Prevent Interruptions in Physical Therapy Act of 2023

H.R. 10545 - The Continuing Appropriations and Extensions Act, 2025- Issues related to funding government departments and agencies responsible for administering programs that support Medicare and Marketplace health care coverage. CMS Rules and Regulations focused on health insurance products. H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable. Issues related to ensuring that Medicaid and Marketplace coverage includes quality dental insurance.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Preserving Seniors Access to Physicians Act of 2023 (H.R. 6683); Medicare Payment Reform; Prevent Interruptions in Physical Therapy Act (H.R.1617/S. 793); Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act (H.R. 7279); Enabling More of the Physical and Occupational Workforce to Engage in Rehabilitation (EMPOWER) Act (H.R. 4878/S. 2459); Expanded Telehealth Act (H.R. 3875/S. 2880); Telehealth Modernization Act (H.R. 7623 / S. 3967); Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 7618); Medicare Opt-Out; Improving Seniors Timely Access to Care Act (H.R. 8702 / S. 4532); Strengthening Medicare for Patients and Providers Act (H.R. 2474); The Provider Reimbursement Stability Act (H.R. 6371); Physician Fee Stabilization Act (S. 4935).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Primary Health Services Enhancement Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 1310 States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 3875/S. 2880 - Expanded Telehealth Access Act H.R. 4829 Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act H.R. 2217/S. 4519 - IDEA Act H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 7279 Reduce Duplicative Unnecessary Clerical Exchanges (REDUCE) Act H.R. 7623 Telehealth Modernization Act (TMA) H.R. 7307 Health Care Workforce Innovation Act H.R. 8151 to Expand eligible practitioners to furnish telehealth services H.R. 9179/S. 4556 to establish the Office of Falls Prevention of the Department of Veterans Affairs

Client expense: $240,412 · Firm income: Not reported

Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act 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 Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting 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 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 Improving Seniors Timely Access to Care Act 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 Support Medicare Providers Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 4878/S. 2459 - EMPOWER Act (PTA/OTA Supervision) H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act H.R. 3875/S. 2880 Expanded Telehealth Access Act H.R. 4829 Physical Therapist Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act H.R. 2217/S. 4519 - IDEA Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 7279 Reduce Duplicative Unnecessary Clerical Exchanges (REDUCE) Act H.R. 7623 Telehealth Modernization Act (TMA) H.R. 8151 to Expand eligible practitioners to furnish telehealth services

H. R. 9747 - Continuing Appropriations and Extensions Act, 2025 - Issues related to funding government departments and agencies responsible for administering programs that support Medicare and Marketplace health care coverage. S. 3680 - Paid Family and Medical Leave Tax Credit Extension and Enhancement Act - Support for innovative models to support PFML in the United States. H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to paid family medical leave. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable. Issues related to ensuring that Medicaid and Marketplace coverage includes quality dental insurance.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H. R. 9747 - Continuing Appropriations and Extensions Act, 2025 - Issues related to funding government departments and agencies responsible for administering programs that support Medicare and Marketplace health care coverage. CMS Rules and Regulations focused on health insurance products. H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable. Issues related to ensuring that Medicaid and Marketplace coverage includes quality dental insurance.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Primary Health Services Enhancement Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 1310 States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 3875/S. 2880 - Expanded Telehealth Access Act H.R. 4829 Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act H.R. 2217/S. 4519 - IDEA Act H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 7279 Reduce Duplicative Unnecessary Clerical Exchanges (REDUCE) Act H.R. 7623 Telehealth Modernization Act (TMA) H.R. 7307 Health Care Workforce Innovation Act H.R. 8151 to Expand eligible practitioners to furnish telehealth services S. 4556 to establish the Office of Falls Prevention of the Department of Veterans Affairs

Client expense: $238,054 · Firm income: Not reported

Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act 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 Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting 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 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 Improving Seniors Timely Access to Care Act 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 Support Medicare Providers Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 4878/S. 2459 - EMPOWER Act (PTA/OTA Supervision) H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act H.R. 3875/S. 2880 Expanded Telehealth Access Act H.R. 4829 Physical Therapist Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act H.R. 2217/S. 4519 - IDEA Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 7279 Reduce Duplicative Unnecessary Clerical Exchanges (REDUCE) Act H.R. 7623 Telehealth Modernization Act (TMA) H.R. 8151 to Expand eligible practitioners to furnish telehealth services

Preserving Seniors Access to Physicians Act of 2023 (H.R. 6683); Medicare Payment Reform; Prevent Interruptions in Physical Therapy Act (H.R.1617/S. 793); Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act (H.R. 7279); Enabling More of the Physical and Occupational Workforce to Engage in Rehabilitation (EMPOWER) Act (H.R. 4878/S. 2459); Expanded Telehealth Act (H.R. 3875/S. 2880); Telehealth Modernization Act (H.R. 7623 / S. 3967); Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 7618); Medicare Opt-Out; Improving Seniors Timely Access to Care Act (H.R. 8702 / S. 4532); Strengthening Medicare for Patients and Providers Act (H.R. 2474).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3680 - Paid Family and Medical Leave Tax Credit Extension and Enhancement Act - Support for innovative models to support PFML in the United States. H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable. Issues related to ensuring that Medicaid and Marketplace coverage includes quality dental insurance. Support for national paid family medical leave and programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 3680 - Paid Family and Medical Leave Tax Credit Extension and Enhancement Act - Support for innovative models to support PFML in the United States. H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to paid family medical leave. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable. Issues related to ensuring that Medicaid and Marketplace coverage includes quality dental insurance.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Preserving Seniors Access to Physicians Act of 2023 (H.R. 6683); Medicare Payment Reform; Prevent Interruptions in Physical Therapy Act (H.R.1617/S. 793); Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act (H.R. 7279); Enabling More of the Physical and Occupational Workforce to Engage in Rehabilitation (EMPOWER) Act (H.R. 4878/S. 2459); Expanded Telehealth Act (H.R. 3875/S. 2880); Telehealth Modernization Act (H.R. 7623); Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 7618); Medicare Opt-Out.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Primary Health Services Enhancement Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 1310 States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 3875/S. 2880 - Expanded Telehealth Access Act H.R. 4829 Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act H.R. 2217/S. 4519 - IDEA Act H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 7279 Reduce Duplicative Unnecessary Clerical Exchanges (REDUCE) Act H.R. 7623 - Telehealth Modernization Act (TMA)

Client expense: $277,054 · Firm income: Not reported

Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act 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 Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting 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 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 Improving Seniors Timely Access to Care Act 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 Support Medicare Providers Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 4878/S. 2459 - EMPOWER Act (PTA/OTA Supervision) H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act H.R. 3875/S. 2880 Expanded Telehealth Access Act H.R. 4829 Physical Therapist Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act H.R. 2217/S. 4519 - IDEA Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 7279 Reduce Duplicative Unnecessary Clerical Exchanges (REDUCE) Act H.R. 7623 Telehealth Modernization Act (TMA)

Finale Rules and Regulations governing certain indemnity plans currently available on the market and currently grouped with STLIs under an HHS NPRM. H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to paid family medical leave. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable. Issues related to ensuring that Medicaid and Marketplace coverage includes quality dental insurance.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Final Rules related to Short Term Limited Insurance plans and other insurance products. H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable. Issues related to ensuring that Medicaid and Marketplace coverage includes quality dental insurance. Support for national paid family medical leave and programs.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. EMPOWER Act (HR4878/S2459) to require Medicare to accept a states supervision standard for physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) in outpatient settings instead of Medicare maintaining their own direct supervision requirement. 2. The Prevent Interruptions in Physical Therapy Act (S.793/H.R.1617) which seeks to expand access to the program beyond the 2016 law which allows physical therapists in rural, medically underserved, and health professional shortage areas to participate in the program to all physical therapists nationwide. 3. Supporting the Strengthening Medicare for Patients and Providers Act (H.R.2474) to provide Medicare payment with an annual inflationary index adjustment.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act 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 Expanded Telehealth Access Act Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting 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, andinformation blocking durable medical equipment prosthetics orthotics and supplies competitive bidding 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 Improving Seniors Timely Access to Care Act 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 Support Medicare Providers Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 4878/S. 2459 - EMPOWER Act (PTA/OTA Supervision) H.R. 1617.S.793 Prevent Interruptions in Physical Therapy Act H.RR./S. 2880 Expanded Telehealth Access Act H.R. 4829 Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act HR2217/S4519 - IDEA Act H.R.2480 Optimizing Postpartum Outcomes Act

H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Primary Health Services Enhancement Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 3875/S. 2880 - Expanded Telehealth Access Act H.R. 4829 Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act H.R.2217/S. 4519 - IDEA Act

Client expense: $266,282 · Firm income: Not reported

H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable. Support for paid family medical leave and programs related to such support.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rules and Regulations governing certain indemnity plans currently available on the market and currently grouped with STLIs under an HHS NPRM. H.R. 1617 - Access to Dental Insurance Act of 2023 - Support for allowing certain populations to receive dental coverage through the federal insurance marketplaces. Issues related to paid family medical leave. Issues related to the inclusion in the Inflation Reduction Act, and continued implementation of the enhanced APTCs in the health care marketplace to make coverage more affordable.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

1. EMPOWER Act (HR4878/S2459) to require Medicare to accept a states supervision standard for physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) in outpatient settings instead of Medicare maintaining their own direct supervision requirement. 2. The Prevent Interruptions in Physical Therapy Act (S.793/H.R.1617) which seeks to expand access to the program beyond the 2016 law which allows physical therapists in rural, medically underserved, and health professional shortage areas to participate in the program to all physical therapists nationwide. 3. Supporting the Strengthening Medicare for Patients and Providers Act (H.R.2474) to provide Medicare payment with an annual inflationary index adjustment.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Primary Health Services Enhancement Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 3875/S. 2880 - Expanded Telehealth Access Act H.R. Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act H.R.2217/S. 4519 - IDEA Act

Client expense: $266,282 · Firm income: Not reported

Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act 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 Expanded Telehealth Access Act Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting 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, andinformation blocking durable medical equipment prosthetics orthotics and supplies competitive bidding 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 Improving Seniors Timely Access to Care Act 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 Support Medicare Providers Act H.R. 2480 Optimizing Postpartum Outcomes Act H.R. 4878/S. 2459 - EMPOWER Act (PTA/OTA Supervision) H.R. 1617.S.793 Prevent Interruptions in Physical Therapy Act H.RR./S. 2880 Expanded Telehealth Access Act H.R. 4829 Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act HR2217/S4519 - IDEA Act H.R.2480 Optimizing Postpartum Outcomes Act

1. Reintroduction of legislation that will focus on requiring Medicare to accept a states supervision standard for physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) in outpatient settings instead of Medicare maintaining their own direct supervision requirement. 2. The Prevent Interruptions in Physical Therapy Act (S.793/H.R.1617) which seeks to expand access to the program beyond the 2016 law which allows physical therapists in rural, medically underserved, and health professional shortage areas to participate in the program to all physical therapists nationwide. 3. Supporting the Strengthening Medicare for Patients and Providers Act (H.R.2474) to provide Medicare payment with an annual inflationary index adjustment.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1617/S.793 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Primary Health Services Enhancement Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act H.R. 2480 Optimizing Postpartum Outcomes Act HR3875 - Expanded Telehealth Access Act Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act HR2217/S4519 - IDEA Act

Client expense: $266,282 · Firm income: Not reported

Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act 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 Expanded Telehealth Access Act Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting 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, andinformation blocking durable medical equipment prosthetics orthotics and supplies competitive bidding 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 Improving Seniors Timely Access to Care Act 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 Support Medicare Providers Act H.R. 2480 Optimizing Postpartum Outcomes Act PTA/OTA Supervision H.R. 1617.S.793 Prevent Interruptions in Physical Therapy Act HR3875 - Expanded Telehealth Access Act Physical Therapy Workforce and Patient Access Act H.R. 2474 Strengthening Medicare for Patients and Providers Act HR2217/S4519 - IDEA Act H.R.2480 Optimizing Postpartum Outcomes Act

1. reintroduction of legislation that will focus on requiring Medicare to accept a states supervision standard for physical therapist assistants (PTAs) and occupational therapy assistants (OTAs) in outpatient settings instead of Medicare maintaining their own direct supervision requirement. 2. Reintroduction of The Prevent Interruptions in Physical Therapy Act (S.793/H.R.1617) which seeks to expand access to the program beyond the 2016 law which allows physical therapists in rural, medically underserved, and health professional shortage areas to participate in the program to all physical therapists nationwide.

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

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

Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act 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 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 Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule 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, andinformation blocking durable medical equipment prosthetics orthotics and supplies competitive bidding 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 Improving Seniors Timely Access to Care Act 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 Support Medicare Providers Act PREVENT Pandemics Act Primary Health Services Enhancement Act H.R. 2480 Optimizing Postpartum Outcomes Act Supporting Medicare Providers Act PTA/OTA Supervision H.R. 1617.S.793 Prevent Interruptions in Physical Therapy Act