Community Health Investment, Modernization, and Excellence Act of 2019

HR 2328 and S 192 and HR 1983, S 1895 To reauthorize and extend funding for Community Health Centers and the National Health Service Corps. HR 748 CARES Act, HR 6074 Coronavirus Preparedness and Response Act, HR 6201 Families First Coronavirus Response Act. Reimbursement for telehealth services.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

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

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

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

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 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 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. 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. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Healthcare Coverage for All: Retaining ACA coverage gains and expanding coverage. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. No Bill No. - Rural Health: Improved access to quality care for rural populations. 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. - Comment on the definition of Health Literacy: Health Literacy for all patients. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Nondiscrimination in health plans: Healthcare for all. No Bill No. - Patient access to effective drugs: Opioid Issues. No. Bill No. - Telehealth for low-income consumers: Access to high speed internet. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. 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. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Tobacco Use Prevention: Urged support for Reversing the Youth Tobacco Epidemic Act, Safe Kids Act, and Tobacco to 21 bill. No Bill No. - Surprise Billing: Shared letter on surprise billing. No Bill No. - Drug Prices: Recommendations for various biologic and insulin drug pricing bills. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC.

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

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

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

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

S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S106; S192; S 962; HR1943; HR1983; HR 2328, - National Health Service Corps: Medical Student Debt Relief and Rural and Under-served area access. S 304; S 1191; HR 2815; HR 2328 - Teaching Health Center GME Re-authorization: Support for increased, extended THCGME funding. HR 3; S 2543 - Drug pricing legislation: Support THGME, primary care in HDHP, Medicare and Medicaid. HR 3030; HR 1965 - Patient Centered Outcomes Research Institute reauthorization: Evidence based primary care research. HR 2740; HR 1865- HHS FY 2020 Appropriations; Women's Health Research: AAFP spending priorities. Increased funding for women's health research. 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. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - HRSA Title VII funding: Title VII Primary Care training Enhancement Grants.

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

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. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 S. 2997, Title VII Health Care Workforce Reauthorization Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. P.L 116-94, Further Consolidated Appropriations Act, 2020, Division N P.L. 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 S.1895, Lower Health Care Costs Act S. 106, H.R. 1983, H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 S. 192, Community and Public Health Programs Extension Act S. 692, H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. P.L. 116-94, The Further Consolidated Appropriations Act, 2020, Division N P.L. 116-69, Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019 H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3439, Protecting Access to Information for Effective and Necessary Treatment Act H.R. 2328, Reauthorizing and Extending Americas Community Health (REACH) Act S. 2897, Patient-Centered Outcomes Research Institute Reauthorization Act Draft Senate Finance Committee Health Extenders Legislation Issue: Support long-term reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. Urge changes to HHS and NIH policy on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, and health information technology. P.L. 116-94, the Further Consolidated Appropriations Act, 2020, Division N H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. Issue: Support efforts to address maternal health S. 1416, Affordable Prescriptions for Patients Act S. 1224, H.R. 2374, Stop Significant and Time-Wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 440, Preserving Access to Cost Effective Drugs Act H.R. 2296 / S.1391, The Fair Accountability and Innovative Research (FAIR) Drug Pricing Act of 2019 S. 551, Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act S. 1209, Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R. 2113, Prescription Drug STAR Act US-Mexico-Canada Agreement Issue: Support measures to lower prescription drug cost H.R. 4004, S.2986, Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks Issue: Support nomination of Stephen Hahn, MD, as FDA commissioner. H.R. 1888, Expanding Nutritions Role in Curricula and Healthcare (ENRICH Act) Issue: Support legislation to create or expand nutrition and physical activity curricula. Draft Cures 2.0 Legislation Issue: Support efforts to modernize health care coverage and ensure access to scientific break-throughs through electronic health records, addressing health disparities, harnessing data, and supporting the physician workforce. Issue: Addressing preparedness for influenza. S. 2723, Mitigating Emergency Drug Shortages Act Issue: Support efforts to mitigate drug shortages and develop market-based incentives to help ensure a stable supply of medications critical for patient care Draft Health Equity and Accountability Act Issue: Support programs to improve health equity and address social determinants of health

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

Section 330 Community Health Center Funding National Health Service Corps Teaching Health Centers program Community Health Center and Primary Care Workforce Expansion Act of 2019 (HR1943/S962) Community Health Investment, Modernization, and Excellence Act of 2019 (S106/HR1983)

Client expense: $16,325 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1897 MOMMA's Act - Federal efforts with respect to the prevention of maternal mortality S.340/H.R.965CREATES - facilitate the timely entry of lower-cost generic and biosimilar versions of drugs and biological products H.R. 938 the Bringing Low-cost Options and Competition while Keeping Incentives for New Generics (BLOCKING) Act of 2019 - eligibility for FDA approval of a subsequent generic drug, to remove the barrier to that approval posed by the 180-day exclusivity period afforded to a first generic applicant that has not yet received final approval H.R. 1499, the Protecting Consumer Access to Generic Drugs Act of 2019 - pay for delay; prohibit brand name drug manufacturers from compensating generic drug manufacturers to delay the entry of a generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable product manufacturers to delay entry of biosimilar and interchangeable products H.R.2113 Prescription Drug STAR Act - require drug manufacturer price transparency, to require certain manufacturers to report on product samples provided to certain health care providers H.R.2296, S.1391 FAIR Drug Pricing Act - Rx pricing transparency, require manufacturers to justify price increases S.1531STOP Surprise Medical Bills Act - provide protections for health insurance consumers from surprise billing H.R.861 - End Surprise Billing Act of 2019 - prevent surprise billing practices and require notification for consumers S.1895 Lower Health Care Costs Act - comprehensive legislation to end surprise medical bills, reduce prescription drug prices, improve health care transparency, improve public health, improve exchange of health information H.R. 3630 No Surprises Act - legislation to protect consumers from surprise medical bills, using median in network rate and an option to go to arbitration for bills above $1250. H.R. 3502 Protecting People From Surprise Medical Bills Act - legislation to protect consumers from surprise medical bills, arbitration as payment mechanism H.R.748, S. 684Middle Class Health Benefits Tax Repeal Act of 2019 - repeal the excise tax on high value employer-sponsored health care coverage, also known as the Cadillac Tax H.R.2411/S.1258 Tobacco to 21 Act - prohibit the sale of tobacco products to individuals under the age of 21 H.R.2339 Reversing the Youth Tobacco Epidemic Act - legislation to curb the rise of youth tobacco use H.R. 4548 Asthma Care and Prevention in Rural Communities Act -authorize CDC to award grants to eligible counties for the use of mobile clinics and distance learning and telemedicine to diagnose and treat children with asthma in rural areas and medically underserved communities, H.R.4575 - Improving Provider Directories Act - require group health plans and health insurance issuers offering group or individual health insurance coverage to establish a process to address inaccurate information listed in publicly accessible provider directories of such plans and issuers H.R.1983 Community Health Investment, Modernization, and Excellence Act of 2019 - reauthorize and extend funding for community health centers and the National Health Service Corp H.R.5230 - Elijah E. Cummings Family Asthma Act - create programs to better educate families on asthma management and prevention, and would improve asthma research and data collection to help target asthma interventions more effectively S.2492STANDUP Act - provide best practices on student suicide awareness and prevention training and condition H.R.5031 Medical Innovation Act - authorize the collection of supplemental payments to increase congressional investments in medical research S.3162 Affordable Drug Manufacturing Act - establish an Office of Drug Manufacturing. Legislation requiring NAS to do a study on SUD treatment for minorities and underserved communities Kids Access to Primary Care Act - expanding kids access to primary care by aligning Medicaid reimbursement rates with Medicare payments No Surprise Bills for New Moms Act - Require all health plans and insurers to cover newborns under their mothers coverage for 14 days after birth Legislation around gathering research around projects that work to positively alter outcomes for children at risk of experiencing ACEs HEAA - comprehensive legislation to address health inequities and ensure that health and health care disparities elimination are prioritized Legislation to prevent air ambulances from balance billing patients Legislation to require health care facilities and providers to give patients a list of services received upon discharge Legislation to reauthorize the Patient-Centered Outcomes Research Institute (PCORI)

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

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

HR 2328 and S 192 and HR 1983, S 1895 To reauthorize and extend funding for Community Health Centers and the National Health Service Corps.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

Efairness legislation, oppose HR1983; S.128, oppose imposition of Value Added Tax, National Retail Sales Tax (H.R. 25); Support Technical corrections to Tax Cuts and Jobs Act - QIP (support H.R. 1869 and S.803) and NOL (H.R. 3587 and S.1996). Oppose corporate tax rate increases. Support extension of WOTC (H.R. 2213 and S.978).

Client expense: $1,990,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Postal Service (USPS), U.S. Trade Representative (USTR), White House Office

HR 2328 and S 192 and HR 1983, S 1895 To reauthorize and extend funding for Community Health Centers and the National Health Service Corps.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

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

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

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

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 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 2740 - HHS FY 2020 Appropriations; Women's Health Research: AAFP funding priorities. Increased funding for women's health research. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiver program for medical residents. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. 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. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Opioid prescribing guideline: Responding to FDA inquiry on opioid prescribing guidelines. No Bill No. - Healthcare Coverage for All: Retaining ACA coverage gains and expanding coverage. No Bill No. - Administrative Burden: Reduced administrative burden on family physicians. No Bill No. - Rural Health: Improved access to quality care for rural populations. 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. - Comment on the definition of Health Literacy: Health Literacy for all patients. No Bill No. - Administrative Simplification: Suggestions to reduce burdens for FPs. No Bill No. - Nondiscrimination in health plans: Healthcare for all. No Bill No. - Patient access to effective drugs: Opioid Issues. No. Bill No. - Telehealth for low-income consumers: Access to high speed internet. No Bill No. - Access to Medicaid Services: Need for higher payment to ensure access to primary care. 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. - Teaching Health Center GME funding/Training the Next Generation of Primary Care Doctors Act. No Bill No. - Tobacco Use Prevention: Urged support for Reversing the Youth Tobacco Epidemic Act, Safe Kids Act, and Tobacco to 21 bill. No Bill No. - Surprise Billing: Shared letter on surprise billing. No Bill No. - Drug Prices: Recommendations for various biologic and insulin drug pricing bills. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC.

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

Efairness legislation, oppose HR1983; S.128, oppose imposition of Value Added Tax, National Retail Sales Tax (H.R. 25); Support Technical corrections to Tax Cuts and Jobs Act - QIP (support H.R. 1869 and S.803) and NOL (H.R. 3587 and S.1996). Oppose corporate tax rate increases. Support extension of WOTC (H.R. 2213 and S.978).

Client expense: $2,270,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Postal Service (USPS), U.S. Trade Representative (USTR), White House Office

H.R. 3222 No Federal Funds for Public Charge Act of 2019 - no Federal funds may be used to carry out the proposed rule of the Department of Homeland Security entitled Inadmissibility on Public Charge Grounds H.R.1897 MOMMA's Act - Federal efforts with respect to the prevention of maternal mortality H.R.2115 Public Disclosure of Drug Discounts Act - legislation to provide greater transparency of discounts provided by drug manufacturers. S.340/H.R.965CREATES - facilitate the timely entry of lower-cost generic and biosimilar versions of drugs and biological products H.R. 938 the Bringing Low-cost Options and Competition while Keeping Incentives for New Generics (BLOCKING) Act of 2019 - eligibility for FDA approval of a subsequent generic drug, to remove the barrier to that approval posed by the 180-day exclusivity period afforded to a first generic applicant that has not yet received final approval H.R. 1499, the Protecting Consumer Access to Generic Drugs Act of 2019 - pay for delay; prohibit brand name drug manufacturers from compensating generic drug manufacturers to delay the entry of a generic drug into the market, and to prohibit biological product manufacturers from compensating biosimilar and interchangeable product manufacturers to delay entry of biosimilar and interchangeable products H.R.2113 Prescription Drug STAR Act - require drug manufacturer price transparency, to require certain manufacturers to report on product samples provided to certain health care providers, H.R.2296, S.1391 FAIR Drug Pricing Act - Rx pricing transparency, require manufacturers to justify price increases H.R.2376, S.1227 Prescription Pricing for the People Act - directs the Federal Trade Commission to report to Congress on the effect of certain anticompetitive practices in the pharmaceutical supply chain S.Res.134 - A resolution expressing the sense of the Senate that the Department of Justice should reverse its position in Texas v. United States, No. 4:18-cv-00167-O (N.D. Tex.) H.R.1010 - To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect H.R.1868 - Health Care Affordability Act of 2019 - reducing insurance premiums and out-of-pocket costs in the individual and small group markets, both for low-income families and those that are not eligible for tax credits H.R.1425 State Health Care Premium Reduction Act - Improve Health Insurance Affordability Fund to provide for certain reinsurance payments to lower premiums in the individual health insurance market H.R.986 - Protecting Americans with Preexisting Conditions Act of 2019 - certain guidance related to waivers for State innovation under the Patient Protection and Affordable Care Act shall have no force or effect H.R.987Strengthening Health Care and Lowering Prescription Drug Costs Ac- requires the Department of Health and Human Services (HHS) to conduct outreach and educational activities regarding federally-facilitated exchanges (i.e., health insurance exchanges that are established and operated within states by HHS). The activities must inform potential enrollees of the availability of coverage and related financial assistance under the exchanges and must be provided in culturally and linguistically appropriate formats. S.1556No Junk Plans Act - rule entitled Short-Term, Limited Duration Insurance shall have no force or effect. S.1531STOP Surprise Medical Bills Act - provide protections for health insurance consumers from surprise billing H.R.861 - End Surprise Billing Act of 2019 - prevent surprise billing practices and require notification for consumers S.1895 Lower Health Care Costs Act - comprehensive legislation to end surprise medical bills, reduce prescription drug prices, improve health care transparency, improve public health, improve exchange of health information H.R. 3630 No Surprises Act - legislation to protect consumers from surprise medical bills, using median in network rate and an option to go to arbitration for bills above $1250. H.R. 3502 Protecting People From Surprise Medical Bills Act - legislation to protect consumers from surprise medical bills, arbitration as payment mechanism H.R.748, S. 684Middle Class Health Benefits Tax Repeal Act of 2019 - repeal the excise tax on high value employer-sponsored health care coverage, also known as the Cadillac Tax S. 1801 Affordable Medications Act - increase drug price transparency and affordability, spur innovation, and enhance competition S.455/ H.R.987 - MORE Health Education Act - funding for Federal Exchange outreach and educational activities H.R.3180, S. 1770 RISE (Resilience Investment, Support, and Expansion) from Trauma Act - improve the identification and support of children and families who experience trauma S.2387 We Protect American Investment in Drugs Act - prohibits Pharmaceutical companies developing prescription drugs using federally-funded research, like NIH or CDC grants, from charging American consumers unreasonable prices for life-saving drugs H.R.2411/S.1258 Tobacco to 21 Act - prohibit the sale of tobacco products to individuals under the age of 21 H.R.2339 Reversing the Youth Tobacco Epidemic Act - legislation to curb the rise of youth tobacco use H.R. 4548 Asthma Care and Prevention in Rural Communities Act -authorize CDC to award grants to eligible counties for the use of mobile clinics and distance learning and telemedicine to diagnose and treat children with asthma in rural areas and medically underserved communities, H.R.4158 CURE High Drug Prices Act - prohibit price gouging in the sale of drugs H.R.4575 - Improving Provider Directories Act - require group health plans and health insurance issuers offering group or individual health insurance coverage to establish a process to address inaccurate information listed in publicly accessible provider directories of such plans and issuers H.R. 4457 Chronic Condition Copay Elimination Act - require group health plans and health insurance issuers offering group or individual health insurance coverage to provide coverage for additional preventive care for individuals with chronic conditions without the imposition of cost sharing requirement H.R.2374 Stop STALLING Act - enable the Federal Trade Commission to deter filing of sham citizen petitions to cover an attempt to interfere with approval of a competing generic drug or biosimilar, to foster competition and facilitate the efficient review of petitions filed in good faith to raise legitimate public heath concerns H.R.1983 Community Health Investment, Modernization, and Excellence Act of 2019 - reauthorize and extend funding for community health centers and the National Health Service Corp Legislation to prevent air ambulances from balance billing patients Legislation to require health care facilities and providers to give patients a list of services received upon discharge Legislation to reauthorize the Patient-Centered Outcomes Research Institute (PCORI)

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

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

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. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. S. 106 / H.R. 1983 / H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 S. 192, Community and Public Health Programs Extension Act S. 692 / H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3439, Protecting Access to Information for Effective and Necessary Treatment Act H.R. 2328, Reauthorizing and Extending Americas Community Health (REACH) Act Draft Senate PCORI Reauthorization Bill Issue: Support long-term reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. Urge changes to HHS and NIH policy on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, and health information technology. H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, consent, implicit bias, and maternal health. S. 1416, Affordable Prescriptions for Patients Act S. 1224 / H.R. 2374, Stop Significant and Time-Wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 440, Preserving Access to Cost Effective Drugs Act H.R. 2296 / S.1391, The Fair Accountability and Innovative Research (FAIR) Drug Pricing Act of 2019 S. 551, Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act S. 1209, Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R. 2113, Prescription Drug STAR Act Issue: Support measures to lower prescription drug cost PL., 116-59, Continuing Appropriations Act 2020, and Health Extenders Act of 2019 Issue: Support temporary extension of DSH cut delay, funding for CHCs, THCs and NHSC and PCORI trust fund. H.R. 4004, Social Determinants Accelerator Act of 2019 Issue: Support grants to address social determinants of health Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Draft, firearm safety legislation Issue: Support universal background checks, violence prevention programs, extreme risks protection orders, child access safety laws, and reinstating assault weapons ban. H.R. 8, Bipartisan Background Checks Act of 2019 Issue: Support universal background checks

Client expense: $1,127,000 · 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), 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

H.R. 1983, To reauthorize and extend funding for community health centers and the National Health Service Corps; S. 192, Community and Public Health Programs Extension Act; S. 106, Community Health Investment, Modernization, and Excellence Act of 2019; H.R. 1943, To provide funding for Federally qualified health centers and the National Health Service Corps; H.R. 2328, Community Health Investment Modernization and Excellence Act of 2019; federal funding for community health centers, generally; 340B program as it applies to community health centers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2328 and S 192 and HR 1983, S 1895, To reauthorize and extend funding for Community Health Centers and the National Health Service Corps.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

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. 2781, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness for Health Act of 2019 Issue: Support the reauthorization of Health Resources and Services Administrations Title VII health professions workforce programs. S. 106 / H.R. 1983 / H.R.2328, Community Health Investment, Modernization, and Excellence Act of 2019 S. 192, Community and Public Health Programs Extension Act S. 692 / H.R. 1943, Community Health Center and Primary Care Workforce Expansion Act of 2019 Issue: Support the reauthorization of the National Health Service Corps, Community Health Centers, and Teaching Health Centers mandatory appropriation funds. Issue: Support initiatives of hospitals to promote affordable housing in local communities and eliminate other social determinants of health to improve health equity. Issues: Educate Congress and the administration about academic medicines response to the opioid epidemic. Support funding for training on substance use disorders, pain management, and safe prescribing practices. H.R. 3030, Patient-Centered Outcomes Research Extension Act of 2019 H.R. 3439, Protecting Access to Information for Effective and Necessary Treatment Act H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support long-term reauthorization of the Patient Centered Outcomes Research Institute (PCORI) and the Patient Centered Outcomes Research Trust Fund Issue: Oppose restrictions on fetal tissue research. P.L. 116-22, Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 Issues: Support the Hospital Preparedness Program and the reauthorization of the Pandemic and All-Hazards Preparedness Act. Support increased funding authorization levels. Issues: Support high-quality affordable health insurance. Support programs and funds for safety-net providers. Issue: Support measures to preserve and strengthen the 340B Drug Pricing Program and oppose efforts to reduce the scope of the program, including instituting a moratorium, increasing reporting requirements on covered entities, and imposing user fees Draft, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2018 Draft, Diagnostic Accuracy and Innovation Act (DAIA) Issue: Oppose burdensome regulation of Laboratory Developed Tests S. 1895, Lower Health Care Costs Act H.R. 3630, No Surprises Act S. 1531, Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 H.R. 3502, Protecting People From Surprise Medical Bills Act Issues: Educate Congress on surprise medical bills and price transparency. Support general principles for surprise medical bills draft legislation. Oppose statutory benchmark rate setting. Oppose Senate hospital/insurer contracting provisions and onerous reporting burden. S. 1895, Lower Health Care Costs Act, Title IV Issues: Prescription drug pricing, public health, and health information technology. H.R. 2328, Community Health Investment, Modernization, and Excellence Act of 2019 Issue: Support legislation providing stable and predictable funding for quality measurement activities carried out by the National Quality Forum Issue: Development of Enhanced Primary Care Pilot Act proposal Issue: Educate Congress about medical education on nutrition, implicit bias, and maternal health. S. 1416, Affordable Prescriptions for Patients Act S. 1224 / H.R. 2374, Stop Significant and Time-Wasting Abuse Limiting Legitimate Innovation of New Generics (STALLING) Act S. 440, Preserving Access to Cost Effective Drugs Act H.R. 2296 / S.1391, The Fair Accountability and Innovative Research (FAIR) Drug Pricing Act of 2019 S. 551, Recovering Excessive Funds for Unused and Needless Drugs (REFUND) Act S. 1209, Reforming Evergreening and Manipulation that Extends Drug Years (REMEDY) Act H.R. 2113, Prescription Drug STAR Act Issue: Support measures to lower prescription drug costs

Client expense: $1,045,000 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), 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), Veterans Affairs, Dept of (VA), White House Office

To amend title XI of the Social Security Act to require manufacturers of certain drugs, devices, biologicals, and medical supplies to report on product samples provided to certain health care providers, and for other purposes. (H.R. 2064) Community Health Investment, Modernization, and Excellence Act (H.R. 1983) State Health Care Premium Reduction Act (H.R. 1425) Choose Medicare Act (S. 1261) Access to Birth Control Act (S. 1086) Protecting Americans with Preexisting Conditions Act (H.R. 896) Strengthening Health Care and Lowering Prescription Drug Costs Act (H.R. 897) Supporting reproductive health care in the United States (H. Con. Res. 40/S. Con. Res. 18) Family Coverage Act (S. 1935) Affordability is Access (H.R. 3296/S. 1847) Lower Health Care Costs Act (S. 1895) Birth Control Access Innovation Act (Not yet introduced) Jeanette Acosta Invest in Women's Health Act (H.R. 3129/S. 1735) Maternal Care Act (H.R. 2902) Maternal Care Access and Reducing Emergencies Act (S. 1602) Healthy Mommies Act (H.R. 2602) MOMMA's Act (H.R. 1897/S. 916) Rural MOMS Act (Not yet introduced)

Client expense: $164,223 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. S 304 HR 2815 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. HR 2815/S 1191 - Support to reauthorize the Teaching Health Center Graduate Medical Education Program: Supported the Training the Next Generation of Primary Care Doctors Act. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. No Bill No. - National Advisory Committee on NHSC: Scholarships/loan repayment for family physicians/access to care. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - Group of Six Physician Roundtable: Introducing new legislators to primary care physician's agenda. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Gun Violence Research Funding: Ending the epidemic of gun violence through research. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - NRHA Maternal Health in Rural Communities Forum: Improve maternal and child health in rural communities. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs.

Client expense: $937,762 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304 HR 2815 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. S 1191/HR 1358: Advancing Medical Resident Training in Community Hospitals: GME reform to support rural residency training; correct rotator problems. HR 1554 - Resident Education Deferred Interest Act: Student debt relief. HR 2815/S 1191 - Support to reauthorize the Teaching Health Center Graduate Medical Education Program: Supported the Training the Next Generation of Primary Care Doctors Act. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiter program for medical residents. No Bill No. - Group of Six Physician Roundtable: Introducing new legislators to primary care physician's agenda. No Bill No. - National Advisory Committee on NHSC: Scholarships/loan repayment for family physicians/access to care. No Bill No. - Congressional Primary Care Caucus: 116th Congress Membership in the bipartisan CPCC. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - Council of Graduate Medical Education (COGME): GME Reform to increase family medicine residencies. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - GME sections of the 2020 proposed IPPS: Graduate Medical Education changes. No Bill No. - Primary Care workforce programs: Submitted testimony urging support for the THCGME program, along with the National Health Service Corps.

Client expense: $937,762 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. HR 986 - Affordable Care Act - the Protecting Americans with Preexisting Conditions Act of 2019: Support of the Bill. HR 987 - Strengthening Health Care and Lowering Prescription Drug Costs Act: The legislation would encourage competition needed to lower drug costs. S 1191/HR 1358: Advancing Medical Resident Training in Community Hospitals: GME reform to support rural residency training; correct rotator problems. HR 1897/S 916: Mothers and Offspring Mortality Awareness Act or the MOMMA's Act: Support for the maternal mortality bill. HR 2774 - Primary Care Patient Protection Act: Create a Primary Care benefit in high deductible health plans. HR 2815/S 1191 - Support to reauthorize the Teaching Health Center Graduate Medical Education Program: Supported the Training the Next Generation of Primary Care Doctors Act. HR 2862 - Vaccine/Infectious Disease prevention: Urged support for the vaccines act. HR 2895 - Conrad State 30 & Physician Access Act: Expand J-1 visa waiter program for medical residents. HR 3436 Chronic Care Management: to remove cost-sharing reponsibilities for chronic care management services under the medicare plan. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304 HR 2815 - Teaching Health Center GME Re-authorization: Increased, extended THCGME funding. HR 3030 - Patient Centered Outcomes Research Institute reauthorization: Patient-centered, primary care research, AHRQ funding. No Bill No. - National Advisory Committee on NHSC: Scholarships/loan repayment for family physicians/access to 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. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - Group of Six Physician Roundtable: Introducing new legislators to primary care physician's agenda. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians No Bill No. - Council of Graduate Medical Education (COGME): GME Reform to increase family medicine residencies. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - NRHA Maternal Health in Rural Communities Forum: Improve maternal and child health in rural communities. No Bill No. - Obesity Drug Study: Responding to GAO inquiry on AAFP policy on obesity drugs. No Bill No. - Lower Health Care Costs Act/Surprise Billing: Commenting on legislative proposals to increase transparency and address insurance-physician contracting. The letter also addressed education and public health issues. No Bill No. - Primary Care workforce programs: Submitted testimony urging support for the THCGME program, along with the National Health Service Corps. No. Bill No. - Title X Family Planning: Submitted testimony expressing support for the title X Family Planning program. No Bill No. - Tobacco Use Prevention: Supported 7 bills that would support Tobacco at age 21 sales, prohibiting flavors, supporting smoke free VA health facilities, prohibiting carve out for specialty cigars, and a comprehensive youth tobacco use prevention bill. No Bill No. - Medicaid: Urged support for the Medicaid parity for the US territories. No Bill No. - Mission Act - Veterans Healthcare: Monitor implementation of Mission Act, veterans' access to community-based physicians.

Client expense: $937,762 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. S 1191/HR 1358: Advancing Medical Resident Training in Community Hospitals: GME reform to support rural residency training; correct rotator problems. HR 1897/S 916: Mothers and Offspring Mortality Awareness Act or the MOMMA's Act: Support for the maternal mortality bill. HR 3436 Chronic Care Management: to remove cost-sharing reponsibilities for chronic care management services under the medicare plan. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. No Bill No. - National Advisory Committee on NHSC: Scholarships/loan repayment for family physicians/access to 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. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - Group of Six Physician Roundtable: Introducing new legislators to primary care physician's agenda. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians. No Bill No. - Council of Graduate Medical Education (COGME): GME Reform to increase family medicine residencies. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - NRHA Maternal Health in Rural Communities Forum: Improve maternal and child health in rural communities. No Bill No. - Pain Management Best Practices: Comments on a draft pain management report. No Bill No. - Lab proficiency testing: Comments on CLIA proposed rule. No Bill No. - Appropriate Use Criteria: Joint letter urging a delay in AUC. No Bill No. - Health Insurance across state lines: Concern with low value insurance. No Bill No. - MACRA testimony to SFC: Improvements to MACRA. No Bill No. - Direct Contracting Geographic Population Based Payment; How CMS might structure a proposed APM. No Bill No. - Accountable Care Organizations: Next Generation ACO model. No Bill No. - Trusted exchange framework: EHRs and the trusted exchange framework. No Bill No. - Interoperability and patient access: How to make EHRs interoperable. No Bill No. - Information blocking: How to stop info blocking in EHRs. No Bill No. - Support for bill on GPCIs: supporting a bill on geographical practice cost indices. No Bill No. - Consumer inflation measures: Concern with changes to the consumer inflation measures. No Bill No. - GME sections of the 2020 proposed IPPS: Graduate Medical Education changes. No Bill No. - Supporting a bill that would waive the patient copay for CCM-Improving the use of the chronic care management code. No Bill No. - Answering the SFC follow up questions to the MACRA hearing: MACRA and Physician payment. No. Bill No. - Title X Family Planning: Submitted testimony expressing support for the title X Family Planning program. No Bill No. - Medicaid: Urged support for the Medicaid parity for the US territories.

Client expense: $937,762 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Efairness legislation, oppose HR1983; S.128, oppose imposition of Value Added Tax, National Retail Sales Tax (H.R. 25); Support Technical corrections to Tax Cuts and Jobs Act - QIP (support H.R. 1869 and S.803) and NOL. Oppose corporate tax rate interests

Client expense: $1,970,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Postal Service (USPS), U.S. Trade Representative (USTR), White House Office

Issues related to FQHCs; Reauthorization of Community Health Center funding in The Community Health Investment, Modernization, and Excellence (CHIME) Act of 2019 (S.106/H.R.1983) and in The Lower Health Care Costs Act (S.1895); Issues related to healthcare workforce and training.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Funding for the National Health Service Corps, HRSA. Community Health Center and Primary Care Workforce Expansion Act (S.962/H.R.1943) Community Health Investment, Modernization, and Excellence Act of 2019 (S.106/H.R.1983) Community and Public Health Programs Extension Act (S.192)

Client expense: Not reported · Firm income: Not reported

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

HR 2328 and S 192 and HR 1983, To reauthorize and extend funding for Community Health Centers and the National Health Service Corps.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, White House Office

S192, HR1943, HR1983, S962, S106 - 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: Advancing Medical Resident Training in Community Hospitals: GME reform to correct rotator problems. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - Congressional Primary Care Caucus: 116th Congress membership in the bipartisan CPCC. No Bill No. - appropriations AHRQ, HRSA, CMS, CDC: AAFP federal spending priorities. No Bill No. - AHRQ National Guidelines Clearinghouse: Closure of the NGC. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Adequate Funding for HHS agencies and programs: AAFP federal spending priorities. No Bill No. - Insurance network adequacy to avoid surprise medical bills: Health care coverage for all, administrative simplification. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians of prior authorization, EMR. No Bill No. - Medicaid and CHIP proposed rule: Services covered by Medicaid and CHIP. No Bill No. - GME Cap setting in new programs: More time for new teaching centers to set their GME cap. No Bill No. -ACO/MSSP extension for applications: Urging a deadline extension for applications. No Bill No. -Part D and C rule on drug prices: Lowering drug prices. No Bill No. -Reducing burdens with HIT: Making EHRs easier for physicians. No Bill No. - Insurance requirements in 2020: Benefit and payment rates in 2020. No Bill No. - Prior authorizations in Part C: Reducing prior authorization burdens on physicians. No Bill No. - Congressional Primary Care Caucus: 116th Congress membership in the bipartisan CPCC. No Bill No. - Primary Care Issues: Shared AAFP principles and encourage members to join the House Primary Care Caucus. No Bill No. - Medicare Physician Payment: Address appropriate use criteria policy.

Client expense: $939,751 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

S192, HR1943, HR1983, S962, S106 - 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 - Teaching Health Center GME Re-authorization: Supported the Training the Next Generation of Primary Care Physicians Act of 2019. HR 117 - Vaccines Saves Lives Resolution: Senate HELP Heating re Vaccinations. HR 938 - Drug Pricing: support for the Bringing Low-cost Options and Competition while keeping Incentives for New Generics (BLOCKING) Act of 2019. HR 965 - Drug Pricing: support for the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019. HR 985 - Drug Pricing: support for the Fair Access for Safe and Timely (FAST) Generics Act of 2019. HR 986 - Affordable Care Act - the Protecting Americans with Preexisting Conditions Act of 2019: Support of the Bill. HR 1010 - Affordable Care Act: support of the Bill to provide that the rule entitled "Short-term, Limited Duration Insurance" shall have no force or effect. HR 1114 - Recognizing Gun Violence as a Public Health Emergency Act: Support for Gun Violence Bill. HR 1358: Advancing Medical Resident Training in Community Hospitals: GME reform to correct rotator problems. HR 1385 - Affordable Care Act: Support of the Bill for the State Allowance for a Variety of Exchanges (SAVE) Act. HR 1499 - Drug Pricing: support for the Protection Consumer Access to Generic Drugs Act of 2019. HR 1585 Violence Against Women Act: Advocate for re-authorization of the Violence Against Women Act. HR 1782 - Drug Pricing: support for the Payment commission and Data Act of 2019. HR 1897/S 916: Mothers and Offspring Mortality Awareness Act or the MOMMA's Act: Support for the maternal mortality bill. No Bill No: Support for the Stopping the Pharmaceutical Industry from Keeping Drugs Expensive (SPIKE) Act of 2019 No Bill No. - Mission Act - Veterans Healthcare: Monitor implementation of Mission Act, veterans' access to community-based physicians. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - Congressional Primary Care Caucus: 116th Congress membership in the bipartisan CPCC. No Bill No. - Patient Centered Outcomes Research Institute Re-authorization: Patient Centered, primary care research, AHRQ funding. No Bill No. - FY2020 appropriations AHRQ, HRSA, CMS, CDC: AAFP federal spending priorities. No Bill No. - AHRQ National Guidelines Clearinghouse: Closure of the NGC. No Bill No. - Primary Care Patient Protection Act: Create a primary care benefit in high deductible health plans. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Administrative Simplification: Promote reduced administrative burden on family physicians of prior authorization, EMR. 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. No Bill No. - Primary Care Issues: Shared AAFP principles and encourage members to join the House Primary Care Caucus. No Bill No - Abortion: Opposed the Born Alive Act. No Bill No. - Medicare Physician Payment: Address appropriate use criteria policy.

Client expense: $939,751 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. S 289 - Rural Physician Workforce Protection Act: GME reform to support rural residency training. S 304 - Teaching Health Center GME Reauthorization: Increase, extended THCGME funding; Supported the Training the Next Generation of Primary Care Physicians Act of 2019. HR 1358: Advancing Medical Resident Training in Community Hospitals: GME reform to correct rotator problems. HR 1554 - Resident Education Deferred Interest Act: Student debt relief. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - Congressional Primary Care Caucus: 116th Congress membership in the bipartisan CPCC. No Bill No. - appropriations AHRQ, HRSA, CMS, CDC: AAFP federal spending priorities. No Bill No. - Adequate Funding for HHS agencies and programs: AAFP federal spending priorities. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - GME Cap setting in new programs: More time for new teaching centers to set their GME cap. 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. No Bill No. - Primary Care Issues: Shared AAFP principles and encourage members to join the House Primary Care Caucus. No Bill No. - Medicare Physician Payment: Address appropriate use criteria policy.

Client expense: $939,751 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

S192, HR1943, HR1983, S962, S106 - National Health Service Corps: Medical Student Debt Relief and Rural and Underserved area access. S 304 - Teaching Health Center GME Reauthorization: Increase, extended THCGME funding. No Bill No. - Advisory Committee on Training in Primary Care Medicine and Dentistry: Health Professions Training Grants for family medicine. No Bill No. - Patient Centered Outcomes Research Institute Re-authorization: Patient Centered, primary care research, AHRQ funding. No Bill No. - appropriations AHRQ, HRSA, CMS, CDC: AAFP federal spending priorities. No Bill No. - Rural Health: Eliminate disparities to access to quality care for rural populations. No Bill No. - Gun Violence Research Funding: Ending the epidemic of gun violence through research. No Bill No. - Adequate Funding for HHS agencies and programs: AAFP federal spending priorities. No Bill No. - FY20 funding for AHRQ, HRSA, CDC, CMS: AAFP federal spending priorities. No Bill No. - AHRQ Center for Primary Care Research: Primary Care research at AHRQ. No Bill No. - Title VII Primary Care training Enhancement Grants: Support for family medicine training.

Client expense: $939,751 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA)

Appropriations for health centers and related programs; Appropriations for National Health Service Corps; Appropriations for Health Professions Programs; Presidents Budget Request; CHIME(H.R.1983/S.106; Community and Public Health Extensions Act(S.192); Community Health Center and Primary Care Workforce Expansion Act(S.962/H.R.1943); Appropriations for the CDC and HRSA.

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

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

H.R. 1983, To reauthorize and extend funding for community health centers and the National Health Service Corps; S. 192, Community and Public Health Programs Extension Act; S. 106, Community Health Investment, Modernization, and Excellence Act of 2019; H.R. 1943, To provide funding for Federally qualified health centers and the National Health Service Corps; federal funding for community health centers, generally; 340B program as it applies to community health centers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Efairness legislation, oppose HR1983; S.128), oppose imposition of Value Added Tax, National Retail Sales Tax (H.R. 25); Support Technical corrections to Tax Cuts and Jobs Act - QIP (support H.R. 1869 and S.803) and NOL. HR 1869, Amend internal revenue code of 1986 to restore incentives for investments in qualified improvement property.

Client expense: $1,513,000 · Firm income: Not reported

Government targets: Bureau of Citizenship & Immigration Services (BCIS), Commerce, Dept of (DOC), Consumer Financial Protection Bureau (CFPB), Consumer Product Safety Commission (CPSC), Equal Employment Opportunity Commission (EEOC), Federal Maritime Commission, Federal Reserve System, Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Maritime Administration (MARAD), Natl Economic Council (NEC), Natl Labor Relations Board (NLRB), Natl Telecommunications & Information Administration (NTIA), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Small Business Administration (SBA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Customs & Border Protection, U.S. Postal Service (USPS), U.S. Trade Representative (USTR), White House Office