Expanding Care in the Home Act

Minimum Staffing Standards for Long-Term Care Facilities Protecting Rural Seniors Access to Care Act (H.R. 5796/ S. 3490) Physician Fee Schedule Long-term Reform Strengthening Medicare for Patients and Providers Act (H.R. 2474) Ensuring Seniors' Access to Quality Care Act (H.R. 3227/S. 1749) Fee schedule conversion factor tied to inflation Eliminate the budget neutrality requirement Obtain an impact study of the 15% therapy assistant cut on rural and medically underserved areas; mitigate the 15% differential implemented in 2022 Follow and support efforts with respect to the CMS-identified potentially misvalued therapy CPT codes Elimination of Multiple Procedure Payment Reduction (MPPR) Reduced administrative burden through streamlined plan-of-care certifications Changes to the MIPS Quality Payment Program to allow all therapy providers to be eligible for the Quality Payments Program Skilled Nursing Facility Prospective Payment System Clinical Laboratory Fee Schedule Saving Access to Laboratory Services (SALSA) Act ( H.R. 2377 / S. 1000) Home Health Prospective Payment System Medicare Home Health Accessibility Act (H.R. 7148) Expanding Care in the Home Act (H.R. 2853) Medicare Advantage and Merit-based Incentive Payment System (MIPS) Reform Observation Stay Requirements Improving Access to Medicare Coverage Act of 2024 (H.R. 5138) Rehabilitation Therapy Outpatient Supervision Requirements Enabling More of the Physical and Occupational Workforce to Engage in Rehabilitation (EMPOWER) Act (H.R. 4878/S. 2459) Teletherapy/Telerehab Patient Access Expanded Telehealth Access Act (H.R. 3875/ S. 2880) Telehealth Modernization Act of 2024 (H.R. 7623/ S. 3967) Rehabilitation Therapy CPT Codes on Permanent Telehealth List Portable X-ray Transportation Payment Issues

Client expense: $81,111 · Firm income: Not reported

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

Issues related to home health, behavioral health, adoption of electronic health records, and telehealth, generally, issues related to AI and digital health, generally; hospital at home, generally; S.2137/H.R. 5159 - Preserving Access to Home Health Act of 2023; H.R.2853 - Expanding Care in the Home Act; H.R.5116/S. 2688 - Behavioral Health Information Technology Coordination Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Minimum Staffing Standards for Long-Term Care Facilities Protecting Rural Seniors Access to Care Act (H.R. 5796/ S. 3490) Physician Fee Schedule Long-term Reform Strengthening Medicare for Patients and Providers Act (H.R. 2474) Ensuring Seniors' Access to Quality Care Act (H.R. 3227/S. 1749) Fee schedule conversion factor tied to inflation Eliminate the budget neutrality requirement Obtain an impact study of the 15% therapy assistant cut on rural and medically underserved areas; mitigate the 15% differential implemented in 2022 Follow and support efforts with respect to the CMS-identified potentially misvalued therapy CPT codes Elimination of Multiple Procedure Payment Reduction (MPPR) Reduced administrative burden through streamlined plan-of-care certifications Changes to the MIPS Quality Payment Program to allow all therapy providers to be eligible for the Quality Payments Program Skilled Nursing Facility Prospective Payment System Clinical Laboratory Fee Schedule Saving Access to Laboratory Services (SALSA) Act ( H.R. 2377 / S. 1000) Home Health Prospective Payment System Medicare Home Health Accessibility Act (H.R. 7148) Expanding Care in the Home Act (H.R. 2853) Medicare Advantage and Merit-based Incentive Payment System (MIPS) Reform Observation Stay Requirements Improving Access to Medicare Coverage Act of 2024 (H.R. 5138) Rehabilitation Therapy Outpatient Supervision Requirements Enabling More of the Physical and Occupational Workforce to Engage in Rehabilitation (EMPOWER) Act (H.R. 4878/S. 2459) Teletherapy/Telerehab Patient Access Expanded Telehealth Access Act (H.R. 3875/ S. 2880) Telehealth Modernization Act of 2024 (H.R. 7623/ S. 3967) Rehabilitation Therapy CPT Codes on Permanent Telehealth List Portable X-ray Transportation Payment Issues

Issues related to home health, behavioral health, adoption of electronic health records, and telehealth, generally, issues related to AI and digital health, generally; S.2137/H.R. 5159 - Preserving Access to Home Health Act of 2023; H.R.2853 - Expanding Care in the Home Act; H.R.5116/S. 2688 - Behavioral Health Information Technology Coordination Act; H.R.4366 - Consolidated Appropriations Act, 2024, issues related to telehealth, home health, and hospitals; H.R.5378 - Lower Costs, More Transparency Act, issues related to telehealth, home health, and hospitals.

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

Government targets: HOUSE OF REPRESENTATIVES

Hospital at Home; Hospital at Home (H.R. 2853) Expanding Care in the Home

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill number. Discussed implementation of P.L. 117-169 The Inflation Reduction Act of 2022. H.R.4189, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 No bill number. Discussed Medicare Hospital Inpatient Prospective Payment System Proposed Rule. H.R. 2829, the Chronic Care Management Improvement Act of 2023. No bill number. Discussed oral health access in Medicare. No bill number. Discussed prior authorization process for Medicare Advantage. No bill number. Discussed telehealth access in Medicare. No bill number. Discussed disclosure of nursing home ownership and additional disclosable parties' information. No bill number. Discussed CMS collection and reporting of Medicaid long-term services and supports (LTSS) expenditure data. No bill number. Discussed family caregivers and the Hospital-at-Home programs under the Acute Hospital Care at Home waiver. No bill number. Discussed Fiscal Year 2024 Medicare hospice payment proposed rule. S. 2112, the Search Engine Examine Care Compare Act. No bill number. Discussed Fiscal Year 2024 Medicare skilled nursing facility payment proposed rule. No bill number. Discussed minimum federal nursing home staffing standards for nursing homes participating in Medicare and Medicaid. No bill number. Discussed Oregon 1115 waiver application. No bill number. Discussed Medicare Shared Savings Program, Accountable Care Organizations, and support for family caregivers. No bill number. Discussed data from Medicare post-acute care assessment instruments, Medicare beneficiaries, and family caregivers. H.R. 2853, the Expanding Care in the Home Act. No bill number. Discussed nursing home state survey agency surveyor report. No bill number. Discussed the Essential Caregivers Act. No bill number. Discussed evictions, assisted living facilities, and Medicaid Home and Community-Based Settings rule. No bill number. Discussed reducing red tape for family caregivers. No bill number. Discussed 1-800-MEDICARE, patient personal health information, and family caregivers. No bill number. Discussed the Compassionate Care Act. No bill number. Discussed home and community-based services. No bill number. Discussed the Improving Access to Medicare Coverage Act of 2021. S. 2133, the Medically Tailored Home-Delivered Meals Demonstration Act.

Hospital at Home; Hospital at Home (H.R. 2853) Expanding Care in the Home

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

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

No bill number. Discussed implementation of P.L. 117-169 The Inflation Reduction Act of 2022. H.R.4189, the Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023 No bill number. Discussed Medicare Hospital Inpatient Prospective Payment System Proposed Rule. H.R. 2829, the Chronic Care Management Improvement Act of 2023. No bill number. Discussed oral health access in Medicare. No bill number. Discussed prior authorization process for Medicare Advantage. No bill number. Discussed telehealth access in Medicare. No bill number. Discussed disclosure of nursing home ownership and additional disclosable parties' information. No bill number. Discussed CMS collection and reporting of Medicaid long-term services and supports (LTSS) expenditure data. No bill number. Discussed family caregivers and the Hospital-at-Home programs under the Acute Hospital Care at Home waiver. No bill number. Discussed Fiscal Year 2024 Medicare hospice payment proposed rule. S. 2112, the Search Engine Examine Care Compare Act. No bill number. Discussed Fiscal Year 2024 Medicare skilled nursing facility payment proposed rule. No bill number. Discussed minimum federal nursing home staffing standards for nursing homes participating in Medicare and Medicaid. No bill number. Discussed Oregon 1115 waiver application. No bill number. Discussed Medicare Shared Savings Program, Accountable Care Organizations, and support for family caregivers. No bill number. Discussed data from Medicare post-acute care assessment instruments, Medicare beneficiaries, and family caregivers. H.R. 2853, the Expanding Care in the Home Act. No bill number. Discussed nursing home state survey agency surveyor report. No bill number. Discussed the Essential Caregivers Act. No bill number. Discussed evictions, assisted living facilities, and Medicaid Home and Community-Based Settings rule. No bill number. Discussed reducing red tape for family caregivers. No bill number. Discussed 1-800-MEDICARE, patient personal health information, and family caregivers. No bill number. Discussed the Compassionate Care Act. No bill number. Discussed home and community-based services. No bill number. Discussed the Improving Access to Medicare Coverage Act of 2021. S. 2133, the Medically Tailored Home-Delivered Meals Demonstration Act.

The Restore Protections for Dialysis Patients Act (No Bill Number yet) Labor cost issues related to the ESRD Bundle base rate in the PPS proposed rule Transitional Drug Add-on Payment Adjustment (TDAPA) Dialysis preparedness planning Chronic Kidney Disease Improvement in Research and Treatment Act (no bill number) Calendar Year (CY) 2024 End Stage Renal Disease (ESRD) Prospective Payment System (PPS) Forecast Error Adjustment Framework (Letter from House and Senate to CMS) H.R.2853 - Expanding Care in the Home Act (House) Medicare secondary payer issues

Client expense: $1,350,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE