Medicare Patient Choice Act

Access to audiology services, including the Medicare Audiology Access Improvement Act and Medicare private-contracting rights for audiologists under H.R. 4204, the Medicare Patient Choice Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding Medicare reimbursement and coverage denials Issues surrounding 2025 conversion factor and Medicare reimbursement reform (H.R. 3514/S.1816) Improving Seniors' Timely Access to Care Act (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R.4204) Medicare Patient Choice Act (H.R.4475/S.2329) Medicare Orthotics and Prosthetics Patient-Centered Care Act (H.R. 8163) Provider Reimbursement Stability Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare provider payment reform, Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 1171/S. 2612); Allowing Patient Choice in Therapy, Prevent Interruptions in Physical Therapy Act (H.R. 1517/S. 2225); Medicare Patient Choice Act (H.R. 4204); Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816); Removing Excessive Cuts to Outpatient and Vital Essential Rehabilitation (RECOVER) Act (H.R. 8386).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to prior authorization requirements in Medicare, including H.R. 3514/S. 1816, the Improving Seniors Timely Access to Care Act of 2025 Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 2757/S. 1996) Issues related to the provision of audiology and speech-language pathology services through telepractice, including H.R. 1614, legislation to amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, H.R. 5801, H.R. 6296, the Advancing Access to Telehealth Act, the Telehealth Modernization Act (H.R. 5081/S. 2709), and S. 3834, the Expanded Telehealth Access Act. Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 8163, the Provider Reimbursement Stability Act of 2026 Issues related to the Multiple Procedure Payment Reduction, including the Removing Excessive Cuts to Outpatient and Vital Essential Rehabilitation (RECOVER) Act (H.R. 8386) H.R. 6160, Strengthening Medicare for Patients and Providers Act H.R. 7520, the Efficiency Adjustment Delay Act Provider Reimbursement Stability Act (H.R. 8163) Patients First Act (H.R. 9693) Prompt and Fair Pay Act (H.R. 4559) Medicare Patient Choice Act (H.R. 4204) Stopping Fraudulent Payments Act (H.R. 8464) Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) Health Care Fraud Prevention and Enforcement Act (S. 5326) H.R.6500, the Continuing Appropriations and Extensions Act, 2027 Various issues related to CMS Actions surrounding: o Audits of medical records and claims for Part A and B services o Procedure code development and valuation of audiology and speech-language pathology services o Quality reporting under MIPS o Implementation of the IMPACT Act o Medicare physician fee schedule o Prospective payments systems, including home health and skilled nursing facility policy and payment issues o Accountable Care Organizations o Federally-facilitated marketplace o Medicare Advantage o Various issues related to interoperable health information, including the post-acute care interoperability project (PACIO) o Medicare telehealth coverage under Part A and B o Provision and payment for Part A therapy o Various issues related to implementation of ACA o Issues related to Medicare beneficiaries accessing services provided by audiologists without a physician order o Issues related to qualified Medicare providers o Issues related to fraud, waste, and abuse Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care Issues related to proposals to block grant or institute work requirements and/or per capita caps in the Medicaid program.

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction H.R. 5621 - Physical Therapist Workforce and Patient Access Act Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711/S. 2612 - Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act H.R. 8386 - the RECOVER Act (Repeal of Multiple Procedure Payment Reduction Policy) H.R. 6160 - Strengthening Medicare for Patients and Providers Act H.R. 8163/S. 5180 - Provider Reimbursement Stability Act H.R. 9693/S. 5672 - Patients First Act

HR 539 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. S 106 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. HR 879 Medicare Patient Access and Practice Stabilization Act: Bill stops the entirety of the current reimbursement reduction and helps account for rising inflationary costs with a two percent payment increase. HR 1968 Full-Year Continuing Appropriations and Extensions Act, 2025. Lobbied to have HR 539 (above) included in bill. HR 4204 Medicare Patient Choice Act: Allows Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors. HR 8163 Provider Reimbursement Stability Act: modernizes and updates the underlying mechanics of the Medicare Physician Fee Schedule (MPFS) to improve stability for physicians and their patients. HR 9693 Patients First Act: Allows for larger annual adjustments to the Medicare physician fee schedule and bases these adjustments on inflation. It also requires certain corrections to compensate for expenditures under the fee schedule that exceed a certain amount in a given year, and it limits how much certain adjustment factors may vary each year.

Client expense: $63,650 · Firm income: Not reported

Medicare provider payment reform, Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 1171/S. 2612); Allowing Patient Choice in Therapy, Prevent Interruptions in Physical Therapy Act (H.R. 1517/S. 2225); Medicare Patient Choice Act (H.R. 4204); Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816); Removing Excessive Cuts to Outpatient and Vital Essential Rehabilitation (RECOVER) Act (H.R. 8386).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding Medicare reimbursement and coverage denials Issues surrounding 2025 conversion factor and Medicare reimbursement reform (H.R. 3514/S.1816) Improving Seniors' Timely Access to Care Act (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R.4204) Medicare Patient Choice Act (H.R.4475/S.2329) Medicare Orthotics and Prosthetics Patient-Centered Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to prior authorization requirements in Medicare, including H.R. 3514/S. 1816, the Improving Seniors Timely Access to Care Act of 2025 Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 2757/S. 1996) Issues related to the provision of audiology and speech-language pathology services through telepractice, including H.R. 1614, legislation to amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, H.R. 5801, H.R. 6296, the Advancing Access to Telehealth Act, the Telehealth Modernization Act (H.R. 5081/S. 2709), and S. 3834, the Expanded Telehealth Access Act. Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 8163, the Provider Reimbursement Stability Act of 2026 Issues related to the Multiple Procedure Payment Reduction, including the Removing Excessive Cuts to Outpatient and Vital Essential Rehabilitation (RECOVER) Act (H.R. 8386) H.R. 6160, Strengthening Medicare for Patients and Providers Act H.R. 7520, the Efficiency Adjustment Delay Act Prompt and Fair Pay Act (H.R. 4559) Medicare Patient Choice Act (H.R. 4204) Stopping Fraudulent Payments Act (H.R. 8464) Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) Various issues related to CMS Actions surrounding: Audits of medical records and claims for Part A and B services Procedure code development and valuation of audiology and speech-language pathology services Quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems, including home health and skilled nursing facility policy and payment issues Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Various issues related to interoperable health information, including the post-acute care interoperability project (PACIO) Medicare telehealth coverage under Part A and B Provision and payment for Part A therapy Various issues related to implementation of ACA Issues related to Medicare beneficiaries accessing services provided by audiologists without a physician order Issues related to qualified Medicare providers Issues related to fraud, waste, and abuse Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care Issues related to proposals to block grant or institute work requirements and/or per capita caps in the Medicaid program.

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction H.R. 5621 - Physical Therapist Workforce and Patient Access Act Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711/S. 2612 - Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act H.R. 8386 - the RECOVER Act (Repeal of Multiple Procedure Payment Reduction Policy) H.R. 6160 - Strengthening Medicare for Patients and Providers Act

Client expense: $312,662 · Firm income: Not reported

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number - Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number - Support introduction and passage of the Provider Reimbursement Stability Act No bill number - Support a resumption and extension of telehealth waivers under Medicare after the January 31, 2026 expiration. H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261/H.R.4206 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number - Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R. 926 - Support inclusion of language similar to H.R.4037/S.2847, the Occupational Therapy Mental Health Parity Act in report language H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage H.R.4559 Prompt and Fair Pay Act - support passage H.R.1171/S.2612 Stopping Addiction and Falls for the Elderly (SAFE) Act - support passage H.R. 8386 Removing Excessive Cuts to Outpatient and Vital Essential Rehabilitation (RECOVER) Act - support passage No bill number - Support legislation to make occupational therapy, physical therapy and speech language pathology a mandatory Medicaid benefit.

Client expense: $189,000 · Firm income: Not reported

HR 539 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. S 106 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. HR 879 Medicare Patient Access and Practice Stabilization Act: Bill stops the entirety of the current reimbursement reduction and helps account for rising inflationary costs with a two percent payment increase. HR 1968 Full-Year Continuing Appropriations and Extensions Act, 2025. Lobbied to have HR 539 (above) included in bill. HR 4204 Medicare Patient Choice Act: Allows Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors. HR 8163 Provider Reimbursement Stability Act: modernizes and updates the underlying mechanics of the Medicare Physician Fee Schedule (MPFS) to improve stability for physicians and their patients.

Client expense: $63,025 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare provider payment reform, Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 1171/S. 2612), Allowing Patient Choice in Therapy, Reversing the Multiple Procedure Payment Reduction (MPPR) Policy, Prevent Interruptions in Physical Therapy Act (H.R. 1517/S. 2225); Medicare Patient Choice Act (H.R. 4204); Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Telehealth: H.R. 4204/ S. 1261- CONNECT for Health Act; would permanently remove all geographic restrictions on telehealth services and expand originating sites to the location of the patient, including homes, among other provisions. This quarter a 2 year extension for telehealth flexibilities was signed into law.

Client expense: $333,610 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding Medicare reimbursement and coverage denials Issues surrounding 2025 conversion factor and Medicare reimbursement reform (H.R. 3514/S.1816) Improving Seniors' Timely Access to Care Act (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R.4204) Medicare Patient Choice Act (H.R.4475/S.2329) Medicare Orthotics and Prosthetics Patient-Centered Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction H.R. 5621 - Physical Therapist Workforce and Patient Access Act Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711/S. 2612 - Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act Repeal of Multiple Procedure Payment Reduction (MPPR) H.R. 6160 - Strengthening Medicare for Patients and Providers Act

Client expense: $312,662 · Firm income: Not reported

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction H.R. 5621 - Physical Therapist Workforce and Patient Access Act Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711/S. 2612 - Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act Repeal of Multiple Procedure Payment Reduction (MPPR) H.R. 6160 - Strengthening Medicare for Patients and Providers Act

Client expense: $301,389 · Firm income: Not reported

H.R. 3514/S. 1816, the Improving Seniors Timely Access to Care Act of 2025 Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 2757/S. 1996) Issues related to the provision of audiology and speech-language pathology services through telepractice, including H.R. 1614, legislation to amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, H.R. 5801, H.R. 6296, the Advancing Access to Telehealth Act, the Telehealth Modernization Act (H.R. 5081/S. 2709), and S. 3834, the Expanded Telehealth Access Act. Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025 Issues related to the Multiple Procedure Payment Reduction H.R. 6160, Strengthening Medicare for Patients and Providers Act H.R. 7520, the Efficiency Adjustment Delay Act Prompt and Fair Pay Act (H.R. 4559) Medicare Patient Choice Act (H.R. 4204) Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) Various issues related to CMS Actions surrounding: oAudits of medical records and claims for Part A and B services oProcedure code development and valuation of audiology and speech-language pathology services oQuality reporting under MIPS oImplementation of the IMPACT Act oMedicare physician fee schedule oProspective payments systems, including home health and skilled nursing facility policy and payment issues oAccountable Care Organizations oFederally-facilitated marketplace oMedicare Advantage oVarious issues related to interoperable health information, including the post-acute care interoperability project (PACIO) oMedicare telehealth coverage under Part A and B oProvision and payment for Part A therapy oVarious issues related to implementation of ACA oIssues related to Medicare beneficiaries accessing services provided by audiologists without a physician order oIssues related to qualified Medicare providers oIssues related to fraud, waste, and abuse Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care Issues related to proposals to block grant or institute work requirements and/or per capita caps in the Medicaid program. H.R. 7148, the Consolidated Appropriations Act, 2026

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number - Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number - Support introduction and passage of the Provider Reimbursement Stability Act No bill number - Support a resumption and extension of telehealth waivers under Medicare after the January 31, 2026 expiration. H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261/H.R.4206 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number - Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage H.R.4559 Prompt and Fair Pay Act - support passage H.R.1171/S.2612 Stopping Addiction and Falls for the Elderly (SAFE) Act - support passage No bill number - Support legislation to repeal the Medicare Multiple Procedure Payment Reduction applied to therapy services. No bill number - Support legislation to make occupational therapy, physical therapy and speech language pathology a mandatory Medicaid benefit.

Client expense: $189,000 · Firm income: Not reported

HR 539 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. S 106 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. HR 879 Medicare Patient Access and Practice Stabilization Act: Bill stops the entirety of the current reimbursement reduction and helps account for rising inflationary costs with a two percent payment increase. HR 1968 Full-Year Continuing Appropriations and Extensions Act, 2025. Lobbied to have HR 539 (above) included in bill. HR 4204 Medicare Patient Choice Act: Allows Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors.

Client expense: $63,025 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number - Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number - Support introduction and passage of the Provider Reimbursement Stability Act No bill number - Support a resumption and extension of telehealth waivers under Medicare after the September 30, 2025 expiration. H.R.1171 Stopping Addiction and Falls for the Elderly Act (SAFE Act) - support passage H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261/H.R.4206 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number - Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage H.R.4559 Prompt and Fair Pay Act - support passage H.R.1171/S.2612 Stopping Addiction and Falls for the Elderly (SAFE) Act - support passage No bill number - Support legislation to repeal the Medicare Multiple Procedure Payment Reduction applied to therapy services. No bill number - Support legislation to make occupational therapy, physical therapy and speech language pathology a mandatory Medicaid benefit.

Client expense: $189,000 · Firm income: Not reported

Medicare provider payment reform, Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 1171), Allowing Patient Choice in Therapy, Reversing the Multiple Procedure Payment Reduction (MPPR) Policy, Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879); Medicare payment and prevention of Medicaid cuts under One Big Beautiful Bill Act (H.R. 1); Prevent Interruptions in Physical Therapy Act (H.R. 1517/S. 2225); Medicare Patient Choice Act (H.R. 4204); Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816), Stopping Addiction and Falls for the Elderly (SAFE) Act (S. 2612).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding Medicare reimbursement and coverage denials Issues surrounding 2025 conversion factor and Medicare reimbursement reform (H.R. 3514/S.1816) Improving Seniors' Timely Access to Care Act (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R.4204) Medicare Patient Choice Act (H.R.4475/S.2329) Medicare Orthotics and Prosthetics Patient-Centered Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction H.R. 5621 - Physical Therapist Workforce and Patient Access Act Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711/S. 2612 - Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act Repeal of Multiple Procedure Payment Reduction (MPPR)

Client expense: $301,389 · Firm income: Not reported

H.R. 3514/S. 1816, the Improving Seniors Timely Access to Care Act of 2025 Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 2757/S. 1996) Issues related to the provision of audiology and speech-language pathology services through telepractice, including H.R. 1614, legislation to amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, and H.R. 5801, the Telehealth Modernization Act. Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025 H.R. 6160, Strengthening Medicare for Patients and Providers Act Prompt and Fair Pay Act (H.R. 4559) Medicare Patient Choice Act (H.R. 4204) Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) Various issues related to CMS Actions surrounding: oAudits of medical records and claims for Part A and B services oProcedure code development and valuation of audiology and speech-language pathology services oQuality reporting under MIPS oImplementation of the IMPACT Act oMedicare physician fee schedule oProspective payments systems, including home health and skilled nursing facility policy and payment issues oAccountable Care Organizations oFederally-facilitated marketplace oMedicare Advantage oVarious issues related to interoperable health information, including the post-acute care interoperability project (PACIO) oMedicare telehealth coverage under Part A and B oProvision and payment for Part A therapy oVarious issues related to implementation of ACA oIssues related to Medicare beneficiaries accessing services provided by audiologists without a physician order oIssues related to qualified Medicare providers Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care Issues related to proposals to block grant or institute work requirements and/or per capita caps in the Medicaid program. H.R.5371, the Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 H.R. 6296, the Advancing Access to Telehealth Act

HR 539 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. S 106 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. HR 879 Medicare Patient Access and Practice Stabilization Act: Bill stops the entirety of the current reimbursement reduction and helps account for rising inflationary costs with a two percent payment increase. HR 1968 Full-Year Continuing Appropriations and Extensions Act, 2025. Lobbied to have HR 539 (above) included in bill. HR 1 One Big Beautiful Bill Act: Reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Lobbied to increase reimbursement for chiropractic physicians in and to preserve student loan funding. HR 4204 Medicare Patient Choice Act: Allows Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors.

Client expense: $63,025 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number: Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number: Support an extension of telehealth waivers under Medicare after the September 30, 2025 expiration, including in Continuing Resolutions. H.Con.Res.14 and H.R.1- ask Congress to limit cuts to state funding for Medicaid and limit burden when applying eligibility checks and requirements H.R.1171 Stopping Addiction and Falls for the Elderly Act (SAFE Act) - support passage H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number: Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage

Client expense: $189,000 · Firm income: Not reported

H.R. 1, the One Big Beautiful Bill Act H.R. 3514/S. 1816, the Improving Seniors Timely Access to Care Act of 2025 Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 2757/S. 1996) Issues related to the provision of audiology and speech-language pathology services through telepractice, including H.R. 1614, legislation to amend title XVIII of the Social Security Act to expand practitioners eligible to furnish telehealth services under the Medicare program, and H.R. 5801, the Telehealth Modernization Act. Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 879, the Medicare Patient Access and Practice Stabilization Act of 2025 Prompt and Fair Pay Act (H.R. 4559) Medicare Patient Choice Act (H.R. 4204) Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) Various issues related to CMS Actions surrounding: oAudits of medical records and claims for Part A and B services oProcedure code development and valuation of audiology and speech-language pathology services oQuality reporting under MIPS oImplementation of the IMPACT Act oMedicare physician fee schedule oProspective payments systems, including home health and skilled nursing facility policy and payment issues oAccountable Care Organizations oFederally-facilitated marketplace oMedicare Advantage oVarious issues related to interoperable health information, including the post-acute care interoperability project (PACIO) oMedicare telehealth coverage under Part A and B oImplementation of CARES Act (P.L. 116-136) oProvision and payment for Part A therapy oVarious issues related to implementation of ACA oIssues related to Medicare beneficiaries accessing services provided by audiologists without a physician order oIssues related to qualified Medicare providers Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care Issues related to proposals to block grant or institute work requirements and/or per capita caps in the Medicaid program.

Medicare provider payment reform, Prevent Interruptions in Physical Therapy Act (H.R. 1517), Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 1171), Allowing Patient Choice in Therapy, Reversing the Multiple Procedure Payment Reduction (MPPR) Policy, Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879); Medicare payment and prevention of Medicaid cuts under One Big Beautiful Bill Act (H.R. 1); Prevent Interruptions in Physical Therapy Act (H.R. 1517/S. 2225); Medicare Patient Choice Act (H.R. 4204); Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues surrounding Medicare reimbursement and coverage denials Issues surrounding 2025 conversion factor and Medicare reimbursement reform (H.R. 3514/S.1816) Improving Seniors' Timely Access to Care Act (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R.4204) Medicare Patient Choice Act (H.R.4475/S.2329) Medicare Orthotics and Prosthetics Patient-Centered Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number: Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number: Support an extension of telehealth waivers under Medicare after the September 30, 2025 expiration, including in Continuing Resolutions. H.Con.Res.14 and H.R.1- ask Congress to limit cuts to state funding for Medicaid and limit burden when applying eligibility checks and requirements H.R.1171 Stopping Addiction and Falls for the Elderly Act (SAFE Act) - support passage H.R.2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R.1614, therapy telehealth act - support passage S.1261 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number: Asking for potential carve out of schools from Medicaid referral requirement S.2847/H.R.4037 Occupational Therapy Mental Health Parity Act - support passage H.R.4204 Medicare Patient Choice Act - support passage S.2329/H.R.4475 Medicare Orthotics and Prosthetics Patient-Centered Care Act - support passage S.2830 WELL Seniors Act - support passage S.2709/H.R.5081 Telehealth Modernization Act - support passage

Client expense: $189,000 · Firm income: Not reported

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction H.R. 5621 - Physical Therapist Workforce and Patient Access Act Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711/S. 2612 - Stopping Addiction and Falls for the Elderly (SAFE) Act H.R. 5081/S. 2709 - Telehealth Modernization Act H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act Repeal of Multiple Procedure Payment Reduction (MPPR)

Client expense: $318,889 · Firm income: Not reported

HR 539 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. S 106 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. HR 879 Medicare Patient Access and Practice Stabilization Act: Bill stops the entirety of the current reimbursement reduction and helps account for rising inflationary costs with a two percent payment increase. HR 1968 Full-Year Continuing Appropriations and Extensions Act, 2025. Lobbied to have HR 539 (above) included in bill. HR 1 One Big Beautiful Bill Act: Reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Lobbied to increase reimbursement for chiropractic physicians in and to preserve student loan funding. HR 4204 Medicare Patient Choice Act: Allows Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors.

Client expense: $61,775 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 879 Medicare Patient Access and Practice Stabilization Act - support passage No bill number: Support an annual inflationary update or an increase for 2025 and 2026 to the Medicare Physician Fee Schedule No bill number: Support an extension of telehealth waivers under Medicare after the September 30, 2025 expiration H.Con.Res. 14 and H.R. 1- ask Congress to limit cuts to state funding for Medicaid and limit burden when applying eligibility checks and requirements H.R. 1171 Stopping Addiction and Falls for the Elderly Act (SAFE Act) - support passage H.R. 2013 Medicare Home Health Accessibility Act - support passage and introduction of similar bill in Senate H.R. 1614, therapy telehealth act - Support passage S.1261 CONNECT for Health Act - advocate for provision to establish OTs as permanent Medicare telehealth providers No bill number: Asking for potential carve out of schools from Medicaid referral requirement H.R. 1171 Safe Act - Support passage H.R.4037 Occupational Therapy Mental Health Parity Act - Support passage H.R.4204 Medicare Patient Choice Act - Support passage

Client expense: $189,000 · Firm income: Not reported

Medicare provider payment reform, Prevent Interruptions in Physical Therapy Act (H.R. 1517), Stopping Addiction and Falls for the Elderly (SAFE) Act (H.R. 1171), Allowing Patient Choice in Therapy, Reversing the Multiple Procedure Payment Reduction (MPPR) Policy, Medicare Patient Access and Practice Stabilization Act of 2025 (H.R. 879); Medicare payment and prevention of Medicaid cuts under One Big Beautiful Bill Act (H.R. 1); Prevent Interruptions in Physical Therapy Act (H.R. 1517/S. 2225); Medicare Patient Choice Act (H.R. 4204); Improving Seniors Timely Access to Care Act (H.R. 3514/S. 1816)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction Physical Therapy Workforce and Patient Access Act - reintroduction Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711 - Stopping Addiction and Falls for the Elderly (SAFE) Act Telehealth Modernization Act (TMA) - reintroduction H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to Expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act Repeal of Multiple Procedure Payment Reduction (MPPR)

Client expense: $318,889 · Firm income: Not reported

H.R. 1517/S.2225 - Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Protecting Student Athletes from Concussions Act 1115 Waivers Student and Student Athlete Opioid Misuse Prevention Act Personal Health Investment Today Act Promoting Physical Activity for Americans Act Establishment of an Office of Falls Prevention in the Administration on Aging H.R. 2332/S.1101 - States Handling Access to Reciprocity for Employment (SHARE) Act H.R. 4074 - Optimizing Postpartum Outcomes Act Expanded Telehealth Access Act - reintroduction Physical Therapy Workforce and Patient Access Act - reintroduction Strengthening Medicare for Patients and Providers Act - reintroduction IDEA Act Medicare Payment Reform H.R. 1711 - Stopping Addiction and Falls for the Elderly (SAFE) Act Telehealth Modernization Act (TMA) - reintroduction H.R. 935 - Health Care Workforce Innovation Act H.R. 1614 - to Expand eligible practitioners to furnish telehealth services S. 668/H.R. 3183 - SAFE Steps for Veterans Act H.R. 879 - Medicare Patient Access and Practice Stabilization Act H.R. 1 - One Big Beautiful Bill Act (Medicare provider payment section) H.R. 4204 - Medicare Patient Choice Act S.1816/H.R. 3514 - Improving Seniors' Timely Access to Care Act Repeal of Multiple Procedure Payment Reduction (MPPR)

Client expense: $301,389 · Firm income: Not reported

HR 539 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. S 106 Chiropractic Medicare Coverage Modernization Act: Bill would allow Medicare beneficiaries to access all Medicare-covered services allowed under a chiropractor's state licensure. HR 879 Medicare Patient Access and Practice Stabilization Act: Bill stops the entirety of the current reimbursement reduction and helps account for rising inflationary costs with a two percent payment increase. HR 1968 Full-Year Continuing Appropriations and Extensions Act, 2025. Lobbied to have HR 539 (above) included in bill. HR 1 One Big Beautiful Bill Act: Reduces taxes, reduces or increases spending for various federal programs, increases the statutory debt limit, and otherwise addresses agencies and programs throughout the federal government. Lobbied to increase reimbursement for chiropractic physicians in and to preserve student loan funding. HR 4204 Medicare Patient Choice Act: Allows Medicare beneficiaries to choose their physical and occupational therapists, speech-language pathologists, audiologists, and chiropractors.

Client expense: $62,350 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE