Home Health Care Planning Improvement Act of 2013

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services including: HR5110(Securing Access via Excellence in Medicare Home Health Act); HR2302, S1053(HELP Act); HR1173(Personalize Your Care Act); HR4673(BACPAC Act); S1332,HR2504 (Home Health Care Planning Improvement Act), HR5393 Hospice Act of 2014; S1439 Care Planning Act

Client expense: $371,400 · Firm income: Not reported

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

o H.R.3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. o H.R. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 o H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act o H.R. 2986 Protecting Access to Primary Care Act o H.R. 4385 Improving Access to Maternity Care Act of 2014 o H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act o S. 2694 Ensuring Access to Primary Care for Women & Children Act o S. 2154 Emergency Medical Services for Children Reauthorization Act of 2014 o Protecting the Public and Healthcare Workers from Ebola o 21st Century Cures Initiative o Lobbied Members of Congress regarding the demand for nurses and nurse faculty and the need for highly educated nurses to provide quality health care. Discussed with HHS agencies and lobbied Members of Congress to promote the role Advanced Practice Registered Nurses will play in a reformed healthcare delivery system. Discussed with HHS agencies and lobbied Members of Congress regarding quality initiatives and cost saving healthcare programs.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

o Lobbied Members of Congress and discussed with the Centers for Medicare and Medicaid Services and the Center for Medicare and Medicaid Innovation practice issues related to Advanced Practice Registered Nurses. o Protecting Access to Primary Care Act ( H.R. 2986) o The Home Health Care Planning Improvement Act (H.R. 2504, S. 1332) o H.R. 3833 to amend title XVIII of the Social Security Act of modify the Medicare durable medical equipment face-to-face encounter documentation requirements.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act S.2694 Ensuring Access to Primary Care for Women & Children Act S. 2658 Accelerating Biomedical Research Act S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 H.R. 4385 Improving Access to Maternity Care Act of 2014 H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act Protecting the Public and Healthcare Workers from Ebola 21st Century Cures Initiative

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

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

In-Home Caregiver Assessment Resources and Education (CARE) Act (S. 2866); Home Health Care Planning Improvement Act (H. R. 2504/S.1332);

Client expense: Not reported · Firm income: $39,413

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

H.R.3833 To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S.2694/H.R. 5723 - Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts H.R. 5780, Protecting the Integrity of Medicare Act of 2014 (PIMA) Hospital Improvements for Payment (HIP) Act of 2014 Protecting the Public and Healthcare Workers from Ebola

Client expense: $135,715 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Legislation and policies related to: Graduate Nursing Education and Community-Based Workforce Development pilot project Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Draft Hospital Improvement for Payment (HIP) Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act H.R. 5780 - Protecting the Integrity of Medicare Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2694/H.R. 5723 - Ensuring Access to Primary Care for Women and Children Act

Client expense: Not reported · Firm income: $9,000

Government targets: Centers For Medicare and Medicaid Services (CMS), 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, Veterans Affairs, Dept of (VA)

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Delay of implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013, 2014 and 2015 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3698 - Two-Midnight Rule Delay Act H.R. 3796 - Comprehensive Care Payment Innovation Act H.R. 3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302 - Protecting Access to Medicare Act H.R. 4663 - Protect Patient Access and Promote Hospital Efficiency Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act H.R. 5780 - Protecting the Integrity of Medicare Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act S. 1954/H.R. 4067 - To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S. 1980 - Medicaid and CHIP Continuous Quality Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2491 - Medicare Protection Act S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act S. 2694/H.R. 5723 - Ensuring Access to Primary Care for Women & Children Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.2504/S.1332, Home Health Care Planning Improvement Act of 2013. H.R.4994/S.2553, IMPACT Act of 2014. Issues related to coverage and reimbursement of home health and hospice services, including payment and delivery reforms. Issues related to Medicare Advantage, including the Star Rating program and Special Needs Plans. Issues related to Medicaid managed care. Issues relating to dual eligibles.

