Stop Unfair Medicaid Recoveries Act of 2022

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposals to adjust 2022 Medicare Part B premiums 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill 24. Medicare regulations under the No Surprises Act 25. Administration of ACO REACH program 26. Administration of Medicare telephone help lines 27. H.R. 5376, Inflation Reduction Act of 2022, provisions relating to Medicare drug negotiations, vaccine access and pricing, insulin pricing, out of pocket annual caps, catastrophic drug out of pocket costs 28. Expansion of Medicare coverage for medically necessary dental services

Client expense: $70,000 · Firm income: Not reported

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

H.R. 8800, Supporting Medicare Providers Act of 2022 Medicare coverage policies and statutes affecting psychologists and psychology trainees practice and reimbursement Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058/ S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021 Draft bill re: Medicare reimbursement of services provided by advanced trainees

Client expense: $520,000 · Firm income: Not reported

H.R. 525/S. 151, the COVID HCBS Relief Act of 2021 H.R. 1880, to amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration H.R. 2594, the Colorectal Cancer Payment Fairness Act H.R. 2999, the Direct CARE Opportunity Act H.R.4131, to amend title XIX of the Social Security Act to expand access to home and community-based services under Medicaid, and for other purposes H.R. 2356/S. 2363, the Better Wound Care at Home Act H.R. 4937/S. 2646, the Disaster Relief Medicaid Act H.R. 6698, the Stop Unfair Medicaid Recoveries Act S. 1476, the SENIOR CARE Act S. 2210, the Better Care Better Jobs Act S. 2344, the Supporting Our Direct Care Workforce and Family Caregivers Act Discussions on interaction between Medicare Part B and Tricare for medically retired veterans

Client expense: $82,012 · Firm income: Not reported

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

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act Draft bill re: Medicare reimbursement of services provided by advanced trainees

Client expense: $260,000 · Firm income: Not reported

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act Draft bill re: Medicare reimbursement of services provided by advanced trainees

Client expense: $260,000 · Firm income: Not reported

Medicare home health payment policy. Oppose home health and hospice payment cuts and co-pays. Home health rural add-on payment adjustment. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. H.R. 2898/S. 1399, Homecare for Seniors Act. Medicaid payment and eligibility policy. Medicaid Money Follows the Person program. Medicaid protections against spousal impoverishments. Administration for Community Living falls prevention program. H.R. 3371/S. 1309, Home Health Emergency Access to Telehealth Act. Hospice Face to Face Telehealth recertification. Patient Choice and Quality Care Act (draft legislation). Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, and homebound status. S. 2214, PROTECTS Act. Medicaid HCBS FMAP increase. HCBS Access Act (draft legislation). Additional funding for Provider Relief Fund. COVID-19 vaccine funding, administration, and distribution to the homebound. Increased minimum wage legislative proposals. H.R. 2903/S. 1512, CONNECT for Health Act of 2021. H.R. 3321/S. 1670, Credit for Caring Act of 2021. H.R. 3689/S. 234, Americans Giving Care to Elders (AGE) Act of 2021. COVID-19 Public Health Emergency/testing of hospice patients. H.R. 2565, Expanding Access to Palliative Care Act. H.R. 5514/S. 2562, Choose Home Care Act of 2021. H.R. 5376, Build Back Better Act. H.R. 4131/S.2210, Better Care Better Jobs Act. S. 2566, Improving Access to Transfusion Care for Hospice Patients Act of 2021. Draft legislation to remove advance care planning co-payments. Health information technology funding and standards for long-term post-acuter care providers. COVID-19 vaccine mandate. Palliative dialysis payment policy in Medicare hospice. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022. H.R. 7053/S. 3792, Hospital Inpatient Services Modernization Act. Medicare Sequestration Moratoria. Hospice concurrent care policy. Community-based palliative care in CMMI alternative payment model demonstrations. H.R. 3173/S. 3018, Improving Seniors' Timely Access to Care Act.

H.R. 525/S. 151, the COVID HCBS Relief Act of 2021 H.R. 1880, to amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration H.R. 2594, the Colorectal Cancer Payment Fairness Act H.R. 2999, the Direct CARE Opportunity Act H.R.4131, to amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes H.R. 2356/S. 2363, the Better Wound Care at Home Act H.R. 4937/S. 2646, the Disaster Relief Medicaid Act H.R. 6698, the Stop Unfair Medicaid Recoveries Act S. 1476, the SENIOR CARE Act S. 2210, the Better Care Better Jobs Act S. 2344, the Supporting Our Direct Care Workforce and Family Caregivers Act Discussions on interaction between Medicare Part B and Tricare for medically retired veterans

Client expense: $85,594 · Firm income: Not reported

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

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposals to adjust 2022 Medicare Part B premiums 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill 24. Medicare regulations under the No Surprises Act 25. Proposals to cap insulin costs under Medicare

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act HR 3173/S. 3018 Improving Seniors Access to Timely Care Act Draft bill re: Medicare reimbursement of services provided by advanced trainees

Client expense: $260,000 · Firm income: Not reported

Medicare home health payment policy. Oppose home health and hospice payment cuts and co-pays. Home health rural add-on payment adjustment. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. Palliative Care and Hospice Education and Training Act (draft legislation). H.R. 2898/S. 1399, Homecare for Seniors Act. Medicaid payment and eligibility policy. Medicaid Money Follows the Person program. Medicaid protections against spousal impoverishments. Administration for Community Living falls prevention program. H.R. 3371/S. 1309, Home Health Emergency Access to Telehealth Act. Hospice Face to Face Telehealth recertification. Patient Choice and Quality Care Act (draft legislation). Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, and homebound status. S. 2214, PROTECTS Act. Medicaid HCBS FMAP increase. HCBS Access Act (draft legislation). Additional funding for Provider Relief Fund. COVID-19 vaccine funding, administration, and distribution to the homebound. Increased minimum wage legislative proposals. H.R. 2903/S. 1512, CONNECT for Health Act of 2021. H.R. 3321/S. 1670, Credit for Caring Act of 2021. H.R. 3689/S. 234, Americans Giving Care to Elders (AGE) Act of 2021. COVID-19 Public Health Emergency/testing of hospice patients. H.R. 2565, Expanding Access to Palliative Care Act. H.R. 5514/S. 2562, Choose Home Care Act of 2021. H.R. 5376, Build Back Better Act. H.R. 4131/S.2210, Better Care Better Jobs Act. S. 2566, Improving Access to Transfusion Care for Hospice Patients Act of 2021. Draft legislation addressing Medicare Advantage coverage at end of life. Health information technology funding and standards for long-term post-acuter care providers. COVID-19 vaccine mandate. Palliative dialysis payment policy in Medicare hospice. H.R. 4952, ChiPACC Act of 2021. H.R. 6000, Cures 2.0 Act. Long-term care health information technology modernization proposals. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022. H.R. 7053/S. 3792, Hospital Inpatient Services Modernization Act. Medicare Sequestration Moratoria. H.R. 7053/S. 3792, Hospital Inpatient Services Modernization Act.

H.R. 525/S. 151, the COVID HCBS Relief Act of 2021 H.R. 1880, to amend the Deficit Reduction Act of 2005 to make permanent the Money Follows the Person Rebalancing Demonstration H.R. 2594, the Colorectal Cancer Payment Fairness Act H.R. 2999, the Direct CARE Opportunity Act H.R.4131, to amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes H.R. 2356/S. 2363, the Better Wound Care at Home Act H.R. 4937/S. 2646, the Disaster Relief Medicaid Act H.R. 6698, the Stop Unfair Medicaid Recoveries Act S. 1476, the SENIOR CARE Act S. 2210, the Better Care Better Jobs Act S. 2344, the Supporting Our Direct Care Workforce and Family Caregivers Act Discussions on interaction between Medicare Part B and Tricare for medically retired veterans

Client expense: $87,404 · Firm income: Not reported

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

H.R. 4502, the CMS State Certification & Survey Programs and LTC inspection. H.R.3076, the Postal Service Reform Act of 2021. No bill number. Discussed Medicare coverage of at-home COVID tests. No bill number. Discussed Medicare coverage of Aduhelm and impact on Medicare Part B. No bill number. Discussed Medicare and antipsychotic drug use in nursing homes. H.R.6698, the Stop Unfair Medicaid Recoveries Act of 2022. No bill number. Discussed Medicaid estate recovery. H.R. 5376, the Build Back Better Act. No bill number. Discussed Medicare Advantage and Medicare Part D proposed rule and dual eligibles. No bill number. Discussed family caregivers and Medicare. No bill number. Discussed CMS COVID-19 nursing home visitation. No bill number. Discussed Hospital at Home programs and family caregivers. No bill number. Discussed COVID-19 vaccinations and boosters in nursing homes. No bill number. Discussed HCBS settings rule. No bill number. Discussed AARP Nursing Home Dashboard. No bill number. Discussed federal surveys of nursing homes. No bill number. Discussed Medicaid home care and workforce issue. Discussed home care, supporting family caregivers, and the paid direct care workforce. H.R. 3650/S. 2048, the Improving Access to Medicare Coverage Act. No bill number. Discussed observation stays and issues related to the three-day inpatient stay requirement for Medicare coverage of skilled nursing facility care. No bill number. Discussed Administrations proposed nursing home reforms. H.R. 598, Quality Care for Nursing Home Residents and Workers During COVID-19 and Beyond Act P.L. 117-2. American Rescue Plan Act. No bill number. Discussed mental and behavioral health care. No bill number. Discussed Medicare financing. No bill number. Discussed Medicare dental coverage. No bill number. Discussed innovation center payment models.

Client expense: $3,530,000 · Firm income: Not reported

1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicare beneficiaries 2. Proposals to create a premium support or voucher program under Medicare 3. Proposals to "means test" Medicare premiums and benefits 4. Proposals to change federal and state Medicaid cost sharing 5. Proposals to raise the Medicare eligibility age 6. Proposals regarding prescription drug costs for low income Medicare beneficiaries 7. Expansion of Medicare benefits to include hearing, vision, and dental benefits 8. Medicare Observation Status Regulations 9. Proposals to streamline Medicare enrollment during the COVID-19 pandemic 10. Proposals to permit Medicare prescription drug pricing negotiations 10. S. 245, States Achieve Medicaid Expansion Act of 2021 or the SAME Act of 2021, entire bill 11. H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, entire bill 12. S. 782, Nursing Home Reform Modernization Act of 2021, entire bill 13. H.R. 4131, To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, entire bill 14. Demonstration projects for expanding home and community based services under Medicare and Medicaid 15. H.R. 4311, Medicare Dental, Vision, and Hearing Act of 2021, entire bill 16. H.R. 4811, Medicare Negotiation and Competitive Licensing Act of 2021, entire bill 17. H.R. 5260, Reduced Costs and Continued Cures Act, entire bill 18. H.R. 1676, Jack Reynolds Memory Medigap Expansion Act, entire bill 19. Proposed 2022 Medicare Part B premium increases 20. H.R. 3650, Improving Access to Medicare Coverage Act of 2021, entire bill 21. Medicare Direct Contracting Entity (DCE)program 22. Medicare ACO Realizing Equity, Access, and Community Health (REACH) program 23. H.R. 6698, Stop Unfair Medicaid Recoveries Act of 2022, entire bill

Draft Legislation - IMD Medicaid (Napolitano) S. 586: NO PAIN Act H.R. 1551/S 584: Nutrition Counseling Aiding Recover for Eating Disorders Act H.R. 3450/S. 1727: Medicaid Bump Act H.R. 3447: Permanency for Audio Only Telehealth Act H.R. 4058: Telemental Health Care Access Act S. 2061: Telemental Health Care Access Act S. 2069: Excellence in Mental Health and Addiction Treatment Act H.R. 1738/S. 646: Stabilize Medicaid and CHIP Coverage Act S.285: Medicaid Reentry Act S.340: TREATS Act H.R. 1577/S. 596: Treat and Reduce Obesity Act H.R. 314: Medicare Sequester COVID Moratorium Act H.R 1868: To prevent across the board direct spending cuts S. 1512/H.R. 2903: CONNECT for Health Act H.R. 4480: Telehealth Coverage and Payment Parity Act S. 1798/H.R. 1398: TIKES Act Letter to CMS re: TN Medicaid proposed amendment (Coalition letter) H.R. 5674 / S. 3061: Medicare Mental Health Inpatient Equity Act H.R. 2503 Social Determinants Accelerator Act of 2021 Medicaid/Medicare/Private Insurance provisions in the Build Back Better Act S. 610, Public Law 117-71: Protecting Medicare and American Farmers from Sequester Cuts Act H.R. 4406 Supporting Medicaid in the U.S. Territories Act H.R. 341 Ensuring Telemental Health Expansion Act of 2021 H.R. 6698 Stop Unfair Medicaid Recoveries Act H.R. 6636 / S. 2697 Due Process Continuity of Care Act

Client expense: $226,000 · Firm income: Not reported