Treat and Reduce Obesity Act of 2013

Medicare prescription drug benefit. Rebates for Medicare Part D. Independent Payment Advisory Board IPAB). Part D coverage for obesity drugs (S. 1184, H.R. 2415).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare prescription drug benefit. Rebates for Medicare Part D. Independent Payment Advisory Board IPAB). Part D coverage for obesity drugs (S. 1184, H.R. 2415).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

The Affordable Care Act H.R. 2415/S. 1184 Treat and Reduce Obesity Act Sustainable Growth Rate

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

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

The Affordable Care Act H.R. 2415/S. 1184 Treat and Reduce Obesity Act Sustainable Growth Rate

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

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

HR 83 - Consolidated and Further Continuing Appropriations Act: Funding for Title VII Health Professions Grants, AHRQ. HR 647 Better Life Experience Act: Opposing the use of savings in Medicare for non-Medicare programs. HR 2415 (S. 1184) - Treat and Reduce Obesity Act: Seeking House and Senate cosponsors for obesity legislation. HR 3547 - FY 2015 funding Increases in AHRQ, Title VII section 747, NHSC, Teaching Health Center planning grants: Federal spending priorities to support workforce, research. HR 5481 - Urge Leadership and member offices to support bill during lame-duck session; urge CMS to shorted reporting period for 2015. HR 4771 (S. 2021) - Designer Anabolic Steriod Control Act: Restricting access to anabolic steroids. S. 1184 - Treat and Reduce Obesity Act: Seeking House and Senate cosponsors for obesity legislation. S. 1759 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2978 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2229 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2694 - Ensuring Access to Primary Care for Women and Children Act: Extending for 2 years the requirement that Medicaid programs pay primary care physicians at least as much as Medicare Does; Advocate for extension of Medicaid parity which expires at the end of 2014; Urge senators to co-sponsor S. 2694. S. 2917 (HR 5729): Adding Ebola to the FDA priority Review Voucher Program Act: Adding Ebola drug research to an existing FDA priority review program. No Bill Number - SGR Repeal and Replace Process: Advocate for SGR repeal and new physician payment system that pays for value and primary-care; Repealing the current physician payment formula for Medicare. No Bill Number - Graduate Medical Education: Explain and advocate for AAFP's policy proposals on GME. No Bill Number - Addressing health care fragmentation and promoting Triple Aim of improved care and health at lower cost: Promoting health reforms that recognize the value of family medicine and primary care. No Bill Number - National Service Corps trust fund reauthorization, appropriation: NHSC scholarship, debt relief and physicians for underserved. No Bill Number - Ebola Public Health Threat: Preventing the spread of Ebola. No Bill Number - Oppose cuts to pre-resident payment for Teaching Health Center GME: Maintain the sustainability of the THCGME program. No Bill Number - Urge Congress to prevent primary care cliff cuts to THCGME, NHSC &CHCs: Protect primary care spending. No Bill Number - Medicare EHR incentive payments: Concerns over attestation process. No Bill Number - Medicare Advance Care Planning - Urge CMS to cover SPT codes for ACP services. No Bill Number - Medicare Physician Payment: Comments on 2015 final payments. No Bill Number - Veterans Affairs copayments for medications in 2015: Family Physicians ability to prescribe to VA Patients. No Bill Number - Nomination to HIV/AIDS committee: Nominated a family physician to an advisory committee. No Bill Number - Nomination to Medicare Evidence Based MEDCAC: Nominated a family physician to an advisory committee. No Bill Number - Continuing Medical Education - Urged CMS to not change Open Payment CME Policy. No Bill Number - National Defense Authorization Act: Opposing provision to prevent DOD from implementing restrictions on tobacco sales and use. No Bill Number - Confirmation of the Nominee for Surgeon General: Supporting the nomination of Dr. Murthy as Surgeon General. No Bill Number - Copayments for medications in 2015: Supporting the freezing of copayments in the VHA and allowing vets to fill perscriptions from Non-VHA Physicians. No Bill Number - Medicare EvidenceDevelopment and Coverage Advisory Committee: Offering names of family physicians who could serve on the committee. No Bill Number - Presidential Advisory Counsel on HIV/AIDS - Offering the nams of family physicians to serve on the council. No Bill Number - Children's Health Insurance Program: Supporting the reauthorization of the Children's Health Insurance Program. No Bill Number - Healthcare Infection Control Practices Advisory Committee - Offering names of family physicisans to serve on committee. No Bill Number - Health Insurance Marketplace Issues and Provider involvement with Patient Enrollment: Network adequacy, patient enrollment in marketplaces.

Client expense: $514,251 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), 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)

