At HOME Services Act

H. R. 9747 - Continuing Appropriations and Extensions Act, 2025 - Issues related to funding government departments and agencies responsible for Medicare, Medicaid and Marketplace programs, 340b and other programs vital for not-for-profit hospitals. H.R. 8260 - Hospital Inpatient Services Modernization Act of 2024 - Support for the extension of the Hospital at Home waiver program. H. R. 7742 - The At HOME Services Act - Support for the current Medicare and Medicaid Hospital at Home programs and the addition of a pilot to support observation level patients at home. S. 3393 - Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment Reauthorization Act - Support for continuing the national priority to help individuals and families impacted by substance use. S. 3430 - Better Mental Health Care, Lower Cost Prescription Drugs and Extenders Act of 2023. Support for policies to provide more affordable and accessible health plans. H.R. 5378 - Lower Costs, More Transparency Act - Issues related to the treatment of 340b and qualified hospitals that serve vulnerable populations. H.R. 824 - The Telehealth Benefit Expansion for Workers Act of 2023 - Issues related to the continued coverage of telemedicine benefit to increase the reach of coverage for underserved communities. Issues related to 340b qualified hospitals and ensuring that they are able to best serve vulnerable patients and populations. Issues related to the implementation of the CMS Hospital at Home waiver, which was continued by the passage of the Consolidated Appropriations Act for FY 2023. Rules, Regulations and Guidance related to hospitals under the annual prospective payment rules. Issues related to Medicare and Medicaid DSH Issues related to developing innovative models of care under the Medicare program. Issues related to social determinants of health with an emphasis on food as medicine and other anti-hunger and pro-nutrition initiatives. Issues related to mental and behavioral health care and increasing access to and workforce for patients.

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

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

H. R. 9747 - Continuing Appropriations and Extensions Act, 2025 - Issues related to funding government departments and agencies responsible for Medicare, Medicaid and Marketplace coverage. H.R. 8260 - Hospital Inpatient Services Modernization Act of 2024 - Support for the extension of the Hospital at Home waiver program. H. R. 7742 - The At HOME Services Act - Support for the current Medicare and Medicaid Hospital at Home programs and the addition of a pilot to support observation level patients at home. S. 3430 - Better Mental Health Care, Lower Cost Prescription Drugs and Extenders Act of 2023. Support for policies to provide more affordable and accessible health plans. H.R. 5378 - Lower Costs, More Transparency Act - Issues related to the treatment of 340b and qualified hospitals that serve vulnerable populations. H.R. 824 - The Telehealth Benefit Expansion for Workers Act of 2023 - Issues related to the continued coverage of telemedicine benefit to increase the reach of coverage for underserved communities. Issues related to the implementation of the CMS Hospital at Home waiver, which was continued by the passage of the Consolidated Appropriations Act for FY 2023. Rules, Regulations and Guidance related to hospitals under the annual prospective payment rules. Issues related to Medicare and Medicaid DSH Issues related to developing innovative models of care under the Medicare program. Issues related to mental and behavioral health care and increasing access to and workforce for patients.

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

Lobbied in favor of legislation to ensure that uncompensated care pool days can be included in the medicaid fraction of the medicare DSH %. In the FY 2024 IPPS CMS changed a rule that would prevent these days from being included. Discussed this solution with members/staff of the following offices: Buchanan (FL), Luna, Bilirakis, Lee (FL), Castor, Rubio, Scott, Soto, Franklin. Advocated on behalf of the At-HOME Services Act (S. 3756, H.R.7742). To expand hospital-at-home waiver to include observation patients for medicare payment. Ongoing conversations with Senator Rubio's office, Congresswoman Castor's office, and Congressman Buchanan's office in advancing At-HOME Services Act. We also discussed with Cong. Soto, Wenstrup, staff of Rep. Blumenaeur, Senate Finance Majority staff.

Client expense: $211,558 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

H.R. 8260 - Hospital Inpatient Services Modernization Act of 2024 - Support for the extension of the Hospital at Home waiver program. H.R. 4366 - Consolidated Appropriations Act, 2024 - Issues related to attached health care extenders package including Community Health Centers and DSH extenders and other policies supporting hospitals and providers abilities to best care for patients. H. R. 2882 - Further Consolidated Appropriations Act, 2024 - Support for the funding of the Department of Health and Human Services and its agencies. H. R. 7742 - The At HOME Services Act - Support for the current Medicare and Medicaid Hospital at Home programs and the addition of a pilot to support observation level patients at home. S. 3393 - Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment Reauthorization Act - Support for continuing the national priority to help individuals and families impacted by substance use. S. 3430 - Better Mental Health Care, Lower Cost Prescription Drugs and Extenders Act of 2023. Support for policies to provide more affordable and accessible health plans. H.R. 5378 - Lower Costs, More Transparency Act - Issues related to the treatment of 340b and qualified hospitals that serve vulnerable populations. H.R. 824 - The Telehealth Benefit Expansion for Workers Act of 2023 - Issues related to the continued coverage of telemedicine benefit to increase the reach of coverage for underserved communities. Issues related to 340b qualified hospitals and ensuring that they are able to best serve vulnerable patients and populations. Issues related to the implementation of the CMS Hospital at Home waiver, which was continued by the passage of the Consolidated Appropriations Act for FY 2023. Rules, Regulations and Guidance related to hospitals under the annual prospective payment rules. Issues related to Medicare and Medicaid DSH Issues related to developing innovative models of care under the Medicare program. Issues related to social determinants of health with an emphasis on food as medicine and other anti-hunger and pro-nutrition initiatives. Issues related to mental and behavioral health care and increasing access to and workforce for patients. Issues related to PHE unwinding and maintaining covered lives.

H.R. 8260 - Hospital Inpatient Services Modernization Act of 2024 - Support for the extension of the Hospital at Home waiver program. H.R. 4366 - Consolidated Appropriations Act, 2024 - Issues related to attached health care extenders package including Community Health Centers and DSH extenders and other policies supporting hospitals and providers abilities to best care for patients. H. R. 2882 - Further Consolidated Appropriations Act, 2024 - Support for the funding of the Department of Health and Human Services and its agencies. H. R. 7742 - The At HOME Services Act - Support for the current Medicare and Medicaid Hospital at Home programs and the addition of a pilot to support observation level patients at home. S. 3430 - Better Mental Health Care, Lower Cost Prescription Drugs and Extenders Act of 2023. Support for policies to provide more affordable and accessible health plans. H.R. 5378 - Lower Costs, More Transparency Act - Issues related to the treatment of 340b and qualified hospitals that serve vulnerable populations. H.R. 824 - The Telehealth Benefit Expansion for Workers Act of 2023 - Issues related to the continued coverage of telemedicine benefit to increase the reach of coverage for underserved communities. Issues related to 340b qualified hospitals and ensuring that they are able to best serve vulnerable patients and populations. Issues related to the implementation of the CMS Hospital at Home waiver, which was continued by the passage of the Consolidated Appropriations Act for FY 2023. Rules, Regulations and Guidance related to hospitals under the annual prospective payment rules. Issues related to Medicare and Medicaid DSH Issues related to developing innovative models of care under the Medicare program. Issues related to mental and behavioral health care and increasing access to and workforce for patients.

Met with new staff in Congresswoman Laurel Lees district office to discuss general healthcare issues in district. This included issues with the 340B drug pricing program and labor issues, specifically the SAVE Act S. 2768 that she cosponsors. Also discussed new facilities opening in the district. Met with Congresswoman Kathy Castor in a group and discussed access issues, specifically medicaid disenrollment in Florida and our support of Florida's 1115 waiver application for CHIP coverage for up to 300% of the FPL. Continued conversations and advocacy with Congressman Bilirakis office to discuss 340B drug pricing program on the aforementioned FY 24 IPPS rule policy pertaining to Medicare DSH calculation. Worked with Congressman Bilirakis' office to push for inclusion in a healthcare package. Also worked on a similar solution to extend 340B eligibility for providers eligible as of 1/1/2020 to waive DSH eligibility requirements for two years. Communicated with Senator Rubio and Congressman Bilirakis' offices in support of this proposal. Met with Senate Finance Majority and House Ways and Means Minority staff to advocate for the At-HOME Services Act (S. 3756, H.R.7742). To expand hospital-at-home waiver to include observation patients for medicare payment. Ongoing conversations with Senator Rubio's office, Congresswoman Castor's office, and Congressman Buchanan's office in advancing At-HOME Services Act.

Client expense: $211,558 · Firm income: Not reported

H.R. 4366 - Consolidated Appropriations Act, 2024 - Issues related to attached health care extenders package including Community Health Centers and DSH extenders and other policies supporting hospitals and providers abilities to best care for patients. H. R. 2882 - Further Consolidated Appropriations Act, 2024 - Support for the funding of the Department of Health and Human Services and its agencies. H. R. 7742 - The At HOME Services Act - Support for the current Medicare and Medicaid Hospital at Home programs and the addition of a pilot to support observation level patients at home. S. 3393 - Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment Reauthorization Act - Support for continuing the national priority to help individuals and families impacted by substance use. S. 3430 - Better Mental Health Care, Lower Cost Prescription Drugs and Extenders Act of 2023. Support for policies to provide more affordable and accessible health plans. H.R. 5378 - Lower Costs, More Transparency Act - Issues related to the treatment of 340b and qualified hospitals that serve vulnerable populations. H.R. 824 - The Telehealth Benefit Expansion for Workers Act of 2023 - Issues related to the continued coverage of telemedicine benefit to increase the reach of coverage for underserved communities. Issues related to 340b qualified hospitals and ensuring that they are able to best serve vulnerable patients and populations. Issues related to the implementation of the CMS Hospital at Home waiver, which was continued by the passage of the Consolidated Appropriations Act for FY 2023. Rules, Regulations and Guidance related to hospitals under the annual prospective payment rules. Issues related to Medicare and Medicaid DSH Issues related to developing innovative models of care under the Medicare program. Issues related to social determinants of health with an emphasis on food as medicine and other anti-hunger and pro-nutrition initiatives. Issues related to mental and behavioral health care and increasing access to and workforce for patients. Issues related to PHE unwinding and maintaining covered lives.

H.R. 4366 - Consolidated Appropriations Act, 2024 - Issues related to attached health care extenders package including Community Health Centers and DSH extenders and other policies supporting hospitals and providers abilities to best care for patients. H. R. 2882 - Further Consolidated Appropriations Act, 2024 - Support for the funding of the Department of Health and Human Services and its agencies. H. R. 7742 - The At HOME Services Act - Support for the current Medicare and Medicaid Hospital at Home programs and the addition of a pilot to support observation level patients at home. S. 3430 - Better Mental Health Care, Lower Cost Prescription Drugs and Extenders Act of 2023. Support for policies to provide more affordable and accessible health plans. H.R. 5378 - Lower Costs, More Transparency Act - Issues related to the treatment of 340b and qualified hospitals that serve vulnerable populations. H.R. 824 - The Telehealth Benefit Expansion for Workers Act of 2023 - Issues related to the continued coverage of telemedicine benefit to increase the reach of coverage for underserved communities. Issues related to 340b qualified hospitals and ensuring that they are able to best serve vulnerable patients and populations. Issues related to the implementation of the CMS Hospital at Home waiver, which was continued by the passage of the Consolidated Appropriations Act for FY 2023. Rules, Regulations and Guidance related to hospitals under the annual prospective payment rules. Issues related to Medicare and Medicaid DSH Issues related to developing innovative models of care under the Medicare program. Issues related to mental and behavioral health care and increasing access to and workforce for patients.

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