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Advancing Medical Resident Training in Community Hospitals Act of 2019
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
51pct
1d open
vs 9,062 other HR bills in the 116th — cohort avg 39d
Advancing Medical Resident Training in Community Hospitals Act of 2019 This bill revises payment rules under Medicare for graduate medical education (GME) costs with respect to a hospital that establishes a new medical residency training program. If a hospital has not entered into a GME affiliation agreement, the Centers for Medicare & Medicaid Services (CMS) must establish the hospital's full-time equivalent (FTE) resident amount only after determining that the hospital's medical residency training program trains more than 1.0 FTE resident in a cost reporting period. If a hospital has an approved FTE resident amount that is based on other specified thresholds, the CMS must give the hospital the opportunity to have the amount reestablished when the hospital begins training FTE residents in excess of the applicable threshold. The bill also establishes similar thresholds for new determinations of certain adjustments to hospital payment limitations regarding FTE residents in allopathic and osteopathic medicine; a hospital that has an adjustment has the opportunity to have it redetermined once the applicable threshold is exceeded.
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Filing registrants (17)
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2020 · fourth_quarter · Medicare/Medicaid
Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020 Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289, draft legislation in House S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Draft legislation regarding GME cap flexibility (rep Raul Ruiz) HR748 CARES Act HR6074 Coronavirus Preparedness & Response Supplemental Appropriations Act 2020 HR6201 - Families First Coronavirus Response Act Draft COVID-19 package #4; Health, Economic Assistance, Liabilities protections, and Schools (HEALS) Act S.4775 Delivering Immediate Relief to America's Families, Schools, and Small Business Act; HR6800, HEROES Act CMS waivers RE: COVID-19 public health emergency Annual physicians fee schedule for 2021
Client expense: $60,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)
2020 · fourth_quarter · Medicare/Medicaid
Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: Educate Congress on the negative impact of the proposed Medicaid Fiscal Accountability Regulation (MFAR) and urge the administration to withdraw or delay the proposal Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act Issue: Support expansion of Medicaid and CHIP coverage for postpartum women from current 90 days to 1 year. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1763 / S. 348, Resident Physician Shortage Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414 / H.R. 2439, Opioid Workforce Act Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R. 8892, Rural-Urban Physician Workforce Act of 2020 Issue: Support improvements to Rural Training Track programs. H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. H.R. 5432, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price transparency or disclosure initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancements of Services (MOMMIES) Act H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act of 2020 Issue: Support expansion of Medicaid coverage for postpartum women. H.R. 8702 Holding Providers Harmless from Medicare Cuts During COVID-19 Act of 2020 Issue: Support relief for providers from pending evaluation and management cuts included in the CY 2021 Physician Fee Schedule (PSF) rule. H.R. 8840 Medicare Sequester COVID Moratorium Act Issue: Support extension of Medicare sequester. Issue: Oppose efforts by states to impose work or other community engagement activities as a requirement for continued Medicaid eligibility or coverage for certain Medicaid beneficiaries. Issue: Support making permanent the CMS policy allowing teaching physicians to provide supervision via real-time, interactive audio/video technology to meet resident supervision requirements. Issue: Support making permanent the interim final rule that allows hospitals that unknowingly trigger their Medicare GME caps and per resident amounts to not have that happen and instead retain the ability to build a new resident cap / PRA so long as the cap / PRA is not above a minimum amount. Issue: Support CMS introducing new regulations to make permanent the interim final rule that ensures teaching hospitals that increased their number of inpatient beds to accommodate the surge in patients during the public health emergency to not have their Indirect Medical Education (IME) payments reduced by CMS. Issue: Oppose CMS hospital price transparency rule. Issue: Oppose site-neutral expansion to excepted off-campus provider-based departments (PBDs). Issue: Support waiving budget neutrality requirements associated with the E/M code changes or temporarily holding harmless physicians and other health care professionals. Issue: Oppose Hospital co-location draft guidance. Issue: Oppose finalizing proposed rule for Medicare Coverage of Innovative Technology (MCIT) and definition of reasonable and necessary. Issue: Oppose enforcement of linking Medicare Conditions of Participation (CoP) compliance with requiring that hospitals report 38 COVID-19 related measures. Issue: Support continuation of the 3-Day Skilled Nursing Facility (SNF) Stay waiver after the conclusion of the COVID-19 public health emergency. Issue: Oppose finalizing prior authorization policy in CY 2020 for certain HOPD services and in CY 2021 to include new service categories. Issue: Oppose efforts to remove five exclusion criteria that would allow over 270 new procedures to be performed in ASC settings in CY 2021. Issue: Oppose the elimination of the Inpatient Only List over a three-year period Issue: Oppose policy of incorporating revenue distinctions into the Medicare Shared Savings Program.
