Loading…
Gun Violence Prevention Research Act of 2019
Legislative Progress
Introduced
January 17, 2019
Latest Action
January 25, 2019
Primary Sponsor
Carolyn B. MaloneyDemocratic(NY)
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
66pct
8d open
vs 9,062 other HR bills in the 116th — cohort avg 39d
Gun Violence Prevention Research Act of 2019 This bill authorizes the Centers for Disease Control and Prevention to conduct or support research on firearms safety or gun violence prevention.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (16)
Referred to the Subcommittee on Health.
Referred to the House Committee on Energy and Commerce.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2021 · first_quarter · Health Issues
The Affordable Care Act (P.L. 111-148, P.L. 111-152): Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Urged support for H.R. 8505, a bill to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule; Urged that any legislation to hold some Medicare physician payment codes harmless from budget neutrality do so for just one year and to allow evaluation and management increases, along with GPC1X codes to go into effect. Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines; Urged Congress to cosponsor and pass the Safe Step Act (H.R. 2279), to require health insurers to provide an exceptions process for any medication step therapy protocol based on clinical decision-making, medical necessity, and other patient needs. Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62) from the 116th Congress, which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries. Also urged that Congress pass the Reforming Evergreening and Manipulation that Extends Drug Years, REMEDY Act (S. 1209), from the 116th Congress, to aid in the approval of more generic drug applications by the FDA and therefore improve patient access to those medications. Also urged that Congress pass the Prescription Drug STAR Act (H.R. 2113), and the Fair Accountability and Innovative Research (FAIR) Drug Pricing Act (H.R. 2296/S. 1391), from the 116th Congress, to promote greater drug pricing transparency. Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), from the 116th Congress, which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), from the 116th Congress, which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Also urged Congress to pass the Violence Against Women (VAWA) Reauthorization Act of 2021, which passed the House in 2021, to provide protections for domestic violence victims by restricting access to firearms by those deemed a threat to them. Also urged Congress to pass the Assault Weapons Ban of 2019 (S. 66/H.R. 1296), from the 116th Congress, to ban the sale of semi-automatic weapons and high-capacity magazines. Urged support for the enactment of extreme risk protection orders (ERPO) to allow families and law enforcement to obtain a ruling from an impartial judge within 72 hours to temporarily remove guns from individuals at imminent risk of using them to harm themselves or others, with due process. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for bills from the 116th Congress such as H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border under the last administration; urged congressional oversight of family separation policies. Also urged that Congress pass H.R. 6, the Dream and Promise Act of 2019, which would provide a pathway to U.S. citizenship for undocumented children who came to the United States due to the action of their parents, also known as Dreamers. Graduate Medical Education: Urged that Congress support medical education training and debt relief for primary care physicians and other specialties facing shortages by passing the following legislation from the 116th Congress: the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), to lift the GME caps as needed to permit training an adequate number of primary care physicians, including internal medicine specialists, and physicians in other specialties facing shortages; passing the Resident Education Deferred Interest Act (H.R. 1554), to save physicians in residency programs thousands of dollars in interest on their loans and help incentivize the opening of practices in underserved areas; pass legislation to combine DGME and IME into a single, more functional payment program, and broaden the GME financing structure to include all payers; support funding for GME/IME and programs within the Veterans Health Administration that provide graduate medical education to ensure that physicians are adequately trained with the skills needed to treat an aging population. Urged Congress to pass the Opioid Workforce Act of 2019 (H.R. 3414), which would provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine. Urged Congress to pass S. 1203 and H.R. 2441, the What You Can Do For Your Country Act, which would improve and reform the Public Service Loan Forgiveness (PSLF) Program. Vaccines: Urged Congress to pass the Vaccines Act (HR 2862), from the 116th Congress, which would provide federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention (CDC), and outline a national public messaging campaign informed by this research to help improve vaccination rates. Physician Fee Schedule: Commented to CMS and to Congress to fully implement payment increases for all evaluation and management codes, as finalized by CMS, and as scheduled for implementation on Jan. 1, 2021. Reduce the documentation burden for E/M services by allowing choice of medical decision making or time, and work to develop additional clarity and guidance on acceptable documentation to operationalize these important proposals; examination room desktop computers should be counted as a direct medical equipment cost; care management should be promoted by increasing the values of services like Transitional Care Management (TCM) and Chronic Care Management and implementing Principle Care Management (PCM) codes; require additional survey and review for any requests to increase non-outpatient E/M or other services; work with the physician community prior to finalizing any policy affecting eligibility to participate in the Medicare program; Urged congressional committees of jurisdiction to support: Higher physician work relative value units (RVUs) for new and established office visit codes, leading to increased payments for them, Reduced documentation requirements for office visit codes, which enables physicians to select and document for each visit based on medical decision-making or total time, Expanded and improved payment for care management services. Urged Congress to support waiving budget neutrality, applicable to the calendar year 2021 physician fee schedule. COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Urged the administration to explore regulatory and other actions that would make COVID-19 testing free-of-charge to patients covered by both public and private insurance plans, including ACA-compliant plans offered through the insurance exchanges, and to waive co-pays and deductibles for patients seeing physicians for symptoms that may be indicative of COVID-19 or who are hospitalized for treatment. Urged CMS to utilize a national disaster recovery program that would pay doctors 110% of Medicare rates for caring for uninsured patients who have been infected with SARS-CoV-2. Expressed support to Congress and the administration for a variety of COVID-related bills from the 116th Congress as follows: the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged HHS and Congress to make a targeted allocation out of the Provider Relief Fund (PRF) to support primary care physicians and their practices, sufficient to keep their doors open, by offsetting lost revenue from the COVID-19 pandemic, similar to the targeted allocation for rural hospitals; Urged support for the Student Loan Forgiveness for Frontline Health Workers Act, H.R. 6720, introduced May 5, 2020 by Representative Carolyn B. Maloney (D-NY) which would eliminate graduate school debt for healthcare workers, including physicians and medical students, who are providing direct patient care in response to the COVID-19 pandemic; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. This extension-either continued by CMS or mandated by Congress-should last at least through the end of 2021, or until such a time when effective vaccines and treatments are widely available, with an option to extend it even further, or consider making permanent, based on the experience and learnings of patients and physicians who are utilizing these visits. Urged Congress to support a targeted allocation from the Provider Relief Fund specifically for primary care services. Priorities for the Biden Administration: Urged the Biden Administration to identify and appoint physicians to health care leadership positions within his Administration. Implement approval, distribution, and funding of a safe and effective COVID-19 vaccine based on recommendations from the Advisory Committee on Immunization Practices (ACIP). Provide support to physicians and other frontline health care workers, including ensuring access and distribution of personal protective equipment (PPE) to health care workers. Fund COVID-19 testing and contact tracing efforts. Reverse regulations that allow the sale of extended short-term, limited duration plans, association health plans. Take action to defend the Affordable Care Act from any litigation, including California v. Texas, that would undermine coverage and patient protections. Expand premium tax credits and cost-sharing reductions. Establish a federal public option to inject competition into the health insurance marketplace. Expand Medicaid eligibility and oppose expansion waivers that limit benefits and apply high cost sharing. Permanently increase payment for Medicaid primary care services to the level of Medicare. Restore the Deferred Action for Childhood Arrivals, consistent with a recent ruling from a federal judge, and identify executive actions that can be taken to ensure that it is not vulnerable to being eliminated in the future. Pursue executive actions to preserve the principles of patient autonomy regarding reproductive decision-making rights. Reverse the Title X gag rule and restore funding to family planning clinics. Establish universal access to at least six weeks of paid family and medical leave that is flexible to accommodate care for a diverse array of family structures, including updating the Family Medical and Leave Act to include grandparents or in-laws. Re-introduce and pass the George Floyd Act and other legislation focused on eliminating racism and police violence. Rejoin the Paris Agreement. Telehealth: Urged Congress to continue existing Public Health Emergency flexibilities and waivers-including pay parity for audio-only phone calls-to support making telehealth an ongoing and continued part of medical care now and in the future, allowing time for further evaluation on which ones should be maintained as is, revised or expanded. Urged Congress to permanently extend the policy to waive geographical and originating-site restrictions after the conclusion of the PHE. Urged Congress or CMS to continue to provide flexibility in the Medicare and Medicaid programs for physician practices to reduce or waive cost-sharing requirements for telehealth services, while also making up the difference between these waived copays and the Medicare allowed amount of the service. Urged Congress or CMS to extend the interim policy to allow Remote Patient Monitoring services to be furnished to patients without an established relationship. Urged support for the Temporary Reciprocity to Ensure Access to Treatment Act or the TREAT Act (S. 168/H.R. 708), which would provide temporary licensing reciprocity for telehealth and interstate health care treatment. American Rescue Plan (ARP) Act (H.R. 1319): Urged support for various provisions within the ARP to provide incentives for states to expand Medicaid by temporarily increasing the states base FMAP by five percentage points for two years for states that newly expand Medicaid. Urged support for allowing states, for five years, to extend Medicaid eligibility (and CHIP eligibility) to women for 12 months postpartum. Urged support to require Medicaid coverage of COVID-19 vaccines and treatment without beneficiary cost sharing with vaccines matched at a 100 percent federal medical assistance percentage (FMAP) through one year after the end of the PHE. Urged support for $46 billion to HHS to detect, diagnose, trace, and monitor COVID-19 infections, and for other activities necessary to mitigate the spread of COVID-19. Urged support to subsidize the health coverage of people earning up to 150 percent of the federal poverty level (FPL) under the ACA and those on unemployment insurance for a period of two years. Urged support for waiving VA cost sharing and copayments for medical treatment until September 30, 2021.
Client expense: $170,367 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS)
2021 · first_quarter · Health Issues
The Affordable Care Act (P.L. 111-148, P.L. 111-152): Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Urged support for H.R. 8505, a bill to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule; Urged that any legislation to hold some Medicare physician payment codes harmless from budget neutrality do so for just one year and to allow evaluation and management increases, along with GPC1X codes to go into effect. Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines; Urged Congress to cosponsor and pass the Safe Step Act (H.R. 2279), to require health insurers to provide an exceptions process for any medication step therapy protocol based on clinical decision-making, medical necessity, and other patient needs. Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62) from the 116th Congress, which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries. Also urged that Congress pass the Reforming Evergreening and Manipulation that Extends Drug Years, REMEDY Act (S. 1209), from the 116th Congress, to aid in the approval of more generic drug applications by the FDA and therefore improve patient access to those medications. Also urged that Congress pass the Prescription Drug STAR Act (H.R. 2113), and the Fair Accountability and Innovative Research (FAIR) Drug Pricing Act (H.R. 2296/S. 1391), from the 116th Congress, to promote greater drug pricing transparency. Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), from the 116th Congress, which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), from the 116th Congress, which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Also urged Congress to pass the Violence Against Women (VAWA) Reauthorization Act of 2021, which passed the House in 2021, to provide protections for domestic violence victims by restricting access to firearms by those deemed a threat to them. Also urged Congress to pass the Assault Weapons Ban of 2019 (S. 66/H.R. 1296), from the 116th Congress, to ban the sale of semi-automatic weapons and high-capacity magazines. Urged support for the enactment of extreme risk protection orders (ERPO) to allow families and law enforcement to obtain a ruling from an impartial judge within 72 hours to temporarily remove guns from individuals at imminent risk of using them to harm themselves or others, with due process. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for bills from the 116th Congress such as H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border under the last administration; urged congressional oversight of family separation policies. Also urged that Congress pass H.R. 6, the Dream and Promise Act of 2019, which would provide a pathway to U.S. citizenship for undocumented children who came to the United States due to the action of their parents, also known as Dreamers. Graduate Medical Education: Urged that Congress support medical education training and debt relief for primary care physicians and other specialties facing shortages by passing the following legislation from the 116th Congress: the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), to lift the GME caps as needed to permit training an adequate number of primary care physicians, including internal medicine specialists, and physicians in other specialties facing shortages; passing the Resident Education Deferred Interest Act (H.R. 1554), to save physicians in residency programs thousands of dollars in interest on their loans and help incentivize the opening of practices in underserved areas; pass legislation to combine DGME and IME into a single, more functional payment program, and broaden the GME financing structure to include all payers; support funding for GME/IME and programs within the Veterans Health Administration that provide graduate medical education to ensure that physicians are adequately trained with the skills needed to treat an aging population. Urged Congress to pass the Opioid Workforce Act of 2019 (H.R. 3414), which would provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine. Urged Congress to pass S. 1203 and H.R. 2441, the What You Can Do For Your Country Act, which would improve and reform the Public Service Loan Forgiveness (PSLF) Program. Vaccines: Urged Congress to pass the Vaccines Act (HR 2862), from the 116th Congress, which would provide federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention (CDC), and outline a national public messaging campaign informed by this research to help improve vaccination rates. Physician Fee Schedule: Commented to CMS and to Congress to fully implement payment increases for all evaluation and management codes, as finalized by CMS, and as scheduled for implementation on Jan. 1, 2021. Reduce the documentation burden for E/M services by allowing choice of medical decision making or time, and work to develop additional clarity and guidance on acceptable documentation to operationalize these important proposals; examination room desktop computers should be counted as a direct medical equipment cost; care management should be promoted by increasing the values of services like Transitional Care Management (TCM) and Chronic Care Management and implementing Principle Care Management (PCM) codes; require additional survey and review for any requests to increase non-outpatient E/M or other services; work with the physician community prior to finalizing any policy affecting eligibility to participate in the Medicare program; Urged congressional committees of jurisdiction to support: Higher physician work relative value units (RVUs) for new and established office visit codes, leading to increased payments for them, Reduced documentation requirements for office visit codes, which enables physicians to select and document for each visit based on medical decision-making or total time, Expanded and improved payment for care management services. Urged Congress to support waiving budget neutrality, applicable to the calendar year 2021 physician fee schedule. COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Urged the administration to explore regulatory and other actions that would make COVID-19 testing free-of-charge to patients covered by both public and private insurance plans, including ACA-compliant plans offered through the insurance exchanges, and to waive co-pays and deductibles for patients seeing physicians for symptoms that may be indicative of COVID-19 or who are hospitalized for treatment. Urged CMS to utilize a national disaster recovery program that would pay doctors 110% of Medicare rates for caring for uninsured patients who have been infected with SARS-CoV-2. Expressed support to Congress and the administration for a variety of COVID-related bills from the 116th Congress as follows: the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged HHS and Congress to make a targeted allocation out of the Provider Relief Fund (PRF) to support primary care physicians and their practices, sufficient to keep their doors open, by offsetting lost revenue from the COVID-19 pandemic, similar to the targeted allocation for rural hospitals; Urged support for the Student Loan Forgiveness for Frontline Health Workers Act, H.R. 6720, introduced May 5, 2020 by Representative Carolyn B. Maloney (D-NY) which would eliminate graduate school debt for healthcare workers, including physicians and medical students, who are providing direct patient care in response to the COVID-19 pandemic; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. This extension-either continued by CMS or mandated by Congress-should last at least through the end of 2021, or until such a time when effective vaccines and treatments are widely available, with an option to extend it even further, or consider making permanent, based on the experience and learnings of patients and physicians who are utilizing these visits. Urged Congress to support a targeted allocation from the Provider Relief Fund specifically for primary care services. Priorities for the Biden Administration: Urged the Biden Administration to identify and appoint physicians to health care leadership positions within his Administration. Implement approval, distribution, and funding of a safe and effective COVID-19 vaccine based on recommendations from the Advisory Committee on Immunization Practices (ACIP). Provide support to physicians and other frontline health care workers, including ensuring access and distribution of personal protective equipment (PPE) to health care workers. Fund COVID-19 testing and contact tracing efforts. Reverse regulations that allow the sale of extended short-term, limited duration plans, association health plans. Take action to defend the Affordable Care Act from any litigation, including California v. Texas, that would undermine coverage and patient protections. Expand premium tax credits and cost-sharing reductions. Establish a federal public option to inject competition into the health insurance marketplace. Expand Medicaid eligibility and oppose expansion waivers that limit benefits and apply high cost sharing. Permanently increase payment for Medicaid primary care services to the level of Medicare. Restore the Deferred Action for Childhood Arrivals, consistent with a recent ruling from a federal judge, and identify executive actions that can be taken to ensure that it is not vulnerable to being eliminated in the future. Pursue executive actions to preserve the principles of patient autonomy regarding reproductive decision-making rights. Reverse the Title X gag rule and restore funding to family planning clinics. Establish universal access to at least six weeks of paid family and medical leave that is flexible to accommodate care for a diverse array of family structures, including updating the Family Medical and Leave Act to include grandparents or in-laws. Re-introduce and pass the George Floyd Act and other legislation focused on eliminating racism and police violence. Rejoin the Paris Agreement. Telehealth: Urged Congress to continue existing Public Health Emergency flexibilities and waivers-including pay parity for audio-only phone calls-to support making telehealth an ongoing and continued part of medical care now and in the future, allowing time for further evaluation on which ones should be maintained as is, revised or expanded. Urged Congress to permanently extend the policy to waive geographical and originating-site restrictions after the conclusion of the PHE. Urged Congress or CMS to continue to provide flexibility in the Medicare and Medicaid programs for physician practices to reduce or waive cost-sharing requirements for telehealth services, while also making up the difference between these waived copays and the Medicare allowed amount of the service. Urged Congress or CMS to extend the interim policy to allow Remote Patient Monitoring services to be furnished to patients without an established relationship. Urged support for the Temporary Reciprocity to Ensure Access to Treatment Act or the TREAT Act (S. 168/H.R. 708), which would provide temporary licensing reciprocity for telehealth and interstate health care treatment. American Rescue Plan (ARP) Act (H.R. 1319): Urged support for various provisions within the ARP to provide incentives for states to expand Medicaid by temporarily increasing the states base FMAP by five percentage points for two years for states that newly expand Medicaid. Urged support for allowing states, for five years, to extend Medicaid eligibility (and CHIP eligibility) to women for 12 months postpartum. Urged support to require Medicaid coverage of COVID-19 vaccines and treatment without beneficiary cost sharing with vaccines matched at a 100 percent federal medical assistance percentage (FMAP) through one year after the end of the PHE. Urged support for $46 billion to HHS to detect, diagnose, trace, and monitor COVID-19 infections, and for other activities necessary to mitigate the spread of COVID-19. Urged support to subsidize the health coverage of people earning up to 150 percent of the federal poverty level (FPL) under the ACA and those on unemployment insurance for a period of two years. Urged support for waiving VA cost sharing and copayments for medical treatment until September 30, 2021.
Gun violence research; Mental health, as related to firearms; Appropriations; Hospital-based violence intervention programs; United States Crime Victims Fund; Firearm suicide; National Violent Death Reporting System; Extreme risk protection orders; Violence Against Women Act; National Child Traumatic Stress Network; National Survey on Drug Use and Health (NSDUH); National Strategy for Suicide Prevention; ReCAST grants; Public health emergencies; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 2786, Jake Laird Act; H.R. 1745, Gun Violence Prevention Act of 2019; H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 4177, Gun Safety Board and Research Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; S. 2843, Violence Against Women Reauthorization Act of 2019; S. 2920, Violence Against Women Reauthorization Act of 2019; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; Fiscal Year 2021 appropriations; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 6318, Urban Progress Act of 2020; H.R. 7667, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2021; H.R. 7614, Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations Act, 2021; H.R. 748, CARES Act; H.R. 6800, HEROES Act; S. 2492, Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2019; H.R. 133, Consolidated Appropriations Act, 2021
Background checks; Improving the National Instant Criminal Background Check System; Intimate partner violence and violence against women, as related to firearms; Mental health, as related to firearms; Trafficking of firearms; National concealed carry reciprocity; Preventing terrorists from acquiring firearms; Hate crimes with firearms; National Firearms Act; Supreme Court of the United States; Presidential Cabinet appointments; Judicial appointments; ATF white paper - Options to Reduce or Modify Firearms Regulations; Deregulation of silencers; Interstate transport of firearms; Federal firearm licensee break-ins; Appropriations; Guns in schools; Firearm suicide; Hospital-based violence intervention programs; Microstamping; Smart gun technology; Bump stocks; Semiautomatic firearms; Firearm accessories; Extreme risk protection orders; Gun permitting; Firearm exports; Firearm tracing; 3D printing of firearms; Firearm permitting; Lost and stolen firearms; Firearm prohibitors; Child access prevention laws; Safe storage laws; Violence Against Women Act; Consumer product safety; Gun dealer regulation; Local regulation of firearms; Essential operations of firearms dealers and manufacturers; An interagency task force on gun violence prevention; Guns in the hands of law enforcement; Ammunition regulation; Recordkeeping; Data sharing; Point of contact states; Office of Victims of Crime; H.R. 1186, Keep Americans Safe Act; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 1262, 21 to Buy Act; H.R. 1266, Ghost Guns are Guns Act; H.R. 1279, Safer Neighborhoods Gun Buyback Act; H.R. 1287, No Guns for Abusers Act; H.R. 155, Hearing Protection Act; H.R. 282, SAFER Now Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 157, Gun Manufacturers Accountability Act; H.R. 1112, Enhanced Background Checks Act; H.R. 1134, Prevent Crime and Terrorism Act; H.R. 1263, National Firearms Amendment Act; H.R. 1296, Assault Weapons Ban; H.R. 1297, Law Enforcement Protection Act; H.R. 33, Gun Trafficking Prohibition Act; H.R. 38, Concealed Carry Reciprocity Act of 2019; H.R. 569, Zero Tolerance for Domestic Abusers Act of 2019; H.R. 717, Raise the Age Act; H.R. 8, Bipartisan Background Checks Act; S. 42, Background Check Expansion Act; S. 447, Keep Americans Safe Act; S. 66, Assault Weapons Ban; S. 69, Constitutional Concealed Carry Reciprocity Act; S. 120, Protecting Domestic Violence and Stalking Victims Act; S. 459, Stopping the Trafficking in Overseas Proliferation of Ghost Guns Act; S. 184, Gun Violence Prevention Research Act; S. 320, SECURE Firearm Storage Act; S. 7, Extreme Risk Protection Order and Violence Prevention Act of 2019; S. 94, Target Practice and Marksmanship Training Support Act; S. 817, Hearing Protection Act; H.R. 1670, Gun Trafficking and Crime Prevention Act of 2019; H.R. 1671, NICS Denials Notifications Act; H.R. 1397, Notice ICE Act; H.R. 1412, Illegal Alien NICS Alert Act; H.R. 820, Gun Show Loophole Closing Act of 2019; H.R. 821, NICS Review Act of 2019; H.R. 822, Firearm Risk Protection Act of 2019; H.R. 869, Undetectable Firearms Modernization Act; H.R. 939, SECURE Firearms Act; H.R. 942, SAFETY Act; H.R. 952, Armor-Piercing Bullets Act of 2019; H.R. 971, Animal Violence Exposes Real Threat of Future Gun Violence Act of 2019; H.R. 1114, Recognizing Gun Violence as a Public Health Emergency Act; H.R. 1115, Firearm Safety Act; H.R. 1116, Keeping Guns from High Risk Individuals Act; H.R. 511, Protecting Domestic Violence and Stalking Victims Act; H.R. 686, Stop Online Ammunition Sales Act of 2019; H.R. 687, Handgun Licensing and Registration Act of 2019; H.R. 719, Make Identifiable Criminal Rounds Obvious Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1324, FAST NICS Act; S. 875, NICS Denials Notifications Act; S. 193, Ethans Law; H.R. 1156, LEOSA Reform Act; H.R. 1501, Police Officers Protecting Children Act; S. 202, SHUSH Act; H.R. 775, SHUSH Act; S. 47, John D. Dingell, Jr. Conservation, Management, and Recreation Act; H.R. 1454, COOL OFF Act; H.R. 49, Accidental Firearms Transfers Reporting Act of 2019; H.R. 1437, Securing DHS Firearms Act of 2019; S. 443, A bill to modify the definition of antique firearm; H.R. 1705, Jamies Law; H.R. 2179, Federal Firearms Licensee Protection Act; H.R. 2319, 21st Century NICS Act; S. 1395, Age 21 Act; H.R. 2634, Closing the Loophole on Interstate Firearm Sales Act; S. 1352, Resources for Victims of Gun Violence Act; H.R. 2585, Resources for Victims of Gun Violence Act; H.R. 2621, Homeland Security Assessment of Terrorists Use of Ghost Guns Act; H.R. 2674, Gun Theft Prevention Act; H.R. 2708, Disarm Hate Act; S. 1462, Disarm Hate Act; H.R. 2786, Jake Laird Act; H.R. 2867, Ethans Law; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214, Equal Access to Justice for Victims of Gun Violence Act; S. 1779, Equal Access to Justice for Victims of Gun Violence Act; S. 1788, Federal Firearms Licensee Protection Act; H.R. 3234, Keeping Gun Dealers Honest Act; H.R. 3265, 3D Printed Gun Safety Act; S. 1831, 3D Printed Gun Safety Act; H.R. 3285, Handgun Purchaser Licensing Act; S. 1844, Handgun Purchase Licensing Act; S. 1884, SAFETY Act; H.R. 3404, Empowering Law Enforcement for Safer Firearm Transfers Act; H.R. 3435, Local Public Health and Safety Protection Act; S. 1943, Help Empower Americans to Respond (HEAR) Act; H.R. 3454, Help Empower Americans to Respond (HEAR) Act; H.R. 3284, To require the Attorney General to study whether an individuals history of domestic violence can be used to determine the likelihood of such individual committing a mass shooting; S. 1519, Protecting Communities and Preserving the Second Amendment Act of 2019; H.R. 1222, Target Practice and Marksmanship Training Support Act; H.R. 2670, Protect Law Enforcement Armor Act; H.R. 1745, Gun Violence Prevention Act of 2019; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3552, To amend the NICS Improvement Amendments Act of 2007 to provide notification to relevant law enforcement agencies in the event that a background check conducted by the National Instant Criminal Background Check System determines that a person may not receive a firearm, and for other purposes; H.R. 3553, To amend chapter 44 of title 18, United States Code, to ensure that all firearms are traceable, and for other purposes; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 3599, Law Enforcement Need to Know Act; H.R. 3606, High Speed Gunfire Prevention Act; S. 2376, Stop Illegal Trafficking in Firearms Act; H.R. 4062, Blair Holt Firearm Licensing and Record of Sale Act; S. 2272, Blair Holt Firearm Licensing and Record of Sale Act; H.R. 4080, Kimberly Vaughan Firearm Safe Storage Act; H.R. 4081, Sabika Sheikh Firearm Licensing and Registration Act; H.R. 4082, Santa Fe High School Victims Act; H.R. 4116, Prevent Gun Trafficking Act; H.R. 4177, Gun Safety Board and Research Act; S. 2449, Federal Firearm Licensing Act; H.R. 4324, Multiple Firearm Sales Reporting Modernization Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; H.R. 4264, Safe Homefront Act; H.R. 4594, Bumpstocks and Acceleration Devices Act; H.R. 4600, Domestic Violence Records Reporting Improvement Act of 2019; S. 2690, Restoring, Enhancing, Securing, and Promoting Our Nation's Safety Efforts Act of 2019; H.R. 4730, Advancing Gun Safety Technology Act of 2019; H.R. 4789, To allow Federal law enforcement officers to purchase retired service weapons, and for other purposes; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 4872, Fire Sale Loophole Closing Act; H.R. 4926, Prevent Family Fire Act of 2019; H.R. 4939, STOP Straw Purchases Act; S. 2843, Violence Against Women Reauthorization Act of 2019; H.R. 5132, Gun Violence Prevention Through Financial Intelligence Act; S. 2843, Violence Against Women Reauthorization Act of 2019; S. Res. 110, A resolution keeping guns out of classrooms; H.R. 5385, To amend the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to States and units of local government to deploy and implement gunfire detection and location technology, and for other purposes; H.R. 5507, Foreign National Firearms Background Check Enhancement Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; H.R. 1158, Consolidated Appropriations Act, 2020; S. 1790, National Defense Authorization Act for Fiscal Year 2020; H. Res. 231, Keeping guns out of classrooms; H. Res. 391, Supporting the goals and ideals of National Gun Violence Awareness Weekend and National Gun Violence Awareness Month; S. Res. 217, A resolution expressing support for the designation of June 7 through June 9, 2019, as "National Gun Violence Awareness Weekend" and June 2019 as "National Gun Violence Awareness Month; H. Res. 555, A resolution expressing the sense of the House of Representatives regarding the relationships between firearm violence, misogyny, and violence against women and reaffirming the importance of preventing individuals with a history of violence against women from accessing a firearm; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 5866, Gun Trafficker Detection Act; S. 3299, Tiahrt Restrictions Repeal Act; H.R. 5917, Gun Records Restoration and Preservation Act; H.R. 5949, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; H.R. 6006, Crime Gun Tracing Modernization Act of 2020; S. 3348, Crime Gun Tracing Modernization Act of 2020; H.R. 6318, Urban Progress Act of 2020; H.R. 6453, To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes; S. 3743, Untraceable Firearms Act; S. 4068, Background Check Completion Act; H.R. 7468, Stop Home Manufacture of Ghost Guns Act; S. 4271, Virginia Plan to Reduce Gun Violence Act; H.R. 7120, George Floyd Justice in Policing Act of 2020; H.R. 6395, National Defense Authorization Act for Fiscal Year 2021; S. 4049, National Defense Authorization Act for Fiscal Year 2021; H.R. 8461, To amend the Arms Export Control Act relating to export licenses for firearm silencers; S. 4768, A bill to amend title 18, United States Code, to make fraudulent dealings in firearms and ammunition unlawful, and for other purposes; H.R. 5836, Prosecuting Gun Crimes Saves Lives Act; H.R. 7977, Firearms Retailer Code of Conduct Act; S. 4443, Lori Jackson Domestic Violence Survivor Protection Act; H.R. 7930, Lori Jackson Domestic Violence Survivor Protection Act; S. 4841, AIM Act of 2020; H.R. 8822, AIM Act of 2020; H.R. 8929, Default Proceed Sale Transparency Act; H.R. 2071, Second Amendment Protection Act; S. 4718, Stopping the Fraudulent Sales of Firearms Act
Gun violence research; Mental health, as related to firearms; Appropriations; Hospital-based violence intervention programs; United States Crime Victims Fund; Firearm suicide; National Violent Death Reporting System; Extreme risk protection orders; Violence Against Women Act; Judicial nominees; Nominees to the United States Supreme Court; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 2786, Jake Laird Act; H.R. 1745, Gun Violence Prevention Act of 2019; H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 4177, Gun Safety Board and Research Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; S. 2843, Violence Against Women Reauthorization Act of 2019; S. 2920, Violence Against Women Reauthorization Act of 2019; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; Fiscal Year 2021 appropriations; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 6318, Urban Progress Act of 2020; H.R. 7667, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2021; H.R. 7614, Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations Act, 2021; H.R. 748, CARES Act; H.R. 6800, HEROES Act; S. 2492, Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2019
| Democratic |
| CA |
| Alcee L. Hastings | Democratic | FL |
| Ami Bera | Democratic | CA |
| André Carson | Democratic | IN |
| Andy Levin | Democratic | MI |
| Angie Craig | Democratic | MN |
| Ann Kirkpatrick | Democratic | AZ |
| Ann M. Kuster | Democratic | NH |
| Anna G. Eshoo | Democratic | CA |
| Ayanna Pressley | Democratic | MA |
| Betty McCollum | Democratic | MN |
| Bill Foster | Democratic | IL |
| Bonnie Watson Coleman | Democratic | NJ |
| Brendan F. Boyle | Democratic | PA |
| Brian Higgins | Democratic | NY |
| Chellie Pingree | Democratic | ME |
| Chris Pappas | Democratic | NH |
| Daniel T. Kildee | Democratic | MI |
| Darren Soto | Democratic | FL |
| David N. Cicilline | Democratic | RI |
| Debbie Dingell | Democratic | MI |
| Debra A. Haaland | Democratic | NM |
| Diana DeGette | Democratic | CO |
| Donald M. Payne, Jr. | Democratic | NJ |
| Donald S. Beyer, Jr. | Democratic | VA |
| Donna E. Shalala | Democratic | FL |
| Doris O. Matsui | Democratic | CA |
| Earl Blumenauer | Democratic | OR |
| Eddie Bernice Johnson | Democratic | TX |
| Eleanor Holmes Norton | Democratic | DC |
| Elijah E. Cummings | Democratic | MD |
| Eliot L. Engel | Democratic | NY |
| Frederica S. Wilson | Democratic | FL |
| Gilbert Ray Cisneros, Jr. | Democratic | CA |
| Grace F. Napolitano | Democratic | CA |
| Gregory W. Meeks | Democratic | NY |
| Gwen Moore | Democratic | WI |
| Harley Rouda | Democratic | CA |
| Henry C. "Hank" Johnson, Jr. | Democratic | GA |
| Jackie Speier | Democratic | CA |
| Jahana Hayes | Democratic | CT |
| James A. Himes | Democratic | CT |
| James P. McGovern | Democratic | MA |
| James R. Langevin | Democratic | RI |
| Janice D. Schakowsky | Democratic | IL |
| Jennifer Wexton | Democratic | VA |
| Jerrold Nadler | Democratic | NY |
| Jerry McNerney | Democratic | CA |
| Jim Cooper | Democratic | TN |
| Jimmy Panetta | Democratic | CA |
| John A. Yarmuth | Democratic | KY |
| John Garamendi | Democratic | CA |
| John P. Sarbanes | Democratic | MD |
| Joseph D. Morelle | Democratic | NY |
| Joseph P. Kennedy III | Democratic | MA |
| Josh Harder | Democratic | CA |
| Julia Brownley | Democratic | CA |
| Katherine M. Clark | Democratic | MA |
| Kathy Castor | Democratic | FL |
| Katie Hill | Democratic | CA |
| Katie Porter | Democratic | CA |
| Lauren Underwood | Democratic | IL |
| Lisa Blunt Rochester | Democratic | DE |
| Lucille Roybal-Allard | Democratic | CA |
| Lucy McBath | Democratic | GA |
| Madeleine Dean | Democratic | PA |
| Mark DeSaulnier | Democratic | CA |
| Mark Pocan | Democratic | WI |
| Mary Gay Scanlon | Democratic | PA |
| Max Rose | Democratic | NY |
| Michael F. Doyle | Democratic | PA |
| Norma J. Torres | Democratic | CA |
| Nydia M. Velázquez | Democratic | NY |
| Paul Tonko | Democratic | NY |
| Peter A. DeFazio | Democratic | OR |
| Peter T. King | Republican | NY |
| Peter Welch | Democratic | VT |
| Rashida Tlaib | Democratic | MI |
| Raul Ruiz | Democratic | CA |
| Ro Khanna | Democratic | CA |
| Robin L. Kelly | Democratic | IL |
| Salud O. Carbajal | Democratic | CA |
| Sean Patrick Maloney | Democratic | NY |
| Seth Moulton | Democratic | MA |
| Sharice Davids | Democratic | KS |
| Stephen F. Lynch | Democratic | MA |
| Steven Horsford | Democratic | NV |
| Susan A. Davis | Democratic | CA |
| Susie Lee | Democratic | NV |
| Suzanne Bonamici | Democratic | OR |
| Thomas R. Suozzi | Democratic | NY |
| Tulsi Gabbard | Democratic | HI |
| Val Butler Demings | Democratic | FL |
| William R. Keating | Democratic | MA |
| Wm. Lacy Clay | Democratic | MO |
| Yvette D. Clarke | Democratic | NY |
| Zoe Lofgren | Democratic | CA |
Client expense: $92,741 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS)
Client expense: $150,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Client expense: $150,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Client expense: $80,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Background checks; Improving the National Instant Criminal Background Check System; Intimate partner violence and violence against women, as related to firearms; Mental health, as related to firearms; Trafficking of firearms; National concealed carry reciprocity; Preventing terrorists from acquiring firearms; Hate crimes with firearms; National Firearms Act; Supreme Court of the United States; Presidential Cabinet appointments; Judicial appointments; ATF white paper - Options to Reduce or Modify Firearms Regulations; Deregulation of silencers; Interstate transport of firearms; Federal firearm licensee break-ins; Appropriations; Guns in schools; Firearm suicide; Hospital-based violence intervention programs; Microstamping; Smart gun technology; Bump stocks; Semiautomatic firearms; Firearm accessories; Extreme risk protection orders; Gun permitting; Firearm exports; Firearm tracing; 3D printing of firearms; Firearm permitting; Lost and stolen firearms; Firearm prohibitors; Child access prevention laws; Safe storage laws; Violence Against Women Act; Consumer product safety; Gun dealer regulation; Local regulation of firearms; Essential operations of firearms dealers and manufacturers; Judicial nominees; Nominees to the United States Supreme Court; H.R. 1186, Keep Americans Safe Act; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 1262, 21 to Buy Act; H.R. 1266, Ghost Guns are Guns Act; H.R. 1279, Safer Neighborhoods Gun Buyback Act; H.R. 1287, No Guns for Abusers Act; H.R. 155, Hearing Protection Act; H.R. 282, SAFER Now Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 157, Gun Manufacturers Accountability Act; H.R. 1112, Enhanced Background Checks Act; H.R. 1134, Prevent Crime and Terrorism Act; H.R. 1263, National Firearms Amendment Act; H.R. 1296, Assault Weapons Ban; H.R. 1297, Law Enforcement Protection Act; H.R. 33, Gun Trafficking Prohibition Act; H.R. 38, Concealed Carry Reciprocity Act of 2019; H.R. 569, Zero Tolerance for Domestic Abusers Act of 2019; H.R. 717, Raise the Age Act; H.R. 8, Bipartisan Background Checks Act; S. 42, Background Check Expansion Act; S. 447, Keep Americans Safe Act; S. 66, Assault Weapons Ban; S. 69, Constitutional Concealed Carry Reciprocity Act; S. 120, Protecting Domestic Violence and Stalking Victims Act; S. 459, Stopping the Trafficking in Overseas Proliferation of Ghost Guns Act; S. 184, Gun Violence Prevention Research Act; S. 320, SECURE Firearm Storage Act; S. 7, Extreme Risk Protection Order and Violence Prevention Act of 2019; S. 94, Target Practice and Marksmanship Training Support Act; S. 817, Hearing Protection Act; H.R. 1670, Gun Trafficking and Crime Prevention Act of 2019; H.R. 1671, NICS Denials Notifications Act; H.R. 1397, Notice ICE Act; H.R. 1412, Illegal Alien NICS Alert Act; H.R. 820, Gun Show Loophole Closing Act of 2019; H.R. 821, NICS Review Act of 2019; H.R. 822, Firearm Risk Protection Act of 2019; H.R. 869, Undetectable Firearms Modernization Act; H.R. 939, SECURE Firearms Act; H.R. 942, SAFETY Act; H.R. 952, Armor-Piercing Bullets Act of 2019; H.R. 971, Animal Violence Exposes Real Threat of Future Gun Violence Act of 2019; H.R. 1114, Recognizing Gun Violence as a Public Health Emergency Act; H.R. 1115, Firearm Safety Act; H.R. 1116, Keeping Guns from High Risk Individuals Act; H.R. 511, Protecting Domestic Violence and Stalking Victims Act; H.R. 686, Stop Online Ammunition Sales Act of 2019; H.R. 687, Handgun Licensing and Registration Act of 2019; H.R. 719, Make Identifiable Criminal Rounds Obvious Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1324, FAST NICS Act; S. 875, NICS Denials Notifications Act; S. 193, Ethans Law; H.R. 1156, LEOSA Reform Act; H.R. 1501, Police Officers Protecting Children Act; S. 202, SHUSH Act; H.R. 775, SHUSH Act; S. 47, John D. Dingell, Jr. Conservation, Management, and Recreation Act; H.R. 1454, COOL OFF Act; H.R. 49, Accidental Firearms Transfers Reporting Act of 2019; H.R. 1437, Securing DHS Firearms Act of 2019; S. 443, A bill to modify the definition of antique firearm; H.R. 1705, Jamies Law; H.R. 2179, Federal Firearms Licensee Protection Act; H.R. 2319, 21st Century NICS Act; S. 1395, Age 21 Act; H.R. 2634, Closing the Loophole on Interstate Firearm Sales Act; S. 1352, Resources for Victims of Gun Violence Act; H.R. 2585, Resources for Victims of Gun Violence Act; H.R. 2621, Homeland Security Assessment of Terrorists Use of Ghost Guns Act; H.R. 2674, Gun Theft Prevention Act; H.R. 2708, Disarm Hate Act; S. 1462, Disarm Hate Act; H.R. 2786, Jake Laird Act; H.R. 2867, Ethans Law; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214, Equal Access to Justice for Victims of Gun Violence Act; S. 1779, Equal Access to Justice for Victims of Gun Violence Act; S. 1788, Federal Firearms Licensee Protection Act; H.R. 3234, Keeping Gun Dealers Honest Act; H.R. 3265, 3D Printed Gun Safety Act; S. 1831, 3D Printed Gun Safety Act; H.R. 3285, Handgun Purchaser Licensing Act; S. 1844, Handgun Purchase Licensing Act; S. 1884, SAFETY Act; H.R. 3404, Empowering Law Enforcement for Safer Firearm Transfers Act; H.R. 3435, Local Public Health and Safety Protection Act; S. 1943, Help Empower Americans to Respond (HEAR) Act; H.R. 3454, Help Empower Americans to Respond (HEAR) Act; H.R. 3284, To require the Attorney General to study whether an individuals history of domestic violence can be used to determine the likelihood of such individual committing a mass shooting; S. 1519, Protecting Communities and Preserving the Second Amendment Act of 2019; H.R. 1222, Target Practice and Marksmanship Training Support Act; H.R. 2670, Protect Law Enforcement Armor Act; H.R. 1745, Gun Violence Prevention Act of 2019; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3552, To amend the NICS Improvement Amendments Act of 2007 to provide notification to relevant law enforcement agencies in the event that a background check conducted by the National Instant Criminal Background Check System determines that a person may not receive a firearm, and for other purposes; H.R. 3553, To amend chapter 44 of title 18, United States Code, to ensure that all firearms are traceable, and for other purposes; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 3599, Law Enforcement Need to Know Act; H.R. 3606, High Speed Gunfire Prevention Act; S. 2376, Stop Illegal Trafficking in Firearms Act; H.R. 4062, Blair Holt Firearm Licensing and Record of Sale Act; S. 2272, Blair Holt Firearm Licensing and Record of Sale Act; H.R. 4080, Kimberly Vaughan Firearm Safe Storage Act; H.R. 4081, Sabika Sheikh Firearm Licensing and Registration Act; H.R. 4082, Santa Fe High School Victims Act; H.R. 4116, Prevent Gun Trafficking Act; H.R. 4177, Gun Safety Board and Research Act; S. 2449, Federal Firearm Licensing Act; H.R. 4324, Multiple Firearm Sales Reporting Modernization Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; H.R. 4264, Safe Homefront Act; H.R. 4594, Bumpstocks and Acceleration Devices Act; H.R. 4600, Domestic Violence Records Reporting Improvement Act of 2019; S. 2690, Restoring, Enhancing, Securing, and Promoting Our Nation's Safety Efforts Act of 2019; H.R. 4730, Advancing Gun Safety Technology Act of 2019; H.R. 4789, To allow Federal law enforcement officers to purchase retired service weapons, and for other purposes; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 4872, Fire Sale Loophole Closing Act; H.R. 4926, Prevent Family Fire Act of 2019; H.R. 4939, STOP Straw Purchases Act; S. 2843, Violence Against Women Reauthorization Act of 2019; H.R. 5132, Gun Violence Prevention Through Financial Intelligence Act; S. 2843, Violence Against Women Reauthorization Act of 2019; S. Res. 110, A resolution keeping guns out of classrooms; H.R. 5385, To amend the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to States and units of local government to deploy and implement gunfire detection and location technology, and for other purposes; H.R. 5507, Foreign National Firearms Background Check Enhancement Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; H.R. 1158, Consolidated Appropriations Act, 2020; S. 1790, National Defense Authorization Act for Fiscal Year 2020; H. Res. 231, Keeping guns out of classrooms; H. Res. 391, Supporting the goals and ideals of National Gun Violence Awareness Weekend and National Gun Violence Awareness Month; S. Res. 217, A resolution expressing support for the designation of June 7 through June 9, 2019, as "National Gun Violence Awareness Weekend" and June 2019 as "National Gun Violence Awareness Month;" H. Res. 555, A resolution expressing the sense of the House of Representatives regarding the relationships between firearm violence, misogyny, and violence against women and reaffirming the importance of preventing individuals with a history of violence against women from accessing a firearm; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 5866, Gun Trafficker Detection Act; S. 3299, Tiahrt Restrictions Repeal Act; H.R. 5917, Gun Records Restoration and Preservation Act; H.R. 5949, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; H.R. 6006, Crime Gun Tracing Modernization Act of 2020; S. 3348, Crime Gun Tracing Modernization Act of 2020; H.R. 6318, Urban Progress Act of 2020; H.R. 6453, To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes; S. 3743, Untraceable Firearms Act; S. 4068, Background Check Completion Act; H.R. 7468, Stop Home Manufacture of Ghost Guns Act; S. 4271, Virginia Plan to Reduce Gun Violence Act; H.R. 7120, George Floyd Justice in Policing Act of 2020; H.R. 6395, National Defense Authorization Act for Fiscal Year 2021; S. 4049, National Defense Authorization Act for Fiscal Year 2021; H.R. 8461, To amend the Arms Export Control Act relating to export licenses for firearm silencers; S. 4718, A bill to amend title 18, United States Code, to make fraudulent dealings in firearms and ammunition unlawful, and for other purposes; H.R. 5836, Prosecuting Gun Crimes Saves Lives Act; H.R. 7977, Firearms Retailer Code of Conduct Act; S. 4443, Lori Jackson Domestic Violence Survivor Protection Act; H.R. 7930, Lori Jackson Domestic Violence Survivor Protection Act
Client expense: $80,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Background checks; Improving the National Instant Criminal Background Check System; Intimate partner violence and violence against women, as related to firearms; Mental health, as related to firearms; Trafficking of firearms; National concealed carry reciprocity; Preventing terrorists from acquiring firearms; Hate crimes with firearms; National Firearms Act; Supreme Court of the United States; Presidential Cabinet appointments; Judicial appointments; ATF white paper - Options to Reduce or Modify Firearms Regulations; Deregulation of silencers; Interstate transport of firearms; Federal firearm licensee break-ins; Appropriations; Guns in schools; Firearm suicide; Hospital-based violence intervention programs; Microstamping; Smart gun technology; Bump stocks; Semiautomatic firearms; Firearm accessories; Extreme risk protection orders; Gun permitting; Firearm exports; Firearm tracing; 3D printing of firearms; Firearm permitting; Lost and stolen firearms; Firearm prohibitors; Child access prevention laws; Safe storage laws; Violence Against Women Act; Consumer product safety; Gun dealer regulation; Local regulation of firearms; Essential operations of firearms dealers and manufacturers; H.R. 1186, Keep Americans Safe Act; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 1262, 21 to Buy Act; H.R. 1266, Ghost Guns are Guns Act; H.R. 1279, Safer Neighborhoods Gun Buyback Act; H.R. 1287, No Guns for Abusers Act; H.R. 155, Hearing Protection Act; H.R. 282, SAFER Now Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 157, Gun Manufacturers Accountability Act; H.R. 1112, Enhanced Background Checks Act; H.R. 1134, Prevent Crime and Terrorism Act; H.R. 1263, National Firearms Amendment Act; H.R. 1296, Assault Weapons Ban; H.R. 1297, Law Enforcement Protection Act; H.R. 33, Gun Trafficking Prohibition Act; H.R. 38, Concealed Carry Reciprocity Act of 2019; H.R. 569, Zero Tolerance for Domestic Abusers Act of 2019; H.R. 717, Raise the Age Act; H.R. 8, Bipartisan Background Checks Act; S. 42, Background Check Expansion Act; S. 447, Keep Americans Safe Act; S. 66, Assault Weapons Ban; S. 69, Constitutional Concealed Carry Reciprocity Act; S. 120, Protecting Domestic Violence and Stalking Victims Act; S. 459, Stopping the Trafficking in Overseas Proliferation of Ghost Guns Act; S. 184, Gun Violence Prevention Research Act; S. 320, SECURE Firearm Storage Act; S. 7, Extreme Risk Protection Order and Violence Prevention Act of 2019; S. 94, Target Practice and Marksmanship Training Support Act; S. 817, Hearing Protection Act; H.R. 1670, Gun Trafficking and Crime Prevention Act of 2019; H.R. 1671, NICS Denials Notifications Act; H.R. 1397, Notice ICE Act; H.R. 1412, Illegal Alien NICS Alert Act; H.R. 820, Gun Show Loophole Closing Act of 2019; H.R. 821, NICS Review Act of 2019; H.R. 822, Firearm Risk Protection Act of 2019; H.R. 869, Undetectable Firearms Modernization Act; H.R. 939, SECURE Firearms Act; H.R. 942, SAFETY Act; H.R. 952, Armor-Piercing Bullets Act of 2019; H.R. 971, Animal Violence Exposes Real Threat of Future Gun Violence Act of 2019; H.R. 1114, Recognizing Gun Violence as a Public Health Emergency Act; H.R. 1115, Firearm Safety Act; H.R. 1116, Keeping Guns from High Risk Individuals Act; H.R. 511, Protecting Domestic Violence and Stalking Victims Act; H.R. 686, Stop Online Ammunition Sales Act of 2019; H.R. 687, Handgun Licensing and Registration Act of 2019; H.R. 719, Make Identifiable Criminal Rounds Obvious Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1324, FAST NICS Act; S. 875, NICS Denials Notifications Act; S. 193, Ethans Law; H.R. 1156, LEOSA Reform Act; H.R. 1501, Police Officers Protecting Children Act; S. 202, SHUSH Act; H.R. 775, SHUSH Act; S. 47, John D. Dingell, Jr. Conservation, Management, and Recreation Act; H.R. 1454, COOL OFF Act; H.R. 49, Accidental Firearms Transfers Reporting Act of 2019; H.R. 1437, Securing DHS Firearms Act of 2019; S. 443, A bill to modify the definition of antique firearm; H.R. 1705, Jamies Law; H.R. 2179, Federal Firearms Licensee Protection Act; H.R. 2319, 21st Century NICS Act; S. 1395, Age 21 Act; H.R. 2634, Closing the Loophole on Interstate Firearm Sales Act; S. 1352, Resources for Victims of Gun Violence Act; H.R. 2585, Resources for Victims of Gun Violence Act; H.R. 2621, Homeland Security Assessment of Terrorists Use of Ghost Guns Act; H.R. 2674, Gun Theft Prevention Act; H.R. 2708, Disarm Hate Act; S. 1462, Disarm Hate Act; H.R. 2786, Jake Laird Act; H.R. 2867, Ethans Law; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214, Equal Access to Justice for Victims of Gun Violence Act; S. 1779, Equal Access to Justice for Victims of Gun Violence Act; S. 1778, Federal Firearms Licensee Protection Act; H.R. 3234, Keeping Gun Dealers Honest Act; H.R. 3265, 3D Printed Gun Safety Act; S. 1831, 3D Printed Gun Safety Act; H.R. 3285, Handgun Purchaser Licensing Act; S. 1844, Handgun Purchase Licensing Act; S. 1884, SAFETY Act; H.R. 3404, Empowering Law Enforcement for Safer Firearm Transfers Act; H.R. 3435, Local Public Health and Safety Protection Act; S. 1943, Help Empower Americans to Respond (HEAR) Act; H.R. 3454, Help Empower Americans to Respond (HEAR) Act; H.R. 3284, To require the Attorney General to study whether an individuals history of domestic violence can be used to determine the likelihood of such individual committing a mass shooting; S. 1519, Protecting Communities and Preserving the Second Amendment Act of 2019; H.R. 1222, Target Practice and Marksmanship Training Support Act; H.R. 2670, Protect Law Enforcement Armor Act; H.R. 1745, Gun Violence Prevention Act of 2019; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3552, To amend the NICS Improvement Amendments Act of 2007 to provide notification to relevant law enforcement agencies in the event that a background check conducted by the National Instant Criminal Background Check System determines that a person may not receive a firearm, and for other purposes; H.R. 3553, To amend chapter 44 of title 18, United States Code, to ensure that all firearms are traceable, and for other purposes; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 3599, Law Enforcement Need to Know Act; H.R. 3606, High Speed Gunfire Prevention Act; S. 2376, Stop Illegal Trafficking in Firearms Act; H.R. 4062, Blair Holt Firearm Licensing and Record of Sale Act; S. 2272, Blair Holt Firearm Licensing and Record of Sale Act; H.R. 4080, Kimberly Vaughan Firearm Safe Storage Act; H.R. 4081, Sabika Sheikh Firearm Licensing and Registration Act; H.R. 4082, Santa Fe High School Victims Act; H.R. 4116, Prevent Gun Trafficking Act; H.R. 4177, Gun Safety Board and Research Act; S. 2449, Federal Firearm Licensing Act; H.R. 4324, Multiple Firearm Sales Reporting Modernization Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; H.R. 4264, Safe Homefront Act; H.R. 4594, Bumpstocks and Acceleration Devices Act; H.R. 4600, Domestic Violence Records Reporting Improvement Act of 2019; S. 2690, Restoring, Enhancing, Securing, and Promoting Our Nation's Safety Efforts Act of 2019; H.R. 4730, Advancing Gun Safety Technology Act of 2019; H.R. 4789, To allow Federal law enforcement officers to purchase retired service weapons, and for other purposes; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 4872, Fire Sale Loophole Closing Act; H.R. 4926, Prevent Family Fire Act of 2019; H.R. 4939, STOP Straw Purchases Act; S. 2843, Violence Against Women Reauthorization Act of 2019; H.R. 5132, Gun Violence Prevention Through Financial Intelligence Act; S. 2920, Violence Against Women Reauthorization Act of 2019; S. Res. 110, A resolution keeping guns out of classrooms; H.R. 5385, To amend the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to States and units of local government to deploy and implement gunfire detection and location technology, and for other purposes; H.R. 5507, Foreign National Firearms Background Check Enhancement Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; H.R. 1158, Consolidated Appropriations Act, 2020; S. 1790, National Defense Authorization Act for Fiscal Year 2020; H. Res. 231, Keeping guns out of classrooms; H. Res. 391, Supporting the goals and ideals of National Gun Violence Awareness Weekend and National Gun Violence Awareness Month; S. Res. 217, A resolution expressing support for the designation of June 7 through June 9, 2019, as "National Gun Violence Awareness Weekend" and June 2019 as "National Gun Violence Awareness Month;" H. Res. 555, A resolution expressing the sense of the House of Representatives regarding the relationships between firearm violence, misogyny, and violence against women and reaffirming the importance of preventing individuals with a history of violence against women from accessing a firearm; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 5866, Gun Trafficker Detection Act; S. 3299, Tiahrt Restrictions Repeal Act; H.R. 5917, Gun Records Restoration and Preservation Act; H.R. 5949, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; H.R. 6006, Crime Gun Tracing Modernization Act of 2020; S. 3348, Crime Gun Tracing Modernization Act of 2020; H.R. 6318, Urban Progress Act; H.R. 6453, To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes; S. 3743, Untraceable Firearms Act; S. 3815, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; S. 4068, Background Check Completion Act; S. Res. 592, A resolution expressing support for the designation of June 5, 2020, as "National Gun Violence Awareness Day" and June 2020 as "National Gun Violence Awareness Month; H. Res. 977, Expressing support for the designation of June 5, 2020, as "National Gun Violence Awareness Day" and June 2020 as "National Gun Violence Awareness Month
Client expense: $100,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Gun violence research; Mental health, as related to firearms; Appropriations; Hospital-based violence intervention programs; United States Crime Victims Fund; Firearm suicide; National Violent Death Reporting System; Extreme risk protection orders; Violence Against Women Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 2786, Jake Laird Act; H.R. 1745, Gun Violence Prevention Act of 2019; H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 4177, Gun Safety Board and Research Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; S. 2843, Violence Against Women Reauthorization Act of 2019; S. 2920, Violence Against Women Reauthorization Act of 2019; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; Fiscal Year 2021 appropriations; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act
Client expense: $100,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Background checks; Improving the National Instant Criminal Background Check System; Intimate partner violence and violence against women, as related to firearms; Mental health, as related to firearms; Trafficking of firearms; National concealed carry reciprocity; Preventing terrorists from acquiring firearms; Hate crimes with firearms; National Firearms Act; Supreme Court of the United States; Presidential Cabinet appointments; Judicial appointments; ATF white paper - Options to Reduce or Modify Firearms Regulations; Deregulation of silencers; Interstate transport of firearms; Federal firearm licensee break-ins; Appropriations; Guns in schools; Firearm suicide; Hospital-based violence intervention programs; Microstamping; Smart gun technology; Bump stocks; Semiautomatic firearms; Firearm accessories; Extreme risk protection orders; Gun permitting; Firearm exports; Firearm tracing; 3D printing of firearms; Firearm permitting; Lost and stolen firearms; Firearm prohibitors; Child access prevention laws; Safe storage laws; Violence Against Women Act; Consumer product safety; Gun dealer regulation; Local regulation of firearms; Essential operations of firearms dealers and manufacturers; H.R. 1186, Keep Americans Safe Act; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 1262, 21 to Buy Act; H.R. 1266, Ghost Guns are Guns Act; H.R. 1279, Safer Neighborhoods Gun Buyback Act; H.R. 1287, No Guns for Abusers Act; H.R. 155, Hearing Protection Act; H.R. 282, SAFER Now Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 157, Gun Manufacturers Accountability Act; H.R. 1112, Enhanced Background Checks Act; H.R. 1134, Prevent Crime and Terrorism Act; H.R. 1263, National Firearms Amendment Act; H.R. 1296, Assault Weapons Ban; H.R. 1297, Law Enforcement Protection Act; H.R. 33, Gun Trafficking Prohibition Act; H.R. 38, Concealed Carry Reciprocity Act of 2019; H.R. 569, Zero Tolerance for Domestic Abusers Act of 2019; H.R. 717, Raise the Age Act; H.R. 8, Bipartisan Background Checks Act; S. 42, Background Check Expansion Act; S. 447, Keep Americans Safe Act; S. 66, Assault Weapons Ban; S. 69, Constitutional Concealed Carry Reciprocity Act; S. 120, Protecting Domestic Violence and Stalking Victims Act; S. 459, Stopping the Trafficking in Overseas Proliferation of Ghost Guns Act; S. 184, Gun Violence Prevention Research Act; S. 320, SECURE Firearm Storage Act; S. 7, Extreme Risk Protection Order and Violence Prevention Act of 2019; S. 94, Target Practice and Marksmanship Training Support Act; S. 817, Hearing Protection Act; H.R. 1670, Gun Trafficking and Crime Prevention Act of 2019; H.R. 1671, NICS Denials Notifications Act; H.R. 1397, Notice ICE Act; H.R. 1412, Illegal Alien NICS Alert Act; H.R. 820, Gun Show Loophole Closing Act of 2019; H.R. 821, NICS Review Act of 2019; H.R. 822, Firearm Risk Protection Act of 2019; H.R. 869, Undetectable Firearms Modernization Act; H.R. 939, SECURE Firearms Act; H.R. 942, SAFETY Act; H.R. 952, Armor-Piercing Bullets Act of 2019; H.R. 971, Animal Violence Exposes Real Threat of Future Gun Violence Act of 2019; H.R. 1114, Recognizing Gun Violence as a Public Health Emergency Act; H.R. 1115, Firearm Safety Act; H.R. 1116, Keeping Guns from High Risk Individuals Act; H.R. 511, Protecting Domestic Violence and Stalking Victims Act; H.R. 686, Stop Online Ammunition Sales Act of 2019; H.R. 687, Handgun Licensing and Registration Act of 2019; H.R. 719, Make Identifiable Criminal Rounds Obvious Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1324, FAST NICS Act; S. 875, NICS Denials Notifications Act; S. 193, Ethans Law; H.R. 1156, LEOSA Reform Act; H.R. 1501, Police Officers Protecting Children Act; S. 202, SHUSH Act; H.R. 775, SHUSH Act; S. 47, John D. Dingell, Jr. Conservation, Management, and Recreation Act; H.R. 1454, COOL OFF Act; H.R. 49, Accidental Firearms Transfers Reporting Act of 2019; H.R. 1437, Securing DHS Firearms Act of 2019; S. 443, A bill to modify the definition of antique firearm; H.R. 1705, Jamies Law; H.R. 2179, Federal Firearms Licensee Protection Act; H.R. 2319, 21st Century NICS Act; S. 1395, Age 21 Act; H.R. 2634, Closing the Loophole on Interstate Firearm Sales Act; S. 1352, Resources for Victims of Gun Violence Act; H.R. 2585, Resources for Victims of Gun Violence Act; H.R. 2621, Homeland Security Assessment of Terrorists Use of Ghost Guns Act; H.R. 2674, Gun Theft Prevention Act; H.R. 2708, Disarm Hate Act; S. 1462, Disarm Hate Act; H.R. 2786, Jake Laird Act; H.R. 2867, Ethans Law; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214, Equal Access to Justice for Victims of Gun Violence Act; S. 1779, Equal Access to Justice for Victims of Gun Violence Act; S. 1788, Federal Firearms Licensee Protection Act; H.R. 3234, Keeping Gun Dealers Honest Act; H.R. 3265, 3D Printed Gun Safety Act; S. 1831, 3D Printed Gun Safety Act; H.R. 3285, Handgun Purchaser Licensing Act; S. 1844, Handgun Purchase Licensing Act; S. 1884, SAFETY Act; H.R. 3404, Empowering Law Enforcement for Safer Firearm Transfers Act; H.R. 3435, Local Public Health and Safety Protection Act; S. 1943, Help Empower Americans to Respond (HEAR) Act; H.R. 3454, Help Empower Americans to Respond (HEAR) Act; H.R. 3284, To require the Attorney General to study whether an individuals history of domestic violence can be used to determine the likelihood of such individual committing a mass shooting; S. 1519, Protecting Communities and Preserving the Second Amendment Act of 2019; H.R. 1222, Target Practice and Marksmanship Training Support Act; H.R. 2670, Protect Law Enforcement Armor Act; H.R. 1745, Gun Violence Prevention Act of 2019; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3552, To amend the NICS Improvement Amendments Act of 2007 to provide notification to relevant law enforcement agencies in the event that a background check conducted by the National Instant Criminal Background Check System determines that a person may not receive a firearm, and for other purposes; H.R. 3553, To amend chapter 44 of title 18, United States Code, to ensure that all firearms are traceable, and for other purposes; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 3599, Law Enforcement Need to Know Act; H.R. 3606, High Speed Gunfire Prevention Act; S. 2376, Stop Illegal Trafficking in Firearms Act; H.R. 4062, Blair Holt Firearm Licensing and Record of Sale Act; S. 2272, Blair Holt Firearm Licensing and Record of Sale Act; H.R. 4080, Kimberly Vaughan Firearm Safe Storage Act; H.R. 4081, Sabika Sheikh Firearm Licensing and Registration Act; H.R. 4082, Santa Fe High School Victims Act; H.R. 4116, Prevent Gun Trafficking Act; H.R. 4177, Gun Safety Board and Research Act; S. 2449, Federal Firearm Licensing Act; H.R. 4324, Multiple Firearm Sales Reporting Modernization Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; H.R. 4264, Safe Homefront Act; H.R. 4594, Bumpstocks and Acceleration Devices Act; H.R. 4600, Domestic Violence Records Reporting Improvement Act of 2019; S. 2690, Restoring, Enhancing, Securing, and Promoting Our Nation's Safety Efforts Act of 2019; H.R. 4730, Advancing Gun Safety Technology Act of 2019; H.R. 4789, To allow Federal law enforcement officers to purchase retired service weapons, and for other purposes; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 4872, Fire Sale Loophole Closing Act; H.R. 4926, Prevent Family Fire Act of 2019; H.R. 4939, STOP Straw Purchases Act; S. 2920, Violence Against Women Reauthorization Act of 2019; H.R. 5132, Gun Violence Prevention Through Financial Intelligence Act; S. 2843, Violence Against Women Reauthorization Act of 2019; S. Res. 110, A resolution keeping guns out of classrooms; H.R. 5385, To amend the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to States and units of local government to deploy and implement gunfire detection and location technology, and for other purposes; H.R. 5507, Foreign National Firearms Background Check Enhancement Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; H.R. 1158, Consolidated Appropriations Act, 2020; S. 1790, National Defense Authorization Act for Fiscal Year 2020; H. Res. 231, Keeping guns out of classrooms; H. Res. 391, Supporting the goals and ideals of National Gun Violence Awareness Weekend and National Gun Violence Awareness Month; S. Res. 217, A resolution expressing support for the designation of June 7 through June 9, 2019, as "National Gun Violence Awareness Weekend" and June 2019 as "National Gun Violence Awareness Month;" H. Res. 555, A resolution expressing the sense of the House of Representatives regarding the relationships between firearm violence, misogyny, and violence against women and reaffirming the importance of preventing individuals with a history of violence against women from accessing a firearm; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 5866, Gun Trafficker Detection Act; S. 3299, Tiahrt Restrictions Repeal Act; H.R. 5917, Gun Records Restoration and Preservation Act; H.R. 5949, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; H.R. 6006, Crime Gun Tracing Modernization Act of 2020; S. 3348, Crime Gun Tracing Modernization Act of 2020.
Client expense: $100,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Gun violence research; Mental health, as related to firearms; Appropriations; Hospital-based violence intervention programs; United States Crime Victims Fund; Firearm suicide; National Violent Death Reporting System; Extreme risk protection orders; Violence Against Women Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 2786, Jake Laird Act; H.R. 1745, Gun Violence Prevention Act of 2019; H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 4177, Gun Safety Board and Research Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; S. 2843, Violence Against Women Reauthorization Act of 2019; S. 2920, Violence Against Women Reauthorization Act of 2019; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; Fiscal Year 2021 appropriations; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act.
Client expense: $100,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Firearms/Guns/Ammunition
H.R. 1 For the People Act of 2019 H.R. 8 Bipartisan Background Checks Act of 2019 H.R. 21 Consolidated Appropriations Act, 2019 H.R. 33 Gun Trafficking Prohibition Act H.R. 38 Concealed Carry Reciprocity Act of 2019 H.R. 49 Accidental Firearms Transfers Reporting Act of 2019 H.R. 110 To provide an exception to certain mandatory minimum sentence requirements for a person employed outside the United States by a Federal agency, who uses, carries, or possesses the firearm during and in relation to a crime of violence committed while on-duty with a firearm required to be carried while on-duty H.R. 119 National Statistics on Deadly Force Transparency Act of 2019 H.R. 121 Fresh Start Act of 2019 H.R. 155 Hearing Protection Act H.R. 157 Gun Manufacturers Accountability Act H.R. 167 To prohibit the transfer of a firearm at a gun show by a person who is not a licensed dealer. H.R. 175 To amend chapter 44 of title 18, United States Code, to more comprehensively address the interstate transportation of firearms or ammunition. H.R. 282 SAFER Now Act H.R. 435 National Gun Violence Research Act H.R. 489 SHIELD Act of 2019 H.R. 493 Sensible Enforcement of Cannabis Act of 2019 H.R. 511 Protecting Domestic Violence and Stalking Victims Act H.R. 569 Zero Tolerance for Domestic Abusers Act of 2019 H.R. 606 Fairness in Firearm Testing Act H.R. 608 School Watch and Tactics Act of 2019 H.R. 648 Consolidated Appropriations Act, 2019 H.R. 659 Buyback Our Safety Act H.R. 664 Recreational Lands Self-Defense Act of 2019 H.R. 674 Gun Violence Prevention Research Act of 2019 H.R. 686 Stop Online Ammunition Sales Act of 2019 H.R. 687 Handgun Licensing and Registration Act of 2019 H.R. 717 Raise the Age Act H.R. 719 MICRO Act H.R. 743 Securing Our Children Act of 2019 H.R. 744 Protecting Our Communities and Rights Act of 2019 H.R. 775 SHUSH Act H.R. 820 Gun Show Loophole Closing Act of 2019 H.R. 821 NICS Review Act of 2019 H.R. 822 Firearm Risk Protection Act of 2019 H.R. 838 Threat Assessment, Prevention, and Safety Act of 2019 H.R. 869 Undetectable Firearms Modernization Act H.R. 877 Modernizing the Pittman-Robertson Fund for Tomorrow's Needs Act H.R. 930 Stopping the Iron Pipeline Act of 2019 H.R. 939 SECURE Firearm Storage Act H.R. 942 SAFETY Act H.R. 1112 To amend chapter 44 of title 18, United States Code, to strengthen the background check procedures to be followed before a Federal firearms licensee may transfer a firearm to a person who is not such a licensee. H.R. 1115 To amend the Consumer Product Safety Act to remove the exclusion of pistols, revolvers, and other firearms from the definition of consumer product in order to permit the issuance of safety standards for such articles by the Consumer Product Safety Commission. H.R. 1116 To amend chapter 44 of title 18, United States Code, to prohibit the sale or other disposition of a firearm to, and the possession, shipment, transportation, or receipt of a firearm by, certain classes of high risk individuals. H.R. 2071 Second Amendment Protection Act H.R. 2251 Protect Our Military Families' 2nd Amendment Rights Act H.R. 2319 21st Century NICS Act H.R. 2364 Investor Choice Against Gun Proliferation Act H.R. 2443 Firearms Interstate Commerce Reform Act H.R. 2364 Closing the Loophole on Interstate Firearm Sales Act H.R. 2959 Freedom from Assault Weapons Act H.R. 3076 Federal Extreme Risk Protection Order Act of 2019 H.R. 3200 Safe Students Act H.R. 3265 3D Printed Gun Safety Act of 2019 H.R. 3285 Handgun Purchaser Licensing Act H.R. 3552 Unlawful Gun Buyer Alert Act H.R. 3553 Untraceable Firearms Act of 2019 H.R. 3554 End Purchase of Firearms by Dangerous Individuals Act of 2019 H.R. 3606 High Speed Gunfire Prevention Act H.R. 4062 Blair Holt Firearm Owner Licensing and Record of Sale Act of 2019 H.R. 4116 Prevent Gun Trafficking Act H.R. 4255 Trafficking Reduction And Criminal Enforcement (TRACE) Act H.R. 4324 Multiple Firearm Sales Reporting Modernization Act of 2019 H.R. 4490 To require the Inspector General, Department of Justice, to submit a report to the Congress on the number of firearm transaction denials issued by the National Instant Criminal Background Check System that are referred to the Bureau of Alcohol, Tobacco, Firearms, and Explosives for investigation, the number of prosecutions resulting from such investigations, and the number of firearms recovered by the Bureau in cases in which such a denial was issued after the firearm was transferred. H.R. 4594 Bumpstocks and Acceleration Devices Act H.R. 4691 Safe Gun Storage Act of 2019 H.R. 4730 Advancing Gun Safety Technology Act of 2019 H.R. 4872 Fire Sale Loophole Closing Act H.R. 5132 Gun Violence Prevention Through Financial Intelligence Act H.R. 5289 Home Defense and Competitive Shooting Act of 2019 H.R. 5301 To amend title 18, United States Code, to permit certain individuals complying with State law to possess firearms H.R. 5713 Safe Bases Act H.R. 5716 SAFER Voter Act H.R. 5717 Gun Violence Prevention and Community Safety Act of 2020 H.R. 5875 Protect Our Military Families' 2nd Amendment Rights Act H.R. 5935 Lawful Interstate Transportation of Firearms Act H.R. 6453 To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes. H.R.7468 Stop Home Manufacture of Ghost Guns Act of 2020 H.R.7667 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2021 H.R.7702 Background Check Point of Contact Act of 2020 H.R.7715 U.S. Military Right to Carry Act H.R. 8631 Responsible Ownership of Firearms Act of 2020 H.R. 8681 Stopping the Fraudulent Sales of Firearms Act H.R. 8821 Keeping Guns From Criminals Act H.R. 8837 To direct the Secretary of Homeland Security to conduct a study on perpetrators of mass killings, and for other purposes. H.R. 9053 No Congressional Gun Loophole Act S. 7 Extreme Risk Protection Order and Violence Prevention Act of 2019 S. 42 Background Check Expansion Act S. 47 Natural Resources Management Act S. 66 Assault Weapons Ban of 2019 S. 69 Constitutional Concealed Carry Reciprocity Act of 2019 S. 94 Target Practice and Marksmanship Training Support Act S. 120 Protecting Domestic Violence and Stalking Victims Act of 2019 S. 166 A bill to provide provisional protected presence status for certain aliens and to provide mandatory appropriations relating to border security. S. 184 Gun Violence Prevention Research Act S. 193 Ethan's Law S. 202 SHUSH Act S. 265 Threat Assessment, Prevention, and Safety Act of 2019 S. 320 A bill to amend title 18, United States Code, to require federally licensed firearms importers, manufacturers, and dealers to meet certain requirements with respect to securing their firearms inventory, business records, and business premises. S. 351 A bill to prohibit Federal funding of State firearm ownership databases, and for other purposes. S. 443 A bill to modify the definition of an antique firearm. S. 506 Extreme Risk Protection Order Act of 2019 S. 817 Hearing Protection Act S. 875 NICS Denial Notification Act of 2019 S. 1331 Veterans' Second Amendment Rights Restoration Act of 2019 S. 1395 Age 21 Act S. 1506 A bill to amend title 18, United States Code, to permit certain individuals complying with State law to possess firearms. S. 1519 Protecting Communities and Preserving the Second Amendment Act of 2019 S. 1831 3D Printed Gun Safety Act of 2019 S. 1844 Handgun Purchaser Licensing Act S. 2013 A bill to protect the right of individuals to bear arms at water resources development projects. S. 2272 Blair Holt Firearm Owner Licensing and Record of Sale Act of 2019 S. 2376 Stop Illegal Trafficking in Firearms Act of 2019 S. 2449 Federal Firearm Licensing Act S. 3065 Safe Gun Storage Act of 2019 S. 3130 Servicemembers Self-Defense Act of 2019 S. 3139 Lawful Interstate Transportation of Firearms Act S. 3254 Gun Violence Prevention and Community Safety Act of 2020 S. 3348 Crime Gun Tracing Modernization Act of 2020 S. 3493 Protect Our Military Families' 2nd Amendment Rights Act S.3743 Untraceable Firearms Act of 2020 S.3815 National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020 S.4040 Gun Owner Privacy Act S.4068 Background Check Completion Act of 2020 S.4271 Virginia Plan to Reduce Gun Violence Act of 2020 S.4301 U.S. Military Right to Carry Act S. 4888 Veterans 2nd Amendment Protection Act
Client expense: $566,611 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Medical/Disease Research/Clinical Labs
Legislation and policies related to: Pediatric and childrens health research Nursing research Gun Violence Prevention Research Act (S. 184/H.R. 674)
Client expense: Not reported · Firm income: $24,000
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
2020 · fourth_quarter · Firearms/Guns/Ammunition
Legislation and policies related to: Firearms and gun violence protections for children, families, and health care providers, including schools and health care facilities Bipartisan Background Checks Act of 2019 (H.R. 8) Raise the Age Act (H.R. 717) Keep Americans Safe Act (H.R. 1186) Background Check Expansion Act (S. 42) Assault Weapons Ban Act of 2019 (S. 66) Gun Violence Prevention Research Act (S. 184/H.R. 674)
Client expense: Not reported · Firm income: $24,000
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
2020 · fourth_quarter · Firearms/Guns/Ammunition
Issues relating to universal background checks for the sale of firearms; H.R. 8, Bipartisan Background Checks Act; H.R. 1112, Background Check Completion Act; S. 42, Background Check Expansion Act; Issues related to research on firearm safety; H.R. 674 and S. 184, Gun Violence Research Prevention Act; Issues related to notifying law enforcement when a prohibited purchaser fails a NICS background check; H.R. 1671 and S. 875, NICS Denial Notification Act; Issues related to federal red flag laws; H.R. 1236 and S. 509, Emergency Risk Protection Order Act; S.7 Extreme Risk Protection Order and Violence Prevention Act; H.R. 744, Protecting Communities and Rights Act; Issues related to closing loopholes that permit unmarried individuals convicted of domestic violence to purchase and possess firearms; HR 459, Zero Tolerance for Domestic Abusers Act; S. 12, Protecting Domestic Violence and Stalking Victims Act; H.R. 1585, Violence Against Women Reauthorization Act; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214 and S. 1179, PLCAA Repeal aka Equal Justice for Victims of Gun Violence Act; H.R. 3055, FY2020 Commerce, Justice, Science appropriations; H.R. 2740, FY2020 Labor, Health and Human Services appropriations; H.R. 2500, FY 2020 Defense Authorization Act; S.2584, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2020; H.R. 1186, Keep Americans Safe Act; H.R. 2708, Disarm Hate Act; H.R. 4301, School Shooting Safety and Preparedness Act; HR 7120, the George Floyd Justice in Policing Act; HR 6800, the HEROES Act; issues related to the Supreme Court nomination and confirmation process
Client expense: $330,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Health Issues
Public health, as related to firearms; gun violence research; appropriations; hospital-based violence intervention programs; Intimate partner violence and domestic violence, as related to firearms; Mental health, as related to firearms; firearm suicide; impacted communities, as related to firearms; lethal means safety counseling; National Violent Death Reporting System; other gun violence prevention measures; HR1236 Extreme Risk Protection Order Act; HR511 Protecting Domestic Violence and Stalking Victims Act; HR569 Zero Tolerance for Domestic Abusers Act; S120 Protecting Domestic Violence and Stalking Victims Act; S506 Extreme Risk Protection Order Act; HR435 National Gun Violence Research Act; HR 674 Gun Violence Prevention Research Act; S184 a bill to authorize the appropriations of funds to the Centers for Disease Control; HR1585 Violence Against Women Reauthorization Act; Vote 156; HR2740 Fiscal 2020 Labor-HHS-Education Appropriations; HR 6714 Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2021, and for other purposes; COVID-19 relief as it relates to gun violence prevention; HR 8084 Lethal Means Safety Training Act
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Government Issues
Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund Library Stabilization Act H.R. 6800 HEROES Act - local government pandemic relief HEALS Act - local government pandemic relief H.R. 133, the Coronavirus Response and Relief Supplemental Appropriations Act H.R. 4447, the Clean Economy Jobs and Innovation Act H.R. 7947, the Supporting Foster Youth & Families through the Pandemic Act S. 4182 the Emergency Support for Nursing Homes and Elder Justice Reform Act of 2020
Client expense: Not reported · Firm income: $50,000
Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE
2020 · fourth_quarter · Health Issues
The Affordable Care Act (P.L. 111-148, P.L. 111-152): Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Urged support for H.R. 8505, a bill to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule; Urged that any legislation to hold some Medicare physician payment codes harmless from budget neutrality do so for just one year and to allow evaluation and management increases, along with GPC1X codes to go into effect. Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines; Urged Congress to cosponsor and pass the Safe Step Act (H.R. 2279), to require health insurers to provide an exceptions process for any medication step therapy protocol based on clinical decision-making, medical necessity, and other patient needs. Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62), which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries, and the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019, (H.R. 965/S. 340), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market. Also urged that Congress pass the Reforming Evergreening and Manipulation that Extends Drug Years, REMEDY Act (S. 1209), to aid in the approval of more generic drug applications by the FDA and therefore improve patient access to those medications. Also urged that Congress pass the Prescription Drug STAR Act (H.R. 2113), and the Fair Accountability and Innovative Research (FAIR) Drug Pricing Act (H.R. 2296/S. 1391), to promote greater drug pricing transparency; Expressed appreciation to the House speaker for introduction of H.R. 3, the Lower Drug Costs Now Act, noting encouragement for its provisions to empower the Secretary of Health and Human Services (HHS) to negotiate with drug companies for lower prices and to cap out-of-pocket costs for seniors enrolled in the Medicare Part D program. Commented to the FDA on its prescription drug reimportation proposed rule noting that while the College is generally supportive of drug importation as laid out in the proposed rule as a means to control the cost of prescription drugs, the FDA must guarantee that the design and implementation of the rule includes numerous measures and safeguards to ensure patient safety. By limiting the origin of imported drugs to Canadian-certified and FDA-approved and registered drugs and entities, the College believes the proposed rule meets the required U.S. standards to assure high-quality drugs and patient safety. Any final drug importation system must also be one that is a closed system and has a tightly controlled and documented supply chain to assure authenticity and avoid degradation of the drug. Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2021 for federal programs/initiatives designed to support primary care including Title VII Health Professions grants and the National Health Service Corps (NHSC). Equally important is the need to fund essential health services and medical research by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH) and public health programs supported by the Centers for Disease Control and Prevention (CDC). Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Also urged Congress to pass the Violence Against Women (VAWA) Reauthorization Act of 2019 (H.R. 1585), to provide protections for domestic violence victims by restricting access to firearms by those deemed a threat to them. Also urged Congress to pass the Assault Weapons Ban of 2019 (S. 66/H.R. 1296), to ban the sale of semi-automatic weapons and high capacity magazines. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border last summer; urged congressional oversight of family separation policies. Also urged that Congress pass H.R. 6, the Dream and Promise Act of 2019, which would provide a pathway to U.S. citizenship for undocumented children who came to the United States due to the action of their parents, also known as Dreamers. Expressed concern to the U.S. Department of Homeland Security with the recent U.S. Citizenship and Immigration Service (USCIS) policy change to no longer accept or adjudicate non-military deferred action requests including those for individuals with serious medical conditions; Urged USCIS to reverse this decision immediately and resume consideration of deferred action requests for medical reasons; Opposed the proposed rule, U.S. Immigration and Customs Enforcement (ICE) Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media. This rule would change the process to extend the period of authorized stay in the United States for certain categories of nonimmigrants by eliminating the long-standing "duration of status and replacing it with a specific end date. The College urged the Department of Homeland Security to exclude physicians in the Department of States (DOS) Exchange Visitor Program in J-1 visa status from this rule change because it will otherwise disrupt the training of thousands of physicians - physicians who already have been thoroughly vetted, already are serving on our nations health care teams, and already are carefully monitored during their time in the U.S. Graduate Medical Education: Urged that Congress support medical education training and debt relief for primary care physicians and other specialties facing shortages by passing the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), to lift the GME caps as needed to permit training an adequate number of primary care physicians, including internal medicine specialists, and physicians in other specialties facing shortages; passing the Resident Education Deferred Interest Act (H.R. 1554), to save physicians in residency programs thousands of dollars in interest on their loans and help incentivize the opening of practices in underserved areas; pass legislation to combine DGME and IME into a single, more functional payment program, and broaden the GME financing structure to include all payers; support funding for GME/IME and programs within the Veterans Health Administration that provide graduate medical education to ensure that physicians are adequately trained with the skills needed to treat an aging population. Urged Congress to pass the Opioid Workforce Act of 2019 (H.R. 3414), which would provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine. Urged Congress to pass S. 1203 and H.R. 2441, the What You Can Do For Your Country Act, which would improve and reform the Public Service Loan Forgiveness (PSLF) Program. Vaccines: Urged Congress to pass the Vaccines Act (HR 2862), which would provide federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention (CDC), and outline a national public messaging campaign informed by this research to help improve vaccination rates; Supported H.R. 592, recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide; Urged the U.S. Department of Homeland Security (DHS) to reconsider its decision to not vaccinate families in the custody of U.S. Customs and Border Protection (CBP) against influenza (flu). Urged Congress to support payments for vaccines, as finalized by CMS, and set for implementation on Jan. 1, 2021. Surprise Medical Billing: Urged Congress to pass legislation that would protect patients from surprise out-of-network medical bills in both emergency and non-emergency settings that includes the following principles: hold patients harmless from surprise medical bills for out-of-network services, address narrow insurance networks, abandon efforts to establish an in-network median rate for services in these settings and instead opt for an independent dispute resolution process to determine payment. Appropriations: Urged Congress to fund Title VII, Section 747, Primary Care Training and Enhancement (PCTE) at $71 million for fiscal year 2021; Fund the Agency for Health Care Research and Quality (AHRQ) at $460 million for fiscal year 2021; Fund the National Health Service Corps (NHSC) at $830 million for fiscal year 2021; Fund the Title X Family Planning Program at $400 million for fiscal year 2021 and include language to remove barriers to care that interfere with the patient-physician relationship; Fund Research on Prevention of Firearms-related Injuries and Deaths at $50 million for Fiscal Year 2021; Fund the National Institutes of Health (NIH) at $44.7 billion for fiscal year 2021; Fund the Centers for Disease Control and Prevention (CDC) at $8.3 billion for fiscal year 2021; Urged the House and Senate Armed Services Committees to support provisions in any final FY2021 National Defense Authorization Act to prevent cuts to the Military Health Service and the military medical workforce without requiring appropriate congressional oversight and review. Physician Fee Schedule: Commented to CMS and to Congress to fully implement payment increases for all evaluation and management codes, as finalized by CMS, and as scheduled for implementation on Jan. 1, 2021. Reduce the documentation burden for E/M services by allowing choice of medical decision making or time, and work to develop additional clarity and guidance on acceptable documentation to operationalize these important proposals; examination room desktop computers should be counted as a direct medical equipment cost; care management should be promoted by increasing the values of services like Transitional Care Management (TCM) and Chronic Care Management and implementing Principle Care Management (PCM) codes; require additional survey and review for any requests to increase non-outpatient E/M or other services; work with the physician community prior to finalizing any policy affecting eligibility to participate in the Medicare program; Urged congressional committees of jurisdiction to support: Higher physician work relative value units (RVUs) for new and established office visit codes, leading to increased payments for them, Reduced documentation requirements for office visit codes, which enables physicians to select and document for each visit based on medical decision-making or total time, Expanded and improved payment for care management services. Urged Congress to support waiving budget neutrality, applicable to the calendar year 2021 physician fee schedule. COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Urged the administration to explore regulatory and other actions that would make COVID-19 testing free-of-charge to patients covered by both public and private insurance plans, including ACA-compliant plans offered through the insurance exchanges, and to waive co-pays and deductibles for patients seeing physicians for symptoms that may be indicative of COVID-19 or who are hospitalized for treatment. Urged CMS to utilize a national disaster recovery program that would pay doctors 110% of Medicare rates for caring for uninsured patients who have been infected with SARS-CoV-2. Expressed support to Congress and the administration for the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged HHS and Congress to make a targeted allocation out of the Provider Relief Fund (PRF) to support primary care physicians and their practices, sufficient to keep their doors open, by offsetting lost revenue from the COVID-19 pandemic, similar to the targeted allocation for rural hospitals; Urged support for the Student Loan Forgiveness for Frontline Health Workers Act, H.R. 6720, introduced May 5, 2020 by Representative Carolyn B. Maloney (D-NY) which would eliminate graduate school debt for healthcare workers, including physicians and medical students, who are providing direct patient care in response to the COVID-19 pandemic; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. This extension-either continued by CMS or mandated by Congress-should last at least through the end of 2021, or until such a time when effective vaccines and treatments are widely available, with an option to extend it even further, or consider making permanent, based on the experience and learnings of patients and physicians who are utilizing these visits. Urged Congress to support a targeted allocation from the Provider Relief Fund specifically for primary care services. Priorities for New Administration: Urged the incoming Biden Administration to identify and appoint physicians to health care leadership positions within your Administration. Implement approval, distribution, and funding of a safe and effective COVID-19 vaccine based on recommendations from the Advisory Committee on Immunization Practices (ACIP). Provide support to physicians and other frontline health care workers, including ensuring access and distribution of personal protective equipment (PPE) to health care workers. Fund COVID-19 testing and contact tracing efforts. Reverse regulations that allow the sale of extended short-term, limited duration plans, association health plans. Take action to defend the Affordable Care Act from any litigation, including California v. Texas, that would undermine coverage and patient protections. Expand premium tax credits and cost-sharing reductions. Establish a federal public option to inject competition into the health insurance marketplace. Expand Medicaid eligibility and oppose expansion waivers that limit benefits and apply high cost sharing. Permanently increase payment for Medicaid primary care services to the level of Medicare. Restore the Deferred Action for Childhood Arrivals, consistent with a recent ruling from a federal judge, and identify executive actions that can be taken to ensure that it is not vulnerable to being eliminated in the future. Pursue executive actions to preserve the principles of patient autonomy regarding reproductive decision-making rights. Reverse the Title X gag rule and restore funding to family planning clinics. Establish universal access to at least six weeks of paid family and medical leave that is flexible to accommodate care for a diverse array of family structures, including updating the Family Medical and Leave Act to include grandparents or in-laws. Re-introduce and pass the George Floyd Act and other legislation focused on eliminating racism and police violence. Rejoin the Paris Agreement.
Client expense: $241,204 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS)
2020 · fourth_quarter · Health Issues
The Affordable Care Act (P.L. 111-148, P.L. 111-152): Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Urged support for H.R. 8505, a bill to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule; Urged that any legislation to hold some Medicare physician payment codes harmless from budget neutrality do so for just one year and to allow evaluation and management increases, along with GPC1X codes to go into effect. Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines; Urged Congress to cosponsor and pass the Safe Step Act (H.R. 2279), to require health insurers to provide an exceptions process for any medication step therapy protocol based on clinical decision-making, medical necessity, and other patient needs. Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62), which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries, and the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019, (H.R. 965/S. 340), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market. Also urged that Congress pass the Reforming Evergreening and Manipulation that Extends Drug Years, REMEDY Act (S. 1209), to aid in the approval of more generic drug applications by the FDA and therefore improve patient access to those medications. Also urged that Congress pass the Prescription Drug STAR Act (H.R. 2113), and the Fair Accountability and Innovative Research (FAIR) Drug Pricing Act (H.R. 2296/S. 1391), to promote greater drug pricing transparency; Expressed appreciation to the House speaker for introduction of H.R. 3, the Lower Drug Costs Now Act, noting encouragement for its provisions to empower the Secretary of Health and Human Services (HHS) to negotiate with drug companies for lower prices and to cap out-of-pocket costs for seniors enrolled in the Medicare Part D program. Commented to the FDA on its prescription drug reimportation proposed rule noting that while the College is generally supportive of drug importation as laid out in the proposed rule as a means to control the cost of prescription drugs, the FDA must guarantee that the design and implementation of the rule includes numerous measures and safeguards to ensure patient safety. By limiting the origin of imported drugs to Canadian-certified and FDA-approved and registered drugs and entities, the College believes the proposed rule meets the required U.S. standards to assure high-quality drugs and patient safety. Any final drug importation system must also be one that is a closed system and has a tightly controlled and documented supply chain to assure authenticity and avoid degradation of the drug. Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2021 for federal programs/initiatives designed to support primary care including Title VII Health Professions grants and the National Health Service Corps (NHSC). Equally important is the need to fund essential health services and medical research by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH) and public health programs supported by the Centers for Disease Control and Prevention (CDC). Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Also urged Congress to pass the Violence Against Women (VAWA) Reauthorization Act of 2019 (H.R. 1585), to provide protections for domestic violence victims by restricting access to firearms by those deemed a threat to them. Also urged Congress to pass the Assault Weapons Ban of 2019 (S. 66/H.R. 1296), to ban the sale of semi-automatic weapons and high capacity magazines. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border last summer; urged congressional oversight of family separation policies. Also urged that Congress pass H.R. 6, the Dream and Promise Act of 2019, which would provide a pathway to U.S. citizenship for undocumented children who came to the United States due to the action of their parents, also known as Dreamers. Expressed concern to the U.S. Department of Homeland Security with the recent U.S. Citizenship and Immigration Service (USCIS) policy change to no longer accept or adjudicate non-military deferred action requests including those for individuals with serious medical conditions; Urged USCIS to reverse this decision immediately and resume consideration of deferred action requests for medical reasons; Opposed the proposed rule, U.S. Immigration and Customs Enforcement (ICE) Establishing a Fixed Time Period of Admission and an Extension of Stay Procedure for Nonimmigrant Academic Students, Exchange Visitors, and Representatives of Foreign Information Media. This rule would change the process to extend the period of authorized stay in the United States for certain categories of nonimmigrants by eliminating the long-standing "duration of status and replacing it with a specific end date. The College urged the Department of Homeland Security to exclude physicians in the Department of States (DOS) Exchange Visitor Program in J-1 visa status from this rule change because it will otherwise disrupt the training of thousands of physicians - physicians who already have been thoroughly vetted, already are serving on our nations health care teams, and already are carefully monitored during their time in the U.S. Graduate Medical Education: Urged that Congress support medical education training and debt relief for primary care physicians and other specialties facing shortages by passing the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), to lift the GME caps as needed to permit training an adequate number of primary care physicians, including internal medicine specialists, and physicians in other specialties facing shortages; passing the Resident Education Deferred Interest Act (H.R. 1554), to save physicians in residency programs thousands of dollars in interest on their loans and help incentivize the opening of practices in underserved areas; pass legislation to combine DGME and IME into a single, more functional payment program, and broaden the GME financing structure to include all payers; support funding for GME/IME and programs within the Veterans Health Administration that provide graduate medical education to ensure that physicians are adequately trained with the skills needed to treat an aging population. Urged Congress to pass the Opioid Workforce Act of 2019 (H.R. 3414), which would provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine. Urged Congress to pass S. 1203 and H.R. 2441, the What You Can Do For Your Country Act, which would improve and reform the Public Service Loan Forgiveness (PSLF) Program. Vaccines: Urged Congress to pass the Vaccines Act (HR 2862), which would provide federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention (CDC), and outline a national public messaging campaign informed by this research to help improve vaccination rates; Supported H.R. 592, recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide; Urged the U.S. Department of Homeland Security (DHS) to reconsider its decision to not vaccinate families in the custody of U.S. Customs and Border Protection (CBP) against influenza (flu). Urged Congress to support payments for vaccines, as finalized by CMS, and set for implementation on Jan. 1, 2021. Surprise Medical Billing: Urged Congress to pass legislation that would protect patients from surprise out-of-network medical bills in both emergency and non-emergency settings that includes the following principles: hold patients harmless from surprise medical bills for out-of-network services, address narrow insurance networks, abandon efforts to establish an in-network median rate for services in these settings and instead opt for an independent dispute resolution process to determine payment. Appropriations: Urged Congress to fund Title VII, Section 747, Primary Care Training and Enhancement (PCTE) at $71 million for fiscal year 2021; Fund the Agency for Health Care Research and Quality (AHRQ) at $460 million for fiscal year 2021; Fund the National Health Service Corps (NHSC) at $830 million for fiscal year 2021; Fund the Title X Family Planning Program at $400 million for fiscal year 2021 and include language to remove barriers to care that interfere with the patient-physician relationship; Fund Research on Prevention of Firearms-related Injuries and Deaths at $50 million for Fiscal Year 2021; Fund the National Institutes of Health (NIH) at $44.7 billion for fiscal year 2021; Fund the Centers for Disease Control and Prevention (CDC) at $8.3 billion for fiscal year 2021; Urged the House and Senate Armed Services Committees to support provisions in any final FY2021 National Defense Authorization Act to prevent cuts to the Military Health Service and the military medical workforce without requiring appropriate congressional oversight and review. Physician Fee Schedule: Commented to CMS and to Congress to fully implement payment increases for all evaluation and management codes, as finalized by CMS, and as scheduled for implementation on Jan. 1, 2021. Reduce the documentation burden for E/M services by allowing choice of medical decision making or time, and work to develop additional clarity and guidance on acceptable documentation to operationalize these important proposals; examination room desktop computers should be counted as a direct medical equipment cost; care management should be promoted by increasing the values of services like Transitional Care Management (TCM) and Chronic Care Management and implementing Principle Care Management (PCM) codes; require additional survey and review for any requests to increase non-outpatient E/M or other services; work with the physician community prior to finalizing any policy affecting eligibility to participate in the Medicare program; Urged congressional committees of jurisdiction to support: Higher physician work relative value units (RVUs) for new and established office visit codes, leading to increased payments for them, Reduced documentation requirements for office visit codes, which enables physicians to select and document for each visit based on medical decision-making or total time, Expanded and improved payment for care management services. Urged Congress to support waiving budget neutrality, applicable to the calendar year 2021 physician fee schedule. COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Urged the administration to explore regulatory and other actions that would make COVID-19 testing free-of-charge to patients covered by both public and private insurance plans, including ACA-compliant plans offered through the insurance exchanges, and to waive co-pays and deductibles for patients seeing physicians for symptoms that may be indicative of COVID-19 or who are hospitalized for treatment. Urged CMS to utilize a national disaster recovery program that would pay doctors 110% of Medicare rates for caring for uninsured patients who have been infected with SARS-CoV-2. Expressed support to Congress and the administration for the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged HHS and Congress to make a targeted allocation out of the Provider Relief Fund (PRF) to support primary care physicians and their practices, sufficient to keep their doors open, by offsetting lost revenue from the COVID-19 pandemic, similar to the targeted allocation for rural hospitals; Urged support for the Student Loan Forgiveness for Frontline Health Workers Act, H.R. 6720, introduced May 5, 2020 by Representative Carolyn B. Maloney (D-NY) which would eliminate graduate school debt for healthcare workers, including physicians and medical students, who are providing direct patient care in response to the COVID-19 pandemic; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. This extension-either continued by CMS or mandated by Congress-should last at least through the end of 2021, or until such a time when effective vaccines and treatments are widely available, with an option to extend it even further, or consider making permanent, based on the experience and learnings of patients and physicians who are utilizing these visits. Urged Congress to support a targeted allocation from the Provider Relief Fund specifically for primary care services. Priorities for New Administration: Urged the incoming Biden Administration to identify and appoint physicians to health care leadership positions within your Administration. Implement approval, distribution, and funding of a safe and effective COVID-19 vaccine based on recommendations from the Advisory Committee on Immunization Practices (ACIP). Provide support to physicians and other frontline health care workers, including ensuring access and distribution of personal protective equipment (PPE) to health care workers. Fund COVID-19 testing and contact tracing efforts. Reverse regulations that allow the sale of extended short-term, limited duration plans, association health plans. Take action to defend the Affordable Care Act from any litigation, including California v. Texas, that would undermine coverage and patient protections. Expand premium tax credits and cost-sharing reductions. Establish a federal public option to inject competition into the health insurance marketplace. Expand Medicaid eligibility and oppose expansion waivers that limit benefits and apply high cost sharing. Permanently increase payment for Medicaid primary care services to the level of Medicare. Restore the Deferred Action for Childhood Arrivals, consistent with a recent ruling from a federal judge, and identify executive actions that can be taken to ensure that it is not vulnerable to being eliminated in the future. Pursue executive actions to preserve the principles of patient autonomy regarding reproductive decision-making rights. Reverse the Title X gag rule and restore funding to family planning clinics. Establish universal access to at least six weeks of paid family and medical leave that is flexible to accommodate care for a diverse array of family structures, including updating the Family Medical and Leave Act to include grandparents or in-laws. Re-introduce and pass the George Floyd Act and other legislation focused on eliminating racism and police violence. Rejoin the Paris Agreement.
Client expense: $91,236 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS)
2020 · fourth_quarter · Firearms/Guns/Ammunition
H.R. 8 - Bipartisan Background Checks Act of 2019. H.R. 1112 - Enhanced Background Checks Act of 2019. S. 42 - Background Check Expansion Act. H.R. 459 - Zero Tolerance for Domestic Abusers Act. S. 120 - Protecting Domestic Violence and Stalking Victims Act. H.R. 674/S. 184 - Gun Violence Research Prevention Act. S. 7 - Extreme Risk Protection Order and Violence Prevention Act. H.R. 744 - Protecting Communities and Rights Act. H.R. 1585 - Violence Against Women Reauthorization Act. H.R. 1671/S. 875 - NICS Denial Notification Act. H.R. 3076 - Federal Extreme Risk Protection Order Act. H.R. 3214/S. 1179 - Equal Justice for Victims of Gun Violence Act (Repeal of Protection of Lawful Commerce in Arms Act) H.R. 1236 -Extreme Risk Protection Order Act of 2019 H.R. 1186 - Keep Americans Safe Act. H.R. 2708 - Disarm Hate Act. H.R. 4301 - School Shooting Safety and Preparedness Act Issues related to firearms safety. Issues related to background checks. H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 6800, HEROES Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Firearms/Guns/Ammunition
The National Association for Gun Rights advocates on behalf of gun owners for pro-Second Amendment related public policy issues including but not limited to the following subject areas and their respective executive departments/agencies and legislative committees: Firearms, ammunition, accessories, right to possess purchase own and carry, background checks, mental health, NICS, registration requirements/databases, federal gun free zones, NFA of 1934, GCA of 1968, gun related Executive Orders, actions, nominations or treaties, 1st and 4th amendment protections for gun owners, and related appropriations. In each case NAGR opposes gun control and supports removing restrictions on the right to bear arms. Legislation before the 116th Congress that NAGR is actively following and lobbying on may include, but is not limited to: House Bills and Resolutions: H.R. 49, H.R. 110, H.R. 33, H.R. 167, H.R. 155, H.R. 38, H.R. 21, H.R. 8, H.R. 282, H.R. 511, H.R. 717, H.R. 674, H.R. 719, H.R. 775, H.R. 820, H.R. 821, H.R. 822, H.R. 869, H.R. 939, H.R. 1112, H.R. 1262, H.R. 1266, H.R. 1296, H.R. 1115, H.R. 1116, H.R. 1186, H.R. 1236, H.R. 1263, H.R. 1266, H.R. 1287, H.R. 1339, H.R. 1397, H.R. 1412, H.R. 1134, H.R. 930, H.R. 1072, H.R. 1116, H.R. 2674, H.R. 2621, H.R. 3265, H.R. 1761, H.R 2634, H.R 3200, H.R. 3552, H.R. 1585, H.R. 569, H.R. 3214, H.R. 3234, H.R. 3284, H.R. 3285, H.R. 3404, H.R. 3420, H.R. 3435, H.R. 3454, H.R. 3552, H.R. 3553, H.R. 3554, H.R. 3569, H.R. 3599, H.R. 3606, H.R. 3665, H.R. 3714, H.R. 4062, H.R. 4080, H.R. 4081, H.R. 4082, H.R. 5716, H.R. 5717, H.R. 5917, and H.R. 6006. Senate Bills and Resolutions: S. 7, S. 66, S. 69, S. 42, S. 120, S. 184, S. 202, S. 42, S. 447, S. 506, S. 443, S. 459, S. 193, S. 1795, S. 1831, S. 1844, S. 1884, S. 1924, S. 1943, S. 2013, S. 2014, S. 2272, S.351, S. 4040 Non-legislative issues lobbied before Congress, the BATFE, Executive Office of the President, but not limited to: The ATF and Justice Department rulemaking on bump stocks. We are opposed to their rulemaking. The ATF and Justice Department rulemaking on regulating AR and AK pistols as short barrel rifles. We are opposed to their rulemaking. The UN Small Arms Treaty. We are opposed to the UN ATT and support the United States removing its signature. The nomination of Chuck Canterbury, Jr. to head the ATF. We were opposed to his nomination. The nomination of Amy Coney Barrett to the U.S. Supreme Court. We support her confirmation to the U.S. Supreme Court.
Client expense: $255,398 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
Background checks; Improving the National Instant Criminal Background Check System; Intimate partner violence and violence against women, as related to firearms; Mental health, as related to firearms; Trafficking of firearms; National concealed carry reciprocity; Preventing terrorists from acquiring firearms; Hate crimes with firearms; National Firearms Act; Supreme Court of the United States; Presidential Cabinet appointments; Judicial appointments; ATF white paper - Options to Reduce or Modify Firearms Regulations; Deregulation of silencers; Interstate transport of firearms; Federal firearm licensee break-ins; Appropriations; Guns in schools; Firearm suicide; Hospital-based violence intervention programs; Microstamping; Smart gun technology; Bump stocks; Semiautomatic firearms; Firearm accessories; Extreme risk protection orders; Gun permitting; Firearm exports; Firearm tracing; 3D printing of firearms; Firearm permitting; Lost and stolen firearms; Firearm prohibitors; Child access prevention laws; Safe storage laws; Violence Against Women Act; Consumer product safety; Gun dealer regulation; Local regulation of firearms; Essential operations of firearms dealers and manufacturers; An interagency task force on gun violence prevention; Guns in the hands of law enforcement; Ammunition regulation; Recordkeeping; Data sharing; Point of contact states; Office of Victims of Crime; H.R. 1186, Keep Americans Safe Act; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 1262, 21 to Buy Act; H.R. 1266, Ghost Guns are Guns Act; H.R. 1279, Safer Neighborhoods Gun Buyback Act; H.R. 1287, No Guns for Abusers Act; H.R. 155, Hearing Protection Act; H.R. 282, SAFER Now Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 157, Gun Manufacturers Accountability Act; H.R. 1112, Enhanced Background Checks Act; H.R. 1134, Prevent Crime and Terrorism Act; H.R. 1263, National Firearms Amendment Act; H.R. 1296, Assault Weapons Ban; H.R. 1297, Law Enforcement Protection Act; H.R. 33, Gun Trafficking Prohibition Act; H.R. 38, Concealed Carry Reciprocity Act of 2019; H.R. 569, Zero Tolerance for Domestic Abusers Act of 2019; H.R. 717, Raise the Age Act; H.R. 8, Bipartisan Background Checks Act; S. 42, Background Check Expansion Act; S. 447, Keep Americans Safe Act; S. 66, Assault Weapons Ban; S. 69, Constitutional Concealed Carry Reciprocity Act; S. 120, Protecting Domestic Violence and Stalking Victims Act; S. 459, Stopping the Trafficking in Overseas Proliferation of Ghost Guns Act; S. 184, Gun Violence Prevention Research Act; S. 320, SECURE Firearm Storage Act; S. 7, Extreme Risk Protection Order and Violence Prevention Act of 2019; S. 94, Target Practice and Marksmanship Training Support Act; S. 817, Hearing Protection Act; H.R. 1670, Gun Trafficking and Crime Prevention Act of 2019; H.R. 1671, NICS Denials Notifications Act; H.R. 1397, Notice ICE Act; H.R. 1412, Illegal Alien NICS Alert Act; H.R. 820, Gun Show Loophole Closing Act of 2019; H.R. 821, NICS Review Act of 2019; H.R. 822, Firearm Risk Protection Act of 2019; H.R. 869, Undetectable Firearms Modernization Act; H.R. 939, SECURE Firearms Act; H.R. 942, SAFETY Act; H.R. 952, Armor-Piercing Bullets Act of 2019; H.R. 971, Animal Violence Exposes Real Threat of Future Gun Violence Act of 2019; H.R. 1114, Recognizing Gun Violence as a Public Health Emergency Act; H.R. 1115, Firearm Safety Act; H.R. 1116, Keeping Guns from High Risk Individuals Act; H.R. 511, Protecting Domestic Violence and Stalking Victims Act; H.R. 686, Stop Online Ammunition Sales Act of 2019; H.R. 687, Handgun Licensing and Registration Act of 2019; H.R. 719, Make Identifiable Criminal Rounds Obvious Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1324, FAST NICS Act; S. 875, NICS Denials Notifications Act; S. 193, Ethans Law; H.R. 1156, LEOSA Reform Act; H.R. 1501, Police Officers Protecting Children Act; S. 202, SHUSH Act; H.R. 775, SHUSH Act; S. 47, John D. Dingell, Jr. Conservation, Management, and Recreation Act; H.R. 1454, COOL OFF Act; H.R. 49, Accidental Firearms Transfers Reporting Act of 2019; H.R. 1437, Securing DHS Firearms Act of 2019; S. 443, A bill to modify the definition of antique firearm; H.R. 1705, Jamies Law; H.R. 2179, Federal Firearms Licensee Protection Act; H.R. 2319, 21st Century NICS Act; S. 1395, Age 21 Act; H.R. 2634, Closing the Loophole on Interstate Firearm Sales Act; S. 1352, Resources for Victims of Gun Violence Act; H.R. 2585, Resources for Victims of Gun Violence Act; H.R. 2621, Homeland Security Assessment of Terrorists Use of Ghost Guns Act; H.R. 2674, Gun Theft Prevention Act; H.R. 2708, Disarm Hate Act; S. 1462, Disarm Hate Act; H.R. 2786, Jake Laird Act; H.R. 2867, Ethans Law; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214, Equal Access to Justice for Victims of Gun Violence Act; S. 1779, Equal Access to Justice for Victims of Gun Violence Act; S. 1788, Federal Firearms Licensee Protection Act; H.R. 3234, Keeping Gun Dealers Honest Act; H.R. 3265, 3D Printed Gun Safety Act; S. 1831, 3D Printed Gun Safety Act; H.R. 3285, Handgun Purchaser Licensing Act; S. 1844, Handgun Purchase Licensing Act; S. 1884, SAFETY Act; H.R. 3404, Empowering Law Enforcement for Safer Firearm Transfers Act; H.R. 3435, Local Public Health and Safety Protection Act; S. 1943, Help Empower Americans to Respond (HEAR) Act; H.R. 3454, Help Empower Americans to Respond (HEAR) Act; H.R. 3284, To require the Attorney General to study whether an individuals history of domestic violence can be used to determine the likelihood of such individual committing a mass shooting; S. 1519, Protecting Communities and Preserving the Second Amendment Act of 2019; H.R. 1222, Target Practice and Marksmanship Training Support Act; H.R. 2670, Protect Law Enforcement Armor Act; H.R. 1745, Gun Violence Prevention Act of 2019; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3552, To amend the NICS Improvement Amendments Act of 2007 to provide notification to relevant law enforcement agencies in the event that a background check conducted by the National Instant Criminal Background Check System determines that a person may not receive a firearm, and for other purposes; H.R. 3553, To amend chapter 44 of title 18, United States Code, to ensure that all firearms are traceable, and for other purposes; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 3599, Law Enforcement Need to Know Act; H.R. 3606, High Speed Gunfire Prevention Act; S. 2376, Stop Illegal Trafficking in Firearms Act; H.R. 4062, Blair Holt Firearm Licensing and Record of Sale Act; S. 2272, Blair Holt Firearm Licensing and Record of Sale Act; H.R. 4080, Kimberly Vaughan Firearm Safe Storage Act; H.R. 4081, Sabika Sheikh Firearm Licensing and Registration Act; H.R. 4082, Santa Fe High School Victims Act; H.R. 4116, Prevent Gun Trafficking Act; H.R. 4177, Gun Safety Board and Research Act; S. 2449, Federal Firearm Licensing Act; H.R. 4324, Multiple Firearm Sales Reporting Modernization Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; H.R. 4264, Safe Homefront Act; H.R. 4594, Bumpstocks and Acceleration Devices Act; H.R. 4600, Domestic Violence Records Reporting Improvement Act of 2019; S. 2690, Restoring, Enhancing, Securing, and Promoting Our Nation's Safety Efforts Act of 2019; H.R. 4730, Advancing Gun Safety Technology Act of 2019; H.R. 4789, To allow Federal law enforcement officers to purchase retired service weapons, and for other purposes; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 4872, Fire Sale Loophole Closing Act; H.R. 4926, Prevent Family Fire Act of 2019; H.R. 4939, STOP Straw Purchases Act; S. 2843, Violence Against Women Reauthorization Act of 2019; H.R. 5132, Gun Violence Prevention Through Financial Intelligence Act; S. 2843, Violence Against Women Reauthorization Act of 2019; S. Res. 110, A resolution keeping guns out of classrooms; H.R. 5385, To amend the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to States and units of local government to deploy and implement gunfire detection and location technology, and for other purposes; H.R. 5507, Foreign National Firearms Background Check Enhancement Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; H.R. 1158, Consolidated Appropriations Act, 2020; S. 1790, National Defense Authorization Act for Fiscal Year 2020; H. Res. 231, Keeping guns out of classrooms; H. Res. 391, Supporting the goals and ideals of National Gun Violence Awareness Weekend and National Gun Violence Awareness Month; S. Res. 217, A resolution expressing support for the designation of June 7 through June 9, 2019, as "National Gun Violence Awareness Weekend" and June 2019 as "National Gun Violence Awareness Month; H. Res. 555, A resolution expressing the sense of the House of Representatives regarding the relationships between firearm violence, misogyny, and violence against women and reaffirming the importance of preventing individuals with a history of violence against women from accessing a firearm; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 5866, Gun Trafficker Detection Act; S. 3299, Tiahrt Restrictions Repeal Act; H.R. 5917, Gun Records Restoration and Preservation Act; H.R. 5949, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; H.R. 6006, Crime Gun Tracing Modernization Act of 2020; S. 3348, Crime Gun Tracing Modernization Act of 2020; H.R. 6318, Urban Progress Act of 2020; H.R. 6453, To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes; S. 3743, Untraceable Firearms Act; S. 4068, Background Check Completion Act; H.R. 7468, Stop Home Manufacture of Ghost Guns Act; S. 4271, Virginia Plan to Reduce Gun Violence Act; H.R. 7120, George Floyd Justice in Policing Act of 2020; H.R. 6395, National Defense Authorization Act for Fiscal Year 2021; S. 4049, National Defense Authorization Act for Fiscal Year 2021; H.R. 8461, To amend the Arms Export Control Act relating to export licenses for firearm silencers; S. 4768, A bill to amend title 18, United States Code, to make fraudulent dealings in firearms and ammunition unlawful, and for other purposes; H.R. 5836, Prosecuting Gun Crimes Saves Lives Act; H.R. 7977, Firearms Retailer Code of Conduct Act; S. 4443, Lori Jackson Domestic Violence Survivor Protection Act; H.R. 7930, Lori Jackson Domestic Violence Survivor Protection Act; S. 4841, AIM Act of 2020; H.R. 8822, AIM Act of 2020; H.R. 8929, Default Proceed Sale Transparency Act; H.R. 2071, Second Amendment Protection Act; S. 4718, Stopping the Fraudulent Sales of Firearms Act
Client expense: $150,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Gun violence research; Mental health, as related to firearms; Appropriations; Hospital-based violence intervention programs; United States Crime Victims Fund; Firearm suicide; National Violent Death Reporting System; Extreme risk protection orders; Violence Against Women Act; National Child Traumatic Stress Network; National Survey on Drug Use and Health (NSDUH); National Strategy for Suicide Prevention; ReCAST grants; Public health emergencies; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 2786, Jake Laird Act; H.R. 1745, Gun Violence Prevention Act of 2019; H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 4177, Gun Safety Board and Research Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; S. 2843, Violence Against Women Reauthorization Act of 2019; S. 2920, Violence Against Women Reauthorization Act of 2019; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; Fiscal Year 2021 appropriations; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 6318, Urban Progress Act of 2020; H.R. 7667, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2021; H.R. 7614, Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations Act, 2021; H.R. 748, CARES Act; H.R. 6800, HEROES Act; S. 2492, Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2019; H.R. 133, Consolidated Appropriations Act, 2021
Client expense: $150,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
2020 · fourth_quarter · Firearms/Guns/Ammunition
SUPPORTED S. 42: The Background Check Expansion Act H.R. 1134: The Prevent Crime and Terrorism Act H.R. 1705: Jaimes Law S. 193: Jaimes Law H.R. 2708: Disarm Hate Act S. 1462: Disarm Hate Act H.R. 3404: Empowering Law Enforcement for Safer Firearm Transfers Act H.R. 3599: Law Enforcement Needs to Know Act S. 66: The Assault Weapons Ban of 2019 H.R. 1296: The Assault Weapons Ban of 2019 H.R. 1186: Keep Americans Safe Act S. 447: Keep Americans Safe Act H.R. 1236: The Extreme Risk Protection Order Act 0f 2019 S. 506: Extreme Risk Protection Order Act H.R.3076: Federal Extreme Risk Protection Order Act of 2019 H.R. 569: The Zero Tolerance for Domestic Abusers Act of 2019 S. 120: The Protecting Domestic Violence and Stalking Victims Act of 2019 H.R. 511: Protecting Domestic Violence and Stalking Victims Act of 2019 S. 193: Ethans Law H.R. 2867: Ethans Law H.R. 3214: Equal Access to Justice for Victims of Gun Violence Act S. 1779: Equal Access to Justice for Victims of Gun Violence Act H.R. 3234: Keeping Gun Dealers Honest Act S. 1795: Keeping Gun Dealers Honest Act H.R. 3265: 3D Printed Gun Safety Act S. 1831: 3D Printed Gun Safety Act S. 184: Gun Violence Prevention Research Act of 2019 H.R. 674: Gun Violence Prevention Research Act of 2019 H.R. 3285: Handgun Purchaser Licensing Act S. 1844: Handgun Purchaser Licensing Act H.R. 2585: Resources for Victims of Gun Violence Act of 2019 S. 1352: Resources for Victims of Gun Violence Act of 2019 H.R. 3435: Local Public Health and Safety Protection Act H.R. 51: Washington, DC Admission Act S. 631: Washington, D.C. Admission Act H.R. 4116: Prevent Gun Trafficking Act H.R.4255: Trafficking Reduction And Criminal Enforcement (TRACE) Act H.R. 4600: Domestic Violence Records Reporting Improvement Act H.R.4324: Multiple Firearm Sales Reporting Modernization Act of 2019 H.R.4568: Responsible Body Armor Possession Act H.R. 4926: Prevent Family Fire Act of 2019 H.R. 4691: Safe Gun Storage Act of 2019 S. 3065: Safe Gun Storage Act of 2019 H.R. 4730: Advancing Gun Safety Technology Act of 2019 H.R. 4836: Break the Cycle of Violence Act S. 2671: Break the Cycle of Violence Act H.R. 5181: Gunfire Detection and Location Technology Act H.R. 5866: Gun Trafficker Detection Act H.R. 5917: Gun Records Restoration and Preservation Act S. 3299: Tiahrt Restrictions Repeal Act H.R. 6453: To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes. S.3548: CARES Act H.R. 6800: The Heroes Act H.R. 6395: William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021 H.R. 7468: Stop Home Manufacture of Ghost Guns Act S. 4068: Background Check Completion Act of 2020 H.R. 7120: George Floyd Justice in Policing Act S.3912: The Justice in Policing Act S.4718: Stop Online Fraudulent Sales of Firearms Act H.R. 7930: Lori Jackson Domestic Violence Survivor Protection Act S.4443: Lori Jackson Domestic Violence Survivor Protection Act H.R. 7977: Firearms Retailer Code of Conduct Act of 2020 H.R. 8084: Lethal Means Safety Training Act H.R. 8822: AIM Act of 2020 S.4841: AIM Act of 2020 H.R. 8929: Default Proceed Sale Transparency Act AGAINST H.R. 744: Protecting Our Communities and Rights Act S. 7: Extreme Risk Protection Order and Violence Prevention Act H.R. 3450: To prohibit the Secretary of Veterans Affairs from transmitting certain information to the Department of Justice for use by the national instant criminal background check system. H.R. 3826: Veterans 2nd Amendment Protection Act
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Firearms/Guns/Ammunition
H.R. 1 For the People Act of 2019 H.R. 8 Bipartisan Background Checks Act of 2019 H.R. 21 Consolidated Appropriations Act, 2019 H.R. 33 Gun Trafficking Prohibition Act H.R. 38 Concealed Carry Reciprocity Act of 2019 H.R. 49 Accidental Firearms Transfers Reporting Act of 2019 H.R. 110 To provide an exception to certain mandatory minimum sentence requirements for a person employed outside the United States by a Federal agency, who uses, carries, or possesses the firearm during and in relation to a crime of violence committed while on-duty with a firearm required to be carried while on-duty H.R. 119 National Statistics on Deadly Force Transparency Act of 2019 H.R. 121 Fresh Start Act of 2019 H.R. 155 Hearing Protection Act H.R. 157 Gun Manufacturers Accountability Act H.R. 167 To prohibit the transfer of a firearm at a gun show by a person who is not a licensed dealer. H.R. 175 To amend chapter 44 of title 18, United States Code, to more comprehensively address the interstate transportation of firearms or ammunition. H.R. 282 SAFER Now Act H.R. 435 National Gun Violence Research Act H.R. 489 SHIELD Act of 2019 H.R. 493 Sensible Enforcement of Cannabis Act of 2019 H.R. 511 Protecting Domestic Violence and Stalking Victims Act H.R. 569 Zero Tolerance for Domestic Abusers Act of 2019 H.R. 606 Fairness in Firearm Testing Act H.R. 608 School Watch and Tactics Act of 2019 H.R. 648 Consolidated Appropriations Act, 2019 H.R. 659 Buyback Our Safety Act H.R. 664 Recreational Lands Self-Defense Act of 2019 H.R. 674 Gun Violence Prevention Research Act of 2019 H.R. 686 Stop Online Ammunition Sales Act of 2019 H.R. 687 Handgun Licensing and Registration Act of 2019 H.R. 717 Raise the Age Act H.R. 719 MICRO Act H.R. 743 Securing Our Children Act of 2019 H.R. 744 Protecting Our Communities and Rights Act of 2019 H.R. 775 SHUSH Act H.R. 820 Gun Show Loophole Closing Act of 2019 H.R. 821 NICS Review Act of 2019 H.R. 822 Firearm Risk Protection Act of 2019 H.R. 838 Threat Assessment, Prevention, and Safety Act of 2019 H.R. 869 Undetectable Firearms Modernization Act H.R. 877 Modernizing the Pittman-Robertson Fund for Tomorrow's Needs Act H.R. 930 Stopping the Iron Pipeline Act of 2019 H.R. 939 SECURE Firearm Storage Act H.R. 942 SAFETY Act H.R. 1112 To amend chapter 44 of title 18, United States Code, to strengthen the background check procedures to be followed before a Federal firearms licensee may transfer a firearm to a person who is not such a licensee. H.R. 1115 To amend the Consumer Product Safety Act to remove the exclusion of pistols, revolvers, and other firearms from the definition of consumer product in order to permit the issuance of safety standards for such articles by the Consumer Product Safety Commission. H.R. 1116 To amend chapter 44 of title 18, United States Code, to prohibit the sale or other disposition of a firearm to, and the possession, shipment, transportation, or receipt of a firearm by, certain classes of high risk individuals. H.R. 2071 Second Amendment Protection Act H.R. 2251 Protect Our Military Families' 2nd Amendment Rights Act H.R. 2319 21st Century NICS Act H.R. 2364 Investor Choice Against Gun Proliferation Act H.R. 2443 Firearms Interstate Commerce Reform Act H.R. 2364 Closing the Loophole on Interstate Firearm Sales Act H.R. 2959 Freedom from Assault Weapons Act H.R. 3076 Federal Extreme Risk Protection Order Act of 2019 H.R. 3200 Safe Students Act H.R. 3265 3D Printed Gun Safety Act of 2019 H.R. 3285 Handgun Purchaser Licensing Act H.R. 3552 Unlawful Gun Buyer Alert Act H.R. 3553 Untraceable Firearms Act of 2019 H.R. 3554 End Purchase of Firearms by Dangerous Individuals Act of 2019 H.R. 3606 High Speed Gunfire Prevention Act H.R. 4062 Blair Holt Firearm Owner Licensing and Record of Sale Act of 2019 H.R. 4116 Prevent Gun Trafficking Act H.R. 4255 Trafficking Reduction And Criminal Enforcement (TRACE) Act H.R. 4324 Multiple Firearm Sales Reporting Modernization Act of 2019 H.R. 4490 To require the Inspector General, Department of Justice, to submit a report to the Congress on the number of firearm transaction denials issued by the National Instant Criminal Background Check System that are referred to the Bureau of Alcohol, Tobacco, Firearms, and Explosives for investigation, the number of prosecutions resulting from such investigations, and the number of firearms recovered by the Bureau in cases in which such a denial was issued after the firearm was transferred. H.R. 4594 Bumpstocks and Acceleration Devices Act H.R. 4691 Safe Gun Storage Act of 2019 H.R. 4730 Advancing Gun Safety Technology Act of 2019 H.R. 4872 Fire Sale Loophole Closing Act H.R. 5132 Gun Violence Prevention Through Financial Intelligence Act H.R. 5289 Home Defense and Competitive Shooting Act of 2019 H.R. 5301 To amend title 18, United States Code, to permit certain individuals complying with State law to possess firearms H.R. 5713 Safe Bases Act H.R. 5716 SAFER Voter Act H.R. 5717 Gun Violence Prevention and Community Safety Act of 2020 H.R. 5875 Protect Our Military Families' 2nd Amendment Rights Act H.R. 5935 Lawful Interstate Transportation of Firearms Act H.R. 6453 To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes. H.R.7468 Stop Home Manufacture of Ghost Guns Act of 2020 H.R.7667 Commerce, Justice, Science, and Related Agencies Appropriations Act, 2021 H.R.7702 Background Check Point of Contact Act of 2020 H.R.7715 U.S. Military Right to Carry Act S. 7 Extreme Risk Protection Order and Violence Prevention Act of 2019 S. 42 Background Check Expansion Act S. 47 Natural Resources Management Act S. 66 Assault Weapons Ban of 2019 S. 69 Constitutional Concealed Carry Reciprocity Act of 2019 S. 94 Target Practice and Marksmanship Training Support Act S. 120 Protecting Domestic Violence and Stalking Victims Act of 2019 S. 166 A bill to provide provisional protected presence status for certain aliens and to provide mandatory appropriations relating to border security. S. 184 Gun Violence Prevention Research Act S. 193 Ethan's Law S. 202 SHUSH Act S. 265 Threat Assessment, Prevention, and Safety Act of 2019 S. 320 A bill to amend title 18, United States Code, to require federally licensed firearms importers, manufacturers, and dealers to meet certain requirements with respect to securing their firearms inventory, business records, and business premises. S. 351 A bill to prohibit Federal funding of State firearm ownership databases, and for other purposes. S. 443 A bill to modify the definition of an antique firearm. S. 506 Extreme Risk Protection Order Act of 2019 S. 817 Hearing Protection Act S. 875 NICS Denial Notification Act of 2019 S. 1331 Veterans' Second Amendment Rights Restoration Act of 2019 S. 1395 Age 21 Act S. 1506 A bill to amend title 18, United States Code, to permit certain individuals complying with State law to possess firearms. S. 1519 Protecting Communities and Preserving the Second Amendment Act of 2019 S. 1831 3D Printed Gun Safety Act of 2019 S. 1844 Handgun Purchaser Licensing Act S. 2013 A bill to protect the right of individuals to bear arms at water resources development projects. S. 2272 Blair Holt Firearm Owner Licensing and Record of Sale Act of 2019 S. 2376 Stop Illegal Trafficking in Firearms Act of 2019 S. 2449 Federal Firearm Licensing Act S. 3065 Safe Gun Storage Act of 2019 S. 3130 Servicemembers Self-Defense Act of 2019 S. 3139 Lawful Interstate Transportation of Firearms Act S. 3254 Gun Violence Prevention and Community Safety Act of 2020 S. 3348 Crime Gun Tracing Modernization Act of 2020 S. 3493 Protect Our Military Families' 2nd Amendment Rights Act S.3743 Untraceable Firearms Act of 2020 S.3815 National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020 S.4040 Gun Owner Privacy Act S.4068 Background Check Completion Act of 2020 S.4271 Virginia Plan to Reduce Gun Violence Act of 2020 S.4301 U.S. Military Right to Carry Act
Client expense: $587,978 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Firearms/Guns/Ammunition
H.R. 1 For the People Act of 2019 H.R. 8 Bipartisan Background Checks Act of 2019 H.R. 21 Consolidated Appropriations Act, 2019 H.R. 33 Gun Trafficking Prohibition Act H.R. 38 Concealed Carry Reciprocity Act of 2019 H.R. 49 Accidental Firearms Transfers Reporting Act of 2019 H.R. 110 To provide an exception to certain mandatory minimum sentence requirements for a person employed outside the United States by a Federal agency, who uses, carries, or possesses the firearm during and in relation to a crime of violence committed while on-duty with a firearm required to be carried while on-duty H.R. 119 National Statistics on Deadly Force Transparency Act of 2019 H.R. 121 Fresh Start Act of 2019 H.R. 155 Hearing Protection Act H.R. 157 Gun Manufacturers Accountability Act H.R. 167 To prohibit the transfer of a firearm at a gun show by a person who is not a licensed dealer. H.R. 175 To amend chapter 44 of title 18, United States Code, to more comprehensively address the interstate transportation of firearms or ammunition. H.R. 282 SAFER Now Act H.R. 435 National Gun Violence Research Act H.R. 489 SHIELD Act of 2019 H.R. 493 Sensible Enforcement of Cannabis Act of 2019 H.R. 511 Protecting Domestic Violence and Stalking Victims Act H.R. 569 Zero Tolerance for Domestic Abusers Act of 2019 H.R. 606 Fairness in Firearm Testing Act H.R. 608 School Watch and Tactics Act of 2019 H.R. 648 Consolidated Appropriations Act, 2019 H.R. 659 Buyback Our Safety Act H.R. 664 Recreational Lands Self-Defense Act of 2019 H.R. 674 Gun Violence Prevention Research Act of 2019 H.R. 686 Stop Online Ammunition Sales Act of 2019 H.R. 687 Handgun Licensing and Registration Act of 2019 H.R. 717 Raise the Age Act H.R. 719 MICRO Act H.R. 743 Securing Our Children Act of 2019 H.R. 744 Protecting Our Communities and Rights Act of 2019 H.R. 775 SHUSH Act H.R. 820 Gun Show Loophole Closing Act of 2019 H.R. 821 NICS Review Act of 2019 H.R. 822 Firearm Risk Protection Act of 2019 H.R. 838 Threat Assessment, Prevention, and Safety Act of 2019 H.R. 869 Undetectable Firearms Modernization Act H.R. 877 Modernizing the Pittman-Robertson Fund for Tomorrow's Needs Act H.R. 930 Stopping the Iron Pipeline Act of 2019 H.R. 939 SECURE Firearm Storage Act H.R. 942 SAFETY Act H.R. 1112 To amend chapter 44 of title 18, United States Code, to strengthen the background check procedures to be followed before a Federal firearms licensee may transfer a firearm to a person who is not such a licensee. H.R. 1115 To amend the Consumer Product Safety Act to remove the exclusion of pistols, revolvers, and other firearms from the definition of consumer product in order to permit the issuance of safety standards for such articles by the Consumer Product Safety Commission. H.R. 1116 To amend chapter 44 of title 18, United States Code, to prohibit the sale or other disposition of a firearm to, and the possession, shipment, transportation, or receipt of a firearm by, certain classes of high risk individuals. H.R. 2071 Second Amendment Protection Act H.R. 2251 Protect Our Military Families' 2nd Amendment Rights Act H.R. 2319 21st Century NICS Act H.R. 2364 Investor Choice Against Gun Proliferation Act H.R. 2443 Firearms Interstate Commerce Reform Act H.R. 2364 Closing the Loophole on Interstate Firearm Sales Act H.R. 2959 Freedom from Assault Weapons Act H.R. 3076 Federal Extreme Risk Protection Order Act of 2019 H.R. 3200 Safe Students Act H.R. 3265 3D Printed Gun Safety Act of 2019 H.R. 3285 Handgun Purchaser Licensing Act H.R. 3552 Unlawful Gun Buyer Alert Act H.R. 3553 Untraceable Firearms Act of 2019 H.R. 3554 End Purchase of Firearms by Dangerous Individuals Act of 2019 H.R. 3606 High Speed Gunfire Prevention Act H.R. 4062 Blair Holt Firearm Owner Licensing and Record of Sale Act of 2019 H.R. 4116 Prevent Gun Trafficking Act H.R. 4255 Trafficking Reduction And Criminal Enforcement (TRACE) Act H.R. 4324 Multiple Firearm Sales Reporting Modernization Act of 2019 H.R. 4490 To require the Inspector General, Department of Justice, to submit a report to the Congress on the number of firearm transaction denials issued by the National Instant Criminal Background Check System that are referred to the Bureau of Alcohol, Tobacco, Firearms, and Explosives for investigation, the number of prosecutions resulting from such investigations, and the number of firearms recovered by the Bureau in cases in which such a denial was issued after the firearm was transferred. H.R. 4594 Bumpstocks and Acceleration Devices Act H.R. 4691 Safe Gun Storage Act of 2019 H.R. 4730 Advancing Gun Safety Technology Act of 2019 H.R. 4872 Fire Sale Loophole Closing Act H.R. 5132 Gun Violence Prevention Through Financial Intelligence Act H.R. 5289 Home Defense and Competitive Shooting Act of 2019 H.R. 5301 To amend title 18, United States Code, to permit certain individuals complying with State law to possess firearms H.R. 5713 Safe Bases Act H.R. 5716 SAFER Voter Act H.R. 5717 Gun Violence Prevention and Community Safety Act of 2020 H.R. 5875 Protect Our Military Families' 2nd Amendment Rights Act H.R. 5935 Lawful Interstate Transportation of Firearms Act H.R. 6453 To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes. S. 7 Extreme Risk Protection Order and Violence Prevention Act of 2019 S. 42 Background Check Expansion Act S. 47 Natural Resources Management Act S. 66 Assault Weapons Ban of 2019 S. 69 Constitutional Concealed Carry Reciprocity Act of 2019 S. 94 Target Practice and Marksmanship Training Support Act S. 120 Protecting Domestic Violence and Stalking Victims Act of 2019 S. 166 A bill to provide provisional protected presence status for certain aliens and to provide mandatory appropriations relating to border security. S. 184 Gun Violence Prevention Research Act S. 193 Ethan's Law S. 202 SHUSH Act S. 265 Threat Assessment, Prevention, and Safety Act of 2019 S. 320 A bill to amend title 18, United States Code, to require federally licensed firearms importers, manufacturers, and dealers to meet certain requirements with respect to securing their firearms inventory, business records, and business premises. S. 351 A bill to prohibit Federal funding of State firearm ownership databases, and for other purposes. S. 443 A bill to modify the definition of an antique firearm. S. 506 Extreme Risk Protection Order Act of 2019 S. 817 Hearing Protection Act S. 875 NICS Denial Notification Act of 2019 S. 1331 Veterans' Second Amendment Rights Restoration Act of 2019 S. 1395 Age 21 Act S. 1506 A bill to amend title 18, United States Code, to permit certain individuals complying with State law to possess firearms. S. 1519 Protecting Communities and Preserving the Second Amendment Act of 2019 S. 1831 3D Printed Gun Safety Act of 2019 S. 1844 Handgun Purchaser Licensing Act S. 2013 A bill to protect the right of individuals to bear arms at water resources development projects. S. 2272 Blair Holt Firearm Owner Licensing and Record of Sale Act of 2019 S. 2376 Stop Illegal Trafficking in Firearms Act of 2019 S. 2449 Federal Firearm Licensing Act S. 3065 Safe Gun Storage Act of 2019 S. 3130 Servicemembers Self-Defense Act of 2019 S. 3139 Lawful Interstate Transportation of Firearms Act S. 3254 Gun Violence Prevention and Community Safety Act of 2020 S. 3348 Crime Gun Tracing Modernization Act of 2020 S. 3493 Protect Our Military Families' 2nd Amendment Rights Act
Client expense: $396,879 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Health Issues
Public health, as related to firearms; gun violence research; appropriations; hospital-based violence intervention programs; Intimate partner violence and domestic violence, as related to firearms; Mental health, as related to firearms; firearm suicide; impacted communities, as related to firearms; lethal means safety counseling; National Violent Death Reporting System; other gun violence prevention measures; HR1236 Extreme Risk Protection Order Act; HR511 Protecting Domestic Violence and Stalking Victims Act; HR569 Zero Tolerance for Domestic Abusers Act; S120 Protecting Domestic Violence and Stalking Victims Act; S506 Extreme Risk Protection Order Act; HR435 National Gun Violence Research Act; HR 674 Gun Violence Prevention Research Act; S184 a bill to authorize the appropriations of funds to the Centers for Disease Control; HR1585 Violence Against Women Reauthorization Act; Vote 156; HR2740 Fiscal 2020 Labor-HHS-Education Appropriations; HR 6714 Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2021, and for other purposes; COVID-19 relief as it relates to gun violence prevention
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Firearms/Guns/Ammunition
Legislation and policies related to: Firearms and gun violence protections for children, families, and health care providers, including schools and health care facilities Bipartisan Background Checks Act of 2019 (H.R. 8) Raise the Age Act (H.R. 717) Keep Americans Safe Act (H.R. 1186) Background Check Expansion Act (S. 42) Assault Weapons Ban Act of 2019 (S. 66) Gun Violence Prevention Research Act (S. 184/H.R. 674)
Client expense: Not reported · Firm income: $24,000
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
2020 · third_quarter · Medical/Disease Research/Clinical Labs
Legislation and policies related to: Pediatric and childrens health research Nursing research Gun Violence Prevention Research Act (S. 184/H.R. 674)
Client expense: Not reported · Firm income: $24,000
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
2020 · third_quarter · Firearms/Guns/Ammunition
Issues relating to universal background checks for the sale of firearms; H.R. 8, Bipartisan Background Checks Act; H.R. 1112, Background Check Completion Act; S. 42, Background Check Expansion Act; Issues related to research on firearm safety; H.R. 674 and S. 184, Gun Violence Research Prevention Act; Issues related to notifying law enforcement when a prohibited purchaser fails a NICS background check; H.R. 1671 and S. 875, NICS Denial Notification Act; Issues related to federal red flag laws; H.R. 1236 and S. 509, Emergency Risk Protection Order Act; S.7 Extreme Risk Protection Order and Violence Prevention Act; H.R. 744, Protecting Communities and Rights Act; Issues related to closing loopholes that permit unmarried individuals convicted of domestic violence to purchase and possess firearms; HR 459, Zero Tolerance for Domestic Abusers Act; S. 12, Protecting Domestic Violence and Stalking Victims Act; H.R. 1585, Violence Against Women Reauthorization Act; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214 and S. 1179, PLCAA Repeal aka Equal Justice for Victims of Gun Violence Act; H.R. 3055, FY2020 Commerce, Justice, Science appropriations; H.R. 2740, FY2020 Labor, Health and Human Services appropriations; H.R. 2500, FY 2020 Defense Authorization Act; S.2584, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2020; H.R. 1186, Keep Americans Safe Act; H.R. 2708, Disarm Hate Act; H.R. 4301, School Shooting Safety and Preparedness Act; HR 7120, the George Floyd Justice in Policing Act; HR 6800, the HEROES Act; issues related to the Supreme Court nomination and confirmation process
Client expense: $350,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Firearms/Guns/Ammunition
The National Association for Gun Rights advocates on behalf of gun owners for pro-Second Amendment related public policy issues including but not limited to the following subject areas and their respective executive departments/agencies and legislative committees: Firearms, ammunition, accessories, right to possess purchase own and carry, background checks, mental health, NICS, registration requirements/databases, federal gun free zones, NFA of 1934, GCA of 1968, gun related Executive Orders, actions, nominations or treaties, 1st and 4th amendment protections for gun owners, and related appropriations. In each case NAGR opposes gun control and supports removing restrictions on the right to bear arms. Legislation before the 116th Congress that NAGR is actively following and lobbying on may include, but is not limited to: House Bills and Resolutions: H.R. 49, H.R. 110, H.R. 33, H.R. 167, H.R. 155, H.R. 38, H.R. 21, H.R. 8, H.R. 282, H.R. 511, H.R. 717, H.R. 674, H.R. 719, H.R. 775, H.R. 820, H.R. 821, H.R. 822, H.R. 869, H.R. 939, H.R. 1112, H.R. 1262, H.R. 1266, H.R. 1296, H.R. 1115, H.R. 1116, H.R. 1186, H.R. 1236, H.R. 1263, H.R. 1266, H.R. 1287, H.R. 1339, H.R. 1397, H.R. 1412, H.R. 1134, H.R. 930, H.R. 1072, H.R. 1116, H.R. 2674, H.R. 2621, H.R. 3265, H.R. 1761, H.R 2634, H.R 3200, H.R. 3552, H.R. 1585, H.R. 569, H.R. 3214, H.R. 3234, H.R. 3284, H.R. 3285, H.R. 3404, H.R. 3420, H.R. 3435, H.R. 3454, H.R. 3552, H.R. 3553, H.R. 3554, H.R. 3569, H.R. 3599, H.R. 3606, H.R. 3665, H.R. 3714, H.R. 4062, H.R. 4080, H.R. 4081, H.R. 4082, H.R. 5716, H.R. 5717, H.R. 5917, and H.R. 6006. Senate Bills and Resolutions: S. 7, S. 66, S. 69, S. 42, S. 120, S. 184, S. 202, S. 42, S. 447, S. 506, S. 443, S. 459, S. 193, S. 1795, S. 1831, S. 1844, S. 1884, S. 1924, S. 1943, S. 2013, S. 2014, S. 2272, S.351, S. 4040 Non-legislative issues lobbied before Congress, the BATFE, Executive Office of the President, but not limited to: The ATF and Justice Department rulemaking on bump stocks. We are opposed to their rulemaking. The UN Small Arms Treaty. We are opposed to the UN ATT and support the United States removing its signature. The nomination of Chuck Canterbury, Jr. to head the ATF. We were opposed to his nomination. The nomination of Amy Coney Barrett to the U.S. Supreme Court. We support her confirmation to the U.S. Supreme Court.
Client expense: $300,925 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Firearms/Guns/Ammunition
H.R. 8 - Bipartisan Background Checks Act of 2019. H.R. 1112 - Enhanced Background Checks Act of 2019. S. 42 - Background Check Expansion Act. H.R. 459 - Zero Tolerance for Domestic Abusers Act. S. 120 - Protecting Domestic Violence and Stalking Victims Act. H.R. 674/S. 184 - Gun Violence Research Prevention Act. S. 7 - Extreme Risk Protection Order and Violence Prevention Act. H.R. 744 - Protecting Communities and Rights Act. H.R. 1585 - Violence Against Women Reauthorization Act. H.R. 1671/S. 875 - NICS Denial Notification Act. H.R. 3076 - Federal Extreme Risk Protection Order Act. H.R. 3214/S. 1179 - Equal Justice for Victims of Gun Violence Act (Repeal of Protection of Lawful Commerce in Arms Act) H.R. 1236 -Extreme Risk Protection Order Act of 2019 H.R. 1186 - Keep Americans Safe Act. H.R. 2708 - Disarm Hate Act. H.R. 4301 - School Shooting Safety and Preparedness Act Issues related to firearms safety. Issues related to background checks. H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 6800, HEROES Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Gun violence research; Mental health, as related to firearms; Appropriations; Hospital-based violence intervention programs; United States Crime Victims Fund; Firearm suicide; National Violent Death Reporting System; Extreme risk protection orders; Violence Against Women Act; Judicial nominees; Nominees to the United States Supreme Court; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 2786, Jake Laird Act; H.R. 1745, Gun Violence Prevention Act of 2019; H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 4177, Gun Safety Board and Research Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; S. 2843, Violence Against Women Reauthorization Act of 2019; S. 2920, Violence Against Women Reauthorization Act of 2019; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; Fiscal Year 2021 appropriations; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 6318, Urban Progress Act of 2020; H.R. 7667, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2021; H.R. 7614, Departments of Labor, Health and Human Services, Education, and Related Agencies Appropriations Act, 2021; H.R. 748, CARES Act; H.R. 6800, HEROES Act; S. 2492, Suicide Training and Awareness Nationally Delivered for Universal Prevention Act of 2019
Client expense: $80,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Background checks; Improving the National Instant Criminal Background Check System; Intimate partner violence and violence against women, as related to firearms; Mental health, as related to firearms; Trafficking of firearms; National concealed carry reciprocity; Preventing terrorists from acquiring firearms; Hate crimes with firearms; National Firearms Act; Supreme Court of the United States; Presidential Cabinet appointments; Judicial appointments; ATF white paper - Options to Reduce or Modify Firearms Regulations; Deregulation of silencers; Interstate transport of firearms; Federal firearm licensee break-ins; Appropriations; Guns in schools; Firearm suicide; Hospital-based violence intervention programs; Microstamping; Smart gun technology; Bump stocks; Semiautomatic firearms; Firearm accessories; Extreme risk protection orders; Gun permitting; Firearm exports; Firearm tracing; 3D printing of firearms; Firearm permitting; Lost and stolen firearms; Firearm prohibitors; Child access prevention laws; Safe storage laws; Violence Against Women Act; Consumer product safety; Gun dealer regulation; Local regulation of firearms; Essential operations of firearms dealers and manufacturers; Judicial nominees; Nominees to the United States Supreme Court; H.R. 1186, Keep Americans Safe Act; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 1262, 21 to Buy Act; H.R. 1266, Ghost Guns are Guns Act; H.R. 1279, Safer Neighborhoods Gun Buyback Act; H.R. 1287, No Guns for Abusers Act; H.R. 155, Hearing Protection Act; H.R. 282, SAFER Now Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 157, Gun Manufacturers Accountability Act; H.R. 1112, Enhanced Background Checks Act; H.R. 1134, Prevent Crime and Terrorism Act; H.R. 1263, National Firearms Amendment Act; H.R. 1296, Assault Weapons Ban; H.R. 1297, Law Enforcement Protection Act; H.R. 33, Gun Trafficking Prohibition Act; H.R. 38, Concealed Carry Reciprocity Act of 2019; H.R. 569, Zero Tolerance for Domestic Abusers Act of 2019; H.R. 717, Raise the Age Act; H.R. 8, Bipartisan Background Checks Act; S. 42, Background Check Expansion Act; S. 447, Keep Americans Safe Act; S. 66, Assault Weapons Ban; S. 69, Constitutional Concealed Carry Reciprocity Act; S. 120, Protecting Domestic Violence and Stalking Victims Act; S. 459, Stopping the Trafficking in Overseas Proliferation of Ghost Guns Act; S. 184, Gun Violence Prevention Research Act; S. 320, SECURE Firearm Storage Act; S. 7, Extreme Risk Protection Order and Violence Prevention Act of 2019; S. 94, Target Practice and Marksmanship Training Support Act; S. 817, Hearing Protection Act; H.R. 1670, Gun Trafficking and Crime Prevention Act of 2019; H.R. 1671, NICS Denials Notifications Act; H.R. 1397, Notice ICE Act; H.R. 1412, Illegal Alien NICS Alert Act; H.R. 820, Gun Show Loophole Closing Act of 2019; H.R. 821, NICS Review Act of 2019; H.R. 822, Firearm Risk Protection Act of 2019; H.R. 869, Undetectable Firearms Modernization Act; H.R. 939, SECURE Firearms Act; H.R. 942, SAFETY Act; H.R. 952, Armor-Piercing Bullets Act of 2019; H.R. 971, Animal Violence Exposes Real Threat of Future Gun Violence Act of 2019; H.R. 1114, Recognizing Gun Violence as a Public Health Emergency Act; H.R. 1115, Firearm Safety Act; H.R. 1116, Keeping Guns from High Risk Individuals Act; H.R. 511, Protecting Domestic Violence and Stalking Victims Act; H.R. 686, Stop Online Ammunition Sales Act of 2019; H.R. 687, Handgun Licensing and Registration Act of 2019; H.R. 719, Make Identifiable Criminal Rounds Obvious Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1324, FAST NICS Act; S. 875, NICS Denials Notifications Act; S. 193, Ethans Law; H.R. 1156, LEOSA Reform Act; H.R. 1501, Police Officers Protecting Children Act; S. 202, SHUSH Act; H.R. 775, SHUSH Act; S. 47, John D. Dingell, Jr. Conservation, Management, and Recreation Act; H.R. 1454, COOL OFF Act; H.R. 49, Accidental Firearms Transfers Reporting Act of 2019; H.R. 1437, Securing DHS Firearms Act of 2019; S. 443, A bill to modify the definition of antique firearm; H.R. 1705, Jamies Law; H.R. 2179, Federal Firearms Licensee Protection Act; H.R. 2319, 21st Century NICS Act; S. 1395, Age 21 Act; H.R. 2634, Closing the Loophole on Interstate Firearm Sales Act; S. 1352, Resources for Victims of Gun Violence Act; H.R. 2585, Resources for Victims of Gun Violence Act; H.R. 2621, Homeland Security Assessment of Terrorists Use of Ghost Guns Act; H.R. 2674, Gun Theft Prevention Act; H.R. 2708, Disarm Hate Act; S. 1462, Disarm Hate Act; H.R. 2786, Jake Laird Act; H.R. 2867, Ethans Law; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214, Equal Access to Justice for Victims of Gun Violence Act; S. 1779, Equal Access to Justice for Victims of Gun Violence Act; S. 1788, Federal Firearms Licensee Protection Act; H.R. 3234, Keeping Gun Dealers Honest Act; H.R. 3265, 3D Printed Gun Safety Act; S. 1831, 3D Printed Gun Safety Act; H.R. 3285, Handgun Purchaser Licensing Act; S. 1844, Handgun Purchase Licensing Act; S. 1884, SAFETY Act; H.R. 3404, Empowering Law Enforcement for Safer Firearm Transfers Act; H.R. 3435, Local Public Health and Safety Protection Act; S. 1943, Help Empower Americans to Respond (HEAR) Act; H.R. 3454, Help Empower Americans to Respond (HEAR) Act; H.R. 3284, To require the Attorney General to study whether an individuals history of domestic violence can be used to determine the likelihood of such individual committing a mass shooting; S. 1519, Protecting Communities and Preserving the Second Amendment Act of 2019; H.R. 1222, Target Practice and Marksmanship Training Support Act; H.R. 2670, Protect Law Enforcement Armor Act; H.R. 1745, Gun Violence Prevention Act of 2019; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3552, To amend the NICS Improvement Amendments Act of 2007 to provide notification to relevant law enforcement agencies in the event that a background check conducted by the National Instant Criminal Background Check System determines that a person may not receive a firearm, and for other purposes; H.R. 3553, To amend chapter 44 of title 18, United States Code, to ensure that all firearms are traceable, and for other purposes; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 3599, Law Enforcement Need to Know Act; H.R. 3606, High Speed Gunfire Prevention Act; S. 2376, Stop Illegal Trafficking in Firearms Act; H.R. 4062, Blair Holt Firearm Licensing and Record of Sale Act; S. 2272, Blair Holt Firearm Licensing and Record of Sale Act; H.R. 4080, Kimberly Vaughan Firearm Safe Storage Act; H.R. 4081, Sabika Sheikh Firearm Licensing and Registration Act; H.R. 4082, Santa Fe High School Victims Act; H.R. 4116, Prevent Gun Trafficking Act; H.R. 4177, Gun Safety Board and Research Act; S. 2449, Federal Firearm Licensing Act; H.R. 4324, Multiple Firearm Sales Reporting Modernization Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; H.R. 4264, Safe Homefront Act; H.R. 4594, Bumpstocks and Acceleration Devices Act; H.R. 4600, Domestic Violence Records Reporting Improvement Act of 2019; S. 2690, Restoring, Enhancing, Securing, and Promoting Our Nation's Safety Efforts Act of 2019; H.R. 4730, Advancing Gun Safety Technology Act of 2019; H.R. 4789, To allow Federal law enforcement officers to purchase retired service weapons, and for other purposes; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 4872, Fire Sale Loophole Closing Act; H.R. 4926, Prevent Family Fire Act of 2019; H.R. 4939, STOP Straw Purchases Act; S. 2843, Violence Against Women Reauthorization Act of 2019; H.R. 5132, Gun Violence Prevention Through Financial Intelligence Act; S. 2843, Violence Against Women Reauthorization Act of 2019; S. Res. 110, A resolution keeping guns out of classrooms; H.R. 5385, To amend the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to States and units of local government to deploy and implement gunfire detection and location technology, and for other purposes; H.R. 5507, Foreign National Firearms Background Check Enhancement Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; H.R. 1158, Consolidated Appropriations Act, 2020; S. 1790, National Defense Authorization Act for Fiscal Year 2020; H. Res. 231, Keeping guns out of classrooms; H. Res. 391, Supporting the goals and ideals of National Gun Violence Awareness Weekend and National Gun Violence Awareness Month; S. Res. 217, A resolution expressing support for the designation of June 7 through June 9, 2019, as "National Gun Violence Awareness Weekend" and June 2019 as "National Gun Violence Awareness Month;" H. Res. 555, A resolution expressing the sense of the House of Representatives regarding the relationships between firearm violence, misogyny, and violence against women and reaffirming the importance of preventing individuals with a history of violence against women from accessing a firearm; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 5866, Gun Trafficker Detection Act; S. 3299, Tiahrt Restrictions Repeal Act; H.R. 5917, Gun Records Restoration and Preservation Act; H.R. 5949, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; H.R. 6006, Crime Gun Tracing Modernization Act of 2020; S. 3348, Crime Gun Tracing Modernization Act of 2020; H.R. 6318, Urban Progress Act of 2020; H.R. 6453, To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes; S. 3743, Untraceable Firearms Act; S. 4068, Background Check Completion Act; H.R. 7468, Stop Home Manufacture of Ghost Guns Act; S. 4271, Virginia Plan to Reduce Gun Violence Act; H.R. 7120, George Floyd Justice in Policing Act of 2020; H.R. 6395, National Defense Authorization Act for Fiscal Year 2021; S. 4049, National Defense Authorization Act for Fiscal Year 2021; H.R. 8461, To amend the Arms Export Control Act relating to export licenses for firearm silencers; S. 4718, A bill to amend title 18, United States Code, to make fraudulent dealings in firearms and ammunition unlawful, and for other purposes; H.R. 5836, Prosecuting Gun Crimes Saves Lives Act; H.R. 7977, Firearms Retailer Code of Conduct Act; S. 4443, Lori Jackson Domestic Violence Survivor Protection Act; H.R. 7930, Lori Jackson Domestic Violence Survivor Protection Act
Client expense: $80,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Gun violence research; Mental health, as related to firearms; Appropriations; Hospital-based violence intervention programs; United States Crime Victims Fund; Firearm suicide; National Violent Death Reporting System; Extreme risk protection orders; Violence Against Women Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 2786, Jake Laird Act; H.R. 1745, Gun Violence Prevention Act of 2019; H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 4177, Gun Safety Board and Research Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; S. 2843, Violence Against Women Reauthorization Act of 2019; S. 2920, Violence Against Women Reauthorization Act of 2019; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; Fiscal Year 2021 appropriations; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act
Client expense: $100,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Background checks; Improving the National Instant Criminal Background Check System; Intimate partner violence and violence against women, as related to firearms; Mental health, as related to firearms; Trafficking of firearms; National concealed carry reciprocity; Preventing terrorists from acquiring firearms; Hate crimes with firearms; National Firearms Act; Supreme Court of the United States; Presidential Cabinet appointments; Judicial appointments; ATF white paper - Options to Reduce or Modify Firearms Regulations; Deregulation of silencers; Interstate transport of firearms; Federal firearm licensee break-ins; Appropriations; Guns in schools; Firearm suicide; Hospital-based violence intervention programs; Microstamping; Smart gun technology; Bump stocks; Semiautomatic firearms; Firearm accessories; Extreme risk protection orders; Gun permitting; Firearm exports; Firearm tracing; 3D printing of firearms; Firearm permitting; Lost and stolen firearms; Firearm prohibitors; Child access prevention laws; Safe storage laws; Violence Against Women Act; Consumer product safety; Gun dealer regulation; Local regulation of firearms; Essential operations of firearms dealers and manufacturers; H.R. 1186, Keep Americans Safe Act; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 1262, 21 to Buy Act; H.R. 1266, Ghost Guns are Guns Act; H.R. 1279, Safer Neighborhoods Gun Buyback Act; H.R. 1287, No Guns for Abusers Act; H.R. 155, Hearing Protection Act; H.R. 282, SAFER Now Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 157, Gun Manufacturers Accountability Act; H.R. 1112, Enhanced Background Checks Act; H.R. 1134, Prevent Crime and Terrorism Act; H.R. 1263, National Firearms Amendment Act; H.R. 1296, Assault Weapons Ban; H.R. 1297, Law Enforcement Protection Act; H.R. 33, Gun Trafficking Prohibition Act; H.R. 38, Concealed Carry Reciprocity Act of 2019; H.R. 569, Zero Tolerance for Domestic Abusers Act of 2019; H.R. 717, Raise the Age Act; H.R. 8, Bipartisan Background Checks Act; S. 42, Background Check Expansion Act; S. 447, Keep Americans Safe Act; S. 66, Assault Weapons Ban; S. 69, Constitutional Concealed Carry Reciprocity Act; S. 120, Protecting Domestic Violence and Stalking Victims Act; S. 459, Stopping the Trafficking in Overseas Proliferation of Ghost Guns Act; S. 184, Gun Violence Prevention Research Act; S. 320, SECURE Firearm Storage Act; S. 7, Extreme Risk Protection Order and Violence Prevention Act of 2019; S. 94, Target Practice and Marksmanship Training Support Act; S. 817, Hearing Protection Act; H.R. 1670, Gun Trafficking and Crime Prevention Act of 2019; H.R. 1671, NICS Denials Notifications Act; H.R. 1397, Notice ICE Act; H.R. 1412, Illegal Alien NICS Alert Act; H.R. 820, Gun Show Loophole Closing Act of 2019; H.R. 821, NICS Review Act of 2019; H.R. 822, Firearm Risk Protection Act of 2019; H.R. 869, Undetectable Firearms Modernization Act; H.R. 939, SECURE Firearms Act; H.R. 942, SAFETY Act; H.R. 952, Armor-Piercing Bullets Act of 2019; H.R. 971, Animal Violence Exposes Real Threat of Future Gun Violence Act of 2019; H.R. 1114, Recognizing Gun Violence as a Public Health Emergency Act; H.R. 1115, Firearm Safety Act; H.R. 1116, Keeping Guns from High Risk Individuals Act; H.R. 511, Protecting Domestic Violence and Stalking Victims Act; H.R. 686, Stop Online Ammunition Sales Act of 2019; H.R. 687, Handgun Licensing and Registration Act of 2019; H.R. 719, Make Identifiable Criminal Rounds Obvious Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1324, FAST NICS Act; S. 875, NICS Denials Notifications Act; S. 193, Ethans Law; H.R. 1156, LEOSA Reform Act; H.R. 1501, Police Officers Protecting Children Act; S. 202, SHUSH Act; H.R. 775, SHUSH Act; S. 47, John D. Dingell, Jr. Conservation, Management, and Recreation Act; H.R. 1454, COOL OFF Act; H.R. 49, Accidental Firearms Transfers Reporting Act of 2019; H.R. 1437, Securing DHS Firearms Act of 2019; S. 443, A bill to modify the definition of antique firearm; H.R. 1705, Jamies Law; H.R. 2179, Federal Firearms Licensee Protection Act; H.R. 2319, 21st Century NICS Act; S. 1395, Age 21 Act; H.R. 2634, Closing the Loophole on Interstate Firearm Sales Act; S. 1352, Resources for Victims of Gun Violence Act; H.R. 2585, Resources for Victims of Gun Violence Act; H.R. 2621, Homeland Security Assessment of Terrorists Use of Ghost Guns Act; H.R. 2674, Gun Theft Prevention Act; H.R. 2708, Disarm Hate Act; S. 1462, Disarm Hate Act; H.R. 2786, Jake Laird Act; H.R. 2867, Ethans Law; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214, Equal Access to Justice for Victims of Gun Violence Act; S. 1779, Equal Access to Justice for Victims of Gun Violence Act; S. 1778, Federal Firearms Licensee Protection Act; H.R. 3234, Keeping Gun Dealers Honest Act; H.R. 3265, 3D Printed Gun Safety Act; S. 1831, 3D Printed Gun Safety Act; H.R. 3285, Handgun Purchaser Licensing Act; S. 1844, Handgun Purchase Licensing Act; S. 1884, SAFETY Act; H.R. 3404, Empowering Law Enforcement for Safer Firearm Transfers Act; H.R. 3435, Local Public Health and Safety Protection Act; S. 1943, Help Empower Americans to Respond (HEAR) Act; H.R. 3454, Help Empower Americans to Respond (HEAR) Act; H.R. 3284, To require the Attorney General to study whether an individuals history of domestic violence can be used to determine the likelihood of such individual committing a mass shooting; S. 1519, Protecting Communities and Preserving the Second Amendment Act of 2019; H.R. 1222, Target Practice and Marksmanship Training Support Act; H.R. 2670, Protect Law Enforcement Armor Act; H.R. 1745, Gun Violence Prevention Act of 2019; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3552, To amend the NICS Improvement Amendments Act of 2007 to provide notification to relevant law enforcement agencies in the event that a background check conducted by the National Instant Criminal Background Check System determines that a person may not receive a firearm, and for other purposes; H.R. 3553, To amend chapter 44 of title 18, United States Code, to ensure that all firearms are traceable, and for other purposes; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 3599, Law Enforcement Need to Know Act; H.R. 3606, High Speed Gunfire Prevention Act; S. 2376, Stop Illegal Trafficking in Firearms Act; H.R. 4062, Blair Holt Firearm Licensing and Record of Sale Act; S. 2272, Blair Holt Firearm Licensing and Record of Sale Act; H.R. 4080, Kimberly Vaughan Firearm Safe Storage Act; H.R. 4081, Sabika Sheikh Firearm Licensing and Registration Act; H.R. 4082, Santa Fe High School Victims Act; H.R. 4116, Prevent Gun Trafficking Act; H.R. 4177, Gun Safety Board and Research Act; S. 2449, Federal Firearm Licensing Act; H.R. 4324, Multiple Firearm Sales Reporting Modernization Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; H.R. 4264, Safe Homefront Act; H.R. 4594, Bumpstocks and Acceleration Devices Act; H.R. 4600, Domestic Violence Records Reporting Improvement Act of 2019; S. 2690, Restoring, Enhancing, Securing, and Promoting Our Nation's Safety Efforts Act of 2019; H.R. 4730, Advancing Gun Safety Technology Act of 2019; H.R. 4789, To allow Federal law enforcement officers to purchase retired service weapons, and for other purposes; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 4872, Fire Sale Loophole Closing Act; H.R. 4926, Prevent Family Fire Act of 2019; H.R. 4939, STOP Straw Purchases Act; S. 2843, Violence Against Women Reauthorization Act of 2019; H.R. 5132, Gun Violence Prevention Through Financial Intelligence Act; S. 2920, Violence Against Women Reauthorization Act of 2019; S. Res. 110, A resolution keeping guns out of classrooms; H.R. 5385, To amend the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to States and units of local government to deploy and implement gunfire detection and location technology, and for other purposes; H.R. 5507, Foreign National Firearms Background Check Enhancement Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; H.R. 1158, Consolidated Appropriations Act, 2020; S. 1790, National Defense Authorization Act for Fiscal Year 2020; H. Res. 231, Keeping guns out of classrooms; H. Res. 391, Supporting the goals and ideals of National Gun Violence Awareness Weekend and National Gun Violence Awareness Month; S. Res. 217, A resolution expressing support for the designation of June 7 through June 9, 2019, as "National Gun Violence Awareness Weekend" and June 2019 as "National Gun Violence Awareness Month;" H. Res. 555, A resolution expressing the sense of the House of Representatives regarding the relationships between firearm violence, misogyny, and violence against women and reaffirming the importance of preventing individuals with a history of violence against women from accessing a firearm; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 5866, Gun Trafficker Detection Act; S. 3299, Tiahrt Restrictions Repeal Act; H.R. 5917, Gun Records Restoration and Preservation Act; H.R. 5949, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; H.R. 6006, Crime Gun Tracing Modernization Act of 2020; S. 3348, Crime Gun Tracing Modernization Act of 2020; H.R. 6318, Urban Progress Act; H.R. 6453, To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes; S. 3743, Untraceable Firearms Act; S. 3815, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; S. 4068, Background Check Completion Act; S. Res. 592, A resolution expressing support for the designation of June 5, 2020, as "National Gun Violence Awareness Day" and June 2020 as "National Gun Violence Awareness Month; H. Res. 977, Expressing support for the designation of June 5, 2020, as "National Gun Violence Awareness Day" and June 2020 as "National Gun Violence Awareness Month
Client expense: $100,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Background checks; Improving the National Instant Criminal Background Check System; Intimate partner violence and violence against women, as related to firearms; Mental health, as related to firearms; Trafficking of firearms; National concealed carry reciprocity; Preventing terrorists from acquiring firearms; Hate crimes with firearms; National Firearms Act; Supreme Court of the United States; Presidential Cabinet appointments; Judicial appointments; ATF white paper - Options to Reduce or Modify Firearms Regulations; Deregulation of silencers; Interstate transport of firearms; Federal firearm licensee break-ins; Appropriations; Guns in schools; Firearm suicide; Hospital-based violence intervention programs; Microstamping; Smart gun technology; Bump stocks; Semiautomatic firearms; Firearm accessories; Extreme risk protection orders; Gun permitting; Firearm exports; Firearm tracing; 3D printing of firearms; Firearm permitting; Lost and stolen firearms; Firearm prohibitors; Child access prevention laws; Safe storage laws; Violence Against Women Act; Consumer product safety; Gun dealer regulation; Local regulation of firearms; Essential operations of firearms dealers and manufacturers; H.R. 1186, Keep Americans Safe Act; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 1262, 21 to Buy Act; H.R. 1266, Ghost Guns are Guns Act; H.R. 1279, Safer Neighborhoods Gun Buyback Act; H.R. 1287, No Guns for Abusers Act; H.R. 155, Hearing Protection Act; H.R. 282, SAFER Now Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 157, Gun Manufacturers Accountability Act; H.R. 1112, Enhanced Background Checks Act; H.R. 1134, Prevent Crime and Terrorism Act; H.R. 1263, National Firearms Amendment Act; H.R. 1296, Assault Weapons Ban; H.R. 1297, Law Enforcement Protection Act; H.R. 33, Gun Trafficking Prohibition Act; H.R. 38, Concealed Carry Reciprocity Act of 2019; H.R. 569, Zero Tolerance for Domestic Abusers Act of 2019; H.R. 717, Raise the Age Act; H.R. 8, Bipartisan Background Checks Act; S. 42, Background Check Expansion Act; S. 447, Keep Americans Safe Act; S. 66, Assault Weapons Ban; S. 69, Constitutional Concealed Carry Reciprocity Act; S. 120, Protecting Domestic Violence and Stalking Victims Act; S. 459, Stopping the Trafficking in Overseas Proliferation of Ghost Guns Act; S. 184, Gun Violence Prevention Research Act; S. 320, SECURE Firearm Storage Act; S. 7, Extreme Risk Protection Order and Violence Prevention Act of 2019; S. 94, Target Practice and Marksmanship Training Support Act; S. 817, Hearing Protection Act; H.R. 1670, Gun Trafficking and Crime Prevention Act of 2019; H.R. 1671, NICS Denials Notifications Act; H.R. 1397, Notice ICE Act; H.R. 1412, Illegal Alien NICS Alert Act; H.R. 820, Gun Show Loophole Closing Act of 2019; H.R. 821, NICS Review Act of 2019; H.R. 822, Firearm Risk Protection Act of 2019; H.R. 869, Undetectable Firearms Modernization Act; H.R. 939, SECURE Firearms Act; H.R. 942, SAFETY Act; H.R. 952, Armor-Piercing Bullets Act of 2019; H.R. 971, Animal Violence Exposes Real Threat of Future Gun Violence Act of 2019; H.R. 1114, Recognizing Gun Violence as a Public Health Emergency Act; H.R. 1115, Firearm Safety Act; H.R. 1116, Keeping Guns from High Risk Individuals Act; H.R. 511, Protecting Domestic Violence and Stalking Victims Act; H.R. 686, Stop Online Ammunition Sales Act of 2019; H.R. 687, Handgun Licensing and Registration Act of 2019; H.R. 719, Make Identifiable Criminal Rounds Obvious Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1324, FAST NICS Act; S. 875, NICS Denials Notifications Act; S. 193, Ethans Law; H.R. 1156, LEOSA Reform Act; H.R. 1501, Police Officers Protecting Children Act; S. 202, SHUSH Act; H.R. 775, SHUSH Act; S. 47, John D. Dingell, Jr. Conservation, Management, and Recreation Act; H.R. 1454, COOL OFF Act; H.R. 49, Accidental Firearms Transfers Reporting Act of 2019; H.R. 1437, Securing DHS Firearms Act of 2019; S. 443, A bill to modify the definition of antique firearm; H.R. 1705, Jamies Law; H.R. 2179, Federal Firearms Licensee Protection Act; H.R. 2319, 21st Century NICS Act; S. 1395, Age 21 Act; H.R. 2634, Closing the Loophole on Interstate Firearm Sales Act; S. 1352, Resources for Victims of Gun Violence Act; H.R. 2585, Resources for Victims of Gun Violence Act; H.R. 2621, Homeland Security Assessment of Terrorists Use of Ghost Guns Act; H.R. 2674, Gun Theft Prevention Act; H.R. 2708, Disarm Hate Act; S. 1462, Disarm Hate Act; H.R. 2786, Jake Laird Act; H.R. 2867, Ethans Law; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214, Equal Access to Justice for Victims of Gun Violence Act; S. 1779, Equal Access to Justice for Victims of Gun Violence Act; S. 1788, Federal Firearms Licensee Protection Act; H.R. 3234, Keeping Gun Dealers Honest Act; H.R. 3265, 3D Printed Gun Safety Act; S. 1831, 3D Printed Gun Safety Act; H.R. 3285, Handgun Purchaser Licensing Act; S. 1844, Handgun Purchase Licensing Act; S. 1884, SAFETY Act; H.R. 3404, Empowering Law Enforcement for Safer Firearm Transfers Act; H.R. 3435, Local Public Health and Safety Protection Act; S. 1943, Help Empower Americans to Respond (HEAR) Act; H.R. 3454, Help Empower Americans to Respond (HEAR) Act; H.R. 3284, To require the Attorney General to study whether an individuals history of domestic violence can be used to determine the likelihood of such individual committing a mass shooting; S. 1519, Protecting Communities and Preserving the Second Amendment Act of 2019; H.R. 1222, Target Practice and Marksmanship Training Support Act; H.R. 2670, Protect Law Enforcement Armor Act; H.R. 1745, Gun Violence Prevention Act of 2019; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3552, To amend the NICS Improvement Amendments Act of 2007 to provide notification to relevant law enforcement agencies in the event that a background check conducted by the National Instant Criminal Background Check System determines that a person may not receive a firearm, and for other purposes; H.R. 3553, To amend chapter 44 of title 18, United States Code, to ensure that all firearms are traceable, and for other purposes; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 3599, Law Enforcement Need to Know Act; H.R. 3606, High Speed Gunfire Prevention Act; S. 2376, Stop Illegal Trafficking in Firearms Act; H.R. 4062, Blair Holt Firearm Licensing and Record of Sale Act; S. 2272, Blair Holt Firearm Licensing and Record of Sale Act; H.R. 4080, Kimberly Vaughan Firearm Safe Storage Act; H.R. 4081, Sabika Sheikh Firearm Licensing and Registration Act; H.R. 4082, Santa Fe High School Victims Act; H.R. 4116, Prevent Gun Trafficking Act; H.R. 4177, Gun Safety Board and Research Act; S. 2449, Federal Firearm Licensing Act; H.R. 4324, Multiple Firearm Sales Reporting Modernization Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; H.R. 4264, Safe Homefront Act; H.R. 4594, Bumpstocks and Acceleration Devices Act; H.R. 4600, Domestic Violence Records Reporting Improvement Act of 2019; S. 2690, Restoring, Enhancing, Securing, and Promoting Our Nation's Safety Efforts Act of 2019; H.R. 4730, Advancing Gun Safety Technology Act of 2019; H.R. 4789, To allow Federal law enforcement officers to purchase retired service weapons, and for other purposes; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 4872, Fire Sale Loophole Closing Act; H.R. 4926, Prevent Family Fire Act of 2019; H.R. 4939, STOP Straw Purchases Act; S. 2920, Violence Against Women Reauthorization Act of 2019; H.R. 5132, Gun Violence Prevention Through Financial Intelligence Act; S. 2843, Violence Against Women Reauthorization Act of 2019; S. Res. 110, A resolution keeping guns out of classrooms; H.R. 5385, To amend the Omnibus Crime Control and Safe Streets Act of 1968 to authorize the Attorney General to make grants to States and units of local government to deploy and implement gunfire detection and location technology, and for other purposes; H.R. 5507, Foreign National Firearms Background Check Enhancement Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; H.R. 1158, Consolidated Appropriations Act, 2020; S. 1790, National Defense Authorization Act for Fiscal Year 2020; H. Res. 231, Keeping guns out of classrooms; H. Res. 391, Supporting the goals and ideals of National Gun Violence Awareness Weekend and National Gun Violence Awareness Month; S. Res. 217, A resolution expressing support for the designation of June 7 through June 9, 2019, as "National Gun Violence Awareness Weekend" and June 2019 as "National Gun Violence Awareness Month;" H. Res. 555, A resolution expressing the sense of the House of Representatives regarding the relationships between firearm violence, misogyny, and violence against women and reaffirming the importance of preventing individuals with a history of violence against women from accessing a firearm; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act; H.R. 5866, Gun Trafficker Detection Act; S. 3299, Tiahrt Restrictions Repeal Act; H.R. 5917, Gun Records Restoration and Preservation Act; H.R. 5949, National Instant Criminal Background Check System (NICS) Data Integrity Act of 2020; H.R. 6006, Crime Gun Tracing Modernization Act of 2020; S. 3348, Crime Gun Tracing Modernization Act of 2020.
Client expense: $100,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
Gun violence research; Mental health, as related to firearms; Appropriations; Hospital-based violence intervention programs; United States Crime Victims Fund; Firearm suicide; National Violent Death Reporting System; Extreme risk protection orders; Violence Against Women Act; H.R. 435, National Gun Violence Research Act; H.R. 674, Gun Violence Prevention Research Act; H.R. 1585, Violence Against Women Reauthorization Act of 2019; H.R. 1236, Extreme Risk Protection Order Act of 2019; S. 506, Extreme Risk Protection Order Act of 2019; H.R. 744, Protecting Our Communities and Rights Act of 2019; H.R. 2786, Jake Laird Act; H.R. 1745, Gun Violence Prevention Act of 2019; H.R. 2740, Labor, Health and Human Services, Education, Defense, State, Foreign Operations, and Energy and Water Development Appropriations Act, 2020; S. 2014, Making America Safe and Secure Act; H.R. 3569, Making America Safe and Secure Act; H.R. 3554, To incentivize State reporting systems that allow mental health professionals to submit information on certain individuals deemed dangerous for purposes of prohibiting firearm possession by such individuals, and for other purposes; H.R. 4177, Gun Safety Board and Research Act; S. 2554, A bill to require the Centers for Disease Control and Prevention to conduct research on mass violence; S. 2843, Violence Against Women Reauthorization Act of 2019; S. 2920, Violence Against Women Reauthorization Act of 2019; S. 2671, Break the Cycle of Violence Act; H.R. 4836, Break the Cycle of Violence Act; H.R. 1865, Further Consolidated Appropriations Act, 2020; Fiscal Year 2021 appropriations; H.R. 5717, Gun Violence Prevention and Community Safety Act; S. 3254, Gun Violence Prevention and Community Safety Act.
Client expense: $100,000 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, HOUSE OF REPRESENTATIVES, SENATE
2020 · third_quarter · Government Issues
Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund Library Stabilization Act H.R. 6800 HEROES Act - local government pandemic relief HEALS Act - local government pandemic relief
Client expense: Not reported · Firm income: $50,000
Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE
2020 · third_quarter · Health Issues
The Affordable Care Act (P.L. 111-148, P.L. 111-152): Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Pilot test Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare, to take effect in 2020, with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines; Urged Congress to cosponsor and pass the Safe Step Act (H.R. 2279), to require health insurers to provide an exceptions process for any medication step therapy protocol based on clinical decision-making, medical necessity, and other patient needs. Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62), which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries, and the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019, (H.R. 965/S. 340), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market. Also urged that Congress pass the Reforming Evergreening and Manipulation that Extends Drug Years, REMEDY Act (S. 1209), to aid in the approval of more generic drug applications by the FDA and therefore improve patient access to those medications. Also urged that Congress pass the Prescription Drug STAR Act (H.R. 2113), and the Fair Accountability and Innovative Research (FAIR) Drug Pricing Act (H.R. 2296/S. 1391), to promote greater drug pricing transparency; Expressed appreciation to the House speaker for introduction of H.R. 3, the Lower Drug Costs Now Act, noting encouragement for its provisions to empower the Secretary of Health and Human Services (HHS) to negotiate with drug companies for lower prices and to cap out-of-pocket costs for seniors enrolled in the Medicare Part D program. Commented to the FDA on its prescription drug reimportation proposed rule noting that while the College is generally supportive of drug importation as laid out in the proposed rule as a means to control the cost of prescription drugs, the FDA must guarantee that the design and implementation of the rule includes numerous measures and safeguards to ensure patient safety. By limiting the origin of imported drugs to Canadian-certified and FDA-approved and registered drugs and entities, the College believes the proposed rule meets the required U.S. standards to assure high-quality drugs and patient safety. Any final drug importation system must also be one that is a closed system and has a tightly controlled and documented supply chain to assure authenticity and avoid degradation of the drug. Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2021 for federal programs/initiatives designed to support primary care including Title VII Health Professions grants and the National Health Service Corps (NHSC). Equally important is the need to fund essential health services and medical research by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH) and public health programs supported by the Centers for Disease Control and Prevention (CDC). Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Also urged Congress to pass the Violence Against Women (VAWA) Reauthorization Act of 2019 (H.R. 1585), to provide protections for domestic violence victims by restricting access to firearms by those deemed a threat to them. Also urged Congress to pass the Assault Weapons Ban of 2019 (S. 66/H.R. 1296), to ban the sale of semi-automatic weapons and high capacity magazines. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border last summer; urged congressional oversight of family separation policies. Also urged that Congress pass H.R. 6, the Dream and Promise Act of 2019, which would provide a pathway to U.S. citizenship for undocumented children who came to the United States due to the action of their parents, also known as Dreamers. Expressed concern to the U.S. Department of Homeland Security with the recent U.S. Citizenship and Immigration Service (USCIS) policy change to no longer accept or adjudicate non-military deferred action requests including those for individuals with serious medical conditions; Urged USCIS to reverse this decision immediately and resume consideration of deferred action requests for medical reasons; Advocated with regard to a complaint filed with the Department of Homeland Security Office of the Inspector General (OIG) on September 14, 2020 concerning Lack of Medical Care, Unsafe Work Practices, and Absence of Adequate Protection Against COVID-19 for Detained Immigrants and Employees Alike at the Irwin County Detention Center. The concerns raised in the complaint, if substantiated, would represent an alarming violation of patient autonomy and ethical standards governing informed consent, appropriate access to health care and appropriate protection against COVID-19, causing great harm. The College urged an immediate internal investigation followed by swift and decisive corrective action as warranted should the complaint be substantiated. Graduate Medical Education: Urged that Congress support medical education training and debt relief for primary care physicians and other specialties facing shortages by passing the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), to lift the GME caps as needed to permit training an adequate number of primary care physicians, including internal medicine specialists, and physicians in other specialties facing shortages; passing the Resident Education Deferred Interest Act (H.R. 1554), to save physicians in residency programs thousands of dollars in interest on their loans and help incentivize the opening of practices in underserved areas; pass legislation to combine DGME and IME into a single, more functional payment program, and broaden the GME financing structure to include all payers; support funding for GME/IME and programs within the Veterans Health Administration that provide graduate medical education to ensure that physicians are adequately trained with the skills needed to treat an aging population. Urged Congress to pass the Opioid Workforce Act of 2019 (H.R. 3414), which would provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine. Urged Congress to pass S. 1203 and H.R. 2441, the What You Can Do For Your Country Act, which would improve and reform the Public Service Loan Forgiveness (PSLF) Program. Vaccines: Urged Congress to pass the Vaccines Act (HR 2862), which would provide federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention (CDC), and outline a national public messaging campaign informed by this research to help improve vaccination rates; Supported H.R. 592, recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide; Urged the U.S. Department of Homeland Security (DHS) to reconsider its decision to not vaccinate families in the custody of U.S. Customs and Border Protection (CBP) against influenza (flu). Urged Congress to support payments for vaccines, as finalized by CMS, and set for implementation on Jan. 1, 2021. Surprise Medical Billing: Urged Congress to pass legislation that would protect patients from surprise out-of-network medical bills in both emergency and non-emergency settings that includes the following principles: hold patients harmless from surprise medical bills for out-of-network services, address narrow insurance networks, abandon efforts to establish an in-network median rate for services in these settings and instead opt for an independent dispute resolution process to determine payment. Appropriations: Urged Congress to fund Title VII, Section 747, Primary Care Training and Enhancement (PCTE) at $71 million for fiscal year 2021; Fund the Agency for Health Care Research and Quality (AHRQ) at $460 million for fiscal year 2021; Fund the National Health Service Corps (NHSC) at $830 million for fiscal year 2021; Fund the Title X Family Planning Program at $400 million for fiscal year 2021 and include language to remove barriers to care that interfere with the patient-physician relationship; Fund Research on Prevention of Firearms-related Injuries and Deaths at $50 million for Fiscal Year 2021; Fund the National Institutes of Health (NIH) at $44.7 billion for fiscal year 2021; Fund the Centers for Disease Control and Prevention (CDC) at $8.3 billion for fiscal year 2021; Urged the House and Senate Armed Services Committees to support provisions in any final FY2021 National Defense Authorization Act to prevent cuts to the Military Health Service and the military medical workforce without requiring appropriate congressional oversight and review. Physician Fee Schedule: Commented to CMS and to Congress to fully implement payment increases for all evaluation and management codes, as finalized by CMS, and as scheduled for implementation on Jan. 1, 2021. Reduce the documentation burden for E/M services by allowing choice of medical decision making or time, and work to develop additional clarity and guidance on acceptable documentation to operationalize these important proposals; examination room desktop computers should be counted as a direct medical equipment cost; care management should be promoted by increasing the values of services like Transitional Care Management (TCM) and Chronic Care Management and implementing Principle Care Management (PCM) codes; require additional survey and review for any requests to increase non-outpatient E/M or other services; work with the physician community prior to finalizing any policy affecting eligibility to participate in the Medicare program; Urged congressional committees of jurisdiction to support: Higher physician work relative value units (RVUs) for new and established office visit codes, leading to increased payments for them, Reduced documentation requirements for office visit codes, which enables physicians to select and document for each visit based on medical decision-making or total time, Expanded and improved payment for care management services. Urged Congress to support waiving budget neutrality, applicable to the calendar year 2021 physician fee schedule. COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Urged the administration to explore regulatory and other actions that would make COVID-19 testing free-of-charge to patients covered by both public and private insurance plans, including ACA-compliant plans offered through the insurance exchanges, and to waive co-pays and deductibles for patients seeing physicians for symptoms that may be indicative of COVID-19 or who are hospitalized for treatment. Urged CMS to utilize a national disaster recovery program that would pay doctors 110% of Medicare rates for caring for uninsured patients who have been infected with SARS-CoV-2. Expressed support to Congress and the administration for the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged HHS and Congress to make a targeted allocation out of the Provider Relief Fund (PRF) to support primary care physicians and their practices, sufficient to keep their doors open, by offsetting lost revenue from the COVID-19 pandemic, similar to the targeted allocation for rural hospitals; Urged support for the Student Loan Forgiveness for Frontline Health Workers Act, H.R. 6720, introduced May 5, 2020 by Representative Carolyn B. Maloney (D-NY) which would eliminate graduate school debt for healthcare workers, including physicians and medical students, who are providing direct patient care in response to the COVID-19 pandemic; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. This extension-either continued by CMS or mandated by Congress-should last at least through the end of 2021, or until such a time when effective vaccines and treatments are widely available, with an option to extend it even further, or consider making permanent, based on the experience and learnings of patients and physicians who are utilizing these visits. Urged Congress to support a targeted allocation from the Provider Relief Fund specifically for primary care services. Health IT and Telehealth: Urged that physicians be able to easily access accurate and reliable COVID-19 testing results from the various testing sites and labs. These results must contain the appropriate flags for review and should be received in standard formats, ideally within physicians existing health IT systems. The current eCase reporting to public health agencies process is time-consuming and duplicative, and EHR functionality to do eCase reporting varies widely across vendors and state public health departments. HHS should take a leadership role in making sure these programs and health IT standards projects are adopted and implemented consistently across the country. Ensure federally qualified health centers and rural health clinics can furnish telehealth services after the public health emergency.
Client expense: $264,513 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS)
2020 · third_quarter · Health Issues
The Affordable Care Act (P.L. 111-148, P.L. 111-152): Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Pilot test Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare, to take effect in 2020, with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines; Urged Congress to cosponsor and pass the Safe Step Act (H.R. 2279), to require health insurers to provide an exceptions process for any medication step therapy protocol based on clinical decision-making, medical necessity, and other patient needs. Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62), which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries, and the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019, (H.R. 965/S. 340), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market. Also urged that Congress pass the Reforming Evergreening and Manipulation that Extends Drug Years, REMEDY Act (S. 1209), to aid in the approval of more generic drug applications by the FDA and therefore improve patient access to those medications. Also urged that Congress pass the Prescription Drug STAR Act (H.R. 2113), and the Fair Accountability and Innovative Research (FAIR) Drug Pricing Act (H.R. 2296/S. 1391), to promote greater drug pricing transparency; Expressed appreciation to the House speaker for introduction of H.R. 3, the Lower Drug Costs Now Act, noting encouragement for its provisions to empower the Secretary of Health and Human Services (HHS) to negotiate with drug companies for lower prices and to cap out-of-pocket costs for seniors enrolled in the Medicare Part D program. Commented to the FDA on its prescription drug reimportation proposed rule noting that while the College is generally supportive of drug importation as laid out in the proposed rule as a means to control the cost of prescription drugs, the FDA must guarantee that the design and implementation of the rule includes numerous measures and safeguards to ensure patient safety. By limiting the origin of imported drugs to Canadian-certified and FDA-approved and registered drugs and entities, the College believes the proposed rule meets the required U.S. standards to assure high-quality drugs and patient safety. Any final drug importation system must also be one that is a closed system and has a tightly controlled and documented supply chain to assure authenticity and avoid degradation of the drug. Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2021 for federal programs/initiatives designed to support primary care including Title VII Health Professions grants and the National Health Service Corps (NHSC). Equally important is the need to fund essential health services and medical research by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH) and public health programs supported by the Centers for Disease Control and Prevention (CDC). Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Also urged Congress to pass the Violence Against Women (VAWA) Reauthorization Act of 2019 (H.R. 1585), to provide protections for domestic violence victims by restricting access to firearms by those deemed a threat to them. Also urged Congress to pass the Assault Weapons Ban of 2019 (S. 66/H.R. 1296), to ban the sale of semi-automatic weapons and high capacity magazines. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border last summer; urged congressional oversight of family separation policies. Also urged that Congress pass H.R. 6, the Dream and Promise Act of 2019, which would provide a pathway to U.S. citizenship for undocumented children who came to the United States due to the action of their parents, also known as Dreamers. Expressed concern to the U.S. Department of Homeland Security with the recent U.S. Citizenship and Immigration Service (USCIS) policy change to no longer accept or adjudicate non-military deferred action requests including those for individuals with serious medical conditions; Urged USCIS to reverse this decision immediately and resume consideration of deferred action requests for medical reasons; Advocated with regard to a complaint filed with the Department of Homeland Security Office of the Inspector General (OIG) on September 14, 2020 concerning Lack of Medical Care, Unsafe Work Practices, and Absence of Adequate Protection Against COVID-19 for Detained Immigrants and Employees Alike at the Irwin County Detention Center. The concerns raised in the complaint, if substantiated, would represent an alarming violation of patient autonomy and ethical standards governing informed consent, appropriate access to health care and appropriate protection against COVID-19, causing great harm. The College urged an immediate internal investigation followed by swift and decisive corrective action as warranted should the complaint be substantiated. Graduate Medical Education: Urged that Congress support medical education training and debt relief for primary care physicians and other specialties facing shortages by passing the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), to lift the GME caps as needed to permit training an adequate number of primary care physicians, including internal medicine specialists, and physicians in other specialties facing shortages; passing the Resident Education Deferred Interest Act (H.R. 1554), to save physicians in residency programs thousands of dollars in interest on their loans and help incentivize the opening of practices in underserved areas; pass legislation to combine DGME and IME into a single, more functional payment program, and broaden the GME financing structure to include all payers; support funding for GME/IME and programs within the Veterans Health Administration that provide graduate medical education to ensure that physicians are adequately trained with the skills needed to treat an aging population. Urged Congress to pass the Opioid Workforce Act of 2019 (H.R. 3414), which would provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine. Urged Congress to pass S. 1203 and H.R. 2441, the What You Can Do For Your Country Act, which would improve and reform the Public Service Loan Forgiveness (PSLF) Program. Vaccines: Urged Congress to pass the Vaccines Act (HR 2862), which would provide federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention (CDC), and outline a national public messaging campaign informed by this research to help improve vaccination rates; Supported H.R. 592, recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide; Urged the U.S. Department of Homeland Security (DHS) to reconsider its decision to not vaccinate families in the custody of U.S. Customs and Border Protection (CBP) against influenza (flu). Urged Congress to support payments for vaccines, as finalized by CMS, and set for implementation on Jan. 1, 2021. Surprise Medical Billing: Urged Congress to pass legislation that would protect patients from surprise out-of-network medical bills in both emergency and non-emergency settings that includes the following principles: hold patients harmless from surprise medical bills for out-of-network services, address narrow insurance networks, abandon efforts to establish an in-network median rate for services in these settings and instead opt for an independent dispute resolution process to determine payment. Appropriations: Urged Congress to fund Title VII, Section 747, Primary Care Training and Enhancement (PCTE) at $71 million for fiscal year 2021; Fund the Agency for Health Care Research and Quality (AHRQ) at $460 million for fiscal year 2021; Fund the National Health Service Corps (NHSC) at $830 million for fiscal year 2021; Fund the Title X Family Planning Program at $400 million for fiscal year 2021 and include language to remove barriers to care that interfere with the patient-physician relationship; Fund Research on Prevention of Firearms-related Injuries and Deaths at $50 million for Fiscal Year 2021; Fund the National Institutes of Health (NIH) at $44.7 billion for fiscal year 2021; Fund the Centers for Disease Control and Prevention (CDC) at $8.3 billion for fiscal year 2021; Urged the House and Senate Armed Services Committees to support provisions in any final FY2021 National Defense Authorization Act to prevent cuts to the Military Health Service and the military medical workforce without requiring appropriate congressional oversight and review. Physician Fee Schedule: Commented to CMS and to Congress to fully implement payment increases for all evaluation and management codes, as finalized by CMS, and as scheduled for implementation on Jan. 1, 2021. Reduce the documentation burden for E/M services by allowing choice of medical decision making or time, and work to develop additional clarity and guidance on acceptable documentation to operationalize these important proposals; examination room desktop computers should be counted as a direct medical equipment cost; care management should be promoted by increasing the values of services like Transitional Care Management (TCM) and Chronic Care Management and implementing Principle Care Management (PCM) codes; require additional survey and review for any requests to increase non-outpatient E/M or other services; work with the physician community prior to finalizing any policy affecting eligibility to participate in the Medicare program; Urged congressional committees of jurisdiction to support: Higher physician work relative value units (RVUs) for new and established office visit codes, leading to increased payments for them, Reduced documentation requirements for office visit codes, which enables physicians to select and document for each visit based on medical decision-making or total time, Expanded and improved payment for care management services. Urged Congress to support waiving budget neutrality, applicable to the calendar year 2021 physician fee schedule. COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Urged the administration to explore regulatory and other actions that would make COVID-19 testing free-of-charge to patients covered by both public and private insurance plans, including ACA-compliant plans offered through the insurance exchanges, and to waive co-pays and deductibles for patients seeing physicians for symptoms that may be indicative of COVID-19 or who are hospitalized for treatment. Urged CMS to utilize a national disaster recovery program that would pay doctors 110% of Medicare rates for caring for uninsured patients who have been infected with SARS-CoV-2. Expressed support to Congress and the administration for the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged HHS and Congress to make a targeted allocation out of the Provider Relief Fund (PRF) to support primary care physicians and their practices, sufficient to keep their doors open, by offsetting lost revenue from the COVID-19 pandemic, similar to the targeted allocation for rural hospitals; Urged support for the Student Loan Forgiveness for Frontline Health Workers Act, H.R. 6720, introduced May 5, 2020 by Representative Carolyn B. Maloney (D-NY) which would eliminate graduate school debt for healthcare workers, including physicians and medical students, who are providing direct patient care in response to the COVID-19 pandemic; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. This extension-either continued by CMS or mandated by Congress-should last at least through the end of 2021, or until such a time when effective vaccines and treatments are widely available, with an option to extend it even further, or consider making permanent, based on the experience and learnings of patients and physicians who are utilizing these visits. Urged Congress to support a targeted allocation from the Provider Relief Fund specifically for primary care services. Health IT and Telehealth: Urged that physicians be able to easily access accurate and reliable COVID-19 testing results from the various testing sites and labs. These results must contain the appropriate flags for review and should be received in standard formats, ideally within physicians existing health IT systems. The current eCase reporting to public health agencies process is time-consuming and duplicative, and EHR functionality to do eCase reporting varies widely across vendors and state public health departments. HHS should take a leadership role in making sure these programs and health IT standards projects are adopted and implemented consistently across the country. Ensure federally qualified health centers and rural health clinics can furnish telehealth services after the public health emergency.
Client expense: $92,333 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS)
2020 · third_quarter · Firearms/Guns/Ammunition
SUPPORTED S. 42: The Background Check Expansion Act H.R. 1134: The Prevent Crime and Terrorism Act H.R. 1705: Jaimes Law S. 193: Jaimes Law H.R. 2708: Disarm Hate Act S. 1462: Disarm Hate Act H.R. 3404: Empowering Law Enforcement for Safer Firearm Transfers Act H.R. 3599: Law Enforcement Needs to Know Act S. 66: The Assault Weapons Ban of 2019 H.R. 1296: The Assault Weapons Ban of 2019 H.R. 1186: Keep Americans Safe Act S. 447: Keep Americans Safe Act H.R. 1236: The Extreme Risk Protection Order Act 0f 2019 S. 506: Extreme Risk Protection Order Act H.R.3076: Federal Extreme Risk Protection Order Act of 2019 H.R. 569: The Zero Tolerance for Domestic Abusers Act of 2019 S. 120: The Protecting Domestic Violence and Stalking Victims Act of 2019 H.R. 511: Protecting Domestic Violence and Stalking Victims Act of 2019 S. 193: Ethans Law H.R. 2867: Ethans Law H.R. 3214: Equal Access to Justice for Victims of Gun Violence Act S. 1779: Equal Access to Justice for Victims of Gun Violence Act H.R. 3234: Keeping Gun Dealers Honest Act S. 1795: Keeping Gun Dealers Honest Act H.R. 3265: 3D Printed Gun Safety Act S. 1831: 3D Printed Gun Safety Act S. 184: Gun Violence Prevention Research Act of 2019 H.R. 674: Gun Violence Prevention Research Act of 2019 H.R. 3285: Handgun Purchaser Licensing Act S. 1844: Handgun Purchaser Licensing Act H.R. 2585: Resources for Victims of Gun Violence Act of 2019 S. 1352: Resources for Victims of Gun Violence Act of 2019 H.R. 3435: Local Public Health and Safety Protection Act H.R. 51: Washington, DC Admission Act S. 631: Washington, D.C. Admission Act H.R. 4116: Prevent Gun Trafficking Act H.R.4255: Trafficking Reduction And Criminal Enforcement (TRACE) Act H.R. 4600: Domestic Violence Records Reporting Improvement Act H.R.4324: Multiple Firearm Sales Reporting Modernization Act of 2019 H.R.4568: Responsible Body Armor Possession Act H.R. 4926: Prevent Family Fire Act of 2019 H.R. 4691: Safe Gun Storage Act of 2019 S. 3065: Safe Gun Storage Act of 2019 H.R. 4730: Advancing Gun Safety Technology Act of 2019 H.R. 4836: Break the Cycle of Violence Act S. 2671: Break the Cycle of Violence Act H.R. 5181: Gunfire Detection and Location Technology Act H.R. 5866: Gun Trafficker Detection Act H.R. 5917: Gun Records Restoration and Preservation Act S. 3299: Tiahrt Restrictions Repeal Act H.R. 6453: To direct the Director of the Federal Bureau of Investigation to report the number of background checks conducted by the National Instant Criminal Background Check System during the month of March 2019 and during the COVID-19 public health emergency, and for other purposes. S.3548: CARES Act H.R. 6800: The Heroes Act H.R. 6395: William M. (Mac) Thornberry National Defense Authorization Act for Fiscal Year 2021 H.R. 7468: Stop Home Manufacture of Ghost Guns Act S. 4068: Background Check Completion Act of 2020 H.R. 7120: George Floyd Justice in Policing Act S.3912: The Justice in Policing Act S.4718: Stop Online Fraudulent Sales of Firearms Act H.R. 7930: Lori Jackson Domestic Violence Survivor Protection Act S.4443: Lori Jackson Domestic Violence Survivor Protection Act H.R. 7977: Firearms Retailer Code of Conduct Act of 2020 H.R. 8084: Lethal Means Safety Training Act AGAINST H.R. 744: Protecting Our Communities and Rights Act S. 7: Extreme Risk Protection Order and Violence Prevention Act H.R. 3450: To prohibit the Secretary of Veterans Affairs from transmitting certain information to the Department of Justice for use by the national instant criminal background check system. H.R. 3826: Veterans 2nd Amendment Protection Act
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Firearms/Guns/Ammunition
H.R. 8 - Bipartisan Background Checks Act of 2019. H.R. 1112 - Enhanced Background Checks Act of 2019. S. 42 - Background Check Expansion Act. H.R. 459 - Zero Tolerance for Domestic Abusers Act. S. 120 - Protecting Domestic Violence and Stalking Victims Act. H.R. 674/S. 184 - Gun Violence Research Prevention Act. S. 7 - Extreme Risk Protection Order and Violence Prevention Act. H.R. 744 - Protecting Communities and Rights Act. H.R. 1585 - Violence Against Women Reauthorization Act. H.R. 1671/S. 875 - NICS Denial Notification Act. H.R. 3076 - Federal Extreme Risk Protection Order Act. H.R. 3214/S. 1179 - Equal Justice for Victims of Gun Violence Act (Repeal of Protection of Lawful Commerce in Arms Act) H.R. 1236 -Extreme Risk Protection Order Act of 2019 H.R. 1186 - Keep Americans Safe Act. H.R. 2708 - Disarm Hate Act. H.R. 4301 - School Shooting Safety and Preparedness Act Issues related to firearms safety. Issues related to background checks. H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R. 6800, HEROES Act
Client expense: Not reported · Firm income: $50,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Health Issues
Public health, as related to firearms; gun violence research; appropriations; hospital-based violence intervention programs; Intimate partner violence and domestic violence, as related to firearms; Mental health, as related to firearms; firearm suicide; impacted communities, as related to firearms; lethal means safety counseling; National Violent Death Reporting System; other gun violence prevention measures; HR1236 Extreme Risk Protection Order Act; HR511 Protecting Domestic Violence and Stalking Victims Act; HR569 Zero Tolerance for Domestic Abusers Act; S120 Protecting Domestic Violence and Stalking Victims Act; S506 Extreme Risk Protection Order Act; HR435 National Gun Violence Research Act; HR 674 Gun Violence Prevention Research Act; S184 a bill to authorize the appropriations of funds to the Centers for Disease Control; HR1585 Violence Against Women Reauthorization Act; Vote 156; HR2740 Fiscal 2020 Labor-HHS-Education Appropriations; HR 6714 Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2021, and for other purposes.
Client expense: Not reported · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Medical/Disease Research/Clinical Labs
Legislation and policies related to: Pediatric and childrens health research Nursing research Gun Violence Prevention Research Act (S. 184/H.R. 674)
Client expense: Not reported · Firm income: $24,000
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
2020 · second_quarter · Firearms/Guns/Ammunition
Legislation and policies related to: Firearms and gun violence protections for children, families, and health care providers, including schools and health care facilities Bipartisan Background Checks Act of 2019 (H.R. 8) Raise the Age Act (H.R. 717) Keep Americans Safe Act (H.R. 1186) Background Check Expansion Act (S. 42) Assault Weapons Ban Act of 2019 (S. 66) Gun Violence Prevention Research Act (S. 184/H.R. 674)
Client expense: Not reported · Firm income: $24,000
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office
2020 · second_quarter · Firearms/Guns/Ammunition
Issues relating to universal background checks for the sale of firearms; H.R. 8, Bipartisan Background Checks Act; H.R. 1112, Background Check Completion Act; S. 42, Background Check Expansion Act; Issues related to research on firearm safety; H.R. 674 and S. 184, Gun Violence Research Prevention Act; Issues related to notifying law enforcement when a prohibited purchaser fails a NICS background check; H.R. 1671 and S. 875, NICS Denial Notification Act; Issues related to federal red flag laws; H.R. 1236 and S. 509, Emergency Risk Protection Order Act; S.7 Extreme Risk Protection Order and Violence Prevention Act; H.R. 744, Protecting Communities and Rights Act; Issues related to closing loopholes that permit unmarried individuals convicted of domestic violence to purchase and possess firearms; HR 459, Zero Tolerance for Domestic Abusers Act; S. 12, Protecting Domestic Violence and Stalking Victims Act; H.R. 1585, Violence Against Women Reauthorization Act; H.R. 3076, Federal Extreme Risk Protection Order Act; H.R. 3214 and S. 1179, PLCAA Repeal aka Equal Justice for Victims of Gun Violence Act; H.R. 3055, FY2020 Commerce, Justice, Science appropriations; H.R. 2740, FY2020 Labor, Health and Human Services appropriations; H.R. 2500, FY 2020 Defense Authorization Act; S.2584, Commerce, Justice, Science, and Related Agencies Appropriations Act, 2020; H.R. 1186, Keep Americans Safe Act; H.R. 2708, Disarm Hate Act; H.R. 4301, School Shooting Safety and Preparedness Act; HR 7120, the George Floyd Justice in Policing Act; HR 6800, the HEROES Act
Client expense: $330,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Government Issues
Immigration reform; DACA program; H.R. 6, the American Dream and Promise Act of 2019. H.R. 1345, the Restoring the Partnership for County Health Care Costs Act - entire bill H.R. 1708/S. 774, the Rim of the Valley Corridor Preservation Act, Violence Against Women Act reauthorization H.R. 279, the California Clean Coast Act - entire bill H.R. 9, the Climate Action Now Act, H.R. 2199/S. 1111, the Central Coast Heritage Protection Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program H.R. 279, the California Clean Coast Act, to permanently ban future offshore oil and gas leasing in areas of the OCS off the coast of California. FY 2021 Labor, Health and Human Services, Education Appropriations bill: CDCs Public Health Emergency Preparedness and Hospital Preparedness funding; CDCs Community Prevention Grants; Community health centers; 340B Drug Discount Program; Title V Maternal and Child Health (MCH) Block Grant; Tuberculosis control and prevention; Title X Family planning; Substance abuse block grants; Section 317 immunization programs; Mental health Block grants; Preventative health services block grants; Prevention & Public Health Fund; Ryan White HIV/AIDS programs, including ADAP (Part B); Health care safety net grants; and Community-based health and nutrition services for Older Americans. FY 2021 Transportation, Housing and Urban Development, and Related Agencies Appropriations bill: The Community Development Block Grant program; The HOME Investment Partnerships Act Program; McKinney-Vento Homeless Assistance; Elderly Housing; and Housing for People With AIDS. FY 2021 Commerce, Justice, and Science Appropriations bill: Reimbursement for the costs of adjudicating and incarcerating criminal illegal aliens under the SCAAP program; Multi-jurisdictional methamphetamine enforcement efforts; Local law enforcement technology and communications interoperability; DNA Cold Case prosecution and forensic laboratory services; Adult probation, prisoner reentry, and diversion and recidivism prevention activities, including those addressing the mentally ill; Youth delinquency prevention and diversion, and other juvenile justice needs, including anti-gang efforts; Violence against women and human trafficking; Public defender responsibilities; and Crime Victims programs. Legislation to reauthorize the Temporary Assistance for Needy Families (TANF) program. S.192, the Community and Public Health Programs Extension Act. Funding to underground transmission lines in fire prone areas. H.R. 8, the Bipartisan Background Checks Act of 2019 H.R.674, the Gun Violence Prevention Research Act of 2019 Legislation to make it illegal to buy or possess firearms that fire like military-style assault rifles; ban firearms with detachable high capacity ammunition magazines and a limit on magazine capacity to no more than 10 rounds; Providing the Center for Disease Control with the necessary funding and political freedom to study gun violence. Airport Improvement Program/Contract Tower Program FY 2021 Agriculture Appropriations - Agricultural Pests, APHIS funding Infrastructure funding S. 192, the Community and Public Health Programs Extension Act funding to underground transmission lines in fire prone areas H.R. 1345, Restoring the Partnership for County Health Care Costs Act H.R. 1708, the Rim of the Valley Corridor Preservation Act reauthorization and full funding of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) Program and other child nutrition programs H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 1111/H.R. 2199, the Central Coast Heritage Protection Act S. 1377, the Ensuring Quality Access to Legal Defense (EQUAL Defense) Act of 2019 Medicaid Disproportionate Share Hospital (DSH) payments H.R. 2470, the Clean Water Infrastructure Resilience and Sustainability Act H.R. 763, the Energy Innovation and Carbon Dividend Act (EICDA) S. 192, the Community and Public Health Programs Extension Act H.R. 3043, the Permanently Authorizing PILT Act S. 774, the Rim of the Valley Corridor Preservation Act H.R. 1943, the Community Health Center and Primary Care Workforce Expansion Act of 2019 S. 265, the Threat Assessment, Prevention, and Safety Act of 2019 (TAPS Act) H.R. 1236/S. 506, Extreme Risk Protection Order Act H.R. 3040, the Safe And Friendly for the Environment (SAFE) Streets Act S. 923, Fighting Homelessness Through Services and Housing Act Elder Justice Act reauthorization Older Americans Act Reauthorization S. 1703 Affordable Housing Credit Improvement Act Gun Control legislation: H.R. 1236, H.R. 3076 and H.R. 1186. H.R. 4334, the Supporting Older Americans Act of 2020, Local government stabilization funding/Coronavirus Relief Fund Community Health Center Funding for pandemic response Expanded Federal support for local Medicaid programs/Disproportionate Share Hospitals Legislative moratorium on Medicaid Fiscal Accountability Regulation County eligibility for paid sick leave and family leave tax credits Supplemental Funding for Public Health Emergency Preparedness Grants Emergency supplemental appropriations for coronavirus response. FEMA Disaster Relief Fund Hospital and healthcare provider relief for coronavirus response through the Public Health and Social Services Emergency Fund Library Stabilization Act
Client expense: Not reported · Firm income: $50,000
Government targets: Army, Dept of (Corps of Engineers), Centers For Disease Control & Prevention (CDC), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE
2020 · second_quarter · Firearms/Guns/Ammunition
The National Association for Gun Rights advocates on behalf of gun owners for pro-Second Amendment related public policy issues including but not limited to the following subject areas and their respective executive departments/agencies and legislative committees: Firearms, ammunition, accessories, right to possess purchase own and carry, background checks, mental health, NICS, registration requirements/databases, federal gun free zones, NFA of 1934, GCA of 1968, gun related Executive Orders, actions, nominations or treaties, 1st and 4th amendment protections for gun owners, and related appropriations. In each case NAGR opposes gun control and supports removing restrictions on the right to bear arms. Legislation before the 116th Congress that NAGR is actively following and lobbying on may include, but is not limited to: House Bills and Resolutions: H.R. 49, H.R. 110, H.R. 33, H.R. 167, H.R. 155, H.R. 38, H.R. 21, H.R. 8, H.R. 282, H.R. 511, H.R. 717, H.R. 674, H.R. 719, H.R. 775, H.R. 820, H.R. 821, H.R. 822, H.R. 869, H.R. 939, H.R. 1112, H.R. 1262, H.R. 1266, H.R. 1296, H.R. 1115, H.R. 1116, H.R. 1186, H.R. 1236, H.R. 1263, H.R. 1266, H.R. 1287, H.R. 1339, H.R. 1397, H.R. 1412, H.R. 1134, H.R. 930, H.R. 1072, H.R. 1116, H.R. 2674, H.R. 2621, H.R. 3265, H.R. 1761, H.R 2634, H.R 3200, H.R. 3552, H.R. 1585, H.R. 569, H.R. 3214, H.R. 3234, H.R. 3284, H.R. 3285, H.R. 3404, H.R. 3420, H.R. 3435, H.R. 3454, H.R. 3552, H.R. 3553, H.R. 3554, H.R. 3569, H.R. 3599, H.R. 3606, H.R. 3665, H.R. 3714, H.R. 4062, H.R. 4080, H.R. 4081, H.R. 4082, H.R. 5716, H.R. 5717, H.R. 5917, and H.R. 6006. Senate Bills and Resolutions: S. 7, S. 66, S. 69, S. 42, S. 120, S. 184, S. 202, S. 42, S. 447, S. 506, S. 443, S. 459, S. 193, S. 1795, S. 1831, S. 1844, S. 1884, S. 1924, S. 1943, S. 2013, S. 2014, S. 2272, S.351, S. 4040 Non-legislative issues lobbied before Congress, the BATFE, Executive Office of the President, but not limited to: The ATF and Justice Department rulemaking on bump stocks. We are opposed to their rulemaking. The UN Small Arms Treaty. We are opposed to the UN ATT and support the United States removing its signature. The nomination of Chuck Canterbury, Jr. to head the ATF. We were opposed to his nomination.
Client expense: $350,553 · Firm income: Not reported
Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
2020 · second_quarter · Health Issues
The Affordable Care Act (P.L. 111-148, P.L. 111-152): Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Pilot test Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare, to take effect in 2020, with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Expand Coverage and Stabilizing the Insurance Market: Congress should work to help stabilize the individual health insurance market and expand coverage. Specifically, the College urged Congress to develop and introduce comprehensive market stabilization legislation that includes reinsurance options to help stabilize the markets; Expand cost-sharing assistance eligibility to purchase insurance in the exchanges as well as increase the level of premium tax credits and cost sharing subsidies offered to purchase a qualified health plan; Introduce legislation that would block the expansion of access to short-term health plans or Association Health Plans that allow insurers to charge more to individuals with pre-existing conditions and permit them to exclude from coverage essential medical care. Urged that Congress pass the Protecting Pre-existing Conditions and Making Health Care More Affordable Act of 2019 (H.R. 1884), which strengthens and expands tax credits; stops skimpy health plans that do not cover essential benefits and that discriminate against people with pre-existing conditions; and provides funding for reinsurance programs. Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines; Urged Congress to cosponsor and pass the Safe Step Act (H.R. 2279), to require health insurers to provide an exceptions process for any medication step therapy protocol based on clinical decision-making, medical necessity, and other patient needs; Urged that the E/M documentation requirements in the FY2019 Physician Fee Schedule should be implemented immediately and not coupled with the E/M payment policy reforms planned for 2021. Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62), which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries, and the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019, (H.R. 965/S. 340), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market. Also urged that Congress pass the Reforming Evergreening and Manipulation that Extends Drug Years, REMEDY Act (S. 1209), to aid in the approval of more generic drug applications by the FDA and therefore improve patient access to those medications. Also urged that Congress pass the Prescription Drug STAR Act (H.R. 2113), and the Fair Accountability and Innovative Research (FAIR) Drug Pricing Act (H.R. 2296/S. 1391), to promote greater drug pricing transparency; Expressed appreciation to the House speaker for introduction of H.R. 3, the Lower Drug Costs Now Act, noting encouragement for its provisions to empower the Secretary of Health and Human Services (HHS) to negotiate with drug companies for lower prices and to cap out-of-pocket costs for seniors enrolled in the Medicare Part D program. Commented to the FDA on its prescription drug reimportation proposed rule noting that while the College is generally supportive of drug importation as laid out in the proposed rule as a means to control the cost of prescription drugs, the FDA must guarantee that the design and implementation of the rule includes numerous measures and safeguards to ensure patient safety. By limiting the origin of imported drugs to Canadian-certified and FDA-approved and registered drugs and entities, the College believes the proposed rule meets the required U.S. standards to assure high-quality drugs and patient safety. Any final drug importation system must also be one that is a closed system and has a tightly controlled and documented supply chain to assure authenticity and avoid degradation of the drug. Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2021 for federal programs/initiatives designed to support primary care including Title VII Health Professions grants and the National Health Service Corps (NHSC). Equally important is the need to fund essential health services and medical research by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH) and public health programs supported by the Centers for Disease Control and Prevention (CDC). Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Also urged Congress to pass the Violence Against Women (VAWA) Reauthorization Act of 2019 (H.R. 1585), to provide protections for domestic violence victims by restricting access to firearms by those deemed a threat to them. Also urged Congress to pass the Assault Weapons Ban of 2019 (S. 66/H.R. 1296), to ban the sale of semi-automatic weapons and high capacity magazines. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border last summer; urged congressional oversight of family separation policies. Also urged that Congress pass H.R. 6, the Dream and Promise Act of 2019, which would provide a pathway to U.S. citizenship for undocumented children who came to the United States due to the action of their parents, also known as Dreamers. Expressed concern to the U.S. Department of Homeland Security with the recent U.S. Citizenship and Immigration Service (USCIS) policy change to no longer accept or adjudicate non-military deferred action requests including those for individuals with serious medical conditions; Urged USCIS to reverse this decision immediately and resume consideration of deferred action requests for medical reasons. Graduate Medical Education: Urged that Congress support medical education training and debt relief for primary care physicians and other specialties facing shortages by passing the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), to lift the GME caps as needed to permit training an adequate number of primary care physicians, including internal medicine specialists, and physicians in other specialties facing shortages; passing the Resident Education Deferred Interest Act (H.R. 1554), to save physicians in residency programs thousands of dollars in interest on their loans and help incentivize the opening of practices in underserved areas; pass legislation to combine DGME and IME into a single, more functional payment program, and broaden the GME financing structure to include all payers; support funding for GME/IME and programs within the Veterans Health Administration that provide graduate medical education to ensure that physicians are adequately trained with the skills needed to treat an aging population. Urged Congress to pass the Opioid Workforce Act of 2019 (H.R. 3414), which would provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine. Urged Congress to pass S. 1203 and H.R. 2441, the What You Can Do For Your Country Act, which would improve and reform the Public Service Loan Forgiveness (PSLF) Program. Vaccines: Urged Congress to pass the Vaccines Act (HR 2862), which would provide federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention (CDC), and outline a national public messaging campaign informed by this research to help improve vaccination rates; Supported H.R. 592, recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide; Urged the U.S. Department of Homeland Security (DHS) to reconsider its decision to not vaccinate families in the custody of U.S. Customs and Border Protection (CBP) against influenza (flu). Surprise Medical Billing: Urged Congress to pass legislation that would protect patients from surprise out-of-network medical bills in both emergency and non-emergency settings that includes the following principles: hold patients harmless from surprise medical bills for out-of-network services, address narrow insurance networks, abandon efforts to establish an in-network median rate for services in these settings and instead opt for an independent dispute resolution process to determine payment. Appropriations: Urged Congress to fund Title VII, Section 747, Primary Care Training and Enhancement (PCTE) at $71 million for fiscal year 2021; Fund the Agency for Health Care Research and Quality (AHRQ) at $460 million for fiscal year 2021; Fund the National Health Service Corps (NHSC) at $830 million for fiscal year 2021; Fund the Title X Family Planning Program at $400 million for fiscal year 2021 and include language to remove barriers to care that interfere with the patient-physician relationship; Fund Research on Prevention of Firearms-related Injuries and Deaths at $50 million for Fiscal Year 2021; Fund the National Institutes of Health (NIH) at $44.7 billion for fiscal year 2021; Fund the Centers for Disease Control and Prevention (CDC) at $8.3 billion for fiscal year 2021. Physician Fee Schedule: Commented to CMS on its 2020 fee schedule final rule to: finalize E/M codes, current Procedural Terminology (CPT) guidelines, and RUC recommended values exactly as implemented by the CPT Editorial Panel and submitted by the RUC; finalize proposals to reduce the documentation burden for E/M services by allowing choice of medical decision making or time, and work to develop additional clarity and guidance on acceptable documentation to operationalize these important proposals; examination room desktop computers should be counted as a direct medical equipment cost; care management should be promoted by increasing the values of services like Transitional Care Management (TCM) and Chronic Care Management and implementing Principle Care Management (PCM) codes; require additional survey and review for any requests to increase non-outpatient E/M or other services; work with the physician community prior to finalizing any policy affecting eligibility to participate in the Medicare program; Urged congressional committees of jurisdiction to support: Higher physician work relative value units (RVUs) for new and established office visit codes, leading to increased payments for them, Reduced documentation requirements for office visit codes, which enables physicians to select and document for each visit based on medical decision-making or total time, Expanded and improved payment for care management services. COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Urged the administration to explore regulatory and other actions that would make COVID-19 testing free-of-charge to patients covered by both public and private insurance plans, including ACA-compliant plans offered through the insurance exchanges, and to waive co-pays and deductibles for patients seeing physicians for symptoms that may be indicative of COVID-19 or who are hospitalized for treatment. Urged CMS to utilize a national disaster recovery program that would pay doctors 110% of Medicare rates for caring for uninsured patients who have been infected with SARS-CoV-2. Expressed support to Congress and the administration for the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged HHS and Congress to make a targeted allocation out of the Provider Relief Fund (PRF) to support primary care physicians and their practices, sufficient to keep their doors open, by offsetting lost revenue from the COVID-19 pandemic, similar to the targeted allocation for rural hospitals; Urged support for the Student Loan Forgiveness for Frontline Health Workers Act, H.R. 6720, introduced May 5, 2020 by Representative Carolyn B. Maloney (D-NY) which would eliminate graduate school debt for healthcare workers, including physicians and medical students, who are providing direct patient care in response to the COVID-19 pandemic; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. This extension-either continued by CMS or mandated by Congress-should last at least through the end of 2021, or until such a time when effective vaccines and treatments are widely available, with an option to extend it even further, or consider making permanent, based on the experience and learnings of patients and physicians who are utilizing these visits. Health IT and Telehealth: Urged that physicians be able to easily access accurate and reliable COVID-19 testing results from the various testing sites and labs. These results must contain the appropriate flags for review and should be received in standard formats, ideally within physicians existing health IT systems. The current eCase reporting to public health agencies process is time-consuming and duplicative, and EHR functionality to do eCase reporting varies widely across vendors and state public health departments. HHS should take a leadership role in making sure these programs and health IT standards projects are adopted and implemented consistently across the country. Ensure federally qualified health centers and rural health clinics can furnish telehealth services after the public health emergency. Veterans Issues: Urged the Secretary of the VA to amend Directive 1899 as it relates to allowing non-physician healthcare professionals in 32 specialties to operate within the full scope of their license, registration, or certification and rescind the Memorandum as it relates to encouraging all VA medical facilities to allow CRNAs to practice without physician oversight during the national health emergency.
Client expense: $251,379 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)
2020 · second_quarter · Health Issues
The Affordable Care Act (P.L. 111-148, P.L. 111-152): Expanding coverage and improving Medicare benefits; Providing needed protections to guard against insurance practices that unfairly limit, deny or rescind coverage based on health status; public and private health insurers should encourage preventive health care by providing full coverage, with no cost-sharing, for preventive services recommended by an expert advisory group, such as the U.S. Preventive Services Task Force; Ensuring access to primary care physicians; and beginning to bend the cost curve; Prohibiting insurers from excluding or charging excessive rates to children based on pre-existing conditions, which later will be expanded to all persons; Covering young adults on their parents' plans; Eliminating lifetime and annual limits on health insurance coverage; Requiring that health insurers spend more on patient care and less on administration; support enactment of S. 248, the Empowering States to Innovate Act, which amends the Patient Protection and Affordable Care Act (ACA) to: (1) allow states to apply for waivers of certain health insurance coverage requirements in such Act (including requirements for the establishment of qualified health plans and health insurance exchanges) for plan years beginning on or after January 1, 2014 (currently, January 1, 2017), and (2) require the waiver application process to begin not later than 180 days after the enactment of this Act; Phasing out the Medicare Part D doughnut hole; Eliminating patient cost-sharing for preventive services offered by Medicare or private insurers; Increasing Medicare and Medicaid payments to primary care physicians; Supporting the Patient-Centered Outcomes Research Institute to help physicians and patients make care decisions based on the best available evidence; Supporting the Center on Medicare and Medicaid Innovation to fund pilots of delivery models to improve outcomes and reduce costs, including patient-centered medical homes; Advocated against a December 2018 ruling by a federal judge in Texas that the entire Affordable Care Act (ACA) is unconstitutional. Access to Primary Care in the Context of Comprehensive Healthcare Reform Legislation (H.R. 3962/H.R. 3590/H.R. 4872): Provide sliding scale subsidies based on income to buy coverage from qualified plans; Qualified plans should: provide evidence-based benefits, including preventive services; and be prohibited from excluding persons with pre-existing conditions, charging them more, cherry-picking enrollees, or cancelling or failing to renew coverage; Expand Medicaid to cover all persons below the Federal Poverty Level and ensure fair payments to participating physicians; As coverage becomes affordable, all persons should participate and coverage should be guaranteed; Responsibility for financing should be shared by individuals, employers and government. Pilot test Medicare payment models that re-align incentives to support effective, efficient, patient-centered, coordinated care. Priority should be given to models designed to support the value of services provided by primary care physicians as well as to models that would create incentives, across physician specialties and sites of services, to improve the quality, effectiveness, and efficiency of care provided. Policy criteria for selecting the most promising models for pilot testing should be developed, in consultation with outside experts; The Patient-Centered Medical Home (PCMH), which has shown great promise in meeting the policy objectives suggested above, should be among the models selected for broader testing on a national pilot basis; the use of the medical home model for treatment or services under private health plans, the requirement of health plans to provide incentives to promote and report on medical home services provided, the establishment of community health teams and a primary care extension program to educate and support primary care practices in the delivery of medical home services, and the establishment of a demonstration project to educate physicians and other clinicians in training in the competencies required to deliver care consistent with the medical home care model. Medicare Payments to Physicians: Urged that Congress provide incentives to physicians who transform their practices into Advanced Alternative Payment Models and continue to provide stability for physicians in the MIPS program. Specifically, Congress should extend the five percent Qualified Alternative Payment Model participant bonus beyond the 2022 performance year, replace the zero percent baseline payment updates under Medicare, to take effect in 2020, with positive updates. Urged congressional committees with jurisdiction over Medicare to exercise their oversight authority and urge CMS to expedite approval of more Advanced APMS, particularly those that work for small and specialty practices and to simplify the scoring structure and reporting requirements under the Merit-Based Incentive Payment System (MIPS) in order to fulfill Congress intent of a more streamlined program that reduces burdens on physicians; Supported S.2648, the Rural ACO Improvement Act, amends title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program (MSSP) to ensure that all ACOs have an equal opportunity to share in savings regardless of their geographic location; Provided recommendations to CMS on the Merit-based Incentive Payment System Value Pathway (MVP), which aims to reduce reporting burden and complexity within MIPS while improving the accuracy and effectiveness of performance measurement. The College noted specifically that a robust, multi-year transition period will be critical to the success of the MVP, that it does not support making the MVP mandatory, that CMS should continue to support numerous reporting mechanisms, including qualified registries and clinical data registries, which have been instrumental in developing specialty-specific performance measures, among other things. Expand Coverage and Stabilizing the Insurance Market: Congress should work to help stabilize the individual health insurance market and expand coverage. Specifically, the College urged Congress to develop and introduce comprehensive market stabilization legislation that includes reinsurance options to help stabilize the markets; Expand cost-sharing assistance eligibility to purchase insurance in the exchanges as well as increase the level of premium tax credits and cost sharing subsidies offered to purchase a qualified health plan; Introduce legislation that would block the expansion of access to short-term health plans or Association Health Plans that allow insurers to charge more to individuals with pre-existing conditions and permit them to exclude from coverage essential medical care. Urged that Congress pass the Protecting Pre-existing Conditions and Making Health Care More Affordable Act of 2019 (H.R. 1884), which strengthens and expands tax credits; stops skimpy health plans that do not cover essential benefits and that discriminate against people with pre-existing conditions; and provides funding for reinsurance programs. Administrative Tasks on Physicians and Patients: Congress should accelerate its efforts to reduce administrative burdens on clinicians and patients, including: streamlining the prior authorization process, better integrating clinical data into clinicians electronic health records (EHRs), and working with CMS in their effort to overhaul clinical documentation guidelines; Urged Congress to cosponsor and pass the Safe Step Act (H.R. 2279), to require health insurers to provide an exceptions process for any medication step therapy protocol based on clinical decision-making, medical necessity, and other patient needs; Urged that the E/M documentation requirements in the FY2019 Physician Fee Schedule should be implemented immediately and not coupled with the E/M payment policy reforms planned for 2021. Prescription Drug Costs: The College advocated for greater transparency in drug pricing, the elimination of anti-competitive industry practices that create barriers to generics coming to market, the importance of accounting for value in payment and coverage for prescriptions, and providing authority to the federal government to negotiate drug discounts under the Medicare Part D program. Specifically, the College urged Congress to pass the Medicare Prescription Drug Price Negotiation Act of 2019 (H.R. 275/S. 62), which allows the Secretary of Health and Human Services to negotiate covered Part D drug prices on behalf of Medicare beneficiaries, and the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2019, (H.R. 965/S. 340), which would improve patient access to alternative low-cost prescription drugs and biological products by preventing prescription drug manufacturers from misusing the FDAs Risk Evaluation and Mitigation Strategies (REMS) process to make it difficult for competing generics to be brought to the market. Also urged that Congress pass the Reforming Evergreening and Manipulation that Extends Drug Years, REMEDY Act (S. 1209), to aid in the approval of more generic drug applications by the FDA and therefore improve patient access to those medications. Also urged that Congress pass the Prescription Drug STAR Act (H.R. 2113), and the Fair Accountability and Innovative Research (FAIR) Drug Pricing Act (H.R. 2296/S. 1391), to promote greater drug pricing transparency; Expressed appreciation to the House speaker for introduction of H.R. 3, the Lower Drug Costs Now Act, noting encouragement for its provisions to empower the Secretary of Health and Human Services (HHS) to negotiate with drug companies for lower prices and to cap out-of-pocket costs for seniors enrolled in the Medicare Part D program. Commented to the FDA on its prescription drug reimportation proposed rule noting that while the College is generally supportive of drug importation as laid out in the proposed rule as a means to control the cost of prescription drugs, the FDA must guarantee that the design and implementation of the rule includes numerous measures and safeguards to ensure patient safety. By limiting the origin of imported drugs to Canadian-certified and FDA-approved and registered drugs and entities, the College believes the proposed rule meets the required U.S. standards to assure high-quality drugs and patient safety. Any final drug importation system must also be one that is a closed system and has a tightly controlled and documented supply chain to assure authenticity and avoid degradation of the drug. Workforce, Medical and Health Services Research, Public Health Initiatives: Congress should ensure funding in FY 2021 for federal programs/initiatives designed to support primary care including Title VII Health Professions grants and the National Health Service Corps (NHSC). Equally important is the need to fund essential health services and medical research by the Agency for Healthcare Research and Quality (AHRQ) and the National Institutes of Health (NIH) and public health programs supported by the Centers for Disease Control and Prevention (CDC). Firearms-Related Injury and Death: The College advocated for lawmakers to pass measures to strengthen the criminal background check system, ban assault weapons and high capacity magazines, prevent the unlawful transfer of firearms to those who cannot legally purchase them, and remove restrictions on, and provide dedicated funding for, research by federal agencies on prevention of firearms-related injuries and death. Specifically, the College urged passage of the Bipartisan Background Checks Act of 2019 (H.R. 8), which would strengthen the accuracy and reporting of the National Instant Criminal Background Check System (NICS) as well as expand Brady background checks to cover all firearm sales, including unlicensed firearms sellers currently not required to use background checks, and the Gun Violence Prevention Research Act (H.R. 674/S. 184), which would authorize funding for the Centers for Disease Control and Prevention (CDC) to study firearms safety and gun violence prevention. Also urged Congress to pass the Violence Against Women (VAWA) Reauthorization Act of 2019 (H.R. 1585), to provide protections for domestic violence victims by restricting access to firearms by those deemed a threat to them. Also urged Congress to pass the Assault Weapons Ban of 2019 (S. 66/H.R. 1296), to ban the sale of semi-automatic weapons and high capacity magazines. Immigration: The College advocated against family separation at the U.S. border. Specifically, the College urged support for H.R. 541 - the Keep Families Together Act, which would help ensure that children are not separated from their parents when families unlawfully cross over the border into the United States and would ensure that the Department of Homeland Security would not be able to implement the zero tolerance policy that separated families at the border last summer; urged congressional oversight of family separation policies. Also urged that Congress pass H.R. 6, the Dream and Promise Act of 2019, which would provide a pathway to U.S. citizenship for undocumented children who came to the United States due to the action of their parents, also known as Dreamers. Expressed concern to the U.S. Department of Homeland Security with the recent U.S. Citizenship and Immigration Service (USCIS) policy change to no longer accept or adjudicate non-military deferred action requests including those for individuals with serious medical conditions; Urged USCIS to reverse this decision immediately and resume consideration of deferred action requests for medical reasons. Graduate Medical Education: Urged that Congress support medical education training and debt relief for primary care physicians and other specialties facing shortages by passing the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), to lift the GME caps as needed to permit training an adequate number of primary care physicians, including internal medicine specialists, and physicians in other specialties facing shortages; passing the Resident Education Deferred Interest Act (H.R. 1554), to save physicians in residency programs thousands of dollars in interest on their loans and help incentivize the opening of practices in underserved areas; pass legislation to combine DGME and IME into a single, more functional payment program, and broaden the GME financing structure to include all payers; support funding for GME/IME and programs within the Veterans Health Administration that provide graduate medical education to ensure that physicians are adequately trained with the skills needed to treat an aging population. Urged Congress to pass the Opioid Workforce Act of 2019 (H.R. 3414), which would provide Medicare support for an additional 1,000 graduate medical education (GME) positions over five years in hospitals that have, or are in the process of establishing, accredited residency programs in addiction medicine, addiction psychiatry, or pain medicine. Urged Congress to pass S. 1203 and H.R. 2441, the What You Can Do For Your Country Act, which would improve and reform the Public Service Loan Forgiveness (PSLF) Program. Vaccines: Urged Congress to pass the Vaccines Act (HR 2862), which would provide federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention (CDC), and outline a national public messaging campaign informed by this research to help improve vaccination rates; Supported H.R. 592, recognizing the anniversary of the eradication of smallpox and the importance of vaccination in the United States and worldwide; Urged the U.S. Department of Homeland Security (DHS) to reconsider its decision to not vaccinate families in the custody of U.S. Customs and Border Protection (CBP) against influenza (flu). Surprise Medical Billing: Urged Congress to pass legislation that would protect patients from surprise out-of-network medical bills in both emergency and non-emergency settings that includes the following principles: hold patients harmless from surprise medical bills for out-of-network services, address narrow insurance networks, abandon efforts to establish an in-network median rate for services in these settings and instead opt for an independent dispute resolution process to determine payment. Appropriations: Urged Congress to fund Title VII, Section 747, Primary Care Training and Enhancement (PCTE) at $71 million for fiscal year 2021; Fund the Agency for Health Care Research and Quality (AHRQ) at $460 million for fiscal year 2021; Fund the National Health Service Corps (NHSC) at $830 million for fiscal year 2021; Fund the Title X Family Planning Program at $400 million for fiscal year 2021 and include language to remove barriers to care that interfere with the patient-physician relationship; Fund Research on Prevention of Firearms-related Injuries and Deaths at $50 million for Fiscal Year 2021; Fund the National Institutes of Health (NIH) at $44.7 billion for fiscal year 2021; Fund the Centers for Disease Control and Prevention (CDC) at $8.3 billion for fiscal year 2021. Physician Fee Schedule: Commented to CMS on its 2020 fee schedule final rule to: finalize E/M codes, current Procedural Terminology (CPT) guidelines, and RUC recommended values exactly as implemented by the CPT Editorial Panel and submitted by the RUC; finalize proposals to reduce the documentation burden for E/M services by allowing choice of medical decision making or time, and work to develop additional clarity and guidance on acceptable documentation to operationalize these important proposals; examination room desktop computers should be counted as a direct medical equipment cost; care management should be promoted by increasing the values of services like Transitional Care Management (TCM) and Chronic Care Management and implementing Principle Care Management (PCM) codes; require additional survey and review for any requests to increase non-outpatient E/M or other services; work with the physician community prior to finalizing any policy affecting eligibility to participate in the Medicare program; Urged congressional committees of jurisdiction to support: Higher physician work relative value units (RVUs) for new and established office visit codes, leading to increased payments for them, Reduced documentation requirements for office visit codes, which enables physicians to select and document for each visit based on medical decision-making or total time, Expanded and improved payment for care management services. COVID-19: Urged congressional appropriators to provide the highest possible funding level for research, prevention, control, and treatment of illnesses associated with the virus that is commensurate with the public health emergency that the virus represents. Urged the administration to explore regulatory and other actions that would make COVID-19 testing free-of-charge to patients covered by both public and private insurance plans, including ACA-compliant plans offered through the insurance exchanges, and to waive co-pays and deductibles for patients seeing physicians for symptoms that may be indicative of COVID-19 or who are hospitalized for treatment. Urged CMS to utilize a national disaster recovery program that would pay doctors 110% of Medicare rates for caring for uninsured patients who have been infected with SARS-CoV-2. Expressed support to Congress and the administration for the Families First Coronavirus Response Act, H.R. 6201, and other stimulus reforms related to COVID-19 including: Emergency paid leave benefits, paid sick days for public health emergencies, coverage of testing for COVID-19, waiving of cost sharing under Medicare, Medicare Advantage, Medicaid, and CHIP, increasing the federal FMAP under Medicaid, providing reimbursement for CPT codes 99441 - 99443, which are telephone evaluation and management services, expediting entrance of international medical graduates who are citizens of other nations (non-US IMGs) into the country and ensuring that lawfully present non-U.S. IMGs are not negatively impacted by the COVID-19 pandemic, funding for physician practices under the Public Health and Social Service Emergency Fund (PHSSEF), providing tax relief, grants, and loans to small and medium size practices impacted by COVID-19, increasing funding for personal protective equipment (PPE), ensuring Medicaid pay parity with Medicare for primary care services; Urged HHS and Congress to make a targeted allocation out of the Provider Relief Fund (PRF) to support primary care physicians and their practices, sufficient to keep their doors open, by offsetting lost revenue from the COVID-19 pandemic, similar to the targeted allocation for rural hospitals; Urged support for the Student Loan Forgiveness for Frontline Health Workers Act, H.R. 6720, introduced May 5, 2020 by Representative Carolyn B. Maloney (D-NY) which would eliminate graduate school debt for healthcare workers, including physicians and medical students, who are providing direct patient care in response to the COVID-19 pandemic; Urged support for H.R. 7059, the Coronavirus Provider Protection Act, which extend liability protections to those who provide care in good faith during the COVID-19 public health emergency (plus a reasonable time, such as 60 days, after the emergency declaration ends), and not in situations of gross negligence or willful misconduct. The College also urged that pay parity between telephone claims and in-person visits and between all telehealth and in-person visits be maintained after the PHE is lifted. This extension-either continued by CMS or mandated by Congress-should last at least through the end of 2021, or until such a time when effective vaccines and treatments are widely available, with an option to extend it even further, or consider making permanent, based on the experience and learnings of patients and physicians who are utilizing these visits. Health IT and Telehealth: Urged that physicians be able to easily access accurate and reliable COVID-19 testing results from the various testing sites and labs. These results must contain the appropriate flags for review and should be received in standard formats, ideally within physicians existing health IT systems. The current eCase reporting to public health agencies process is time-consuming and duplicative, and EHR functionality to do eCase reporting varies widely across vendors and state public health departments. HHS should take a leadership role in making sure these programs and health IT standards projects are adopted and implemented consistently across the country. Ensure federally qualified health centers and rural health clinics can furnish telehealth services after the public health emergency. Veterans Issues: Urged the Secretary of the VA to amend Directive 1899 as it relates to allowing non-physician healthcare professionals in 32 specialties to operate within the full scope of their license, registration, or certification and rescind the Memorandum as it relates to encouraging all VA medical facilities to allow CRNAs to practice without physician oversight during the national health emergency.
Client expense: $94,771 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA)