Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

HR 3590 & HR 4872 - Patient Protection & Affordable Care Act & Reconciliation Act of 2010 - effect on home office procedures, self-insured plan, executive compensation limitation. Implications to dental product. HR 185 - Regulatory Accountability Act - Provisions amending burdensome regulations. HR 1478/S 798 - Policyholder Protection Act - Source of strength requirements. Sen. Hatch Report on Taxes - provisions impacting insurance and banking industries. Camp Comprehensive Discussion Draft on Tax Reform - Provisions impacting insurance and banking industries. HR 4302 - Protecting Access to Medicare Act of 2014 - SGR Patch S 2157 - Commonsense Medicare SGR Repeal & Beneficiary Access Improvement Act of 2014 - SGR Repeal S 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 - SGR Repeal HR 4015 - AGR Repeal and Medicare Provider Payment Modernization Act of 2014 - Potential Medigap impact. S 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 - SGR Repeal HR 2810 - Medicare Patient Access & Quality Improvement Act of 2013 - SGR Repeal S.CON.RES.8 - Senate Budget FY 2014 - Potential Medigap impact H.CON.RES.25 - House Budget FY 2014 - Potential Medigap impact HR 4510/S 2270 - Insurance Clarification Capital Standards Act - Provisions exempting insurers from Dodd-Frank Act capital requirements. HR 1090 - Retail Investor Protection Act - Provisions requiring SEC & DOL to work together before releasing rules relating to a fiduciary duty standard.

Client expense: $297,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation issues affecting hospitals related to P.L.111-148, the Patient Protection and Affordable Care Act, and P.L. 111-152, the Health Care and Education Reconciliation Act of 2010; S.2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; P.L.113-93, the Protecting Access to Medicare Act of 2014.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; Inclusion of a Community-Based Institutional Special Needs Plan (CBI-SNP) Demonstration in future legislation.

Client expense: Not reported · Firm income: Not reported

H.R. 713/S. 367-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of/alternatives to the Sustainable Growth Rate (SGR) Formula H.R. 574 Medicare Physician Payment Innovation Act Opposition of Multiple Procedure Payment Reduction for PT Services Physician Quality Reporting System H.R. 2914 Promoting Integrity in Medicare Act H.R. 1310 and S. 236 Medicare Patient Empowerment Act Prevention Initiatives for Fraud and Abuse in the Medicare program Accountable Care Organizations/Patient Centered Medical Homes Electronic Health Records/ Health Information Technology incentives for Physical Therapists Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform Local Coverage Determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National Priority for Research and Research Agenda Health Information Technology Medicare Physician Payment Innovation Act Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform H.R. 1179/S. 569 Improving Access to Medicare Coverage Act Medicaid Essential Health Benefits EHR/LTPAC Settings: Transitions of Care Medicare Improvement Standards Bundled Payment Models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 3426 Prevent Interruptions in Physical Therapy Act/S.2818 H.R. 942 and S. 948 Ensuring Access to Quality Complex Rehabilitation Technology H.R. 2810 Medicare Patient Access and Quality Improvement Act Inclusion of physical therapists in quality programs in SGR Reform H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 FTC Anti-competition Self-referral S.1871 SGR Repeal and Medicare Beneficiary Access Act S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act H.R.4302 Protecting Access to Medicare Act Statement for the record on Ways and Means Health Subcommittee Current Hospital Issues in Medicare H.R. 4755 Access to In-patient Rehabilitation Therapy Act H.R. 4994/S.2553 IMPACT Act Able Act Comments on CY2015 OPPS rule H.R. 5380 Medicare Telehealth Parity Act Comments on draft Fraud & Abuse Legislation Hospital Improvements for Payment Act H.R. 5380 Medicare Telehealth Parity Act

Client expense: $308,338 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 2810, SGR Repeal and Medicare Beneficiary Improvement Act of 2013 S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013 S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122, Responsible Medicare SGR Repeal and Beneficiary Access improvement Act of 2014 S. 2157, Commonsense Medicare SOR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 763, To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act S. 603, Jobs and Premium Protection Act H.R. 1960, National Defense Authorization Act for Fiscal Year 2014 S. 1034, National Defense Authorization Act for Fiscal Year 2014 H.J.RES.5, Proposing an amendment to the Constitution of the United States relative to balancing the budget S. 2173, CHOICE Act, to amend the Patient Protection and Affordable Care Act to provide a permanent path for the direct enrollment of individuals in qualified health plans S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 3367, To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015 H.R. 430, The Protecting Access to Medicare Act

Client expense: $128,894 · Firm income: Not reported

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

HR 487, Primary Care Workforce Access Improvement Act, Urge House to cosponsor bill that would create GME pilot project to train primary care doctors, urge Senate to sponsor bill. HR 1281, Newborn Screening Saves lives Reauthorization Act, Supporting parent and provider newborn screening education programs and research at NIH. HR 487, Primary Care Workforce Access Improvement Act, Urge House to cosponsor bill that would create GME pilot project to train primary care doctors, urge Senate to sponsor bill. HR 1281, Newborn Screening Saves lives Reauthorization Act, Supporting parent and provider newborn screening education programs and research at NIH. HR 2642, 5-year Farm Bill, FDA, tobacco regulation and nutrition programs. HR 2810, Repeal of Medicare SGR formula, Repeal of SGR to be replaced by a positive payment update and higher rate for primary care, Medicare Physician Payment rate and implementation of alternative payment models. HR 3547, Promoting Teaching Health Centers, AHRQ, Title VII primary care grants and NHSC appropriations, AAFP budget priorities, Title VII Sec 747, Teaching Health Center grants, NHSC, AHRQ. HR 4302 (SGR patch legislation), Advocate for inclusion of policies that benefit primary care, e.g. 9-month length. HR 4302, Protecting Access to Medicare Act, Medicare physician payment rate extended for one year. S. 1759, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 1871, SGR Repeal and Medicare Beneficiary Access, Medicare Physician Payment rate and implementation of alternative payment models. S. 1978, Increasing Primary Care Access Act, Family physician workforce. S. 2000, SGR repeal and Medicare provider Payment Modernization, Medicare Physician Payment rate and implementation of alternative payment models. S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act, Medicare Physician Payment rate and implementation of alternative payment models. S. 2157, the commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act, Medicare Physician Payment rate and implementation of alternative payment models. 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, Telemedicine, educate staff on AAFP's view of telemedicine policies. No Bill Number, Rural physician workforce, Access to care in rural areas; Increased family physician workforce. No Bill Number, Call for an end to sequestration, End accross-the-board cuts to Medicare, NHSC, CHC, primary care research and training. No Bill Number, AHRQ 15th anniversary, Promoting primary care research. No Bill Number, President's FY 2015 budget, Federal spending prioritiesto support workforce, research. No Bill Number, AHEC Title VII section 751 program, Family physician workforce. No Bill Number, Coalition meetings to promote Medicaid parity payment, extend Medicaid parity for primary care. No Bill Number, HRSA budget, promoting health care access and increase physician workforce. No Bill Number, Medicare physician payment reform of the SGR, 2014 conversion factor. No Bill Number, E-Cigarettes, Urge FDA to regulate all tobacco products. No Bill Number, Graduate Medical Education, Nominate FP's to Council on GME. No Bill Number, Health insurance marketplaces, concerns with 90-day grace period. No Bill Number, Anti-competitive aspects of healthcare, FTC hearing and request for comments on professional regulations role. No Bill Number, Part D formularies, Opposed CMS changes to Part D formularies. No Bill Number, Nomination of Dr. Vivek Murthy for Surgeon General. No Bill Number, Tobacco Cessation Programs, Asking HHS to clearly define a comprehensive tobacco cessation benefit in health insurance coverage. No Bill Number, FY 2015 Federal Budget Proposal, Supporting budget proposals for primary care research, education and training programs. No Bill Number, Competition in Health Care Industries, Recommending state oversight in health care scope of practice and FTC oversight of hospital and insurance consolidations. No Bill Number, Notification of Lapsed Payment of Health Care Insurance Premiums, Revising policy to have insurance plans notify physicians that a patient has not paid on-month's premium. No Bill Number, Primary Care Incentive Payment Revision, Monitoring MedPac recommendation to make PCIP a capitated payment. No Bill Number, First Fridays Meetings, Provider outreach group for Affordable Care Act issues. No Bill Number, FTC Healthcare Competition Workshop, Scope of Practice issues. No Bill Number, Hearing of Energy and Commerce Subcommittee on Oversight and Investigations, Implementation of the Affordable Care Act's Health Insurance Marketplaces. No Bill Number, Energy and Commerce Health Subcommittee Hearing on drug shortages, reducing the incidence of local and regional shortage of drugs. No Bill Number, Energy and Commerce Subcommittee on Oversight and Investigations - Hearing on Counterfeit drugs. No Bill Number, Energy and Commerce Subcommittee on Commerce, Manufacturing and Trade - hearing on Sports safety.

Client expense: $629,961 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), 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), Office of Natl Drug Control Policy (NDCP), SENATE, Small Business Administration (SBA), White House Office

HR 487, Primary Care Workforce Access Improvement Act, Urge House to cosponsor bill that would create GME pilot project to train primary care doctors, urge Senate to sponsor bill; urge W&M offices to discuss during March 2014 budget hearing. HR 2810, Repeal of Medicare SGR formula, Repeal of SGR to be replaced by a positive payment update and higher rate for primary care. Medicare Patient Access and Quality Improvement Act, Medicare Physician paymnent rate and implementation of alternative payment models. HR 4302 (SGR patch legislation), Advocate for inclusion of policies that benefit primary care, e.g. 9-month length, Protecting Access to Medicare Act, prevent 24 percent cut medicare physician payment. HR 4302 (PL-113-93), Protecting Access to Medicare Act, Medicare physician payment rate extended for one year. S. 1759, Teaching Health Center Reauthorization Act, Reauthorize the Teaching Health Centers Graduate Medical Education program. S. 1871, SGR Repeal and Medicare Beneficiary Access, Medicare Physician Payment rate and implementation of alternative payment models. S. 2000, Repeal Medicare Sustainable Growth Rate, Repeal SGR. Positive update and higher rate for primary care, Medicare Physician Payment rate and implementation of alternative payment models. S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act, Medicare Physician Payment rate and implementation of alternative payment models. S. 2157, the commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act, Medicare Physician Payment rate and implementation of alternative payment models. 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, Call for an end to sequestration, End accross-the-board cuts to Medicare, NHSC, CHC, primary care research and training. No Bill Number, AHRQ 15th anniversary, Promoting primary care research. No Bill Number, President's FY 2015 budget, Federal spending priorities to support workforce, research; Supporting budget proposals for primary care research, education and training programs. No Bill Number, Coalition meetings to promote Medicaid parity payment, extend Medicaid parity for primary care. No Bill Number, AHEC Title VII section 751 program, Family physician workforce. No Bill Number, Medicare physician payment reform of the SGR, 2014 Proposed Medicare physician fee schedule. No Bill Number, Conversion to ICD-10, Urged HHS to delay and test ICD-10 before requiring it. No Bill Number, Medicare Part-D Formulary, Opposing regulation that would eliminate protected statuys of antidepressants and antipsychotics in the Part D formulary. No Bill Number, Notification of Lapsed Payment of Health Insurance Premiums, Revising policy to have insurance plans notify physicians that a patient has not paid one month's permium. No Bill Number, Primary Care Incentive Payment Revision, Monitoring MedPAC recommendation to make PCIP a capitated payment. 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, Coalition meetings to promote Medicaid parity payment, Extend Medicaid parity for primary care. No Bill Number, Hearing of Energy and Commerce Subcommittee on Oversight and Investigations, Implementation of the Affordable Care Act's health Insurance Marketplaces. No Bill Number, Rural Physician Workforce, Access to care in rural areas; increased family physician workforce.

Client expense: $629,961 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), 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), Office of Natl Drug Control Policy (NDCP), SENATE, Small Business Administration (SBA), White House Office

S. 1871, the SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013; S. 2157, Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; H.R. 4302, Protecting access to Medicare Act of 2014

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to implementation of changes to Medicare and Medicaid, pursuant to P.L. 111-148, the Patient Protection and Affordable Care Act of 2010, and tobacco cessation programs within Medicaid. Issues relating to inclusion of palliative care as a bundled service within CMS "value-based purchasing", and H.R.1070 & S.2348, Removing Barriers to Colorectal Cancer Screening Act of 2013; H.R.2810, Medicare Patient Access & Quality Improvement Act, S.1871, the SGR Repeal & Medicare Beneficiary Access Act, and S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014.

Client expense: $1,340,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), White House Office

H.R. 2500/S. 1137 - Ambulatory Surgical Center Quality and Access Act of 2013 H.R. 1070 - Removing Barriers to Colorectal Cancer Screening Act of 2013 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 1331 - Electronic Health Records improvement Act H.R. 5556 - Electronic Health Fairness Act H.R. 3742 - Antibiotic Development to Advance Patient Treatment Act of 2013

Client expense: $163,606 · Firm income: Not reported

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

H.R. 713/S. 367-Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Payments to Physical Therapists under the Medicare Physician Fee Schedule Permanent Repeal of/alternatives to the Sustainable Growth Rate (SGR) Formula H.R. 574 Medicare Physician Payment Innovation ActOpposition of Multiple Procedure Payment Reduction for PT Services Physician Quality Reporting System H.R. 2914 Promoting Integrity in Medicare Act H.R. 1310 and S. 236 Medicare Patient Empowerment Act Prevention Initiatives for Fraud and Abuse in the Medicare program Accountable Care Organizations/Patient Centered Medical Homes Electronic Health Records/ Health Information Technology incentives for Physical Therapists Development of Alternatives to Medicare Therapy Cap Medicare Payment Reform Local Coverage Determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National Priority for Research and Research Agenda Health Information Technology Medicare Physician Payment Innovation Act Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform H.R. 1179/S. 569 Improving Access to Medicare Coverage Act Medicaid Essential Health Benefits EHR/LTPAC Settings: Transitions of Care Medicare Improvement Standards Bundled Payment Models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 3426 Prevent Interruptions in Physical Therapy Act/S.2818 H.R. 942 and S. 948 Ensuring Access to Quality Complex Rehabilitation Technology H.R. 2810 Medicare Patient Access and Quality Improvement Act Inclusion of physical therapists in quality programs in SGR Reform H.R. 4015 and S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014 FTC Anti-competition Self-referral S.1871 SGR Repeal and Medicare Beneficiary Access Act S.2110 Medicare SGR Repeal and Beneficiary Access Improvement Act S. 2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act H.R.4302 Protecting Access to Medicare Act Statement for the record on Ways and Means Health Subcommittee Current Hospital Issues in Medicare H.R. 4755 Access to In-patient Rehabilitation Therapy Act H.R. 4994/S.2553 IMPACT Act Able Act Comments on CY2015 OPPS rule H.R. 5380 Medicare Telehealth Parity Act Comments on draft Fraud & Abuse Legislation Hospital Improvements for Payment Act H.R. 5380 Medicare Telehealth Parity Act

Client expense: $308,338 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

S.2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; Inclusion of a Community-Based Institutional Special Needs Plan (CBI-SNP) Demonstration in future legislation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.351 - Protecting Seniors' Access to Medicare Act of 2013 H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.647 - Achieving a Better Life Experience (ABLE) Act of 2014 H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1250 - Medicare Audit Improvement Act 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 - Enhanced Access to Medicaid Services H.R.2810 - Medicare Patient Access and Quality Improvement Act of 2013 H.R.3144 - Fairness for Beneficiaries Act of 2013 H.R.4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.5460 - Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.313 - Achieving a Better Life Experience (ABLE) Act of 2014 S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.755 - Enhanced Access to Medicaid Services S.1012 - Medicare Audit Improvement Act 2013 S.1871 - SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 - Medicare Choices Empowerment and Protection Act S.2501 - Hospital Readmission Accuracy and Accountability Act

Client expense: $228,645 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.36 - Health Care Safety Net Enhancement Act of 2013 H.R.235 - Veteran Emergency Medical Technician Support Act of 2013 H.R.351 - Protecting Seniors' Access to Medicare Act of 2013 H.R.574 - Medicare Physician Payment Innovation Act of 2013 H.R.647 - Achieving a Better Life Experience (ABLE) Act of 2014 H.R.809 - Field EMS Quality, Innovation, and Cost Effectiveness Improvements Act of 2013 H.R.1098 - Traumatic Brain Injury Reauthorization Act of 2013 H.R.1201 - Training Tomorrow's Doctors Today Act H.R.1263 - Excellence in Mental Health Act H.R.1179 - Improving Access to Medicare Coverage Act of 2013 H.R.1180 - Resident Physician Shortage Reduction Act of 2013 H.R.1487 - Improved Health Care Lower Cost Act of 2013 H.R.1838 - Enhanced Access to Medicaid Services H.R.2186 - Verifying Authority and Legality In Drug Compounding Act of 2013 H.R.2900 - Offering Patients True Individualized Options Now (Option Act of 2013) H.R.2300 - Empowering Patients First Act of 2013 H.R.2810 - Medicare Patient Access and Quality Improvement Act of 2013 H.R.3392 - Patient Safety and Drug Abuse Prevention Act H.R.3528 - National All Schedules Prescription Electronic Reporting Reauthorization Act of 2013 H.R.3548 - Improving Trauma Care Act of 2013 H.R.3717 - Helping Families in Mental Health Crisis Act of 2013 H.R.4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4080 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.4106 - Saving Lives, Saving Costs Act H.R.4169 - Stop Overdose Stat Act H.R.4574 - Strengthening Mental Health in Our Communities Act of 2014 H.R.5460 - Medicare Ambulance Access, Fraud Prevention and Reform Act of 2014 S.44 - Medical Care Access Protection (MCAP) Act of 2013 S.264 - Excellence in Mental Health Act S.265 - Community-Based Mental Health Infrastructure Improvements Act S.313 - Achieving a Better Life Experience (ABLE) Act of 2014 S.328 - Strengthening Rural Access to Emergency Services Act S.351 - Protecting Seniors' Access to Medicare Act of 2013 S.569 - Improving Access to Medicare Coverage Act of 2013 S.577 - Resident Physician Shortage Reduction Act of 2013 S.755 - Enhanced Access to Medicaid Services S.961 - Health Care Safety Net Enhancement Act of 2013 S.1871 - SGR Repeal and Medicare Beneficiary Access of 2013 S.2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S.2240 - Medicare Choices Empowerment and Protection Act S.2400 - Field EMS Innovation Act S.2405 - Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.2406 - Improving Trauma Care Act of 2014 S.2501 - Hospital Readmission Accuracy and Accountability Act S.2539 - Traumatic Brain Injury Reauthorization Act of 2014 S.2755 - Overdose Prevention Act

Client expense: $228,645 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 297 - Children's Hospital GME Support Reauthorization Act of 2013 S. 1557 - Children's Hospital GME Support Reauthorization Act of 2013 H.R. 1920 - DSH Reduction Relief Act of 2013 H.R. 2053 - Medicare Hospital Wage Index Equity Act of 2013 S. 183 - The Hospital Payment Fairness Act of 2013 S. 744 - Border Security, Economic Opportunity, and Immigration Modernization Act S. 1555 - DSH Reduction Relief Act of 2013 H.R. 3547 - Consolidated Appropriations Act, 2014 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. H.R.3698 - Two-Midnight Rule Delay Act of 2013 S. 2082 - Two-Midnight Rule Coordination and Improvement Act of 2014 S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 2810 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4302 - Protecting Access to Medicare Act of 2014 S. 2450 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 H.R. 3230 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 S. 2501 - Hospital Readmissions Program Accuracy and Accountability Act of 2014 H.R. 4994 - IMPACT Act of 2014 H.J. Res. 124 - Continuing Appropriations Resolution, 2015 H.R. 4930 - ACE Kids Act of 2014 H.R. 83 - Consolidated and Further Continuing Appropriations Act, 2015 H.J. Res. 130 - Making further continuing appropriations for fiscal year 2015, and for other purposes.

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

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

H.R. 297 - Children's Hospital GME Support Reauthorization Act of 2013 S. 1557 - Children's Hospital GME Support Reauthorization Act of 2013 H.R. 1920 - DSH Reduction Relief Act of 2013 H.R. 2053 - Medicare Hospital Wage Index Equity Act of 2013 S. 183 - The Hospital Payment Fairness Act of 2013 S. 744 - Border Security, Economic Opportunity, and Immigration Modernization Act S. 1555 - DSH Reduction Relief Act of 2013 H.R. 3547 - Consolidated Appropriations Act, 2014 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. H.R.3698 - Two-Midnight Rule Delay Act of 2013 S. 2082 - Two-Midnight Rule Coordination and Improvement Act of 2014 S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 2810 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4302 - Protecting Access to Medicare Act of 2014 S. 2450 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 H.R. 3230 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 S. 2501 - Hospital Readmissions Program Accuracy and Accountability Act of 2014 H.R. 4994 - IMPACT Act of 2014 H.J. Res. 124 - Continuing Appropriations Resolution, 2015 H.R. 4930 - ACE Kids Act of 2014 H.R. 83 - Consolidated and Further Continuing Appropriations Act, 2015 H.J. Res. 130 - Making further continuing appropriations for fiscal year 2015, and for other purposes.

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

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

H.R. 297 - Children's Hospital GME Support Reauthorization Act of 2013 S. 1557 - Children's Hospital GME Support Reauthorization Act of 2013 H.R. 1920 - DSH Reduction Relief Act of 2013 H.R. 2053 - Medicare Hospital Wage Index Equity Act of 2013 S. 183 - The Hospital Payment Fairness Act of 2013 S. 744 - Border Security, Economic Opportunity, and Immigration Modernization Act S. 1555 - DSH Reduction Relief Act of 2013 H.R. 3547 - Consolidated Appropriations Act, 2014 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. H.R.3698 - Two-Midnight Rule Delay Act of 2013 S. 2082 - Two-Midnight Rule Coordination and Improvement Act of 2014 S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 2810 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4302 - Protecting Access to Medicare Act of 2014 S. 2450 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 H.R. 3230 - Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 S. 2501 - Hospital Readmissions Program Accuracy and Accountability Act of 2014 H.R. 4994 - IMPACT Act of 2014 H.J. Res. 124 - Continuing Appropriations Resolution, 2015 H.R. 4930 - ACE Kids Act of 2014 H.R. 83 - Consolidated and Further Continuing Appropriations Act, 2015 H.J. Res. 130 - Making further continuing appropriations for fiscal year 2015, and for other purposes.

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

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

S. 689 - The Mental Health Awareness and Improvement Act of 2013 S.649 - The Safe Communities, Safe Schools Act of 2013 H.R. 2957 - Behavioral Health Information Technology Act of 2013 S. 1517 - Behavioral Health Information Technology Act of 2013 S.1685 - Behavioral Health Information Technology Coordination Act of 2013 H.R. 3547 - Consolidated Appropriations Act, 2014 H.R.3717 - Helping Families in Mental Health Crisis Act of 2013 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. S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 2810 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4302 - Protecting Access to Medicare Act of 2014 H.J. Res. 124 - Continuing Appropriations Resolution, 2015 H.R. 83 - Consolidated and Further Continuing Appropriations Act, 2015 H.J. Res. 130 - Making further continuing appropriations for fiscal year 2015, and for other purposes.

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

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

S. 689 - The Mental Health Awareness and Improvement Act of 2013 S.649 - The Safe Communities, Safe Schools Act of 2013 H.R. 2957 - Behavioral Health Information Technology Act of 2013 S. 1517 - Behavioral Health Information Technology Act of 2013 S.1685 - Behavioral Health Information Technology Coordination Act of 2013 H.R. 3547 - Consolidated Appropriations Act, 2014 H.R.3717 - Helping Families in Mental Health Crisis Act of 2013 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. S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 2810 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4302 - Protecting Access to Medicare Act of 2014 H.J. Res. 124 - Continuing Appropriations Resolution, 2015 H.R. 83 - Consolidated and Further Continuing Appropriations Act, 2015 H.J. Res. 130 - Making further continuing appropriations for fiscal year 2015, and for other purposes.

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

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

H.R. 4015/S. 2000, the SGR Repeal and Medicare Provider Payment Modernization Act , S. 2157, the Common sense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014. H.R. 4302, the Protecting Access to Medicare Act, which included provisions specifically addressing the 25% professional component (PC) multiple procedure payment reduction (MPPR)

Client expense: $856,901 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Congressional Budget Office (CBO), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE

P.L. 111-148: The Patient Protection and Affordable Care Act. H.R. 4302: Protecting Access to Medicare Act of 2014 (PL 113-93) on 4.1.2014 H.R. 3633: Protecting Health Care Providers from Increased Administrative Burdens Act. H.R. 1179: Improving Access to Medicare Coverage Act of 2013.S. 569: Improving Access to Medicare Coverage Act of 2013. S. 367: The Medicare Access to Rehabilitation Services Act. H.R. 3144: Fairness For Beneficiaries Act of 2013. H.R. 713: Medicare Access to Rehabilitation Service Act of 2013. H.R. 3698: A bill to delay the enforcement of the Medicare two-midnight rule for short inpatient stays until the implementation of a new Medicare payment methodalogy for short inpatient hospitals stays. H.R. 3531: The Creating Access to Rehabilitation for Every Senior (CARES ACT). S. 1871: SGR Repeal and Medicare Beneficiary Access Act of 2013. S.2157: Commonsense Medicare SGR and Beneficiary Access Improvement Act of 2014. Advocacy work on HCBS proposed rule: passsed in January. S. 1932: A bill to amend title XVIII of the Social Security Act to establish a Medicare Better Care Program. H.R. 1250: The Medicare Audit Improvement Act of 2013. S. 1012: Medicare Audit Improvement Act of 2013. S. 2082: The two-midnight rule coordinator and Improvement Act of 2014. Improving Medicare Post-Acute Care Transformation Act of 2014 (Impact Act of 2014). Protect and Preserve Medicaid funding for Long Term Services and Supports Medicaid Provider Assessement. Improving the CMS State Plan Amdt. Process. Opposition to H.B. No. 5051 An Act Improving Transparency of Nursing Home Operations. Sustainable Growth Rate (SGR) and other reform proposals. Reducing hospital readmissions from skilled nursing facility. Improving Medicare Post-Acute Care Transformation Act (IMPACT) Department of VA Provider Agreement proposaed rule RIN 2900-AO15 Repealing the Cap on Medicare Part B therapy services for seniors. MedPAC site neutral payment system for post acute care. CME proposed Rule for SNF Prospective Payment System (PPS). H.R. 4994, IMPACT Act of 2014.H.R. 5098: To amend the Internal Revenue Code of 1986 to temporarily exempt from the employer. H.R. 5232: A bill to amend title of the Social Security Act to require hospitals to provide certain notifications to individuals classified by such hospitals under observation status rather than admitted as inpatients of such hospitals; to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. H.R. 5373: To amend titles XVIII and XIX of the Social Security Act to establish a minimum direct care registered nurse staffing requirement at nursing facilities and skilled nursing facilities under Medicare and Medicaid and for other purposes.

Client expense: $820,000 · 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), Housing & Urban Development, Dept of (HUD), SENATE

H.R. 351 - Protecting Seniors' Access to Medicare Act of 2013 S. 351 - Protecting Seniors' Access to Medicare Act of 2013 H.R. 2663 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S. 1422 - A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S. 1193 - Data Security and Breach Notification Act of 2013 H.R. 2668 - Fairness for American Families Act H.R. 2667 - Authority for Mandate Delay Act H.R.1326 - Health Care Price Transparency Promotion Act of 2013 S.1685 - Behavioral Health Information Technology Coordination Act of 2013 H.R. 3547 - Consolidated Appropriations Act, 2014 S. 1932 - Better Care, Lower Cost Act H.R.3890 - Better Care, Lower Cost Act 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. S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 2810 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4302 - Protecting Access to Medicare Act of 2014 H.J. Res. 124 - Continuing Appropriations Resolution, 2015 H.R. 83 - Consolidated and Further Continuing Appropriations Act, 2015 H.J. Res. 130 - Making further continuing appropriations for fiscal year 2015, and for other purposes.

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

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

H.R. 351 - Protecting Seniors' Access to Medicare Act of 2013 S. 351 - Protecting Seniors' Access to Medicare Act of 2013 H.R. 2663 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S. 1422 - A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S. 1193 - Data Security and Breach Notification Act of 2013 H.R. 2668 - Fairness for American Families Act H.R. 2667 - Authority for Mandate Delay Act H.R.1326 - Health Care Price Transparency Promotion Act of 2013 S.1685 - Behavioral Health Information Technology Coordination Act of 2013 H.R. 3547 - Consolidated Appropriations Act, 2014 S. 1932 - Better Care, Lower Cost Act H.R.3890 - Better Care, Lower Cost Act 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. S. 1871 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 2810 - SGR Repeal and Medicare Beneficiary Access Act of 2013 H.R. 4015 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R. 4209 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2000 - SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110 - Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2122 - Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157 - Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4302 - Protecting Access to Medicare Act of 2014 H.J. Res. 124 - Continuing Appropriations Resolution, 2015 H.R. 83 - Consolidated and Further Continuing Appropriations Act, 2015 H.J. Res. 130 - Making further continuing appropriations for fiscal year 2015, and for other purposes.

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

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

H.R.2810; S.2110; H.R.4302; H.R.4015; S.2157; H.R. 5353; H.R.5364; S. 2694; Provider Enrollment; Medicare-Medicaid Parity for Primary Care; Reimbursement including SGR; Out-of-Network Reimbursement.

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

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

Medicare Physician Payment Reform; in general. H.R. 4015/S. 2000, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014; all provisions. S. 2110, the Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; all provisions. S. 2122, the Responsible Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; all provisions. S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; all provisions. H.R. 4302, the Protecting Access to Medicare Act of 2014; all provisions. Audiology-related legislation, in general. H.R. 2330, the Medicare Audiology Services Enhancement Act of 2013; all provisions. H.R. 4035/S. 2046, the Access to Hearing Healthcare Act of 2014; all provisions. Repeal of the Independent Payment Advisory Board (IPAB); in general. Issue regarding Medicare appeals backlog; in general. Compliance with the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program; in general. Standards for electronic health records (EHR) Meaningful Use; in general. Comments on final 2014 Medicare Physician Fee Schedule rule; in general. Support for increased transparency at CMS to ensure that the rulemaking process for changes to the Medicare physician fee schedule under the misvalued codes initiative is transparent and allows for sufficient input by stakeholders well before the new values are implemented. H.R. 4695, a bill to amend title XVIII of the Social Security Act to add sleep apnea screening to the initial preventive physical examination under the Medicare program; all provisions. Comments re: CMS' final rule entitled Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction; Part II [CMS-3267-F] relating to changes to the Medicare hospital Conditions of Participation (CoPs). H.R. 4187, legislation to modify the current Medicare New Technology Add-on Payment (NTAP) Program to provide a new supplemental payment for certain antimicrobial drugs used in the hospital setting. H.R. 5304, the Audiology Patient Choice Act of 2014; all provisions. Concerns pertaining to implementation of the Physician Payments Sunshine Act (Sunshine Act) and subsequent requests for an expanded timeframe to allow recipients to register, review, and dispute their data in the Open Payments System before publication. Support for additional transparency and comment opportunity in the valuation of physician and other healthcare professional services re: Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to Identifiable Data for the Centers for Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015 - Proposal to Modify the Process for Establishing Values for New, Revised and Potentially Misvalued Codes. Comments re: the "Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies" published in the Federal Register as a proposed notice on July 11, 2014; provisions relating to the revision of the hearing aid exclusion to encompass osseointegrated implants and all other bone conducting prosthetics. Comments on the "Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Schedule & Other Revisions to Part B for CY 2015" published under the Federal Register as a proposed notice on July 11, 2014. Provisions relating to: (1) Sustainable Growth Rate (SGR); (2) Resource Based Practice Expense (PE) Relative Value Units (RVUs); (3) Potentially Misvalued Services Under the Fee Schedule; (4) Validating RVUs of Services; (5) Payment for Secondary Interpretation of Images; (6) Physician Compare Website; (7) Electronic Health Records (EHR) Meaningful Use (MU) Incentive Program; (8) Physician Quality Reporting System; and (9) Value Based Payment Modifier and Physician Feedback Program. Support for H.R. 5539, which would clarify that certain applicable manufacturer transfers of value to support independent medical educational programs and materials are exempt from reporting under the Physician Payments Sunshine Act (Sunshine Act). Comments regarding recent improvements and changes to the National Quality Forum (NQF) measure endorsement process; in general. Opposition to proposed policy in the 2015 Final Medicare Physician Fee Schedule Rule to transition 10- and 90-day global payment period codes to 0-day global period codes in 2017, and 2018, respectively. Comments re: the Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Schedule & Other Revisions to Part B for CY 2015 published in the Federal Register as a proposed notice on October 31, 2014. Our comments addressed the following issues, in the order in which they appear in the proposed rule: (1) Sustainable Growth Rate (SGR); (2) Resource Based Practice Expense (PE) Relative Value Units (RVUs); (3) Potentially Misvalued Services Under the Fee Schedule; (4) Validating RVUs of Services; (5) Payment for Secondary Interpretation of Images; (6) Physician Compare Website; (7) Electronic Health Records (EHR) Meaningful Use (MU) Incentive Program; (8) Physician Quality Reporting System; and (9) Value Based Payment Modifier and Physician Feedback Program.

Client expense: $150,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), General Services Administration (GSA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

HR 2810 / S 2000 / S 2110 / S 2122 / S 2157 Medicare SGR Repeal and Payment Reform; Medicare Payment for CRNA and Physician Services, and for Outpatient and Inpatient Hospitals and Ambulatory Surgical Centers; HR 4015 SGR Repeal and Medicare Provider Payment Modernization Act; HR 4781 Medicare Access to Rural Anesthesiology Act; HR 4067/S 1954 Medicare Physician Supervision Requirement for Rural CAH Outpatient Therapy Services; PPACA Implementation

Client expense: $260,000 · Firm income: Not reported

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

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. 547, Medicare Physician Payment Innovation Act H.R. 1427, Truth in Healthcare Marketing Act of 2013 H.R. 1331, Electronic Health Records Improvement Act S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014 S. 2110, MEdicare SGR Repeal and Beneficiary Access Improvement Act of 2014 S. 2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 H.R. 4015, SGR Repeal and Medicare Provide Payment Modernization Act of 2014 H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; Sustainable Growth Rate S. 1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 S. 1444, Medicare Access to Rural Anesthesiology Act of 2013 H.R. 351, Protecting Seniors' Access to Medicare Act; IPAB S. 351, Protecting Seniors' Access to Medicare Act; IPAB H.R. 647, Achieving a Better Life Experience Act of 2014 (ABLE); payment S. 313, Achieving a Better Life Experience Act of 2014 (ABLE); payment Budget Control Act of 2011: P.L. 112-25 Anesthesia Rural Pass Through Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment issues: Medicare Sustainable Growth Rate repeal Bundled Payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2014 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Date Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling - Medicare sequestration E-Prescribing QCDR - Qualified Clinical Data Registry

Client expense: $210,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

S. 1871, the SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013; S. 2157, Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; H.R. 4302, Protecting access to Medicare Act of 2014

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Technology research; telemedicine and connected care; remote patient monitoring; community health centers and school health; implementation of Patient Protection and Affordable Care Act (H.R. 3590/P.L. 111-148); Health Care and Education Reconciliation Act (H.R. 4872/P.L. 111-152); the Protect Medical Innovation Act (H.R. 523); accountable care organizations; implementation of S. 3187, the Food and Drug Administration Safety and Innovation Act; Safeguarding America's Pharmaceuticals Act (H.R. 1919); SGR reform; FY 2015 budget; Protecting Access to Medicare Act (H.R. 4302); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act (S. 2157); Sunshine Act/Open Payment implementation

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medical device tax; implementation of Patient Protection and Affordable Care Act (H.R. 3590/Pub. L. 111-148); telemedicine and connected care; remote patient monitoring; Health Care and Education Reconciliation Act (H.R. 4872/Pub. L. 111-152); Protect Medical Innovation of 2015 (H.R. 523), FY 2015 budget; Protecting Access to Medicare Act (H.R. 4302); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act (S. 2157); Sunshine Act/Open Payment implementation

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity, H.R. 713/S. 367; Medicare Access to Rehabilitation Services Act of 2013; post-acute care reform; H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013; Protecting Access to Medicare Act (P.L. 113-93); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act, S. 2157; H.R. 4994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014

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

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

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity, H.R. 713/S. 367; Medicare Access to Rehabilitation Services Act of 2013; post-acute care reform; H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013; Protecting Access to Medicare Act (P.L. 113-93); Common Sense Medicare SGR Repeal and Beneficiary Access Improvement Act, S. 2157; H.R. 4994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014

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

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

Standard of Care Protection Act (regarding standards of care in medical liability lawsuits), H.R. 4750, entire bill; Standard of Care Protection Act (regarding standards of care in medical liability lawsuits), S. 1769, entire bill; Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act (regarding medical liability reform), not yet introduced, entire bill; SGR Repeal and Medicare Provider Payment Modernization Act of 2014 (regarding Medicare payment reform), H.R. 4015, Sect. 9(e) (regarding standards of care in medical liability lawsuits); Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 (regarding Medicare payment reform), S. 2157, Sect. 108(e) (regarding standards of care in medical liability lawsuits)

Client expense: $77,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Sustainable growth rate formula (H.R. 4015, S. 2157) - Advocated for the repeal of the SGR formula for Medicare physician reimbursement during the lame duck session of Congress. Opposed including further cuts to hospital payments to offset the cost of such legislation. Ways and Means Committee Hospital Improvement for Payment Discussion Draft - Monitored and reviewed the introduction of draft legislation from the Ways and Means Committee impacting hospital policies. Supported proposals to place greater restrictions on Medicare recovery audit contractor activities (similar to H.R. 1250, and S. 1012). Supported provision to include sociodemographic considerations in the Hospital Readmissions Reduction Program (similar to H.R. 4188 & S. 2501). Reviewed and monitored proposals to modify hospital payment systems to more accurately pay for short-stay admissions and supported proposals to delay enforcement of CMS' "two-midnight rule". Opposed provision that would relax current restrictions on physician-owned hospitals.

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

Government targets: Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), SENATE

H.R. 4994 - The Impact Act of 2014 - Provisions in the legislation focused on developing quality measurements that account for socioeconomic status. H.R. 83- Consolidated and Further Continuing Appropriations Act of 2014 - Issues related to Medicare and Medicaid policy. S. 1871/S. 2157- Medicare SGR Repeal and Beneficiary Access Improvement Act - Focus on payment reform and particularly on the issues of measuring of low income socioeconomic status for the purposes of delivery system reform and reimbursement efforts. S. 2501 - Hospital Readmissions Program Accuracy and Accountability Act - Focus on ensuring that hospitals that serve vulnerable populations are considered in the development of measures for quality. Issues related to training of physicians and other hospital and community- based health care professionals Issues related to Graduate Medical Education Regulations regarding Health Reform including the Navigator Program, Pioneer ACOs, and other innovation-focused programs being implemented by HHS. Issues related to the inclusion of socioeconomic status as a measurement for quality and performance. Efforts related to reforming the Sustained Growth Rate for physicians. Health-tax issues impacting not-for-profit hospitals. Issues related to the treatment of mental health issues in Medicare, Medicaid and CHIP. S. 1871/S. 2157- Medicare SGR Repeal and Beneficiary Access Improvement Act - Focus on payment reform and particularly on the issues of measuring of low income socioeconomic status for the purposes of delivery system reform and reimbursement efforts. S. 2501 - Hospital Readmissions Program Accuracy and Accountability Act - Focus on ensuring that hospitals that serve vulnerable populations are considered in the development of measures for quality. Issues related to training of physicians and other hospital and community- based health care professionals Issues related to Graduate Medical Education Regulations regarding Health Reform including the Navigator Program, Pioneer ACOs, and other innovation-focused programs being implemented by HHS. Issues related to the inclusion of socioeconomic status as a measurement for quality and performance. Efforts related to reforming the Sustained Growth Rate for physicians. Health-tax issues impacting not-for-profit hospitals. Issues related to the treatment of mental health issues in Medicare, Medicaid and CHIP.

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

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

H.R. 4994 - The Impact Act of 2014 - Provisions in the legislation focused on developing quality measurements that account for socioeconomic status. H.R. 83- Consolidated and Further Continuing Appropriations Act of 2014 - Issues related to Medicare and Medicaid policy. S. 1871/S. 2157- Medicare SGR Repeal and Beneficiary Access Improvement Act - Focus on payment reform and particularly on the issues of measuring of low income socioeconomic status for the purposes of delivery system reform and reimbursement efforts. S. 2501 - Hospital Readmissions Program Accuracy and Accountability Act - Focus on ensuring that hospitals that serve vulnerable populations are considered in the development of measures for quality. Issues related to training of physicians and other hospital and community- based health care professionals Issues related to Graduate Medical Education Regulations regarding Health Reform including the Navigator Program, Pioneer ACOs, and other innovation-focused programs being implemented by HHS. Issues related to the inclusion of socioeconomic status as a measurement for quality and performance. Efforts related to reforming the Sustained Growth Rate for physicians. Health-tax issues impacting not-for-profit hospitals. Issues related to the treatment of mental health issues in Medicare, Medicaid and CHIP. S. 1871/S. 2157- Medicare SGR Repeal and Beneficiary Access Improvement Act - Focus on payment reform and particularly on the issues of measuring of low income socioeconomic status for the purposes of delivery system reform and reimbursement efforts. S. 2501 - Hospital Readmissions Program Accuracy and Accountability Act - Focus on ensuring that hospitals that serve vulnerable populations are considered in the development of measures for quality. Issues related to training of physicians and other hospital and community- based health care professionals Issues related to Graduate Medical Education Regulations regarding Health Reform including the Navigator Program, Pioneer ACOs, and other innovation-focused programs being implemented by HHS. Issues related to the inclusion of socioeconomic status as a measurement for quality and performance. Efforts related to reforming the Sustained Growth Rate for physicians. Health-tax issues impacting not-for-profit hospitals. Issues related to the treatment of mental health issues in Medicare, Medicaid and CHIP.

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

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

CMS Regulations related to the construct of Medicare Hospice and the treatment of prescription medications. S. 1439 - Care Planning Act of 2013 - Focused on policies that would help to advance and improve the state of palliative care in the nation. ACA-related regulations promulgated by the Department of Health and Human Services and CMS regarding program integrity within the Exchanges with regard to product design. The Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 (S. 2157) - support for delivery system reform incorporated into this piece of legislation.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to Health Reform Law implementation with a specific focus on the regulations to govern insurance cover in and outside of the Exchanges. Issues related to upcoming regulations applying to the structure of the health insurer tax included in the ACA. CMS Regulations related to the construct of Medicare Part C&D. S. 1439 - Care Planning Act of 2013 - Focused on policies that would help to advance and improve the state of palliative care in the nation. HHS regulations related to health insurance market reforms and roll out of the new Insurance Exchanges. ACA-related regulations promulgated by the Department of Health and Human Services and CMS regarding program integrity within the Exchanges with regard to product design. Focus on pending tax reform legislation and its impact on the 833(b) program, which relates to the tax treatment of certain not-for-profit Blue plans. The Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 (S. 2157) - support for delivery system reform incorporated into this piece of legislation. H.R. 4994 - The IMPACT Act of 2014 - focused on including policies related to amending the 833(b) program. H.R. 83- The Consolidated and Further Continuing Appropriations Act of 2015 - Provisions related to amending the 833(b) program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

National Diabetes Prevention Program; Better care and treatment of people with diabetes under P.L. 111-148 Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152 The Health Care & Education Affordability Reconciliation Act of 2010: Issues related to diabetes generally, and specifically diabetes screening, medical education and death certificate reporting (Catalyst for Better Diabetes), AHRQ and USPSTF diabetes screening standards;diabetes issues in Healthy People 2020 and the Office of Disease Prevention and Health Promotion (ODPHP); H.R. 1074 and S. 539 National Diabetes Clinical Care Commission Act of 2013; S.RES 489, S.RES.242 and H.RES.313 Supporting the goals and ideals of "Growth Awareness Week" and the MAGIC Foundation; H.R. 4302, Protecting Access to Medicare Act; S. 2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014 (Special Diabetes Program reauthorization); H.R. 1915 and S. 907 Gestational Diabetes Act of 2013; H.R. 3322, Eliminating Disparities in Diabetes Prevention, Access, and Care Act of 2013; H.R. 351 and S. 351 Protecting Seniors' Access to Medicare Act of 2013 (IPAB repeal); cost of diabetes

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)

Implementation issues affecting hospitals related to P.L.111-148, the Patient Protection and Affordable Care Act, and P.L.111-152, the Health Care and Education Reconciliation Act of 2010; S.2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; P.L.113-93, the Protecting Access to Medicare Act of 2014.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Federal Coordinated Health Care Office (Medicare-Medicaid Coordination Office). (No bill.) Proposals related to the activities of the Federal Coordinated Health Care Office intended to improve the quality of care for recipients receiving benefits from both Medicare and Medicaid, i.e., dual-eligibles. Medicare Advantage. S. 2552, H.R.4998, Medicare Advantage Participant Bill of Rights Act of 2014: provisions to establish necessary protections for seniors enrolled in Medicare Advantage plans. Medicare Benefit Redesign. S. 11, Fiscal Sustainability Act of 2013: provisions pertaining to Parts A and B deductibles; premiums, including means-testing; a catastrophic cap on out-of-pocket spending; the eligibility age; and proposals to privatize Medicare. Medicare Drug Savings. S. 740, H.R. 1588, Medicare Drug Savings Act of 2013: provisions to extend the application of Medicaid drug rebates to prescription drugs paid for by Medicare and used by people eligible for both Medicare and Medicaid (dual-eligibles), and by people receiving the Medicare Part D Low-Income Subsidy. Medicare Home Health Benefits. (No bill.) Proposals pertaining to copayments for beneficiaries receiving the Medicare home health benefit. Medicare Part D Negotiation of Drug Prices. S. 408, H.R. 928, Medicare Prescription Drug Savings and Choice Act of 2013: proposals to create a Medicare-operated prescription drug plan, allowing or requiring the Secretary of the Department of Health and Human Services to negotiate price concessions from pharmaceutical manufacturers for drugs purchased under the Part D program. Medicare Physician Fees and Extenders. H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014; S. 2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014: provisions relating to a permanent fix of the sustainable growth rate (SGR) formula used to determine physician fees under Part B; the extension of the Qualified Individual (QI) program; and the therapy caps. Medicare Supplemental Health Insurance. (No bill.) Proposals to increase costs for Medicare beneficiaries who purchase Medigap insurance. Medicare Observation Status. S. 569, H.R. 1179, Improving Access to Medicare Coverage Act of 2013: legislation to count days in the hospital in observation status toward meeting the three-day prior hospitalization requirement for skilled nursing facility (SNF) care eligibility. Nursing Home Staffing. H.R. 5373, Put A Registered Nurse in the Nursing Home Act of 2014: legislation to require nursing homes and skilled nursing facilities that receive Medicare and/or Medicaid reimbursement to have at least one direct care registered nurse on duty at all times. Comprehensive Health Care Reform. P.L. 111-148, Patient Protection and Affordable Care Act; P.L. 111-152, Health Care and Education Reconciliation Act of 2010: implementation of provisions reducing Medicare Advantage plan payments; requiring higher income Medicare beneficiaries to pay an increased share of Medicare Parts B and D premium costs; expanding benefits for low-income beneficiaries under the Medicare Savings Programs and the Part D Low-Income Subsidy (LIS); expanding coverage of prevention services; testing payment and delivery system reforms; and providing expanded Medicaid coverage.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Economic Council (NEC), Office of Management & Budget (OMB), President of the U.S., SENATE, Social Security Administration (SSA), Treasury, Dept of, Vice President of the U.S.

AHRQ Reauthorization P.L. 111-148/P.L. 111-152, Affordable Care Act, Title VII Reauthorization/Implementation HR 4015/S 2000, SGR Repeal & Medicare Provider Payment Modernization Act of 2014 S. 2157 Commonsense Medicare SGR Repeal & Beneficiary Access Improvement Act of 2014 HR 4302, Protecting Access to Medicare Act of 2014

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE

Medicare reimbursement rates HR 4015/S 2000, SGR Repeal & Medicare Provider Payment Modernization Act of 2014 S 2157 Commonsense Medicare SGR Repeal & Beneficiary Access Improvement Act of 2014 HR 4302, Protecting Access to Medicare Act of 2014

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE