Physician Led and Rural Access to Quality Care Act

ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters

Client expense: $1,210,000 · Firm income: Not reported

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

ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters

Client expense: $1,210,000 · Firm income: Not reported

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

S.470/H.R.977, Patient Access to Higher Quality Health Care Act: To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. S.4532/H.R. 8702), Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage program. H.R. 9001, Physician Led and Rural Access to Quality Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals and allow physician ownership of rural hospitals H.R.9805, Access to Claims Data Act: To require the Secretary of Health and Human Services to establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement. H.R. 10073, Medicare Patient Access and Practice Stabilization Act of 2024 (H.R.10073): To eliminate the 2.8% Medicare physician fee schedule(MPFS) cut and provide an inflationary update for calendar year 2025. No bill: Medicare payment reforms, including positive annual updates, adjustments to Medicare's budget neutrality requirements, improving alternative payment models, modifying the Merit-based Improvement Payment System and expanding relevant quality improvement measures.

Client expense: $35,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.470/H.R.977, Patient Access to Higher Quality Health Care Act: To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. S.4532/H.R. 8702), Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage program. H.R. 9001, Physician Led and Rural Access to Quality Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals and allow physician ownership of rural hospitals H.R.9805, Access to Claims Data Act: To require the Secretary of Health and Human Services to establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement. H.R. 10073, Medicare Patient Access and Practice Stabilization Act of 2024 (H.R.10073): To eliminate the 2.8% Medicare physician fee schedule (MPFS) cut and provide an inflationary update for calendar year 2025. No bill: Medicare payment reforms, including positive annual updates, adjustments to Medicare's budget neutrality requirements, improving alternative payment models, modifying the Merit-based Improvement Payment System and expanding relevant quality improvement measures.

Client expense: $35,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters

Client expense: $1,110,000 · Firm income: Not reported

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

ACA Exchanges & Enrollment Prior Authorization Mental Health Parity Facilitating Accountability in Reimbursements Act (FAIR Act) (H.R. 3417) Site-based Invoicing and Transparency Enhancement (SITE) Act (S.1869) Lower Cost, More Transparency Act (H.R. 5378) AI Use in Healthcare Health Disparities, including Maternal Health and Rural Health Veteran Care Improvement Act of 2023 (H.R. 3520) Making Community Care Work for Veterans Act of 2023 (S.2649) Dept. of Defense Military OneSource Program Provider Directories Transparency in Coverage and Machine-Readable Files Change Healthcare Cyber Incident Telehealth Modernization Act of 2024 Addressing Anti-Competitive Contracting Clauses Act No Suprises Act Implementation Physician Led and Rural Access to Quality Care Act (H.R. 9001) 2026 Notice of Benefit and Payment Parameters

Client expense: $1,110,000 · Firm income: Not reported

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

Medicare physician payment including H.R.10073, the Medicare Patient Access and Practice Stabilization Act of 2024 and H.R.10545, the American Relief Act; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act of 2023 (HR 2389/S. 1302); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (HR 9001); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610); implementation of the Consolidated Appropriations Act of 2022; Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 (H.R. 2583/S. 3481); Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 1406/S. 3021); Strengthening Medicare for Patients and Providers (H.R. 2474); site-neutrality; Providing Relief and Stability for Medicare Patients Act (H.R. 3674); Connected Maternal Online Monitoring Act (Connected Mom) (S. 712); Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Preserving Seniors Access to Physicians Act (H.R. 6683); Provider Reimbursement Stability Act (H.R. 6371); FY2024 Further Consolidated Appropriations Act (H.R. 2882); The Improving Seniors Timely Access to Care Act of 2024 (H.R. 8702/S. 4532); The Pay PCPs Act (S. 4338); the Electronic Prior Authorization for Prescription Drugs Act (S. 4349); FY 25 Labor-HHS Appropriations (H.R. 9029/S. 4942); The Physician Fee Stabilization Act (S. 4935); GOLD CARD Act (H.R. 4968); Access to Claims Data Act (H.R. 9805)

Client expense: $490,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Health care quality; physician and hospital quality; health care innovation; Patient Protection and Affordable Care Act/health care reform implementation; unique device identifier policy and post-market surveillance for medical devices; clinical trial design; HIPAA and registries; federal funding/appropriations for HHS, NIH, AHRQ, CDC, FDA, HRSA and the Childrens Hospital Graduate Medical Education payment program, the Prevention & Public Health Fund, medical research, and prevention; research and scholarly communication policy; implementation and oversight of 21st Century Cures Act; data blocking/interoperability of electronic data; artificial intelligence/machine learning; algorithm transparency; health disparities; reduction/oversight of prior authorization and other administrative burdens; digital health; Sect. 1557 Nondiscrimination in Health Programs and Activities; cardiomyopathy education and awareness; peripheral arterial disease (PAD) education and awareness; VA Mission Act implementation; COVID-19 and implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act , the Coronavirus Aid, Relief, and Economic Security Act, Coronavirus Provider Protection Act, and clinician mental health and wellbeing; patient identification; Pandemic and All Hazards Preparedness; MCIT/TCET/Breakthrough devices; Heart Health Enhancement through Access to Research and Training (HEART) Act (H.R. 880); Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 2584/S. 2768); Workplace Violence Prevention for Health Care and Social Service Worker Act (H.R. 2663/S.1176); the Access to AEDs Act (H.R. 2370/S. 1024); Amputation Reduction and Compassion (ARC) Act (H.R. 4261); Resident Education Deferred Interest (REDI) Act (H.R. 1202) South Asian Heart Health Awareness and Research Act (H.R. 4914); Lower Costs More Transparency Act (H.R. 5378); Cardiomyopathy Health, Education, Awareness, Research and Training in Schools (HEARTS) Act (H.R. 6829); No Fees for EFTs Act (H.R. 6487/S. 3805); Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 7153/S. 3679); Congenital Heart Futures Reauthorization Act (H.R. 7189); Health Care PRICE Transparency Act 2.0 (S. 3548); Physician Led and Rural Access to Access to Quality Care Act (H.R. 9001)

Client expense: $490,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 6445, Medicare Audiology Access Improvement Act, all provisions S. 2377, Medicare Audiology Access Improvement Act, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act, all provisions H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 2016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions S. 2477, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 4968, GOLD CARD Act, all provisions H.R. 2713, Improving Care and Access to Nurses (I CAN) Act, all provisions S. 2418, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2583, Increasing Access to Quality Cardiac Rehabilitation Care Act, all provisions H.R. 6487, No Fees for EFTs Act, all provisions S. 3805, No Fees for EFTs Act, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions H.R. 2630, Safe Step Act, all provisions S. 652, Safe Step Act, all provisions H.R. 7050, Substance Use Disorder Workforce Act, all provisions H.R. 7623, Telehealth Modernization Act of 2024, all provisions H.R. 2474, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 6371, Provider Reimbursement Stability Act of 2023, all provisions H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions H.R. 5378, Lower Costs, More Transparency Act, all provisions H.R. 6683, Preserving Seniors Access to Physicians Act of 2023, all provisions H.R. 5013, Value in Health Care Act of 2023, all provisions S. 3503, Value in Health Care Act of 2023, all provisions H.R. 8702, Improving Seniors Timely Access to Care Act of 2024, all provisions S. 4532, Improving Seniors Timely Access to Care Act of 2024, all provisions S. 4935, Physician Fee Stabilization Act, all provisions H.R. 10073, Medicare Patient Access and Practice Stabilization Act of 2024, all provisions H.R. 7856, PREVENT DIABETES Act, all provisions H.R. 3838, Preventing Maternal Deaths Reauthorization Act of 2023, all provisions S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023, all provisions H.R. 8532, Connected MOM Act, all provisions S. 712, Connected MOM Act, all provisions H.R. 6369, To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models, all provisions H.R. 8404, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2024, all provisions S. 4330, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2024, all provisions H.R. 8235, Rural Physician Workforce Preservation Act, all provisions H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, all provisions H.R. 1746, Preventing Medicare Telefraud Act, all provisions H.R. 8261, Preserving Telehealth, Hospital, and Ambulance Access Act, all provisions S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions S. 669, Increasing Mental Health Options Act of 2023, all provisions H.R. 7618, Stopping Addiction and Falls for the Elderly (SAFE) Act, all provisions H.R. 3730, Rural Health Clinic Burden Reduction Act, all provisions H.R. 7279, Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act, all provisions H.R. 6230, Doctor Knows Best Act of 2023, all provisions H.R. 9572, Enhanced Enforcement of Health Coverage Act, all provisions H.R. 9001, Physician Led and Rural Access to Quality Care Act, all provisions S. 5218, Health Infrastructure Security and Accountability Act of 2024, all provisions S. 4054, Health Care Cybersecurity Improvement Act of 2024, all provisions H.R. 9572, Enhanced Enforcement of Health Coverage Act, all provisions Supporting Health Moms and Babies Act/draft Fewer Burdens for Better Healthcare Act/draft Medicaid Primary Care Improvement Act/Senate draft Opioid Workforce Act of 2021/Senate draft Electronic clinical quality measures (eCQM) reporting/draft Medicare program: Medicare physician payment/2.83% cut for FY2025 Medicare program: Payment reform/Medicare Part B cuts Medicare program: Medicare Economic Index (MEI) inflation update Medicare program: Budget neutrality reforms Medicare program: Merit-based Incentive Payment System (MIPS) reforms and penalties Medicare program: G2211 inherent complexity codes Medicare program: Protecting Access to Medicare Act (PAMA 2014)/clinical lab cut reforms Medicare Program: Medicare Access and CHIP Reauthorization Act (MACRA) physician burdens Medicare program: Alternative Payment Models (APMs) Medicare program: Advanced APMs reporting requirements Medicare program: APMs for rural physicians Medicare program: Graduate Medical Education (GME) cap flexibility Medicare program: Physician-owned hospitals Medicare program: Telehealth Medicare program: Prior Authorization Medicare program: Site neutral payment Medicare program: Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Medicare program: Sunsetting of web interface Medicare program: Access to claims data Medicare program: Coding Medicare program: Accountable Care Organization (ACO)/APM/Medicare Shared Savings Program Medicare program: Medicare Diabetes Prevention Program Medicare program: Physician burden Medicare program: Promoting Interoperability (PI) program Medicare program: Quality Payment Program Medicare program: Certified electronic health record technology and PI Medicare program: Shared Savings program Medicare program: Public Health Reporting and Data Exchange Medicare program: Patient engagement Medicare program: Medicare Advantage plans/Prior Authorization Medicare program: Physician-owned hospitals Medicare program: Medigap/modified community rating Medicare and Medicaid programs: Artificial intelligence Medicare and Medicaid programs: Substance use disorder Medicare and Medicaid programs: Cybersecurity/health care clearinghouses Medicare and Medicaid programs: Health IT Medicare and Medicaid programs: Interoperability Medicare and Medicaid programs: Mandatory models Medicaid and Medicare programs: Quality programs/physician choice Medicaid program: Maternal health Medicaid program: Maternal mortality

Client expense: $6,590,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), Office of Science & Technology Policy (OSTP), SENATE

Repeal Section 6001 of the Affordable Care Act - section 6001 prohibits expansion of physician-led hospitals - including related provisions in H.R. 977/S. 470, the Patient Access to Higher Quality Care Act; and in H.R. 9001, the Physician Led and Rural Access to Quality Care Act, to revise certain physician self-referral exemptions relating to physician-owned hospitals in rural areas; and related issues regarding hospital competition and consolidation. Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-led hospitals. Reform Medicare Advantage prior authorization, including related provisions in: H.R. 4968, the GOLD Card Act; H.R. 4822, the Health Care Price Transparency Act; H.R. 5378, the Lower Costs, More Transparency Act; and S. 4518/S. 4532/H.R. 8702, to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Advocacy related to H.R. 8246, Second Chances for Rural Hospitals Act, and access to physician-led entities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.977 - Patient Access to Higher Quality Health Care Act of 2023 To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. Michael Burgess, (R-TX) Henry Cuellar (D-TX) HR 2474: Strengthening Medicare for Patients and Providers Act Reps. Raul Ruiz, MD (D-CA); Larry Bucshon, MD (R-IN); Ami Bera, MD (D-CA); Mariannette Miller-Meeks, MD (R-IA) Provides an annual Medicare physician payment update tied to inflation as measured by the Medicare Economic Index (MEI). HR 4968, the GOLD CARD Act of 2023 Reps Michael Burgess (R-TX); Vincente Gonzalez (D-TX) Exempts physicians who in the previous year received approval for at least 90 percent of their prior authorization requests, from the prior authorization approval process under Medicare Advantage plans. HR 6683: Preserving Seniors Access to Physicians Act Reps. Greg Murphy, MD (R-NC); Brad Wenstrup, DPM (R-OH); Michael Burgess, MD (R-TX); Larry Bucshon, MD (R-IN); Danny Davis (D-IL); Jimmy Panetta (D-CA) Prevents the full 3.4% Medicare physician fee schedule cuts from being implemented on January 1, 2024. Support implementation of the No Surprises Act (NSA) according to congressional intent The NSA aimed to fix the problem of unanticipated medical bills and remove patients from the middle of out-of-network billing disputes. However, the Administration crafted rules that disregard congressional intent and insurers are not being held accountable under current policies. HR 8702 and S 4532: Improving Seniors Timely Access to Care Act: To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. HR 8702--Mike Kelly (R-PA) and Susan DelBene (D-WA). S 4532--Sen. Sinema, Kyrsten (I-AZ) Sen. Thune, John (R-SD) Sen. Brown, Sherrod (D-OH) 06/13/2024 H.R.9001 - Physician Led and Rural Access to Quality Care Act: Reps Tony Cardenas(D-CA); Morgan Griffith (R-VA); Vicente Gonzalez (D-TX) To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.

Client expense: $518,655 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Gun Safety Issues related to gun safety - no specific bill H.R. 4283, Gun Violence Prevention and Community Safety Act Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill H.R. 9001, Physician Led and Rural Access to Quality Care Act Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act S. 4935, Physician Fee Stabilization Act H.R.10073, Medicare Patient Access and Practice Stabilization Act of 2024 H.R. 8816, the American Medical Innovation and Investment Act of 2024 H.R. 2474, the Strengthening Medicare for Patients and Providers Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act H.R.4189, the CONNECT for Health Act of 2023 H.R.7623, the Telehealth Modernization Act of 2024 H.R.1843, the Telehealth Expansion Act of 2023 Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Tobacco Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory FDA's proposed rule to eliminate menthol cigarettes Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth Issues related to Medicare Advantage Star Rating Health Equity Index calculation HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Gun Safety Issues related to gun safety - no specific bill H.R. 4283, Gun Violence Prevention and Community Safety Act Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill H.R. 9001, Physician Led and Rural Access to Quality Care Act Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act S. 4935, Physician Fee Stabilization Act H.R.10073, Medicare Patient Access and Practice Stabilization Act of 2024 H.R. 8816, the American Medical Innovation and Investment Act of 2024 H.R. 2474, the Strengthening Medicare for Patients and Providers Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Publications Open access to information based on publicly funded research - no specific bill Request for Information for NIH Plan to Enhance Public Access to the Results of NIH-Supported Research Issues related to scholarly and scientific publishing and public access - no specific bill H.R. 9378, Sunshine Act of 2023 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act H.R.4189, the CONNECT for Health Act of 2023 H.R.7623, the Telehealth Modernization Act of 2024 H.R.1843, the Telehealth Expansion Act of 2023 Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Tobacco Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory FDA's proposed rule to eliminate menthol cigarettes Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth Issues related to Medicare Advantage Star Rating Health Equity Index calculation HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA)

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

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

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Client expense: $220,000 · Firm income: Not reported

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act S. 4847 - Advancing Medical Readiness Act of 2024 H.R. 10073 - Medicare Patient Access and Practice Stabilization Act Scope of Practice Expansion Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Client expense: $220,000 · Firm income: Not reported

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

S.470/H.R.977, Patient Access to Higher Quality Health Care Act: To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. S.4532/H.R. 8702), Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage program. H.R.2389, Resident Physician Shortage Reduction Act: To provide for the distribution of additional residency positions H.R. 2474, Strengthening Medicare for Patients and Providers Act: To provide an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index. H.R. 4968, the GOLD CARD Act of 2023: Prior authorization reform in Medicare Advantage H.R. 9001, Physician Led and Rural Access to Quality Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals and allow physician ownership of rural hospitals H.R.9805, Access to Claims Data Act: To require the Secretary of Health and Human Services to establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement. No bill: Graduate medical education policy reform ideas. No bill: Medicare physician payment reform policy ideas, need for legislation to prevent Medicare physician payment cuts and adopt an inflation-based payment update for 2025, modifications to Medicare's budget neutrality rules, increasing surgical global codes to incorporate increased RVUs for follow-up care w/in the global period, and improvements to value-based care payment models

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.470/H.R.977, Patient Access to Higher Quality Health Care Act: To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. S.4532/H.R. 8702), Improving Seniors Timely Access to Care Act: To streamline prior authorization in the Medicare Advantage program. H.R.2389, Resident Physician Shortage Reduction Act: To provide for the distribution of additional residency positions H.R. 2474, Strengthening Medicare for Patients and Providers Act: To provide an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index. H.R. 4968, the GOLD CARD Act of 2023: Prior authorization reform in Medicare Advantage H.R. 9001, Physician Led and Rural Access to Quality Care Act: To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals and allow physician ownership of rural hospitals H.R.9805, Access to Claims Data Act: To require the Secretary of Health and Human Services to establish a process to expand access to claims data under certain Federal health plans in order to facilitate research and quality improvement. No bill: Graduate medical education policy reform ideas. No bill: Medicare physician payment reform policy ideas, need for legislation to prevent Medicare physician payment cuts and adopt an inflation-based payment update for 2025, modifications to Medicare's budget neutrality rules, increasing surgical global codes to incorporate increased RVUs for follow-up care w/in the global period, and improvements to value-based care payment models

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare physician payment; new/alternative payment models; Medicare coverage, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; Quality Payment Program; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; graduate medical education policy including the Resident Physician Shortage Reduction Act of 2023 (HR 2389/S. 1302); oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy including the Physician Led Rural Access to Quality Care Act (HR 9001); COVID-19 public health emergency and the implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act, the Coronavirus Aid, Relief, and Economic Security Act; implementation of the Protecting Medicare and American Farmers from Sequester Cuts Act (S. 610); implementation of the Consolidated Appropriations Act of 2022; Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023 (H.R. 2583/S. 3481); Sustainable Cardiopulmonary Rehabilitation Services in the Home At (H.R. 1406/S. 3021); Strengthening Medicare for Patients and Providers (H.R. 2474); site-neutrality; Providing Relief and Stability for Medicare Patients Act (H.R. 3674); Connected Maternal Online Monitoring Act (Connected Mom) (S. 712); Charles Rochester Blood Clot Prevention and Treatment Act (H.R. 5699) Preserving Seniors Access to Physicians Act (H.R. 6683); Provider Reimbursement Stability Act (H.R. 6371); FY2024 Further Consolidated Appropriations Act (H.R. 2882); The Improving Seniors Timely Access to Care Act of 2024 (H.R. 8702/S. 4532); The Pay PCPs Act (S. 4338); the Electronic Prior Authorization for Prescription Drugs Act (S. 4349); FY 25 Labor-HHS Appropriations (H.R. 9029/S. 4942); The Physician Fee Stabilization Act (S. 4935); GOLD CARD Act (H.R. 4968); Access to Claims Data Act (H.R. 9805)

Client expense: $410,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

Healthcare: US Senate, US House, FDA, HHS, CMS, OMB, NIH, White House Office/AHRQ Health care quality; physician and hospital quality; health care innovation; Patient Protection and Affordable Care Act/health care reform implementation; unique device identifier policy and post-market surveillance for medical devices; clinical trial design; HIPAA and registries; federal funding/appropriations for HHS, NIH, AHRQ, CDC, FDA, HRSA and the Childrens Hospital Graduate Medical Education payment program, the Prevention & Public Health Fund, medical research, and prevention; research and scholarly communication policy; implementation and oversight of 21st Century Cures Act; data blocking/interoperability of electronic data; artificial intelligence/machine learning; algorithm transparency; health disparities; reduction/oversight of prior authorization and other administrative burdens; digital health; Sect. 1557 Nondiscrimination in Health Programs and Activities; cardiomyopathy education and awareness; peripheral arterial disease (PAD) education and awareness; VA Mission Act implementation; COVID-19 and implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, the Families First Coronavirus Response Act , the Coronavirus Aid, Relief, and Economic Security Act, Coronavirus Provider Protection Act, and clinician mental health and wellbeing; patient identification; Pandemic and All Hazards Preparedness; MCIT/TCET/Breakthrough devices; Heart Health Enhancement through Access to Research and Training (HEART) Act (H.R. 880); Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 2584/S. 2768); Workplace Violence Prevention for Health Care and Social Service Worker Act (H.R. 2663/S.1176); the Access to AEDs Act (H.R. 2370/S. 1024); Amputation Reduction and Compassion (ARC) Act (H.R. 4261); Resident Education Deferred Interest (REDI) Act (H.R. 1202) South Asian Heart Health Awareness and Research Act (H.R. 4914); Lower Costs More Transparency Act (H.R. 5378); Cardiomyopathy Health, Education, Awareness, Research and Training in Schools (HEARTS) Act (H.R. 6829); No Fees for EFTs Act (H.R. 6487/S. 3805); Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 7153/S. 3679); Congenital Heart Futures Reauthorization Act (H.R. 7189); Health Care PRICE Transparency Act 2.0 (S. 3548); Physician Led and Rural Access to Access to Quality Care Act (H.R. 9001)

Client expense: $410,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 6645, Medicare Audiology Access Improvement Act of 2023, all provisions S. 2377, Medicare Audiology Access Improvement Act of 2023, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions S. 2016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions H.R. 8532, Connected MOM Act, all provisions S. 712, Connected MOM Act, all provisions H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions S. 2477, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 4968, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2023, all provisions H.R. 2713, Improving Care and Access to Nurses (I CAN) Act, all provisions S. 2418, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2583, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023, all provisions H.R. 6487, No Fees for EFTs Act, all provisions S. 3805, No Fees for EFTs Act, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions H.R. 7050, Substance Use Disorder Workforce Act, all provisions H.R. 7623, Telehealth Modernization Act of 2024, all provisions H.R. 2474, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 830, Help Ensure Lower Patient (HELP) Copays Act, all provisions S. 1375, Help Ensure Lower Patient (HELP) Copays Act, all provisions H.R. 6371, Provider Reimbursement Stability Act of 2023, all provisions H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions H.R. 5378, Lower Costs, More Transparency Act, all provisions H.R. 6683, Preserving Seniors Access to Physicians Act of 2023, all provisions H.R. 5013, Value in Health Care Act of 2023, all provisions S. 3503, Value in Health Care Act of 2023, all provisions H.R. 8702, Improving Seniors Timely Access to Care Act of 2024, all provisions S. 4532, Improving Seniors Timely Access to Care Act of 2024, all provisions S. 4518, Improving Seniors Timely Access to Care Act of 2024, all provisions S. 4935, Physician Fee Stabilization Act, all provisions H.R. 6366, To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program, all provisions H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions relating to Medicare payments H.R. 7931, Preserving Emergency Access in Key Sites (PEAKS) Act, all provisions S. 4338, Pay PCPs Act of 2024, all provisions H.R. 8563, Preserving Access To Care in Hawaii (PATCH) Act, all provisions S. 4395, Protecting Access To Care in Hawaii (PATCH) Act, all provisions H.R. 6369, To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models, all provisions H.R. 7665, ACO Assignment Improvement Act of 2024, all provisions S. 3939, ACO Assignment Improvement Act of 2024, all provisions H.R. 8404, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2024, all provisions S. 4330, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2024, all provisions H.R. 4829, Physical Therapist Workforce and Patient Access Act of 2023, all provisions H.R. 8235, Rural Physician Workforce Preservation Act, all provisions H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, all provisions H.R. 1746, Preventing Medicare Telefraud Act, all provisions H.R. 8261, Preserving Telehealth, Hospital, and Ambulance Access Act, all provisions S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions S. 669, Increasing Mental Health Options Act of 2023, all provisions H.R. 7618, Stopping Addiction and Falls for the Elderly (SAFE) Act, all provisions H.R. 3730, Rural Health Clinic Burden Reduction Act, all provisions H.R. 7279, Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act, all provisions H.R. 7708, Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, all provisions S. 3508, Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, all provisions H.R. 9001, Physician Led and Rural Access to Quality Care Act, all provisions S. 5218, A bill to amend titles XI and XVIII of the Social Security Act to strengthen, increase oversight of, and compliance with, security standards for health information, and for other purposes, all provisions S. 4054, Health Care Cybersecurity Improvement Act of 2024, all provisions H.R. 8588, Linking Seniors to Needed Legal Services Act of 2024, all provisions H.R. 5526, Seniors Access to Critical Medications Act of 2024, all provisions H.R. 9129, Patient Debt Relief Act, all provisions Fewer Burdens for Better Care Act/draft MACRA/MIPS program reform legislation/draft FY 2025 Medicare physician payment increase/draft Medical Chaperones in Medicare/draft Medicare program: No Surprises Act implementation Medicare program: 21st Century Cures Act implementation Medicare program: FY 2025 Physician payment cut Medicare program: Information Blocking Disincentives Medicare program: Merit-based Incentive Payment System (MIPS) reform Medicare program: Medicare Economic Index (MEI) Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA) reform Medicare program: Budget neutrality reforms/Inflationary update Medicare program: G2211 Inherent complexity code Medicare program: Protecting Access to Medicare Act (PAMA 2014) lab cut reform Medicare program: High-cost disposable services payment Medicare program: Medicare Administrative Contractor/local-coverage determinations Medicare program: Making Care Primary alternative payment models (APM) Medicare program: Rural physicians APM Medicare program: Site neutral payment Medicare program: Physician-owned hospitals Medicare program: Graduate Medical Education (GME) funding Medicare program: Audio-visual supervision of residents/permanent expansion Medicare program: Conditions of Participation (COP)/Obstetrical service Medicare program: MACRA/physician burdens Medicare program: Health Information Technology/physician burdens Medicare program: Prior authorization/Medicare Advantage plans Medicare program: Interoperability/data sharing/information blocking/provider disincentives Medicare program: Promoting interoperability reporting Medicare program: Trusted exchange framework/common agreement Medicare program: Data segmentation Medicare program: Quality payment program Medicare program: Medicare Shared Savings Program/Advanced APM Medicare program: Public health reporting and data exchange Medicare program: Accountable Care Organizations/APM flexibilities Medicare program: Certified Electronic Health Record (EHR) Technology Medicare program: Physician Practice Information (PPI) survey/practice expense Medicare program: MIPS Value Pathways (MVPs)/APMs Medicare program: Telehealth flexibilities Medicare and Medicaid programs: Data Privacy and Cybersecurity Medicare and Medicaid programs: Health Insurance Portability and Accountability Act (HIPAA)/electronic records

Client expense: $5,330,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA)

Repeal Section 6001 of the Affordable Care Act - section 6001 prohibits expansion of physician-led hospitals - including related provisions in H.R. 977/S. 470, the Patient Access to Higher Quality Care Act; and in H.R. 9001, the Physician Led and Rural Access to Quality Care Act, to revise certain physician self-referral exemptions relating to physician-owned hospitals in rural areas; and related issues regarding hospital competition and consolidation. Center for Medicare & Medicaid Innovation demonstration to expand patient access to physician-led hospitals. Reform Medicare Advantage prior authorization, including related provisions in: H.R. 4968, the GOLD Card Act; H.R. 4822, the Health Care Price Transparency Act; H.R. 5378, the Lower Costs, More Transparency Act; and S. 4518/S. 4532/H.R. 8702, to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Advocacy related to H.R. 8246, Second Chances for Rural Hospitals Act, and access to physician-led entities.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill S. 1655/H.R. 3421, Medicare for All Act of 2023 H.R. 9001, Physician Led and Rural Access to Quality Care Act Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389 The Resident Physician Shortage Reduction Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign H.R. 2389 The Resident Physician Shortage Reduction Act Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act S. 4935, Physician Fee Stabilization Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Issues related to scholarly and scientific publishing and public access - no specific bill H.R. 9378, Sunshine Act of 2023 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act H.R. 4189/S.2016 the CONNECT for Health Act and H.R.7623/S.3967 the Telehealth Modernization Act Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident File Code CMS-1807-P. Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA)

Behavioral Health H. 8526, Elementary and Secondary School Counseling Act Childcare Issues related to childcare - no specific bill Gun Safety Issues related to gun safety - no specific bill H.R. 4283, Gun Violence Prevention and Community Safety Act Health Care S. 4503, A bill to prevent exploitative private equity practices, and for other purposes Issues related to health care/universal access to quality, equitable, affordable coverage - no specific bill Issues related to mental and behavioral health care - no specific bill Issues related to Private Equity/Healthcare - no specific bill S. 1655/H.R. 3421, Medicare for All Act of 2023 H.R. 9001, Physician Led and Rural Access to Quality Care Act Health Care Workforce Issues related to health care workforce shortages - no specific bill Issues related to the affordability of medical education and federal loan programs - no specific bill Issues related to scope of practice - no specific bill Issues related to the Department of Veterans Affairs Federal Supremacy Project - no specific bill Demographic data collection - no specific bill H.R. 1667, Dr. Lorna Breen Health Care Provider Protection Act H.R. 2389 The Resident Physician Shortage Reduction Act H.R. 2389/S. 1302, the Resident Physician Shortage Reduction Act H.R. 6205/S. 3211, the Healthcare Workforce Resilience Act HIV/AIDS Presidents Emergency Plan for AIDS Relief (PEPFAR) Immigration Issues related to Immigration - no specific bill H.R. 4942/ S. 665, the Conrad State 30 and Physician Access Reauthorization Act Protecting Immigrant Families (PIF) Campaign H.R. 2389 The Resident Physician Shortage Reduction Act Infrastructure Issues related to broadband access - no specific bill Issues related to the Build Back Better framework - no specific bill Interoperability/ONC Issues related to interoperability and information blocking - no specific bill Maternal Health and Reproductive Health S. 4381, Right to Contraception Act S. 4368, IVF Protection Act S.4304/H.R.8317MAMAS First Act Issues related to maternal health - no specific bill S. 712, The Connected Maternal Online Monitoring (MOM) Act Medical Education Issues related to the affordability of medical education - no specific bill Issues related to student loan forgiveness - no specific bill Support for physicians, residents and medical students - no specific bill Medicare/Medicaid S. 4532 / H.R. 8702, Seniors Timely Access to Care Act Cigna Modifier 25 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 6445 / S. 2377, Medicare Audiology Access Improvement Act H.R. 2474 the Strengthening Medicare for Patients and Providers Act H.R. 6545 Physician Fee Schedule Update and Improvements Act H.R. 6683 Preserving Seniors Access to Physicians Act of 2023 H.R.2173 the Improving Care and Access to Nurses Act H.R.2670 - National Defense Authorization Act for Fiscal Year 2024 H.R. 6371, the Provider Reimbursement Stability Act H.R. 5013/S. 3503, the Value in Health Care (VALUE) Act S. 4935, Physician Fee Stabilization Act Issues related to Medicare physician payment - no specific bill Issues related to Medicare/Medicaid - no specific bill Issues related to prior authorization and administrative simplification - no specific bill Issues related to Medicare Advantage - no specific bill Nutrition Issues related to nutrition and food security - no specific bill Issues related to SNAP funding - - no specific bill Opioids/ Substance Use Disorder LABEL Opioids Act of 2023 MATE ACT Adds New Education Mandate for 8 Hours of Continuing Education on Opioid Treatment S.1785, STOP Fentanyl Overdoses Act of 2023 H.R. 4531/S.3393 Support for Patients and Communities Reauthorization Act S. 644 - the Modernizing Opioid Treatment Access Act (MOTAA) S. 3418 Comprehensive Addiction Resources Emergency (CARE) Act Issues related to opioids and substance use disorder - no specific bill Prescription Drug Pricing Issues related to prescription drug pricing - no specific bill S. 470/HR 977, The Patient Access to Higher Quality Health Care Act Publications Open access to information based on publicly funded research - no specific bill Request for Information for NIH Plan to Enhance Public Access to the Results of NIH-Supported Research Issues related to scholarly and scientific publishing and public access - no specific bill H.R. 9378, Sunshine Act of 2023 Racial Justice/Health Equity Issues related to racial justice/health care equity - no specific bill Health disparities and protecting vulnerable populations - no specific bill Issues related to equitable policies around blood, tissue donations - no specific bill Surprise Billing Issues related to surprise billing - no specific bill Issues related to the implementation of the No Surprises Act - no specific bill Telehealth H.R.8261, the Preserving Telehealth, Hospital, and Ambulance Access Act H.R. 4189/S.2016 the CONNECT for Health Act and H.R.7623/S.3967 the Telehealth Modernization Act Issues related to telehealth - no specific bill Issues related to telebehavioral health access - no specific bill Issues related to physician licensing - no specific bill Issues related to telehealth PHE flexibilities/waivers - no specific bill Tobacco Issues related to prohibiting sale of menthol cigarettes and flavored cigars - no specific bill Issues related to increasing awareness about lung cancer screening on cigarette packages - no specific bill Vaccines Issues related to vaccines - no specific bill Regulatory FDA's proposed rule to eliminate menthol cigarettes Issues related to Medicare physician payment Issues related to implementation of the No Surprises Act Issues related to telehealth HIPAA-related Reporting Requirements Involving the Change Healthcare Cyber Incident File Code CMS-1807-P. Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA)

H.R.977 - Patient Access to Higher Quality Health Care Act of 2023 To repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. Michael Burgess, (R-TX) Henry Cuellar (D-TX) HR 2474: Strengthening Medicare for Patients and Providers Act Reps. Raul Ruiz, MD (D-CA); Larry Bucshon, MD (R-IN); Ami Bera, MD (D-CA); Mariannette Miller-Meeks, MD (R-IA) Provides an annual Medicare physician payment update tied to inflation as measured by the Medicare Economic Index (MEI). HR 4968, the GOLD CARD Act of 2023 Reps Michael Burgess (R-TX); Vincente Gonzalez (D-TX) Exempts physicians who in the previous year received approval for at least 90 percent of their prior authorization requests, from the prior authorization approval process under Medicare Advantage plans. HR 6683: Preserving Seniors Access to Physicians Act Reps. Greg Murphy, MD (R-NC); Brad Wenstrup, DPM (R-OH); Michael Burgess, MD (R-TX); Larry Bucshon, MD (R-IN); Danny Davis (D-IL); Jimmy Panetta (D-CA) Prevents the full 3.4% Medicare physician fee schedule cuts from being implemented on January 1, 2024. Support implementation of the No Surprises Act (NSA) according to congressional intent The NSA aimed to fix the problem of unanticipated medical bills and remove patients from the middle of out-of-network billing disputes. However, the Administration crafted rules that disregard congressional intent and insurers are not being held accountable under current policies. HR 8702 and S 4532: Improving Seniors Timely Access to Care Act: To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans. HR 8702--Mike Kelly (R-PA) and Susan DelBene (D-WA). S 4532--Sen. Sinema, Kyrsten (I-AZ) Sen. Thune, John (R-SD) Sen. Brown, Sherrod (D-OH) 06/13/2024 H.R.9001 - Physician Led and Rural Access to Quality Care Act: Reps Tony Cardenas(D-CA); Morgan Griffith (R-VA); Vicente Gonzalez (D-TX) To amend title XVIII of the Social Security Act to revise certain physician self-referral exemptions relating to physician-owned hospitals.

Client expense: $393,590 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

7/10/2024: Sign-on letter to Chair and Ranking Member of Senate Committee on Appropriations, Subcommittee on State, Foreign Operations, and Related Programs in support on $10 million for Neglected Surgical Conditions for FY2025. Outlines health and longevity benefits of supporting surgical interventions through low-and-middle-income counties (LMICs). 7/23/2024: Sign-on letter to House Speaker, House Minority Leader, Senate Majority Leader, and Senate Minority Leader in opposition to the Equitable Community Access to Pharmacist Services Act (H.R. 1770/S. 2477); includes issues related to scope of practice, patient care, physician education and training, and the CBO scoring system. 7/24/2024: Sign-on letter to House Speaker, House Minority Leader, Senate Majority Leader, and Senate Minority Leader in support of the Strengthening Medicare for Patients and Providers Act (H.R. 2474), the Provider Reimbursement Stability Act (H.R. 6371), and the Value in Health Care (VALUE) Act (H.R. 5013/S.3503); issues related to the Medicare Access and CHIP Reauthorization Act (MACRA), inflationary updates to the Medicare Physician Fee Schedule, reforms to budget neutrality laws, reforms to MACRA's Merit-based Incentive Payment System (MIPS), and changes to Alternative Payment Models (APMs). 7/29/2024: Letter to Reps. Burgess, Cardenas, Griffith, and Gonzalez in support of the Physician Led and Rural Access to Quality Care Act (H.R. 9001); issues related to patient access to care, healthcare innovation and competition, and physician ownership of healthcare facilities. 8/21/2024: Coalition letter to Director of the Division of Services for Children with Special Health Needs at the Maternal and Child Health Bureau of the HRSA regarding changes to the funding structure of state Early Hearing Detection Intervention (EHDI) programs. Letter urges Director to ensure new structure ensures continued excellence and supports stated aims to improve children lost to follow-up (LTF) in these programs, screen three-year-olds, utilize new gene therapies, meet existing benchmark for referrals, and other quality metrics. 9/4/2024: Letter to Sens. Boozman, Welch, Tillis, King, Marshall, and Shaheen in support of the Physician Fee Stabilization Act (S. 4935); issues related to the Medicare Physician Fee Schedule and the Medicare Economic Index. 9/10/2024: Sign-on letter to House Speaker, House Minority Leader, Senate Majority Leader, and Senate Minority Leader in support of the Strengthening Medicare for Patients and Providers Act (H.R. 2474), the Provider Reimbursement Stability Act (H.R. 6371), and the Physician Fee Stabilization Act (S. 4935); issues related to the Medicare physician payment system and inflationary impacts on the Medicare Physician Fee Schedule. 9/13/2024: Sign-on letter to Congress in support of the Physician Led and Rural Access to Quality Care Act (H.R. 9001); issues related to physician ownership of hospitals in needy areas and rural access to quality healthcare services. Issues related to hearing healthcare, in general. Issues pertaining to health information technology and electronic health records, in general. Issues pertaining to Graduate Medical Education, in general. Issues pertaining to healthcare liability reform, in general. Issues pertaining to prior authorization, the Improving Seniors Timely Access to Care Act (S. 4532 /H.R. 8702), and in general. Issues pertaining to Medicare physician reimbursement, related to the Strengthening Medicare for Patients and Providers Act (H.R. 2474) and the Preserving Seniors Access to Physicians Act of 2023 (H.R. 6683), and in general. Issues pertaining to Medicare allergy verification, the Penicillin Allergy Verification and Evaluation Act of 2024 (H.R. 9778), and in general.

Client expense: $280,000 · 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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Client expense: $220,000 · Firm income: Not reported

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

S. 2333 - Pandemic and All-Hazards Preparedness and Response Act (PAHPA) H.R. 4420 - The Preparedness and Response Reauthorization Act H.R. 4421 - The Preparing for All Hazards and Pathogens Reauthorization Act H.R. 715/S. 494 - The Bipartisan Background Checks Act/Background Check Expansion Act S. 1140/H.R. 1781 - Ensuring Access to General Surgery Act H.R. 2416 - MISSION Zero Reauthorization S. 220/H.R. 731 - Workforce Mobility Act (Non-compete Legislation) S. 705/H.R. 2761 - The Specialty Physicians Advancing Rural Care (SPARC) Act S. 704/H.R. 1202 - The Resident Education Deferred Interest (REDI) Act S. 1653 - Prevent BLEEDing Act S. 2644 - Law Enforcement Sustaining Aid and Vital Emergency Resources (SAVER) Act H.R. 2474 - Strengthening Medicare for Patients and Providers Act H.R. 5213 - Reducing Medically Unnecessary Delays in Care H.R. 6487/S. 3805 - No Fees for EFTS H.R. 6960/S. 3765 - Emergency Medical Services for Children Act Reauthorization S. 3679/H.R.7153 - Dr. Lorna Breen Health Care Provider Protection Reauthorization Act S. RES. 567 - Resolution for Health Workforce Well-Being Day of Awareness S. 1447 - The Bipartisan Solution to Cyclical Violence Act H.R. 2819 - Good Samaritan Health Professionals Act H.R. 4366 - Consolidated Appropriations Act, 2024 S. 1894/H.R. 3382 - Colorectal Cancer Payment Fairness Act H.R. 3086 - Find it Early Act H.R. 8702/S. 4532 - Improving Seniors Timely Access to Care Act H.R. 7855 - Rural Residency Planning and Development Act S. 2768/H.R. 2584 - Safety from Violence for Healthcare Employees (SAVE) Act H.R.9001 - Physician Led and Rural Access to Quality Care Act Episodes of Care/Transforming Episode Accountability Model (TEAM) Physician-Focused Payment Model Technical Advisory Committee (PTAC) reform Telehealth issues MACRA reforms through MIPS e-prescribing Medicare Physician Fee Schedule CMS Quality Payment Program (QPP) Proposed Rule Safe opioid disposal policy Bilateral Exchange Visa Issues/Visas for physician educational and cultural exchange (Conrad-30 Waiver Program) Medicare Price Transparency Labor HHS Appropriations Medicare Physician Payment Cuts AI Taskforce Neglected Surgical Conditions Age Friendly Hospital Measure in IQR program Stop the Bleed program Cancer Advocacy Agenda Trauma Advocacy Agenda Workforce Advocacy Agenda National Trauma and Emergency Preparedness System (NTEPs) Administrative Burden/Prior Authorization Legislation Physician Burnout and Wellbeing Organ Transplant National Cancer Database (NCDB) updates Merit-based Incentive Payment System (MIPS) and MIPS Value Pathways (MVPs) Health Equity Firearm injury prevention research Global Code data collection Surgeon compensation studies Council on Graduate Medical Education (COGME) rural surgery studies Surgical Hospital Measures

Client expense: $220,000 · Firm income: Not reported

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