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; community-based public health interventions and prescription drug abuse. 1.Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148) 2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Delivering Antimicrobial Transparency in Animals Act of 2013 (H.R. 820) 7.Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Healthier Lifestyles and Prevention America Act (S. 39) 9.Promoting Health as Youth Skills in Classrooms and Life Act (S. 392/H.R. 2160) 10.Medicare Diabetes Prevention Act (S. 452/H.R. 962) 11.Personal Health Investment Today Act (H.R. 956) 12.A bill to provide for a sequester replacement (S. 16/S. 799) 13.American Family Economic Protection Act of 2013 (S. 388) 14.Consolidated and Further Continuing Appropriations Act, 2013 (H.R. 933/Public Law 113-6) 15.Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 16.National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) 17.Physical Activity Guidelines for Americans Act (S. 531/H.R. 2179) 18.Firearm Safety and Public Health Research Act (H.R. 321) 19.Energy Consumers Relief Act (S. 1363/H.R. 1582) 20.Common Sense Nutrition Disclosure Act (H.R. 1249/S. 1756) 21.Improve Nutrition Program Integrity and Deficit Reduction Act (S. 458/H.R. 1510) 22.A bill to amend the Food and Nutrition Act of 2008 to improve the supplemental nutrition assistance program (S. 762/H.R. 1657) 23.Agriculture Reform, Food, and Jobs Act (S. 954/H.R. 2498) 24.Federal Agriculture Reform and Risk Management Act (H.R. 1947) 25.FIT Kids Act (S. 1033/H.R. 2178) 26.Strengthening Americas Schools Act (S. 1094) 27.Access to Quality Diabetes Education Act (S. 945/H.R. 1274) 28.Fit to Serve Act (S. 976) 29.Climate Change Health Protection and Promotion Act (H.R. 2023/S. 2864) 30.Treat and Reduce Obesity Act (S. 1184 / H.R. 2415) 31.Student Success Act (H.R. 5) 32.To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act (H.R. 45) 33.Medicare Better Health Rewards Program Act (S. 1228/H.R. 2524) 34.Senate FY14 Labor, Health and Human Services, and Education Bill (S. 1284) 35.House of Representatives FY14 Labor, Health and Human Services, and Education Bill 36.Pharmacy Compounding Quality and Accountability Act (S. 959) 37.Safeguarding Americas Pharmaceuticals Act (H.R. 1919) 38.Implementation of Drug Supply Chain Security Act (P.L. 113-54) 39.Preservation of Antibiotics for Medical Treatment Act (H.R. 1150)/Preventing Antibiotic Resistance Act of 2013 (S. 1256) 40.Healthy Families Act (H.R. 1286/S. 631) 41.FY2014 Continuing Resolution (H.J. Res. 59) 42.Pharmaceutical Quality, Security and Accountability Act (S. 959) 43.Energy Consumers Relief Act (S. 1363/H.R. 1582) 44.Increasing the Safety of Prescription Drug Use Act (S. 1657) 45.National Energy Tax Repeal Act (S. 1324) 46.Saving Coal Jobs Act of 2013 (S. 1514/H.R. 5077) 47.Community Parks Revitalization Act (H.R. 2424) 48.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (S. 1422/H.R. 2663) 49.School-based Health Centers Program Reauthorization Act of 2013 (H.R. 2632) 50.Nutrition Reform and Work Opportunity Act (H.R. 3102) 51.Health Equity and Accountability Act (H.R. 5294) 52.Secure America for Education (SAFE) in Our Schools Act of 2013 (H.R. 3158) 53.Continuing Appropriations Resolution, 2014 (H.J. Res 59) 54.Continuing Resolution FY 2014 (HR 2775, PL 113-46) 55.A bill to amend title 23, United States Code, with respect to the establishment of performance measures for the highway safety improvement program, and for other purposes. (H.R. 3493/S. 1708) 56.The Farm Bill (S. (S. 954/H.R. 2498; H.R. 1947, and H.R. 3102, Public Law 113-79) 57.Better Care, Lower Cost Act (S. 1932/H.R. 3890) 58.Antibiotic Development to Advance Patient Treatment Act of 2013 (ADAPT Act) (H.R. 3742) 59.The Consolidated Appropriations Act of 2014 (H.R. 3547/Public Law 113-76 60.Strategies to Address Antimicrobial Resistance (STAAR) Act (S. 2236/H.R. 2285) 61.New Opportunities for Bicycling and Pedestrian Infrastructure Financing Act of 2014 (H.R. 3978) 62.Eliminating Disparities in Diabetes Prevention, Access, and Care Act (H.R. 3322) 63.Electricity Security and Affordability Act (S. 1905/H.R. 3826) 64.Stop Overdose Stat Act (HR 4169) 65.Overdose Prevention Act (S 2755) 66.Opioid Overdose Reduction Act (S. 2092/H.R. 4288) 67.Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms Act of 2014 (DISARM Act) (H.R. 4187) 68.Child Care and Development Block Grant Act of 2014 (S. 1086) 69.Departments of Labor, Health and Human Services and Education And Related Agencies Fiscal Year 2015 Appropriations Bill (including H.R. 5464) 70.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2015 (S. 2389 / H.R. 4800) 71.Department of the Interior, Environment, and Related Agencies appropriations legislation, 2015 (including H.R. 5171) 72.MAP-21 Reauthorization Act (S. 2322) 73.Stop Subsidizing Childhood Obesity Act (S. 2342/H.R. 2831) 74.ENRICH Act (H.R. 4427) 75.Healthy Kids Outdoors Act of 2014 (S. 2367/H.R. 4706) 76.Summer Meals Act of 2014 (S. 2527/HR. 5012) 77.Long-Term SCORE Act (H.R. 4444) 78.American Cures Act (S. 2115/H.R. 4384) 79.A joint resolution to disapprove a rule of the Environmental Protection Agency relating to greenhouse gas emissions from electric utility generating units. (S.J. Res 30) 80.Fit for Life Act of 2014 (H.R.4765) 81.School Food Modernization Act (S. 2210/H.R. 1783) 82.Protecting Children from Electronic Cigarette Advertising Act of 2014 (S. 2014/H.R. 4325) 83.Pedestrian Safety Act of 2014 (S. 2284) 84.Safe Streets Act of 2014 (S. 2004/H.R. 2468) 85.Time for Recovery Enhancement for Addiction Treatment Act (S. 2645) 86.FY 2015 Financial Services and General Government Appropriations bill, in support of an appropriation for the National Alliance for Model State Drug Laws (including H.R. 5016) 87.Vector-Borne Disease Research Accountability and Transparency Act (H.R. 4701) 88.Highway and Transportation Funding Act of 2014 (H.R. 5021/Public Law 113-159) 89.Full-Service Community Schools Act of 2014 (H.R. 5168) 90.PREPARE Act of 2014 (H.R. 5314) 91.Waters of the United States Regulatory Overreach Protection Act of 2014 (S. 2496/H.R. 5078) 92.American Energy Solutions for Lower Costs and More American Jobs Act (H.R. 2) 93.FY2015 Omnibus; Consolidated and Further Continuing Appropriations Act (H.R. 83/Public Law 113-234) 94.Promise for Antibiotics and Therapeutics for Health Act (PATH Act, S. 2996) 95.Infectious Disease Hospital Hubs Act (S. 2942)

Client expense: $39,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

Implementation of P.L. 111-148, The Patient Protection and Affordable Care Act; Title III-Improving the Quality and Efficiency of Health care; S. 454/H.R. 962, The Medicare Diabetes Prevention Act of 2013; S. 351/H.R. 351, Protecting Seniors Access to Medicare Act of 2013; H.R. 241/S. 1184, Treat and Reduce Obesity Act- All provisions; H.R. 4015/S.2000, The SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions.

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

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

HR 83 - Consolidated and Further Continuing Appropriations Act: Funding for Title VII Health Professions Grants, AHRQ. HR 647 Better Life Experience Act: Opposing the use of savings in Medicare for non-Medicare programs. HR 2415 (S. 1184) - Treat and Reduce Obesity Act: Seeking House and Senate cosponsors for obesity legislation. HR 3547 - FY 2015 funding Increases in AHRQ, Title VII section 747, NHSC, Teaching Health Center planning grants: Federal spending priorities to support workforce, research. HR 5481 - Urge Leadership and member offices to support bill during lame-duck session; urge CMS to shorted reporting period for 2015. HR 4771 (S. 2021) - Designer Anabolic Steriod Control Act: Restricting access to anabolic steroids. S. 1184 - Treat and Reduce Obesity Act: Seeking House and Senate cosponsors for obesity legislation. S. 1759 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2978 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2229 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2694 - Ensuring Access to Primary Care for Women and Children Act: Extending for 2 years the requirement that Medicaid programs pay primary care physicians at least as much as Medicare Does; Advocate for extension of Medicaid parity which expires at the end of 2014; Urge senators to co-sponsor S. 2694. S. 2917 (HR 5729): Adding Ebola to the FDA priority Review Voucher Program Act: Adding Ebola drug research to an existing FDA priority review program. No Bill Number - SGR Repeal and Replace Process: Advocate for SGR repeal and new physician payment system that pays for value and primary-care; Repealing the current physician payment formula for Medicare. No Bill Number - Graduate Medical Education: Explain and advocate for AAFP's policy proposals on GME. No Bill Number - Addressing health care fragmentation and promoting Triple Aim of improved care and health at lower cost: Promoting health reforms that recognize the value of family medicine and primary care. No Bill Number - National Service Corps trust fund reauthorization, appropriation: NHSC scholarship, debt relief and physicians for underserved. No Bill Number - Ebola Public Health Threat: Preventing the spread of Ebola. No Bill Number - Oppose cuts to pre-resident payment for Teaching Health Center GME: Maintain the sustainability of the THCGME program. No Bill Number - Urge Congress to prevent primary care cliff cuts to THCGME, NHSC &CHCs: Protect primary care spending. No Bill Number - Medicare EHR incentive payments: Concerns over attestation process. No Bill Number - Medicare Advance Care Planning - Urge CMS to cover SPT codes for ACP services. No Bill Number - Medicare Physician Payment: Comments on 2015 final payments. No Bill Number - Veterans Affairs copayments for medications in 2015: Family Physicians ability to prescribe to VA Patients. No Bill Number - Nomination to HIV/AIDS committee: Nominated a family physician to an advisory committee. No Bill Number - Nomination to Medicare Evidence Based MEDCAC: Nominated a family physician to an advisory committee. No Bill Number - Continuing Medical Education - Urged CMS to not change Open Payment CME Policy. No Bill Number - National Defense Authorization Act: Opposing provision to prevent DOD from implementing restrictions on tobacco sales and use. No Bill Number - Confirmation of the Nominee for Surgeon General: Supporting the nomination of Dr. Murthy as Surgeon General. No Bill Number - Copayments for medications in 2015: Supporting the freezing of copayments in the VHA and allowing vets to fill perscriptions from Non-VHA Physicians. No Bill Number - Medicare EvidenceDevelopment and Coverage Advisory Committee: Offering names of family physicians who could serve on the committee. No Bill Number - Presidential Advisory Counsel on HIV/AIDS - Offering the nams of family physicians to serve on the council. No Bill Number - Children's Health Insurance Program: Supporting the reauthorization of the Children's Health Insurance Program. No Bill Number - Healthcare Infection Control Practices Advisory Committee - Offering names of family physicisans to serve on committee. No Bill Number - Health Insurance Marketplace Issues and Provider involvement with Patient Enrollment: Network adequacy, patient enrollment in marketplaces.

Client expense: $514,251 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), 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)

HR 487, Primary Care Workforce Access Improvement Act; pilot test alternatives to GME payment in order to increase primary care physician training.HR 2415, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. HR 3230, Veterans Access, Choice and Accountablility Act; Support for allowing family physicians to provide health care to veterans paid for by the VHA. HR 4015, SGR Repeal and Medicarte Provider Payment Modernization Act, Support repeal of SGR and replacement with value-based payment systems. HR 4292, The Underserved Veterans Access to Healthcare Act; support for primary care residency positionsin VA health system. HR 5481, Health IT-FLEX-IT Act, Urge leadership and member offices to support bill during lame duck session- bill would shorten 2015 reporting period for meaningful use. HR 5498, Primary Care Physician Reentry Act, Facillitate reentry into practice for primary care physicians. HJ Res. 124, the Continuing Resolution; Support for continued funding for Health Professions Grants and other discretionary programs for primary care. S. 1184, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. S. 1759, Reauthorizing Teaching Health Center GME Program, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 1932, the Better Care at Lower Cost Act, Support for chronic care management. S. 1978, Reauthorizing Teaching Health Center GME Program, Reauthorize the Teaching Health Centers Graduate Medical Education program; Increasing Primary Care access Act, Family physician workforce. S. 2000, SGR Repeal and Medicarte Provider Payment Modernization Act, Support repeal of SGR and replacement with value-based payment systems. S. 2229, Reauthorizing Teaching Health Center GME Program, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 2694, Medicaid Parity for Primary care, including S. 2694, advocate for extension of parity which expires at the end of 2014; urge Senators to co-sponsor S. 2694. S. 2728, Extending and increasing funding for grants to teaching health centers. No Bill Number, Graduate Medical Education, Explain and advocate for AAFP's newly released policy proposals on GME; Support for primary care residency slots in non-hospital; settings. 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, National Health Service Corps trust fund reauthorization, appropriation, NHSC provides scholarships & debt relief as well as physicians for underserved communities. No Bill Number, Patient Safety and Primary Care Research, Patient safety and primary care research at AHRQ. No Bill Number, FY funding increses in AHRQ, Title VII 747, NHSC, Teaching Health Center planning grants, Federal spending priorities to support workforce, research. No Bill Number, Advisory Committee on Training in Primary Care Medicine and Dentistry, Federal spending on primary care medicine training grants. No Bill Number, Increased funding for Title 747, Federal spending on primary care medicine training grants. No Bill Number, Joining Forces Mental Health Convening, mental health care for returning service members & families. No Bill Number, Increased funding for AHRQ, Federal spending on patient safety primary care research. No Bill Number, Ebola Public Health Threat, Family Physician Kent Brantly testified at Senate hearing. No Bill Number, Medicare EHR incentive payments, Concerns over attestation process. No Bill Number, Infection Advisory, Nominated a FP to a panel. No Bill Number, Medicare physician payment, Comments of 2015 proposed payments. No Bill Number, Medicaid advisory panel, Nomiated FPs to MACPAC. No Bill Number, Physician relative value units, Comments on proposed review of RVUs by CMS. No Bill Number, Tobacco delivery devices, Urged FDA to assert authority. No Bill Number, Continuing Medical Education, Urged CMS to not change Open Payment CME policy. No Bill Number, Food Safety Modernization Act, Support for regulation to prevent food-borne illnesses. No Bill Number, Adult Pneumococcal Vaccine, Support for Medicare payment to administer PCV13.No Bill Number, Health Insurance Marketplace Issues & Provider Involvement with Patient Enrollment, Network adequacy,Patient Enrollment in Marketplaces. No Bill Number, E-Cigarettes, Support of FDA proposed rule giving the agency authority to regulate e-cigarettes. No Bill Number, Medicare Physician Payment Proposed Rule; Support for payment strategies that recognize primary care and care coordination.

Client expense: $666,947 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), 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), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 487, Primary Care Workforce Access Improvement Act, pilot test alternatives to GME payment to increase PCP training.HR 2415, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. HR 5481, Health IT-FLEX-IT Act, Urge leadership and member offices to support bill during lame duck session- bill would shorten 2015 reporting period for meaningful use. HR 4015, SGR Repeal and Medicarte Provider Payment Modernization Act, Support repeal of SGR and replacement with value-based payment systems. S. 1184, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. S. 1759, Reauthorizing Teaching Health Center GME program, Teaching Health Centers Graduate Medical Education. S. 1978, Increasing Primary Care Access Act, Family physician workforce, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 1932, the Better Care at Lower Cost Act, Support for chronic care management. S. 2000, SGR Repeal and Medicarte Provider Payment Modernization Act, Support repeal of SGR and replacement with value-based payment systems. S. 2229, Reauthorizing Teaching Health Center GME program, Teaching Health Centers Graduate Medical Education. S. 2694, Medicaid Parity for Primary care, including S. 2694, advocate for extension of parity which expires at the end of 2014; urge Senators to co-sponsor S. 2694; Ensuring Access to Primary Care for Women and Children Act, Prevent Medicaid primary care physician pay cut; Support for extension of this provision to pay primary care physicians for primary care services; extend increase in Medicaid payments for primary care services to Medicare levels beyond 2015; Seek House companion legislation. S. 2728, Community-based Medical Education Act of 2014, Medicare GME reform and THC GME reauthorization; Extending and increasing funding for grants to teaching health centers. 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, Graduate Medical Education, Explain and advocate for AAFP's newly released policy proposals on GME. No Bill Number, Medicare Graduate Medical Education, Medicare GME Reform. No Bill Number, Medicare EHR incentive payments, Concerns over attestation process. No Bill Number, Medicare physician payment, Comments of 2015 proposed payments. No Bill Number, Medicare Physician Payment Proposed Rule; Support for payment strategies that recognize primary care and care coordination. No Bill Number, Graduate Medical Education, Support for primary care residency slots in non-hospital settings. No Bill Number, Adult Pneumococcal Vaccine, Support for Medicare payment to administer PCV13. No Bill Number, Pharmaceutical Companies' Payments to Physicians; Support for keeping payments for continuing education excluded from reporting. No Bill Number, Meaningful Use of Health Information Technology Requirements, Support for 90-day EHR reporting period for 2015. No Bill Number, Narrow Networks, Support for restricting health plans' ability to disassociate with primary care physicians. No Bill Number, Repeal SGR, Positive update and higher rate for primary care.

Client expense: $666,947 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), 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), Office of Management & Budget (OMB), 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 offices to sponsor bill; urge W&M offices to discuss during March 2014 budget hearing, GME reform increase primary care physician training, pilot test alternatives to GME payment to increase PCP training.HR 2305, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. HR 2810, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. HR 2867, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. HR 2969, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. HR 3306, Telehealth Enhancement Act, Defining the home base for telehealth reimbursement to incluse family medicine offices. HR 4015, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. HR 4209, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. HR 4302, Medicare Payment Reform, Repeal SGR. Positive update and higher rate for primary care. HR 4418, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. HR 4543, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. S. 1123, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. S. 1184, Treat and Reduce Obesity Act, Seeking House and Senate cosponsors for obesity legislation. S. 1318, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. S. 1759, Reauthorizing Teaching Health Center GME program, Teaching Health Centers Graduate Medical Education. S. 1769, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. S. 1871, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. S. 1978, Increasing Primary Care Access Act, Family physician workforce, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program, increase family physician workforce. S. 2000, Medicare Payment Reform, Repeal SGR. Positive update and higher rate for primary care. S. 2110, Medicare Payment Reform, Repeal SGR. Positive update and higher rate for primary care. S. 2122, Medicare Payment Reform, Repeal SGR, Positive update and higher rate for primary care. S. 2229, Reauthorizing Teaching Health Center GME program, Teaching Health Centers Graduate Medical Education. S. 2415, Seeking House and Senate cosponsors for obesity legislation. 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, Medicare Primary Care Incentive Payment, Urge Ways and Means members to discuss at annual MedPac hearing. No Bill Number, Telemedicine,advocate for AAFP policies to be included in a potential bipartisan telehealth bill. No Bill Number, Medicare Site Neutral Payments; advocate for AAFP policies to be included in conncection with MedPac hearing. No Bill Number, Extend Medicare/medicare parity for primary care services, Extend increase in Medicaid payments for primary care services to Medicare levels beyond 2015. No Bill Number, Direct Primary Care, Primary care model of retainer-based practice. No Bill Number, Medicare physician payment reform of the SGR, 2014 converstion factor. No Bill Number, Repeal SGR, Positive update and higher rate for primary care.No Bill Number, Site-neutral payment for medical services, Support site-neutral payment by CMS for medical services. No Bill Number, First Fridays Meetings, Provider outreach group for Affordable Care Act, provider and open enrollment issues.

Client expense: $627,558 · Firm income: Not reported

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

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 offices to sponsor bill, GME reform increase primary care physician training, Pilot test alternatives to GME payment in order to increase primary care physician training.HR 2415, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. HR 3306, Telehealth Enhancement Act, Defining the home base for telehealth reimbursement to incluse family medicine offices. HR 4299, Improving Regulatory Transparency for New Medical Therapies Act, Improving DEA's process for scheduling new drugs approved by the FDA. HR 4709, Ensuring Patient Access and Effective Drug Enforcement Act, Allowing supply chain stakeholders for prescription drugs to collaborate. HR 4810, VA Health Reform, Improve access for veterans to primary care services, both inside the VA and outside. S. 1184, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. S. 1759, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 1994, TRICARE Moms Improvement Act, Supporting TRICARE payment for breastfeeding support and supplies and counseling. S. 1978, Increasing Primary Care Access Act, Family physician workforce, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program, increase family physician workforce. S. 2229, Expanding Primary Care Access and Workforce Act, Reauthorizing Title VII primary care programs, Teaching Health Centers and the NHSC, Reauthorizing Teaching Health Center GME program, Teaching Health Centers Graduate Medical Education, Reauthorizing Title VII primary care programs, Teaching Health Centers and the NHSC. S. 2450, VA Health Reform, Improve access for veterans to primary care services, both inside the VA and outside No Bill Number, Extend Medicare/Medicare parity for primary care services, Extend Medicaid pay increase to Medicare levels beyond 2015. H. Con. Res. 96, House Budget Resolution, Protecting access to primary care in Medicaid. No Bill Number, Children's Health, Advocate for reauthorization of CHIP and children's mental health issues via coalition group meetings. No Bill Number, First Friday & Health Care Provider Meetings, Provider outreach groups for ACA, provider, and open enrollment issues. 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; advocate for members to mention at E&C hearing. No Bill Number, Medicare Primary Care Incentive Payment, Urge Ways and Means members to discuss at annual MedPac hearing. No Bill Number, Telemedicine,advocate for AAFP policies to be included in a potential bipartisan telehealth bill. No Bill Number, Teaching Health Centers, advocate for introduction of bipartisan bill to reauthorize the program. No Bill Number, FY funding increses in AHRQ, Title VII 747, NHSC, Teaching Health Center planning grants, Federal spending priorities to support workforce, research. No Bill Number, Veterans Health Care, advocate for inclusion of policies in final bill that allow family doctors to easily contract with the VA; advocate for primary-care GME slots in the VA. No Bill Number, FDA regulation of tobacco products, Oppose any limits or amendments that would limit FDA ability to regulate cigars. No Bill Number, E-Cigarettes impact on public health; Support FDA regulation of e-cigarettes, still urging FDA to regulate all tobacco. No Bill Number, National Health Service Corps trust fund reauthorization, appropriation, NHSC provides scholarships & debt relief as well as physicians for underserved communities.No Bill Number, Rural workforce, Comments on FQHC final rule. No Bill Number, VA committee on Woman Veterans, Nominated to FPs to the VA committee. No Bill Number, HHS Appropriations, Funding for health professions training grants, AHRQ research, and National Health Service Corps (NHSC). No Bill Number, Enhanced Medicaid payment for primary care, Extending the enhanced Medicaid payment for primary care. No Bill Number, Site-neutral payment for medical services, Support site-neutral payment by CMS for medical services. No Bill Number, White House's Health Kids and Save Sports Concussion Summit, Providing family physicians with latest information about sports concussions. No Bill Number, Veterans Health Administration, Allowing community physicians to charge VA for services to Vets. No Bill Number, Direct Primary Care, Primary care model of retainer-based practice. No Bill Number, Medicare physician payment reform of the Sustainable Growth Rate, 2014 conversion factor. No Bill Number, Graduate Medical Education, comments on 2015 proposed IPPS. No Bill Number, Health IT, asking CMS to delay MU2. No Bill Number, Non-discrimination, Advocate for correct use of non-discrimination clause in Affordable Care Act. No Bill Number, Extend Medicare/Medicare parity for primary services, extend Medicaid pay increase to Medicare levels beyond 2015. No Bill Number, First Fridays Meetings, Provider outreach group for Affordable Care Act, provider and open enrollment issues.

