Rural ER Access Act

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.842 Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.Res.118 Maintaining Medicare; H.R.1618 Commission on Sustaining Medicare and Social Security Act of 2023; H.Res.178 Affirming the House of Representatives' commitment to protect and strengthen Social Security and Medicare; . H.R.1746 Preventing Medicare Telefraud Act; H.R.33 Medicare Dental, Vision, and Hearing Benefit Act of 2023; H.R.1129 -To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital.H.R.34 Assuring Medicares Promise Act of 2023; H.R.2474 Strengthening Medicare for Patients and Providers Act; H.R.2863 Preventing Hospital Overbilling of Medicare; H.R.2665 Supporting Safety Net Hospitals Act; H.R.3417 FAIR Act;S3403 Medicare Patient Empowerment Act of 2023; HR 5854 Medicare Advantage Consumer Protection and Transparency Act; HR4411 Medicare Advantage Integrity Act of 2023; HR4146 Medicare Dental Benefit Act of 2023.

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

Physician payment reform Counting observation stays as satisfying Medicare three-day inpatient stay prerequisite for skilled nursing facility (SNF) coverage Eliminating prior authorization requirements in Medicare Advantage H.R. 1128-Rural Health Care Access Act of 2023, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 1129-Rural ER Access Act, to require the Centers for Medicare and Medicaid Services to repeal the 35-mile requirement for off-campus facilities H.R. 2474-Strengthening Medicare for Patients and Providers Act, to add an inflationary adjustment to physician payments under the Medicare Physician Fee Schedule H.R. 4189-CONNECT for Health Act, to expand access to telehealth services H.R.4366-Consolidated Appropriations Act, to provide appropriations for several federal departments and agencies and to provide an increase for the calendar year 2024 physician fee schedule conversion factor H.R. 4968-GOLD CARD Act of 2023, to improve prior authorization processes under Medicare Advantage for physicians with high approval rates H.R. 5213-Reducing Medically Unnecessary Delays in Care Act of 2023, to ensure that prior authorization medical decisions under Medicare are determined by physicians H.R. 6371-Provider Reimbursement Stability Act, to reform the Medicare budget neutrality process H.R. 6545-Physician Fee Schedule Update and Improvements Act, to provide a 1.25 percent adjustment to the 2024 Medicare Physician Fee Schedule conversion factor and update the budget neutrality threshold H.R. 6683-Preserving Seniors Access to Physicians Act of 2023, to fully eliminate the 3.37 percent conversion factor adjustment for calendar year 2024 H.R. 7432-Sickle Cell Comprehensive Care Act, to allow Medicaid programs to cover home health services for those with sickle cell disease H.R. 8702-Improving Seniors Timely Access to Care Act, to improve and streamline prior authorization under Medicare Advantage Plans H.R.---- -Fewer Burdens for Better Care Act of 2023, to provide for multi-stakeholder input on removal of quality and efficiency measures in Medicare reporting S. 996- H.R. 7432-Sickle Cell Comprehensive Care Act, to allow Medicaid programs to cover home health services for those with sickle cell disease S.2016-CONNECT for Health Act, to expand access to telehealth services S. 3430-Better Mental Health Care, Lower-Cost Drugs and Extenders Act, to provide a 1.25 percent adjustment to the 2024 Medicare Physician Fee Schedule conversion factor, and other provisions H.R. 4532-Improving Seniors Timely Access to Care Act, to improve and streamline prior authorization under Medicare Advantage Plans

S.842 Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.Res.118 Maintaining Medicare; H.R.1618 Commission on Sustaining Medicare and Social Security Act of 2023; H.Res.178 Affirming the House of Representatives' commitment to protect and strengthen Social Security and Medicare; . H.R.1746 Preventing Medicare Telefraud Act; H.R.33 Medicare Dental, Vision, and Hearing Benefit Act of 2023; H.R.1129 -To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital.H.R.34 Assuring Medicares Promise Act of 2023; H.R.2474 Strengthening Medicare for Patients and Providers Act; H.R.2863 Preventing Hospital Overbilling of Medicare; H.R.2665 Supporting Safety Net Hospitals Act; H.R.3417 FAIR Act;S3403 Medicare Patient Empowerment Act of 2023; HR 5854 Medicare Advantage Consumer Protection and Transparency Act; HR4411 Medicare Advantage Integrity Act of 2023; HR4146 Medicare Dental Benefit Act of 2023.

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

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Physician payment reform Counting observation stays as satisfying Medicare three-day inpatient stay prerequisite for skilled nursing facility (SNF) coverage Eliminating prior authorization requirements in Medicare Advantage H.R. 1128-Rural Health Care Access Act of 2023, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 1129-Rural ER Access Act, to require the Centers for Medicare and Medicaid Services to repeal the 35-mile requirement for off-campus facilities H.R. 2474-Strengthening Medicare for Patients and Providers Act, to add an inflationary adjustment to physician payments under the Medicare Physician Fee Schedule H.R. 4189-CONNECT for Health Act, to expand access to telehealth services H.R.4366-Consolidated Appropriations Act, to provide appropriations for several federal departments and agencies and to provide an increase for the calendar year 2024 physician fee schedule conversion factor H.R. 4968-GOLD CARD Act of 2023, to improve prior authorization processes under Medicare Advantage for physicians with high approval rates H.R. 5213-Reducing Medically Unnecessary Delays in Care Act of 2023, to ensure that prior authorization medical decisions under Medicare are determined by physicians H.R. 6371-Provider Reimbursement Stability Act, to reform the Medicare budget neutrality process H.R. 6545-Physician Fee Schedule Update and Improvements Act, to provide a 1.25 percent adjustment to the 2024 Medicare Physician Fee Schedule conversion factor and update the budget neutrality threshold H.R. 6683-Preserving Seniors Access to Physicians Act of 2023, to fully eliminate the 3.37 percent conversion factor adjustment for calendar year 2024 S.2016-CONNECT for Health Act, to expand access to telehealth services S. 3430-Better Mental Health Care, Lower-Cost Drugs and Extenders Act, to provide a 1.25 percent adjustment to the 2024 Medicare Physician Fee Schedule conversion factor, and other provisions

S.842 Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.Res.118 Maintaining Medicare; H.R.1618 Commission on Sustaining Medicare and Social Security Act of 2023; H.Res.178 Affirming the House of Representatives' commitment to protect and strengthen Social Security and Medicare; . H.R.1746 Preventing Medicare Telefraud Act; H.R.33 Medicare Dental, Vision, and Hearing Benefit Act of 2023; H.R.1129 -To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital.H.R.34 Assuring Medicares Promise Act of 2023; H.R.2474 Strengthening Medicare for Patients and Providers Act; H.R.2863 Preventing Hospital Overbilling of Medicare; H.R.2665 Supporting Safety Net Hospitals Act; H.R.3417 FAIR Act;S3403 Medicare Patient Empowerment Act of 2023; HR 5854 Medicare Advantage Consumer Protection and Transparency Act; HR4411 Medicare Advantage Integrity Act of 2023; HR4146 Medicare Dental Benefit Act of 2023.

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

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Physician payment reform Counting observation stays as satisfying Medicare three-day inpatient stay prerequisite for skilled nursing facility (SNF) coverage Eliminating prior authorization requirements in Medicare Advantage H.R. 1128-Rural Health Care Access Act of 2023, to eliminate the 35-mile requirement to qualify as a critical access hospital H.R. 1129-Rural ER Access Act, to require the Centers for Medicare and Medicaid Services to repeal the 35-mile requirement for off-campus facilities H.R. 2474-Strengthening Medicare for Patients and Providers Act, to add an inflationary adjustment to physician payments under the Medicare Physician Fee Schedule H.R. 4968-GOLD CARD Act of 2023, to improve prior authorization processes under Medicare Advantage for physicians with high approval rates H.R. 5213-Reducing Medically Unnecessary Delays in Care Act of 2023, to ensure that prior authorization medical decisions under Medicare are determined by physicians H.R. 6371-Provider Reimbursement Stability Act, to reform the Medicare budget neutrality process H.R. 6545-Physician Fee Schedule Update and Improvements Act, to provide a 1.25 percent adjustment to the 2024 Medicare Physician Fee Schedule conversion factor and update the budget neutrality threshold H.R. 6683-Preserving Seniors Access to Physicians Act of 2023, to fully eliminate the 3.37 percent conversion factor adjustment for calendar year 2024 S. 3430-Better Mental Health Care, Lower-Cost Drugs and Extenders Act, to provide a 1.25 percent adjustment to the 2024 Medicare Physician Fee Schedule conversion factor, and other provisions

Client expense: $499,399 · Firm income: Not reported

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.842 Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.Res.118 Maintaining Medicare; H.R.1618 Commission on Sustaining Medicare and Social Security Act of 2023; H.Res.178 Affirming the House of Representatives' commitment to protect and strengthen Social Security and Medicare; . H.R.1746 Preventing Medicare Telefraud Act; H.R.33 Medicare Dental, Vision, and Hearing Benefit Act of 2023; H.R.1129 -To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital.H.R.34 Assuring Medicares Promise Act of 2023; H.R.2474 Strengthening Medicare for Patients and Providers Act; H.R.2863 Preventing Hospital Overbilling of Medicare; H.R.2665 Supporting Safety Net Hospitals Act; H.R.3417 FAIR Act;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.842 Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.Res.118 Maintaining Medicare; H.R.1618 Commission on Sustaining Medicare and Social Security Act of 2023; H.Res.178 Affirming the House of Representatives' commitment to protect and strengthen Social Security and Medicare; . H.R.1746 Preventing Medicare Telefraud Act; H.R.33 Medicare Dental, Vision, and Hearing Benefit Act of 2023; H.R.1129 -To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital.H.R.34 Assuring Medicares Promise Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.R.2474 Strengthening Medicare for Patients and Providers Act; H.R.2863 Preventing Hospital Overbilling of Medicare; H.R.2665 Supporting Safety Net Hospitals Act; H.R.3417 FAIR Act;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990,S 407 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 2023; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; H.R.5007, S2657 GREEN Hospitals Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.842 Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.Res.118 Maintaining Medicare; H.R.1618 Commission on Sustaining Medicare and Social Security Act of 2023; H.Res.178 Affirming the House of Representatives' commitment to protect and strengthen Social Security and Medicare; . H.R.1746 Preventing Medicare Telefraud Act; H.R.33 Medicare Dental, Vision, and Hearing Benefit Act of 2023; H.R.1129 -To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital.H.R.34 Assuring Medicares Promise Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.R.2474 Strengthening Medicare for Patients and Providers Act; H.R.2863 Preventing Hospital Overbilling of Medicare; H.R.2665 Supporting Safety Net Hospitals Act; H.R.3417 FAIR Act;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 202323; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act; H.R.3417 FAIR Act; HR 2859 Holding Nonprofit Hospitals Accountable Act; HR 407 SAFE Hospitals Act of 2023.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.842 Medicare and Medicaid Dental, Vision, and Hearing Benefit Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.Res.118 Maintaining Medicare; H.R.1618 Commission on Sustaining Medicare and Social Security Act of 2023; H.Res.178 Affirming the House of Representatives' commitment to protect and strengthen Social Security and Medicare; . H.R.1746 Preventing Medicare Telefraud Act; H.R.33 Medicare Dental, Vision, and Hearing Benefit Act of 2023; H.R.1129 -To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital.H.R.34 Assuring Medicares Promise Act of 2023; H.R.814 Protect Social Security and Medicare Act; H.R.2474 Strengthening Medicare for Patients and Providers Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

issues relating to hospitals and healthcare H.R.1129 To direct the Secretary of Health and Human Services to revise regulations to remove the requirement under the Medicare program that an off-campus facility or organization shall be located within a 35-mile radius of a hospital or critical access hospital; S.468 Hospital Transparency Compliance Enforcement Act; H.R.990 SAFE Hospitals Act of 2023; H.R.1565 Critical Access Hospital Relief Act of 2023; H.R.2530 & S1113 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act; H.R.977-S.470 Patient Access to Higher Quality Health Care Act of 202323; H.R.1475 Hospital Adoption Education Act of 2023; H.R.410 Health Care PRICE Transparency Act;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE