To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2025 Home Health Proposed Rule and FY25 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Client expense: $185,000 · Firm income: Not reported

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

Preserving Access to Home Health Act - S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule - (CMS-2439-P) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Client expense: $70,000 · Firm income: Not reported

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

Monitored H.R. 8114, To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services Monitored H.R._, Fiscal 2025 Labor-HHS-Education Appropriations Act Monitored funding for state Medicaid programs to improve home- and community-based services Monitored Medicaid access rule

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

Medicare home health payment policy. Medicare hospice payment policy. Medicaid HCBS payment and eligibility policy. Hospice Face to Face Telehealth recertification. H.R. 4189/S. 2016, CONNECT for Health Act. Health information technology funding and standards for long-term post-acute care providers. Hospice Special Focus Program (SFP). Access to Home and Community-Based Services and Long-Term Care Pharmacy services. Medicare Limited Income Newly Eligible Transition (LINET) program. S. 3109, Alleviating Barriers for Caregivers (ABC) Act. Medicare low-income outreach and enrollment funding. H.R. 7148, Medicare Home Health Accessibility Act. H.R. 7165/S. 3702, Credit for Caring Act of 2024. H.R. 7573, Stop Unfair Medicaid Recoveries Act. S. 2243, Palliative Care and Hospice Education and Training Act. H.R. 8114, to prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. H.R. 2941, Recognizing the Role of Direct Support Professionals Act. Draft legislation providing various reforms to the Medicare Hospice benefit. Hospice program integrity concerns. Controlled substances prescribing policy. Medicare hospice cost-savings research and draft legislation. H.R. 5159/S. 2137, Preserving Access to Home Health Act of 2023. CMS Proposed Medicaid Access Rule. S. 1845, Expanding Access to Palliative Care Act. H.R. 4104/S. 1976, Preserving Patient Access to Home Infusion Act.

Client expense: $180,000 · Firm income: Not reported

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce, 80/20 rule impact on HCBS, and legislative and regulatory proposals affecting home care and hospice; H.R.547/S.100 - Better Care Better Jobs Act; H.R.5159/S.2137 - Preserving Access to Home Health Act of 2023; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

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

Protect and improve access for home-based care, personal care, and long-term care services and supports. Final Rule: Medicaid Program; Ensuring Access to Medicaid Services (CMS-2442-F). H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. H.R. 9803 - Hospice Care Act. H.R. 10545 - The American Relief Act.

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

Preserving Access to Home Health Act - S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule - (CMS-2439-P) (CMS 2442-P) - Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

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

-HR 5378 - Lower Costs More Transparency Act, Provisions related to pharmacy benefit manager and health plan transparency -HR 7513 - Protecting America's Seniors' Access to Care Act -HR 485 - Protecting Health Care for All Patients Act -HR 468 - Building America's Health Care Workforce Act -HR 3227 - Ensuring Seniors' Access to Quality Care Act -S 4381 - The Right to Contraception Act -HR 4367/S 2625 - FAMILY Act -HJ Res. 139/SJ Res. 91 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting" -HR 8114 - o prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services -HR 4818 - Treat and Reduce Obesity Act (Provisions related to Medicare coverage of anti-obesity medications and intensive behavioral therapy)

Client expense: $560,000 · Firm income: Not reported

Monitored H.R. 8114, To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services Monitored H.R._, Fiscal 2025 Labor-HHS-Education Appropriations Act Monitored funding for state Medicaid programs to improve home- and community-based services Monitored Medicaid access rule

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

Medicare home health payment policy. Medicare hospice payment policy. Medicaid HCBS payment and eligibility policy. Hospice Face to Face Telehealth recertification. H.R. 4189/S. 2016, CONNECT for Health Act. Health information technology funding and standards for long-term post-acute care providers. Hospice Special Focus Program (SFP). Access to Home and Community-Based Services and Long-Term Care Pharmacy services. Medicare Limited Income Newly Eligible Transition (LINET) program. S. 3109, Alleviating Barriers for Caregivers (ABC) Act. Medicare low-income outreach and enrollment funding. H.R. 7148, Medicare Home Health Accessibility Act. H.R. 7165/S. 3702, Credit for Caring Act of 2024. H.R. 7573, Stop Unfair Medicaid Recoveries Act. S. 2243, Palliative Care and Hospice Education and Training Act. H.R. 8114, to prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. H.R. 2941, Recognizing the Role of Direct Support Professionals Act. Draft legislation providing various reforms to the Medicare Hospice benefit. Hospice program integrity concerns. Controlled substances prescribing policy. Medicare hospice cost-savings research. H.R. 5159/S. 2137, Preserving Access to Home Health Act of 2023. CMS Proposed Medicaid Access Rule. S. 1845, Expanding Access to Palliative Care Act.

Client expense: $180,000 · Firm income: Not reported

Protect and improve access for home-based care, personal care, and long-term care services and supports. Proposed Rule: Medicaid Program; Ensuring Access to Medicaid Services. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. Hospice Care Act (no bill number).

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

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce, 80/20 rule impact on HCBS, and legislative and regulatory proposals affecting home care and hospice; H.R.547/S.100 - Better Care Better Jobs Act; H.R.5159/S.2137 - Preserving Access to Home Health Act of 2023; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

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

Issues related to home and community-based services; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Client expense: $17,000 · Firm income: Not reported

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

Issues related to home health and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services; Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Client expense: $185,000 · 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 and hospice payment policy, quality, and program integrity; Issues related to Medicaid home and community-based services. Issues related to home health and hospice payment policies in the CY 2024 Home Health Proposed Rule and FY24 Hospice Wage Index Proposed Rule; Hospice program integrity; Preserving Access to Home Health Act of 2023 (S. 2137/H.R 5159); Issues related to health care workforce shortages; proposed policies in the Medicaid HCBS Access proposed rule; H.R.8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Client expense: $185,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussions involving H.R. 8114, To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services Discussions involving H.R._, Fiscal 2025 Labor-HHS-Education Appropriations Act Discussions involving funding for state Medicaid programs to improve home- and community-based services Discussions involving Medicaid access rule

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare home health payment policy. Medicare hospice payment policy. Medicaid HCBS payment and eligibility policy. CMMI VBID Medicare Advantage Carve-in proposal. Hospice Face to Face Telehealth recertification. H.R. 4189/S. 2016, CONNECT for Health Act. H.R. 547/S. 100, Better Care Better Jobs Act. Health information technology funding and standards for long-term post-acute care providers. Hospice Special Focus Program (SFP). Access to Home and Community-Based Services and Long-Term Care Pharmacy services. Medicare Limited Income Newly Eligible Transition (LINET) program. S. 3109, Alleviating Barriers for Caregivers (ABC) Act. Medicare low-income outreach and enrollment funding. H.R. 7148, Medicare Home Health Accessibility Act. H.R. 7165/S. 3702, Credit for Caring Act of 2024. H.R. 7573, Stop Unfair Medicaid Recoveries Act. S. 2243, Palliative Care and Hospice Education and Training Act. H.R. 8114, to prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. H.R. 2941, Recognizing the Role of Direct Support Professionals Act. Draft legislation providing various reforms to the Medicare Hospice benefit.

Client expense: $240,000 · Firm income: Not reported

-HR 5378 - Lower Costs More Transparency Act, Provisions related to pharmacy benefit manager and health plan transparency -HR 7513 - Protecting America's Seniors' Access to Care Act -HR 485 - Protecting Health Care for All Patients Act -HR 468 - Building America's Health Care Workforce Act -HR 3227 - Ensuring Seniors' Access to Quality Care Act -S 4381 - The Right to Contraception Act -HR 4367/S 2625 - FAMILY Act -HJ Res. 139/SJ Res. 91 - Providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting" -HR 8114 - o prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services -HR 4818 - Treat and Reduce Obesity Act (Provisions related to Medicare coverage of anti-obesity medications and intensive behavioral therapy)

Client expense: $560,000 · Firm income: Not reported

Issues related to home care and hospice, telehealth, Medicare reimbursement, workforce, 80/20 rule impact on HCBS, legislative and regulatory proposals affecting home care and hospice; S. 100/ H.R. 547 - Better Care Better Jobs Act; S. 2137/H.R. 5159 - Preserving Access to Home Health Act of 2023; H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

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

Issues related to funding for Medicaid home and community-based services; Centers for Medicare and Medicaid Services Ensuring Access to Medicaid Services (CMS-2442-P) Proposed Rule; H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

Client expense: Not reported · Firm income: $50,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Protect and improve access for home-based care, personal care, and long-term care services and supports. Proposed Rule: Medicaid Program; Ensuring Access to Medicaid Services. H.R. 8114 - To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

Preserving Access to Home Health Act S.2137/H.R.5159- A bill to amend title XVIII of the Social Security Act to ensure stability in payments to home health agencies under the Medicare program. Save ACT S. 2768/ H.R. 2584- To protect hospital personnel from violence, and for other purposes. CMS Access Rule (CMS-2439-P) (CMS 2442-P)- Proposed changes to current requirements and newly proposed requirements that would advance CMSs efforts to improve access to care, quality, and health outcomes, and better promote health equity for Medicaid beneficiaries across fee-for-service (FFS) and managed care delivery systems, including for home and community-based services (HCBS) provided through those delivery systems. H.R. 8114- To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services.

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

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

Meetings, Letters, Press Conference and Briefings in House and Senate on CMS Nursing Home Staffing Rule, and sharing SEIU strong Opposition to HR 5796, H.R. 7513, S. 3410, H.J. Res. 139 and S.J. Res. 91 that would prohibit the rule. Meeting in House in Opposition to HR 6860, the Restore Protections for Dialysis Patients Act (RPDPA) Letter and meetings in Opposition to H.R. 8114, Legislation that would prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. Letter and meetings with House Offices in Opposition to H.R. 3227, Ensuring Seniors Access to Quality Care Act. Letter in Support for H.R. 7573, the Stop Unfair Medicaid Recoveries Act which seeks to halt unfair Medicaid recovery practices, and H.R. 8106 which proposes to remove institutional care criteria for Home and Community-Based Services (HCBS) eligibility, improving access and equity within the long-term care system.

Client expense: $230,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

No bill number. Discussed medically necessary dental coverage and oral health care in Medicare. No bill number. Discussed Medicare coverage for telehealth services. No bill number. Discussed workforce training, physician reimbursement, and Medicare provider access. No bill number. Discussed Improving Seniors Timely Access to Care Act of 2024. H.R. 2407, the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act. No bill number. Discussed Medicaid estate recovery. No bill number. Discussed Medicare Advantage data. H.R. 3549/ S. 1703, the PACE Part D Choice Act of 2023. No bill number. Discussed family caregivers and Medicare and Medicaid policy. No bill number. Discussed Medicare FY25 Skilled Nursing Facility Payment Proposed Rule. No bill number. Discussed Medicare FY25 Hospital Inpatient Payment Proposed Rule. No bill number. Discussed hospitals and a buffer of essential medicines. No bill number. Discussed Medicaid unwinding. H.R. 8114, To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. No bill number. Discussed Care Executive Order. H.R. 8018, the Alleviating Barriers for Caregivers Act. S. 3109, Alleviating Barriers for Caregivers Act. S. 3766/H.R. 7274, Connecting Caregivers to Medicare Act. No bill number. Discussed Acute Hospital Care at Home waiver and family caregivers. No bill number. Discussed family caregivers, direct care workers, care at home, and in other settings. S. 4120/H.R. 7994, the Long-Term Care Workforce Support Act. H.R. 8094, to amend Title XIX of the Social Security Act to modify certain asset recovery rules. H.R. 7573, the Stop Unfair Medicaid Recoveries Act. No bill number. Discussed the Coordinating Care for Veterans and Wounded Warriors Act. No bill number. Discussed nursing home staffing standards. No bill number. Discussed Medicare home health and hospice benefits. No bill number. Discussed health care coverage expansion. H.R. 8331/S. 4280, the Essential Caregivers Act. H.R. 7442, Philippine Medicare Portability Study Act. H.R. 3227, the Ensuring Seniors Access to Quality Care Act. H.R. 8244, Ensuring Seniors Access to Quality Care Act. H.R.468, the Building Americas Health Care Workforce Act. HR 7513/S.3410, the Protecting Americas Seniors Access to Care Act. H.J.Res.139, Providing for Congressional disapproval of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting. S.J.Res.91, A joint resolution providing for congressional disapproval of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting" S.4137, the Improving Access to Medicare Coverage Act of 2024.