Patient Access to Higher Quality Health Care Act of 2021

Repeal Section 6001 of the Affordable Care Act - section 6001 prohibits expansion of physician-led hospitals, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act of 2021, and S. 4130, the Patient Access to Higher Quality Care Act of 2022; and related issues regarding hospital competition and consolidation. Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-led hospitals. Coronavirus response efforts, including support for health care providers, patients and small business, and enable physician-led hospitals to respond to COVID-19, including implementation of related provisions in H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1330 / S. 4130 - "Patient Access to Higher Quality Health Care Act of 2021" - Provisions that would weaken or repeal current law limiting self-referral to physician-owned hospitals. Advocate for legislation that would reform rural hospital DSH payments. H.R. 4040 - "Advancing Telehealth Beyond COVID-19 Act of 2021" - Expanding access to telehealth beyond PHE. S. 1568 / H.R. 4407 - "Technical Reset to Advance the Instruction of Nurses Act" - CMS payments for Nursing Education Hospitals. H.R. 1887 / S. 4009 - "Rural Hospital Support Act" - Rural Extenders. H.R. 3173/H.R. 8487 - The Improving Seniors Timely Access to Care Act of 2021 - Simplify/streamline Medicare Advantage prior authorization process. Urge Congress to Support Improvements to IPPS Proposed Rule. H.R. 8747 - "The Assistance for Rural Community Hospitals (ARCH) Act" - Rural health payment program extensions. Discussions with Congress regarding waiving PAYGO. Urge Congress to address Medicare Physician Fee Schedule reimbursement rate S. 4747 - "Investing in Kids Mental Health Now Act of 2022" - Medicaid reimbursement for pediatric mental health and substance use disorder treatment services

Client expense: $620,000 · Firm income: Not reported

Monitor federal health care policy, including Medicare and Medicaid payment for hospital care. Monitor extension of payments to rural hospitals. Monitor H.R.1330 / S.4130, Patient Access to Higher Quality Health Care Act of 2021, provisions that would weaken or repeal current law limiting self-referral to physician-owned hospitals. Discuss waiving PAYGO with policymakers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1976 Medicare for All Act of 2021 (all sections of full text)(oppose) S 2315 Medicaid Saves Lives Act (all sections of full text) HR 4595 Medicaid Saves Lives Act (all sections of full text) Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program Monitored S 4204 Medicare for All Act of 2022 Monitored S 386 Medicare-X Choice Act of 2021 Monitored HR 1227 Medicare-X Choice Act of 2021 Monitored HR 1330 Patient Access to Higher Quality Health Care Act of 2021 Monitored S 4130 Patient Access to Higher Quality Health Care Act of 2022

Client expense: Not reported · Firm income: $100,000

S2999 A bill to prohibit the Secretary of Health and Human Services, any officer or employee of the Department of Health and Human Services, and States from requiring COVID-19 vaccination as a condition of eligibility for benefits or assistance under the Medicare, Medicaid, or CHIP programs; HR 1349 The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021; H.R.2228 To allow for payment of outpatient critical access hospital services furnished through telehealth under the Medicare program. S999 A bill to amend the title XVIII of the Social Security Act to preserve access to rural health care by ensuring fairness in Medicare hospital payments; H.R.1887 To amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; S.2048 -HR3650 Improving Access to care Coverage Act of 2021;. H.R. 1330 Patient Access to Higher Quality Health Care Act of 2021;S.J.Res.32 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff Vaccination; H.J.Res.67 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff Vaccination;S.4050 Medicare Advantage Quality Payment Relief Act of 2022; H.R.6895 Commission on Sustaining Medicare and Social Security Act of 2022.

Client expense: Not reported · Firm income: $15,000

Support H.R. 315,Medicare Sequester COVID Moratorium Act, a bill to amend the Coronavirus Aid, Relief, and Economic Security Act to extend the temporary suspension of Medicare sequestration; Support H.R. 1332 and S.368,Telehealth Modernization Act, a bill to amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program related to the COVID-19 public health emergency; Discussion with the Center for Medicare and Medicaid Innovation (CMMI) about the Radiation Oncology Alternative Payment Model; Support H.R. 1868, a bill that, among other health care provisions, would eliminate the 2% across-the-board cut to all Medicare payments, known as sequestration, until the end of 2021; Support H.R. 2455, The Resetting the Impact Act (TRIA), a bill to amend the IMPACT Act of 2014 to reset data collection and the development of a payment system technical prototype for post-acute care providers under the Medicare program to take into account the effects of COVID-19; Support H.R. 3173/ S.3018, Improving Seniors Timely Access to Care Act of 2021, a bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans, and for other purposes; Support H.R. 1887/ S. 4009, Rural Hospital Support Act, a bill to make permanent the Medicare Dependent Hospital (MDH) and Low-volume Adjustment programs and rebases the MDH and Sole Community Hospital programs; Support relief for Medicare advanced payments; Discussion with CMMI about the priorities for alternative payment models; Support HR 4587, Value in Health Care Act of 2021, a bill to direct the Secretary of Health and Human Services to revise certain regulations in relation to the Medicare shared savings program and other advanced alternative payment arrangements to encourage participation in such program, and for other purposes; Support HR 3746, Accountable Care in Rural America Act, a bill to amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program; Support H.R. 5425/ S. 1988, Protecting Rural Telehealth Access Act, a bill to amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program; Letter asking Congress to address two important issues by the end of the year: an extension of the moratorium on Medicare sequester cuts, as well as preventing the Statutory Pay-As-You-Go (PAYGO) sequester from taking effect; Letter urging Congress to remove the reductions to the Medicaid disproportionate share hospital (DSH) program and uncompensated care pools from the Build Back Better Act; Support H.R. 5674/ S. 3061Medicare Mental Health Inpatient Equity Act of 2021, a bill to amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program; Letter to the HHS secretary asking for PHE extension and urging HHS to extend the declaration for at least 90 days; Letter to the HHS secretary asking to renew the COVID-19 PHE; Letter to CMS urging changes to MA prior authorization requirements for PHE; Letter expressing our disappointment that Congress is adjourning for April recess without addressing the needs of hospitals and health systems and urging Congress to act to ensure health care providers have the critical relief, including but not limited to extending the Medicare sequester relief, adding more PRF dollars, and providing flexibility in the repayment terms for Medicare accelerated and advance repayments; Provide comments in response to the (CMS) request for information regarding access to coverage and care in the Medicaid and Childrens Health Insurance Program (CHIP) programs. The critical components for a comprehensive access and coverage strategy for Medicaid and CHIP should include: Robust outreach and enrollment efforts to secure and maintain coverage for eligible individuals and families, as well as ensure beneficiary knowledge of how to use this coverage, Standards to ensure timely and equitable access to quality care, and Provider payments that are sufficient to enable beneficiaries' access to quality care; Provide comments in response to the Department of Homeland Securitys (DHS) proposed rule to codify standards and clarify policies that govern public charge determinations. Public charge determinations assess how likely it is that an individual will become dependent on government assistance (public benefits) for support and subsistence. These policy clarifications are intended to help immigrants and their family members better understand when the use of certain public benefits could impact their future immigration status and address the chilling effects of the now-repealed 2019 public charge final rule. The AHA supports DHSs efforts to clarify policies regarding how public charge determinations are made to help reverse the damaging effects of the repealed 2019 public charge rule; A bill to amend title XIX of the Social Security Act to expand the availability of mental, emotional, and behavioral health services under the Medicaid program; Letter urging Congress to halt further cuts to hospital payments. Need to stop a harmful Medicare payment cut to providers that will go into effect July 1 without congressional action. Specifically, a 1% Medicare sequester cut took effect April 1, and that cut will increase to 2% on July 1 if Congress does not act. This will result in billions of dollars being cut from hospitals and health systems by the end of the year; Submitted comment letter regarding Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the IRF Quality Reporting Program. We note that the proposed IRF PPS labor-related share would only modestly shift upward from 72.9% in FY 2022 to 73.2% in FY 2022. AHA is concerned that these changes neither align regarding massive cost growth in recent months and years; Provide Comments on the Medicare Program - Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities and Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2023 which stated the Proposed FY 2023 Payment Update warrants closer examination and we urge CMS to discuss in the final rule how the agency will account for these increased costs. The timing of this proposed net decrease in payments could not be worse, given the well-documented impact of the COVID-19 public emergency (PHE) on the SNF and nursing home field; Letter sent to the bipartisan, bicameral Leadership of the House and Senate, urging Congress to act to prevent further Medicare sequester cuts scheduled to take effect on July 1; Submitted comment letter about inpatient and long-term care hospital prospective payment system proposed rule for fiscal year 2023. Concerned that CMS is proposing policies and payment adjustment that do not take into account the current the COVID-19 public health emergency (PHE) and its atypical market forces and pandemic-driven aberrations affecting the utilization and cost of providing LTCH services. Specifically, we are concerned by proposals for an inadequate market basket update and an untenable spike in the high-cost outlier threshold; Letter urges Congress to call on CMS to make changes to the hospital inpatient prospective payment system (IPPS) proposed rule for fiscal year (FY) 2023 in order to ensure that Medicare payments for acute care services more accurately reflect the cost of providing hospital care to patients and communities; Support the bipartisan Dear Colleague letters that ask CMS to make critical changes to the hospital inpatient prospective payment system proposed rule for fiscal year (FY) 2023 to more accurately reflect the cost of providing hospital care to patients; Support HR 8487/ S 3173 Improving Seniors Timely Access to Care Act of 2022, a bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans; Support HR 8747 Assistance for Rural Community Hospitals Act of 2022 or the ARCH Act of 2022, a bill to amend title XVIII of the Social Security Act to extend Medicare-dependent hospital and Medicare low-volume hospital payments; Oppose HR 1330/ S 4130 Patient Access to Higher Quality Health Care Act of 2022, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, and for other purposes; Support HR 8188/ S4449 Saving Access to Laboratory Services Act, a bill to amend title XVIII of the Social Security Act to improve the accuracy of market-based Medicare payment for clinical diagnostic laboratory services, to reduce administrative burdens in the collection of data, and for other purposes.

H.R. 1330 / S. 4130 - "Patient Access to Higher Quality Health Care Act of 2021" - Provisions that would weaken or repeal current law limiting self-referral to physician-owned hospitals. Advocate for legislation that would reform rural hospital DSH payments. H.R. 4040 - "Advancing Telehealth Beyond COVID-19 Act of 2021" - Expanding access to telehealth beyond PHE. S. 1568 / H.R. 4407 - "Technical Reset to Advance the Instruction of Nurses Act" - CMS payments for Nursing Education Hospitals. H.R. 1887 / S. 4009 - "Rural Hospital Support Act" - Rural Extenders. H.R. 4066 / S. 999 - "Save Rural Hospitals Act of 2021" - Area wage adjustment for certain Medicare hospitals. H.R. 3173/H.R. 8487 - The Improving Seniors Timely Access to Care Act of 2021 - Simplify/streamline Medicare Advantage prior authorization process. Urge Congress to Support Improvements to IPPS Proposed Rule. H.R. 8747 - "The Assistance for Rural Community Hospitals (ARCH) Act" - Rural health payment program extensions. H.R. 6833 - "Legislative Vehicle for Continuing Resolution Until Dec. 16" - Rural health payment program extensions. S. 1512 / H.R. 2903- "Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021" - Telehealth provisions. H.R. 2455 - The Resetting the IMPACT Act (TRIA) of 2021 - IMPACT Act implementation / unified payment timeline reset. Garner Congressional support for CMS to withdraw the Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD). Discussions with Congress regarding waiving PAYGO.

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

Regulatory and reimbursement policy issues relating to healthcare programs, including Medicare and Medicaid coverage and reimbursement, safe mobility issues, diabetes and diabetic retinopathy, monitor medical device, drug pricing, supply chain, innovation, and provider issues. Monitor issues regarding COVID short and long term challenges; the Public Health Emergency (PHE); pandemic issues and provider relief funding; medical technology and device innovation; supply chain issues; Medicare and Medicaid coverage and reimbursement; artificial intelligence; health care reform; rural health; telehealth; telemedicine; remote patient monitoring; quality measurement and outcomes; cardiac care; and health infrastructure funding and initiatives. Hospital at Home. S. 748, the Medicare Sequester Relief Act; H.R. 315, the Medicare Sequester COVID Moratorium Act; H.R. 1319, the American Rescue Plan Act (P.L. 117-2); H.R. 1330, the Patient Access to Higher Quality Care Act; H.R. 5376 the Inflation Reduction Act of 2022 (P.L. No: 117-169); H.R. 8295 Labor-HHS FY2023 Appropriations; H.R. 6833 Making continuing appropriations for fiscal year 2023, and for other purposes (P.L. No: 117-180); H.R. 4346 The CHIPS and Science Act of 2022 (P.L. No: 117-167). Medical Device User Fee Amendments Reauthorization, included in P.L. No: 117-180. Safe mobility issues, including H.Res.1177, Expressing the sense of the House of Representatives regarding the Centers for Medicare & Medicaid Services developing a mobility metric to guide providers in preventing mobility loss among hospitalized older adults.

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

Recovery audit contractor reform. Medicare regulatory reform, including physician payment reforms. Network adequacy oversight. Prior authorization reform, including related provisions in H.R. 7995, the GOLD CARD Act, to exempt qualifying physicians from prior authorization requirements under Medicare Advantage plans, and H.R. 3173/S. 3018 and H.R. 8487, the Ensuring Seniors Timely Access to Care Act. Medicare accountable care organizations. Electronic health record interoperability and vendor accountability. Physician-led hospital barriers, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act, and S. 4130, the Patient Access to Higher Quality Care Act of 2022. Coronavirus response efforts, including support for health care providers, patients and small business, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of related provisions in H.R. 1319, the American Rescue Plan Act (P.L. 117-2). Medicare physician fee schedule and sequestration relief. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including: (1) provisions in H.R. 5376, the Inflation Reduction Act of 2022 (P.L. 117-169), in Subtitle B, Part 1, sec. (b), to modify Medicare Part B reimbursement by application of Maximum Fair Prices and Conforming Amendments, to selected Medicare Part B covered drugs; and (2) monitor the CMMI Most Favored Nation and related demonstration initiatives.

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

Repeal Section 6001 of the Affordable Care Act - section 6001 prohibits expansion of physician-led hospitals, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act of 2021, and S. 4130, the Patient Access to Higher Quality Care Act of 2022; and related issues regarding hospital competition and consolidation. Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-led hospitals. Coronavirus response efforts, including support for health care providers, patients and small business, and enable physician-led hospitals to respond to COVID-19, including implementation of related provisions in H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

S2999 A bill to prohibit the Secretary of Health and Human Services, any officer or employee of the Department of Health and Human Services, and States from requiring COVID-19 vaccination as a condition of eligibility for benefits or assistance under the Medicare, Medicaid, or CHIP programs; HR 1349 The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021; H.R.2228 To allow for payment of outpatient critical access hospital services furnished through telehealth under the Medicare program. S999 A bill to amend the title XVIII of the Social Security Act to preserve access to rural health care by ensuring fairness in Medicare hospital payments; H.R.1887 To amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; S.2048 -HR3650 Improving Access to care Coverage Act of 2021;. H.R. 1330 Patient Access to Higher Quality Health Care Act of 2021;S.J.Res.32 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff Vaccination; H.J.Res.67 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff Vaccination;S.4050 Medicare Advantage Quality Payment Relief Act of 2022; H.R.6895 Commission on Sustaining Medicare and Social Security Act of 2022.

Client expense: Not reported · Firm income: $15,000

Funding opportunities, including Community Project Funds, Provider Relief Funds, PPP; COVID, PHE and relief funding and regulatory issues; Post-acute care and Skilled Nursing Legislative and Regulatory Issues; Medicare and Medicaid coverage and reimbursement; telehealth and PACE program; Nursing home staffing issues. Executive Order 14042, Requirements for COVID-19 Vaccination of Federal Contractors and DOL OSHA COVID-19 Vaccination Rule. S. 748, the Medicare Sequester Relief Act; H.R. 315, the Medicare Sequester COVID Moratorium Act; H.R. 1319, the American Rescue Plan Act (P.L. 117-2); H.R. 1330, the Patient Access to Higher Quality Care Act; H.R.5376 the Inflation Reduction Act of 2022 (P.L. No: 117-169); House (H.R.8295) and Senate Labor-HHS FY23 Appropriations; H.R. 6833 Making continuing appropriations for fiscal year 2023, and for other purposes (P.L. No: 117-180).

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Funding opportunities, including Community Project Funds, Provider Relief Funds, PPP; COVID, PHE and relief funding and regulatory issues; Post-acute care and Skilled Nursing Legislative and Regulatory Issues; Medicare and Medicaid coverage and reimbursement; telehealth and PACE program; Nursing home staffing issues. S. 748, the Medicare Sequester Relief Act; H.R. 315, the Medicare Sequester COVID Moratorium Act; H.R. 1319, the American Rescue Plan Act (P.L. 117-2); H.R. 1330, the Patient Access to Higher Quality Care Act; House (H.R.8295) and Senate Labor-HHS FY23 Appropriations; H.R. 6833 Making continuing appropriations for fiscal year 2023, and for other purposes (P.L. No: 117-180).

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1330: Patient Access to Higher Quality Health Care Act of 2021Support H.R. 2910: Veterans Health Care Freedom ActSupport H.R. 4624: Guaranteeing Healthcare Access to Personnel Who Served ActSupport S. 1183: Veterans Medical Marijuana Safe Harbor ActSupport S. 4130: Patient Access to Higher Quality Health Care Act of 2022Support S. 4408: Health and Location Data Protection Act of 2022No stance H.R. 5376: Inflation Reduction Act of 2022Oppose S. 1704: Telehealth Expansion Act of 2021Support H.R.5981: Telehealth Expansion Act of 2021Support

Client expense: $410,000 · Firm income: Not reported

Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program HR 1976 Medicare for All Act of 2021 (all sections of full text)(oppose) S 2315 Medicaid Saves Lives Act (all sections of full text) HR 4595 Medicaid Saves Lives Act (all sections of full text) Monitored S 4204 Medicare for All Act of 2022 Monitored S 386 Medicare-X Choice Act of 2021 Monitored HR 1227 Medicare-X Choice Act of 2021 Monitored CMS regulations and reporting requirements under the Emergency Medical Treatment and Labor Act, in the COVID-19 emergency declaration Monitored HR 1330 Patient Access to Higher Quality Health Care Act of 2021 Monitored S 4130 Patient Access to Higher Quality Health Care Act of 2022

Client expense: Not reported · Firm income: $100,000

H.R. 1330: The Patient Access to Higher Quality Health Care ActSupport H.R. 2903: The CONNECT for Health Act of 2021Support H.R. 725: The Personalized Care ActSupport H.R. 7258: Health Care Equality and Modernization Act of 2022Support H.R. 7353: Telehealth Benefit Expansion for Workers Act of 2022Support H.R. 7435: Health Savings for Seniors ActSupport S. 153: The Personalized Care ActSupport S. 4130: Patient Access to Higher Quality Health Care Act of 2022Support H.R. 6833: Affordable Insulin Now ActOppose S. 3700: Affordable Insulin Now ActOppose S. 1512: The CONNECT for Health Act of 2021Support

Client expense: $490,000 · Firm income: Not reported

Recovery audit contractor reform. Medicare regulatory reform, including physician payment reforms. Network adequacy oversight. Prior authorization reform, including related provisions in H.R. 7995, the GOLD CARD Act, to exempt qualifying physicians from prior authorization requirements under Medicare Advantage plans, and H.R. 3173/S. 3018, the Ensuring Seniors Timely Access to Care Act. Medicare accountable care organizations. Electronic health record interoperability and vendor accountability. Physician-owned-hospital barriers, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act, and S. 4130, the Patient Access to Higher Quality Care Act of 2022. Coronavirus response efforts, including support for health care providers, patients and small business, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of related provisions in H.R. 1319, the American Rescue Plan Act (P.L. 117-2). Medicare physician fee schedule and sequestration relief. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including: (1) provisions in H.R. 5376, the Build Back Better Act, Section 139001, to establish a Drug Price Negotiation Program, and modify Medicare Part B reimbursement by application of Maximum Fair Prices and Conforming Amendments, to selected Medicare Part B covered drugs; and (2) monitor the CMMI Most Favored Nation demonstration.

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

Repeal Section 6001 of the Affordable Care Act - section 6001 prohibits expansion of physician-owned hospitals, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act of 2021, and S. 4130, the Patient Access to Higher Quality Care Act of 2022; and related issues regarding hospital competition and consolidation. Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-owned hospitals. Coronavirus response efforts, including support for health care providers, patients and small business, and enable physician-owned hospitals to respond to COVID-19, including implementation of related provisions in H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Funding opportunities, including Community Project Funds, Provider Relief Funds, PPP; COVID, PHE and relief funding and regulatory issues; Post-acute care and Skilled Nursing Legislative and Regulatory Issues; Medicare and Medicaid coverage and reimbursement; telehealth and PACE program. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 5376 the Build Back Better Act, House (H.R.8295) and Senate Labor-HHS FY23 Appropriations.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Funding opportunities, including Community Project Funds, Provider Relief Funds, PPP; COVID, PHE and relief funding and regulatory issues; Post-acute care and Skilled Nursing Legislative and Regulatory Issues; Medicare and Medicaid coverage and reimbursement; telehealth and PACE program. Executive Order 14042, Requirements for COVID-19 Vaccination of Federal Contractors and DOL OSHA COVID-19 Vaccination Rule. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 5376 the Build Back Better Act, House (H.R.8295) and Senate Labor-HHS FY23 Appropriations.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Regulatory and reimbursement policy issues relating to healthcare programs, including Medicare and Medicaid coverage and reimbursement, safe mobility issues, diabetes and diabetic retinopathy, monitor medical device, drug pricing, supply chain, innovation, and provider issues. Monitor issues regarding COVID short and long term challenges, the Public Health Emergency (PHE), pandemic issues and provider relief funding; medical technology and device innovation; supply chain issues; Medicare and Medicaid coverage and reimbursement; artificial intelligence, health care reform, rural health, telehealth, telemedicine, remote patient monitoring, quality measurement and outcomes, cardiac care, and health infrastructure funding and initiatives, Hospital at Home. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 5376 the Build Back Better Act, H.R.8295 Labor-HHS FY23 Appropriations, H.Res.1177 Expressing the sense of the House of Representatives regarding the Centers for Medicare & Medicaid Services developing a mobility metric to guide providers in preventing mobility loss among hospitalized older adults.

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

H.R. 1330 / S. 4130 - "Patient Access to Higher Quality Health Care Act of 2021" - Provisions that would weaken or repeal current law limiting self-referral to physician-owned hospitals. H.R. 2455 - "The Resetting the IMPACT Act (TRIA) of 2021" - Unified Post-Acute PPS. S. 1512 / H.R. 2903- "Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021" - Telehealth provisions. S. 1568 / H.R. 4407 - "Technical Reset to Advance the Instruction of Nurses Act" - CMS payments for Nursing Education Hospitals. H.R. 1887 / S. 4009 - "Rural Hospital Support Act" - Rural Extenders. H.R. 3173 - The Improving Seniors Timely Access to Care Act of 2021 - Simplify/streamline Medicare Advantage prior authorization processes. H.R. 2455 - The Resetting the IMPACT Act (TRIA) of 2021 - IMPACT Act implementation / unified payment timeline reset. Garner Congressional support for CMS to withdraw the Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD) Discussions regarding Rural DSH payment policy.

Client expense: $820,000 · Firm income: Not reported

H.R. 1330 / S. 4130 - "Patient Access to Higher Quality Health Care Act of 2021" - Provisions that would weaken or repeal current law limiting self-referral to physician-owned hospitals. H.R. 2455 - "The Resetting the IMPACT Act (TRIA) of 2021" - Unified Post-Acute PPS. S. 1512 / H.R. 2903- "Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021" - Telehealth provisions. S. 1568 / H.R. 4407 - "Technical Reset to Advance the Instruction of Nurses Act" - CMS payments for Nursing Education Hospitals. H.R. 1887 / S. 4009 - "Rural Hospital Support Act" - Rural Extenders. H.R. 3173 - The Improving Seniors Timely Access to Care Act of 2021 - Simplify/streamline Medicare Advantage prior authorization processes. H.R. 2455 - The Resetting the IMPACT Act (TRIA) of 2021 - IMPACT Act implementation / unified payment timeline reset. Garner Congressional support for CMS to withdraw the Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD) Discussions regarding Rural DSH payment policy.

Client expense: $730,000 · Firm income: Not reported

Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program HR 1976 Medicare for All Act of 2021 (all sections of full text)(oppose) S 2315 Medicaid Saves Lives Act (all sections of full text) HR 4595 Medicaid Saves Lives Act (all sections of full text) Monitored S 4204 Medicare for All Act of 2022 Monitored S 386 Medicare-X Choice Act of 2021 Monitored HR 1227 Medicare-X Choice Act of 2021 Monitored CMS regulations and reporting requirements under the Emergency Medical Treatment and Labor Act, in the COVID-19 emergency declaration Monitored HR 1330 Patient Access to Higher Quality Health Care Act of 2021 Monitored S 4130 Patient Access to Higher Quality Health Care Act of 2022

Client expense: Not reported · Firm income: $100,000

S2999 A bill to prohibit the Secretary of Health and Human Services, any officer or employee of the Department of Health and Human Services, and States from requiring COVID-19 vaccination as a condition of eligibility for benefits or assistance under the Medicare, Medicaid, or CHIP programs; HR 1349 The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021; H.R.2228 To allow for payment of outpatient critical access hospital services furnished through telehealth under the Medicare program. S999 A bill to amend the title XVIII of the Social Security Act to preserve access to rural health care by ensuring fairness in Medicare hospital payments; H.R.1887 To amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; S.2048 -HR3650 Improving Access to care Coverage Act of 2021;. H.R. 1330 Patient Access to Higher Quality Health Care Act of 2021;S.J.Res.32 A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff Vaccination; H.J.Res.67 Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to Medicare and Medicaid Programs; Omnibus COVID-19 Health Care Staff Vaccination;S.4050 Medicare Advantage Quality Payment Relief Act of 2022; H.R.6895 Commission on Sustaining Medicare and Social Security Act of 2022.

Client expense: Not reported · Firm income: $15,000

Recovery audit contractor reform. Medicare regulatory reform, including physician payment reforms. Network adequacy oversight. Prior authorization reform. Medicare accountable care organizations. Electronic health record interoperability and vendor accountability. Physician-owned-hospital barriers, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act. Coronavirus response efforts, including support for health care providers, patients and small business, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of related provisions in H.R. 1319, the American Rescue Plan Act (P.L. 117-2). Medicare physician fee schedule and sequestration relief. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including: (1) provisions in H.R. 5376, the Build Back Better Act, Section 139001, to establish a Drug Price Negotiation Program, and modify Medicare Part B reimbursement by application of Maximum Fair Prices and Conforming Amendments, to selected Medicare Part B covered drugs; and (2) monitor the CMMI Most Favored Nation demonstration.

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

Repeal Section 6001 of the Affordable Care Act - section 6001 prohibits expansion of physician-owned hospitals, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act; and related issues regarding hospital competition and consolidation. Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-owned hospitals. Coronavirus response efforts, including support for health care providers, patients and small business, and enable physician-owned hospitals to respond to COVID-19, including implementation of related provisions in H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

S2999 A bill to prohibit the Secretary of Health and Human Services, any officer or employee of the Department of Health and Human Services, and States from requiring COVID-19 vaccination as a condition of eligibility for benefits or assistance under the Medicare, Medicaid, or CHIP programs; HR 1349 The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021; H.R.2228 To allow for payment of outpatient critical access hospital services furnished through telehealth under the Medicare program. S999 A bill to amend the title XVIII of the Social Security Act to preserve access to rural health care by ensuring fairness in Medicare hospital payments; H.R.1887 To amend title XVIII of the Social Security Act to rebase the calculation of payments for sole community hospitals and Medicare-dependent hospitals, and for other purposes; S.2048 -HR3650 Improving Access to Medicare Coverage Act of 2021;. H.R. 1330 Patient Access to Higher Quality Health Care Act of 2021; .

Client expense: Not reported · Firm income: $15,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1330: Patient Access to Higher Quality Health Care Act of 2021Support H.R. 2903: The CONNECT for Health Act of 2021Support H.R. 2910: Veterans Health Care Freedom ActSupport H.R. 4058: Telemental Health Care Access Act of 2021Support H.R. 4624: Guaranteeing Healthcare Access to Personnel Who Served ActSupport H.R. 5981: Telehealth Expansion Act of 2021Support H.R. 6202: Telehealth Extension Act of 2021Support H.R. 6271: Health Savings Act of 2021Support H.R. 725: Personalized Care Act of 2021Support S. 1512: CONNECT for Health Act of 2021Support S. 153: Personalized Care Act of 2021Support S. 1863: Guaranteeing Healthcare Access to Personnel Who Served ActSupport S. 1988: Protecting Rural Telehealth Access ActSupport S. 2061: Telemental Health Care Access Act of 2021Support S. 3603: Veterans Health Care Freedom ActSupport S. 380: Health Savings Act of 2021Support S. 1644: Promising Pathway ActSupport

Client expense: $490,000 · Firm income: Not reported

Regulatory and reimbursement policy issues relating to healthcare programs, including Medicare and Medicaid coverage and reimbursement, safe mobility issues, diabetes and diabetic retinopathy, monitor medical device, drug pricing, supply chain, innovation, and provider issues. Monitor issues regarding COVID short and long term challenges, the Public Health Emergency (PHE), pandemic issues and provider relief funding; medical technology and device innovation; supply chain issues; Medicare and Medicaid coverage and reimbursement; artificial intelligence, health care reform, rural health, telehealth, telemedicine, remote patient monitoring, quality measurement and outcomes, cardiac care, and health infrastructure funding and initiatives, Hospital at Home. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 5376 the Build Back Better Act.

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

Funding opportunities, including Community Project Funds, Provider Relief Funds, PPP; COVID, PHE and relief funding and regulatory issues; Post-acute care and Skilled Nursing Legislative and Regulatory Issues; Medicare and Medicaid coverage and reimbursement; telehealth and PACE program. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 5376 the Build Back Better Act.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Funding opportunities, including Community Project Funds, Provider Relief Funds, PPP; COVID, PHE and relief funding and regulatory issues; Post-acute care and Skilled Nursing Legislative and Regulatory Issues; Medicare and Medicaid coverage and reimbursement; telehealth and PACE program. Executive Order 14042, Requirements for COVID-19 Vaccination of Federal Contractors and DOL OSHA COVID-19 Vaccination Rule. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 4502/ S.3062 Labor-HHS FY 22 Appropriations, H.R. 2471 FY 2022 Omnibus Appropriations, H.R. 5376 the Build Back Better Act.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1330 - "Patient Access to Higher Quality Health Care Act of 2021" - Health care provisions. H.R. 2455 - "The Resetting the IMPACT Act (TRIA) of 2021" - Unified Post-Acute PPS. S. 1512 - "Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021" - Telehealth. S. 1568 / H.R. 4407 - "Technical Reset to Advance the Instruction of Nurses Act" - CMS payments for Nursing Education Hospitals. H.R. 1887 - "Rural Hospital Support Act" - Rural Extenders. H.R. 3173 - The Improving Seniors Timely Access to Care Act of 2021 - Simplify/streamline Medicare Advantage prior authorization processes. H.R. 5514 / S. S.2562 - "Choose Home Care Act of 2021" - Home-based extended care benefit.

Client expense: $720,000 · Firm income: Not reported

Issues regarding COVID short and long term challenges, the Public Health Emergency (PHE), pandemic issues and provider relief funding; medical technology and device innovation; supply chain issues; Medicare and Medicaid coverage and reimbursement; artificial intelligence, health care reform, rural health, telehealth, telemedicine, remote patient monitoring, quality measurement and outcomes, diabetes (including diabetic retinopathy), cardiac care, mobility standards, safe patient handling, and health infrastructure funding and initiatives. Hospital at Home. Executive Order 14042, Requirements for COVID-19 Vaccination of Federal Contractors and DOL OSHA COVID-19 Vaccination Rule. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 4502 - FY2022 Consolidated Appropriations, H.R. 5376 the Build Back Better Act.

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

Issues regarding COVID short and long term challenges, the Public Health Emergency (PHE), pandemic issues and provider relief funding; medical technology and device innovation; supply chain issues; Medicare and Medicaid coverage and reimbursement; artificial intelligence, health care reform, rural health, telehealth, telemedicine, remote patient monitoring, quality measurement and outcomes, diabetes (including diabetic retinopathy), cardiac care, mobility standards, safe patient handling, and health infrastructure funding and initiatives. Hospital at Home. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 5376 the Build Back Better Act.

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

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

Discussions pertaining to reductions to the Medicaid disproportionate share hospital (DSH) program HR 1976 Medicare for All Act of 2021 (all sections of full text)(oppose) S 2315 Medicaid Saves Lives Act (all sections of full text) HR 4595 Medicaid Saves Lives Act (all sections of full text) Monitored S 386 Medicare-X Choice Act of 2021 Monitored HR 1227 Medicare-X Choice Act of 2021 Monitored CMS regulations and reporting requirements under the Emergency Medical Treatment and Labor Act, in the COVID-19 emergency declaration Monitored HR 1330 Patient Access to Higher Quality Health Care Act of 2021

Client expense: Not reported · Firm income: $100,000

HR 1976 Medicare for All Act of 2021 (all sections of full text)(oppose) S 2315 Medicaid Saves Lives Act (all sections of full text) HR 4595 Medicaid Saves Lives Act (all sections of full text) Monitored HR 1330 Patient Access to Higher Quality Health Care Act of 2021 Monitored S 386 Medicare-X Choice Act of 2021 Monitored HR 1227 Medicare-X Choice Act of 2021 Monitored CMS regulations and reporting requirements under the Emergency Medical Treatment and Labor Act, in the COVID-19 emergency declaration

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

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

H.R. 1330 - "Patient Access to Higher Quality Health Care Act of 2021" - Oppose legislation that would repeal current law limiting self-referral to physician-owned hospitals. H.R. 2455 - "The Resetting the IMPACT Act (TRIA) of 2021" - Support legislation to refresh the unified PAC PPS timeline and process under the IMPACT Act. S. 1512 - "Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021" - Advocate in support of the CONNECT Act to expand access to telehealth services. S. 1568 / H.R. 4407 - "Technical Reset to Advance the Instruction of Nurses Act" - Support legislation that would direct CMS not to seek repayment from nursing and allied health programs. H.R. 1887 - "Rural Hospital Support Act" - Support rural MDH and LVH program extensions. Rural - Seek introduction of legislation that would remove the current 12% DSH payment cap that currently applies to rural hospitals (with some exceptions) as well as urban hospitals under 100 beds. H.R. 1227 / S. 386 - Medicare-X Choice Act of 2021 - Oppose public option. H.R. 3173 - The Improving Seniors Timely Access to Care Act of 2021 - Advocate in support of streamlining Medicare Advantage prior authorization requirements. S.610 - "Protecting Medicare and American Farmers from Sequester Cuts Act" - Advocate for waiving Statutory PAYGO and extending the 2% Medicare sequester moratorium. Post Acute - Garner Congressional support urging CMS to withdraw the Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD). Site Neutral - Oppose site neutral payment policies.

Client expense: $690,000 · Firm income: Not reported

Funding opportunities, including Community Project Funds, Provider Relief Funds, PPP; COVID, PHE and relief funding and regulatory issues; Post-acute care and Skilled Nursing Legislative and Regulatory Issues; Medicare and Medicaid coverage and reimbursement; telehealth and PACE program. Executive Order 14042, Requirements for COVID-19 Vaccination of Federal Contractors and DOL OSHA COVID-19 Vaccination Rule. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 4502/ S. 3062 -Labor-HHS FY 22 Appropriation. H.R. 5376 the Build Back Better Act.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Funding opportunities, including Community Project Funds, Provider Relief Funds, PPP; COVID, PHE and relief funding and regulatory issues; Post-acute care and Skilled Nursing Legislative and Regulatory Issues; Medicare and Medicaid coverage and reimbursement; telehealth and PACE program. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 5376 the Build Back Better Act.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Repeal Section 6001 of the Affordable Care Act - section 6001 prohibits expansion of physician-owned hospitals, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act; and related issues regarding hospital competition and consolidation. Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-owned hospitals. Coronavirus response efforts, including support for health care providers, patients and small business, and enable physician-owned hospitals to respond to COVID-19, including implementation of related provisions in H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Issues regarding COVID short and long term challenges, the Public Health Emergency (PHE), pandemic issues and provider relief funding; medical technology and device innovation; supply chain issues; Medicare and Medicaid coverage and reimbursement; artificial intelligence, health care reform, rural health, telehealth, telemedicine, remote patient monitoring, quality measurement and outcomes, diabetes (including diabetic retinopathy), cardiac care, mobility standards, safe patient handling, and health infrastructure funding and initiatives. Hospital at Home. Executive Order 14042, Requirements for COVID-19 Vaccination of Federal Contractors and DOL OSHA COVID-19 Vaccination Rule. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 4502 - FY2022 Consolidated Appropriations, H.R. 5376 the Build Back Better Act.

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

Issues regarding COVID short and long term challenges, the Public Health Emergency (PHE), pandemic issues and provider relief funding; medical technology and device innovation; supply chain issues; Medicare and Medicaid coverage and reimbursement; artificial intelligence, health care reform, rural health, telehealth, telemedicine, remote patient monitoring, quality measurement and outcomes, diabetes (including diabetic retinopathy), cardiac care, mobility standards, safe patient handling, and health infrastructure funding and initiatives. Hospital at Home. S. 748, the Medicare Sequester Relief Act, H.R. 315, the Medicare Sequester COVID Moratorium Act, H.R. 1319, the American Rescue Plan Act, P.L. 117-2, H.R. 1330, the Patient Access to Higher Quality Care Act, H.R. 5376 the Build Back Better Act.

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

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

Advocate to repeal section 6001 of the ACA. H.R.1330 - Patient Access to Higher Quality Health Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Recovery audit contractor reform. Medicare regulatory reform, including physician payment reforms. Network adequacy oversight. Prior authorization reform. Medicare accountable care organizations. Electronic health record interoperability and vendor accountability. Physician-owned hospital barriers, including related provisions in H.R. 1330, the Patient Access to Higher Quality Care Act. Coronavirus response efforts, including support for health care providers, patients and small business, and implementation of related provisions in H.R. 1319, the American Rescue Plan Act (P.L. 117-2), and Medicare physician fee schedule and sequestration relief provisions in S. 610, the Protecting Medicare and American Farmers from Sequestration Cuts Act. Enhance Center for Medicare & Medicaid Innovation quality initiatives and patient access to Medicare Part B covered drugs, including: (1) provisions in H.R. 5376, the Build Back Better Act, Section 139001, to establish a Drug Price Negotiation Program, and modify Medicare Part B reimbursement by application of Maximum Fair Prices and Confirming Amendments, to selected Medicare Part B covered drugs; and (2) monitor the CMMI Most Favored Nation demonstration.

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

H.R. 1330 - "Patient Access to Higher Quality Health Care Act of 2021" - Oppose legislation that would repeal current law limiting self-referral to physician-owned hospitals. H.R. 2455 - "The Resetting the IMPACT Act (TRIA) of 2021" - Support legislation to refresh the unified PAC PPS timeline and process under the IMPACT Act. S. 1512 - "Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021" - Advocate in support of the CONNECT Act to expand access to telehealth services. S. 1568 / H.R. 4407 - "Technical Reset to Advance the Instruction of Nurses Act" - Support legislation that would direct CMS not to seek repayment from nursing and allied health programs. H.R. 1887 - "Rural Hospital Support Act" - Support rural MDH and LVH program extensions. Rural - Seek introduction of legislation that would remove the current 12% DSH payment cap that currently applies to rural hospitals (with some exceptions) as well as urban hospitals under 100 beds. H.R. 1227 / S. 386 - Medicare-X Choice Act of 2021 - Oppose public option. H.R. 3173 - The Improving Seniors Timely Access to Care Act of 2021 - Advocate in support of streamlining Medicare Advantage prior authorization requirements. S.610 - "Protecting Medicare and American Farmers from Sequester Cuts Act" - Advocate for waiving Statutory PAYGO and extending the 2% Medicare sequester moratorium. Post Acute - Garner Congressional support urging CMS to withdraw the Inpatient Rehabilitation Facility Review Choice Demonstration (IRF RCD). Site Neutral - Oppose site neutral payment policies.

Client expense: $660,000 · Firm income: Not reported