Client expense: $627,558 · Firm income: Not reported

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

HR 83 - Consolidated and Further Continuing Appropriations Act: Funding for Title VII Health Professions Grants, AHRQ. HR 647 Better Life Experience Act: Opposing the use of savings in Medicare for non-Medicare programs. HR 2415 (S. 1184) - Treat and Reduce Obesity Act: Seeking House and Senate cosponsors for obesity legislation. HR 3547 - FY 2015 funding Increases in AHRQ, Title VII section 747, NHSC, Teaching Health Center planning grants: Federal spending priorities to support workforce, research. HR 5481 - Urge Leadership and member offices to support bill during lame-duck session; urge CMS to shorted reporting period for 2015. HR 4771 (S. 2021) - Designer Anabolic Steriod Control Act: Restricting access to anabolic steroids. S. 1184 - Treat and Reduce Obesity Act: Seeking House and Senate cosponsors for obesity legislation. S. 1759 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2978 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2229 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2694 - Ensuring Access to Primary Care for Women and Children Act: Extending for 2 years the requirement that Medicaid programs pay primary care physicians at least as much as Medicare Does; Advocate for extension of Medicaid parity which expires at the end of 2014; Urge senators to co-sponsor S. 2694. S. 2917 (HR 5729): Adding Ebola to the FDA priority Review Voucher Program Act: Adding Ebola drug research to an existing FDA priority review program. No Bill Number - SGR Repeal and Replace Process: Advocate for SGR repeal and new physician payment system that pays for value and primary-care; Repealing the current physician payment formula for Medicare. No Bill Number - Graduate Medical Education: Explain and advocate for AAFP's policy proposals on GME. No Bill Number - Addressing health care fragmentation and promoting Triple Aim of improved care and health at lower cost: Promoting health reforms that recognize the value of family medicine and primary care. No Bill Number - National Service Corps trust fund reauthorization, appropriation: NHSC scholarship, debt relief and physicians for underserved. No Bill Number - Ebola Public Health Threat: Preventing the spread of Ebola. No Bill Number - Oppose cuts to pre-resident payment for Teaching Health Center GME: Maintain the sustainability of the THCGME program. No Bill Number - Urge Congress to prevent primary care cliff cuts to THCGME, NHSC &CHCs: Protect primary care spending. No Bill Number - Medicare EHR incentive payments: Concerns over attestation process. No Bill Number - Medicare Advance Care Planning - Urge CMS to cover SPT codes for ACP services. No Bill Number - Medicare Physician Payment: Comments on 2015 final payments. No Bill Number - Veterans Affairs copayments for medications in 2015: Family Physicians ability to prescribe to VA Patients. No Bill Number - Nomination to HIV/AIDS committee: Nominated a family physician to an advisory committee. No Bill Number - Nomination to Medicare Evidence Based MEDCAC: Nominated a family physician to an advisory committee. No Bill Number - Continuing Medical Education - Urged CMS to not change Open Payment CME Policy. No Bill Number - National Defense Authorization Act: Opposing provision to prevent DOD from implementing restrictions on tobacco sales and use. No Bill Number - Confirmation of the Nominee for Surgeon General: Supporting the nomination of Dr. Murthy as Surgeon General. No Bill Number - Copayments for medications in 2015: Supporting the freezing of copayments in the VHA and allowing vets to fill perscriptions from Non-VHA Physicians. No Bill Number - Medicare EvidenceDevelopment and Coverage Advisory Committee: Offering names of family physicians who could serve on the committee. No Bill Number - Presidential Advisory Counsel on HIV/AIDS - Offering the nams of family physicians to serve on the council. No Bill Number - Children's Health Insurance Program: Supporting the reauthorization of the Children's Health Insurance Program. No Bill Number - Healthcare Infection Control Practices Advisory Committee - Offering names of family physicisans to serve on committee. No Bill Number - Health Insurance Marketplace Issues and Provider involvement with Patient Enrollment: Network adequacy, patient enrollment in marketplaces.

Client expense: $2,438,717 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), 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)

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013; Physician Quality and Reporting System (PQRS). Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

HR 83 - Consolidated and Further Continuing Appropriations Act: Funding for Title VII Health Professions Grants, AHRQ. HR 647 Better Life Experience Act: Opposing the use of savings in Medicare for non-Medicare programs. HR 2415 (S. 1184) - Treat and Reduce Obesity Act: Seeking House and Senate cosponsors for obesity legislation. HR 3547 - FY 2015 funding Increases in AHRQ, Title VII section 747, NHSC, Teaching Health Center planning grants: Federal spending priorities to support workforce, research. HR 5481 - Urge Leadership and member offices to support bill during lame-duck session; urge CMS to shorted reporting period for 2015. HR 4771 (S. 2021) - Designer Anabolic Steriod Control Act: Restricting access to anabolic steroids. S. 1184 - Treat and Reduce Obesity Act: Seeking House and Senate cosponsors for obesity legislation. S. 1759 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2978 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2229 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2694 - Ensuring Access to Primary Care for Women and Children Act: Extending for 2 years the requirement that Medicaid programs pay primary care physicians at least as much as Medicare Does; Advocate for extension of Medicaid parity which expires at the end of 2014; Urge senators to co-sponsor S. 2694. S. 2917 (HR 5729): Adding Ebola to the FDA priority Review Voucher Program Act: Adding Ebola drug research to an existing FDA priority review program. No Bill Number - SGR Repeal and Replace Process: Advocate for SGR repeal and new physician payment system that pays for value and primary-care; Repealing the current physician payment formula for Medicare. No Bill Number - Graduate Medical Education: Explain and advocate for AAFP's policy proposals on GME. No Bill Number - Addressing health care fragmentation and promoting Triple Aim of improved care and health at lower cost: Promoting health reforms that recognize the value of family medicine and primary care. No Bill Number - National Service Corps trust fund reauthorization, appropriation: NHSC scholarship, debt relief and physicians for underserved. No Bill Number - Ebola Public Health Threat: Preventing the spread of Ebola. No Bill Number - Oppose cuts to pre-resident payment for Teaching Health Center GME: Maintain the sustainability of the THCGME program. No Bill Number - Urge Congress to prevent primary care cliff cuts to THCGME, NHSC &CHCs: Protect primary care spending. No Bill Number - Medicare EHR incentive payments: Concerns over attestation process. No Bill Number - Medicare Advance Care Planning - Urge CMS to cover SPT codes for ACP services. No Bill Number - Medicare Physician Payment: Comments on 2015 final payments. No Bill Number - Veterans Affairs copayments for medications in 2015: Family Physicians ability to prescribe to VA Patients. No Bill Number - Nomination to HIV/AIDS committee: Nominated a family physician to an advisory committee. No Bill Number - Nomination to Medicare Evidence Based MEDCAC: Nominated a family physician to an advisory committee. No Bill Number - Continuing Medical Education - Urged CMS to not change Open Payment CME Policy. No Bill Number - National Defense Authorization Act: Opposing provision to prevent DOD from implementing restrictions on tobacco sales and use. No Bill Number - Confirmation of the Nominee for Surgeon General: Supporting the nomination of Dr. Murthy as Surgeon General. No Bill Number - Copayments for medications in 2015: Supporting the freezing of copayments in the VHA and allowing vets to fill perscriptions from Non-VHA Physicians. No Bill Number - Medicare EvidenceDevelopment and Coverage Advisory Committee: Offering names of family physicians who could serve on the committee. No Bill Number - Presidential Advisory Counsel on HIV/AIDS - Offering the nams of family physicians to serve on the council. No Bill Number - Children's Health Insurance Program: Supporting the reauthorization of the Children's Health Insurance Program. No Bill Number - Healthcare Infection Control Practices Advisory Committee - Offering names of family physicisans to serve on committee. No Bill Number - Health Insurance Marketplace Issues and Provider involvement with Patient Enrollment: Network adequacy, patient enrollment in marketplaces.

Client expense: Not reported · Firm income: $2,438,717

Government targets: Centers For Disease Control & Prevention (CDC), 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)

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013; Physician Quality and Reporting System (PQRS). Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 2415/ S. 1184 -- Treat and Reduce Obesity Act of 2013; Issues related to the DEA scheduling of pharmaceuticals.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2415/ S. 1184 -- Treat and Reduce Obesity Act of 2013; Issues related to the DEA scheduling of pharmaceuticals.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 - Medicare Diabetes Prevention Act of 2013 HR 1257 Prevent Diabetes Medicare Act of 2013 HR 1274/S 945 Access to Quality Diabetes Education Act of 2013; HR 1588/ S 740 -- Medicare Drug Savings Act of 2013 HR 2415/ S 1184 - Treat and Reduce Obesity Act of 2013; HR 2663/S 1422 - Scoring of Preventive Health Savings Medicare diabetes screening and self management

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 HR 83 - Consolidated and Further Continuing Appropriations Act, 2015 - PL Law No: 113-235 In the above, specifically potential pharmaceutical reimbursement cuts as potential offsets HR 2415/S 1184 - Treat and Reduce Obesity Act of 2013 -- Medicare coverage of obesity medications

Client expense: Not reported · Firm income: $40,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Part D-activities related to HR 2415/S 1184 (The Treat and Reduce Obesity Act of 2013); Part D Protected classes provision of Affordable Care Act; Medicaid entitlement reform and codifying protected classes

Client expense: $320,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2415/S. 1184 -- Treat and Reduce Obesity Act of 2013 -- Medicare Part D H.R. 2810 -- Medicare Patient Access and Quality Improvement Act of 2013 -- Medicare Part B and D patient access and choice H.R. 4302 Protecting Access to Medicare Act of 2014 (SGR Patch) - P.L. 113-93 -- Medicare Part B Patient Access

Client expense: $500,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2415/S.1184, Treat and Reduce Obesity Act of 2013. Issues related to the implementation of the Patient Protection and Affordable Care Act (Public Law No: 111-148), the pharmaceutical industry, diabetes care, obesity and mental health.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Gaining support for H.R. 2415/S. 1184, the Treat and Reduce Obesity Act. Lobbying supporting Members of Congress to send joint letter to Secretary Burwell asking for her to add coverage of FDA-approved obesity and weight management drugs to Medicare Part D under her administrative authority.

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

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

H.R.2415/S.1184, Treat and Reduce Obesity Act of 2013. Issues related to coverage and reimbursement of obesity.

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

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

S. 1064: Medicares Physician Definition, Amends title XVIII (Medicare) of the Social Security Act to treat as a physician, for Medicare purposes, a clinical psychologist acting within the scope of a psychologist's license (or other state law authorization), but only with respect to the furnishing of clinical psychologists services which the psychologist is legally authorized to perform by the state. H.R. 794: Medicares Physician Definition, 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. 1184/H.R. 2415: Treat and Reduce Obesity Act of 2013. A bill to amend title XVIII of the Social Security Act to include information on the coverage of intensive behavioral therapy for obesity in the Medicare and You Handbook and to provide for the coordination of programs to prevent and treat obesity, and for other purposes. H.R. 2810: Medicare Patient Access and Quality Improvement Act of 2013. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes. H.R. 2817: Protect Patient Access to Quality Health Professionals Act of 2013. To amend title XXVII of the Public Health Service Act to remove the non-discrimination requirements relating to health care providers. H.R. 4015, S. 2000: The SGR Repeal and Medicare Provider Payment Modernization Act of 2014. To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians services, and for other purposes. H.R. 2110: Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 To amend titles XVIII and XIX of the Social Security Act to repeal the Medicare sustainable growth rate and to improve Medicare and Medicaid payments, and for other purposes. S. 1932: The Better Care, Lower Cost Act. To amend title XVIII of the Social Security Act to establish an integrated chronic care delivery programs.

Client expense: $250,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2415/S.1184, Treat and Reduce Obesity Act of 2013; implementation issues related to the Pharmaceutical Quality, Security, and Accountability Act (P.L. 113-54); H.R.3717, Helping Families in Mental Health Crisis Act of 2013; issues related to depression, mental health, obesity and prescription drug supply chain.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2810, Medicare Patient Access and Quality Improvement Act of 2013. H.R.2415/S.1184, Treat and Reduce Obesity Act of 2013. Part D issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Part D-activities related to HR 2415/S 1184 (The Treat and Reduce Obesity Act of 2013); Part D Protected classes provision of Affordable Care Act; Sec. 3307 of the Affordable Care Act. Improving formulary requirements for prescription drug plans and MA-PD plans with respect to certain categories or classes of drugs; Medicaid entitlement reform and codifying protected classes

Client expense: $360,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare prescription drug benefit. Rebates for Medicare Part D. Independent Payment Advisory Board (IPAB). Part D coverage for obesity drugs (S. 1184, H.R. 2415)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2415/ S. 1184 Treat and Reduce Obesity Act

Client expense: $20,000 · 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. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Actof 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013 and obesity medication coverage generally; Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access; Physician Quality and Reporting System (PQRS)

Client expense: $280,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

* Treat and Reduce Obesity Act of 2013 - HR 2415/S 1184; Medicare coverage of FDA-approved obesity medications * Improving Regulatory Transparency for New Medical Therapies Act - HR 4299; Improvement of DEA scheduling process * Commerce, Justice, Science and Related Agencies Appropriations Act of 2015 - HR 4660/S 2437; Drug Enforcement Administration (DEA) issues * Medicare Patient Access and Qulaity Improvement Act of 2013 - HR 2810

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Potential pharmaceutical reimbursement cuts (offsets) and potential inclusion of Medicare coverage for FDA-approved obesity Rx products * FY2014 Omnibus - HR 3547 * FY2014 Continuing Resolution - HJRes 106; PL 113-73 * FY2014 Continuing Resolution - HJRes 59; PL 113-67 * SGR Patch Protecting Access to Medicare Act of 2014 - HR 4302; PL 113-93 * Treat and Reduce Obesity Act of 2013 - HR 2415/S 1184; Medicare coverage of FDA-approved obesity medications

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Budget and appropriations for disease and injury prevention, including obesity and related diseases; pandemic influenza and emerging infectious diseases; physical activity; public health bioterrorism preparedness; food safety, environmental health; paid sick days; womens and childrens health; and community-based public health interventions and prescription drug abuse. 1. Implementation of the Patient Protection and Affordable Care Act (Public Law 111-148)2.Implementation of the FDA Food Safety Modernization Act (Public Law 111-353) 3.Implementation of Pandemic and All-Hazards Preparedness Reauthorization Act (Public Law 113-5) 4.Implementation of Healthy, Hunger-Free Kids Act of 2010 (Public Law 111-296) 5.Implementation of the Budget Control Act of 2011 (Public Law 112-25) 6.Delivering Antimicrobial Transparency in Animals Act of 2013 (H.R. 820) 7.Animal Drug and Animal Generic Drug User Fee Act (Public Law 113-14) 8.Healthier Lifestyles and Prevention America Act (S. 39) 9.Promoting Health as Youth Skills in Classrooms and Life Act (S. 392/H.R. 2160) 10.Medicare Diabetes Prevention Act (S. 452/H.R. 962) 11.Personal Health Investment Today Act (H.R. 956) 12.A bill to provide for a sequester replacement (S. 16/S. 799) 13.American Family Economic Protection Act of 2013 (S. 388) 14.Consolidated and Further Continuing Appropriations Act, 2013 (H.R. 933/Public Law 113-6) 15.Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (Public Law 113-5) 16.National Diabetes Clinical Care Commission Act (H.R. 1074/S. 539) 17.Physical Activity Guidelines for Americans Act (S. 531/H.R. 2179) 18.Firearm Safety and Public Health Research Act (H.R. 321) 19.Energy Consumers Relief Act (S. 1363/H.R. 1582) 20.Common Sense Nutrition Disclosure Act (H.R. 1249/S. 1756) 21.Improve Nutrition Program Integrity and Deficit Reduction Act (S. 458/H.R. 1510) 22.A bill to amend the Food and Nutrition Act of 2008 to improve the supplemental nutrition assistance program (S. 762/H.R. 1657) 23.Agriculture Reform, Food, and Jobs Act (S. 954/H.R. 2498) 24.Federal Agriculture Reform and Risk Management Act (H.R. 1947) 25.FIT Kids Act (S. 1033/H.R. 2178) 26.Strengthening Americas Schools Act (S. 1094) 27.Access to Quality Diabetes Education Act (S. 945/H.R. 1274) 28.Fit to Serve Act (S. 976) 29.Climate Change Health Protection and Promotion Act (H.R. 2023/S. 2864) 30.Treat and Reduce Obesity Act (S. 1184 / H.R. 2415) 31.Student Success Act (H.R. 5) 32.To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act (H.R. 45) 33.Medicare Better Health Rewards Program Act (S. 1228/H.R. 2524) 34.Senate FY14 Labor, Health and Human Services, and Education Bill (S. 1284) 35.House of Representatives FY14 Labor, Health and Human Services, and Education Bill 36.Pharmacy Compounding Quality and Accountability Act (S. 959) 37.Safeguarding Americas Pharmaceuticals Act (H.R. 1919) 38.Implementation of Drug Supply Chain Security Act (P.L. 113-54) 39.Preservation of Antibiotics for Medical Treatment Act (H.R. 1150)/Preventing Antibiotic Resistance Act of 2013 (S. 1256) 40.Healthy Families Act (H.R. 1286/S. 631) 41.FY2014 Continuing Resolution (H.J. Res. 59) 42.Pharmaceutical Quality, Security and Accountability Act (S. 959) 43.Energy Consumers Relief Act (S. 1363/H.R. 1582) 44.Increasing the Safety of Prescription Drug Use Act (S. 1657) 45.National Energy Tax Repeal Act (S. 1324) 46.Saving Coal Jobs Act of 2013 (S. 1514/H.R. 5077) 47.Community Parks Revitalization Act (H.R. 2424) 48.A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings (S. 1422/H.R. 2663) 49.School-based Health Centers Program Reauthorization Act of 2013 (H.R. 2632) 50.Nutrition Reform and Work Opportunity Act (H.R. 3102) 51.Health Equity and Accountability Act (H.R. 5294) 52.Secure America for Education (SAFE) in Our Schools Act of 2013 (H.R. 3158) 53.Continuing Appropriations Resolution, 2014 (H.J. Res 59) 54.Continuing Resolution FY 2014 (HR 2775, PL 113-46) 55.A bill to amend title 23, United States Code, with respect to the establishment of performance measures for the highway safety improvement program, and for other purposes. (H.R. 3493/S. 1708) 56.The Farm Bill (S. (S. 954/H.R. 2498; H.R. 1947, and H.R. 3102, Public Law 113-79) 57.Better Care, Lower Cost Act (S. 1932/H.R. 3890) 58.Antibiotic Development to Advance Patient Treatment Act of 2013 (ADAPT Act) (H.R. 3742) 59.The Consolidated Appropriations Act of 2014 (H.R. 3547/Public Law 113-76 60.Strategies to Address Antimicrobial Resistance (STAAR) Act (S. 2236/H.R. 2285) 61.New Opportunities for Bicycling and Pedestrian Infrastructure Financing Act of 2014 (H.R. 3978) 62.Eliminating Disparities in Diabetes Prevention, Access, and Care Act (H.R. 3322) 63.Electricity Security and Affordability Act (S. 1905/H.R. 3826) 64.Stop Overdose Stat Act (HR 4169) 65.Overdose Prevention Act (S 2755) 66.Opioid Overdose Reduction Act (S. 2092/H.R. 4288) 67.Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms Act of 2014 (DISARM Act) (H.R. 4187) 68.Child Care and Development Block Grant Act of 2014 (S. 1086) 69.Departments of Labor, Health and Human Services and Education And Related Agencies Fiscal Year 2015 Appropriations Bill (including H.R. 5464) 70.Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act, 2015 (S. 2389 / H.R. 4800) 71.Department of the Interior, Environment, and Related Agencies appropriations legislation, 2015 (including H.R. 5171) 72.MAP-21 Reauthorization Act (S. 2322) 73.Stop Subsidizing Childhood Obesity Act (S. 2342/H.R. 2831) 74.ENRICH Act (H.R. 4427) 75.Healthy Kids Outdoors Act of 2014 (S. 2367/H.R. 4706) 76.Summer Meals Act of 2014 (S. 2527/HR. 5012) 77.Long-Term SCORE Act (H.R. 4444) 78.American Cures Act (S. 2115/H.R. 4384) 79.A joint resolution to disapprove a rule of the Environmental Protection Agency relating to greenhouse gas emissions from electric utility generating units. (S.J. Res 30) 80.Fit for Life Act of 2014 (H.R.4765) 81.School Food Modernization Act (S. 2210/H.R. 1783) 82.Protecting Children from Electronic Cigarette Advertising Act of 2014 (S. 2014/H.R. 4325) 83.Pedestrian Safety Act of 2014 (S. 2284) 84.Safe Streets Act of 2014 (S. 2004/H.R. 2468) 85.The Recovery Enhancement for Addiction Treatment Act (S. 2645) 86.FY 2015 Financial Services and General Government Appropriations bill, in support of an appropriation for the National Alliance for Model State Drug Laws (including H.R. 5016) 87.Vector-Borne Disease Research Accountability and Transparency Act (H.R. 4701) 88.Highway and Transportation Funding Act of 2014 (H.R. 5021/Public Law 113-520) 89.Full-Service Community Schools Act of 2014 (H.R. 5168) 90.PREPARE Act of 2014 (H.R. 5314) 91.Waters of the United States Regulatory Overreach Protection Act of 2014 (S. 2496/H.R. 5078) 92.American Energy Solutions for Lower Costs and More American Jobs Act (H.R.

Client expense: $38,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

Implementation of P.L. 111-148, The Patient Protection and Affordable Care Act; Title III- Improving the Quality and Efficiency of Health Care; S. 452/H.R. 962, The Medicare Diabetes Prevention Act of 2013; S. 351/H.R. 351, Protecting Seniors Access to Medicare Act of 2013; H.R. 241/S. 1184. Treat and Reduce Obesity Act- All provisions; H.R. 2663, To Amend the Congressional Budget Act Respecting Scoring of Prevention Health Savings- All Provisions; H.R. 4015/S.2000, The SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions.

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

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

H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally; S. 1184 and H.R. 2415 Treat and Reduce Obesity Act of 2013; Physician Quality and Reporting System (PQRS). Diabesity amendment to S. 1871 SGR Repeal and Medicare Beneficiary Access.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA)

H.R. 2415/ S. 1184 -- Treat and Reduce Obesity Act of 2013; Issues related to the DEA scheduling of pharmaceuticals.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2415/ S. 1184 -- Treat and Reduce Obesity Act of 2013; Issues related to the DEA scheduling of pharmaceuticals.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 H Con Res 96 Establishing the budget for the United States Government for fiscal year 2015 and setting forth appropriate budgetary levels for fiscal years 2016 through 2024/no Senate companion yet, HJ Res 124 Continuing Appropriations Resolution, 2015 In all of the above the specific issues included potential Medicare offsets that might be applied to prescription drugs HR 962/S 452 - Medicare Diabetes Prevention Act of 2013 HR 1257 Prevent Diabetes Medicare Act of 2013 HR 1274/S 945 Access to Quality Diabetes Education Act of 2013; HR 1588/ S 740 -- Medicare Drug Savings Act of 2013 HR 2415/ S 1184 - Treat and Reduce Obesity Act of 2013; HR 2663/S 1422 - Scoring of Preventive Health Savings Medicare diabetes screening and self management

Client expense: Not reported · Firm income: $27,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

FY 2014 Omnibus HR 3547 FY 2014 Continuing Resolution H J Res 106 PL 113-73 FY 2014 Continuing Resolution H J Res 59 PL 113-67 HR 4302 SGR Patch Protecting Access to Medicare Act of 2014 - Public Law No: 113-93 In the above, specifically potential pharmaceutical reimbursement cuts as potential offsets HR 2415/S 1184 - Treat and Reduce Obesity Act of 2013 -- Medicare coverage of obesity medications

Client expense: Not reported · Firm income: $40,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 487, Primary Care Workforce Access Improvement Act, pilot test alternatives to GME payment to increase PCP training.HR 2415, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. HR 5481, Health IT-FLEX-IT Act, Urge leadership and member offices to support bill during lame duck session- bill would shorten 2015 reporting period for meaningful use. HR 4015, SGR Repeal and Medicarte Provider Payment Modernization Act, Support repeal of SGR and replacement with value-based payment systems. S. 1184, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. S. 1759, Reauthorizing Teaching Health Center GME program, Teaching Health Centers Graduate Medical Education. S. 1978, Increasing Primary Care Access Act, Family physician workforce, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 1932, the Better Care at Lower Cost Act, Support for chronic care management. S. 2000, SGR Repeal and Medicarte Provider Payment Modernization Act, Support repeal of SGR and replacement with value-based payment systems. S. 2229, Reauthorizing Teaching Health Center GME program, Teaching Health Centers Graduate Medical Education. S. 2694, Medicaid Parity for Primary care, including S. 2694, advocate for extension of parity which expires at the end of 2014; urge Senators to co-sponsor S. 2694; Ensuring Access to Primary Care for Women and Children Act, Prevent Medicaid primary care physician pay cut; Support for extension of this provision to pay primary care physicians for primary care services; extend increase in Medicaid payments for primary care services to Medicare levels beyond 2015; Seek House companion legislation. S. 2728, Community-based Medical Education Act of 2014, Medicare GME reform and THC GME reauthorization; Extending and increasing funding for grants to teaching health centers. 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, Graduate Medical Education, Explain and advocate for AAFP's newly released policy proposals on GME. No Bill Number, Medicare Graduate Medical Education, Medicare GME Reform. No Bill Number, Medicare EHR incentive payments, Concerns over attestation process. No Bill Number, Medicare physician payment, Comments of 2015 proposed payments. No Bill Number, Medicare Physician Payment Proposed Rule; Support for payment strategies that recognize primary care and care coordination. No Bill Number, Graduate Medical Education, Support for primary care residency slots in non-hospital settings. No Bill Number, Adult Pneumococcal Vaccine, Support for Medicare payment to administer PCV13. No Bill Number, Pharmaceutical Companies' Payments to Physicians; Support for keeping payments for continuing education excluded from reporting. No Bill Number, Meaningful Use of Health Information Technology Requirements, Support for 90-day EHR reporting period for 2015. No Bill Number, Narrow Networks, Support for restricting health plans' ability to disassociate with primary care physicians. No Bill Number, Repeal SGR, Positive update and higher rate for primary care.

Client expense: $1,924,466 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), 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), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR 487, Primary Care Workforce Access Improvement Act; pilot test alternatives to GME payment in order to increase primary care physician training.HR 2415, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. HR 3230, Veterans Access, Choice and Accountablility Act; Support for allowing family physicians to provide health care to veterans paid for by the VHA. HR 4015, SGR Repeal and Medicarte Provider Payment Modernization Act, Support repeal of SGR and replacement with value-based payment systems. HR 4292, The Underserved Veterans Access to Healthcare Act; support for primary care residency positionsin VA health system. HR 5481, Health IT-FLEX-IT Act, Urge leadership and member offices to support bill during lame duck session- bill would shorten 2015 reporting period for meaningful use. HR 5498, Primary Care Physician Reentry Act, Facillitate reentry into practice for primary care physicians. HJ Res. 124, the Continuing Resolution; Support for continued funding for Health Professions Grants and other discretionary programs for primary care. S. 1184, Treat and Reduce Obsity, Seeking House and Senate cosponsors for obesity legislation. S. 1759, Reauthorizing Teaching Health Center GME Program, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 1932, the Better Care at Lower Cost Act, Support for chronic care management. S. 1978, Reauthorizing Teaching Health Center GME Program, Reauthorize the Teaching Health Centers Graduate Medical Education program; Increasing Primary Care access Act, Family physician workforce. S. 2000, SGR Repeal and Medicarte Provider Payment Modernization Act, Support repeal of SGR and replacement with value-based payment systems. S. 2229, Reauthorizing Teaching Health Center GME Program, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 2694, Medicaid Parity for Primary care, including S. 2694, advocate for extension of parity which expires at the end of 2014; urge Senators to co-sponsor S. 2694. S. 2728, Extending and increasing funding for grants to teaching health centers. No Bill Number, Graduate Medical Education, Explain and advocate for AAFP's newly released policy proposals on GME; Support for primary care residency slots in non-hospital; settings. 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, National Health Service Corps trust fund reauthorization, appropriation, NHSC provides scholarships & debt relief as well as physicians for underserved communities. No Bill Number, Patient Safety and Primary Care Research, Patient safety and primary care research at AHRQ. No Bill Number, FY funding increses in AHRQ, Title VII 747, NHSC, Teaching Health Center planning grants, Federal spending priorities to support workforce, research. No Bill Number, Advisory Committee on Training in Primary Care Medicine and Dentistry, Federal spending on primary care medicine training grants. No Bill Number, Increased funding for Title 747, Federal spending on primary care medicine training grants. No Bill Number, Joining Forces Mental Health Convening, mental health care for returning service members & families. No Bill Number, Increased funding for AHRQ, Federal spending on patient safety primary care research. No Bill Number, Ebola Public Health Threat, Family Physician Kent Brantly testified at Senate hearing. No Bill Number, Medicare EHR incentive payments, Concerns over attestation process. No Bill Number, Infection Advisory, Nominated a FP to a panel. No Bill Number, Medicare physician payment, Comments of 2015 proposed payments. No Bill Number, Medicaid advisory panel, Nomiated FPs to MACPAC. No Bill Number, Physician relative value units, Comments on proposed review of RVUs by CMS. No Bill Number, Tobacco delivery devices, Urged FDA to assert authority. No Bill Number, Continuing Medical Education, Urged CMS to not change Open Payment CME policy. No Bill Number, Food Safety Modernization Act, Support for regulation to prevent food-borne illnesses. No Bill Number, Adult Pneumococcal Vaccine, Support for Medicare payment to administer PCV13.No Bill Number, Health Insurance Marketplace Issues & Provider Involvement with Patient Enrollment, Network adequacy,Patient Enrollment in Marketplaces. No Bill Number, E-Cigarettes, Support of FDA proposed rule giving the agency authority to regulate e-cigarettes. No Bill Number, Medicare Physician Payment Proposed Rule; Support for payment strategies that recognize primary care and care coordination.

Client expense: $1,924,466 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), 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), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Medicare prescription drug benefit. Rebates for Medicare Part D. Independent Payment Advisory Board (IPAB). Part D coverage for obesity drugs (S. 1184, H.R. 2415)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE