730 - To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories (Protecting Beneficiary Access to Complex Rehab Technology Act of 2017); Issues related to reimbursement cuts in noncompetitive bidding areas, all provisions; 21st Century Cures Act (H.R. 6/H.R. 34 in the 114th Congress), competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2445 - the DMEPOS Access and Transparency Act of 2017 (DATA Act), all provisions; H.R. 4229 - Protecting HOME Access Act of 2017, all provisions; H.R. 2550 - Medicare Telehealth Parity Act of 2017, all provisions; H.R. 1625 - Consolidated Appropriations Act of 2018; issues pertaining to the Interim Final Rule (IFR) regarding non CB Area Relief for DME Items; Expanding and making permanent the Medicare power mobility device demonstration program; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act, all provisions (S. 2368 in the 114th Congress); DME issues in the FY2019 President's Budget and ESRD/DEMPOS proposed rule.

Client expense: $150,000 · Firm income: Not reported

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

1.) Passage of H.R. 750 to create a Separate Benefit Category for Complex Rehab Technology within the Medicare program. 2.) Passage of H.R 3730 to prevent CMS from using Competitive Bid Program pricing to set payment rates for Complex Rehab Technology manual wheelchairs within the Medicare program.

Client expense: $68,000 · Firm income: Not reported

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

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Social Security Administration (SSA)

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration; H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act; H.R. 1361/S. 486/H.R. 3730 - To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories (Protecting Beneficiary Access to Complex Rehab Technology Act of 2017); Issues related to reimbursement cuts in noncompetitive bidding areas, all provisions; 21st Century Cures Act (H.R. 6/H.R. 34 in the 114th Congress), competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2445 - the DMEPOS Access and Transparency Act of 2017 (DATA Act), all provisions; H.R. 4229 - Protecting HOME Access Act of 2017, all provisions; H.R. 2550 - Medicare Telehealth Parity Act of 2017, all provisions; H.R. 1625 - Consolidated Appropriations Act of 2018; issues pertaining to the Interim Final Rule (IFR) regarding non CB Area Relief for DME Items; Expanding and making permanent the Medicare power mobility device demonstration program; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act, all provisions (S. 2368 in the 114th Congress); DME issues in the FY2019 President's Budget and ESRD/DEMPOS proposed rule.

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

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

Health care issues affecting individuals with neuromuscular disease, including therapy development and newborn screening. Health care reform including H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2017; S. 379/H.R. 1171 - ALS Disability Insurance Access Act

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

Government targets: Executive Office of the President (EOP), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT)

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration; H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act; H.R. 1361/S. 486/H.R. 3730 - To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories (Protecting Beneficiary Access to Complex Rehab Technology Act of 2017); Issues related to reimbursement cuts in noncompetitive bidding areas, all provisions; 21st Century Cures Act (H.R. 6/H.R. 34 in the 114th Congress), competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2445 - the DMEPOS Access and Transparency Act of 2017 (DATA Act), all provisions; H.R. 4229 - Protecting HOME Access Act of 2017, all provisions; H.R. 2550 - Medicare Telehealth Parity Act of 2017, all provisions; H.R. 1625 - Consolidated Appropriations Act of 2018; issues pertaining to the Interim Final Rule (IFR) regarding non CB Area Relief for DME Items; Expanding and making permanent the Medicare power mobility device demonstration program; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act, all provisions (S. 2368 in the 114th Congress) ; DME issues in the FY2019 President's Budget and ESRD/DEMPOS proposed rule.

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

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

-Bipartisan Health Care Stabilization Act, support bipartisan efforts led by Senators Alexander and Murray to stabilize and improve the individual health insurance market while protecting people with chronic conditions. -H.R. 2439/S. 1131, FAIR Drug Pricing Act, support passage. - H.R. 2212/ S. 974, Creating and Restoring Equal Access To Equivalent Samples Act of 2017 (CREATES Act), support passage. -H.R. 2077, Restoring Patients Voice Act, support passage. -S. 637, Creating Transparency to Have Drug Rebates Unlocked (C-THRU) Act, support passage. -H.R. 4841/S. 2908, Standardizing Electronic Prior Authorization for Safe Prescribing Act, support passage. - H.R. 2051, Fair Access for Safe and Timely Generics Act of 2017 (FAST Generics Act), support passage. -H.R. 750, support passage of the Ensuring Access to Quality Complex Rehabilitation Technology Act. -H.R. 1361/S. 486/H.R. 3730, support passage to protect access to complex rehabilitative technology accessories. -H.R. 2535/S. 1188, Lifespan Respite Care Reauthorization Act, support reauthorization of the Lifespan Respite Care Program. -HR 2575/S. 1909, Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act

Client expense: $100,029 · Firm income: Not reported

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

-H.R. 750, support passage of the Ensuring Access to Quality Complex Rehabilitation Technology Act. -H.R. 1361/S. 486/H.R. 3730, support passage to protect access to complex rehabilitative technology accessories. -HR 2575/S. 1909, Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act

Client expense: $100,029 · Firm income: Not reported

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

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

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

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

HR 1361, S 486, HR 750, HR 4229, CMS-1687-IFC Durable Medical Equipment Fee Schedule adjustments, Implementation of Medicaid cuts for Durable Medical Equipment in the 21st Century Cures law to protect Complex Rehabilitation Technology (CRT), CMS proposed CY2019 proposed rule (CMS-1691-P) to protect access for patients with severe disabilities.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration; H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act; H.R. 1361/S. 486/H.R. 3730 - To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories (Protecting Beneficiary Access to Complex Rehab Technology Act of 2017); Issues related to reimbursement cuts in noncompetitive bidding areas, all provisions; 21st Century Cures Act (H.R. 6/H.R. 34 in the 114th Congress), competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2445 - the DMEPOS Access and Transparency Act of 2017 (DATA Act), all provisions; H.R. 4229 - Protecting HOME Access Act of 2017, all provisions; H.R. 2550 - Medicare Telehealth Parity Act of 2017, all provisions; H.R. 1625 - Consolidated Appropriations Act of 2018; issues pertaining to the Interim Final Rule (IFR) regarding non CB Area Relief for DME Items; Expanding and making permanent the Medicare power mobility device demonstration program; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act, all provisions (S. 2368 in the 114th Congress); DME issues in the FY2019 President's Budget and ESRD/DEMPOS proposed rule.

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

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

Develop a legislative and regulatory strategy to lobby and obtain relief for the Complex Rehab Technology industry (H.R. 3730, H.R. 750).

Client expense: Not reported · Firm income: $16,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare, DME bidding, audits; HR750 Ensuring Access to Quality Complex Rehab Technology Act HR1361/S486, HR3730 non-application of comp bidding rates to complex rehab accessories (Protecting Beneficiary Access to CRT Act of 2017); cuts in non-bid areas; Cures Act (HR6/HR34 114th Congress); complex rehab technology accessories comp bidding; HR2445 DMEPOS Access & Transparency Act of 2017; HR4229 Protecting HOME Access Act; HR2550 Medicare Telehealth Parity Act; HR1625 Appropriations Act of 2018; CMS IFR re non bid area relief for DME; expanding & making permanent Medicare power mobility device demo; Audit & Appeal Fairness, Integrity & Reforms in Medicare Act (S2368 114th Congress); DME issues in FY2019 Pres Budget

Client expense: Not reported · Firm income: Not reported

Medicare, DME bidding, audits; HR750 Ensuring Access to Quality Complex Rehab Technology Act HR1361/S486, HR3730 non-application of comp bidding rates to complex rehab accessories (Protecting Beneficiary Access to CRT Act of 2017); cuts in non-bid areas; Cures Act (HR6/HR34 114th Congress); complex rehab technology accessories comp bidding; HR2445 DMEPOS Access & Transparency Act of 2017; HR4229 Protecting HOME Access Act; HR2550 Medicare Telehealth Parity Act; HR1625 Appropriations Act of 2018; CMS IFR re non bid area relief for DME; expanding & making permanent Medicare power mobility device demo; Audit & Appeal Fairness, Integrity & Reforms in Medicare Act (S2368 114th Congress); DME issues in FY2019 Pres Budget

Client expense: Not reported · Firm income: Not reported

Medicare, DME bidding, audits; HR750 Ensuring Access to Quality Complex Rehab Technology Act HR1361/S486, HR3730 non-application of comp bidding rates to complex rehab accessories (Protecting Beneficiary Access to CRT Act of 2017); cuts in non-bid areas; Cures Act (HR6/HR34 114th Congress); complex rehab technology accessories comp bidding; HR2445 DMEPOS Access & Transparency Act of 2017; HR4229 Protecting HOME Access Act; HR2550 Medicare Telehealth Parity Act; HR1625 Appropriations Act of 2018; CMS IFR re non bid area relief for DME; expanding & making permanent Medicare power mobility device demo; Audit & Appeal Fairness, Integrity & Reforms in Medicare Act (S2368 114th Congress); DME issues in FY2019 Pres Budget

Client expense: Not reported · Firm income: Not reported

Health care issues affecting individuals with neuromuscular disease, including therapy development and newborn screening. Health care reform including H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2017; S. 379/H.R. 1171 - ALS Disability Insurance Access Act

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

Government targets: Executive Office of the President (EOP), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT)

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

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

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

HR 1361, S 486, HR 750, HR 4229, CMS-1687-IFC Durable Medical Equipment Fee Schedule adjustments, Implementation of Medicaid cuts for Durable Medical Equipment in the 21st Century Cures law to protect Complex Rehabilitation Technology (CRT).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

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

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

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

Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration; H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act; H.R. 1361/S. 486/H.R. 3730 - To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories (Protecting Beneficiary Access to Complex Rehab Technology Act of 2017); Issues related to reimbursement cuts in noncompetitive bidding areas, all provisions; 21st Century Cures Act (H.R. 6/H.R. 34 in the 114th Congress), competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2445 - the DMEPOS Access and Transparency Act of 2017 (DATA Act), all provisions; H.R. 4229 - Protecting HOME Access Act of 2017, all provisions; H.R. 2550 - Medicare Telehealth Parity Act of 2017, all provisions; H.R. 1625 - Consolidated Appropriations Act of 2018; issues pertaining to the Interim Final Rule (IFR) regarding non CB Area Relief for DME Items; Expanding and making permanent the Medicare power mobility device demonstration program; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act, all provisions (S. 2368 in the 114th Congress) ; DME issues in the FY2019 President's Budget.

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

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

Develop a legislative and regulatory strategy to lobby and obtain relief for the Complex Rehab Technology industry (H.R. 3730, H.R. 750).

Client expense: Not reported · Firm income: $16,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1.) Passage of H.R. 750 to create a Separate Benefit Category for Complex Rehab Technology within the Medicare program. 2.) Passage of H.R 3730 to prevent CMS from using Competitive Bid Program pricing to set payment rates for Complex Rehab Technology manual wheelchairs within the Medicare program.

Client expense: $68,000 · Firm income: Not reported

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

Discussed options for United Spinal to be a potential grantee of the agencys Paralysis Resource Center. The PRC provides comprehensive information for people living with spinal cord injury, paralysis and mobility-related disabilities and their families. Resources include information and referral by phone and email in multiple languages including English and Spanish; a peer and family support mentoring program; a military and veterans program; multicultural outreach services; free lending library; quality of life grants; and a national website. The grant components and requirements may differ in upcoming grant announcements. Opposed efforts to repeal and replace the Affordable Care Act with multiple letters to White House and to the Hill as well as Hill meetings and signed onto letters in support of protection of pre-existing conditions and essential health benefits. Support HR 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2017 Support HR 1361/S. 486 - to protect access to complex rehab wheelchairs and essential components required by people with disabilities Support implementing what was passed into law as part of the 21st Century Cures Act - HR 292/S. 849 including ensuring robust funding. Support HR 807 and S. 253 - Medicare Access to Rehabilitation Services Act of 2017. Raised concerns with HR 1628- The American Health Care Act Provided comments to NIDILRR on their long-range plan regarding government-wide research to include adaptive fitness and nutrition. Continue to discuss NIH government research on disability and rehabilitation issues.

Client expense: Not reported · Firm income: $70,000

Government targets: AMTRAK - Natl Railroad Passenger Corporation, Defense, Dept of (DOD), Election Assistance Commission (EAC), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

Discussed options for United Spinal to be a potential grantee of the agencys Paralysis Resource Center. The PRC provides comprehensive information for people living with spinal cord injury, paralysis and mobility-related disabilities and their families. Resources include information and referral by phone and email in multiple languages including English and Spanish; a peer and family support mentoring program; a military and veterans program; multicultural outreach services; free lending library; quality of life grants; and a national website. The grant components and requirements may differ in upcoming grant announcements. Opposed efforts to repeal and replace the Affordable Care Act with multiple letters to White House and to the Hill as well as Hill meetings and signed onto letters in support of protection of pre-existing conditions and essential health benefits. Support HR 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2017 Support HR 1361/S. 486 - to protect access to complex rehab wheelchairs and essential components required by people with disabilities Support implementing what was passed into law as part of the 21st Century Cures Act - HR 292/S. 849 including ensuring robust funding. Support HR 807 and S. 253 - Medicare Access to Rehabilitation Services Act of 2017. Raised concerns with HR 1628- The American Health Care Act Provided comments to NIDILRR on their long-range plan regarding government-wide research to include adaptive fitness and nutrition. Continue to discuss NIH government research on disability and rehabilitation issues.

Client expense: Not reported · Firm income: $70,000

Government targets: AMTRAK - Natl Railroad Passenger Corporation, Defense, Dept of (DOD), Election Assistance Commission (EAC), Equal Employment Opportunity Commission (EEOC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA), White House Office

1.) Passage of H.R. 750 to create a Separate Benefit Category for Complex Rehab Technology within the Medicare program. 2.) Passage of H.R 3730 to prevent CMS from using Competitive Bid Program pricing to set payment rates for Complex Rehab Technology manual wheelchairs within the Medicare program.

Client expense: $68,000 · Firm income: Not reported

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

HR 1361, S 486, HR 750, HR 4229

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1361, S 486, HR 750, HR 4229

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

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

Health care issues affecting individuals with neuromuscular disease, including transitional health care, drug development, and newborn screening. Health care reform including H.R. 1628 - the American Health Care Act (AHCA) of 2017 and the Better Care Reconciliation Act (BCRA); H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2017; S. 379/H.R. 1171 - ALS Disability Insurance Act

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

Government targets: Executive Office of the President (EOP), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT)

Support H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act will create a separate category for CRT within the Medicare DME benefit. Support H.R. 3730 - provides a permanent exemption from Medicare's competitive acquisition program for manual CRT and wheelchairs and related components(including endorsing a letter to Congress). Support S.486 - Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 United Spinal and National Disability Leadership staff met with CMS' Office of Minority Health to discuss issues around the representation of disability professionals in the healthcare sector. Support S. 253/H.R 807 - Medicare Access to Rehabilitation Services Act of 2017. Also support therapy cap extenders to be included in CR government funding. Support improved payments at CMS for joint replacements and improving the quality of care for Medicare beneficiaries who use custom orthotic braces and prosthetic limbs. Met with MedPAC to discuss our opposition to including non-commodity items into Medicare's competitive bidding program. United Spinal signed onto a CMS comment letter: HHS Notice of Benefit and Payment Parameters for 2019. This proposed rule sets forth benefit and payment parameters, provisions related to essential health benefits (EHBs), qualified health plans (QHPs), risk adjustment, and the operation of Federally-facilitated exchanges (FFEs) and State-based exchanges (SBEs), as well as many other policies implementing the Affordable Care Act (ACA). This comment letter focusses on key proposed provisions that relate to enrollees in need of medical rehabilitation and post-acute care, specifically rules related to the essential health benefit category of rehabilitation and habilitation services and devices, as well as provider network adequacy requirements.

Client expense: Not reported · Firm income: $75,000

Government targets: AMTRAK - Natl Railroad Passenger Corporation, Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)