Medicare Orthotics and Prosthetics Patient-Centered Care Act

Issues surrounding Medicare reimbursement and coverage denials (H.R.4315/S.3977) Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R.2474) Strengthening Medicare for Patients and Providers Act (H.R.3875) Expanded Telehealth Access Act Implementation of Healthcare Common Procedure Coding Systems add-on code G2211 (H.R. 7279) Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act Issues surrounding local coverage determination and Contractor Advisory Committee processes (H.R. 7623) Telehealth Modernization Act of 2024 Issues surrounding 2025 conversion factor and Medicare reimbursement reform (H.R.10445) Further Continuing Appropriations and Disaster Relief Supplemental Appropriations Act, 2025 (H.R.10545) American Relief Act, 2025 (H.R.10515) American Relief Act, 2025

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 4315/S3977 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. H.R.7623/S.3967 - Telehealth Modernization Act: Advocate for passage of bill that would among other things establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act: Advocate for passage of bill that would extend waivers allowing OTs to provide services via telehealth in Medicare. H.R.8151 - Telehealth Therapy Act: Advocate for passage of bill that would allow OTs to provide services via telehealth in Medicare on a permanent basis. H.R.7148 - Medicare Home Health Accessibility Act: Advocate for passage of legislation that would establish occupational therapy as a qualifying Medicare home health service and for introduction of similar bill in the Senate. S. 1592/H.R.8220 - Occupational Therapy in Mental Health Parity Act: Support passage. S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage H.R.7279 REDUCE Act: Supported introduction and passage. H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act: Supported introduction and passage. S. 5023 support Stand Strong Falls Prevention Act Support Congressional efforts to stop cuts to the Medicare Physician Fee Schedule Support inclusion of a repeal of the Multiple Procedure payment reduction in Medicare Fee Schedule Reform

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315, S.3977). Reasonable Useful Lifetime for Orthotics. Legislation and regulation that may impact the practice and/or profession of orthotics and prosthetics; Issues pertaining to Medicare competitive bidding, annual Medicare fee schedule payment updates for orthotics and prosthetics, Medicare regulations, Medicare supplier standards, orthoses provided in Medicare SNFs, Medicare supplier and quality standards, Medicare fraud and abuse and Medicare reform (no specific bills).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315, S.3977). Legislation and regulation that may impact and/or profession of orthotics and prosthetics. These issues include health care reform, health insurance reform, health insurance coverage issues, managed care, Medicare reform, fraud and abuse and FDA issues (no specific bills). Reasonable Useful Lifetime (RUL).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act H.R. 8018/S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $86,378 · Firm income: Not reported

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

Issues surrounding Medicare reimbursement and coverage denials (H.R.4315/S.3977) Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R.2474) Strengthening Medicare for Patients and Providers Act (H.R.3875) Expanded Telehealth Access Act Implementation of Healthcare Common Procedure Coding Systems add-on code G2211 (H.R. 7279) Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act Issues surrounding local coverage determination and Contractor Advisory Committee processes (H.R. 7623) Telehealth Modernization Act of 2024 Issues surrounding 2025 conversion factor and Medicare reimbursement reform

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

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

HR 4315/S3977 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. H.R.7623/S.3967 - Telehealth Modernization Act: Advocated for passage of bill that would among other things establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act: Advocate for passage of bill that would extend waivers allowing OTs to provide services via telehealth in Medicare. H.R.8151 - Telehealth Therapy Act: Advocate for passage of bill that would allow OTs to provide services via telehealth in Medicare on a permanent basis. H.R.7148 - Medicare Home Health Accessibility Act: Advocate for passage of legislation that would establish occupational therapy as a qualifying Medicare home health service and for introduction of similar bill in the Senate. S. 1592/H.R.8220 - Occupational Therapy in Mental Health Parity Act: Support passage. S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage H.R.7279 REDUCE Act: Supported introduction and passage. H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act: Supported introduction and passage. S. 5023 support Stand Strong Falls Prevention Act Support Congressional efforts to stop cuts to the Medicare Physician Fee Schedule Support inclusion of a repeal of the Multiple Procedure payment reduction in Medicare Fee Schedule Reform

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315, S.3977). Legislation and regulation that may impact and/or profession of orthotics and prosthetics. These issues include health care reform, health insurance reform, health insurance coverage issues, managed care, Medicare reform, fraud and abuse and FDA issues (no specific bills). Reasonable Useful Lifetime (RUL). Orthotics and Prosthetics Outcomes Research Program (OPORP).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315, S.3977). Reasonable Useful Lifetime for Orthotics. Legislation and regulation that may impact the practice and/or profession of orthotics and prosthetics; Issues pertaining to Medicare competitive bidding, annual Medicare fee schedule payment updates for orthotics and prosthetics, Medicare regulations, Medicare supplier standards, orthoses provided in Medicare SNFs, Medicare supplier and quality standards, Medicare fraud and abuse and Medicare reform (no specific bills). Orthotics and Prosthetics Outcomes Research Program (OPORP).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act H.R. 8018/S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $75,053 · Firm income: Not reported

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

Issues surrounding Medicare reimbursement and coverage denials (H.R.4315/S.3977) Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R.2474) Strengthening Medicare for Patients and Providers Act (H.R.3875) Expanded Telehealth Access Act Implementation of Healthcare Common Procedure Coding Systems add-on code G2211 (H.R. 7279) Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act Issues surrounding local coverage determination and Contractor Advisory Committee processes (H.R. 7623) Telehealth Modernization Act of 2024

Client expense: Not reported · Firm income: $10,000

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

No bill number - Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 4315/S3977 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. H.R.7623/S.3967 - Telehealth Modernization Act: Advocated for passage of bill that would among other things establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. H.R. 8261 - Preserving Telehealth, Hospital, and Ambulance Access Act: Advocate for passage of bill that would extend waivers allowing OTs to provide services via telehealth in Medicare. H.R.8151 - Telehealth Therapy Act: Advocate for passage of bill that would allow OTs to provide services via telehealth in Medicare on a permanent basis. H.R.7148 - Medicare Home Health Accessibility Act: Advocate for passage of legislation that would establish occupational therapy as a qualifying Medicare home health service and for introduction of similar bill in the Senate. S. 1592/H.R.8220 - Occupational Therapy in Mental Health Parity Act: Support passage. S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage H.R.7279 REDUCE Act: Supported introduction and passage. H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act: Supported introduction and passage.

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315, S.3977). Reasonable Useful Lifetime for Orthotics. Legislation and regulation that may impact the practice and/or profession of orthotics and prosthetics; Issues pertaining to Medicare competitive bidding, annual Medicare fee schedule payment updates for orthotics and prosthetics, Medicare regulations, Medicare supplier standards, orthoses provided in Medicare SNFs, Medicare supplier and quality standards, Medicare fraud and abuse and Medicare reform (no specific bills). Orthotics and Prosthetics Outcomes Research Program (OPORP).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315, S.3977). Legislation and regulation that may impact and/or profession of orthotics and prosthetics. These issues include health care reform, health insurance reform, health insurance coverage issues, managed care, Medicare reform, fraud and abuse and FDA issues (no specific bills). Reasonable Useful Lifetime (RUL). Orthotics and Prosthetics Outcomes Research Program (OPORP).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding Medicare reimbursement and coverage denials (H.R.4315/S.3977) Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R.2474) Strengthening Medicare for Patients and Providers Act (H.R.3875) Expanded Telehealth Access Act Implementation of Healthcare Common Procedure Coding Systems add-on code G2211 (H.R. 7279) Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill number - Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 4315 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. Advocate for introduction in the Senate. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. H.R.7623/S.3967 - Telehealth Modernization Act: Advocated for introduction and passage of bill that would among other things establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. H.R.7148 - Medicare Home Health Accessibility Act: Advocated for introduction and passage of legislation that would establish occupational therapy as a qualifying Medicare home health service. S. 1592 - Occupational Therapy in Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives. S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage H.R.7279 REDUCE Act: Supported introduction and passage. H.R. 7618 Stopping Addiction and Falls for the Elderly (SAFE) Act: Supported introduction and passage.

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $74,465 · Firm income: Not reported

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

No bill number - Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 4315 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. Advocate for introduction in the Senate. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. No bill number - Telehealth Modernization Act: Advocate for reintroduction and inclusion of provision to establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. No bill number - Medicare Home Health Accessibility Act: Advocate for introduction of legislation that would establish occupational therapy as a qualifying Medicare home health service. S. 1592 - Occupational Therapy in Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives. No bill number - support introduction of legislation to streamline the certification of the plan of care under Medicare No bill number - support introduction of legislation in the House that would add falls prevention to the services included in the Medicare annual wellness visit and add occupational therapist to the list of eligible providers S. 2942 WELL Seniors Act - support passage H.R. 6371 Provider Reimbursement Stability Act - support passage H.R. 6545 Physician Fee Schedule Update and Improvements Act - support passage H.R. 6683 Preserving Seniors Access to Physicians Act - support passage S. 3430 Better Mental Health Care, Lower-Cost Drugs, and Extenders Act - support passage S. 2433/S. 3106/H.R. 4079 Substance-Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act - support passage

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315). Reasonable Useful Lifetime for Orthotics. Legislation and regulation that may impact the practice and/or profession of orthotics and prosthetics; Issues pertaining to Medicare competitive bidding, annual Medicare fee schedule payment updates for orthotics and prosthetics, Medicare regulations, Medicare supplier standards, orthoses provided in Medicare SNFs, Medicare supplier and quality standards, Medicare fraud and abuse and Medicare reform (no specific bills).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315). Legislation and regulation that may impact and/or profession of orthotics and prosthetics. These issues include health care reform, health insurance reform, health insurance coverage issues, managed care, Medicare reform, fraud and abuse and FDA issues (no specific bills). Reasonable Useful Lifetime (RUL).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding Medicare reimbursement and coverage denials (H.R.4315) Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R.2474) Strengthening Medicare for Patients and Providers Act (H.R.3875) Expanded Telehealth Access Act Implementation of Healthcare Common Procedure Coding Systems add-on code G2211

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act H.R. 6029/S. 3120, the Disaster Relief Medicaid Act S. 3109, the Alleviating Barriers for Caregivers (ABC) Act S. 3118, the HCBS Relief Act of 2023 Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $76,505 · Firm income: Not reported

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

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315). Legislation and regulation that may impact and/or profession of orthotics and prosthetics. These issues include health care reform, health insurance reform, health insurance coverage issues, managed care, Medicare reform, fraud and abuse and FDA issues (no specific bills).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315). Reasonable Useful Lifetime for Orthotics. Legislation and regulation that may impact the practice and/or profession of orthotics and prosthetics; Issues pertaining to Medicare competitive bidding, annual Medicare fee schedule payment updates for orthotics and prosthetics, Medicare regulations, Medicare supplier standards, orthoses provided in Medicare SNFs, Medicare supplier and quality standards, Medicare fraud and abuse and Medicare reform (no specific bills).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

No bill number - Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 4315 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. Advocate for introduction in the Senate. HR 4878/S 2459 - EMPOWER Act: Advocate for passage of EMPOWER Act, which would change the Medicare supervision requirement for occupational therapy assistants (OTAs) and physical therapist assistants (PTAs) in private practice from "direct" supervision to match state standards and require GAO student of impact of 15% reimbursement cut for OTAs and PTAs in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875/S 2880 - Expanded Telehealth Access Act: Advocate for passage in the House and Senate to establish occupational therapists as telehealth providers in Medicare. No bill number - Telehealth Modernization Act: Advocate for reintroduction and inclusion of provision to establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. No bill number - Medicare Home Health Accessibility Act: Advocate for introduction of legislation that would establish occupational therapy as a qualifying Medicare home health service. S. 1592 - Occupational Therapy in Mental Health Parity Act: Support passage and advocate for introduction in the House of Representatives.

Issues surrounding Medicare reimbursement and coverage denials (H.R.4315) Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R.2474) Strengthening Medicare for Patients and Providers Act (H.R.3875) Expanded Telehealth Access Act Implementation of Healthcare Common Procedure Coding Systems add-on code G2211

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $78,952 · Firm income: Not reported

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

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315). Reasonable Useful Lifetime for Orthotics. Legislation and regulation that may impact the practice and/or profession of orthotics and prosthetics; Issues pertaining to Medicare competitive bidding, annual Medicare fee schedule payment updates for orthotics and prosthetics, Medicare regulations, Medicare supplier standards, orthoses provided in Medicare SNFs, Medicare supplier and quality standards, Medicare fraud and abuse and Medicare reform (no specific bills).

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)

Medicare Orthotics and Prosthetics Patient-Centered Care Act (HR 4315). Legislation and regulation that may impact and/or profession of orthotics and prosthetics. These issues include health care reform, health insurance reform, health insurance coverage issues, managed care, Medicare reform, fraud and abuse and FDA issues (no specific bills).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding Medicare reimbursement and coverage denials (H.R.4315) Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R.2474) Strengthening Medicare for Patients and Providers Act (H.R.3875) Expanded Telehealth Access Act

Client expense: Not reported · Firm income: $10,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill number - Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 4315 - Medicare Orthotics & Prosthetics Patient Centered Care Act: Advocate for passage to stop fraud in the provision of orthotics and prosthetics and to ensure access to needed orthotic devices. Advocate for introduction in the Senate. No bill number - Advocate for introduction of legislation to change Medicare requirements for supervision of therapy assistants in private practice from direct to general, and to direct the GAO to conduct a study on the impact cuts to therapy assistant reimbursement has had on access to services in rural and medically underserved areas. H.R. 2474 - Strengthen Medicare for Patients and Providers Act: Support passage. No bill number - Advocate for introduction of legislation allowing occupational therapy practitioners to opt-out of Medicare. No bill number - Support legislation that will reverse the current Medicare multiple procedure payment reduction for therapy services. No bill number Support legislation that will improve the ability of therapy providers to participate in Medicare quality payment programs. HR 3875 - Expanded Telehealth Access Act: Advocate for passage in the House and introduction in the Senate to establish occupational therapists as telehealth providers in Medicare. No bill number - Telehealth Modernization Act: Advocate for reintroduction, which would give CMS authority to establish occupational therapists as telehealth providers in Medicare. S. 2016 and HR 4189 - CONNECT for Health Act: Advocate to revise provisions of legislation to specifically establish occupational therapists as telehealth providers in Medicare. No bill number - Medicare Home Health Accessibility Act: Advocate for introduction of legislation that would establish occupational therapy as a qualifying Medicare home health service.

H.R. 547/S.100, the Better Care Better Jobs Act H.R. 1493/S. 762, the HCBS Access Act H.R. 4315, the Medicare Orthotics and Prosthetics Patient-Centered Care Act Discussions: Interaction between Medicare Part B and Tricare for medically retired veterans Discussions: Definition of Medicare in the Home for DME purposes Discussions: Right to repair DME products - ensure providers of DME and prosthetics are reimbursed by Medicare when doing repairs and preventative maintenance

Client expense: $90,668 · Firm income: Not reported

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