Medicare Data Access for Transparency and Accountability Act

H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisionsH.R. 1180, Resident Physician Shortage Reduction Act of 2013, all provisions S. 577, Resident Physician Shortage Reduction Act of 2013, all provisions H.R. 962, Medicare Diabetes Prevention Act of 2013, all provisions S. 452, Medicare Diabetes Prevention Act of 2013, all provisions H.R. 4302, Protecting Access to Medicare Act of 2014, provisions relating to Physician Payment Reform/SGR Repeal S. 2501, Hospital Readmissions Program Accuracy and Accountability Act of 2014, all provisions S. 2694, Ensuring Access to Primary Care for Women & Children Act, all provisions S. 2552, Medicare Advantage Participant Bill of Rights Act of 2014, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 3698, Two-Midnight Rule Delay Act of 2013, all provisions H.R. 4282, Creating Access to Residency Education Act of 2014, all provisions H.R. 5481, To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs, and for other purposes, all provisions Medicare program: Protecting Integrity in Medicare Act (PIMA) of 2014 Medicare program: Stop Scams Act Medicare program: Medicare Advantage Medicare program: Medicare Part D Medicare program: Medicare claims data release Medicare program: SGR Repeal Medicare program: Graduate Medical Education Medicare program: Sunshine Act (Open Payments Program) Notice of a New System of Records Medicare program: Electronic Health Records Meaningful Use Regulations/program flexibility Medicare program: ICD-10 Repeal Medicare program: CPT Medicare program: HIPAA Medicare program: RUC - Misvalued and Care Coordination Codes Medicare program: Local Coverage Determinations Medicare program: Physician payment and delivery reform Medicare program: Physician Compare Medicare program: Telemedicine and Medicare payment policy Medicare program: Practice Transformation Medicare program: In-Office Ancillary Services Exception Medicare program: Independent Payment Advisory Board (IPAB) Repeal Medicare program: Private Contracting Medicare program: New payment models/measuring quality performance Medicare program: Hospital short-stay issue Medicare program: Physician Consortium for Performance Improvement (PCPI) Medicare program: Recovery Audit Contractors Medicare program: Program Integrity Medicare program: Home health Medicare program: Funding for quality measure development Medicare program: Payment neutrality/hospital inpatient and outpatient sites Medicare program: Value-Based Modifier and Quality Resource Use Reports Medicare program: Laboratory Developed Tests - coding, coverage and payment Medicaid program: Medicaid expansion

Client expense: $4,230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R. 1331 the Electronic Health Records Improvements Act H.R. 1201 Training Tomorrow's Doctors Today Act H.R. 1701 Cutting Costly Codes Act of 2013 H.R. 1827 The Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R.2545 Accuracy in Medicare Physician Payment Act of 2013 H.R. 2720 The Alexis Agin Identity Theft Protection Act H.R. 2810 Medicare Patient Access and Quality Improvement Act H.R. 1473 Standard of Care Protection Act H.R. 36/S. 961 Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196 Good Samaritan Health Professionals Act of 2014 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 577 The Resident Physician Shortage Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1360 The Improper Payments Agency Cooperation Enhancement Act S. 1871 SGR Repeal and Medicare Beneficiary Access Act of 2013 Medicare Physician Fee Schedule, Inpatient Prospective Payment System, Affordable Care Act implementation, health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology, EHR meaningful use, Sustainable Growth Rate, Medicare Physician Payment Reform, Independent Payment Advisory Board, Resident work hours, patient centered outcomes research institute, MEDCAC, Centers for Medicare and Medicaid Innovation, Medicare claims data, Social Security Death Master File, lung cancer screenings, AHRQ-USPSTF, Graduate Medical Education, Medical Loss Ratio, Electronic cigarette regulation, surgical global payments

Client expense: $100,000 · Firm income: Not reported

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

H.R. 5380 The Medicare Telehealth Parity Act of 2014 S. 2552 The Medicare Advantage Participants Bill of Rights Act H.R. 4998, The Medicare Advantage Participants Bill of Rights Act S. 2553 The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) H.R. 4994, The Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act) S. 1932 The Better Care, Lower Cost Act H.R. 3890, The Better Care, Lower Cost Act S. 1422 The Preventive Health Savings Act H.R. 2663, The Preventive Health Savings Act H.R. 5279, The Sugar-Sweetened Beverages Tax (SWEET) Act S.2574, The Healthy Families Act of 2014 H.R. 1024, The Medication Therapy Management Empowerment Act S. 2240, The Medicare Choices Empowerment and Protection Act S. 2000 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 HR. 4418, the Expanding the Availability of Medicare Data Act H.R. 2843 Medicare Data Access for Transparency and Accountability Act S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 3077, TELEmedicine for MEDicare (TELE-MED) Act H.R. 4190, a bill that would will allow Medicare reimbursement for Part B services performed by a pharmacist in underserved communities, among other activities. H.R.1070, Removing Barriers to Colorectal Cancer Screening Act of 2013 H.R. 1074 National Diabetes Clinical Care Commission Bill S. 539, National Diabetes Clinical Care Commission Bill

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HDC is committed to liberating health data to ignite innovation & foster collaboration among health data users and stakeholders for the benefit of everyone. HDC has previously supported the S. 1180, Medicare DATA Act and will continue to support policies that encourage the release of de-identified data to improve health outcomes, inform choices, increase transparency and drive accountability.

Client expense: Not reported · Firm income: Not reported

please see addendumH.R. 1331 the Electronic Health Records Improvements Act H.R. 1201 Training Tomorrow's Doctors Today Act H.R. 1701 Cutting Costly Codes Act of 2013 H.R. 1827 The Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R.2545 Accuracy in Medicare Physician Payment Act of 2013 H.R. 2720 The Alexis Agin Identity Theft Protection Act H.R. 2810 Medicare Patient Access and Quality Improvement Act H.R. 1473 Standard of Care Protection Act H.R. 36/S. 961 Health Care Safety Net Enhancement Act of 2013 H.R. 1733/S. 2196 Good Samaritan Health Professionals Act of 2014 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 577 The Resident Physician Shortage Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1360 The Improper Payments Agency Cooperation Enhancement Act S. 1871 SGR Repeal and Medicare Beneficiary Access Act of 2013 Medicare Physician Fee Schedule, Inpatient Prospective Payment System, Affordable Care Act implementation, health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology, EHR meaningful use, Sustainable Growth Rate, Medicare Physician Payment Reform, Independent Payment Advisory Board, Resident work hours, patient centered outcomes research institute, MEDCAC, Centers for Medicare and Medicaid Innovation, Medicare claims data, Social Security Death Master File, lung cancer screenings, AHRQ-USPSTF, Graduate Medical Education, Medical Loss Ratio, Electronic cigarette regulation

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), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-148, the Patient Protection and Affordable Care Act - Implementation issues related to Medicare and Medicaid physician payments, comparative effectiveness research, quality reporting and improvement initiatives.Public Law 111-152, the Health Care and Education Reconciliation Act of 2010 - Implementation issues related to Medicare and Medicaid physician payments. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - issues related to Medicare and Medicaid physician payments. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Medicare physician payment issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions The Medicare Payment Stability and Premium Security Act ( Draft bill) Medicare Program - Long term reform proposals for the Medicare physician payment system. Medicare Program - Regulatory and administrative issues with the Medicare physician formula. Medicare Program - Shared Savings/Accountable Care Organizations Medicare program - Value-based modifier Medicare program - Quality Reporting Programs Medicare program - New payment models/measuring quality performance Medicare and Medicaid programs - Burwell HHS nomination Medicaid program - Parity for primary care physician services Medicare program - Two-Midnight Rule Discussions concerning potential debt limit extension and deficit reduction legislation - physician payment issues. Public Law No: 113-46, Continuing Appropriations Act , 2014 - Medicare and Medicaid savings issues. P.L 113-67, Continuing Appropriations Resolution for 2014 - Medicare physician payments S.2000 - The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4015 -The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 Public Law 113-93 - The Protecting Access to Medicare Act of 2014

Client expense: Not reported · Firm income: $75,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

The Patient Protection and Affordable Care Act as amended by the Education and Healthcare Reconciliation Act (P.L. 111-148 and P.L. 111-152), all provisions and pending regulations relating to employer-sponsored health insurance.Interim final regulations relating to internal appeals and external review for claims denials for employer-sponsored coverage under the Patient Protection and Affordable Care Act. Regulations relating to the establishment and operation of health insurance exchanges under the Patient Protection and Affordable Care Act. Regulations relating to value-based insurance design under the Patient Protection and Affordable Care Act. Regulations relating to accountable care organizations under the Patient Protection and Affordable Care Act. Issues relating to pending regulations defining part-time and full-time employment, auto-enrollment in employer health plans, and maximum waiting periods for enrollment in employer-sponsored health insurance under the Patient Protection and Affordable Care Act. Administration policy regarding seeking expedited review by Supreme Court of legal challenges to the Patient Protection and Affordable Care Act. H.R. 5, legislation to reform the medical malpractice liability system H.R. 2206, legislation to repeal a requirement under the Patient Protection and Affordable Care Act that new employees of certain employers be automatically enrolled in the employer's health benefits plan Regulations relating to preventative services requirements under the Patient Protection and Affordable Care Act. Regulations on the physician fee schedule under the Patient Protection and Affordable Care Act. Regulations on hospital outpatient and ambulatory surgery under the Patient Protection and Affordable Care Act. Regulations relating to determining the health insurance premium tax credit. Request for comment on health coverage affordability safe harbor for employers. Regulation relating to summary of benefits and coverage and uniform glossary. Regulatory approach on essential health benefits. Request for information on reporting employer related health insurance coverage. Letter on Frequently Asked Questions From Employers Regarding Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods. Letter to Health and Human Services regarding the implementation of health insurance exchanges under the Patient Protection and Affordable Care Act.Request for information on reporting employer related health insurance coverage. Regulations relating to premium tax credits under the Patient Protection and Affordable Care Act. Issues relating to private health insurance exchanges, define contribution health care financing, employer Shared Responsibilities and fully insured non-discrimination rules. Comments on essential health benefits, actuarial value and accreditation as well as cost sharing limitations. Issues relating to the Affordable Care Act Employer Shared Responsibility proposed regulations. Regulations relating to wellness programs. Letter to the President on the tri-agency final rule on Incentives for Nondiscriminatory Wellness Programs in Group Health Plans. S. 1188, Letter to the Senate regarding the Forty Hours is Full-Time Act of 2013. Brief Senate staff on ACA rollout. Comments on the Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015, RIN 0938-AR89. Comments filed with the Department of Health and Human Services regarding the agencys reinsurance fee proposal under the affordable care act. Letter to the Senate regarding transparency in healthcare claims data. Letter to the House of Representatives supporting the Save American Workers Act, H.R. 2575 Letter to Senator Ron Wyden expressing support for the Medicare Data Access Transparency and Accountability Act (S. 1180). Meeting with Senate HELP Committee Staff regarding the costs of the Affordable Care Act to large employers Meeting with staff from the House Education and Workforce Committee regarding the costs of the Affordable Care Act to large employers. Meeting with staff from the House Committee on Energy and Commerce regarding the costs of the Affordable Care Act to large employers. Meeting with staff from the House Committee on Ways & Means regarding the costs of the Affordable Care Act to large employers Briefing for staff of the House Education and Workforce Committee regarding private health care exchanges Meeting with House Staff regarding Private Health Care Exchanges

Client expense: Not reported · Firm income: $550,000

Government targets: Employment Standards Administration, Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

S. 2552, A bill to enhance beneficiary and provider protections and improve transparency in the Medicare Advantage market, and for other purposes, all provisions H.R. 1180, Resident Physician Shortage Reduction Act of 2013, all provisions S. 577, Resident Physician Shortage Reduction Act of 2013, all provisionsH.R. 1701, Cutting Costly Codes Act of 201, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions H.R. 962, Medicare Diabetes Prevention Act of 2013, all provisions S. 452, Medicare Diabetes Prevention Act of 2013, all provisions H.R. 1070, Removing Barriers to Colorectal Cancer Screening Act of 2013, all provisions S. 2348, Removing Barriers to Colorectal Cancer Screening Act of 2014, all provisions H.R. 3750, Telehealth Modernization Act of 2013, all provisions H.R. 3698, Two-Midnight Rule Delay Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmission Program Act, all provisions S. 2501, Hospital Readmissions Program Accuracy and Accountability Act of 2014, all provisions H.R. 4302, Protecting Access to Medicare Act of 2014, provisions relating to the SGR patch Medicare program - Medicare Advantage Medicare program - SGR Repeal Medicare program - ICD-10 Repeal Medicare program - HIPAA (ICD-10, EFT) Medicare program - Physician payment and delivery reform issues Medicare program - Payment for short hospital stays Medicare program - Quality reporting penalty Medicare program - Independent Payment Advisory Board (IPAB) Medicare program - Medicare Patient Empowerment Act Medicare program - Funding for quality measure development Medicare program - Claims Data release Medicare program - Telemedicine Medicare program - Molecular diagnostics Medicare program - In-office Ancillary Services Exception Medicare program - Laboratory payments Medicare program - Graduate Medical Education Medicare program - Continuity of Care Medicare program - Coding Issues (Misvalued Codes and RUC Timeline) Medicare program - Current Procedural Terminology (CPT) Medicare program - Two-Midnight Rule Medicare program - Recovery Audit Contractors (RACs) Medicare program - Appeals backlog Medicare program - Program Integrity Medicare program - EHR Fraud Medicare program - Nursing home patients' access to Schedule II pain medication Medicare program - Physician identity theft Medicare program - Enrollment Medicare program - Grace period Medicare program - Exchanges Medicare program - Smart Cards Medicare program - Electronic Submission of Medical Documentation (esMD) Medicare program - Licensure Medicare program - Part D and Hospice Patients Medicare program - Physician Compare Medicare program - Conditions of Participation Medicare program - Quality resource use reports Medicare program - Physician Quality Reporting System (PQRS)Medicare program - Value-based modifier Medicare program - Narrow networks Medicare program - Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) survey Medicare and Medicaid programs - Meaningful Use of EHRs/Health Information Technology Medicare and Medicaid programs - Mental health care Medicaid program - Parity for primary care physician services

Client expense: $3,860,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Natl Drug Control Policy (NDCP), President of the U.S., SENATE, Treasury, Dept of, U.S. Secret Service, White House Office

Implementation of S. 3370, the Libyan Claims Resolution Act (SJ Res. 20; S.1180).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

H.R.4577, Ensuring Seniors Access to Local Pharmacies Act of 2014 HR. 4418, the Expanding the Availability of Medicare Data Act H.R. 4302, the Protecting Access to Medicare Act of 2014 S. 2491, the Medicare Protection ActH.R. 2843/S. 1180, the Medicare Data Access for Transparency and Accountability Act H.R. 3890/S.1932, the Better Care, Lower Cost Act H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 4190 - To amend title XVIII of the Social Security Act to provide for coverage under the Medicare program of pharmacist services

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of S. 3370, the Libyan Claims Resolution Act (SJ Res. 20; S.1180).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-148, the Patient Protection and Affordable Care Act - Implementation issues related to Medicare and Medicaid physician payments, comparative effectiveness research, quality reporting and improvement initiatives.Public Law 111-152, the Health Care and Education Reconciliation Act of 2010 - Implementation issues related to Medicare and Medicaid physician payments. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - issues related to Medicare and Medicaid physician payments. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Medicare physician payment issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions The Medicare Payment Stability and Premium Security Act ( Draft bill) Medicare Program - Long term reform proposals for the Medicare physician payment system. Medicare Program - Regulatory and administrative issues with the Medicare physician formula. Medicare Program - Shared Savings/Accountable Care Organizations Medicare program - Value-based modifier Medicare program - Quality Reporting Programs Medicare program - New payment models/measuring quality performance Medicare and Medicaid programs - Tavenner CMS nomination Medicaid program - Primary care bonus Discussions concerning potential debt limit extension and deficit reduction legislation - physician payment issues. Public Law No: 113-46, Continuing Appropriations Act , 2014 - Medicare and Medicaid savings issues. P.L 113-67, Continuing Appropriations Resolution for 2014 - Medicare physician payments S.2000 - The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4015 -The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 Public Law 113-93 - The Protecting Access to Medicare Act of 2014

Client expense: Not reported · Firm income: $75,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

please see addendumH.R. 1331 the Electronic Health Records Improvements Act H.R. 1201 Training Tomorrow's Doctors Today Act H.R. 1701 Cutting Costly Codes Act of 2013 H.R. 1827 The Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R.2545 Accuracy in Medicare Physician Payment Act of 2013 H.R. 2720 The Alexis Agin Identity Theft Protection Act H.R. 2810 Medicare Patient Access and Quality Improvement Act S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 577 The Resident Physician Shortage Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1360 The Improper Payments Agency Cooperation Enhancement Act S. 1871 SGR Repeal and Medicare Beneficiary Access Act of 2013 Affordable Care Act implementation, health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology, EHR meaningful use, Sustainable Growth Rate, Medicare Physician Payment Reform, Independent Payment Advisory Board, Resident work hours, patient centered outcomes research institute, MEDCAC, Centers for Medicare and Medicaid Innovation, Medicare claims data, Social Security Death Master File, lung cancer screenings, AHRQ-USPSTF, Graduate Medical Education, Medical Loss Ratio, Electronic cigarette regulation

Client expense: $90,000 · Firm income: Not reported

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

The Patient Protection and Affordable Care Act as amended by the Education and Healthcare Reconciliation Act (P.L. 111-148 and P.L. 111-152), all provisions and pending regulations relating to employer-sponsored health insurance.Interim final regulations relating to internal appeals and external review for claims denials for employer-sponsored coverage under the Patient Protection and Affordable Care Act. Regulations relating to the establishment and operation of health insurance exchanges under the Patient Protection and Affordable Care Act. Regulations relating to value-based insurance design under the Patient Protection and Affordable Care Act. Regulations relating to accountable care organizations under the Patient Protection and Affordable Care Act. Issues relating to pending regulations defining part-time and full-time employment, auto-enrollment in employer health plans, and maximum waiting periods for enrollment in employer-sponsored health insurance under the Patient Protection and Affordable Care Act. Administration policy regarding seeking expedited review by Supreme Court of legal challenges to the Patient Protection and Affordable Care Act. H.R. 5, legislation to reform the medical malpractice liability system H.R. 2206, legislation to repeal a requirement under the Patient Protection and Affordable Care Act that new employees of certain employers be automatically enrolled in the employer's health benefits plan Regulations relating to preventative services requirements under the Patient Protection and Affordable Care Act. Regulations on the physician fee schedule under the Patient Protection and Affordable Care Act. Regulations on hospital outpatient and ambulatory surgery under the Patient Protection and Affordable Care Act. Regulations relating to determining the health insurance premium tax credit. Request for comment on health coverage affordability safe harbor for employers. Regulation relating to summary of benefits and coverage and uniform glossary. Regulatory approach on essential health benefits. Request for information on reporting employer related health insurance coverage. Letter on Frequently Asked Questions From Employers Regarding Automatic Enrollment, Employer Shared Responsibility, and Waiting Periods. Letter to Health and Human Services regarding the implementation of health insurance exchanges under the Patient Protection and Affordable Care Act.Request for information on reporting employer related health insurance coverage. Regulations relating to premium tax credits under the Patient Protection and Affordable Care Act. Issues relating to private health insurance exchanges, define contribution health care financing, employer Shared Responsibilities and fully insured non-discrimination rules. Comments on essential health benefits, actuarial value and accreditation as well as cost sharing limitations. Issues relating to the Affordable Care Act Employer Shared Responsibility proposed regulations. Regulations relating to wellness programs. Letter to the President on the tri-agency final rule on Incentives for Nondiscriminatory Wellness Programs in Group Health Plans. S. 1188, Letter to the Senate regarding the Forty Hours is Full-Time Act of 2013. Brief Senate staff on ACA rollout. Comments on the Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015, RIN 0938-AR89. Comments filed with the Department of Health and Human Services regarding the agencys reinsurance fee proposal under the affordable care act. Letter to the Senate regarding transparency in healthcare claims data. Letter to the House of Representatives supporting the Save American Workers Act, H.R. 2575 Letter to Senator Ron Wyden expressing support for the Medicare Data Access Transparency and Accountability Act (S. 1180).

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

Government targets: Employment Standards Administration, Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Labor Relations Board (NLRB), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of

S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 2019 Gabriella Miller Kids First Research Act H.R. 1037 Occupational Therapy in Mental Health Act H.R. 1178 Creating Access to Residency Education Act of 2013H.R. 1180 Resident Physician Shortage Reduction Act of 2013 H.R. 1201 Training Tomorrow's Doctors Act H.R. 1252 Physical Therapist Workforce and Patient Access Act of 2013 H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 1326 Health Care Price Transparency Promotion Act of 2013 H.R. 1339 Palliative Care and Hospice Education and Training Act H.R. 1427 Truth in Healthcare Marketing Act of 2013 H.R. 1790 Health IT Modernization for Underserved Communities Act of 2013 H.R. 1814 Equitable Access to Care and Health (EACH) Act H.R. 1821 Registered Nurse Safe Staffing Act of 2013 H.R. 1827 Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 H.R. 1874 Pro-Growth Budgeting Act H.R. 1907 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 1976 Access to Certified Professional Midwives Act of 2013 H.R. 2131 Supplying Knowledge-based Immigrants and Lifting Levels of STEM (SKILLS) Visas Act of 2013 H.R. 235 Veteran Emergency Medical Technician Support Act of 2013 H.R. 2415 Treat and Reduce Obesity Act H.R. 244 Physician Availability Act of 2013 H.R. 2453 Medicare Beneficiary Preservation of Choice Act of 2013 H.R. 2484 Conrad State 30 and Physician Access Act H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2663 Preventive Health Savings Act H.R. 2801 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R. 2843/S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 297 Children's Hospital GME Support Reauthorization Act of 2013 H.R. 2986 Protecting Access to Primary Care Act H.R. 3077 TELEmedicine for MEDicare Act of 2013 or TELE-MED Act of 2013 H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 3303 Sensible Oversight for Technology which Advances Regulatory Efficiency (SOFTWARE) Act H.R. 3306 Telehealth Enhancement Act of 2013 H.R. 3362, Exchange Information Disclosure Act H.R. 3392 Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013 H.R. 3474 Hire More Heroes Act of 2013 H.R. 3507 21st Century Care for Military and Veterans Act H.R. 3717, the Helping Families in Mental Health Crisis Act of 2013 H.R. 3811, Health Exchange Security and Transparency Act H.R. 3979 Protecting Volunteer Firefighters and Emergency Responders Act of 2014 H.R. 4106, Barr-Bera Saving Lives, Saving Costs Act H.R. 4118, The SIMPLE Fairness Act H.R. 4160 - the "Keep the Promise to Seniors Act of 2014." H.R. 4177: a bill to amend the Internal Revenue Code of 1986 to Allow Medicare beneficiaries participating in a Medicare Advantage MSA to contribute their own money to their MSA. H.R. 4180: a bill to amend the Internal Revenue Code of 1986 to permit rollovers from health savings accounts to Medicare Advantage MSAs H.R. 4196: Seniors' Fairness Act of 2014H.R. 4201: Seniors' Rights to Know Act H.R. 487 Primary Care Workforce Access Improvement Act of 2013 H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 7, No Taxpayer Funding for Abortion Act H.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. H.R. 962 Medicare Diabetes Prevention Act H.R. 2575, the "Save American Workers Act of 2014," H.R. 4064, FAIR ACT of 2014 H.R. 4302, the Protecting Access to Medicare Act of 2014 H.RES.356 A resolution recognizing that access to hospitals and other health care providers for patients in rural areas of the United States is essential to the survival and success of communities in the United States. H.R.1024 The Medication Therapy Management Empowerment Act IMPACT Act of 2014 (Improving Medicare Post-Acute Care Transformation Act of 2014) S. 1060 Veterans to Paramedics Transition Act S. 1061 Veterans Access to Care Act S. 1064 Medicare Mental Health Access Act S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act S. 1152 Building a Health Care Workforce for the Future Act S. 1184 Treat and Reduce Obesity Act S. 1193 Data Security and Breach Notification Act of 2013 S. 1228 Medicare Better Health Rewards Program Act S. 1422 Preventive Health Savings Act S. 1439 Care Planning Act of 2013 S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1445 National Health Service Corps Improvement Act of 2013 S. 1475 National Nurse Act of 2013 S. 1517 Behavioral Health Information Technology Act of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1557 Children's Hospital GME Support Reauthorization Act of 2013 S. 1685 Behavioral Health Information Technology Coordination Act of 2013 S. 1729 - Expanded Consumer Choice Act S. 1758 Quality Data, Quality Healthcare Act of 2013 S. 1871, SGR Repeal and Medicare Beneficiary Improvement Act of 2013 S. 2000/H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2007, Preventing Regulatory Overreach To Enhance Care Technology Act of 2014 (PROTECT Act) S. 2110, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2166 Treating Families Fairly Act S. 2168 amends the definition from 50 100 employees for the purposes of the employer mandate S. 2173 the CHOICE Act S. 2175 Enhancing Access to Agents and Brokers Act S. 2240 The Medicare Choices Empowerment and Protection Act S. 236 Medicare Patient Empowerment Act S. 328 Strengthening Rural Access to Emergency Services Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs.S. 452 Medicare Diabetes Prevention Act S. 557 The Medication Therapy Management Empowerment Act S. 577 The Resident Physician Shortage Reduction Act of 2013 S. 602 Physical Therapist Workforce and Patient Access Act of 2013 S. 616 Conrad State 30 and Physician Access Act S. 641 Palliative Care and Hospice Education and Training Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 945 Access to Quality Diabetes Education Act of 2013 S.1067 Innovation Inspiration School Grant Program Act S.1897 Personal Data Privacy and Security Act of 2014 S.1927 The Data Security Act of 2014 S.1932/H.R. 3890 The Better Care, Lower Cost Act S.1976 Data Security and Breach Notification Act of 2014 S.1995 Personal Data Protection and Breach Accountability Act S.2106, FAIR Act of 2014 S.236 / H.R. 1310 - Medicare Patient Empowerment Act of 2013 S.577 Resident Physician Shortage Reduction Act of 2013 S.RES.26 A resolution recognizing that access to hospitals and other health care providers for patients in rural areas of the United States is essential to the survival and success of communities in the United States.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S.236 / H.R. 1310 - Medicare Patient Empowerment Act of 2013 S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 641 Palliative Care and Hospice Education and Training Act S. 452 Medicare Diabetes Prevention ActS. 2240 The Medicare Choices Empowerment and Protection Act S. 236 Medicare Patient Empowerment Act S. 2110, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S.1932/H.R. 3890 The Better Care, Lower Cost Act S. 2000/H.R. 4015 SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 1871, SGR Repeal and Medicare Beneficiary Improvement Act of 2013 S. 1439 Care Planning Act of 2013 S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1228 Medicare Better Health Rewards Program Act S. 1064 Medicare Mental Health Access Act IMPACT Act of 2014 (Improving Medicare Post-Acute Care Transformation Act of 2014) H.R. 4302, the Protecting Access to Medicare Act of 2014 H.R. 962 Medicare Diabetes Prevention Act H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 4160 - the "Keep the Promise to Seniors Act of 2014." H.R. 3392 Medicare Part D Patient Safety and Drug Abuse Prevention Act of 2013 H.R. 3077 TELEmedicine for MEDicare Act of 2013 (TELE-MED Act of 2013) H.R. 2810 Medicare Patient Access and Quality Improvement Act of 2013 H.R. 2843/S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of S. 3370, the Libyan Claims Resolution Act (SJ Res. 20; S.1180).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

Impact of hospital consolidation on health care industry, health care costs, and on small business in particular independent doctors. Medicare Data Access for Transparency and Accountability Act (S.1180) Proposed repeal of In Office Ancillary Services Exception (IOASE) in FY2014 budget. HHS efforts to provide greater transparency to consumers. Importance of independent doctors, to competition, jobs, health care quality and cost. The Medicare Patient Access to Cancer Treatment Act (H.R. 2869). Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates (CMS-P-1601), and Proposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014 (CMS-P-1600). SGR Reform bill (SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013). MedPAC recommendations regarding reimbursement parity between hospital outpatient departments and independent doctor practices. Appropriateness of tax-exempt status of certain non-profit hospitals.

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

Government targets: Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Impact of hospital consolidation on health care industry, health care costs, and on small business in particular independent doctors. Medicare Data Access for Transparency and Accountability Act (S.1180) Proposed repeal of In Office Ancillary Services Exception (IOASE) in FY2014 budget. HHS efforts to provide greater transparency to consumers. Importance of independent doctors, to competition, jobs, health care quality and cost. The Medicare Patient Access to Cancer Treatment Act (H.R. 2869). Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates (CMS-P-1601), and Proposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014 (CMS-P-1600). SGR Reform bill (SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013). MedPAC recommendations regarding reimbursement parity between hospital outpatient departments and independent doctor practices. Appropriateness of tax-exempt status of certain non-profit hospitals.

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

Government targets: Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Impact of hospital consolidation on health care industry, health care costs, and on small business in particular independent doctors. Medicare Data Access for Transparency and Accountability Act (S.1180) Proposed repeal of In Office Ancillary Services Exception (IOASE) in FY2014 budget. HHS efforts to provide greater transparency to consumers. Importance of independent doctors, to competition, jobs, health care quality and cost. The Medicare Patient Access to Cancer Treatment Act (H.R. 2869). Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates (CMS-P-1601), and Proposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014 (CMS-P-1600). SGR Reform bill (SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013). MedPAC recommendations regarding reimbursement parity between hospital outpatient departments and independent doctor practices. Appropriateness of tax-exempt status of certain non-profit hospitals.

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

Government targets: Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Impact of hospital consolidation on health care industry, health care costs, and on small business in particular independent doctors. Medicare Data Access for Transparency and Accountability Act (S.1180) Proposed repeal of In Office Ancillary Services Exception (IOASE) in FY2014 budget. HHS efforts to provide greater transparency to consumers. Importance of independent doctors, to competition, jobs, health care quality and cost. The Medicare Patient Access to Cancer Treatment Act (H.R. 2869). Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates (CMS-P-1601), and Proposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014 (CMS-P-1600). SGR Reform bill (SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013). MedPAC recommendations regarding reimbursement parity between hospital outpatient departments and independent doctor practices. Appropriateness of tax-exempt status of certain non-profit hospitals.

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

Government targets: Federal Trade Commission (FTC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-148, the Patient Protection and Affordable Care Act - Implementation issues related to Medicare and Medicaid physician payments, comparative effectiveness research, quality reporting and improvement initiatives.Public Law 111-152, the Health Care and Education Reconciliation Act of 2010 - Implementation issues related to Medicare and Medicaid physician payments. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - issues related to Medicare and Medicaid physician payments. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Medicare physician payment issues. H. Con. Res. 25, Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023; and S.Con.Res. 8, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 - Medicare physician payment and drug reimbursement issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions The Medicare Payment Stability and Premium Security Act ( Draft bill) Medicare Program - Long term reform proposals for the Medicare physician payment system. Medicare Program - Regulatory and administrative issues with the Medicare physician formula. Medicare Program - Shared Savings/Accountable Care Organizations Medicare program - Value-based modifier Medicare program - Quality Reporting Programs Medicare program - New payment models/measuring quality performance Medicare and Medicaid programs - Tavenner CMS nomination Medicaid program - Primary care bonus Discussions concerning potential debt limit extension and deficit reduction legislation - physician payment issues. Public Law No: 113-46, Continuing Appropriations Act , 2014 - Medicare and Medicaid savings issues. P.L 113-67, Continuing Appropriations Resolution for 2014 - Medicare physician payments S. 1871, the SGR Repeal and Medicare Beneficiary Access Act - Medicare physician payment issues. H.R. 2810, the Medicare Patient Access and Quality Improvement Act - Medicare physician payment issues. Meetings with CMS staff concerning reimbursement for anesthesiology and pediatric subspecialty services under the 2014 physician fee schedule rule.

Client expense: Not reported · Firm income: $75,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

please see addendumH.R. 1331 the Electronic Health Records Improvements Act H.R. 1201 Training Tomorrow's Doctors Today Act H.R. 1701 Cutting Costly Codes Act of 2013 H.R. 1827 The Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R.2545 Accuracy in Medicare Physician Payment Act of 2013 H.R. 2720 The Alexis Agin Identity Theft Protection Act H.R. 2810 Medicare Patient Access and Quality Improvement Act S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 577 The Resident Physician Shortage Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1360 The Improper Payments Agency Cooperation Enhancement Act S. 1871 SGR Repeal and Medicare Beneficiary Access Act of 2013 Affordable Care Act implementation, health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology, EHR meaningful use, Sustainable Growth Rate, Medicare Physician Payment Reform, Independent Payment Advisory Board, Resident work hours, patient centered outcomes research institute, MEDCAC, Centers for Medicare and Medicaid Innovation, Medicare claims data, Social Security Death Master File, lung cancer screenings, AHRQ-USPSTF, Graduate Medical Education, Medical Loss Ratio, Electronic cigarette regulation

Client expense: $165,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA)

H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013 , all provisions S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisionsH.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1180, Resident Physician Shortage Reduction Act of 2013, all provisions S. 577, Resident Physician Shortage Reduction Act of 2013, all provisions H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions Medicare program - Sustainable Growth Rate (SGR) Repeal Medicare program - Private Contracting Medicare program - Graduate Medical Education Medicare program - Independent Payment Advisory Board (IPAB) Repeal Medicare program - 2014 Physician Fee Schedule Medicare program - Value-Based Modifier Medicare program - Medicare Quality Improvement Medicare program - ICD-10 Repeal Medicare program - Relative Value Scale Update Committee (RUC) Medicare program - Program Integrity Medicare program - Enrollment Medicare program - Payment Models Medicare program - Funding for quality measure development Medicare program - Delivery and payment reform Medicare program - Accountable Care Organizations exclusivity Medicare program - In-Office Ancillary Services Exception Medicare program - Medicare Advantage narrow networks Medicare program - Regulatory Reform Medicare program - Recovery Audit Contractors (RACs) Medicare program - Sunshine Act Medicare program - Data Medicare program - Cost of care measures Medicare program - Care Coordination Medicare program - Physician Compare Medicare program - Registries Medicare program - HIPAA Medicare program - PQRS Medicare program - Two Midnight policy Medicare program - Administrative Simplification/HIPAA issues Medicare program - HIPAA privacy/security/breach notification and accounting for disclosures Medicare program - EHR usability/certification Medicare program - MoPath Codes Medicare program - Network adequacy issues Medicare and Medicaid programs - Mental Health Reform Medicare and Medicaid programs - Electronic Health Records - Meaningful Use Regulations Medicaid program - Primary care bonus

Client expense: $4,240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), President of the U.S., SENATE, U.S. Trade Representative (USTR), White House Office

HR1911, Smarter Solutions for Students Act, Opposing increased student loan rate. HR 2775, Continuing Appropriations Act for 2014, Prevent cuts to primary care training grants and research.HR 3391, Indian Health Service Health Professions Tax Fairness Act, Provide tax relief for IHS loan and scholarships to allow for appropriated dollars to be allocated to AAFP priorities. HR 487, Primary Care Workforce Access Improvement Act, Urge House to cosponsor bill that would create GME pilot project to train primary care doctors, urge Senate to sponsor bill. S. 1759, Teaching Health Center Reauthorization Act, Reauthorize the teaching Health Centers Graduate Medicare Education program. S. 1180, Medicare Data Access for Transparency and Accountability Act, Creation of database for public use of Medicare claims. S. 1238, Keep Student Loans Affordable Act, Extension of reduced interest rate for undergraduate Federal Direct Stafford Loans, since this applies to medical students. S. 1284, Appropriations for Labor HHS, Education and Related Agencies, AAFP budget priorities, Title VII Sec 747, Federal spending priorities to support workforce. No Bill Number, Corps Community Day Outreach, NHSC. No Bill Number, Independent nurse practitioners in the VA health system, Opposing designating Advanced practice nurses as independent in the VHA by means of amending the nursing handbook.

Client expense: $717,664 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 487, Primary Care Workforce Access Improvement Act, Urge House to cosponsor bill that would create GME pilot project to train primary care doctors, urge Senate to sponsor bill. HR 1173, Personalize Your Care Act, Payment for discussion with patients of advance health care planning. HR 1184, Treat and Reduce Obesity Act, Payment for chronic obesity management.HR 1487, Improved Health Care at Lower Cost Act, Creation of exception to the physician self referral prohibition that would allow gain sharing arrangements with hospitals. HR 2545, Accuracy Medicare Physician Payment Act, Reform of CMS relationship to AMA Relative Value Scale Update Committee (RUC). HR 2775, Continuing Appropriations Act for 2014, Prevent cuts in primary care training grants and research. HR 2810, Repeal of Medicare SGR formula, Repeal of SGR to be replaced by a positive payment update and higher rate for primary care. HR 2817, Protect Patient Access to Quality Health Professionals Act, Remove the non -discrimination requirements relating to health care providers. HR 3204, Drug Supply Safety, followed the Compounding and Track and Trace legislation in both bodies. S. 1180, Medicare Data Access for Transparency and Accountability Act, Creation of database for public use of Medicare claims. S. 1238, Keep Student Loans Affordable Act, Extension of reduced interest rate for undergraduate Federal Direct Stafford Loans for medical students. S. 1284, Promoting Teaching Health Centers, AHRQ, Title VII primary care grants and NHSC appropriations, AAFP budget priorities, Title VII Sec 747, Teaching Health Center grants, NHSC, AHRQ. S. 1759, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medicare Education program. No Bill Number, SGR Repeal and Replacement process, Advocate for SGR repeal and new physician payment system that pays for value and primary care. No Bill Number, Medicaid Primary Care Bonus, Advocate for extension of the Medicaid bonus which expires at the end of 2014. No Bill Number, Three month SGR patch, Urge Congress to pass budget deal which includes a three month SGR patch. No Bill Number, Corp Community Day Outreach, NHSC. No Bill Number, Urge sequestration be replaced, Protect funds for NHSC, CHC primary care research and training. No Bill Number, Met new director of the AHRQ, Primary care research. No Bill Number, Comprehensive Primary care, Medicare and private payments to primary care. No Bill Number, Medicare physician payment reform of the SGR, 2014 Proposed Medicare physician fee schedule. No Bill Number, Primary care payment, specialized Medicare codes for primary care. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Primary care meeting, Medical Home and Health Care Reform. No Bill Number, E-Cigarettes, Urge FDA to regulate all tobacco products. No Bill Number, Independent nurse practitioners in the VA health system, Opposing designating Advanced practice nurses as independent in the VHA by means of amending the nursing handbook. No Bill Number, Access to Primary Care, Increase number of primary care physicians available to underserved areas such as loan repayment changes. No Bill Number, Emergency contraception availability, Support for emergency contraceptives more easily available. No Bill Number, Modernization of primary care graduate medical education, Support legislation to implement a budget neutral pilot project to test innovative models for distribution of GME funding.

Client expense: $717,664 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.2775 Continuing Appropriations Act, 2014 H.J. Res 59 Bipartisan Budget Act of 2013 H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3077 TELE-MED Act of 2013H.R. 3303 Sensible Oversight for Technology which Advances Regulatory Efficiency (SOFTWARE) Act H.R. 2725 FDA Safety Over Sequestration Act H.R. 3204 Drug Quality and Security Act H.R. 2651 Critical Care Assessment and Improvement Act of 2013 S. 1439 Care Planning Act of 2013 S. 1193 Data Security and Breach Notification Act of 2013 S.1927 The Data Security Act of 2014 H.R. 3696 National Cybersecurity and Critical Infrastructure Protection Act of 2013 H.R. 3811 Healthcare Exchange Security and Transparency Act of 2014 S.1897 Personal Data Privacy and Security Act of 2014 H.R. 1326 Health Care Price Transparency Promotion Act of 2013 H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2843 Medicare Data Access for Transparency and Accountability Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1758 Quality Data, Quality Healthcare Act of 2013 H.R.3367 To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015 H.R. 1037 Occupational Therapy in Mental Health Act H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 3306 Telehealth Enhancement Act of 2013 H.R. 3507 21st Century Care for Military and Veterans Act H.R. 487 Primary Care Workforce Access Improvement Act of 2013 H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 1180 Resident Physician Shortage Reduction Act of 2013 H.R. 1201 Training Tomorrow's Doctors Act H.R. 1252 Physical Therapist Workforce and Patient Access Act of 2013 H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 1339 Palliative Care and Hospice Education and Training Act H.R. 1427 Truth in Healthcare Marketing Act of 2013 H.R. 1790 Health IT Modernization for Underserved Communities Act of 2013 H.R. 1821 Registered Nurse Safe Staffing Act of 2013 H.R. 1827 Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 H.R. 1907 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 1976 Access to Certified Professional Midwives Act of 2013 H.R. 2131 Supplying Knowledge-based Immigrants and Lifting Levels of STEM (SKILLS) Visas Act of 2013 H.R. 235 Veteran Emergency Medical Technician Support Act of 2013 H.R. 244 Physician Availability Act of 2013 H.R. 2484 Conrad State 30 and Physician Access Act H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 2801 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 297 Children's Hospital GME Support Reauthorization Act of 2013 H.R. 2986 Protecting Access to Primary Care ActH.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. S. 1060 Veterans to Paramedics Transition Act S. 1061 Veterans Access to Care Act S. 1064 Medicare Mental Health Access Act S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act S. 1152 Building a Health Care Workforce for the Future Act S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1445 National Health Service Corps Improvement Act of 2013 S. 1475 National Nurse Act of 2013 S. 1517 Behavioral Health Information Technology Act of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1557 Children's Hospital GME Support Reauthorization Act of 2013 S. 1685 Behavioral Health Information Technology Coordination Act of 2013 S. 236 Medicare Patient Empowerment Act S. 328 Strengthening Rural Access to Emergency Services Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 602 Physical Therapist Workforce and Patient Access Act of 2013 S. 616 Conrad State 30 and Physician Access Act S. 641 Palliative Care and Hospice Education and Training Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 945 Access to Quality Diabetes Education Act of 2013 S.577 Resident Physician Shortage Reduction Act of 2013 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act H.R. 2663 Preventive Health Savings Act S. 1422 Preventive Health Savings Act S. 1228 Medicare Better Health Rewards Program Act S. 1184 Treat and Reduce Obesity Act H.R. 2415 Treat and Reduce Obesity Act H.R. 2810 Medicare Patient Access and Quality Improvement Act H.R. 2642 Federal Agriculture Reform and Risk Management (FARRM) Act S. 954 Agriculture Reform, Food and Jobs Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of S. 3370, the Libyan Claims Resolution Act (SJ Res. 20; S.1180).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

HR 1173, Personalize Your Care Act, Payment for discussion with patients of advance health care planning. HR 1487, Improved Health Care at Lower Cost Act, Creation of exception to the physician self referral prohibition that would allow gain sharing arrangement with hospitals.HR 1911, Smarter Solutions for Students Act, Opposing increased student loan rate. HR 2810, Repeal of Medicare Physician Reimbursement Fee Schedule, Implementation of care coordination and transitional care payment codes. HR 2817, Protect Patient Access to Quality Health Professionals Act, Removing the non discrimination requirements relating to health care providers. HR 3667, GME Medicare Reform, Increase support for primary care physician training. S. 1180, Medicare Data Access for Transparency and Accountability Act, Creation of data base for public use of Medicare claims. S 1184, Treat and Reduce Obesity, Payment for chronic obesity management. S. 1238, Keep Student Loans Affordable Act, Extension of reduced interest rate for undergraduate Federal Direct Stafford Loans, applies to medical students. S. 1284, Promoting Teaching Health Centers, AHRQ, Title VII primary care grants and NHSC appropriations, AAFP budget priorities, Title VII Sec 747, Teaching Health Center grants, NHSC, AHRQ. No Bill Number, Primary Care physician workforce development, Robert Graham Center Primary Care Forum. No Bill Number, Title VII primary care medicine training grants, 50th anniversary of health professions training grant programs. No Bill Number, Comprehensive Primary Care, Medicare and private payments to primary care. No Bill Number, Medicare physician payment reform of SGR, 2014 proposed Medicare physician fee schedule. No Bill Number, Meaningful use of meetings, use of funds and quality improvement. No Bill Number, Medicaid parity for primary care, Ensuring payments for true primary care physicians. No Bill Number, Primary Care Meeting, medical home and health care reform. No Bill Number, Primary Care Payment Codes, Call for specialized Medicare payment codes for primary care. No Bill Number, Medicaid Expansion, Instructional materials for state chapters in avocation for Medicaid expansions. No Bill Number, Enhanced Medicaid Payment for Primary Care Services, Implementation of ACA provision to boost payment for primary care services. No Bill Number, ACA Marketplace Enrollment, Worked with CMS/HHS leader to promote AAFP work regarding health insurance enrollment via marketplaces. No Bill Number, ACA Implementation Medicaid Medicare primary care parity payment extension, advocated to extend Medicaid and Medicare increased primary care payment under Section 1202 of the ACA. No Bill Number, Finding co-sponsors for repeal or non-discrimination in health care providers section in ACA. No Bill Number, Emergency Contraception, Shared support of legislation making emergency contraceptives more easily available. No Bill Number, Drug Supply Safety, Followed the compounding and track and trace legislation in both legislative bodies. No Bill Number, Lift restrictions on prescribing, Urge increased number of patients for physicians licensed to prescribe Suboxone. No Bill Number, Oppose CME mandates, FDA REMS implementation forum. No Bill Number, Prevent opioid abuse, ONDCP overdose awareness day promotion. No Bill Number, Promote Teaching Health Centers GME program and call for reauthorization, Support Family Medicine training programs. No Bill Number, Primary Care research and promotion, Request meetings with legislators and officials for AAFP leaders. No Bill Number, E-cigarettes, Urge FDA to regulate all tobacco products. No Bill Number, Access to Primary Care, Discussed ways to increase numbers of primary care physicians available to under-served areas such as loan repayment changes. No Bill Number, Implementation of Affordable Care Act, Monitored implementation of law and provisions of importance to our members.

Client expense: $604,953 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 1911, Smarter Solutions for Students Act, Opposing increased student loan rate. HR 3667, Medicare GME Reform, Increase GME support for primary care physician training. S. 1180, Medicare Data Access for Transparency and Accountability Act, Creation of data base for public use of Medicare claims.S. 1238, Keep Student Loans Affordable Act, Extension of reduced interest rate for undergraduate Federal Direct Stafford Loans, applies to medical students. S. 1284, Promoting Teaching Health Centers, AHRQ, Title VII primary care grants and NHSC appropriations, AAFP budget priorities, Title VII Sec 747, Teaching Health Center grants, NHSC, AHRQ. No Bill Number, Title VII primary care medicine training grants, 50th anniversary of health professions training grant programs. No Bill Number, Primary Care physician workforce development, Robert Graham Center Primary Care Forum. No Bill Number, Title VII, Section 747, Advisory Committee on Training in Primary Care Medicine and Dentistry. No Bill Number, Continuing Resolution (HJ Res 59), Opposing provisions to reduce or delay funding of ACA programs. No Bill Number, Promote Teaching Health Centers GME program and call for reauthorization, Support Family Medicine training programs.

Client expense: $604,953 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

please see addendumH.R. 1331 the Electronic Health Records Improvements Act H.R. 1201 Training Tomorrow's Doctors Today Act H.R. 1701 Cutting Costly Codes Act of 2013 H.R. 1827 The Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R.2545 Accuracy in Medicare Physician Payment Act of 2013 H.R. 2720 The Alexis Agin Identity Theft Protection Act H.R. 2810 Medicare Patient Access and Quality Improvement Act S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 577 The Resident Physician Shortage Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1360 The Improper Payments Agency Cooperation Enhancement Act Affordable Care Act implementation, health care reform, health care quality improvement, physician workforce, comparative effectiveness research, health information technology, EHR meaningful use, Sustainable Growth Rate, Medicare Physician Payment Reform, Independent Payment Advisory Board, Resident work hours, patient centered outcomes research institute, MEDCAC, Centers for Medicare and Medicaid Innovation, Medicare claims data, Social Security Death Master File, lung cancer screenings, AHRQ-USPSTF, Graduate Medical Education, Medical Loss Ratio

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE, Social Security Administration (SSA)

Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-148, the Patient Protection and Affordable Care Act - Implementation issues related to Medicare and Medicaid physician payments, comparative effectiveness research, quality reporting and improvement initiatives.Public Law 111-152, the Health Care and Education Reconciliation Act of 2010 - Implementation issues related to Medicare and Medicaid physician payments. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - issues related to Medicare and Medicaid physician payments. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Medicare physician payment issues. H. Con. Res. 25, Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023; and S.Con.Res. 8, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 - Medicare physician payment and drug reimbursement issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions The Medicare Payment Stability and Premium Security Act ( Draft bill) Medicare Program - Long term reform proposals for the Medicare physician payment system. Medicare Program - Regulatory and administrative issues with the Medicare physician formula. Medicare Program - Shared Savings/Accountable Care Organizations Medicare program - Value-based modifier Medicare program - Quality Reporting Programs Medicare program - New payment models/measuring quality performance Medicare and Medicaid programs - Tavenner CMS nomination Medicaid program - Primary care bonus Discussions concerning potential debt limit extension and deficit reduction legislation - physician payment issues. Public Law No: 113-46, Continuing Appropriations Act , 2014 - Medicare and Medicaid savings issues.

Client expense: Not reported · Firm income: $75,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Impact of hospital consolidation on health care industry, health care costs, and on small business in particular independent doctors. Medicare Data Access for Transparency and Accountability Act (S.1180) Proposed repeal of In Office Ancillary Services Exception (IOASE) in FY2014 budget. HHS efforts to provide greater transparency to consumers. Importance of independent doctors, to competition, jobs, health care quality and cost. The Medicare Patient Access to Cancer Treatment Act (H.R. 2869). Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates (CMS-P-1601), and Proposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014 (CMS-P-1600).

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

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Impact of hospital consolidation on health care industry, health care costs, and on small business in particular independent doctors. Medicare Data Access for Transparency and Accountability Act (S.1180) Proposed repeal of In Office Ancillary Services Exception (IOASE) in FY2014 budget. HHS efforts to provide greater transparency to consumers. Importance of independent doctors, to competition, jobs, health care quality and cost. The Medicare Patient Access to Cancer Treatment Act (H.R. 2869). Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates (CMS-P-1601), and Proposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014 (CMS-P-1600).

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

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Impact of hospital consolidation on health care industry, health care costs, and on small business in particular independent doctors. Medicare Data Access for Transparency and Accountability Act (S.1180) Proposed repeal of In Office Ancillary Services Exception (IOASE) in FY2014 budget. HHS efforts to provide greater transparency to consumers. Importance of independent doctors, to competition, jobs, health care quality and cost. The Medicare Patient Access to Cancer Treatment Act (H.R. 2869). Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates (CMS-P-1601), and Proposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014 (CMS-P-1600).

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

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Impact of hospital consolidation on health care industry, health care costs, and on small business in particular independent doctors. Medicare Data Access for Transparency and Accountability Act (S.1180) Proposed repeal of In Office Ancillary Services Exception (IOASE) in FY2014 budget. HHS efforts to provide greater transparency to consumers. Importance of independent doctors, to competition, jobs, health care quality and cost. The Medicare Patient Access to Cancer Treatment Act (H.R. 2869). Calendar Year (CY) 2014 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Policy Changes and Payment Rates (CMS-P-1601), and Proposed Policy and Payment Changes to the Medicare Physician Fee Schedule for Calendar Year 2014 (CMS-P-1600).

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

Government targets: Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Implementation of S. 3370, the Libyan Claims Resolution Act (SJ Res. 20; S.1180).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

H.R. 2843 Medicare Data Access for Transparency and Accountability Act H.R. 2524 Medicare Better Health Rewards Program Act of 2013 S. 1228 Medicare Better Health Rewards Program Act of 2013 S. 1180 Medicare Data Access for Transparency and Accountability ActS. 351 Protecting Seniors' Access to Medicare Act H.R. 351 Protecting Seniors' Access to Medicare Act H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013

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

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

H.R. 2775 No Subsidies Without Verification Act H.R. 2009 Keep IRS Off Your Health Care Act of 2013 S. 851 Caregivers Expansion and Improvement Act of 2013 S. 1497 No exemption for Washington from Abamacare actH.R. 3093 Union Bailout Prevention Act of 2013 S. 1490 A bill to delay the application of the Patient Protection and Affordable Care Act H.R. 3076 James Madison Congressional Accountability Act H.R. 3077 TELE-MED Act of 2013 S. 1488 A bill to delay the application of the individual health insurance mandate, to delay the application of the employer health insurance mandate, and for other purposes. H.R. 3067 No Obamacare for Subsidies for Members of Congress Act of 2013 H.R. 3071 No Special Treatment for Congress Act H.R. 2995 Unneccesary Cap Act of 2013 S. 1469 The Congressional Health Care for Seniors Act H.R. 2843 Medicare Data Access for Transparency and Accountability Act H.R. 2837 To prohibit for a one-year period beginning September 30, 2013 the implementation, operation and coordination of a Federal Data Services Hub or any similar database system for determining or verifying eiligibility under the Patient Protection and Affordable Care Act H.R. 2668 Fairness for American Families Act H.R. 2667 Authority for Mandate Delay Act H.R. 2524 Medicare Better Health Rewards Program Act of 2013 S. 1228 Medicare Better Health Rewards Program Act of 2013 S. 1198 Medicare Fair Share Act of 2013 S. 1180 Medicare Data Access for Transparency and Accountability Act H.R. 1173 Personalize Your Care Act of 2013 H.R. 763 To repeal the annual fee on insurance providers enacted by the Patient Protection and Affordable Care Act H.R. 1634 Medical Flexible Spending Account Improvement Act H.R. 1326 Health Care Price Transparency Promotion Act of 2013 S. 351 Protecting Seniors' Access to Medicare Act H.R. 523 Protect Medical Innovation Act of 2013 H.R. 351Protecting Seniors' Access to Medicare Act H. R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3204 Drug Quality and Security Act S. 1422 A bill to amend the Congressional Budget Act of 1974 respecting the scorings of preventive health savings H.R. 2725 FDA Safety Over Sequestrian Act H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2663 To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings H.R. 1919 Safeguarding America's Pharmaceutical Act of 2013 H.R. 2415 Treat and Reduce Obesity Act of 2013 S. 1193 Data Security and Breach Notification Act of 2013 S. 959 Pharmaceutical Quality, Security, and Accountability Act S. 1184 Treat and Reduce Obesity Act of 2013 H.R. 2179 Physical Activity Guidelines for Americans Act S. 957 Drug Supply Chain Security Act H.R. 1473 Standard of Care Protection Act of 2013 S. 616Conrad State 30 and Physician Access Act S. 531 Physical Activity Guidelines for Americans Act H.R. 5 Student Success Act H.R. 2426 The Educating Tomorrow's Engineers Act (ETEA) H.R. 2131 SKILLS Visa Act S. 744 Border Security, Economic Opportunity and Immigration Modernization Act S. 1178 The Educating Tomorrow's Engineers Act (ETEA) S. 1152 Building a Health Care Workforce for the Future Act H.R. 903 American Job Protection Act

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

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

Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-148, the Patient Protection and Affordable Care Act - Implementation issues related to Medicare and Medicaid physician payments, comparative effectiveness research, quality reporting and improvement initiatives.Public Law 111-152, the Health Care and Education Reconciliation Act of 2010 - Implementation issues related to Medicare and Medicaid physician payments. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - issues related to Medicare and Medicaid physician payments. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Medicare physician payment issues. H. Con. Res. 25, Establishing the budget for the United States Government for fiscal year 2014 and setting forth appropriate budgetary levels for fiscal years 2015 through 2023; and S.Con.Res. 8, An original concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2014, revising the appropriate budgetary levels for fiscal year 2013, and setting forth the appropriate budgetary levels for fiscal years 2015 through 2023 - Medicare physician payment and drug reimbursement issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions The Medicare Payment Stability and Premium Security Act ( Draft bill) Medicare Program - Long term reform proposals for the Medicare physician payment system. Medicare Program - Regulatory and administrative issues with the Medicare physician formula. Medicare Program - Shared Savings/Accountable Care Organizations Medicare program - Value-based modifier Medicare program - Quality Reporting Programs Medicare program - New payment models/measuring quality performance Medicare and Medicaid programs - Tavenner CMS nomination Medicaid program - Primary care bonus Discussions concerning potential debt limit extension and deficit reduction legislation - physician payment issues.

Client expense: Not reported · Firm income: $75,000

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013, entire bill. H.R. 2578, the Rural Hospital Fairness Act of 2013, entire bill. S. 1180, the Medicare Data Access for Transparency and Accountability Act, entire bill. S. 1143, Protecting Access to Rural Therapy Services Act, entire bill.H.R. 1787/S. 842, the Rural Hospital Access Act of 2013, entire bills. S. 1053/H.R. 2302, the HELP Hospice Act, entire bills. S. 183, Hospital Payment Fairness Act of 2013, entire bill. H.R.2053, To amend title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas, entire bill. H.R. 1920, DSH Reduction Relief Act of 2013, entire bill. H.R. 45, To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010, entire bill. President Obama's budget for FY 2014, budget proposal with a focus on Medicare and Medicaid policies. Simpson/Bowles Budget proposal released in April 2013, entire proposal. H.R. 4872, Health Care & Education Affordability Reconciliation Act of 2010: provisions relating to hospitals and physicians, including: Section 2302: 340B program; Section 1104 and Section 1203: Medicare and Medicaid DSH Payments; Sections 1108 and 1109 involving geographic disparities in Medicare payment; Section 1105: Market basket updates; Section 1201: Federal funding for States. H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to hospitals, hospice and physicians including: Section 3001: hospital value-based purchasing; Section 3125: low-volume hospital payment; Section 3401: productivity adjustments; Section 3121: outpatient hold harmless for hospitals; Sections 7101-7103: 340B Program; Section 3401: Independent Payment Advisory Board; Section 3015: hospital readmissions program; Section 3124: Extension of Medicare Dependent Hospital program; Section 3137: Section 508 Reclassification; Section 9007: non-profit hospital provision; Section 3105: ambulance services; Section 3008 and Section 2702: payment adjustment for hospital acquired conditions; Section 3133: Medicare DSH; Section 2551: Disproportionate Share Hospitals; Section 5501: Primary Care Provisions; Section 5503: Graduate Medical Education; Sections 2001-2081: Expansion of Medicaid, CHIP; Sections 1311-1343: CO-OPs and Exchanges; Section 3022: Accountable Care Organizations; Section 3023: Hospital Bundling Provision; Section 6401-6402: Program Integrity Provisions; Section 6501-6503, 6505, 6508: Medicaid Program Integrity Provisions; Section 3141: Changes to the Rural Floor of the Hospital Wage Index. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201, Physician payment update. Section 2202: Ambulance Add-ons; Section 2203: Medicare payment for outpatient therapy services; Section 2204: Work geographic Adjustment; Part 3--Offsets, Section 2223: Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Section 2213: Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2012, entire bill. H.R. 8, American Taxpayer Relief Act of 2012, entire bill with focus on Title VI and Title X.Other issues: 2014 Inpatient/Long term care hospital Prospective Payment System proposed rule, entire rule. Medicaid DSH Reduction proposed rule, entire rule. 2014 Skilled Nursing Facility Prospective Payment System proposed rule, entire rule. 2014 Hospice payment proposed rule, entire rule. 2014 Inpatient Rehab Facility Prospective Payment System, proposed rule, entire rule. 2014 Home Health Prospective Payment System, proposed rule, entire rule. CMS 3267-P, Medicare and Medicaid Programs; Part IIRegulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction; Proposed Rule, entire rule. Medicare and Medicaid Recovery Audit Contractor programs, including CMS' proposed changes to the rebilling policy for hospitals, CMS1455P. Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters. Medicare and Medicaid Electronic Health Record Payment Incentive Programs. Hospital wage index reform, including Section 3137(b) of the Affordable Care Act, and Section 508 reclassification policy. 2013 Outpatient Prospective Payment System rule, entire rule. Proposals surrounding the Sustainable Growth Rate (SGR) and deficit/debt reduction as related to hospitals and physicians. Accountable Care Organizations and the Innovation Center's demonstration programs. Implementation of the state health insurance exchanges. Dual Eligible Demonstration Programs. 340B Drug Discount Program. Medicaid provider taxes.

Client expense: $62,720 · Firm income: Not reported

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

H.R. 1250: The Medicare Improvement Act of 2013. H.R. 1920: DSH Reduction Relief Act of 2013. H.R. 2053: To amend Title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas.H.R. 2329: Administrative Relief and Accurate Medicare Payments Act of 2013. S. 963: The Preventing an Unrealistic Future Medicaid Augmentation Plans (FMAP) Act of 2013. S.744: Border Security, Economic Opportunity, and Immigration Modernization Act. S.1180: A bill to amend title XI of the Social Security Act to provide for the public availability of Medicare claims data. CMS-3267-P: Proposed Rule for Medicare and Medicaid Programs; Part II - Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction, Federal Register (Vol. 78, No. 26), February 7, 2013. CMS-1455-P: Medicare Program; Part B Inpatient Billing in Hospitals; Proposed Rule (Federal Register, Vol. 78, No. 52, March 18, 2013). CMS-1599-P: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2014 Rates; Proposed Rule, May 10, 2013. CMS-1454-P: Medicare Program; Physicians Referrals to Health Care Entities With Which They Have Financial Relationships: Exception for Certain Electronic Health Records Arrangements; Proposed Rule (Federal Register, Vol. 78, No. 69, April 10, 2013). OIG-404-P: Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor under the Anti-Kickback Statute; Proposed Rule (Federal Register, Vol. 78, No. 69, April 10, 2013).

Client expense: $234,000 · Firm income: Not reported

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

Implementation of S. 3370, the Libyan Claims Resolution Act (SJ Res. 20; S.1180).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, State, Dept of (DOS)

H.R. 1634 - Medical Flexible Spending Account Improvement Act H.R. 1549 - Helping Sick American's Now Act H.R. 1853 - Medicaid Accountability and Care Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage ActH.R. 1024 Medication Therapy Management Empowerment Act S. 557 Medication Therapy Management Empowerment Act H.R. 6482 : To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings H.R. 962 Medicare Diabetes Prevention Act S. 452 Medicare Diabetes Prevention Act H.R. 1549 Helping Sick Americans Now Act S. 531 Physical Activity Guidelines for Americans Act S. 39 Healthy Lifestyles and Prevention America Act H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 2415 Treat and Reduce Obesity Act of 2013 H.R. 2178 Fitness Integrated with Teaching Kids Act S. 945 Access to Quality Diabetes Education Act of 2013 S. 1184 Treat and Reduce Obesity Act of 2013 S.1033 Fitness Integrated with Teaching Kids Act H.R. 2457 Women's Preventive Health Awareness Campaign S. 1228 Medicare Better Health Rewards Program Act of 2013 H.R. 2524 Medicare Better Health Rewards Program Act of 2013 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 616 Conrad State 30 and Physician Access Act H.R. 2484 Conrad State 30 and Physician Access Act H.R. 1201 Training Tomorrows Doctors Today Act S. 577 Resident Physician Shortage Reduction Act H.R. 1178 Creating Access to Residency Education Act H.R. 487 Primary Care Workforce Access Improvement Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 1152 Building a Health Care Workforce for the Future Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act H.R. 2480 Nurse and Health Care Worker Protection Act of 2013 H.R. 1735 - In It All Together Act H.R. 933 - Consolidated and Further Continuing Appropriations Act, 2013 H.R. 271 Resolving Environmental and Grid Reliability Conflicts Act of 2013 H.R. 1407 - Animal Drug User Fee Amendments of 2013 H.R. 1634 - Medical Flexible Spending Account Improvement Act S. 983 - Keep the IRS Off Your Health Care Act of 2013 H.R. 1990 Keep the IRS Off Your Health Care Act of 2013 S. 1154 Exchange Sunset Act of 2013 H.R. 2305 Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013 H.R. 2328 Access to Professional Health Insurance Advisors Act of 2013 S. 954 - Agriculture Reform, Food, and Jobs Act of 2013 S. 1094 - Strengthening America's Schools Act of 2013 H.R. 2300 - Empowering Patients First Act of 2013 S. 957 Drug Supply Chain Security Act H.R. 1121 Cyber Privacy Fortification Act H.R. 1919 Safeguarding Americas Pharmaceuticals Act of 2013 S. 1180 - Medicare Data Access for Transparency and Accountability Act S.1193 - Data Security and Breach Notification Act of 2013

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

"H.R. 1634 - Medical Flexible Spending Account Improvement Act "H.R. 1549 - Helping Sick American's Now Act "H.R. 1853 - Medicaid Accountability and Care Act "H.R. 1698 - Stabilize Medicaid and CHIP Coverage ActH.R. 351 Protecting Seniors Access to Medicare Act S. 351 Protecting Seniors Access to Medicare Act H.R. 962 Medicare Diabetes Prevention Act S. 452 Medicare Diabetes Prevention Act S. 1228 Medicare Better Health Rewards Program Act of 2013 H.R. 2524 Medicare Better Health Rewards Program Act of 2013 S. 1180 - Medicare Data Access for Transparency and Accountability Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE