Positive Aging Act of 2013

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Labor, HHS Appropriations bill, 2015-Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed proposed regulation relating to Medicaid expansion coverage and minimum essential coverage. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H.R.3850/S. 1562, Discussed Older Americans Act reauthorization legislation. H.R.3662, the Mental Health Access Improvement Act - Sent letter of endorsement. H.R.4879, the Research for All Act - Sent letter of endorsement. S.2348, the Removing Barriers to Colorectal Cancer Screening Act - Sent letter of endorsement. Discussed legislation to address health disparities. (no bill) H.R.5294 - Discussed Health Equity & Accountability Act of 2014; no endorsement due to budget implications. H.J. Res. 124, Continuing Appropriations Resolution, 2015 - Lobbied to protect various healthcare programs serving seniors from disproportionate reduction under Continuing Resolution.Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. Labor, Health and Human Services Appropriations Act, 2015 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. Discussed H.R. 3717, the Helping Families in Mental Health Crisis Act. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed the Convention on the Rights of Persons with Disabilities. (no bill) H.R. 2835/S. 1647, Restoring Access to Medication Act of 2013 - Urged co-sponsorship of these bills. Discussed hospital readmissions. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H. R. 3850 - Discussed Older Americans Act reauthorization legislation. H.R. 5183, Better Care Act - Discussed legislation with staff regarding the bill. H.R. 5232, Notice of Observation Treatment & Implication for Care Eligibility (Notice Act) - Discussed legislation with staff.

