PREVENT DIABETES Act

Activities to address access and utilization of home dialysis, including H.R. 5426, the "Improving Access to Home Dialysis Act of 2021" to authorize Medicare reimbursement for staff-assisted home dialysis and for other purposes. Submitted comments on Proposed Rules for the ESRD Prospective Payment System, ESRD Quality Incentive Program, and ESRD Treatment Choices Model. Submitted comments on Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System. Submitted comments on Proposed 2023 Payment Policies under the Physician Fee Schedule. Responded to RFI on Medicare Advantage. H.R. 8594 and S. 4750, "Restore Protections for Dialysis Patients Act," to provide Medicare access to kidney dialysis. Support for Protected Classes under Medicare Part D program. H.R. 1676, provide access to Medigap coverage for Medicare end-stage kidney disease patients under age 65. These Medicare beneficiaries do not have a guaranteed opportunity to purchase a Medigap policy. S. 1536, H.R. 3108, Medicare Medical Nutrition Therapy Act. Legislation would expand coverage of nutrition therapy services to additional diseases and conditions and expand the types of medical providers for such services. S. 2203, H.R. 5804, Medicare Diabetes Self-Management Training Act. Expands coverage of diabetes outpatient self-management training. S. 2173, H.R. 2807, PREVENT DIABETES Act. Requires Medicare to offer its Diabetes Prevention Program in a virtual or online format. Support for Kidney Health Evaluation (KED) for patients with diabetes. S. 1512 and H.R. 2903, "CONNECT for Health Act." Expands coverage of telehealth services under Medicare. S. 596 and H.R. 1577, the "Treat and Reduce Obesity Act," to expand the types of health professionals permitted to provide weight loss management and counseling services under Medicare Part B and to include coverage of weight loss management drugs under Medicare Part D. Support for COVID-19 patients (telehealth, home dialysis, copayment waivers, regulatory waivers). Participated in health community effort to urge HHS to expand Medicare coverage to include medically necessary dental treatments for solid organ transplant recipients and other vulnerable individuals.

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

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

H.R. 366 - Protecting Access to Post-Covid-19 Telehealth Act of 2021. H.R. 1332/S. 368 - Telehealth Modernization Act. H.R. 2903 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021. H.R. 4058/S. 2061 - Tele-mental Health Access to Care Act. H.R. 2807 - Prevent Diabetes Act. H.R. 4008 - Increasing Rural Telehealth Access Act of 2021. S. 1704 - Telehealth Expansion Act of 2021. S. 2197 - Rural and Frontier Telehealth Expansion Act. S. 2173 - Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies Act. Coverage of telehealth in high deductible health plans. S.2938 - Bipartisan Safer Communities Act. H.R. 7353 - Telehealth Benefits Expansion for Workers Act of 2022. H.R. 4040 - Advancing Telehealth Beyond Covid-19 Act of 2021.

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

H.R. 366 - Protecting Access to Post-Covid-19 Telehealth Act of 2021. H.R. 1332/S. 368 - Telehealth Modernization Act. H.R. 2903 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021. H.R. 4058/S. 2061 - Tele-mental Health Access to Care Act. H.R. 2807 - Prevent Diabetes Act. H.R. 4008 - Increasing Rural Telehealth Access Act of 2021. S. 1704 - Telehealth Expansion Act of 2021. S. 2197 - Rural and Frontier Telehealth Expansion Act. S. 2173 - Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies Act. Coverage of telehealth in high deductible health plans. S.2938 - Bipartisan Safer Communities Act. H.R. 7353 - Telehealth Benefits Expansion for Workers Act of 2022.

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

S.2203/H.R.4804, The Expanding Access to Diabetes Self-Management Training Act; S.2173/H.R.2807 - PREVENT DIABETES Act; S.1512 - CONNECT for Health Act; S.596/H.R.1577 - Treat and Reduce Obesity Act; S.1536/H.R.3108 - Medical Nutrition Therapy Act; issues related to diabetes self-management, generally

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 2163, Safe Step Act, all provisions S. 464, Safe Step Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 6311, Comprehensive Addiction Resources Emergency (CARE) Act of 2021, all provisions S. 3418, Comprehensive Addiction Resources Emergency (CARE) Act of 2021, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 6202, Telehealth Extension Act of 2021, all provisions S. 3593, Telehealth Extension and Evaluation Act, all provisions H.R. 2807, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 2173, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions H.R. 5804, Expanding Access to Diabetes Self-Management Training Act of 2021, all provisions S. 2203, Expanding Access to Diabetes Self-Management Training Act of 2021, all provisions S. 596, Treat and Reduce Obesity Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, all provisions S. 3791, Access to Prescription Digital Therapeutics Act of 2022, all provisions H.R. 2503, Social Determinants Accelerator Act of 2021, all provisions S. 3039, Social Determinants Accelerator Act of 2021, all provisions H.R. 987, CARA 3.0 Act of 2021, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 6583, Stop the Wait Act of 2022, all provisions S. 224, Stop the Wait Act of 2022, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions Medicare program: Gold Card Act/draft Medicare program: 21st Century Cures Act Medicare program: Protecting Access to Medicare Act (PAMA)/Laboratory testing/diagnostics Medicare program: Small Practice, Underserved, and Rural Support Program (SURS) Extension Act of 2022 Medicare program: Telehealth and dialysis centers/COVID-19 flexibilities continuation Medicare program: Telehealth/telephone visit codes/equity/quality Medicare program: Physician Payment Reform Medicare program: MEDPAC Report Medicare program: 2% Medicare sequester moratorium/continuation Medicare program: 4% Medicare sequester/Statutory PAYGO Medicare program: Physician payment/inflation index Medicare program: Medicare Physician Fee Schedule Conversion Factor/extension of 3% increase Medicare program: Medicare Diabetes Prevention Program (MDPP) model Medicare program: Global and Professional Direct Contracting Model (GPDC)/Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Medicare program: Evaluation and Management (E/M)/budget neutrality Medicare program: Prior authorization Medicare program: Interoperability Medicare program: EFT fees Medicare program: Merit-based Incentive Payment System (MIPS)/Quality/Cost/Improvement activities Medicare program: MIPS Value Pathways (MVPs) Medicare program: MIPS draft cost measures/field testing extension Medicare program: Value-based care acceleration/transparency/stability Medicare program: Virtual credit cards Medicare program: Primary Care First models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: RVS Update Committee (RUC)/Current Procedural Terminology (CPT) Medicare program: Split/shared billing Medicare program: PECOS Enrollment/Revalidation Medicare program: Open Payments Medicare program: Step Therapy Medicare program: Public health emergency/accelerated and advance payments Medicare program: MACRA oversight Medicare program: MACRA/physician burdens Medicare program: Alternative payment models (APMs) Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/Accountable Care Organizations Medicare and Medicaid programs: Information blocking/Patient privacy Medicare and Medicaid programs: COVID-19 response Medicare and Medicaid programs: Mental Health Parity and Addiction Equity Act (MHPAEA)/patient protection Medicare and Medicaid programs: Health equity/COVID-19 Medicare and Medicaid programs: Drug overdose epidemic Medicare and Medicaid programs: Health IT burdens Medicaid program: Medicaid funding in US territories Medicaid program: Uninsured individuals/COVID-19 Medicaid program: Special enrollment period Medicaid program: Sickle Cell Disease

S.2203/H.R.4804, The Expanding Access to Diabetes Self-Management Training Act; S.2173/H.R.2807 - PREVENT DIABETES Act; S.1512 - CONNECT for Health Act; S.596/H.R.1577 - Treat and Reduce Obesity Act; S.1536/H.R.3108 - Medical Nutrition Therapy Act; issues related to diabetes self-management, generally.

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

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

H.R. 366, H.R. 397, H.R. 1319, H.R. 1332, H.R. 2903, H.R. 4058, H.R. 2807, H.R. 4008, H.R. 4347, S. 368, S. 893, S. 1704, S. 1988, S. 2061, S. 2097, S. 2197, S. 801, S. 2110, S. 2173. Coverage of telehealth in high deductible health plans. H.R. 2471 - Consolidated Appropriations Act (2022 Omnibus).

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

HR 1332/S 368 - Telehealth Modernization Act; all provisions of the bill HR 2807 - PREVENT DIABETES Act; all provisions related to telehealth HR 2903/ S 1512 - CONNECT for Health Act of 2021; all provisions of the bill HR 4008 - Increasing Rural Telehealth Access Act of 2021; all provisions of the bill HR 4347 - Analyzing the Duration of Remote Monitoring Services Act of 2021; all provisions of the bill HR 5541 - Primary and Virtual Care Affordability Act; all provisions of the bill HR 5804/S 2203 - Expanding Access to Diabetes Self-Management Training Act of 2021 HR 5981/S 1704 - Telehealth Expansion Act of 2021; all provisions of the bill HR 6202 - Telehealth Extension Act of 2021; all provisions of the bill HR 7353 - Telehealth Benefit Expansion for Workers Act of 2022 S 2173 - Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement withTested and Evidence-based Strategies Act; all provisions of the bill S 3593 - Telehealth Extension and Evaluation Act; all provisions of the bill FCC COVID-19 Telehealth Program

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

Activities to address access and utilization of home dialysis, including H.R. 5426, the "Improving Access to Home Dialysis Act of 2021" to authorize Medicare reimbursement for staff-assisted home dialysis and for other purposes. Support for Protected Classes under Medicare Part D program. H.R. 1676, provide access to Medigap coverage for Medicare end-stage kidney disease patients under age 65. These Medicare beneficiaries do not have a guaranteed opportunity to purchase a Medigap policy. S. 1536, H.R. 3108, Medicare Medical Nutrition Therapy Act. Legislation would expand coverage of nutrition therapy services to additional diseases and conditions and expand the types of medical providers for such services. S. 2203, H.R. 5804, Medicare Diabetes Self-Management Training Act. Expands coverage of diabetes outpatient self-management training. S. 2173, H.R. 2807, PREVENT DIABETES Act. Requires Medicare to offer its Diabetes Prevention Program in a virtual or online format. S. 1512 and H.R. 2903, "CONNECT for Health Act." Expands coverage of telehealth services under Medicare. S. 596 and H.R. 1577, the "Treat and Reduce Obesity Act," to expand the types of health professionals permitted to provide weight loss management and counseling services under Medicare Part B and to include coverage of weight loss management drugs under Medicare Part D. Support for COVID-19 patients (telehealth, home dialysis, copayment waivers, regulatory waivers). Request to expedite the rulemaking process following the 116th Congress enactment of the Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act (H.R. 5534, S. 3353) to provide Medicare Part B coverage of anti-rejection medications for kidney transplant recipients who lack private, group or other public health insurance coverage for these medications.

H.R. 366, H.R. 397, H.R. 1319, H.R. 1332, H.R. 2903, H.R. 4058, H.R. 2807, H.R. 4008, H.R. 4347, S. 368, S. 893, S. 1704, S. 1988, S. 2061, S. 2097, S. 2197, S. 801, S. 2110, S. 2173. Coverage of telehealth in high deductible health plans.

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

HR 1332/S 368 - Telehealth Modernization Act; all provisions of the bill HR 2807 - PREVENT DIABETES Act; all provisions related to telehealth HR 2903/ S 1512 - CONNECT for Health Act of 2021; all provisions of the bill HR 4961/S 2627 - Rural Veterans Travel Enhancement Act of 2021; all provisions related to telehealth HR 5541 - Primary and Virtual Care Affordability Act; all provisions of the bill HR 5804/S 2203 - Expanding Access to Diabetes Self-Management Training Act of 2021 HR 5981/S 1704 - Telehealth Expansion Act of 2021; all provisions of the bill S 2173 - Promoting Responsible and Effective Virtual Experiences throughNovel Technology to Deliver Improved Access and Better Engagement withTested and Evidence-based Strategies Act; all provisions of the bill Senate Finance Committee RFI on Telehealth Expansion Telehealth activity and FTC health data policy statement Telehealth privacy and interoperability VHA Office of Community Care Telehealth Improvements

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

S.2203 - The Expanding Access to Diabetes Self-Management Training Act; issues related to diabetes self-management, generally; H.R.2807 - PREVENT DIABETES Act; Center for Medicare and Medicaid Innovation activities related to diabetes

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 5241, Linking Seniors to Needed Legal Services Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 1330, Patient Access to Higher Quality Health Care Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, NOVEL Act of 2021, all provisions H.R. 2144, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice S. 1450, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, provisions relating to scope of practice H.R. 5370, Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 202, all provisions H.R. 2807, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 2173, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, provisions relating to pharmacy benefits managers and drug price transparency S. 801, Connected MOM Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 2214, Promote Responsible Oversight and Targeted Employee background Check Transparency for Seniors (PROTECTS) Act, all provisions H.R. 5125, Strengthening Innovation in Medicare and Medicaid Act, all provisions H.R. 1587, Medicare Audiologist Access and Services Act of 2021, all provisions S. 2691, Strengthening the Vaccines for Children Program Act of 2021, all provisions Medicare program: No Surprises Act/implementation Medicare program: Physician payment Medicare program: 2022 Physician Fee Schedule/audio-only telehealth expansion Medicare program: Telehealth Extension and Evaluation Act Medicare program: Alternative payment models Medicare program: National Coverage Determination/self-measured blood pressure monitoring devices Medicare program: Physician payment issues/PAYGO and Sequester/3.75% Conversion Factor increase Medicare program: Evaluation and Management (E/M)/budget neutrality Medicare program: Physician-owned hospitals/hospital consolidation Medicare program: Medicare expansion/dental, vision, hearing coverage Medicare program: Diabetes Prevention Medicare program: Surprise Medical Billing/Price transparency Medicare program: Merit-Based Incentive Payment System (MIPS) program Medicare program: MIPS Value Pathways Medicare program: Quality Payment Program Medicare program: Information blocking/interoperability/data segmentation Medicare program: Cybersecurity and HIPAA Medicare program: Measure Application Partnership (MAP) Medicare program: COVID-19 Public Health Emergency/Accelerated and Advance Payments Medicare program: Primary Care First (PCF) models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Physician payment/globals Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation Medicare program: Open Payments Medicare program: Prescription Drug Prices Medicare program: Chronic Care Management code Medicare program: Graduate Medical Education (GME) Medicare program: Step Therapy Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/Accountable Care Organizations Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Drug overdose epidemic Medicare and Medicaid programs: 21st Century Cures 2.0 Medicare and Medicaid programs: Waste, fraud, and abuse in telehealth Medicare and Medicaid programs: Prior authorization Medicare and Medicaid programs: Public Option Medicare and Medicaid programs: Electronic Health Records (EHR) certification Medicare and Medicaid programs: Physician Health IT burdens Medicare and Medicaid programs: Data privacy Medicare and Medicaid programs: Provider compliance and regulatory relief Medicaid program: COVID-19/Provider Relief Fund Medicaid program: Funding for U.S. territories Medicaid program: Medicaid expansion Medicaid program: Work requirements Medicaid program: COVID-19/Uninsured and healthcare coverage/child 12 month continuous eligibility Medicaid program: Pediatric mental health care access/behavioral health services Medicaid program: Special enrollment period Medicaid program: Proprietary Laboratory Analysis (PLA) codes

Support for Protected Classes under Medicare Part D program. H.R. 1676, provide Medigap coverage for Medicare end-stage kidney disease patients under age 65. S. 1536, H.R. 3108, Medicare Medical Nutrition Therapy Act. S. 2203, Medicare Diabetes Self-Management Training Act. S. 2173, H.R. 2807, PREVENT DIABETES Act. Activities to address access and utilization of home dialysis, including H.R. 5426, the "Improving Access to Home Dialysis Act of 2021." Support for COVID-19 patients (telehealth, home dialysis, copayment waivers, regulatory waivers). Comments to CMS on the Proposed FY 2022 Hospital IPPS rule.

Client expense: $110,000 · 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), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

H.R. 366, H.R. 397, H.R. 1319, H.R. 1332, H.R. 2903, H.R. 4058, H.R. 2807, H.R. 4008, H.R. 4347, S. 368, S. 893, S. 1704, S. 1988, S. 2061, S. 2097, S. 2197, S. 801, S. 2110, S. 2173. Coverage of telehealth in high deductible health plans.

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

HR 4502 - Labor, Health and Human Services, Education, Agriculture, Rural Development, Energy and Water Development, Financial Services and General Government, Interior, Environment, Military Construction, Veterans Affairs, Transportation, and Housing and Urban Development Appropriations Act, 2022; all provisions related to telehealth HR 5376 - Build Back Better Act; all provisions related to teleheath HR 769/S 1491 - Rural MOMS Act; all provisions of the bill HR 937/S 893 - Tech To Save Moms Act; all provisions of the bill HR 2903/S 1512 - CONNECT for Health Act of 2021; all provisions of the bill HR 3085/S 1548 - ENACT Act of 2021; all provisions of the bill S 1704 - Telehealth Expansion Act of 2021; all provisions of the bill S 2061 - Telemental Health Care Access Act of 2021; all provisions of the bill HR 2807 - PREVENT DIABETES Act; all provisions of the bill

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

S. 2203, The Expanding Access to Diabetes Self-Management Training Act; issues related to diabetes self-management, generally; H.R.2807 - PREVENT DIABETES Act ; Center for Medicare and Medicaid Innovation activities related to diabetes.

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

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

H.R. 1330, Patient Access to Higher Quality Health Care Act of 2021, all provisions H.R. 2807, PREVENT DIABETES Act, all provisions S. 2173, A bill to permit Centers for Disease Control and Prevention-recognized virtual diabetes prevention program suppliers to be included in the Medicare Diabetes Prevention Program Expanded Model conducted by the Center for Medicare and Medicaid Innovation under section 1115A of the Social Security Act (42 U.S.C. 1315a), all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions H.R. 4040, To amend title XVIII of the Social Security Act to extend telehealth flexibilities under the Medicare program, and for other purposes, all provisions H.R. 2503, Social Determinants Accelerator Act of 2021, all provisions H.R. 4014, To provide for a new building period with respect to the cap on full-time equivalent residents for purposes of payment for graduate medical education costs under the Medicare program for certain hospitals that have established a shortage specialty program, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 2347, Strengthening the Vaccines for Children Program Act of 2021, all provisions S. 801, Connected MOM Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3746, To amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program, all provisions H.R. 2144, Access to Genetic Counselor Services Act of 2021, all provisions S. 1450, Access to Genetic Counselor Services Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021 H.R, 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions H.R. 3630, Lymphedema Treatment Act, all provisions S. 1315, Lymphedema Treatment Act, all provisions H.R. 1587, Medicare Audiologist Access and Services Act of 2021, all provisions Medicare program: Value in Healthcare Act Medicare program: No Surprises Act/implementation Medicare program: Physician payment issues/PAYGO and Sequester/Patient care barriers/mitigating future cuts/provider relief fund Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/ oversight/reform Medicare program: MACRA Alternative Payment Models (APMs) Medicare program: MACRA/Accountable Care Organizations Medicare program: MACRA physician burdens Medicare program: FY22 Inpatient Prospective Payment System (IPPS)/Alternative 2 methodology Medicare program: FY22 IPPS/Medicare transplant payment policies Medicare program: FY 22 IPPS/Graduate Medical Education proposals Medicare program: Merit-based Incentive Payment System (MIPS)/Quality, Cost, Improvement Activities, Promoting Interoperability Medicare program: Digital quality measurement Medicare program: Physician self-referral Medicare program: Surprise Medical Billing Medicare program: Primary Care First model Medicare program: Appropriate Use Criteria (AUC) Medicare program: Provider compliance and regulatory relief Medicare program: Open Payments Medicare program: Medicare Shared Savings Program (MSSP)/Quality reporting changes Medicare program: Measure Application Partnership (MAP) Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation Medicare and Medicaid programs: E/M reimbursement changes Medicare and Medicaid programs: Remote Patient Monitoring Medicare and Medicaid programs: Health Insurance Portability and Accountability Act (HIPAA)/changes/Information Blocking Medicare and Medicaid programs: Health Equity Medicare and Medicaid programs: Coding Medicaid program: Justice for Incarcerated Moms Act Medicaid program: Funding for US territories Medicaid program: Special enrollment period Medicare program: Pediatric mental health care/access to behavioral health services Medicaid program: Medicaid program work requirements

S. 2203, The Expanding Access to Diabetes Self-Management Training Act; issues related to diabetes self-management, generally; H.R.2807 - PREVENT DIABETES Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2807 - PREVENT DIABETES Act; all provisions of the bill HR 2903/S 1512 - CONNECT for Health Act of 2021; all provisions of the bill S 1704 - Telehealth Expansion Act of 2021; all provisions of the bill S 1988 - Protecting Rural Telehealth Access Act; all provisions of the bill S 2061 - Telemental Health Care Access Act of 2021; all provisions of the bill S 2097 - TELEHEALTH HSA Act of 2021; all provisions of the bill S.2197 - Rural and Frontier Telehealth Expansion Act; all provisions of the bill

Client expense: $110,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 366, H.R. 397, H.R. 1319, H.R. 1332, H.R. 2903, H.R. 4058, H.R. 2807, H.R. 4008, H.R. 4347, S. 368, S. 893, S. 1704, S. 1988, S. 2061, S. 2097, S. 2197, S. 801, S. 2110, S. 2173

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

H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act H.R. 379, Improving Social Determinants of Health Act H.R. 708, Temporary Reciprocity to Ensure Access to Treatment Act H.R.944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. H.R. 959, Black Maternal Health Momnibus Act H.R. 1874, Expand Navigators Resources for Outreach, Learning & Longevity Act H.R. 1878, State Healthcare Premium Reduction Act H.R. 1896, State Allowance for a Variety of Exchanges Act H.R. 2166, Ensuring Parity in Medicare Advantage for Audio Only Telehealth Act H.R. 2759, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 2807, PREVENT DIABETES ACT H.R. 3321, Credit for Caring Act H.R. 3788, Protecting American Innovation Act H.R. 4131, Better Care Better Jobs Act S. 150, Ensuring Parity in Medicare Advantage for Audio Only Telehealth Act S. 346, Black Maternal Health Momnibus Act S. 509, Leveraging Integrated Networks in Communities to Address Social Needs Act S. 674, Public Health Infrastructure Saves Lives Act S. 1024, Healthcare Workforce Resilience Act S. 1362, Pharmacy and Medically Underserved Areas Enhancement Act S. 1704, Telehealth Expansion Act S. 1770, Credit for Caring Act S. 2210, Better Care Better Jobs Act

Client expense: $120,000 · Firm income: Not reported

H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act H.R. 379, Improving Social Determinants of Health Act H.R. 708, Temporary Reciprocity to Ensure Access to Treatment Act H.R.944 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. H.R. 959, Black Maternal Health Momnibus Act H.R. 1874, Expand Navigators Resources for Outreach, Learning & Longevity Act H.R. 1878, State Healthcare Premium Reduction Act H.R. 1896, State Allowance for a Variety of Exchanges Act H.R. 2166, Ensuring Parity in Medicare Advantage for Audio Only Telehealth Act H.R. 2759, Pharmacy and Medically Underserved Areas Enhancement Act H.R. 2807, PREVENT DIABETES ACT H.R. 3321, Credit for Caring Act H.R. 3788, Protecting American Innovation Act H.R. 4131, Better Care Better Jobs Act S. 150, Ensuring Parity in Medicare Advantage for Audio Only Telehealth Act S. 346, Black Maternal Health Momnibus Act S. 509, Leveraging Integrated Networks in Communities to Address Social Needs Act S. 674, Public Health Infrastructure Saves Lives Act S. 1024, Healthcare Workforce Resilience Act S. 1362, Pharmacy and Medically Underserved Areas Enhancement Act S. 1704, Telehealth Expansion Act S. 1770, Credit for Caring Act S. 2210, Better Care Better Jobs Act

Client expense: $120,000 · Firm income: Not reported

Support for Protected Classes under Medicare Part D program. Support for H.R. 1676, provide Medigap coverage for Medicare end-stage kidney disease patients under age 65. S. 1536, H.R. 3108, Medicare Medical Nutrition Therapy Act. S. 2203, Medicare Diabetes Self-Management Training Act. S. 2173, H.R. 2807, PREVENT DIABETES Act. Activities to address access and utilization of home dialysis. Support for COVID-19 patients (telehealth, home dialysis, copayment waivers, regulatory waivers). Comments to CMS on the Proposed FY 2022 Hospital IPPS rule.

Client expense: $110,000 · 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), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE