Patient Access to Higher Quality Health Care Act of 2019

H.R. 3062/S. 2860 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the Medicare exception to the prohibition on certain physician referrals for hospitals. Support access to affordable prescription drugs. H.R. 3107 - "Improving Seniors' Timely Access to Care Act" - Support legislation that streamlines and standardizes prior authorization under the Medicare Advantage program. Sought moratorium on proposed Medicaid Fiscal Accountability Regulation H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - Support Division C, Health Provisions for Medicare and Medicaid that support health care providers and patients Post-Acute Care - Refresh the unified PAC PPS timeline and process under the IMPACT Act, Sought Congressional support for an IMPACT Act implementation/ unified payment timeline reset Qualifying APM Professional Threshold - Support request of House Leadership to address impending MACRA changes that could derail the movement to value-based health care and alternative payment models H.R. 7663 - "Protecting Access to Post-COVID-19 Telehealth Act of 2020" - Support broader access to Medicare telehealth services H.R. 133 - "Consolidated Appropriations Act, 2021" - Advocated in support of health care extenders, E&M, GME, sequester moratorium. Support continued government funding and other provisions. H.R. 8337 - "Continuing Appropriations Act, 2021 and Other Extensions Act" - Support passage of continuing resolution, including language to improve repayment terms of Medicare Accelerated and Advanced Payment Programs. H.R. 8840 - "Medicare Sequester COVID Moratorium Act" - Support extending the temporary suspension of Medicare sequestration.

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

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

H.R. 3062/S. 2860 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the Medicare exception to the prohibition on certain physician referrals for hospitals. Bad Debt Payments to Hospitals - Oppose effort to lower bad debt payments to hospitals for Medicare beneficiaries who do not pay their cost-sharing for treatments provided by the hospital. H.R. 2552 - "Protecting Local Access to Care for Everyone (PLACE) Act" - Support legislation to prevent site neutral cuts. H.R. 1763/ S. 348 - "Resident Physician Shortage Reduction Act of 2019", H.R. 3414/S. 2892 - Opioid Workforce Act - Support GME legislation to reduce resident physician shortage. Support access to affordable prescription drugs. H.R. 3107 - "Improving Seniors' Timely Access to Care Act" - Support legislation that streamlines and standardizes prior authorization under the Medicare Advantage program. Sought moratorium on proposed Medicaid Fiscal Accountability Regulation H.R. 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act - Advocated in support of funding and programs for hospitals and post-acute care providers to respond to COVID-19 H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - Supported legislation

Client expense: $650,000 · Firm income: Not reported

HR 3502, Protecting Patients from Surprise Medical Bills Act-Fair Negotiation for Out-of-Network medical Services HR 3062, Patient Access to Higher Quality Health Care Act of 2019

Client expense: $405,402 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3062/S. 2860 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the Medicare exception to the prohibition on certain physician referrals for hospitals. H.R. 2552 - "Protecting Local Access to Care for Everyone (PLACE) Act" - Support legislation to prevent site neutral cuts. Support access to affordable prescription drugs. H.R. 3107 - "Improving Seniors' Timely Access to Care Act" - Support legislation that streamlines and standardizes prior authorization under the Medicare Advantage program. Sought moratorium on proposed Medicaid Fiscal Accountability Regulation H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - Support Division C, Health Provisions for Medicare and Medicaid that support health care providers and patients Post-Acute Care - Refresh the unified PAC PPS timeline and process under the IMPACT Act, Sought Congressional support for an IMPACT Act implementation/ unified payment timeline reset Qualifying APM Professional Threshold - Support request of House Leadership to address impending MACRA changes that could derail the movement to value-based health care and alternative payment models H.R. 7663 - "Protecting Access to Post-COVID-19 Telehealth Act of 2020" - Support broader access to Medicare telehealth services

Client expense: $700,000 · Firm income: Not reported

Advocate to repeal section 6001 of the ACA. H.R.3062 - Patient Access to Higher Quality Health Care Act S. 2860 - Patient Access to Higher Quality Health Care Act of 2019 H.R. 716 - Creating Capacity for Communities in Need Act S. 3547 - Creating Capacity for Communities in Need Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Recovery audit contractor reform; Medicare regulatory reform, including physician payment reforms; network adequacy oversight; prior authorization reform; Medicare accountable care organizations; electronic health record interoperability and vendor accountability; physician-owned hospital barriers, including related provisions in H.R. 3062 and S. 2860, the Patient Access to High Quality Health Care Act, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; private contracting, mandatory participation in demonstrations; telehealth services; and use of step therapy in Medicare and health insurance coverage. Coronavirus response efforts, including support for health care providers, patients and small business, including related provisions in H.R. 6800, the HEROES Act; H.R. 8406, the Heroes Act; S. 4318, the American Workers, Families, and Employers Assistance Act; S. 4320, the Coronavirus Response Additional Supplemental Appropriations Act, 2020; and S. 4322, the Safely Back to School and Back to Work Act; related provisions in Sec. 2501 of H.R. 8337, the Continuing Appropriations Act, 2021 and Other Extensions Act re: modifications to the Accelerated and Advance Payment Programs. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including related provisions in H.R. 5741, the Strengthening Innovation in Medicare and Medicaid Act.

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

Repeal Section 6001 of the Affordable Care Act; section 6001 prohibits expansion of physician-owned hospitals, and Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-owned hospitals, including related provisions in H.R. 3062 and S. 2860, the Patient Access to High Quality Health Care Act, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. Coronavirus response efforts, including support for health care providers, patients and small business, and enable physician-owned hospitals to respond to COVID-19, including related provisions in H.R. 6800, the HEROES Act; H.R. 8406, the Heroes Act; S. 4318, the American Workers, Families, and Employers Assistance Act; S. 4320, the Coronavirus Response Additional Supplemental Appropriations Act, 2020; and S. 4322, the Safely Back to School and Back to Work Act.

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

Discussions regarding the Centers for Medicare and Medicaid (CMS) implementation and expansion of the Accelerated and Advance Payments Program under the CARES Act HR 1384 Medicare for All Act of 2019 (all sections of full text)(oppose) Disproportionate Share Hospital payments (DSH) extensions for qualifying hospitals in spending bills Discussions involving Medicare bad debt/uncompensated care payments to hospitals \ Monitored CMS Medicaid Fiscal Accountability Regulation (MFAR) rulemaking activity Monitored S 4329 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored S 2543 Prescription Drug Pricing Reduction Act, Sec. 109 Monitored HR 2000 Medicare-X Choice Act of 2019 Monitored S 981 Medicare-X Choice Act of 2019 Monitored S 470 Medicare at 50 Act Monitored HR 1301 The Mental Health Telemedicine Expansion Act of 2019 Monitored HR 1559 The 340B Protection and Accountability Act of 2019 Monitored CMS regulations and reporting requirements under the Emergency Medical Treatment and Labor Act

Client expense: Not reported · Firm income: $130,000

H.R. 3062/S. 2860 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the Medicare exception to the prohibition on certain physician referrals for hospitals. Bad Debt Payments to Hospitals - Oppose effort to lower bad debt payments to hospitals for Medicare beneficiaries who do not pay their cost-sharing for treatments provided by the hospital. H.R. 2552 - "Protecting Local Access to Care for Everyone (PLACE) Act" - Support legislation to prevent site neutral cuts. H.R. 1763/ S. 348 - "Resident Physician Shortage Reduction Act of 2019", H.R. 3414/S. 2892 - Opioid Workforce Act - Support GME legislation to reduce resident physician shortage. Support access to affordable prescription drugs. H.R. 3107 - "Improving Seniors' Timely Access to Care Act" - Support legislation that streamlines and standardizes prior authorization under the Medicare Advantage program. Sought moratorium on proposed Medicaid Fiscal Accountability Regulation H.R. 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act - Advocated in support of funding and programs for hospitals and post-acute care providers to respond to COVID-19 H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - Supported legislation

Client expense: $640,000 · Firm income: Not reported

HR 3502, Protecting Patients from Surprise Medical Bills Act-Fair Negotiation for Out-of-Network medical Services HR 3062, Patient Access to Higher Quality Health Care Act of 2019

Client expense: $464,047 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

PL 116-136 CARES Act (all sections of full text) HR 6800 Health and Economic Recovery Omnibus Emergency Solutions Act or the HEROES Act (Division C - Health Provisions) Monitored S 3432 Securing America's Medicine Cabinet Act of 2020 Monitored HR 6708 Securing America's Medicine Cabinet Act of 2020 Monitored S 3537 Protecting our Pharmaceutical Supply Chain from China Act Monitored HR 3482 Protecting our Pharmaceutical Supply Chain from China Act Monitored S 3538 Strengthening America's Supply Chain and National Security Act Monitored HR 6393 Strengthening America's Supply Chain and National Security Act Monitored S 3627 Medical Supply Transparency and Delivery Act Monitored HR 6711 Medical Supply Transparency and Delivery Act Monitored S 3847 COVID-19 Emergency Manufacturing Act of 2020 Monitored HR 6810 Health Care Protection Act Monitored HR 6514 The Worker Health Coverage Protection Act HR 3502 Protecting People From Surprise Medical Bills Act (all sections of full text)(support) S 1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019 Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under-Performing Directories that Affect Treating Emergencies Act Monitored S 2408 Telehealth Across State Lines Act of 2019

Advocate to repeal section 6001 of the ACA. H.R.3062 - Patient Access to Higher Quality Health Care Act S. 2860 - Patient Access to Higher Quality Health Care Act of 2019 H.R. 716 - Creating Capacity for Communities in Need Act S. 3547 - Creating Capacity for Communities in Need Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3062/S. 2860 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the Medicare exception to the prohibition on certain physician referrals for hospitals. Bad Debt Payments to Hospitals - Oppose effort to lower bad debt payments to hospitals for Medicare beneficiaries who do not pay their cost-sharing for treatments provided by the hospital. H.R. 2552 - "Protecting Local Access to Care for Everyone (PLACE) Act" - Support legislation to prevent site neutral cuts. H.R. 1763/ S. 348 - "Resident Physician Shortage Reduction Act of 2019", H.R. 3414/S. 2892 - Opioid Workforce Act - Support GME legislation to reduce resident physician shortage. Support access to affordable prescription drugs. H.R. 3107 - "Improving Seniors' Timely Access to Care Act" - Support legislation that streamlines and standardizes prior authorization under the Medicare Advantage program. Sought moratorium on proposed Medicaid Fiscal Accountability Regulation H.R. 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act - Advocated in support of funding and programs for hospitals and post-acute care providers to respond to COVID-19 H.R. 6800 Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act - Supported legislation

Client expense: $650,000 · Firm income: Not reported

Recovery audit contractor reform; Medicare regulatory reform, including physician payment reforms; network adequacy oversight; prior authorization reform; Medicare accountable care organizations; electronic health record interoperability and vendor accountability; physician-owned hospital barriers, including related provisions in H.R. 3062 and S. 2860, the Patient Access to High Quality Health Care Act, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; private contracting, mandatory participation in demonstrations; telehealth services; and use of step therapy in Medicare and health insurance coverage. Coronavirus response efforts, including support for health care providers, patients and small business, and related provisions in H.R. 6800, the HEROES Act. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including related provisions in H.R. 5741, the Strengthening Innovation in Medicare and Medicaid Act.

Client expense: Not reported · Firm income: $60,000

Repeal Section 6001 of the Affordable Care Act; section 6001 prohibits expansion of physician-owned hospitals, and Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-owned hospitals, including related provisions in H.R. 3062 and S. 2860, the Patient Access to High Quality Health Care Act, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. Coronavirus response efforts, including support for health care providers, patients and small business, and enable physician-owned hospitals to respond to COVID-19, including related provisions in H.R. 6800, the HEROES Act.

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

Peer Reviewed Orthopaedic Research program HR 506, The Hospital Competition Act HR 3502, Protecting Patients from Surprise Medical Bills Act-Fair Negotiation for Out-of-Network medical Services HR 3062, Patient Access to Higher Quality Health Care Act of 2019 HR 1554, The Resident Education Deferred Interest Act

Client expense: $489,104 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Recovery audit contractor reform; Medicare regulatory reform, including physician payment reforms; network adequacy oversight; prior authorization reform; Medicare accountable care organizations; electronic health record interoperability and vendor accountability; physician-owned hospital barriers, including related provisions in H.R. 3062 and S. 2860, the Patient Access to High Quality Health Care Act, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; private contracting, mandatory participation in demonstrations; telehealth services; and use of step therapy in Medicare and health insurance coverage. Coronavirus response efforts, including support for health care providers, patients and small business, and related provisions in: (1) H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act; (2) H.R. 6201, the Families First Coronavirus Response Act; and (3) H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including related provisions in H.R. 5741, the Strengthening Innovation in Medicare and Medicaid Act.

Client expense: Not reported · Firm income: $80,000

Repeal Section 6001 of the Affordable Care Act; section 6001 prohibits expansion of physician-owned hospitals, and Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-owned hospitals, including related provisions in H.R. 3062 and S. 2860, the Patient Access to High Quality Health Care Act, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. Coronavirus response efforts, including support for health care providers, patients and small business, and enable physician-owned hospitals to respond to COVID-19, including related provisions in: (1) H.R. 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act; (2) H.R. 6201, the Families First Coronavirus Response Act; and (3) H.R. 748, the Coronavirus Aid, Relief, and Economic Security Act.

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

Advocate to repeal section 6001 of the ACA. H.R.3062 - Patient Access to Higher Quality Health Care Act S. 2860 - Patient Access to Higher Quality Health Care Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare issues related to physician-owned hospitals H.R. 3062/S. 2860 - the Patient Access to Higher Quality Health Care Act of 2019 Health care transparency H.R. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act [P.L. No. 116-136]

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3062/S. 2860 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the Medicare exception to the prohibition on certain physician referrals for hospitals. Bad Debt Payments to Hospitals - Oppose any effort to lower bad debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. H.R. 2552 - "Protecting Local Access to Care for Everyone (PLACE) Act" - Support legislation to prevent site neutral cuts. H.R. 1763/ S. 348 - "Resident Physician Shortage Reduction Act of 2019" - Support GME legislation to reduce resident physician shortage. H.R. 3414/S. 2892 - Opioid Workforce Act - Support GME legislation to reduce resident physician shortage. Support access to affordable prescription drugs. H.R. 3107 - "Improving Seniors' Timely Access to Care Act" - Support legislation that streamlines and standardizes prior authorization under the Medicare Advantage program. Sought moratorium on proposed Medicaid Fiscal Accountability Regulation H.R. 748 Coronavirus Aid, Relief, and Economic Security (CARES) Act - Advocated in support of lifting sequester, increasing DRG payments, DSH cut delay, accelerated payment program, and waiving IRF and LTCH Medicare payment requirements in response to COVID-19. H.R. 4899/S. 2406 - Rural America Health Corps Act, H.R. 4900/S. 2408 - Telehealth Across State Lines Act of 2019, H.R. 4898/S. 2411 - Rural Health Innovation Act of 2019 - support expanded access to telehealth and broadband.

Client expense: $640,000 · Firm income: Not reported

PL 116-136 CARES Act (all sections of full text) HR 3502 Protecting People From Surprise Medical Bills Act (all sections of full text)(support) S 1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under-Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored HR 4995 Maternal Health Quality Improvement Act of 2019 Monitored S 2408 Telehealth Across State Lines Act of 2019 Monitored S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 Monitored HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019

Client expense: Not reported · Firm income: $130,000

HR 3502 Protecting People from Surprise Medical Bills Act (all sections of full text)(support) S1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored HR 4995 Maternal Health Quality Improvement Act of 2019 Monitored S 2408 Telehealth Across State Lines Act of 2019 Monitored S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 Monitored HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019

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

Repeal Section 6001 of the Affordable Care Act; section 6001 prohibits expansion of physician-owned hospitals, and Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-owned hospitals, including related provisions in H.R. 3062 and S. 2860, the Patient Access to High Quality Health Care Act, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals.

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

H.R. 3062 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals. Bad Debt Payments to Hospitals - Oppose any effort to lower bad debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. H.R. 2552 - "Protecting Local Access to Care for Everyone (PLACE) Act" - Support legislation to prevent site neutral cuts. H.R. 506 - "Hospital Competition Act" - Oppose legislation as it adversely affects hospitals. H.R. 1763/ S. 348 - "Resident Physician Shortage Reduction Act of 2019" - Support GME legislation to reduce resident physician shortage. Support access to affordable prescription drugs. Medicaid DSH - Supported action taken by E&C Committee to rescind and delay Medicaid DSH cuts. H.R. 3107 - "Improving Seniors' Timely Access to Care Act" - Support legislation that streamlines and standardizes prior authorization under the Medicare Advantage program.

Client expense: $650,000 · Firm income: Not reported

Advocate to repeal section 6001 of the ACA. H.R.3062 - Patient Access to Higher Quality Health Care Act S. 2860 - Patient Access to Higher Quality Health Care Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3502 Protecting People From Surprise Medical Bills Act (all sections of full text)(support) S 1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under-Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored HR 4995 Maternal Health Quality Improvement Act of 2019 Monitored S 2408 Telehealth Across State Lines Act of 2019 Monitored S 2741 Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 Monitored HR 4932 Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act of 2019

Client expense: Not reported · Firm income: $260,000

Recovery audit contractor reform; Medicare regulatory reform, including physician payment reforms; network adequacy oversight; prior authorization reform; Medicare accountable care organizations; electronic health record interoperability and vendor accountability; physician-owned hospital barriers, including related provisions in H.R. 3062 and S. 2860, the Patient Access to High Quality Health Care Act, to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals; private contracting, mandatory participation in demonstrations; telehealth services; and use of step therapy in Medicare and health insurance coverage."

Client expense: Not reported · Firm income: $80,000

Peer Reviewed Orthopaedic Research program HR 506, The Hospital Competition Act HR 3502, Protecting Patients from Surprise Medical Bills Act-Fair Negotiation for Out-of-Network medical Services HR 3062, Patient Access to Higher Quality Health Care Act of 2019 HR 1554, The Resident Education Deferred Interest Act

Client expense: $440,130 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare issues related to physician-owned hospitals H.R. 3062/S. 2860 - the Patient Access to Higher Quality Health Care Act of 2019 Health care transparency

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate to repeal section 6001 of the ACA. H.R.3062 - Patient Access to Higher Quality Health Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3502 Protecting People from Surprise Medical Bills Act (all sections of full text)(support) S1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) S 2543 Prescription Drug Pricing Reduction Act, Sec. 109 Monitored HR 3 Lower Drug Cost Now Act of 2019 Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored S 2408 Telehealth Across State Lines Act of 2019

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

H.R. 3062 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals. Bad Debt Payments to Hospitals - Oppose any effort to lower bad debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. H.R. 2552 - "Protecting Local Access to Care for Everyone (PLACE) Act" - Support legislation to prevent site neutral cuts. H.R. 506 - "Hospital Competition Act" - Oppose legislation as it adversely affects hospitals. H.R. 1763/ S. 348 - "Resident Physician Shortage Reduction Act of 2019" - Support GME legislation to reduce resident physician shortage. Support access to affordable prescription drugs. Medicaid DSH - Supported action taken by E&C Committee to rescind and delay Medicaid DSH cuts.

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

Peer Reviewed Orthopaedic Research program HR 506, The Hospital Competition Act HR 3502, Protecting Patients from Surprise Medical Bills Act-Fair Negotiation for Out-of-Network medical Services HR 3062, Patient Access to Higher Quality Health Care Act of 2019 HR 1554, The Resident Education Deferred Interest Act

Client expense: $536,954 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3502 Protecting People From Surprise Medical Bills Act (all sections of full text)(support) S 1266 Protecting Patients from Surprise Medical Bills Act (all sections of full text)(support) S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) S 2543 Prescription Drug Pricing Reduction Act, Sec. 109 Monitored HR 3 Lower Drug Costs Now Act of 2019 Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored HR 861 The End Surprise Billing Act of 2019 Monitored HR 3630 No Surprises Act Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010 Monitored discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages Monitored Executive Order #13877 Improving Price Quality Transparency in American Healthcare To Put Patients First Monitored HR 4379 Under Performing Directories that Affect Treating Emergencies Act Monitored HR 1897 MOMMA's Act ("Mothers and Offspring Mortality and Morbidity Awareness Act") Monitored HR 1551 Quality Care for Moms and Babies Act Monitored HR 2902 Maternal Care Access and Reducing Emergencies Act Monitored HR 2602 Healthy MOMMIES Act Monitored S 2408 Telehealth Across State Lines Act of 2019

Client expense: Not reported · Firm income: $130,000

Medicare issues related to physician-owned hospitals H.R. 3062 - the Patient Access to Higher Quality Health Care Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate to repeal section 6001 of the ACA. H.R.3062 - Patient Access to Higher Quality Health Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3062 - "Patient Access to Higher Quality Health Care Act of 2019" - Oppose efforts to repeal certain provisions relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals. Bad Debt Payments to Hospitals - Oppose any effort to lower bad debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. Oppose any additional site neutral cuts. H.R. 506 - "Hospital Competition Act" - Oppose legislation as it adversely affects hospitals. H.R. 1763/ S. 348 - "Resident Physician Shortage Reduction Act of 2019" - Support GME legislation to reduce resident physician shortage. Support access to affordable prescription drugs.

Client expense: $1,250,000 · Firm income: Not reported

Discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages S1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) Discussions pertaining to Protecting People from Surprise Medical Bills Act (draft legislation) Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored S1266 Protecting Patients from Surprise Medical Bills Act Monitored HR861 The End Surprise Billing Act of 2019 Monitored The Trump Administration's Executive Order #13877 Improving Price and Quality Transparency in American Healthcare To Put Patients First Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussions pertinent to health care group purchasing organizations (GPOs) role in helping to prevent drug shortages S 1531 Stopping The Outrageous Practice of Surprise Medical Bills Act of 2019 (all sections of full text)(support) S 1895 Lower Health Care Costs Act, Title I (all sections of full text)(oppose) Discussions pertaining to Protecting People from Surprise Medical Bills Act (draft legislation) Monitored HR 3062 Patient Access to Higher Quality Health Care Act of 2019 Monitored S 1266 Protecting Patients from Surprise Medical Bills Act Monitored HR 861 The End Surprise Billing Act of 2019 Monitored The Trump Administration's Executive Order #13877 Improving Price and Quality Transparency in American Healthcare To Put Patients First Monitored implementation of Sec. 6001 of the Affordable Care Act of 2010

Client expense: Not reported · Firm income: $130,000

Advocate to repeal section 6001 of the ACA. H.R.3062 - Patient Access to Higher Quality Health Care Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Peer Reviewed Orthopaedic Research program HR 506, The Hospital Competition Act HR 3502, Protecting Patients from Surprise Medical Bills Act-Fair Negotiation for Out-of-Network medical Services HR 3062, Patient Access to Higher Quality Health Care Act of 2019 HR 1554, The Resident Education Deferred Interest Act

Client expense: $538,681 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare issues related to physician-owned hospitals H.R. 3062 - the Patient Access to Higher Quality Health Care Act of 2019

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE