The Resetting the Impact Act (TRIA) of 2020

American Rescue Plan Act of 2021 (H.R.1319); Health Care Improvement Act of 2021 (S. 352); Workforce Violence Prevention for Health Care and Social Service Workers Act (H.R. 1195); Resident Physician Shortage Reduction Act of 2021 (S. 834); Protecting Access to Post-COVID-19 Telehealth Act of 2021 (H.E. 366); Social Determinants Accelerator Act of 2021 (H.R. 2503); "An Act to prevent across-the-board direct spending cuts, and for other purposes" (H.R. 1868); The Resetting the Impact Act (TRIA) of 2021 (H.R. 8826); Forthcoming Infrastructure Legislation (health care impact); Statutory PAYGO Sequester relief (re: American Rescue Plan Act); 340B COVID relief (S. 773), Price Transparency (HHS rule and re: No Surprises Act); Medicare Area Wage Index - Imputed Rural Floor; Medicare Area Wage Index - creation of new CBSA in New Jersey; telehealth (post-PHE expansion and waivers); CARES Act Provider Relief Fund (general and rural allocation).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021 (H.R.1319); Health Care Improvement Act of 2021 (S. 352); Workforce Violence Prevention for Health Care and Social Service Workers Act (H.R. 1195); Resident Physician Shortage Reduction Act of 2021 (S. 834); Protecting Access to Post-COVID-19 Telehealth Act of 2021 (H.E. 366); Social Determinants Accelerator Act of 2021 (H.R. 2503); "An Act to prevent across-the-board direct spending cuts, and for other purposes" (H.R. 1868); The Resetting the Impact Act (TRIA) of 2021 (H.R. 8826); Forthcoming Infrastructure Legislation (health care impact); Statutory PAYGO Sequester relief (re: American Rescue Plan Act); 340B COVID relief (S. 773), Price Transparency (HHS rule and re: No Surprises Act); Medicare Area Wage Index - Imputed Rural Floor; Medicare Area Wage Index - creation of new CBSA in New Jersey; telehealth (post-PHE expansion and waivers); CARES Act Provider Relief Fund (general and rural allocation).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021 (H.R.1319); Health Care Improvement Act of 2021 (S. 352); Workforce Violence Prevention for Health Care and Social Service Workers Act (H.R. 1195); Resident Physician Shortage Reduction Act of 2021 (S. 834); Protecting Access to Post-COVID-19 Telehealth Act of 2021 (H.E. 366); Social Determinants Accelerator Act of 2021 (H.R. 2503); "An Act to prevent across-the-board direct spending cuts, and for other purposes" (H.R. 1868); The Resetting the Impact Act (TRIA) of 2021 (H.R. 8826); Forthcoming Infrastructure Legislation (health care impact); Statutory PAYGO Sequester relief (re: American Rescue Plan Act); 340B COVID relief (S. 773), Price Transparency (HHS rule and re: No Surprises Act); Medicare Area Wage Index - Imputed Rural Floor; Medicare Area Wage Index - creation of new CBSA in New Jersey; telehealth (post-PHE expansion and waivers); CARES Act Provider Relief Fund (general and rural allocation).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

American Rescue Plan Act of 2021 (H.R.1319); Health Care Improvement Act of 2021 (S. 352); Workforce Violence Prevention for Health Care and Social Service Workers Act (H.R. 1195); Resident Physician Shortage Reduction Act of 2021 (S. 834); Protecting Access to Post-COVID-19 Telehealth Act of 2021 (H.E. 366); Social Determinants Accelerator Act of 2021 (H.R. 2503); "An Act to prevent across-the-board direct spending cuts, and for other purposes" (H.R. 1868); The Resetting the Impact Act (TRIA) of 2021 (H.R. 8826); Forthcoming Infrastructure Legislation (health care impact); Statutory PAYGO Sequester relief (re: American Rescue Plan Act); 340B COVID relief (S. 773), Price Transparency (HHS rule and re: No Surprises Act); Medicare Area Wage Index - Imputed Rural Floor; Medicare Area Wage Index - creation of new CBSA in New Jersey; telehealth (post-PHE expansion and waivers); CARES Act Provider Relief Fund (general and rural allocation).

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

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

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections) HR 8702 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 (all sections) HR 8826 - The Resetting the Impact Act (TRIA) of 2020 (all sections) HR 133/PL 116-260 - Consolidated Appropriations Act, 2021 (Division M - Coronavirus Response & Relief Supplemental Appropriations Act, 2021)

Client expense: $370,000 · Firm income: Not reported

COVID-19 issues related to COVID-19 health care legislative and regulatory implementation and funding issues; COVID-19 relief funding within the Families First Coronavirus Response Act (H.R. 6201), Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (H.R. 6074), the CARES Act (S. 3548/H.R. 748); implementation of Provider Relief Funding and other COVID-19 relief, including Medicare/Medicaid waivers; and the HEROES Act (H.R. 6800); Delivering Immediate Relief to America's Families, Schools and Small Businesses Act (S. 4775), and Health, Economic Assistance, Liability Protection and Schools (HEALS) Act; Continuing Appropriations Act, 2021 and Other Extensions Act (H.R.8337); Consolidated Appropriations Act, 2021 (H.R. 133); telehealth, rural health, ; The Resetting The Impact Act (TRIA)(H.R. 8826); and Critical Access Hospitals.

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

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

COVID-19 issues related to COVID-19 health care legislative and regulatory implementation and funding issues; COVID-19 relief funding within the Families First Coronavirus Response Act (H.R. 6201), Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (H.R. 6074), the CARES Act (S. 3548/H.R. 748); implementation of Provider Relief Funding and other COVID-19 relief, including Medicare/Medicaid waivers; and the HEROES Act (H.R. 6800); Delivering Immediate Relief to America's Families, Schools and Small Businesses Act (S. 4775), and Health, Economic Assistance, Liability Protection and Schools (HEALS) Act; Continuing Appropriations Act, 2021 and Other Extensions Act (H.R.8337); Consolidated Appropriations Act, 2021 (H.R. 133); telehealth, rural health; The Resetting The Impact Act (TRIA)(H.R. 8826) and Critical Access Hospitals.

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

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

H.R.8826, The Resetting the Impact Act (TRIA) of 2020; S.4854/H.R. 8677 The Home Health Emergency Access to Telehealth (HEAT) Act

Client expense: $300,000 · Firm income: Not reported

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

H.R.8826, The Resetting the Impact Act (TRIA) of 2020; S.4854/H.R. 8677 The Home Health Emergency Access to Telehealth (HEAT) Act

Client expense: $300,000 · Firm income: Not reported

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

COVID-19 issues related to COVID-19 health care legislative and regulatory implementation and funding issues, including inpatient rehab hospitals (IRFs), Families First Coronavirus Response Act (H.R. 6201), Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (H.R. 6074), and the CARES Act (S. 3548/H.R. 748), Consolidated Appropriations Act, 2021 (H.R. 133).; Unified post-acute care payment system; Medicare Advantage and Prior Authorization including H.R.3107; Site neutral payment issues; Medical necessity to post-acute care reform; The Preserving rehabilitation Innovation Centers Act of 2019 (S.594, H.R. 1901); Implementation of IMPACT Act of 2014 (P.L. 113-185); Implementation of H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; Comprehensive Care for Joint Replacement(CCJR) Model; Medicare Advantage and managed care related issues; Value based purchasing issues, Recovery Audit Contractor issues, prior authorization, PPS excluded hospitals operation of excluded units, 3-hour rule, 60% rule, LTCH exempt unit issue; Preserving Rehabilitation Innovation Centers Act (H.R.1901/S.594); Improving Seniors Timely Access to Care Act (H.R.3107); The BETTER Act (H.R.3417); The Resetting The Impact Act (TRIA) (H.R. 8826); Implementation of the Continuing Care Hospital.

Client expense: Not reported · Firm income: $90,000

COVID-19 health care legislative and regulatory implementation and funding issues, including issues related to inpatient rehab hospitals (IRFs), Families First Coronavirus Response Act (H.R. 6201), Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (H.R. 6074), and the CARES Act (S. 3548/H.R. 748), Consolidated Appropriations Act, 2021 (H.R. 133); Unified post-acute care payment system; Medicare Advantage and Prior Authorization including H.R.3107; Site neutral payment issues; Medical necessity to post-acute care reform; The Preserving rehabilitation Innovation Centers Act of 2019 (S.594, H.R. 1901); Implementation of IMPACT Act of 2014 (P.L. 113-185); Implementation of H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; Comprehensive Care for Joint Replacement(CCJR) Model; Medicare Advantage and managed care related issues; Value based purchasing issues, Recovery Audit Contractor issues, prior authorization, PPS excluded hospitals operation of excluded units, 3-hour rule, 60% rule, LTCH exempt unit issue; Preserving Rehabilitation Innovation Centers Act (H.R.1901/S.594); Improving Seniors Timely Access to Care Act (H.R.3107; The BETTER Act (H.R.3417); The Resetting The Impact Act (TRIA) (H.R. 8826); implementation of the Continuing Care Hospital.

Client expense: Not reported · Firm income: $90,000

- COVID-19 relief and related policies - HR 8826 - The Resetting the Impact Act (TRIA) of 2020

Client expense: Not reported · Firm income: Not reported

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

Issues related to Medicare reimbursement of long term care hospitals Public Law 115-123, Bipartisan Budget Act of 2018, Long term care hospital reimbursement issues Issues related to Medicare Advantage beneficiary access to long term care hospitals H.R.3107, Improving Seniors' Timely Access to Care Act, Prior authorization in Medicare Advantage Public Law 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act H.R.6800, Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act S.4318, American Workers, Families, and Employers Assistance Act H.R.8826, The Resetting the IMPACT Act (TRIA) of 2020 Public Law 116-260, Consolidated Appropriations Act, 2021, Division N, Additional Coronavirus Response and Relief

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing value-based purchasing program under the Medicare program) HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 7154 - Outpatient Therapy Modernization and Stabilization Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections) HR 8702 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 (all sections) HR 8826 - The Resetting the Impact Act (TRIA) of 2020 (all sections) HR 133/PL 116-260 - Consolidated Appropriations Act, 2021 (Division M - Coronavirus Response & Relief Supplemental Appropriations Act, 2021)

Medicare policies related to access to and payment for post-acute care services, including the "Improving Seniors' Timely Access to Care Act of 2019 (H.R. 3107)", the "Coronavirus Preparedness and Response Supplemental (H.R. 6074)", the "Families First Coronavirus Response Act (H.R. 6201)", the "Coronavirus Aid, Relief and Economic Security Act (H.R. 748)", the "Health and Economic Recovery Omnibus Emergency Solutions Act (H.R. 6800, H.R 8406)", the "Paycheck Protection Program and Health Care Enhancement Act (H.R. 266)", the "Medicare Accelerated and Advance Payment Improvement Act (S. 3750, H.R. 6837)", the "Continuing Appropriations Act, 2021 and Other Extensions Act (H.R. 8337)", the "American Workers, Families and Employer Assistance Act (S.4318)", the "Further Continuing Appropriations Act, 2021 and Other Extensions Act (H.R. 8900)", the Further Additional Continuing Appropriations Act, 2021 (H.J. Res. 107)", the "Extension of Continuing Appropriations Act, 2021 (H.J.Res 110)", the Consolidated Appropriations Act, 2021 (H.R. 133)", the "Holding Providers Harmless from Medicare Cuts During COVID-19 Act of 2020 (H.R. 8702, S. 5007)", H.R. 8505 related to Medicare outpatient payments and the "Resetting the IMPACT Act of 2020 (H.R. 8826)".

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