2020 · fourth_quarter · Medicare/Medicaid
Issues related to Graduate Medical Education (GME), including the Advancing Medical Training in Community Hospitals Act (H.R. 1358) and the Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 (H.R. 3417).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Issues related to Graduate Medical Education (GME), including the Advancing Medical Training in Community Hospitals Act (H.R. 1358) and the Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 (H.R. 3417).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Medicare/Medicaid
Support for inclusion of funding and programs to help hospitals and health systems respond to COVID-19 pandemic, including health provisions in the Consolidated Appropriations Act of 2020 (H.R. 133) Support for legislation to continue expansion of telehealth services during and beyond COVID-19 pandemic Support for fair and accurate distribution of CARES Act Provider Relief Funds Support for the COVID-19 Hospital Forgiveness Act (H.R. 7292) Opposition to proposed Medicaid Fiscal Accountability Rule [CMS-2393-P] Support for Graduate Medical Education (GME) funding including the Resident Physician Shortage Reduction Act of 2019 (S. 348/H.R. 1763) and the Opioid Workforce Act of 2018 (H.R. 5818/S. 2843) and Advancing Medical Resident Training in Community Hospitals Act (H.R. 1358) Support for delay of impending Medicaid Disproportionate Share Hospital payment cuts and elimination of Medicare sequestration cuts Support for full protection of Critical Access Hospital payments including the Critical Access Hospital Relief Act of 2019 (H.R. 1041) Support for changes to Medicare Volume Decrease Adjustment calculation including the Access for Rural Communities Act (H.R. 3672) Support for Protecting Local Access to Care for Everyone Act (H.R. 2552) Support for Protecting Rural Access to Care Act (H.R. 8025)
Client expense: $140,000 · Firm income: Not reported
| Republican |
| WA |
| Derek Kilmer | Democratic | WA |
| Eleanor Holmes Norton | Democratic | DC |
| F. James Sensenbrenner, Jr. | Republican | WI |
| Glenn Grothman | Republican | WI |
| Gwen Moore | Democratic | WI |
| Jared F. Golden | Democratic | ME |
| John B. Larson | Democratic | CT |
| John Katko | Republican | NY |
| Josh Harder | Democratic | CA |
| Mark E. Amodei | Republican | NV |
| Mark Pocan | Democratic | WI |
| Mike Gallagher | Republican | WI |
| Rodney Davis | Republican | IL |
| Ross Spano | Republican | FL |
| Sean P. Duffy | Republican | WI |
| Susan A. Davis | Democratic | CA |
| Susie Lee | Democratic | NV |
| Terri A. Sewell | Democratic | AL |
| Tom Reed | Republican | NY |
Client expense: $1,035,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · fourth_quarter · Health Issues
HRSC THCGME Program; NIH research opportunities for osteopathic doctors. Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 1358), Resident Physician Shortage Reduction Act of 2019 (S. 348/ H.R. 1763), Rural Physician Workforce Production Act of 2019 (S. 289) COVID-19 pandemic relief
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2020 · fourth_quarter · Medicare/Medicaid
340B Drug Discount Program H.R. 1763, S. 348 - Resident Physician Shortage Reduction Act Graduate Medical Education Disproportionate Share Hospital payments Childrens Health Insurance Program Medicare Dependent Hospital Program (MDH) Medicaid Low Volume Payments (LV) Federal Medical Assistance Percentage Extension Inpatient Prospective Payment System Outpatient Prospective Payment System Bad debt/charity care Hospital Outpatient Department payments H.R. 2439, S. 2892 - Opioid Workforce Act H.R. 1358 - Advancing Medical Resident Training in Community Hospitals Act of 2019 S. 4160 - To maintain hospital 340B eligibility during the COVID-19 public health emergency S. 4160, H.R. 7838 - 340B Pandemic Eligibility Waiver bill CMS Accelerated and Advanced Payments COVID-19 Relief
Client expense: $80,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
H.R. 1358, Advancing Medical Residencies Training in Community Hospitals Act of 2019; S.289, Rural Physicians Workforce Protection Act of 2019; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act; reauthorization for title 7 primary care funding; COVID 19 issues involving AHRQ and title 7 funding as well as preceptorship related issues; CARES Act (S. 3548); HEROES Act (HR 6800)
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Medicare/Medicaid
Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: Educate Congress on the negative impact of the proposed Medicaid Fiscal Accountability Regulation (MFAR) and urge the administration to withdraw or delay the proposal Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act Issue: Support expansion of Medicaid and CHIP coverage for postpartum women from current 90 days to 1 year. H.R. 4996, Helping Medicaid Offer Maternity Services (MOMS) Act of 2020 Issue: Support expansion of Medicaid coverage for postpartum women. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1763, S. 348, Resident Physician Shortage Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414, H.R. 2439, Opioid Workforce Act Issue: Support additional Medicare funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. H.R. 5432, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price disclosure initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support nominees for MedPAC
Client expense: $1,095,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
2020 · third_quarter · Medicare/Medicaid
340B Drug Discount Program H.R. 1763, S. 348 - Resident Physician Shortage Reduction Act Graduate Medical Education Disproportionate Share Hospital payments Childrens Health Insurance Program Medicare Dependent Hospital Program (MDH) Medicaid Low Volume Payments (LV) Federal Medical Assistance Percentage Extension Inpatient Prospective Payment System Outpatient Prospective Payment System Bad debt/charity care Hospital Outpatient Department payments H.R. 2439, S. 2892 - Opioid Workforce Act H.R. 1358 - Advancing Medical Resident Training in Community Hospitals Act of 2019 S. 4160 - To maintain hospital 340B eligibility during the COVID-19 public health emergency S. 4160, H.R. 7838 - 340B Pandemic Eligibility Waiver bill
Client expense: $90,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Medicare/Medicaid
Issues related to Graduate Medical Education (GME), including the Advancing Medical Training in Community Hospitals Act (H.R. 1358) and the Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 (H.R. 3417).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Health Issues
Issues related to Graduate Medical Education (GME), including the Advancing Medical Training in Community Hospitals Act (H.R. 1358) and the Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 (H.R. 3417).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Medicare/Medicaid
Support for inclusion of funding and programs to help hospitals and health systems respond to COVID-19 pandemic in Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act (H.R. 6800) Support for healthcare provisions in Continuing Appropriations Act, 2021 and Other Extensions Act (H.R. 8319) Support for legislation to continue expansion of telehealth services during and beyond COVID-19 pandemic Support for fair and accurate distribution of CARES Act Provider Relief Funds Support for the COVID-19 Hospital Forgiveness Act (H.R. 7292) Opposition to proposed Medicaid Fiscal Accountability Rule [CMS-2393-P] Support for Graduate Medical Education (GME) funding including the Resident Physician Shortage Reduction Act of 2019 (S. 348/H.R. 1763) and the Opioid Workforce Act of 2018 (H.R. 5818/S. 2843) and Advancing Medical Resident Training in Community Hospitals Act (H.R. 1358) Support for delay of impending Medicaid Disproportionate Share Hospital payment cuts Support for full protection of Critical Access Hospital payments including the Critical Access Hospital Relief Act of 2019 (H.R. 1041) Support for changes to Medicare Volume Decrease Adjustment calculation including the Access for Rural Communities Act (H.R. 3672) Support for Protecting Local Access to Care for Everyone Act (H.R. 2552) Support for Protecting Rural Access to Care Act (H.R. 8025)
Client expense: $150,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · third_quarter · Health Issues
HRSC THCGME Program; NIH research opportunities for osteopathic doctors. Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 1358), Resident Physician Shortage Reduction Act of 2019 (S. 348/ H.R. 1763), Rural Physician Workforce Production Act of 2019 (S. 289) COVID-19 pandemic relief
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2020 · third_quarter · Medicare/Medicaid
Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020 Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289, draft legislation in House S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Draft legislation regarding GME cap flexibility (rep Raul Ruiz) HR748 CARES Act HR6074 Coronavirus Preparedness & Response Supplemental Appropriations Act 2020 HR6201 - Families First Coronavirus Response Act Draft COVID-19 package #4; Health, Economic Assistance, Liabilities protections, and Schools (HEALS) Act S.4775 Delivering Immediate Relief to America's Families, Schools, and Small Business Act; HR6800, HEROES Act CMS waivers RE: COVID-19 public health emergency
Client expense: $60,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)
2020 · third_quarter · Health Issues
H.R. 1358, Advancing Medical Residencies Training in Community Hospitals Act of 2019; S.289, Rural Physicians Workforce Protection Act of 2019; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act; reauthorization for title 7 primary care funding; COVID 19 issues involving AHRQ and title 7 funding as well as preceptorship related issues; CARES Act (S. 3548); HEROES Act (HR 6800)
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Medicare/Medicaid
Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020 Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289, draft legislation in House S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Draft legislation regarding GME cap flexibility (rep Raul Ruiz) HR748 CARES Act HR6074 Coronavirus Preparedness & Response Supplemental Appropriations Act 2020 HR6201 - Families First Coronavirus Response Act Draft COVID-19 package #4; Unknown name for the Senate version; HR6800, HEROES Act CMS waivers RE: COVID-19 public health emergency
Client expense: $60,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)
2020 · second_quarter · Medicare/Medicaid
340B Drug Discount Program H.R. 1763, S. 348 - Resident Physician Shortage Reduction Act Graduate Medical Education Disproportionate Share Hospital payments Childrens Health Insurance Program Medicare Dependent Hospital Program (MDH) Medicaid Low Volume Payments (LV) Federal Medical Assistance Percentage Extension Inpatient Prospective Payment System Outpatient Prospective Payment System Bad debt/charity care Hospital Outpatient Department payments H.R. 2439, S. 2892 - Opioid Workforce Act H.R. 1358 - Advancing Medical Resident Training in Community Hospitals Act of 2019 S. 4160 - To maintain hospital 340B eligibility during the COVID-19 public health emergency
Client expense: $80,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Medicare/Medicaid
Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: Educate Congress on the negative impact of the proposed Medicaid Fiscal Accountability Regulation (MFAR) and urge the administration to withdraw or delay the proposal Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act Issue: Support expansion of Medicaid and CHIP coverage for postpartum women from current 90 days to 1 year. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1763, S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414, H.R. 2439, Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. H.R. 5432, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price transparency initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Issue: Support nominees for MedPAC
Client expense: $1,316,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
2020 · second_quarter · Medicare/Medicaid
Support for inclusion of funding and programs to help hospitals and health systems respond to COVID-19 pandemic in Families First Coronavirus Response Act (H.R.6201) and Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748) Support for fair and accurate distribution of CARES Act Provider Relief Funds Support for the COVID-19 Hospital Forgiveness Act (H.R. 7292) Opposition to proposed Medicaid Fiscal Accountability Rule [CMS-2393-P] Advocacy on various surprise billing bills (S. 1895, H.R.3502, H.R.3630, H.R.5826) Opposition to setting rates or bundling ER payments to address disputes between insurers and hospitals for surprise bills. Support for Graduate Medical Education (GME) funding including the Resident Physician Shortage Reduction Act of 2019 (S. 348/H.R. 1763) and the Opioid Workforce Act of 2018 (H.R. 5818/S. 2843) and Advancing Medical Resident Training in Community Hospitals Act (H.R. 1358) Support for delay of impending Medicaid Disproportionate Share Hospital payment cuts Support for full protection of Critical Access Hospital payments including the Critical Access Hospital Relief Act of 2019 (H.R. 1041) Support for changes to Medicare Volume Decrease Adjustment calculation including the Access for Rural Communities Act (H.R. 3672) Support for correction of erroneous reductions of GME residency positions Support for Protecting Local Access to Care for Everyone Act (H.R. 2552)
Client expense: $200,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · second_quarter · Medicare/Medicaid
General education around physician payment, administrative burden and teaching health center graduate medical education program issues; S.289, Rural Physician Workforce Production Act of 2019; H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019; H.R.2774, Primary Care Patient Protection Act of 2019; H.R.3107, Improving Seniors' Timely Access to Care Act of 2019; H.R. 2815 and S. 1191, Training the Next Generation of Primary Care Physicians; P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act; P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act; P.L. 116-139, the Paycheck Protection Program and Health Care Enhancement Act.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · second_quarter · Medicare/Medicaid
General education around physician payment, administrative burden and teaching health center graduate medical education program issues; S.289, Rural Physician Workforce Production Act of 2019; H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019; H.R.2774, Primary Care Patient Protection Act of 2019; H.R.3107, Improving Seniors' Timely Access to Care Act of 2019; H.R. 2815 and S. 1191, Training the Next Generation of Primary Care Physicians; P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act; P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act; P.L. 116-139, the Paycheck Protection Program and Health Care Enhancement Act.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · second_quarter · Health Issues
Issues related to Graduate Medical Education (GME), including the Advancing Medical Training in Community Hospitals Act (H.R. 1358) and the Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 (H.R. 3417).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Medicare/Medicaid
Issues related to Graduate Medical Education (GME), including the Advancing Medical Training in Community Hospitals Act (H.R. 1358).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Health Issues
H.R. 1358, Advancing Medical Residencies Training in Community Hospitals Act of 2019; S.289, Rural Physicians Workforce Protection Act of 2019; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act; reauthorization for title 7 primary care funding; COVID 19 issues involving AHRQ and title 7 funding as well as preceptorship related issues; CARES Act (S. 3548); HEROES Act (HR 6800)
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Health Issues
HRSC THCGME Program; NIH research opportunities for osteopathic doctors. Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 1358), Resident Physician Shortage Reduction Act of 2019 (S. 348/ H.R. 1763), Rural Physician Workforce Production Act of 2019 (S. 289) COVID-19 pandemic relief
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2020 · first_quarter · Medicare/Medicaid
Lobbied to support legislation to amend Medicare GME rules to allow non-teaching hospitals that have hosted short medical resident rotations from other programs to establish their own teaching programs and qualify for Medicare GME reimbursement. Introduced in House as HR 1358.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Health Issues
Lobbied to support legislation to amend Medicare GME rules to allow non-teaching hospitals that have hosted short medical resident rotations from other programs to establish their own teaching programs and qualify for Medicare GME reimbursement. Introduced in House as HR 1358.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Medicare/Medicaid
Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020 Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289, draft legislation in House S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Draft legislation regarding GME cap flexibility (rep Raul Ruiz) HR748 CARES Act HR6074 Coronavirus Preparedness & Response Supplemental Appropriations Act 2020 HR6201 - Families First Coronavirus Response Act Draft COVID-19 package #4
Client expense: $59,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)
2020 · first_quarter · Medicare/Medicaid
Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: Educate Congress on the negative impact of the proposed Medicaid Fiscal Accountability Regulation (MFAR) and urge the administration to withdraw or delay the proposal Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 1343, Maximizing Outcomes for Moms through Medicaid Improvement and Enhancement of Services (MOMMIES) Act Issue: Support expansion of Medicaid and CHIP coverage for postpartum women from current 90 days to 1 year. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act H.R. 1763 / S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414 / H.R. 2439, Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare Graduate Medical Education (GME) per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Oppose overly burdensome Medicaid GME transparency language. Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. H.R. 5432, Medical Education for a Diverse America Act Issue: Ensure that time medical residents spend in unconscious bias training is counted toward the determination of FTE for Medicare GME Issue: Educate Congress on role of academic medicine as it relates to price transparency initiatives H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
Client expense: $982,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), Office of the Vice President of the United States, SENATE, State, Dept of (DOS), Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
2020 · first_quarter · Medicare/Medicaid
340B Drug Discount Program H.R. 1763, S. 348 - Resident Physician Shortage Reduction Act Graduate Medical Education Disproportionate Share Hospital payments Childrens Health Insurance Program Medicare Dependent Hospital Program (MDH) Medicaid Low Volume Payments (LV) Federal Medical Assistance Percentage Extension Inpatient Prospective Payment System Outpatient Prospective Payment System Bad debt/charity care Hospital Outpatient Department payments H.R. 2439, S. 2892 - Opioid Workforce Act H.R. 1358 - Advancing Medical Resident Training in Community Hospitals Act of 2019
Client expense: $100,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Education
Advocating in favor of higher education reform. Supporting increasing support for GME. Support for HR3425, HR3150, HR1763, HR1358.
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Medicare/Medicaid
General education around physician payment, administrative burden and teaching health center graduate medical education program issues; S.289, Rural Physician Workforce Production Act of 2019; H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019; H.R.2774, Primary Care Patient Protection Act of 2019; H.R.3107, Improving Seniors' Timely Access to Care Act of 2019; H.R. 2815 and S. 1191, Training the Next Generation of Primary Care Physicians; P.L. 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020; P.L. 116-127, Families First Coronavirus Response Act; P.L. 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · first_quarter · Medicare/Medicaid
Support for inclusion of funding and programs to help hospitals and health systems respond to COVID-19 pandemic in Families First Coronavirus Response Act (H.R.6201) and Coronavirus Aid, Relief, and Economic Security (CARES) Act (H.R. 748). Opposition to proposed Medicaid Fiscal Accountability Rule [CMS-2393-P] Advocacy on various surprise billing bills (S. 1895, H.R.3502, H.R.3630, H.R.5826) Opposition to setting rates or bundling ER payments to address disputes between insurers and hospitals for surprise bills. Support for Graduate Medical Education (GME) funding including the Resident Physician Shortage Reduction Act of 2019 (S. 348/H.R. 1763) and the Opioid Workforce Act of 2018 (H.R. 5818/S. 2843) and Advancing Medical Resident Training in Community Hospitals Act (H.R. 1358) Support for delay of impending Medicaid Disproportionate Share Hospital payment cuts Support for full protection of Critical Access Hospital payments including the Critical Access Hospital Relief Act of 2019 (H.R. 1041) Support for changes to Medicare Volume Decrease Adjustment calculation including the Access for Rural Communities Act (H.R. 3672) Support for correction of erroneous reductions of GME residency positions Support for Protecting Local Access to Care for Everyone Act (H.R. 2552)
Client expense: $170,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2020 · first_quarter · Medicare/Medicaid
Issues related to Graduate Medical Education (GME), including the Advancing Medical Training in Community Hospitals Act (HR 1358).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Health Issues
Issues related to Graduate Medical Education (GME), including the Advancing Medical Training in Community Hospitals Act (HR 1358) and the Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act of 2019 (H.R. 3417).
Client expense: Not reported · Firm income: $30,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · first_quarter · Health Issues
HRSC THCGME Program; NIH research opportunities for osteopathic doctors. Advancing Medical Resident Training in Community Hospitals Act of 2019 (H.R. 1358), Resident Physician Shortage Reduction Act of 2019 (S. 348/ H.R. 1763), Rural Physician Workforce Production Act of 2019 (S. 289)
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2020 · first_quarter · Health Issues
H.R. 1358, Advancing Medical Residencies Training in Community Hospitals Act of 2019; S.289, Rural Physicians Workforce Protection Act of 2019; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act; reauthorization for title 7 primary care funding; COVID 19 issues involving AHRQ and title 7 funding as well as preceptorship related issues.
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2019 · third_quarter · Education
S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 2372 Rural Moms Act: Supported a rural maternal health bill and urged members to support it. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. No Bill No. - Opioid Use Disorder Treatment GME: Medication-assisted treatment training. No Bill No. - Physician Workforce/GME Reform: Increasing the number of family residency slots. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training.
Client expense: $997,393 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2019 · third_quarter · Budget/Appropriations
S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 304; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ.
Client expense: $997,393 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2019 · third_quarter · Medicare/Medicaid
S106; S192; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. HR 1358 - GME Reform: Allow the establishment of new family physician residencies. HR 2328 Community Health Investment, and Modernization, and Excellence Act: Also, THCGME, along with Community Health Centers, National Health Service Corps, and Medicaid Funding for the Territories. HR 2328 - Reauthorizing and Extending America's Community Health Act: Support for key primary care extenders, Patient-Centered Outcomes Research Initiative, Independence at Home, Medicaid for the Territories. HR 3107 - Prior Authorization: Improve healthcare access and reduce administrative burden. HR 3436 Chronic Care Management: to remove cost-sharing responsibilities for chronic care management services under the medicare plan. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Opioid Use Disorder Treatment GME: Medication-assisted treatment training. No Bill No. - Physician Workforce/GME Reform: Increasing the number of family residency slots. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Medicare coverage of acupuncture: AAFP supporting CMS proposal. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. No Bill No. - Delay in 2017 APM bonuses: Need for CMS to pay APM bonuses to encourage FPs. No Bill No. - 2020 proposed Medicare physician fee schedule: Payments to PCPs. No Bill No. - 2020 proposed outpatient perspective payment system: Site of service neutrality and transparency in hospital charges. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": Health care coverage for all, administrative simplification. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ.
Client expense: $997,393 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2019 · fourth_quarter · Medicare/Medicaid
Lobbied to support legislation to amend Medicare GME rules to allow non-teaching hospitals that have hosted short medical resident rotations from other programs to establish their own teaching programs and qualify for Medicare GME reimbursement. Introduced in House as HR 1358.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2019 · fourth_quarter · Health Issues
Lobbied to support legislation to amend Medicare GME rules to allow non-teaching hospitals that have hosted short medical resident rotations from other programs to establish their own teaching programs and qualify for Medicare GME reimbursement. Introduced in House as HR 1358.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2019 · fourth_quarter · Medicare/Medicaid
Graduate Medical Education Affordable Care Act Teaching Health Centers Re-authorization - S.192, S.304, S.1191, HR2815, HR4378 Continuing Appropriations Act 2020, and Health Extenders Act of 2019 Primary Care Exception Under Teaching Physician Regulation Rural Graduate Medical Education Regulations & sub-regulatory issues re: Teaching Physician Regulation HR 1358 Advancing Resident Training in Community Hospitals Act of 2019; HR3417 The Rural Physician Workforce Production Act of 2019 S.289 S.348/HR 1763 Resident Physician Shortage Reduction Act of 2019 Student Documentation under the teaching physician regulation and the CY 2020 medicare fee schedule Draft legislation regarding GME cap flexibility (rep Raul Ruiz)
Client expense: $60,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), President of the U.S., SENATE, Veterans Affairs, Dept of (VA)
2019 · fourth_quarter · Education
S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289, HR 1358 - Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training; correct rotator problems. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. HR 4995; 4996 - Maternal Health: AAFP supported maternal health bills to expand medicaid access and bolster training and best practices. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - HRSA Title VII funding: Title VII Primary Care training Enhancement Grants. No Bill No. - Codes in the primary care exception list: Adding codes that medical students can perform in teaching settings.
Client expense: $1,218,792 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office
2019 · fourth_quarter · Health Issues
S 289, HR 1358 - Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training; correct rotator problems. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S. 1895 - Surprise medical billing: Eliminate barriers to patient access to primary care, fund THCGME program. HR 3; S 2543 - Drug pricing legislation: Support THGME, primary care in HDHP, Medicare and Medicaid. HR 2339 - Nicotine usage: Urged support for reversing the youth tobacco epidemic, tobacco 21 and the vaping flavors ban. HR 2694 - Pregnant workers Fairness Act: AAFP signed a joint letter supporting HR 2694. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2774, S 2793, HR 5575 - Primary Care Benefit: establish standard primary care benefit in private health insurance plans. HR 3030; HR 1965 - Patient Centered Outcomes Research Institute reauthorization: Evidence based primary care research. HR 3107 - Administrative Burden/Prior Authorization: Reduce administrative burden. HR 4995; 4996 - Maternal Health: AAFP supported maternal health bills to expand medicaid access and bolster training and best practices. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. No Bill No. - Rural Health: Improved access to quality care for rural populations. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Primary Care Innovation: Increased awareness of primary care payment and delivery. No Bill No. - Rural Access Issues: How to increase supply of PCP's in rural areas. No Bill No. - RFI on opioid addiction and access to medication-assisted treatment: Chronic pain management. No Bill No. - Confidentiality of Substance Use Disorder: Opioid issues. No Bill No. - 2020 National Vaccine plan: How to improve vaccination rates. No Bill No. - Concerns with EO provisions on scope of practice. No Bill No. - Concerns with flavored e-cigarettes: Youth e-cig epidemic. No Bill No. - Revising two screening code descriptors: Depression and alcohol misuse screening descriptors. No Bill No. - Fraud and safe harbors in medicare: How to address safe harbors in payment models. No Bill No. - Modernizing self-referral laws: How to improve Stark for payment model arrangements. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Medicare Payment: Educated staff about the Medicare Physician Fee Schedule's E&M code increase.
Client expense: $1,218,792 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office
2019 · fourth_quarter · Medicare/Medicaid
S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 289, HR 1358 - Physician Workforce/GME Reform: Increasing the number of family medicine residency slots; GME reform to support rural residency training; correct rotator problems. S. 1895 - Surprise medical billing: Eliminate barriers to patient access to primary care, fund THCGME program. HR 3; S 2543 - Drug pricing legislation: Support THGME, primary care in HDHP, Medicare and Medicaid. HR 3107 - Administrative Burden/Prior Authorization: Reduce administrative burden. HR 4995; 4996 - Maternal Health: AAFP supported maternal health bills to expand medicaid access and bolster training and best practices. No Bill No. - Advisory Committee Training in Primary Care Medicine and Dentistry: Title VII Primary Care Training and Enhancement Grants. No Bill No. - 2020 proposed Medicare physician fee schedule: Support CMS changes to E&M coding. No Bill No. - Insurance network adequacy to avoid "surprise medical bills": protecting patients and families from unanticipated medical bills; health care coverage for all, administration simplification. No Bill No. - Primary Care Investment: Increased spending on primary care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Primary Care Innovation: Increased awareness of primary care payment and delivery. No Bill No. - Codes in the primary care exception list: Adding codes that medical students can perform in teaching settings. No Bill No. - Rural Access Issues: How to increase supply of PCP's in rural areas. No Bill No. - EO on Medicare: How to improve medicare. No Bill No. - Program integrity RFI: How to address future of program integrity, billing, coding. No Bill No. - Revising two screening code descriptors: Depression and alcohol misuse screening descriptors. No Bill No. - Fraud and safe harbors in medicare: How to address safe harbors in payment models. No Bill No. - Modernizing self-referral laws: How to improve Stark for payment model arrangements. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Support for vaccines, maternal health, transparency, and reducing administrative burdens. Also, support for reauthorizing the Teaching Health Center GME (THCGME) program, along with Community Health Centers and National Health Service Corps. No Bill No. - Medicare Payment: Educated staff about the Medicare Physician Fee Schedule's E&M code increase. No Bill No. - Medicare site-neutral payment: Ensure payment parity between services furnished in hospital out patient departments and physician offices.
Client expense: $1,218,792 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office
2019 · fourth_quarter · Medicare/Medicaid
Issue: Educate Congress and the administration on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. H.R. 1763 / S. 348, Resident Shortage Physician Reduction Act of 2019 Issue: Support additional Medicare funding for graduate medical education H.R. 3414 // S. 2892, Opioid Workforce Act Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain medicine residency programs P.L. 116-94, the Further Consolidated Appropriations Act, 2020, Division N P.L. 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 H.R. 3022, Patient Access Protection Act Issue: Support repeal or a delay in the implementation of the Medicaid disproportionate share hospital (DSH) cuts Issue: Educate Congress on concerns related to potentially burdensome Medicaid supplemental payment reporting proposals Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. S. 585, States Achieve Medicaid Expansion (SAME) Act of 2019 Issue: Support legislation to allow states that expanded Medicaid after 2014 to receive the same full federal matching funds as states that previously expanded Medicaid under the Affordable Care Act Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. S. 289, Rural Physician Workforce Production Act of 2019 Issue: Oppose legislation redesigning Medicare GME payment formulas that reduce current DGME/IME payments to teaching hospitals H.R.1358, Advancing Medical Resident Training in Community Hospitals Act of 2019 H.R. 3417, Beneficiary Education Tools, Telehealth, and Extenders Reauthorization (BETTER) Act Issue: Support Medicare GME per resident amount and cap-setting technical corrections and administrative relief. Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate Congress and the Administration on role of academic medicine as it relates to price disclosure initiatives H.R. 5432, Medical Education for a Diverse America Act Issue: Support efforts to reduce unconscious bias in the medical field. H.R. 3107, Improving Seniors Timely Access to Care Act of 2019 Issue: Support protecting patients from delays in care by streamlining and standardizing prior authorization under the Medicare Advantage program and providing program oversight and transparency Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs HHS Rebate Rule Medicare Part D benefit re-design Issue: Support policies to reduce prescription drug prices Issue: Support implementation of the 21st Century Cures Act (Cures) interoperability and health data sharing provisions. Draft Cures 2.0 Legislation Issue: Support reforming medicare coding, coverage, and payment policies to promote innovation Issue: Support changes and improvements to the Medicare Shared Savings Program. Issue: Support necessary changes and improvements to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
Client expense: $1,137,000 · Firm income: Not reported
Government targets: Agency for Healthcare Research & Quality (AHRQ), Bureau of Citizenship & Immigration Services (BCIS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Director of National Intelligence (ODNI), Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Natl Science Foundation (NSF), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office
2019 · fourth_quarter · Education
Advocating in favor of higher education reform. Supporting increasing support for GME. Support for HR3425, HR3150, HR1763, HR1358.
Client expense: Not reported · Firm income: $10,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2019 · fourth_quarter · Medicare/Medicaid
340B Drug Discount Program H.R. 1763, Resident Physician Shortage Reduction Act Graduate Medical Education Disproportionate Share Hospital payments Childrens Health Insurance Program Medicare Dependent Hospital Program (MDH) Medicaid Low Volume Payments (LV) Federal Medical Assistance Percentage Extension Inpatient Prospective Payment System Outpatient Prospective Payment System Bad debt/charity care Hospital Outpatient Department payments S. 348, H.R. 1763, Physician Shortage Reduction Act of 2019 H.R. 2439, Opioid Workforce Act H.R. 1358, Advancing Medical Resident Training in Community Hospitals Act of 2019
Client expense: $60,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE