Medicare Patient Empowerment Act of 2021

Medicare physician reimbursement issues Merit-Based Incentive Payment System (MIPS) Advanced Alternative Payment (APM) models Quality Payment Program (QPP) Misvalued global surgical codes Ambulatory Surgical Center (ASC) reimbursement issues Telehealth programs and reimbursement Health Information Technology (HIT) Medicare Advantage utilization management, including prior authorization and step therapy Pass-Through payments for ophthalmic products Office-based ophthalmic surgery H.R.3173-Improving Seniors' Timely Access to Care Act of 2021 H.R.3322-Medicare Patient Empowerment Act of 2021 H.R.7995-GOLD CARD Act of 2022 H.R.8800-Supporting Medicare Providers Act of 2022 S.826-Medicare Patient Empowerment Act of 2021 S.3018-Improving Seniors' Timely Access to Care Act of 2021

Client expense: $170,854 · Firm income: Not reported

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

HR 8344: Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act of 2022 Medicare sequestration moratorium Medicaid coverage and reimbursement Medicare wound care coverage National Correct Coding Initiative Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage Essential Health Benefits Medicare improvement standards Inclusion of physical therapists in quality programs Medicare Self-referral Coverage of telehealth under Medicare, Medicare Advantage, and Medicaid H.R. 2168/S. 3193 Expanded Telehealth Access Act APTA PT Outcomes Registry/Qualified Clinical Data Registries Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Orthotics and Prosthetics H.R. 1990/S. 2556: Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting H.R. 3322/S. 826 Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule H.R. 5536 Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Health information technology: Electronic health records, health IT incentives for physical therapists, certification of EHRs interoperability, and information blocking durable medical equipment prosthetics orthotics and supplies competitive bidding H.R. 3630/S. 1315 Lymphedema Treatment Act Medicare enrollment Skilled Nursing Facility payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act H.R. 3173/S. 3018 Improving Seniors Timely Access to Care Act H.R. 3650/S. 2048 Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee Schedule Unified post-acute care prospective payment system Inpatient rehabilitation facilities / long term care hospital payment HIPAA proposed rule HR 6020 - Support Medicare Providers Act S. 3799 PREVENT Pandemics Act H.R. 5365 Primary Health Services Enhancement Act H.R. 8181 Optimizing Postpartum Outcomes Act H.R 8800 Supporting Medicare Providers Act of 2022 S. 5 PTA/OTA Supervision

H.R. 2256/S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: To expand the physician workforce by funding new Medicare-supported graduate medical education (GME) positions. H.R. 1868, Preventing Across-the-Board Direct Spending Cuts Issue: Support extending the moratorium on the Medicare sequester and act to prevent mandatory PAYGO cuts, including 4% Medicare spending sequestration, stemming from the American Rescue Plan Act of 2021. H.R. 315/S.748, Medicare Sequester Moratorium Act of 2021 Issue: Support eliminating Medicare sequester cuts through the duration of the public health emergency. H.R. 3322/S. 826, Medicare Patient Empowerment Act of 2021 Support: Support authorizing Medicare payment option for patients and eligible professionals to freely contract Medicare fee-for-service items and services. Medicare Physician Fee Schedule (MPFS) Issue: Support measures to mitigate expected reductions to the Medicare conversion factor set to take effect in 2022. Medicare Access and CHIP Reauthorization Act (MACRA) Issue: Support request for an oversight hearing on the implementation of MACRA and physician-focused value-based care initiatives.

Client expense: $240,000 · Firm income: Not reported

S.2999 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 program; 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.R.1677 - KEEP Telehealth Options Act of 2021 To direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Children's Health Insurance programs during the COVID-19 emergency; S.620 KEEP Telehealth Options Act of 2021; S104 HR379 Improving Social Determinants of Health Act of 2021; H.R.1227, S386 Medicare-X Choice Act of 2021; HR 3322-S826 Medicare Patient Empowerment Act of 2021; HR2410 Medicare & You Handbook Improvement Act of 2021; S1180 Choose Medicare Act' S748 Medicare Sequester Relief Act; HR 315 Medicare Sequester COVID Moratorium Act; HR599 Protecting Medicare Beneficiaries with Pre-Existing Conditions Act; S.2146 Improving Medicare Beneficiary Access to Innovative Diabetes Technologies Act of 2021; S.4067 A bill to amend title XI of the Social Security Act to improve access to care for all Medicare and Medicaid beneficiaries through models tested under the Center for Medicare and Medicaid Innovation, and for other purposes; H.R.3755 Women's Health Protection Act of 2022; . 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.79 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Treasury and the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond".

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. S.5, a bill to change the supervision requirement for PTAs in private practice settings to that which state law requires. 6. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

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

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. S.5, a bill to change the supervision requirement for PTAs in private practice settings to that which state law requires. 6. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

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

S.2999 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 program; 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.R.1677 - KEEP Telehealth Options Act of 2021 To direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Children's Health Insurance programs during the COVID-19 emergency; S.620 KEEP Telehealth Options Act of 2021; S104 HR379 Improving Social Determinants of Health Act of 2021; H.R.1227, S386 Medicare-X Choice Act of 2021; HR 3322-S826 Medicare Patient Empowerment Act of 2021; HR2410 Medicare & You Handbook Improvement Act of 2021; S1180 Choose Medicare Act' S748 Medicare Sequester Relief Act; HR 315 Medicare Sequester COVID Moratorium Act; HR599 Protecting Medicare Beneficiaries with Pre-Existing Conditions Act; S.2146 Improving Medicare Beneficiary Access to Innovative Diabetes Technologies Act of 2021; S.4067 A bill to amend title XI of the Social Security Act to improve access to care for all Medicare and Medicaid beneficiaries through models tested under the Center for Medicare and Medicaid Innovation, and for other purposes; H.R.3755 Women's Health Protection Act of 2022; . 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.79 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Treasury and the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond".

H.R. 2256/S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: To expand the physician workforce by funding new Medicare-supported graduate medical education (GME) positions. H.R. 1868, Preventing Across-the-Board Direct Spending Cuts Issue: Support extending the moratorium on the Medicare sequester and act to prevent mandatory PAYGO cuts, including 4% Medicare spending sequestration, stemming from the American Rescue Plan Act of 2021. H.R. 315/S.748, Medicare Sequester Moratorium Act of 2021 Issue: Support eliminating Medicare sequester cuts through the duration of the public health emergency. H.R. 3322/S. 826, Medicare Patient Empowerment Act of 2021 Support: Support authorizing Medicare payment option for patients and eligible professionals to freely contract Medicare fee-for-service items and services. Medicare Physician Fee Schedule (MPFS) Issue: Support measures to mitigate expected reductions to the Medicare conversion factor set to take effect in 2022. Medicare Access and CHIP Reauthorization Act (MACRA) Issue: Support request for an oversight hearing on the implementation of MACRA and physician-focused value-based care initiatives.

Client expense: $200,000 · Firm income: Not reported

HR 8344: Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act of 2022 Medicare sequestration moratorium Medicaid coverage and reimbursement Medicare wound care coverage National Correct Coding Initiative Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage Essential Health Benefits Medicare improvement standards Inclusion of physical therapists in quality programs Medicare Self-referral Coverage of telehealth under Medicare, Medicare Advantage, and Medicaid H.R. 2168/S. 3193 Expanded Telehealth Access Act APTA PT Outcomes Registry/Qualified Clinical Data Registries Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Orthotics and Prosthetics H.R. 1990/S. 2556: Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting H.R. 3322/S. 826 Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule H.R. 5536 Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Health information technology: Electronic health records, health IT incentives for physical therapists, certification of EHRs interoperability, and information blocking durable medical equipment prosthetics orthotics and supplies competitive bidding H.R. 3630/S. 1315 Lymphedema Treatment Act Medicare enrollment Skilled Nursing Facility payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act H.R. 3173/S. 3018 Improving Seniors Timely Access to Care Act H.R. 3650/S. 2048 Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee Schedule Unified post-acute care prospective payment system Inpatient rehabilitation facilities / long term care hospital payment HIPAA proposed rule HR 6020 - Support Medicare Providers Act S. 3799 PREVENT Pandemics Act H.R. 5365 Primary Health Services Enhancement Act H.R. 8181 Optimizing Postpartum Outcomes Act H.R 8800 Supporting Medicare Providers Act of 2022

Medicare physician reimbursement issues Merit-Based Incentive Payment System (MIPS) Advanced Alternative Payment (APM) models Quality Payment Program (QPP) Misvalued global surgical codes Ambulatory Surgical Center (ASC) reimbursement issues Telehealth programs and reimbursement Health Information Technology (HIT) Medicare Advantage utilization management, including prior authorization and step therapy Pass-Through payments for ophthalmic products Office-based ophthalmic surgery H.R.3173-Improving Seniors' Timely Access to Care Act of 2021 H.R.3322-Medicare Patient Empowerment Act of 2021 H.R.7995-GOLD CARD Act of 2022 H.R.8800-Supporting Medicare Providers Act of 2022 S.826-Medicare Patient Empowerment Act of 2021 S.3018-Improving Seniors' Timely Access to Care Act of 2021

Client expense: $194,452 · Firm income: Not reported

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

Medicare physician reimbursement issues Merit-Based Incentive Payment System (MIPS) Advanced Alternative Payment (APM) models Quality Payment Program (QPP) Misvalued global surgical codes Ambulatory Surgical Center (ASC) reimbursement issues Telehealth programs and reimbursement Health Information Technology (HIT) Medicare Advantage utilization management, including prior authorization and step therapy Pass-Through payments for ophthalmic products H.R.3173-Improving Seniors' Timely Access to Care Act of 2021 H.R.3322-Medicare Patient Empowerment Act of 2021 H.R.7995-GOLD CARD Act of 2022 S.826-Medicare Patient Empowerment Act of 2021 S.3018-Improving Seniors' Timely Access to Care Act of 2021

Client expense: $154,186 · Firm income: Not reported

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

H.R. 2256/S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: To expand the physician workforce by funding new Medicare-supported graduate medical education (GME) positions. H.R. 1868, Preventing Across-the-Board Direct Spending Cuts Issue: Support extending the moratorium on the Medicare sequester and act to prevent mandatory PAYGO cuts, including 4% Medicare spending sequestration, stemming from the American Rescue Plan Act of 2021. H.R. 315/S.748, Medicare Sequester Moratorium Act of 2021 Issue: Support eliminating Medicare sequester cuts through the duration of the public health emergency. H.R. 3322/S. 826, Medicare Patient Empowerment Act of 2021 Support: Support authorizing Medicare payment option for patients and eligible professionals to freely contract Medicare fee-for-service items and services. Medicare Physician Fee Schedule (MPFS) Issue: Support measures to mitigate expected reductions to the Medicare conversion factor set to take effect in 2022. Medicare Access and CHIP Reauthorization Act (MACRA) Issue: Support request for an oversight hearing on the implementation of MACRA and physician-focused value-based care initiatives.

Client expense: $150,000 · Firm income: Not reported

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization. 6. The bipartisan Primary Health Services Enhancement Act (H.R.5365) would allow CHCs to offer physical therapy services which will be provided by a physical therapist.

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

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

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

Payment of EMG services under Medicare Medicare sequestration moratorium Medicaid coverage and reimbursement Medicare wound care coverage National Correct Coding Initiative Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage Essential Health Benefits Medicare improvement standards Inclusion of physical therapists in quality programs Medicare Self-referral Coverage of telehealth under Medicare, Medicare Advantage, and Medicaid H.R. 2168/S. 3193 Expanded Telehealth Access Act APTA PT Outcomes Registry/Qualified Clinical Data Registries Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Orthotics and Prosthetics Medicare Private Contracting H.R. 3322/S. 826 Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule H.R. 5536 Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Pelvic Health/Pelvic Health Awareness Health information technology: Electronic health records, health IT incentives for physical therapists, certification of EHRs interoperability, and information blocking durable medical equipment prosthetics orthotics and supplies competitive bidding H.R. 3630/S. 1315 Lymphedema Treatment Act Medicare enrollment Skilled Nursing Facility payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act H.R. 3173/S. 3018 Improving Seniors Timely Access to Care Act H.R. 3650/S. 2048 Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee Schedule Unified post-acute care prospective payment system Inpatient rehabilitation facilities / long term care hospital payment HIPAA proposed rule HR 6020 - Support Medicare Providers Act S. 3799 PREVENT Pandemics Act H.R. 5365 Primary Health Services Enhancement Act H.R. 8181 Optimizing Postpartum Outcomes Act

S.2999 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 program; 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.R.1677 - KEEP Telehealth Options Act of 2021 To direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Children's Health Insurance programs during the COVID-19 emergency; S.620 KEEP Telehealth Options Act of 2021; S104 HR379 Improving Social Determinants of Health Act of 2021; H.R.1227, S386 Medicare-X Choice Act of 2021; HR 3322-S826 Medicare Patient Empowerment Act of 2021; HR2410 Medicare & You Handbook Improvement Act of 2021; S1180 Choose Medicare Act' S748 Medicare Sequester Relief Act; HR 315 Medicare Sequester COVID Moratorium Act; HR599 Protecting Medicare Beneficiaries with Pre-Existing Conditions Act; S.2146 Improving Medicare Beneficiary Access to Innovative Diabetes Technologies Act of 2021; S.4067 A bill to amend title XI of the Social Security Act to improve access to care for all Medicare and Medicaid beneficiaries through models tested under the Center for Medicare and Medicaid Innovation, and for other purposes; H.R.3755 Women's Health Protection Act of 2022; . 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.79 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Department of the Treasury and the Centers for Medicare & Medicaid Services relating to "Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing Regulations, and Improving Health Insurance Markets for 2022 and Beyond".

Payment of EMG services under Medicare Medicare sequestration moratorium Medicaid coverage and reimbursement Medicare wound care coverage National Correct Coding Initiative Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage Essential Health Benefits Medicare improvement standards Inclusion of physical therapists in quality programs Medicare Self-referral Coverage of telehealth under Medicare, Medicare Advantage, and Medicaid H.R. 2168/S. 3193 Expanded Telehealth Access Act APTA PT Outcomes Registry/Qualified Clinical Data Registries Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Orthotics and Prosthetics Medicare Private Contracting H.R. 3322/S. 826 Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule H.R. 5536 Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Health information technology: Electronic health records, health IT incentives for physical therapists, certification of EHRs interoperability, and information blocking durable medical equipment prosthetics orthotics and supplies competitive bidding H.R. 3630/S. 1315 Lymphedema Treatment Act Medicare enrollment Skilled Nursing Facility payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act H.R. 3173/S. 3018 Improving Seniors Timely Access to Care Act H.R. 3650/S. 2048 Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee Schedule Unified post-acute care prospective payment system Inpatient rehabilitation facilities / long term care hospital payment HIPAA proposed rule HR 6020 - Support Medicare Providers Act S. 3799 PREVENT Pandemics Act H.R. 5365 Primary Health Services Enhancement Act

S.2999 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 program; 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.R.1677 To direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Children's Health Insurance programs during the COVID-19 emergency; . S.620 KEEP Telehealth Options Act of 2021; S104 HR379 Improving Social Determinants of Health Act of 2021; H.R.2517, S1125 To recommend that the Center for Medicare and Medicaid Innovation test the effect of a dementia care management model, and for other purposes; H.R.1227, S386 Medicare-X Choice Act of 2021; HR 3322-S826 Medicare Patient Empowerment Act of 2021; HR2410 Medicare & You Handbook Improvement Act of 2021; S1180 Choose Medicare Act' S748 Medicare Sequester Relief Act; HR 315 Medicare Sequester COVID Moratorium Act; HR599 Protecting Medicare Beneficiaries with Pre-Existing Conditions Act; S.2146 Improving Medicare Beneficiary Access to Innovative Diabetes Technologies Act of 2021; S.4067 A bill to amend title XI of the Social Security Act to improve access to care for all Medicare and Medicaid beneficiaries through models tested under the Center for Medicare and Medicaid Innovation, and for other purposes.

H.R. 2256/S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: To expand the physician workforce by funding new Medicare-supported graduate medical education (GME) positions. H.R. 1868, Preventing Across-the-Board Direct Spending Cuts Issue: Support extending the moratorium on the Medicare sequester and act to prevent mandatory PAYGO cuts, including 4% Medicare spending sequestration, stemming from the American Rescue Plan Act of 2021. H.R. 315/S.748, Medicare Sequester Moratorium Act of 2021 Issue: Support eliminating Medicare sequester cuts through the duration of the public health emergency. H.R. 3322/S. 826, Medicare Patient Empowerment Act of 2021 Support: Support authorizing Medicare payment option for patients and eligible professionals to freely contract Medicare fee-for-service items and services. Medicare Physician Fee Schedule (MPFS) Issue: Support measures to mitigate expected reductions to the Medicare conversion factor set to take effect in 2022. Medicare Access and CHIP Reauthorization Act (MACRA) Issue: Support request for an oversight hearing on the implementation of MACRA and physician-focused value-based care initiatives.

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

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. Gain supporters for extending the 3.75% Medicare payment adjustment for another year, including gaining cosigners for Bera-Bucshon letter requesting that action before end of 2021. 6. The bipartisan Eliminating Provider Relief Fund Tax Penalties Act (H.R.2079) is seeking to override the 2020 IRS guidance which stated provider relief fund grants are to be treated as gross income and therefore taxable. 7. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

Payment of EMG services under Medicare Medicare sequestration moratorium Medicaid coverage and reimbursement Medicare wound care coverage National Correct Coding Initiative Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage Essential Health Benefits Medicare improvement standards Inclusion of physical therapists in quality programs Medicare Self-referral Coverage of telehealth under Medicare, Medicare Advantage, and Medicaid H.R. 2168/S. 3193 Expanded Telehealth Access Act APTA PT Outcomes Registry/Qualified Clinical Data Registries Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Orthotics and Prosthetics Medicare Private Contracting H.R. 3322/S. 826 Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule H.R. 5536 Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Health information technology: Electronic health records, health IT incentives for physical therapists, certification of EHRs interoperability, and information blocking durable medical equipment prosthetics orthotics and supplies competitive bidding H.R. 3630/S. 1315 Lymphedema Treatment Act Medicare enrollment Skilled Nursing Facility payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act H.R. 3173/S. 3018 Improving Seniors Timely Access to Care Act H.R. 3650/S. 2048 Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee Schedule Unified post-acute care prospective payment system Inpatient rehabilitation facilities / long term care hospital payment HIPAA proposed rule HR 6020 - Support Medicare Providers Act

S.2999 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 program; 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.R.1677 To direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Children's Health Insurance programs during the COVID-19 emergency; . S.620 KEEP Telehealth Options Act of 2021; S104 HR379 Improving Social Determinants of Health Act of 2021; H.R.2517, S1125 To recommend that the Center for Medicare and Medicaid Innovation test the effect of a dementia care management model, and for other purposes; H.R.1227, S386 Medicare-X Choice Act of 2021; HR 3322-S826 Medicare Patient Empowerment Act of 2021; HR2410 Medicare & You Handbook Improvement Act of 2021; S1180 Choose Medicare Act' S748 Medicare Sequester Relief Act; HR 315 Medicare Sequester COVID Moratorium Act; HR599 Protecting Medicare Beneficiaries with Pre-Existing Conditions Act; S.2146 Improving Medicare Beneficiary Access to Innovative Diabetes Technologies Act of 2021.

Client expense: Not reported · Firm income: $11,000

H.R. 2256/S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: To expand the physician workforce by funding new Medicare-supported graduate medical education (GME) positions. H.R. 1868, Preventing Across-the-Board Direct Spending Cuts Issue: Support extending the moratorium on the Medicare sequester and act to prevent mandatory PAYGO cuts, including 4% Medicare spending sequestration, stemming from the American Rescue Plan Act of 2021. H.R. 315/S.748, Medicare Sequester Moratorium Act of 2021 Issue: Support eliminating Medicare sequester cuts through the duration of the public health emergency. H.R. 3322/S. 826, Medicare Patient Empowerment Act of 2021 Support: Support authorizing Medicare payment option for patients and eligible professionals to freely contract Medicare fee-for-service items and services. Medicare Physician Fee Schedule (MPFS) Issue: Support measures to mitigate expected reductions to the Medicare conversion factor set to take effect in 2022. Medicare Access and CHIP Reauthorization Act (MACRA) Issue: Support request for an oversight hearing on the implementation of MACRA and physician-focused value-based care initiatives.

Client expense: $140,000 · Firm income: Not reported

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. Gain supporters for extending the 3.75% Medicare payment adjustment for another year, including gaining cosigners for Bera-Bucshon letter requesting that action before end of 2021. 6. The bipartisan Eliminating Provider Relief Fund Tax Penalties Act (H.R.2079) is seeking to override the 2020 IRS guidance which stated provider relief fund grants are to be treated as gross income and therefore taxable. 7. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

Payment of EMG services under Medicare Medicare sequestration moratorium Medicaid coverage and reimbursement Medicare wound care coverage National Correct Coding Initiative Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage Essential Health Benefits Medicare improvement standards Inclusion of physical therapists in quality programs Medicare Self-referral Coverage of telehealth under Medicare, Medicare Advantage, and Medicaid H.R. 2168 Expanded Telehealth Access Act APTA PT Outcomes Registry/Qualified Clinical Data Registries Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Orthotics and Prosthetics Medicare Private Contracting H.R. 3322/S. 826 Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule H.R. 5536 Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Health information technology: Electronic health records, health IT incentives for physical therapists, certification of EHRs interoperability, and information blocking durable medical equipment prosthetics orthotics and supplies competitive bidding H.R. 3630/S. 1315 Lymphedema Treatment Act Medicare enrollment Skilled Nursing Facility payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act H.R. 3173 Improving Seniors Timely Access to Care Act H.R. 3650/S. 2048 Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee Schedule Unified post-acute care prospective payment system Inpatient rehabilitation facilities / long term care hospital payment HIPAA proposed rule

H.R.1677 To direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Children's Health Insurance programs during the COVID-19 emergency; . S.620 KEEP Telehealth Options Act of 2021; S104 HR379 Improving Social Determinants of Health Act of 2021; H.R.2517, S1125 To recommend that the Center for Medicare and Medicaid Innovation test the effect of a dementia care management model, and for other purposes; H.R.1227, S386 Medicare-X Choice Act of 2021; HR 3322-S826 Medicare Patient Empowerment Act of 2021; HR2410 Medicare & You Handbook Improvement Act of 2021; S1180 Choose Medicare Act' S748 Medicare Sequester Relief Act; HR 315 Medicare Sequester COVID Moratorium Act; HR599 Protecting Medicare Beneficiaries with Pre-Existing Conditions Act; S.2146 Improving Medicare Beneficiary Access to Innovative Diabetes Technologies Act of 2021.

Client expense: Not reported · Firm income: $11,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2256/S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: To expand the physician workforce by funding new Medicare-supported graduate medical education (GME) positions. H.R. 1868, Preventing Across-the-Board Direct Spending Cuts Issue: Support extending the moratorium on the Medicare sequester and act to prevent mandatory PAYGO cuts, including 4% Medicare spending sequestration, stemming from the American Rescue Plan Act of 2021. H.R. 315/S.748, Medicare Sequester Moratorium Act of 2021 Issue: Support eliminating Medicare sequester cuts through the duration of the public health emergency. H.R. 3322/S. 826, Medicare Patient Empowerment Act of 2021 Support: Support authorizing Medicare payment option for patients and eligible professionals to freely contract Medicare fee-for-service items and services. Medicare Physician Fee Schedule (MPFS) Issue: Support measures to mitigate expected reductions to the Medicare conversion factor set to take effect in 2022. Medicare Access and CHIP Reauthorization Act (MACRA) Issue: Support request for an oversight hearing on the implementation of MACRA and physician-focused value-based care initiatives.

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

H.R.1677 To direct the Secretary of Health and Human Services, the Medicare Payment Advisory Commission, and the Medicaid and CHIP Payment and Access Commission to conduct studies and report to Congress on actions taken to expand access to telehealth services under the Medicare, Medicaid, and Children's Health Insurance programs during the COVID-19 emergency; . S.620 KEEP Telehealth Options Act of 2021; S104 HR379 Improving Social Determinants of Health Act of 2021; H.R.2517, S1125 To recommend that the Center for Medicare and Medicaid Innovation test the effect of a dementia care management model, and for other purposes; H.R.1227, S386 Medicare-X Choice Act of 2021; HR 3322-S826 Medicare Patient Empowerment Act of 2021; HR2410 Medicare & You Handbook Improvement Act of 2021; S1180 Choose Medicare Act' S748 Medicare Sequester Relief Act; HR 315 Medicare Sequester COVID Moratorium Act; HR599 Protecting Medicare Beneficiaries with Pre-Existing Conditions Act.

Client expense: Not reported · Firm income: $11,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2256/S. 834, Resident Physician Shortage Reduction Act of 2021 Issue: To expand the physician workforce by funding new Medicare-supported graduate medical education (GME) positions. H.R. 1868, Preventing Across-the-Board Direct Spending Cuts Issue: Support extending the moratorium on the Medicare sequester and act to prevent mandatory PAYGO cuts, including 4% Medicare spending sequestration, stemming from the American Rescue Plan Act of 2021. H.R. 315/S.748, Medicare Sequester Moratorium Act of 2021 Issue: Support eliminating Medicare sequester cuts through the duration of the public health emergency. H.R. 3322/S. 826, Medicare Patient Empowerment Act of 2021 Support: Support authorizing Medicare payment option for patients and eligible professionals to freely contract Medicare fee-for-service items and services. Medicare Physician Fee Schedule (MPFS) Issue: Support measures to mitigate expected reductions to the Medicare conversion factor set to take effect in 2022. Medicare Access and CHIP Reauthorization Act (MACRA) Issue: Support request for an oversight hearing on the implementation of MACRA and physician-focused value-based care initiatives.

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

S. 586, Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act: To establish separate payments for certain non-opioid treatments under the Medicare prospective payment system for hospital outpatient department services and the payment system for ambulatory surgical center services S.834, Resident Physician Shortage Reduction Act: To provide additional Medicare funds to support 14,000 new GME/residency training slots S. 826, Medicare Patient Empowerment Act: To allow physicians and patients to privately contract without penalty for Medicare services S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act: To expand access to telehealth services. H.R 2256, Resident Physician Shortage Reduction Act: To provide additional Medicare funds to support 14,000 new GME/residency training slots H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act: To expand access to telehealth services. H.R. 3173, Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage Program H.R.3322, Medicare Patient Empowerment Act: To allow physicians and patients to privately contract without penalty for Medicare services No Bill: To prevent Medicare payment cuts and mandate that the Centers for Medicare & Medicaid Services value global codes appropriately No Bill: Urging Congressional oversight and review of Medicare's Quality Payment Program No Bill: Urging Congress to halt Medicare prior authorization requirements for hospital outpatient department services

Client expense: $35,000 · Firm income: Not reported

S. 586, Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act: To establish separate payments for certain non-opioid treatments under the Medicare prospective payment system for hospital outpatient department services and the payment system for ambulatory surgical center services S.834, Resident Physician Shortage Reduction Act: To provide additional Medicare funds to support 14,000 new GME/residency training slots S. 826, Medicare Patient Empowerment Act: To allow physicians and patients to privately contract without penalty for Medicare services S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act: To expand access to telehealth services. H.R 2256, Resident Physician Shortage Reduction Act: To provide additional Medicare funds to support 14,000 new GME/residency training slots H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act: To expand access to telehealth services. H.R. 3173, Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage Program H.R.3322, Medicare Patient Empowerment Act: To allow physicians and patients to privately contract without penalty for Medicare services No Bill: To prevent Medicare payment cuts and mandate that the Centers for Medicare & Medicaid Services value global codes appropriately No Bill: Urging Congressional oversight and review of Medicare's Quality Payment Program No Bill: Urging Congress to halt Medicare prior authorization requirements for hospital outpatient department services

Client expense: $35,000 · Firm income: Not reported

Payment of EMG services under Medicare Medicare sequestration moratorium Medicaid coverage and reimbursement Medicare wound care coverage National Correct Coding Initiative Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage Essential Health Benefits Medicare improvement standards Inclusion of physical therapists in quality programs Medicare Self-referral Coverage of telehealth under Medicare, Medicare Advantage, and Medicaid H.R. 2168 Expanded Telehealth Access Act APTA PT Outcomes Registry/Qualified Clinical Data Registries Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Orthotics and Prosthetics Medicare Private Contracting H.R. 3322/S. 826 Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Health information technology: Electronic health records, health IT incentives for physical therapists, certification of EHRs interoperability, and information blocking durable medical equipment prosthetics orthotics and supplies competitive bidding H.R. 3630/S. 1315 Lymphedema Treatment Act Medicare enrollment Skilled Nursing Facility payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act H.R. 3173 Improving Seniors Timely Access to Care Act H.R. 3650/S. 2048 Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee Schedule Unified post-acute care prospective payment system Inpatient rehabilitation facilities / long term care hospital payment HIPAA proposed rule

Client expense: $214,211 · Firm income: Not reported

1. Advocating for the passage of the bipartisan Medicare Sequester COVID Moratorium Act (H.R.315/S.748) in order to delay the reinstatement of the Medicare sequester until the public health emergency (PHE) is revoked. Supported passage of legislation to delay the return of sequestration until January 1, 2022. 2. The Prevent Interruptions in Physical Therapy Act (H.R.1611)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 3. The Expanded Telehealth Access Act (H.R.2168) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 5. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 6. Requesting that the Labor Health and Human Services (Labor-H) Appropriations bill include report language that directs CMS to change the supervision requirement for PTAs in private practice settings from direct to general supervision. 7. The bipartisan Eliminating Provider Relief Fund Tax Penalties Act (H.R.2079) is seeking to override the 2020 IRS guidance which stated provider relief fund grants are to be treated as gross income and therefore taxable. 8. The Improving Seniors Timely Access to Care Act (H.R.3173) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.