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

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

H.R.3833 To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 Craig Thomas Rural Hospital and Provider Equity Act of 2014 S.2694/H.R. 5723 Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts H.R. 5780, Protecting the Integrity of Medicare Act of 2014 (PIMA) Hospital Improvements for Payment (HIP) Act of 2014 Protecting the Public and Healthcare Workers from Ebola

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

S. 1932/H.R. 3890 - Better Care, Lower Cost Act; H.R. 1179 - Improving Access to Medicare Coverage Act; H.R. 5373 - Put a Registered Nurse in the Nursing Home Act; H.R.2504/S. 1332 - Home Health Care Access Improvement Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Graduate Nursing Education and Community-Based Workforce Development pilot project Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2694 - Ensuring Access to Primary Care for Women and Children Act

Client expense: Not reported · Firm income: $9,000

Government targets: Centers For Medicare and Medicaid Services (CMS), 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, Veterans Affairs, Dept of (VA), White House Office

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Delay of implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013 and 2014 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3698 - Two-Midnight Rule Delay Act H.R. 3796 - Comprehensive Care Payment Innovation Act H.R. 3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302 - Protecting Access to Medicare Act H.R. 4663 - Protect Patient Access and Promote Hospital Efficiency Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act H.R. 5098 - Ensuring Medicaid and Medicare Access to Providers Act H.R. 5353 - Medicaid Parity Act H.R. 5364 - CHIP Extension and Improvement Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act S. 1954/H.R. 4067 - To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S. 1980 - Medicaid and CHIP Continuous Quality Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2461 - Childrens Health Insurance Program Reauthorization Act S. 2491 - Medicare Protection Act S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act S. 2694 - Ensuring Access to Primary Care for Women & Children Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Qualified Individual Medicaid program. Face to Face Physician Encounter Requirement. H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, provisions on home care technologies. S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, provisions on home care technologies. Hospice/Part D Coordination of Care. H.R. 4994/S. 2553, IMPACT Act of 2014. H.R. 4625, Medicare Home Health Rebasing Relief and Reassessment Act.

Client expense: $120,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Face to Face Physician Encounter Requirement. Hospice/Part D Coordination of Care. H.R. 4994/S. 2553, IMPACT Act of 2014. H.R. 4625, Medicare Home Health Rebasing Relief and Reassessment Act. S. 2491, Medicare Protection Act H.R. 4673, BACPAC Act of 2014 H.R. 5558, ACO Improvement Act of 2014 H.R. 3306, Telehealth Enhancement Act of 2013 H.R. 5380, Medicare Telehealth Parity Act of 2014 H.R. 5110, SAVE Medicare Home Health Act of 2014 Home health rural add on payment. Hospice cost report.

Client expense: $120,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services including: HR5110 (Securing Access via Excellence in Medicare Home Health Act); HR2302, S1053 (HELP Act); HR4302 (Protecting Access to Medicare Act); HR 1173 (Personalize Your Care Act); HR 4673 (BACPAC Act); S2553, HR4994 (IMPACT Act); S1332, HR2504 (Home Health Care Planning Improvement Act), HR5393 Hospice Act of 2014; S1439 Care Planning Act

Client expense: $254,900 · Firm income: Not reported

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

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services including: HR5110 (Securing Access via Excellence in Medicare Home Health Act); HR2302, S1053 (HELP Act); HR4302 (Protecting Access to Medicare Act); HR 1173 (Personalize Your Care Act); HR 4673 (BACPAC Act); S2553, HR4994 (IMPACT Act); S1332, HR2504 (Home Health Care Planning Improvement Act), HR5393 Hospice Act of 2014; S1439 Care Planning Act

Client expense: $254,900 · Firm income: Not reported

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

H.R. 4302 Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 H.R.3833 To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 Protecting the Integrity of Medicare Act of 2014 (PIMA) S.2694 - Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts

Client expense: $122,011 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

Provisions related to Registered Nurse Safe Staffing. H.R. 1821/S. 2353 Provisions related to Advance Practice Registered Nurses and Home Health Certification H.R. 2504/S. 1332 Provisions related to Safe Patient Handling and Mobility H.R. 2480 DME - Face-to-Face Physician Signature H.R. 3833, Ways & Means PIMAComments related to the Evaluation of the Graduate Nurse Education Demonstration Program (78 Fed. Reg. 20321). Provisions related to the repeal of the Sustainable Growth Rate formula and reform of Medicare payment. Support for S. 1143 - Protecting Access to Rural Therapy Service (PARTS) Act. Support for H.R. 2180 SGR fix and Medicare Reform. Oppose a 14 percent cut in Medicare Home Health over 4 years and decreased access to care. Support for provisions to provide incentive payments to APRNs. Support for H.R. 2986 - Protecting Access to Primary Care Act. Support for the development of a calculator to help consumers understand the total costs of health insurance options. Support for HHS to make all rate filings public. Support for provider non-discrimination section of ACA. Ensuring Access to Primary Care for Women & Children Act (S. 2694).