Client expense: $2,380,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Congressional Budget Office (CBO), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Take position in support of: HJRES78-113 HJRES88-113 HJRES91-113 HR1014-113 HR1132-113 HR1134-113 HR1171-113 HR1223-113 HR1236-113 HR1238-113 HR1251-113 HR1284-113 HR1305-113 HR1316-113 HR1333-113 HR1344-113 HR1357-113 HR1402-113 HR1405-113 HR1412-113 HR1438-113 HR1443-113 HR1453-113 HR1463-113 HR1464-113 HR1490-113 HR1497-113 HR1521-113 HR152-113 HR153-113 HR154-113 HR1593-113 HR1620-113 HR1623-113 HR1631-113 HR164-113 HR1702-113 HR1725-113 HR1729-113 HR1742-113 HR1759-113 HR1770-113 HR1774-113 HR179-113 HR1792-113 HR1796-113 HR1804-113 HR1805-113 HR1809-113 HR1824-113 HR183-113 HR1842-113 HR1864-113 HR1938-113 HR1957-113 HR1980-113 HR1987-113 HR2001-113 HR2002-113 HR2011-113 HR2016-113 HR2038-113 HR2039-113 HR2055-113 HR2056-113 HR2059-113 HR2065-113 HR2072-113 HR2079-113 HR2086-113 HR2088-113 HR2118-113 HR2119-113 HR2150-113 HR2151-113 HR2153-113 HR2157-113 HR2169-113 HR2185-113 HR2187-113 HR2189-113 HR2209-113 HR2210-113 HR2216-113 HR2227-113 HR2230-113 HR2272-113 HR2284-113 HR2327-113 HR235-113 HR241-113 HR2423-113 HR2481-113 HR2485-113 HR2510-113 HR2527-113 HR2528-113 HR2540-113 HR258-113 HR274-113 HR288-113 HR2882-113 HR2942-113 HR2974-113 HR303-113 HR3045-113 HR3056-113 HR3210-113 HR32-113 HR3230-113 HR3232-113 HR3237-113 HR3241-113 HR3246-113 HR3274-113 HR331-113 HR333-113 HR3337-113 HR3384-113 HR3387-113 HR340-113 HR3456-113 HR357-113 HR3593-113 HR3600-113 HR368-113 HR369-113 HR3790-113 HR385-113 HR401-113 HR4031-113 HR4037-113 HR4038-113 HR4085-113 HR411-113 HR4147-113 HR4150-113 HR4151-113 HR42-113 HR4261-113 HR430-113 HR4305-113 HR4435-113 HR4446-113 HR4486-113 HR449-113 HR4504-113 HR4594-113 HR4628-113 HR5059-113 HR5589-113 HR562-113 HR569-113 HR570-113 HR577-113 HR602-113 HR631-113 HR635-113 HR671-113 HR679-113 HR683-113 HR697-113 HR733-113 HR806-113 HR813-113 HR821-113 HR833-113 HR834-113 HR844-113 HR894-113 HR897-113 HR921-113 HR933-113 HR958-113 HR975-113 HR984-113 HRES104-113 HRES32-113 S1015-113 S1034-113 S1039-113 S1042-113 S1046-113 S1050-113 S1058-113 S1060-113 S1061-113 S1076-113 S1081-113 S1089-113 S1092-113 S1148-113 S1255-113 S131-113 S1387-113 S1399-113 S1411-113 S153-113 S1558-113 S1578-113 S1581-113 S1582-113 S1583-113 S1585-113 S1586-113 S1588-113 S1589-113 S1591-113 S162-113 S1637-113 S1643-113 S1662-113 S1668-113 S1717-113 S1728-113 S1752-113 S1755-113 S1956-113 S1963-113 S1982-113 S1985-113 S1993-113 S1999-113 S2013-113 S2035-113 S2075-113 S2091-113 S2095-113 S210-113 S2190-113 S2231-113 S2300-113 S234-113 S2424-113 S2450-113 S25-113 S257-113 S2730-113 S2834-113 S2837-113 S287-113 S373-113 S412-113 S422-113 S430-113 S444-113 S46-113 S49-113 S492-113 S495-113 S515-113 S522-113 S529-113 S543-113 S572-113 S573-113 S6-113 S62-113 S629-113 S674-113 S695-113 S700-113 S734-113 S735-113 S748-113 S759-113 S778-113 S800-113 S810-113 S819-113 S825-113 S832-113 S851-113 S852-113 S863-113 S871-113 S875-113 S877-113 S889-113 S893-113 S894-113 S928-113 S932-113 S935-113 S938-113 S939-113 S964-113 S967-113 S990-113 S992-113 S995-113 Review and/or Monitor the following: HJRES72-113 HR1288-113 HR1492-113 HR1494-113 HR1605-113 HR1714-113 HR1816-113 HR1832-113 HR1855-113 HR1867-113 HR1885-113 HR1898-113 HR1904-113 HR1960-113 HR1988-113 HR2138-113 HR2207-113 HR2237-113 HR2249-113 HR2257-113 HR2310-113 HR2319-113 HR2341-113 HR2354-113 HR2358-113 HR2362-113 HR2377-113 HR2382-113 HR2397-113 HR2412-113 HR2470-113 HR247-113 HR2519-113 HR2522-113 HR2590-113 HR2642-113 HR2654-113 HR2661-113 HR2693-113 HR2704-113 HR2726-113 HR2743-113 HR2749-113 HR2785-113 HR2797-113 HR2841-113 HR2859-113 HR2876-113 HR2906-113 HR2907-113 HR2913-113 HR2941-113 HR2953-113 HR3007-113 HR3053-113 HR3087-113 HR3098-113 HR3106-113 HR3120-113 HR3145-113 HR3152-113 HR3164-113 HR3180-113 HR3181-113 HR3207-113 HR3214-113 HR3225-113 HR3276-113 HR3287-113 HR3310-113 HR3330-113 HR3352-113 HR3368-113 HR3369-113 HR3383-113 HR3395-113 HR3396-113 HR3397-113 HR3399-113 HR3405-113 HR3408-113 HR3418-113 HR3422-113 HR3441-113 HR3442-113 HR3443-113 HR3451-113 HR3453-113 HR3459-113 HR3469113 HR3474-113 HR3477-113 HR3493-113 HR3499-113 HR3506-113 HR3507-113 HR3508-113 HR3514-113 HR3515-113 HR3516-113 HR3521-113 HR3569-113 HR3576-113 HR3615-113 HR3646-113 HR3647-113 HR3671-113 HR3672-113 HR3725-113 HR3743-113 HR3775-113 HR3788-113 HR3789-113 HR3792-113 HR3794-113 HR3797-113 HR3798-113 HR3801-113 HR3804-113 HR3807-113 HR3808-113 HR3810-113 HR3831-113 HR3843-113 HR3852-113 HR3858-113 HR3876-113 HR3958-113 HR3974-113 HR4004-113 HR4005-113 HR4023-113 HR4050-113 HR4068-113 HR4095-113 HR4096-113 HR4101-113 HR4102-113 HR4110-113 HR4134-113 HR4141-113 HR4149-113 HR4184-113 HR4191-113 HR4198-113 HR4217-113 HR4232-113 HR4234-113 HR4235-113 HR4247-113 HR4248-113 HR4274-113 HR4276-113 HR4314-113 HR4335-113 HR4344-113 HR4356-113 HR4359-113 HR4370-113 HR4374-113 HR4394-113 HR4399-113 HR4408-113 HR4422-113 HR4485-113 HR4488-113 HR4489-113 HR4492-113 HR4516-113 HR4517-113 HR4561-113 HR4574-113 HR4580-113 HR4616-113 HR4629-113 HR4630-113 HR4656-113 HR4669-113 HR4674-113 HR4682-113 HR4688-113 HR4712-113 HR4720-113 HR4723-113 HR4725-113 HR4730-113 HR4741-113 HR4760-113 HR4766-113 HR4774-113 HR4778-113 HR4779-113 HR4793-113 HR4807-113 HR4810-113 HR4816-113 HR4818-113 HR4841-113 HR4852-113 HR4861-113 HR4862-113 HR4863-113 HR4875-113 HR4887-113 HR4892-113 HR4898-113 HR4900-113 HR4942-113 HR4971-113 HR4974-113 HR4977-113 HR4999-113 HR5007-113 HR5009-113 HR5022-113 HR5023-113 HR5032-113 HR5042-113 HR5045-113 HR5046-113 HR5047-113 HR5048-113 HR5054-113 HR5061-113 HR5088-113 HR5094-113 HR5097-113 HR5112-113 HR5131-113 HR5157-113 HR5172-113 HR5193-113 HR5195-113 HR5229-113 HR5254-113 HR5273-113 HR5286-113 HR5290-113 HR5323-113 HR5332-113 HR5333-113 HR5336-113 HR5342-113 HR5349-113 HR5351-113 HR5369-113 HR5375-113 HR5391-113 HR5398-113 HR5432-113 HR5441-113 HR5475-113 HR5480-113 HR5500-113 HR55-113 HR5518-113 HR5524-113 HR5618-113 HR604-113 HR748-113 HR883-113 HRES13-113 S1032-113 S1041-113 S1078-113 S1119-113 S1174-113 S1190-113 S1197-113 S1211-113 S1216-113 S1246-113 S1262-113 S1281-113 S1295-113 S1296-113 S1320-113 S1361-113 S1367-113 S140-113 S1403-113 S1434-113 S1471-113 S1486-113 S1540-113 S1547-113 S1556-113 S1559-113 S1580-113 S1593-113 S1624-113 S1644-113 S1659-113 S1669-113 S1682-113 S1684-113 S1688-113 S1703-113 S1736-113 S1740-113 S1741-113 S1751-113 S1760-113 S1775-113 S1844-113 S1856-113 S1863-113 S1869-113 S1892-113 S1917-113 S1919-113 S1950-113 S1977-113 S1987-113 S2009-113 S2014-113 S2053-113 S2138-113 S2145-113 S2179-113 S2243-113 S2258-113 S2259-113 S2264-113 S2281-113 S2296-113 S2298-113 S2312-113 S2316-113 S2333-113 S2341-113 S2350-113 S2357-113 S2358-113 S2362-113 S2368-113 S2393-113 S2395-113 S2396-113 S2410-113 S2413-113 S2419-113 S2422-113 S2423-113 S2425-113 S2428-113 S2448-113 S2467-113 S2468-113 S2507-113 S2545-113 S2606-113 S2639-113 S2654-113 S2687-113 S2700-113 S2707-113 S2738-113 S2740-113 S2782-113 S2810-113 S2822-113 S2843-113 S922-113 S927-113 S930-113 S944-113 SRES323-113 Take position in opposition to: HR1739-113 HR3614-113 HR595-113 HR803-113 S262-113

P.L. 111-375 National Alzheimer's Project Act, All sections S709/HR1507 Health Outcomes, Planning and Education for Alzheimer's Act, All sections S.1119 Positive Aging Act of 2013, All Sections S.1028 Older American's Act Amendments of 2013S.219/H.R.4351 - Alzheimer's Accountability Act of 2014 P.L. 111-148/111-152 Patient Protection and Affordable Car Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, establishment of a national voluntary disability insurance program, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. H.R. 2976 Missing Alzheimer's Disease Patient Alert Program Reauthorization All sections H.R. 2975 Alzheimer's Caregiver Support Act. All Sections S.1914 National Silver Alert Act of 2013 H. Res. 396 - A resolution supporting the goals of the National Alzheimer's Disease Awareness month S.1365/H.R. 2827 Part D Beneficiary appeals S. Res. 301 - A resolution recognizing and supporting the goals and implementation of the national Alzheimer's Project Act and the National Plan to Address Alzheimer's Disease. S. Res 303 - A resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority H.R. 3836/S. 1910 Pat Summitt Congressional Gold Medal Act H. Res. 489 - A resolution expressing the need to facilitate a robust response to the looming global crisis of Alzheimer's and other forms of dementia. H.R. 4484 - Strengthening Healthcare Options for Vulnerable Populations Act. H.R.4543 - PACE Pilot Act of 2014.

Client expense: $130,000 · Firm income: Not reported

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Labor, HHS Appropriations bill, 2015-Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed proposed regulation relating to Medicaid expansion coverage and minimum essential coverage. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H.R.3850/S. 1562, Discussed Older Americans Act reauthorization legislation.Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. The Labor, Health and Human Services Appropriations Act, 2015 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. Discussed H.R. 3717, the Helping Families in Mental Health Crisis Act. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed National Alzheimer's Project Act 111-375. Discussed the Convention on the Rights of Persons with Disabilities. (no bill) Discussed family caregiving, doctors and health professionals engaging family caregivers of older adults with multiple chronic conditions, family caregiver assessment, shared relevant information. (no bill) H.R. 2835/S. 1647, Restoring Access to Medication Act of 2013 - Urged co-sponsorship of these bills. Submitted statement for the record to the Advisory Counsel on Alzheimer's Disease, Research, Care & Services for their April meeting. Discussed hospital readmissions. (no bill)

Issues pertaining to the coverage and delivery of mental health care provided to older adults [Positive Aging Act (S. 1119) - all provisions]

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Take position in support of: HJRES78-113 HJRES88-113 HJRES91-113 HR1014-113 HR1132-113 HR1134-113 HR1171-113 HR1223-113 HR1236-113 HR1238-113 HR1251-113 HR1284-113 HR1305-113 HR1316-113 HR1333-113 HR1344-113 HR1357-113 HR1402-113 HR1405-113 HR1412-113 HR1438-113 HR1443-113 HR1453-113 HR1463-113 HR1464-113 HR1490-113 HR1497-113 HR1521-113 HR152-113 HR153-113 HR154-113 HR1593-113 HR1620-113 HR1623-113 HR1631-113 HR164-113 HR1702-113 HR1725-113 HR1729-113 HR1742-113 HR1759-113 HR1770-113 HR1774-113 HR179-113 HR1792-113 HR1796-113 HR1804-113 HR1805-113 HR1809-113 HR1824-113 HR183-113 HR1842-113 HR1864-113 HR1938-113 HR1957-113 HR1980-113 HR1987-113 HR2001-113 HR2002-113 HR2011-113 HR2016-113 HR2038-113 HR2039-113 HR2055-113 HR2056-113 HR2059-113 HR2065-113 HR2072-113 HR2079-113 HR2086-113 HR2088-113 HR2118-113 HR2119-113 HR2150-113 HR2151-113 HR2153-113 HR2157-113 HR2169-113 HR2185-113 HR2187-113 HR2189-113 HR2209-113 HR2210-113 HR2216-113 HR2227-113 HR2230-113 HR2272-113 HR2284-113 HR2327-113 HR235-113 HR241-113 HR2423-113 HR2481-113 HR2485-113 HR2510-113 HR2527-113 HR2528-113 HR2540-113 HR258-113 HR274-113 HR288-113 HR2882-113 HR2942-113 HR2974-113 HR303-113 HR3045-113 HR3056-113 HR3210-113 HR32-113 HR3230-113 HR3232-113 HR3237-113 HR3241-113 HR3246-113 HR3274-113 HR331-113 HR333-113 HR3337-113 HR3384-113 HR3387-113 HR340-113 HR3456-113 HR357-113 HR3593-113 HR3600-113 HR368-113 HR369-113 HR3790-113 HR385-113 HR401-113 HR4031-113 HR4037-113 HR4038-113 HR4085-113 HR411-113 HR4147-113 HR4150-113 HR4151-113 HR42-113 HR4261-113 HR430-113 HR4305-113 HR4435-113 HR4446-113 HR4486-113 HR449-113 HR4504-113 HR4594-113 HR4628-113 HR562-113 HR569-113 HR570-113 HR577-113 HR602-113 HR631-113 HR635-113 HR671-113 HR679-113 HR683-113 HR697-113 HR733-113 HR806-113 HR813-113 HR821-113 HR833-113 HR834-113 HR844-113 HR894-113 HR897-113 HR921-113 HR933-113 HR958-113 HR975-113 HR984-113 HRES104-113 HRES32-113 S1015-113 S1034-113 S1039-113 S1042-113 S1046-113 S1050-113 S1058-113 S1060-113 S1061-113 S1076-113 S1081-113 S1089-113 S1092-113 S1148-113 S1255-113 S131-113 S1387-113 S1399-113 S1411-113 S153-113 S1558-113 S1578-113 S1581-113 S1582-113 S1583-113 S1585-113 S1586-113 S1588-113 S1589-113 S1591-113 S162-113 S1637-113 S1643-113 S1662-113 S1668-113 S1717-113 S1728-113 S1752-113 S1755-113 S1956-113 S1963-113 S1982-113 S1985-113 S1993-113 S1999-113 S2013-113 S2035-113 S2075-113 S2091-113 S2095-113 S210-113 S2182-113 S2190-113 S2231-113 S2300-113 S234-113 S2424-113 S2450-113 S25-113 S257-113 S287-113 S373-113 S412-113 S422-113 S430-113 S444-113 S46-113 S49-113 S492-113 S495-113 S515-113 S522-113 S529-113 S543-113 S572-113 S573-113 S6-113 S62-113 S629-113 S674-113 S695-113 S700-113 S734-113 S735-113 S748-113 S759-113 S778-113 S800-113 S810-113 S819-113 S825-113 S832-113 S851-113 S852-113 S863-113 S871-113 S875-113 S877-113 S889-113 S893-113 S894-113 S928-113 S932-113 S935-113 S938-113 S939-113 S964-113 S967-113 S990-113 S992-113 S995-113 Take position in opposition to: HR1739-113 HR3614-113 HR595-113 HR803-113 S262-113 Monitor/Review the following: HJRES72-113 HR125-113 HR1288-113 HR1372-113 HR1492-113 HR1494-113 HR1605-113 HR1714-113 HR1816-113 HR1832-113 HR1855-113 HR1867-113 HR1885-113 HR1898-113 HR1904-113 HR1960-113 HR1988-113 HR2018-113 HR2138-113 HR2207-113 HR2237-113 HR2249-113 HR2257-113 HR2310-113 HR2319-113 HR2341-113 HR2354-113 HR2358-113 HR2362-113 HR2377-113 HR2382-113 HR2397-113 HR2412-113 HR2470-113 HR247-113 HR2519-113 HR2522-113 HR2590-113 HR2642-113 HR2654-113 HR2661-113 HR2693-113 HR2704-113 HR2726-113 HR2743-113 HR2749-113 HR2785-113 HR2797-113 HR2841-113 HR2859-113 HR2876-113 HR2906-113 HR2907-113 HR2913-113 HR2941-113 HR2953-113 HR3007-113 HR3053-113 HR3087-113 HR3098-113 HR3106-113 HR3120-113 HR3145-113 HR3152-113 HR3164-113 HR3166-113 HR3180-113 HR3181-113 HR3207-113 HR3214-113 HR3223-113 HR3225-113 HR3276-113 HR3287-113 HR3310-113 HR3330-113 HR3352-113 HR3368-113 HR3369-113 HR3383-113 HR3395-113 HR3396-113 HR3397-113 HR3399-113 HR3405-113 HR3408-113 HR3418-113 HR3422-113 HR3441-113 HR3442-113 HR3443-113 HR3451-113 HR3453-113 HR3459-113 HR3469113 HR3474-113 HR3477-113 HR3493-113 HR3499-113 HR3506-113 HR3507-113 HR3508-113 HR3514-113 HR3515-113 HR3516-113 HR3521-113 HR3569-113 HR3576-113 HR3615-113 HR3646-113 HR3647-113 HR3671-113 HR3672-113 HR3725-113 HR3743-113 HR3775-113 HR3788-113 HR3789-113 HR3792-113 HR3794-113 HR3797-113 HR3798-113 HR3801-113 HR3804-113 HR3807-113 HR3808-113 HR3810-113 HR3831-113 HR3843-113 HR3852-113 HR3858-113 HR3876-113 HR3958-113 HR3974-113 HR4004-113 HR4005-113 HR4023-113 HR4050-113 HR4068-113 HR4095-113 HR4096-113 HR4101-113 HR4102-113 HR4110-113 HR4134-113 HR4141-113 HR4149-113 HR4184-113 HR4191-113 HR4198-113 HR4217-113 HR4232-113 HR4234-113 HR4235-113 HR4247-113 HR4248-113 HR4274-113 HR4276-113 HR4314-113 HR4335-113 HR4344-113 HR4356-113 HR4359-113 HR4370-113 HR4374-113 HR4394-113 HR4399-113 HR4408-113 HR4422-113 HR4485-113 HR4488-113 HR4489-113 HR4492-113 HR4516-113 HR4517-113 HR4561-113 HR4574-113 HR4580-113 HR4616-113 HR4629-113 HR4630-113 HR4656-113 HR4669-113 HR4674-113 HR4682-113 HR4688-113 HR4712-113 HR4720-113 HR4723-113 HR4725-113 HR4730-113 HR4741-113 HR4760-113 HR4766-113 HR4774-113 HR4778-113 HR4779-113 HR4793-113 HR4807-113 HR4810-113 HR4816-113 HR4818-113 HR4841-113 HR4852-113 HR4861-113 HR4862-113 HR4863-113 HR4875-113 HR4887-113 HR489-113 HR4892-113 HR4898-113 HR4900-113 HR4912-113 HR4942-113 HR4948-113 HR4971-113 HR4974-113 HR4977-113 HR4999-113 HR5007-113 HR5009-113 HR55-113 HR604-113 HR748-113 HR773-113 HR810-113 HR883-113 HRES13-113 S1032-113 S1041-113 S1078-113 S1119-113 S1174-113 S1190-113 S1197-113 S1211-113 S1216-113 S1246-113 S1262-113 S1281-113 S1295-113 S1296-113 S1320-113 S1361-113 S1367-113 S140-113 S1403-113 S1434-113 S1471-113 S1486-113 S1540-113 S1547-113 S1556-113 S1559-113 S1579-113 S1580-113 S1584-113 S1593-113 S1602-113 S1604-113 S1624-113 S1644-113 S1659-113 S1669-113 S1682-113 S1684-113 S1688-113 S1703-113 S1736-113 S1740-113 S1741-113 S1751-113 S1760-113 S1775-113 S1844-113 S1856-113 S1863-113 S1869-113 S1892-113 S1917-113 S1919-113 S1950-113 S1977-113 S1987-113 S200-113 S2009-113 S2014-113 S2053-113 S2138-113 S2145-113 S2179-113 S2243-113 S2258-113 S2259-113 S2264-113 S2281-113 S2296-113 S2298-113 S2312-113 S2316-113 S2333-113 S2341-113 S2350-113 S2357-113 S2358-113 S2362-113 S2368-113 S2393-113 S2395-113 S2396-113 S2410-113 S2413-113 S2419-113 S2422-113 S2423-113 S2425-113 S2428-113 S2448-113 S2467-113 S2468-113 S2507-113 S2545-113 S259-113 S514-113 S690-113 S705-113 S777-113 S868-113 S922-113 S927-113 S930-113 S944-113 SRES323-113

1. Support legislation to amend the Public Health Service Act to deem certain geriatric health training to be oblicated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professions Shortage Area.2. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 3. Support legislative implementation of the recommendations contained in the Institute of Medicine report of July 2012 entitled "The Mental health and Substance Use Workforce for Older Adults: In Whose Hands?" Those recommendations include loan forgiveness and the designation of a specific entity within the Department of Health and Human Services (HHS) to coordinate Federal efforts to develop and strengthen the nation's geriatric mental health and substance use workforce. 4. Support the implementation of school and community-based programs to promote mental health to prevent mental illness and substance abuse, provide early interventions for those exhibiting these conditions, and teach students at all levels to recognize the signs of mental illness and addiction and to seek help when needed. 5. Support S.153/H.R. 274, the "Mental Health First Aid Act" to raise awarness and increase public education on mental illness and addiction disorders. Authorize $20 million in grants to fund Mental Health First Aid training programs arouht the country. 6. Support S.195/H.R.625, the "Mental Health in Schools Act" to aid schools and communities in developing policies to address child and adolescent mental health issues and violence when and if it occurs. 7. Support S.116 and H.R.2734, to reauthorize Garrett Lee Smith Memorial Act to support active youth suicide prevention grants in 40 states, 85 institutions of higher education and 38 Tribes or Tribal organizations. 8. Support S.380, the "Children's Trauma Recovery Act" to reauthorize the National Child Traumatic Stress Initiative. 9. Support convening of a White House Conference on Aging. 10. Support legislative proposals to address the lack of health care providers trained to treat older adults with mental disorders. Support proposals dealing directly with incentives to increase the number of specialized providers as well as proposals to increase and enhance research efforts. 11. Support S.1119, the "Positive Aging Act", to improve the accessibility and quality of mental health services for older adults by integrating mental health services into primary care and community settings where older adults reside and/or receive services. 12. Support H.R. 1893, the "Keeping All Students Safe Act" to address restraint and seclusion in all schools and preventing problematic behavior through the use of de-escalation techniques, conflict management and evidence-based positive behavioral interventions and supports. 13. Support S.689 the "Mental Health Awareness and Improvement Act" to improve school-based mental health care while reviewing SAMHSA programs and initiatives. 14. Support the "Older Americans Act Reauthorization of 2013" (S.1562) to reauthorize the Older Americans Act of 1965 and funding for its programs. 15. Support the "Achieving a Better Life Experience Act of 2013" (S.313 / H.R.647) to enable individuals with disabilities to establish ABLE accounts into which they and other could make tax-deferred contributions for essential services. 16. Urge the House Energy and Commerce Committee to hold hearings on Alzheimer's disease and related disorders to help advance the goals set forth in the National Plan to Address Alzheimer's Disease. 17. Support the "Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act (S.709 ; H.R.1507) to ensure that individuals receive an appropriate diagnosis and their family members receive information about available care options. 18. Support loan forgiveness for health care professionals who enter geriatric specialities.19. Support requirement that federally funded clinical trials involve older adults when appropriate. These clinical trials must also include older adults from diverse ethnic and cultural groups that comprise rapidly expanding portions of the population. 20. Support S.313/H.R. 647, the "Achieving a Better Life Experience (ABLE) Act of 2013", to amend Section 529 of the Internal Revenue Code to allow individuals with disabilities to establish ABLE accounts into which they and others could make tax-deferred contributions to be used for essential services.

P.L. 111-375 National Alzheimers Project Act, All sections S709/HR1507 Health Outcomes, Planning and Education for Alzheimer's Act, All sections S.1119 Positive Aging Act of 2013, All Sections S.1028 Older Americans Act Amendments of 2013S.219/H.R.4351 - Alzheimer's Accountability Act of 2014 P.L. 111-148/111-152 Patient Protection and Affordable Care Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, establishment of a national voluntary disability insurance program, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. H.R. 2976 Missing Alzheimer's Disease Patient Alert Program Reauthorization All sections H.R. 2975 Alzheimer's Caregiver Support Act. All Sections S. 1914 National Silver Alert Act of 2013 H. Res. 396 - A resolution supporting the goals of National Alzheimer's Disease Awareness month S.1365/H.R. 2827 Part D Beneficiary appeals S. Res. 301 - A resolution recognizing and supporting the goals and implemenation of the national Alzheimer's Project Act and the National Plan to Address Alzheimer's Disease. S. Res 303 - A resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority H.R. 3836/S. 1910 - Pat Summitt Congressional Gold Medal Act H.Res. 489 - A resolution expressing the need to faciliate a robust response to the looming global crisis of Alzheimer's and other forms of dementia

Client expense: $130,000 · Firm income: Not reported

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed proposed regulation relating to Medicaid expansion coverage and minimum essential coverage. (no bill)Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. S. 1284, The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. H.R 3547/H.J.R. 59/H.R. 2775/H.J.R. 106, Consolidated Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed H.R. 3717, the Helping Families in Mental Health Crisis Act. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed National Alzheimer's Project Act 111-375.

Issues pertaining to the coverage and delivery of mental health care provided to older adults [Positive Aging Act (S. 1119) - all provisions]

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 116/H.R. 2734 Garrett Lee Smith Memorial Act Reauthorization of 2013 S. 1119 Positive Aging Act of 2013 S. 1562 Older Americans Act of 2013 Health Equity and Accountability ActMental and Behavioral Health of Military Personnel, Veterans, and Families H.R. 3717 Helping Families in Mental Health Crisis Act of 2013

Client expense: $124,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Vice President of the U.S., White House Office

1. Support legislation to amend the Public Health Service Act to deem certain geriatric health training to be oblicated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professions Shortage Area.2. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 3. Support legislative implementation of the recommendations contained in the Institute of Medicine report of July 2012 entitled "The Mental health and Substance Use Workforce for Older Adults: In Whose Hands?" Those recommendations include loan forgiveness and the designation of a specific entity within the Department of Health and Human Services (HHS) to coordinate Federal efforts to develop and strengthen the nation's geriatric mental health and substance use workforce. 4. Support the implementation of school and community-based programs to promote mental health to prevent mental illness and substance abuse, provide early interventions for those exhibiting these conditions, and teach students at all levels to recognize the signs of mental illness and addiction and to seek help when needed. 5. Support S.153/H.R. 274, the "Mental Health First Aid Act" to raise awarness and increase public education on mental illness and addiction disorders. Authorize $20 million in grants to fund Mental Health First Aid training programs arouht the country. 6. Support S.195/H.R.625, the "Mental Health in Schools Act" to aid schools and communities in developing policies to address child and adolescent mental health issues and violence when and if it occurs. 7. Support S.116 and H.R.2734, to reauthorize Garrett Lee Smith Memorial Act to support active youth suicide prevention grants in 40 states, 85 institutions of higher education and 38 Tribes or Tribal organizations. 8. Support S.380, the "Children's Trauma Recovery Act" to reauthorize the National Child Traumatic Stress Initiative. 9. Support convening of a White House Conference on Aging. 10. Support legislative proposals to address the lack of health care providers trained to treat older adults with mental disorders. Support proposals dealing directly with incentives to increase the number of specialized providers as well as proposals to increase and enhance research efforts. 11. Support S.1119, the "Positive Aging Act", to improve the accessibility and quality of mental health services for older adults by integrating mental health services into primary care and community settings where older adults reside and/or receive services. 12. Support H.R. 1893, the "Keeping All Students Safe Act" to address restraint and seclusion in all schools and preventing problematic behavior through the use of de-escalation techniques, conflict management and evidence-based positive behavioral interventions and supports. 13. Support S.689 the "Mental Health Awareness and Improvement Act" to improve school-based mental health care while reviewing SAMHSA programs and initiatives. 14. Support the "Older Americans Act Reauthorization of 2013" (S.1562) to reauthorize the Older Americans Act of 1965 and funding for its programs. 15. Support the "Achieving a Better Life Experience Act of 2013" (S.313 / H.R.647) to enable individuals with disabilities to establish ABLE accounts into which they and other could make tax-deferred contributions for essential services. 16. Urge the House Energy and Commerce Committee to hold hearings on Alzheimer's disease and related disorders to help advance the goals set forth in the National Plan to Address Alzheimer's Disease. 17. Support the "Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act (S.709 ; H.R.1507) to ensure that individuals receive an appropriate diagnosis and their family members receive information about available care options. 18. Support loan forgiveness for health care professionals who enter geriatric specialities.19. Support requirement that federally funded clinical trials involve older adults when appropriate. These clinical trials must also include older adults from diverse ethnic and cultural groups that comprise rapidly expanding portions of the population. 20. Support S.313/H.R. 647, the "Achieving a Better Life Experience (ABLE) Act of 2013", to amend Section 529 of the Internal Revenue Code to allow individuals with disabilities to establish ABLE accounts into which they and others could make tax-deferred contributions to be used for essential services.

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689) Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957/S.1685) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689) Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957/S.1685) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

P.L. 111-375 National Alzheimers Project Act, All sections S709/HR1507 Health Outcomes, Planning and Education for Alzheimer's Act, All sections S.1119 Positive Aging Act of 2013, All Sections S.1562 Older Americans Act Amendments of 2013P.L. 111-148/111-152 Patient Protection and Affordable Care Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, establishment of a national voluntary disability insurance program, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. H.R. 2976 Missing Alzheimer's Disease Patient Alert Program Reauthorization All sections H.R. 2975 Alzheimer's Caregiver Support Act. All Sections S. 1914 National Silver Alert Act of 2013 H. Res. 396 - A resolution supporting the goals of National Alzheimer's Disease Awareness month S.1365/H.R. 2827 Part D Beneficiary appeals S. Res. 301 - A resolution recognizing and supporting the goals and implemenation of the national Alzheimer's Project Act and the National Plan to Address Alzheimer's Disease. S. Res 303 - A resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority.

Client expense: $130,000 · Firm income: Not reported

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957) Expedited Hiring for VA Trained Psychiatrists Act of 2013 (H.R.2540) Gun Violence Prevention and Reduction Act of 2013 (H.R.2910) Every Child Ready for College or Career Act of 2013 (S.1101) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Children's Recovery from Trauma Act (S.380) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S.162/H.R.401) Mental Health Awareness and Improvement Act of 2013 (S.689)Youth PROMISE Act (H.R.1318/S.1307) Veterans Mental Health Accessibility Act (HR 1725) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Keeping All Students Safe Act (H.R.1893) Sober Truth on Preventing Underage Drinking Reauthorization Act (H.R.498) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957/S.1685) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957/S.1685) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

S. 116/H.R. 2734 Garrett Lee Smith Memorial Act Reauthorization of 2013; S. 1119 Positive Aging Act of 2013, S. 1562 Older Americans Act of 2013, Health Equity and Accountability Act Mental and Behavioral Health of Military Personnel, Veterans, and Families H.R. 3717 Helping Families in Mental Health Crisis Act of 2013

Client expense: $177,109 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Vice President of the U.S., White House Office

Issues pertaining to the coverage and delivery of mental health care provided to older adults [Positive Aging Act (S. 1119) - all provisions]

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed support for H.R. 2181, Safe Foods for Seniors Act of 2013. Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed grandparents raising grandchildren and ACA provision extending coverage to those under age 26. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed consumer directed care. (no bill) Discussed policy related to dementia. (no bill) Discussed no wrong door system. (no bill) Discussed data on LTSS and women. (no bill)Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, payroll tax holiday extension, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) PL 112-240 of 2012, American Taxpayer Relief Act - Discussed the Commission on Long-Term Care and and service delivery workforce and caregiving, financing and related long-term care issues and data. Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. S. 1284, The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. H.J.R. 59/H.R. 2775, Continuing Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance.

1. Support legislation to amend the Public Health Service Act to deem certain geriatric health training to be oblicated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professions Shortage Area.2. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 3. Support legislative implementation of the recommendations contained in the Institute of Medicine report of July 2012 entitled "The Mental health and Substance Use Workforce for Older Adults: In Whose Hands?" Those recommendations include loan forgiveness and the designation of a specific entity within the Department of Health and Human Services (HHS) to coordinate Federal efforts to develop and strengthen the nation's geriatric mental health and substance use workforce. 4. Support the implementation of school and community-based programs to promote mental health to prevent mental illness and substance abuse, provide early interventions for those exhibiting these conditions, and teach students at all levels to recognize the signs of mental illness and addiction and to seek help when needed. 5. Support S.153/H.R. 274, the "Mental Health First Aid Act" to raise awarness and increase public education on mental illness and addiction disorders. Authorize $20 million in grants to fund Mental Health First Aid training programs arouht the country. 6. Support S.195/H.R.625, the "Mental Health in Schools Act" to aid schools and communities in developing policies to address child and adolescent mental health issues and violence when and if it occurs. 7. Support S.116 and H.R.2734, to reauthorize Garrett Lee Smith Memorial Act to support active youth suicide prevention grants in 40 states, 85 institutions of higher education and 38 Tribes or Tribal organizations. 8. Support S.380, the "Children's Trauma Recovery Act" to reauthorize the National Child Traumatic Stress Initiative. 9. Support convening of a White House Conference on Aging. 10. Support legislative proposals to address the lack of health care providers trained to treat older adults with mental disorders. Support proposals dealing directly with incentives to increase the number of specialized providers as well as proposals to increase and enhance research efforts. 11. Support S.1119, the "Positive Aging Act", to improve the accessibility and quality of mental health services for older adults by integrating mental health services into primary care and community settings where older adults reside and/or receive services. 12. Support H.R. 1893, the "Keeping All Students Safe Act" to address restraint and seclusion in all schools and preventing problematic behavior through the use of de-escalation techniques, conflict management and evidence-based positive behavioral interventions and supports. 13. Support S.689 the "Mental Health Awareness and Improvement Act" to improve school-based mental health care while reviewing SAMHSA programs and initiatives. 14. Support the "Older Americans Act Reauthorization of 2013" (S.1562) to reauthorize the Older Americans Act of 1965 and funding for its programs. 15. Support the "Achieving a Better Life Experience Act of 2013" (S.313 / H.R.647) to enable individuals with disabilities to establish ABLE accounts into which they and other could make tax-deferred contributions for essential services. 16. Urge the House Energy and Commerce Committee to hold hearings on Alzheimer's disease and related disorders to help advance the goals set forth in the National Plan to Address Alzheimer's Disease. 17. Support the "Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act (S.709 ; H.R.1507) to ensure that individuals receive an appropriate diagnosis and their family members receive information about available care options. 18. Support loan forgiveness for health care professionals who enter geriatric specialities.19. Support requirement that federally funded clinical trials involve older adults when appropriate. These clinical trials must also include older adults from diverse ethnic and cultural groups that comprise rapidly expanding portions of the population. 20. Support S.313/H.R. 647, the "Achieving a Better Life Experience (ABLE) Act of 2013", to amend Section 529 of the Internal Revenue Code to allow individuals with disabilities to establish ABLE accounts into which they and others could make tax-deferred contributions to be used for essential services.

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957) Expedited Hiring for VA Trained Psychiatrists Act of 2013 (H.R.2540) Gun Violence Prevention and Reduction Act of 2013 (H.R.2910) Every Child Ready for College or Career Act of 2013 (S.1101)

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Children's Recovery from Trauma Act (S.380) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S.162/H.R.401) Mental Health Awareness and Improvement Act of 2013 (S.689)Youth PROMISE Act (H.R.1318/S.1307) Veterans Mental Health Accessibility Act (HR 1725) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Keeping All Students Safe Act (H.R.1893) Sober Truth on Preventing Underage Drinking Reauthorization Act (H.R.498)

Client expense: $5,176 · Firm income: Not reported

P.L. 111-375 National Alzheimers Project Act, All sections S709/HR1507 Health Outcomes, Planning and Education for Alzheimer's Act, All sections S.1119 Positive Aging Act of 2013, All Sections S.1562 Older Americans Act Reauthorization Act of 2013P.L. 111-148/111-152 Patient Protection and Affordable Care Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, establishment of a national voluntary disability insurance program, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. H.R. 2976 Missing Alzheimer's Disease Patient Alert Program Reauthorization All sections H.R. 2975 Alzheimer's Caregiver Support Act. All Sections

Client expense: $130,000 · 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), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, is an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed support for H.R. 2181, Safe Foods for Seniors Act of 2013. Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill.Discussed inviting FTC to participate in a webinar on how they are and can be engaged on state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Medicare and Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, payroll tax holiday extension, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations and other CMS demonstration initiatives. (no bill) PL 112-240 of 2012, American Taxpayer Relief Act - Discussed the Commission on Long-Term Care and and service delivery workforce and caregiving, financing and related long-term care issues and data. Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. S. 1284, The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. (no bill)

S. 116/H.R. 2734 Garrett Lee Smith Memorial Act Reauthorization of 2013 S. 1119 Positive Aging Act of 2013 S. 1562 Older Americans Act of 2013 Health Equity and Accountability Act

Client expense: $160,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Vice President of the U.S., White House Office

1. Support legislation to amend the Public Health Service Act to deem certain geriatric health training to be oblicated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professions Shortage Area.2. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 3. Support legislative implementation of the recommendations contained in the Institute of Medicine report of July 2012 entitled "The Mental health and Substance Use Workforce for Older Adults: In Whose Hands?" Those recommendations include loan forgiveness and the designation of a specific entity within the Department of Health and Human Services (HHS) to coordinate Federal efforts to develop and strengthen the nation's geriatric mental health and substance use workforce. 4. Support the implementation of school and community-based programs to promote mental health to prevent mental illness and substance abuse, provide early interventions for those exhibiting these conditions, and teach students at all levels to recognize the signs of mental illness and addiction and to seek help when needed. 5. Support S.153/H.R. 274, the "Mental Health First Aid Act" to raise awarness and increase public education on mental illness and addiction disorders. Authorize $20 million in grants to fund Mental Health First Aid training programs arouht the country. 6. Support S.195/H.R.625, the "Mental Health in Schools Act" to aid schools and communities in developing policies to address child and adolescent mental health issues and violence when and if it occurs. 7. Support S.116 and H.R.2734, to reauthorize Garrett Lee Smith Memorial Act to support active youth suicide prevention grants in 40 states, 85 institutions of higher education and 38 Tribes or Tribal organizations. 8. Support S.380, the "Children's Trauma Recovery Act" to reauthorize the National Child Traumatic Stress Initiative. 9. Support convening of a White House Conference on Aging. 10. Support legislative proposals to address the lack of health care providers trained to treat older adults with mental disorders. Support proposals dealing directly with incentives to increase the number of specialized providers as well as proposals to increase and enhance research efforts. 11. Support S.1119, the "Positive Aging Act", to improve the accessibility and quality of mental health services for older adults by integrating mental health services into primary care and community settings where older adults reside and/or receive services. 12. Support H.R. 1893, the "Keeping All Students Safe Act" to address restraint and seclusion in all schools and preventing problematic behavior through the use of de-escalation techniques, conflict management and evidence-based positive behavioral interventions and supports. 13. Support S.689 the "Mental Health Awareness and Improvement Act" to improve school-based mental health care while reviewing SAMHSA programs and initiatives. 14. Support the "Older Americans Act Reauthorization of 2013" (S.1562) to reauthorize the Older Americans Act of 1965 and funding for its programs. 15. Support the "Achieving a Better Life Experience Act of 2013" (S.313 / H.R.647) to enable individuals with disabilities to establish ABLE accounts into which they and other could make tax-deferred contributions for essential services. 16. Urge the House Energy and Commerce Committee to hold hearings on Alzheimer's disease and related disorders to help advance the goals set forth in the National Plan to Address Alzheimer's Disease. 17. Support the "Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act (S.709 ; H.R.1507) to ensure that individuals receive an appropriate diagnosis and their family members receive information about available care options. 18. Support loan forgiveness for health care professionals who enter geriatric specialities.19. Support requirement that federally funded clinical trials involve older adults when appropriate. These clinical trials must also include older adults from diverse ethnic and cultural groups that comprise rapidly expanding portions of the population.

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Children's Recovery from Trauma Act (S.380) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S.162/H.R.401) Mental Health Awareness and Improvement Act of 2013 (S.689)Youth PROMISE Act (H.R.1318/S.1307) Veterans Mental Health Accessibility Act (HR 1725) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Keeping All Students Safe Act (H.R.1893) Sober Truth on Preventing Underage Drinking Reauthorization Act (H.R.498)

Client expense: $5,512 · Firm income: Not reported

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195)

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195)

P.L. 111-375 National Alzheimers Project Act, All sections S709/HR1507 Health Outcomes, Planning and Education for Alzheimer's Act, All sections S.1119 Positive Aging Act of 2013, All Sections S.1028 Older Americans Act Amendments of 2013P.L. 111-148/111-152 Patient Protection and Affordable Care Act - All Sections related to care coordination, transitional care, long term care services and supports access to affordable insurance, establishment of a national voluntary disability insurance program, provisions related to individuals with Alzheimer's disease and caregivers and provisions related to research including the Cures Acceleration Network. Missing Alzheimer's Disease Patient Alert Program Reauthorization All sections Alzheimer's Caregiver Support Act. All Sections

Client expense: $130,000 · 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), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

S. 47/H.R. 11 Violence Against Women Reauthorization Act of 2013 S. 116 Garrett Lee Smith Memorial Act Reauthorization of 2013 S. 1119 Positive Aging Act of 2013

Client expense: $90,900 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

1. Support legislation to amend the Public Health Service Act to deem certain geriatric health training to be oblicated service for purposes of the National Health Service Corps Loan Repayment Program, which provides up to $50,000 to repay student loans in exchange for working for two years in a high-need Health Professions Shortage Area.2. Oppose cuts or changes to the "Afforadable Care Act" that would undermine the potential of the law to make affordable, quality health care coverage more accessible. 3. Support legislative implementation of the recommendations contained in the Institute of Medicine report of July 2012 entitled "The Mental health and Substance Use Workforce for Older Adults: In Whose Hands?" Those recommendations include loan forgiveness and the designation of a specific entity within the Department of Health and Human Services (HHS) to coordinate Federal efforts to develop and strengthen the nation's geriatric mental health and substance use workforce. 4. Support the implementation of school and community-based programs to promote mental health to prevent mental illness and substance abuse, provide early interventions for those exhibiting these conditions, and teach students at all levels to recognize the signs of mental illness and addiction and to seek help when needed. 5. Support S.153/H.R. 274, the "Mental Health First Aid Act" to raise awarness and increase public education on mental illness and addiction disorders. Authorize $20 million in grants to fund Mental Health First Aid training programs arouht the country. 6. Support S.195/H.R.625, the "Mental Health in Schools Act" to aid schools and communities in developing policies to address child and adolescent mental health issues and violence when and if it occurs. 7. Support S.116 to reauthorize Garrett Lee Smith Memorial Act to support active youth suicide prevention grants in 40 states, 85 institutions of higher education and 38 Tribes or Tribal organizations. 8. Support S.380, the "Children's Trauma Recovery Act" to reauthorize the National Child Traumatic Stress Initiative. 9. Support convening of a White House Conference on Aging. 10. Support legislative proposals to address the lack of health care providers trained to treat older adults with mental disorders. Support proposals dealing directly with incentives to increase the number of specialized providers as well as proposals to increase and enhance research efforts. 11. Support S.1119, the "Positive Aging Act", to improve the accessibility and quality of mental health services for older adults by integrating mental health services into primary care and community settings where older adults reside and/or receive services. 12. Support H.R. 1893, the "Keeping All Students Safe Act" to address restraint and seclusion in all schools and preventing problematic behavior through the use of de-escalation techniques, conflict management and evidence-based positive behavioral interventions and supports. 13. Support S.689 the "Mental Health Awareness and Improvement Act" to improve school-based mental health care while reviewing SAMHSA programs and initiatives. 14. Support the "Older Americans Act Amendments of 2013" to reauthorize the Older Americans Act of 1965 and funding for its programs.