Client expense: $405,196 · Firm income: Not reported

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

Protecting Access to Primary Care Act ( H.R. 2986) The Home Health Care Planning Improvement Act (H.R. 2504, S. 1332) H.R. 3833 to amend title XVIII of the Social Security Act of modify the Medicare durable medical equipment face-to-face encounter documentation requirements.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4385 Improving Access to Maternity Care Act of 2014 H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S. 2694 Ensuring Access to Primary Care for Women & Children Act S. 2154 Emergency Medical Services for Children Reauthorization Act of 2014 Lobbied Members of Congress regarding the demand for nurses and nurse faculty and the need for highly educated nurses to provide quality health care. Discussed with HHS agencies and lobbied Members of Congress to promote the role Advanced Practice Registered Nurses will play in a reformed healthcare delivery system. Discussed with HHS agencies and lobbied Members of Congress regarding quality initiatives and cost saving healthcare programs.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Preventing reductions to Medicare physician payment: "Protecting Access to Medicare Act of 2014" (HR 4302); Reforming the sustainable growth rate formula: "The SGR Repeal and Medicare Provider Payment Modernization Act of 2014" (S 2000/HR 4015); Preventing cuts to Medicare Graduate Medical Education and Disproportionate Share Hospital Payments; Preventing reductions to Hospital Inpatient and Outpatient PPS Payments; Provider reimbursements for end of life care counseling: "Personalize Your Care Act of 2013" (HR 1173); Medicare reimbursements for molecular diagnostics; Medicare coding & reimbursement associated with Screening, Brief Invention and Referral to Treatment; Additional Medicare support for Medicare Graduate Medical Education by expanding Medicare resident limits: "Training Tomorrows Doctors Today Act" (HR 1201), "The Resident Physician Shortage Reduction Act of 2013" (HR 1180), "The Resident Physician Shortage Reduction Act of 2013" (S 577); Allowing nurse practitioners, certified nurse-midwives, and clinical nurse specialists to certify home health services for Medicare patients: "Home Health Care Planning Improvement Act (HR 2504, S 1332); Medicare payment for chronic care: "Better Care, Lower Cost Act of 2014" (S 1932); Medicare payment for short hospital stays: "Two- Midnight Rule Coordination and Improvement Act of 2014" (S 2082); Critical Access Hospital Relief Act (HR 3991/S. 2037); Preventing reductions to the Medicaid program including the provider tax; Improvements to the Medicaid program for medically complex children, "Advancing Care for Exceptional Kids Act of 2014" (HR 4930).

Client expense: $70,000 · Firm income: Not reported

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

Support HR 1179/S 569, to solve the Medicare observation days problem by counting all time spent in a hospital bed toward the 3-day stay requirement for Medicare coverage of post-acute care. Support HR 3334, Medicare Adult Day Services Act, to enable beneficiaries eligible for home health services to receive them in a certified adult day services center. Support HR 2504/S 1332, Home Health Care Planning Improvement Act. The bill would allow Medicare coverage of home health services provided by a nurse practitioner, clinical nurse specialist, certified nurse-midwife or physician assistant under a physician's supervision. Support S 596, Fostering Independence Through Technology, authorizing Medicare pilot projects on remote monitoring of beneficiaries by home health agencies.

Client expense: $46,760 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support HR 1179/S 569, to solve the Medicare observation days problem by counting all time spent in a hospital bed toward the 3-day stay requirement for Medicare coverage of post-acute care. Support HR 334, Medicare adult Day Services Act, to enable beneficiaries eligible for home health services to receive them in a certified adult day services center. Support HR 2504/S 1332, Home Health Care Planning Improvement Act. The bill would allow Medicare coverage of home health services provided by a nurse practitioner, clinical nurse specialist, certified nurse-midwife or physician assistant under a physician's supervision. Support S 596, Fostering Independence Through Technology, authorizing Medicare pilot projects on remote monitoring by home health agencies. Concerned about HR 5110, SAVE Medicare Home Health Act, to repeal reimbursement rebasing adjustment for 2014 and subsequent years. LeadingAge encourages a change in focus, moving forward with value-based purchasing for home health.

Client expense: $36,656 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support HR 1179/S 569, to solve the Medicare observation days problem by counting all time spent in a hospital bed toward the 3-day stay requirement for Medicare coverage of post-acute care. Support HR 334, Medicare adult Day Services Act, to enable beneficiaries eligible for home health services to receive them in a certified adult day services center. Support HR 2504/S 1332, Home Health Care Planning Improvement Act. The bill would allow Medicare coverage of home health services provided by a nurse practitioner, clinical nurse specialist, certified nurse-midwife or physician assistant under a physician's supervision. Support S 596, Fostering Independence Through Technology, authorizing Medicare pilot projects on remote monitoring by home health agencies. Support HR 5110, SAVE Medicare Home Health Act, to repeal reimbursement rebasing adjustment for 2014 and subsequent years.

Client expense: $36,656 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support HR 1179/S 569, to solve the Medicare observation days problem by counting all time spent in a hospital bed toward the 3-day stay requirement for Medicare coverage of post-acute care. Support HR 334, Medicare adult Day Services Act, to enable beneficiaries eligible for home health services to receive them in a certified adult day services center. Support HR 2504/S 1332, Home Health Care Planning Improvement Act. The bill would allow Medicare coverage of home health services provided by a nurse practitioner, clinical nurse specialist, certified nurse-midwife or physician assistant under a physician's supervision. Support S 596, Fostering Independence Through Technology, authorizing Medicare pilot projects on remote monitoring by home health agencies. Support HR 5110, SAVE Medicare Home Health Act, to repeal reimbursement rebasing adjustment for 2014 and subsequent years.

Client expense: $36,656 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2504/S.1332, Home Health Care Planning Improvement Act of 2013. H.R. 4994/S. 2553, IMPACT Act of 2014. Issues related to coverage and reimbursement of home health and hospice services, including payment and delivery reforms. Issues related to Medicare Advantage, including the Star Rating program and Special Needs Plans. Issues related to Medicaid managed care. Issues relating to dual eligibles.

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

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

H.R.3833 To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 Protecting the Integrity of Medicare Act of 2014 (PIMA) S.2694 - Ensuring Access to Primary Care for Women & Children Act Permanent Sustainable Growth Rate (SGR) efforts

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

H.R.3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act S.2694 Ensuring Access to Primary Care for Women & Children Act S. 2658 Accelerating Biomedical Research Act S.2154 Emergency Medical Services for Children Reauthorization Act of 2014 H.R. 4385 Improving Access to Maternity Care Act of 2014 H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act

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

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

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Qualified Individual Medicaid program. Face to Face Physician Encounter Requirement. H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, provisions on home care technologies. S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, provisions on home care technologies. Hospice/Part D Coordination of Care. H.R. 4994/S. 2553, IMPACT Act of 2014. H.R. 4625, Medicare Home Health Rebasing Relief and Reassessment Act.

Client expense: $190,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

H.R. 4302 Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 H.R.3833 To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014

Client expense: $118,293 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA), White House Office

Support H.R. 1179/S. 569, to solve the Medicare observation days problem by counting all time spent in a hospital bed toward the 3-day stay requirement for Medicare coverage of post-acute care. Support H.R. 3334, Medicare Adult Day Services Act, to enable beneficiaries eligible for home health services to receive them in a certified adult day services center.Support H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. The bill would allow Medicare coverage of home health services provided by a nurse practitioner, clinical nurse specialist, certified nurse-midwife or physician assistant under a physician's supervision. Support S. 596, the Fostering Independence Through Technology (FITT) Act, authorizing Medicare pilot projects on remote monitoring of beneficiaries by home health agencies.

Client expense: $46,760 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services, including HR2302; S1053(HELP Act); HR 4302 (Protecting Access to Medicare Act), HR1173 (Personalize Your Care Act) HR4673 (BACPAC Act), S2553, HR4994 (IMPACT Act), S1332, HR2504 (Home Health Care Planning Improvement Act).

Client expense: $210,790 · Firm income: Not reported

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

H.R.3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4385 Improving Access to Maternity Care Act of 2014 H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act Lobbied Members of Congress regarding the demand for nurses and nurse faculty and the need for highly educated nurses to provide quality health care. Discussed with HHS agencies and lobbied Members of Congress to promote the role Advanced Practice Registered Nurses will play in a reformed healthcare delivery system. Discussed with HHS agencies and lobbied Members of Congress regarding quality initiatives and cost saving healthcare programs.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

Lobbied Members of Congress and discussed with the Centers for Medicare and Medicaid Services and the Center for Medicare and Medicaid Innovation practice issues related to Advanced Practice Registered Nurses. Protecting Access to Primary Care Act ( H.R. 2986) The Home Health Care Planning Improvement Act (H.R. 2504, S. 1332) H.R. 3833 to amend title XVIII of the Social Security Act of modify the Medicare durable medical equipment face-to-face encounter documentation requirements.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Veterans Affairs, Dept of (VA), White House Office

Legislation and policies related to: Graduate Nursing Education and Community-Based Workforce Development pilot project Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act

Client expense: Not reported · Firm income: $9,000

Government targets: Centers For Medicare and Medicaid Services (CMS), 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, Veterans Affairs, Dept of (VA), White House Office

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Delay of implementation of Medicare durable medical equipment documentation requirements Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Draft legislation on admission of advanced practice registered nurses to hospital medical staff and granting of clinical privileges Provisions of the 2013 and 2014 Medicare fee schedule final regulations Draft legislation to require states to recognize nurse practitioners as primary care case managers and as primary care providers in managed care plans Draft legislation to extend Medicaid incentives to adopt electronic health records to nurse-managed health clinics Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration H.R. 351/S. 351 - Protecting Seniors Access to Medicare Act H.R. 2504/S. 1332 - Home Health Care Planning Improvement Act H.R. 2810 - Medicare Patient Access and Quality Improvement Act H.R. 2817 - Protect Patient Access to Quality Health Professionals Act H.R. 2986 - Protecting Access to Primary Care Act H.R. 3698 - Two-Midnight Rule Delay Act H.R. 3796 - Comprehensive Care Payment Innovation Act H.R. 3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 4015/S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 4302 - Protecting Access to Medicare Act H.R. 4930 - Advancing Care for Exceptional (ACE) Kids Act H.R. 4994/S. 2553 - Improving Medicare Post-Acute Care Transformation (IMPACT) Act S. 1143/H.R. 2810 - Protecting Access to Rural Therapy Services (PARTS) Act S. 1871 - SGR Repeal and Medicare Beneficiary Access Act S. 1954/H.R. 4067 - To provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2014. S. 1980 - Medicaid and CHIP Continuous Quality Act S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014 S. 2552/H.R. 4998 - Medicare Advantage Participant Bill of Rights Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

H.R.2504/S.1332, Home Health Care Planning Improvement Act of 2013. Issues related to coverage and reimbursement of home health and hospice services, including payment and delivery reforms. Issues related to Medicare Advantage, including the Star Rating program and Special Needs Plans. Issues related to Medicaid managed care. Issues relating to dual eligibles.

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

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

H.R. 4302 Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 H.R.3833 To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504/S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801/ S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act H.R. 4663 Protect Patient Access and Promote Hospital Efficiency Act S.2359 - Craig Thomas Rural Hospital and Provider Equity Act of 2014

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

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

Preventing reductions to Medicare physician payment: "Protecting Access to Medicare Act of 2014" (HR 4302); Reforming the sustainable growth rate formula: "The SGR Repeal and Medicare Provider Payment Modernization Act of 2014" (S 2000/HR 4015); Preventing cuts to Medicare Graduate Medical Education and Disproportionate Share Hospital Payments; Preventing reductions to Hospital Inpatient and Outpatient PPS Payments; Provider reimbursements for end of life care counseling: "Personalize Your Care Act of 2013" (HR 1173); Medicare reimbursements for molecular diagnostics; Medicare coding & reimbursement associated with Screening, Brief Invention and Referral to Treatment; Additional Medicare support for Medicare Graduate Medical Education by expanding Medicare resident limits: "Training Tomorrows Doctors Today Act" (HR 1201), "The Resident Physician Shortage Reduction Act of 2013" (HR 1180), "The Resident Physician Shortage Reduction Act of 2013" (S 577); Allowing nurse practitioners, certified nurse-midwives, and clinical nurse specialists to certify home health services for Medicare patients: "Home Health Care Planning Improvement Act (HR 2504, S 1332); Medicare payment for chronic care: "Better Care, Lower Cost Act of 2014" (S 1932); Medicare payment for short hospital stays: "Two- Midnight Rule Coordination and Improvement Act of 2014" (S 2082); Critical Access Hospital Relief Act (HR 3991/S. 2037); Preventing reductions to the Medicaid program including the provider tax; Improvements to the Medicaid program for medically complex children, "Advancing Care for Exceptional Kids Act of 2014" (HR 4930).

Client expense: $70,000 · Firm income: Not reported

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

H.R.3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act

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

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

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Home Health Care Access Protection Act of 2012 (to be re-filed). S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. Implementation of P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Skilled Home Health Integrity and Program Savings Act (SHHIPS) (draft legislation). Proposals to fix the Medicare Sustainable Growth Rate (SGR). Independent Payment Advisory Board. Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Qualified Individual Medicaid program. Face to Face Physician Encounter Requirement. H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, provisions on home care technologies. S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, provisions on home care technologies.

Client expense: $120,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (ACA) (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Health care coverage and payment options in tax reform discussionsPolicies affecting nurse practitioner education and workforce Definition of essential health benefits Health information technology and electronic health records Mental health services and violence prevention Draft legislation on reauthorization of the National Quality Forum H.R. 1427 Truth in Healthcare Marketing Act H.R. 1947/H.R. 2642 Federal Agriculture Reform and Risk Management (FARRM) Act H.R.2575 Save American Workers Act H.R. 2663/S. 1422 To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings H.R. 3102 Nutrition Reform and Work Opportunity Act H.R. 3306 Telehealth Enhancement Act H.R. 3304/S. 1197 National Defense Authorization Act (Section 1725) H.R. 3717 Helping Families in Mental Health Crisis Act S. 689 Mental Health Awareness and Improvement Act S. 264/H.R. 1263 Excellence in Mental Health Act S. 744/H.R. 15 Border Security, Economic Opportunity, and Immigration Modernization Act S. 954 Agriculture Reform, Food, and Jobs Act S. 1152 Building a Health Care Workforce for the Future Act S.1562 Older Americans Act Reauthorization Act S. 1871, SGR Repeal and Beneficiary Access Act of 2013 S. 2110, Medicare SGR Repeal and Beneficiary Access Act of 2014 H.R. 4015/S. 2000 The Sustainable Growth Rate Repeal and Medicare Modernization Act H.R. 4302/Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 H.R. 3833 H.R. 2504/S. 1332 Home Health Care Planning Improvement Act H.R. 2986 Protecting Access to Primary Care Act S. 1143/H.R. 2810 Protecting Access to Rural Therapy Services (PARTS) Act

Client expense: $117,584 · 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, White House Office

P.L. 111-148 The Patient Protection Affordable Care Act S.1871, SGR Repeal and Medicare Beneficiary Access act of 2013 S.2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4015, S. 2000 The Sustainable Growth Rate Repeal and Medicare Modernization Act H.R. 4302/ Public Law No.: 113-93: Protecting Access to Medicare Act of 2014 H.R.3833 - To amend title XVIII of the Social Security Act to modify the Medicare durable medical equipment face-to-face encounter documentation requirement. H.R. 2504, S. 1332 The Home Health Care Planning Improvement Act of 2013 H.R. 2801, S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2986 Protecting Access to Primary Care Act S. 1332 Home Health Care Planning Improvement Act

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

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, White House Office

Advocated for provisions of S. 1871, Medicare SGR reform legislation, to repeal therapy caps and replace with a revised medical review process. Support H.R. 1179/S. 569, to solve the Medicare observation days problem by counting all time spent in a hospital bed toward the 3-day stay requirement for Medicare coverage of post-acute care.Support H.R. 4302, Protecting Access to Medicare Act, which extended the therapy caps exceptions process for another year. Advocating for H.R. 3334, Medicare Adult Day Services Act, to enable beneficiaries eligible for home health services to receive them in a certified adult day services center. Support H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. The bill would allow Medicare coverage of home health services provided by a nurse practitioner, clinical nurse specialist, certified nurse-midwife or physician assistant under a physician's supervision. Support S. 596, the Fostering Independence Through Technology (FITT) Act, authorizing Medicare pilot projects on remote monitoring of beneficiaries by home health agencies.

Client expense: $77,955 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE