Ensuring Access to Primary Care for Women & Children Act

H.R. 4930 - Advancing Care for Exceptional Kids Act of 2014 S. 2461 - The CHIP Extension Act of 2014 H.R. 5364 - The CHIP Extension and Improvement Act of 2014 Issues regarding The Childrens Health Insurance Program (CHIP) H.R. 297/S. 1557 - Acts to reauthorize and establish funding levels for the Children's Hospital Graduate Medical Education program H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid Issues regarding pediatric quality measures program reauthorization generally (no bill number) S. 2154 - The Emergency Medical Services for Children Reauthorization Act of 2014 H.R. 4290 - The Wakefield Act, reauthorizes Emergency Medical Services for Children S. 2694 - Ensuring Access to Primary Care for Women and Children Act S. 2434 - Family Coverage Act House Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs 340B Drug Discount Program H.R. 225/S.424 - Pediatric Research Network Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act S. 689 - Mental Health Awareness and Improvement Act of 2013 H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 S. 957 - Drug Supply Chain Security Act

Client expense: $800,000 · 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), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

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

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

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

S. 1759 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2110 (HR 4015)- Medicare Sustainable Growth Rate: SGR Releal. Meicare reform to raise primary care payment. S. 2694 - Ensuring Access to Primary Care for Women and Children Act: Extending for 2 years the requirement that Medicaid programs pay primary care physicians at least as much as Medicare Does; Advocate for extension of Medicaid parity which expires at the end of 2014; Urge senators to co-sponsor S. 2694. S. 2978 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2229 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. No Bill Number - Oppose cuts to pre-resident payment for Teaching Health Center GME: Maintain the sustainability of the THCGME program. No Bill Number - Repeal Medicare Sustainable Growth Rate: Repeal SGR. Positive update and higher rate for Primary Care. No Bill Number - Medicare EHR incentive payments: Concerns over attestation process. No Bill Number - Medicare Advance Care Planning - Urge CMS to cover CPT codes for ACP services. No Bill Number - Medicare Physician Payment: Comments on 2015 final payments. No Bill Number - Teaching Health Centers Funding - Opposing reductions in per-resident payments to teaching health centers. No Bill Number - Medicare Evidence Development and Coverage Advisory Committee: Offering names of family physicians who could serve on the committee. No Bill Number - Children's Health Insurance Program - Supporting reauthorization of the Children's Health Insurance Program.

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

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

Public Law 111-148, the Patient Protection and Affordable Care Act - implementation issues related to Medicaid reimbursement for neonatologists and pediatric cardiologists, Medicare evaluation and management coding practices, qualifying neonatologists as primary care practioners for purposes of program eligibility, Medicare reimbursement for anesthesiology services, Medicare and Medicaid incentive payments for adoption of health information technology systems.Public Law 111-152, the Health Care and Education Reconciliation Act - Implementation issues related to Medicaid reimbursement for neonatologists and pediatric cardiologists, Medicare evaluation and management coding practices, qualifying neonatologists as primary care practioners for purposes of program eligibility, Medicare reimbursement for anesthesiology services, Medicare incentive payments for adoption of health information technology systems. Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-286, the Physician Payment and Therapy Relief Act - Medicare physician payment issues and HIT incentive payments for hospital-based physicians. H.R. 1256, Medicare Physician Payment Transparency and Assessment Act of 2011, all provisions Meetings with CMS staff concerning reimbursement for anesthesiology and pediatric subspecialty services under the 2014 physician fee schedule rule. Public Law 113-93 - The Protecting Access to Medicare Act of 2014 S. 2694, Ensuring Access to Primary Care for Women & Children Act - Parity for primary care physician services. H.R. 5364, the CHIP Extension and Improvement Act of 2014 - Parity for primary care physician services.

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

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

S. 1759 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2110 (HR 4015)- Medicare Sustainable Growth Rate: SGR Releal. Meicare reform to raise primary care payment. S. 2694 - Ensuring Access to Primary Care for Women and Children Act: Extending for 2 years the requirement that Medicaid programs pay primary care physicians at least as much as Medicare Does; Advocate for extension of Medicaid parity which expires at the end of 2014; Urge senators to co-sponsor S. 2694. S. 2978 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2229 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. No Bill Number - Oppose cuts to pre-resident payment for Teaching Health Center GME: Maintain the sustainability of the THCGME program. No Bill Number - Repeal Medicare Sustainable Growth Rate: Repeal SGR. Positive update and higher rate for Primary Care. No Bill Number - Medicare EHR incentive payments: Concerns over attestation process. No Bill Number - Medicare Advance Care Planning - Urge CMS to cover CPT codes for ACP services. No Bill Number - Medicare Physician Payment: Comments on 2015 final payments. No Bill Number - Teaching Health Centers Funding - Opposing reductions in per-resident payments to teaching health centers. No Bill Number - Medicare Evidence Development and Coverage Advisory Committee: Offering names of family physicians who could serve on the committee. No Bill Number - Children's Health Insurance Program - Supporting reauthorization of the Children's Health Insurance Program.

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

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

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

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

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

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

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

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

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

S. 1759 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2110 (HR 4015)- Medicare Sustainable Growth Rate: SGR Releal. Meicare reform to raise primary care payment. S. 2694 - Ensuring Access to Primary Care for Women and Children Act: Extending for 2 years the requirement that Medicaid programs pay primary care physicians at least as much as Medicare Does; Advocate for extension of Medicaid parity which expires at the end of 2014; Urge senators to co-sponsor S. 2694. S. 2978 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2229 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. No Bill Number - Oppose cuts to pre-resident payment for Teaching Health Center GME: Maintain the sustainability of the THCGME program. No Bill Number - Repeal Medicare Sustainable Growth Rate: Repeal SGR. Positive update and higher rate for Primary Care. No Bill Number - Medicare EHR incentive payments: Concerns over attestation process. No Bill Number - Medicare Advance Care Planning - Urge CMS to cover CPT codes for ACP services. No Bill Number - Medicare Physician Payment: Comments on 2015 final payments. No Bill Number - Teaching Health Centers Funding - Opposing reductions in per-resident payments to teaching health centers. No Bill Number - Medicare Evidence Development and Coverage Advisory Committee: Offering names of family physicians who could serve on the committee. No Bill Number - Children's Health Insurance Program - Supporting reauthorization of the Children's Health Insurance Program.

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

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

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

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

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

S. 1759 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2110 (HR 4015)- Medicare Sustainable Growth Rate: SGR Releal. Meicare reform to raise primary care payment. S. 2694 - Ensuring Access to Primary Care for Women and Children Act: Extending for 2 years the requirement that Medicaid programs pay primary care physicians at least as much as Medicare Does; Advocate for extension of Medicaid parity which expires at the end of 2014; Urge senators to co-sponsor S. 2694. S. 2978 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. S. 2229 - Teaching Health Center Reauthorization Act GME program: Teaching Health Centers Graduate Medication Education. No Bill Number - Oppose cuts to pre-resident payment for Teaching Health Center GME: Maintain the sustainability of the THCGME program. No Bill Number - Repeal Medicare Sustainable Growth Rate: Repeal SGR. Positive update and higher rate for Primary Care. No Bill Number - Medicare EHR incentive payments: Concerns over attestation process. No Bill Number - Medicare Advance Care Planning - Urge CMS to cover CPT codes for ACP services. No Bill Number - Medicare Physician Payment: Comments on 2015 final payments. No Bill Number - Teaching Health Centers Funding - Opposing reductions in per-resident payments to teaching health centers. No Bill Number - Medicare Evidence Development and Coverage Advisory Committee: Offering names of family physicians who could serve on the committee. No Bill Number - Children's Health Insurance Program - Supporting reauthorization of the Children's Health Insurance Program.

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

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

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

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

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

H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions H.R. 647, Achieving a Better Life Experience Act of 2014 (ABLE Act of 2014), provisions relating to Misvalued Codes S. 313, Achieving a Better Life Experience Act of 2013 (ABLE Act of 2013), provisions relating to Misvalued Codes H.R. 962, Medicare Diabetes Prevention Act of 2013, all provisions S. 452, Medicare Diabetes Prevention Act of 2013, all provisions H.R. 4282, Creating Access to Residency Education Act of 2014, all provisions H.R. 4843, Native Contract and Rate Expenditure Act of 2014 (Native CARE Act of 2014), all provisions H.R. 5481, To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs, and for other purposes, all provisions H.R. 4998, Medicare Advantage Participant Bill of Rights Act of 2014, all provisions S. 2552, Medicare Advantage Participant Bill of Rights Act of 2014, all provisions H.R. 1180, Resident Physician Shortage Reduction Act of 2013, all provisions S. 577, Resident Physician Shortage Reduction Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions S. 2501, Hospital Readmissions Program Accuracy and Accountability Act of 2014, all provisions H.R. 5723, Ensuring Access to Primary Care for Women & Children Act, all provisions S. 2694, Ensuring Access to Primary Care for Women & Children Act, all provisions H.R. 5780, Protecting the Integrity of Medicare Act (PIMA) of 2014, all provisions H.R. 4302, Protecting Access to Medicare Act of 2014, provisions relating to coding and pricing issues Medicare program: SGR Repeal Medicare program: Independent Payment Advisory Board (IPAB) Repeal Medicare program: Medicare Patient Empowerment Act Medicare program: Graduate Medical Education Medicare program: ICD-10 Repeal Medicare program: Overlapping Medicare incentive programs Medicare program: HIPAA including ICD-10 Medicare program: Electronic Health Records (EHR) - Meaningful Use Medicare program: EHR Certification Medicare program: Physician Quality Reporting System (PQRS) Medicare program: Laboratory Developed Tests Medicare program: Alternative Payment Models/quality performance measures Medicare program: Physician payment and delivery reform issues Medicare program: Hospital short stay Medicare program: Medicare funding for quality measure development Medicare program: Value-Based Modifiers Medicare program: Global Surgical Codes Medicare program: In-Office Ancillary Services Exception Medicare program: RUC - Misvalued and Care Coordination Codes Medicare program: Diabetes Medicare program: Recovery Audit Contractors Medicare program: Program Integrity - Meaningful Use Audits Medicare program: Program Integrity - Modifiers Medicare program: Program Integrity - Electronic Health Records Medicare and Medicaid programs: Coverage of lung cancer screening for high-risk patients

Client expense: $4,390,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA), White House Office

HR 45-To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010: entire bill HR 132: ObamaCare Repeal Act: entire bill Public Law No. 111-148- Patient Protection and Affordable Care Act: entire law Public Law No. 111-152- Health Care and Education Reconciliation Act of 2010: entire law HR 2457- Womens Preventive Health Awareness Campaign Act: entire bill HR 1975- Pregnant Workers Fairness Act: entire bill S. 942- Pregnant Workers Fairness Act: entire bill HR 2632- School-based Health Centers Program Reauthorization Act of 2013: entire bill HR 2676- Medicaid Information Technology to Enhance Community Health Act of 2013: entire bill S. 1286- Medicaid Information Technology to Enhance Community Health Act of 2013: entire bill HR 2810- To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes: amendments and provisions related to and affecting reproductive health and family planning S. 1871- SGR Repeal and Medicare Beneficiary Access Act of 2013: amendments and provisions related to and affecting reproductive health and family planning S. 1871- SGR Repeal and Medicare Beneficiary Access Act of 2013: amendments and provisions related to and affecting reproductive health and family planning S. 1009 - Chemical Safety Improvement Act: entire bill HR 4302- Protecting Access to Medicare Act: amendments and provisions related to and affecting reproductive health and family planning HR 3723 - Viral Hepatitis Testing Act of 2013: entire bill HR 5364/S 2461 - Amend title XXI of the Social Security Act to extend and improve the CHIP Program: entire bill HR 5353 - Amend title XIX of the Social Security Act to extend for 5 years payment parity with Medicare for primary care services: Entire bill HR 5380 - Medicare Parity Act: entire bill S 2662 - Telehealth Enhancement Act of 2014: entire bill HR 5481 - To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs, and for other purpose (Flexibility in Health IT Reporting (Flex-IT) Act of 2014"): entire bill S 2629 - Preventive Care Coverage Notification Act: entire bill S 2694 - Ensuring Access to Primary Care for Women & Children Act: entire bill S 2908 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan, and for other purposes: entire bill S 2578/ HR 5150 - Protect Women's Health From Corporate Interference Act: entire bill HR 5294 - Health Equity and Accountability Act HR 5723 - Ensuring Access to Primary Care for Women & Children Act

Client expense: $73,680 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), Peace Corps, SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

S. 755 / H.R. 1838: Enhanced Access to Medicaid Services Act of 2013: H.R.5364: CHIP Extension and Improvement Act of 2014: Sec. 304. Payment parity for Medicaid primary care services H.R.5353: Medicaid Parity Act of 2014 H.R. 5458: The Building a Health Care Workforce for the Future ActH.R. 5481, the Flexibility in Health IT Reporting (Flex-IT) Act HR 5723 / S. 2694: Ensuring Access to Primary Care for Women & Children Act S. 3007: Ensuring Enhanced Access to Primary Care Act Maintenance/expansion of Graduate Medical Education (GME); Permanent repeal to the sustainable growth rate (SGR) formula; Preservation of the in-office ancillary exception to the Stark law

Client expense: $173,880 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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 PIMAProvisions related to the repeal of the Sustainable Growth Rate formula and reform of Medicare payment. 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 inventive 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 and Children Act (S.2694).

Client expense: $310,978 · Firm income: Not reported

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

Addressing primary care access issues for Medicaid beneficiaries. Reauthorization of Medicaid-Medicare Parity for Primary Care and program design. S. 2694, H.R. 5364, H.R. 5353 and H.R.5723.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Reauthorization of Medicaid-Medicare Parity for Primary Care and program design. S. 2694, H.R. 5364, H.R. 5353 and H.R. 5723.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2000/H.R. 4015, Sustainable Growth Rate Formula Reform; Medicaid (general); S. 2694/H.R. 5723 Ensuring Access to Primary Care for Women and Children Act; S. 3007 Ensuring Enhanced Access to Primary Care Act; 2015 Physician Fee Schedule.

Client expense: $394,993 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), White House Office

Protecting and strengthening Medicare Advantage; supporting extension of primary care payments in Medicaid program (Ensuring Access to Primary Care for Women and Children Act, S. 2694); improving the accountable care organization program (ACO Improvement Act of 2014, H.R. 5558); sustainable growth rate repeal and replacement concepts.

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

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

Protecting and strengthening Medicare Advantage; supporting extension of primary care payments in Medicaid program (Ensuring Access to Primary Care for Women and Children Act, S. 2694); improving the accountable care organization program (ACO Improvement Act of 2014, H.R. 5558); sustainable growth rate repeal and replacement concepts.

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

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

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

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

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

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

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

Policies related to graduate medical education and payment for primary care including S. 2694, Ensuring Access to Primary Care for Women & Children Act; funding for Teaching Health Centers including H.R. 83, Consolidated Future Continuing Appropriation Act of 2015

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Children's Hospital GME Support Reauthorization Act of 2013 (HR 297, S 1557) Enhanced Access to Medicaid Services Act (HR 1838, S 755) CHIP Extension Act of 2014 (S 2461) CHIP Extension and Improvement Act of 2014 (HR 5364) Ensuring Access to Primary Care for Women & Children Act (S 2694) Medicaid Parity Act of 2014 (HR 5353)

Client expense: $43,400 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Juvenile Justice & Delinquency Prevention, Office of Natl Drug Control Policy (NDCP), Office of the Vice President of the United States, SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

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

Physician Payment Reform and SGR repeal; Medicare observation status and the two midnight Rule; H.R. 1179/S.569, Improving Access to Medicare Coverage Act of 2013; H.R. 4188, "Establishing Beneficiary Equity in the Hospital Readmission Program Act;" H.R. 1173, "Personalize Your Care Act of 2013"; "Ensuring Access to Primary Care for Women & Children Act," H.R. 5723, S. 2694. Meaningful use and hospitalists. H.R. 5780, Protecting the Integrity of Medicare Act of 2014, gainsharing provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4930 - Advancing Care for Exceptional Kids Act of 2014 S. 2461 - The CHIP Extension Act of 2014 H.R. 5364 - The CHIP Extension and Improvement Act of 2014 Issues regarding The Childrens Health Insurance Program (CHIP) H.R. 297/S. 1557 - Acts to reauthorize and establish funding levels for the Children's Hospital Graduate Medical Education program H.R. 3590 - Patient Protection and Affordable Care Act - implementation of all provisions related to health, coverage, benefits, and Medicaid Issues regarding pediatric quality measures program reauthorization generally (no bill number) S. 2154 - The Emergency Medical Services for Children Reauthorization Act of 2014 H.R. 4290 - The Wakefield Act, reauthorizes Emergency Medical Services for Children S. 2694 - Ensuring Access to Primary Care for Women and Children Act S. 2434 - Family Coverage Act 21st Century Cures Initiative House Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs Senate Labor-H Appropriations (no bill number) - provisions impacting Childrens Hospital Graduate Medical Education, NIH and public health programs 340B Drug Discount Program H.R. 225/S.424 - Pediatric Research Network Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage Act H.R. 2607/S. 1251 Caroline Pryce Walker Conquer Childhood Cancer Reauthorization Act H.R. 1827 - Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 S. 957 - Drug Supply Chain Security Act

Client expense: $790,000 · 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), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Issues related to the extension of the Children's Health Insurance Program (P.L. 111-3, Title I/P.L. 111-148, Title X). H.R. 4302, Protecting Access to Medicare Act of 2014, Title II: provisions related to Medicaid and CHIP eligibility, maternal, infant and early childhood home visiting; and pediatric quality. H.R. 4930, the "ACE Kids Act of 2014." Issues related to the 21st Century Cures initiative and pediatric medical research. S. 2694, Ensuring Access to Primary Care for Women and Children Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law 111-148, the Patient Protection and Affordable Care Act - implementation issues related to Medicaid reimbursement for neonatologists and pediatric cardiologists, Medicare evaluation and management coding practices, qualifying neonatologists as primary care practioners for purposes of program eligibility, Medicare reimbursement for anesthesiology services, Medicare and Medicaid incentive payments for adoption of health information technology systems.Public Law 111-152, the Health Care and Education Reconciliation Act - Implementation issues related to Medicaid reimbursement for neonatologists and pediatric cardiologists, Medicare evaluation and management coding practices, qualifying neonatologists as primary care practioners for purposes of program eligibility, Medicare reimbursement for anesthesiology services, Medicare incentive payments for adoption of health information technology systems. Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. Public Law 111-286, the Physician Payment and Therapy Relief Act - Medicare physician payment issues and HIT incentive payments for hospital-based physicians. H.R. 1256, Medicare Physician Payment Transparency and Assessment Act of 2011, all provisions Medicare Program - Long term reform proposals for the Medicare physician payment system. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Preservation of bonus payments to primary care physicians serving Medicaid patients, Medicare physician payment issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. Meetings with CMS staff concerning reimbursement for anesthesiology and pediatric subspecialty services under the 2014 physician fee schedule rule. Public Law 113-93 - The Protecting Access to Medicare Act of 2014 S. 2694, Ensuring Access to Primary Care for Women & Children Act - Parity for primary care physician services. H.R. 5364, the CHIP Extension and Improvement Act of 2014 - Parity for primary care physician services.

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

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

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

HR 45-To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010: entire bill HR 132: ObamaCare Repeal Act: entire bill Public Law No. 111-148- Patient Protection and Affordable Care Act: entire law Public Law No. 111-152- Health Care and Education Reconciliation Act of 2010: entire law HR 2457- Womens Preventive Health Awareness Campaign Act: entire bill HR 1975- Pregnant Workers Fairness Act: entire bill S. 942- Pregnant Workers Fairness Act: entire bill HR 2632- School-based Health Centers Program Reauthorization Act of 2013: entire bill HR 2676- Medicaid Information Technology to Enhance Community Health Act of 2013: entire bill S. 1286- Medicaid Information Technology to Enhance Community Health Act of 2013: entire bill HR 2810- To amend title XVIII of the Social Security Act to reform the sustainable growth rate and Medicare payment for physicians' services, and for other purposes: amendments and provisions related to and affecting reproductive health and family planning S. 1871- SGR Repeal and Medicare Beneficiary Access Act of 2013: amendments and provisions related to and affecting reproductive health and family planning S. 1871- SGR Repeal and Medicare Beneficiary Access Act of 2013: amendments and provisions related to and affecting reproductive health and family planning S. 1009 - Chemical Safety Improvement Act: entire bill HR 4302- Protecting Access to Medicare Act: amendments and provisions related to and affecting reproductive health and family planning HR 3723 - Viral Hepatitis Testing Act of 2013: entire bill HR 5364/S 2461 - Amend title XXI of the Social Security Act to extend and improve the CHIP Program: entire bill HR 5353 - Amend title XIX of the Social Security Act to extend for 5 years payment parity with Medicare for primary care services: Entire bill HR 5380 - Medicare Parity Act: entire bill S 2662 - Telehealth Enhancement Act of 2014: entire bill HR 5481 - To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under the Medicare and Medicaid EHR incentive payment programs, and for other purpose (Flexibility in Health IT Reporting (Flex-IT) Act of 2014"): entire bill S 2629 - Preventive Care Coverage Notification Act: entire bill S 2694 - Ensuring Access to Primary Care for Women & Children Act: entire bill S 2908 - A bill to amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan, and for other purposes: entire bill S 2578/ HR 5150 - Protect Women's Health From Corporate Interference Act: entire bill HR 5294 - Health Equity and Accountability Act

Client expense: $484,122 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Defense, Dept of (DOD), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), Peace Corps, SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID)

Reauthorization of Medicaid-Medicare Parity for Primary Care and program design. S. 2694, H.R. 5364, H.R. 5353.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

See next page.Legislative: -Budget Sequestration Cuts (Senate, House, White House, CMS) -Medicare Physician Geographic Payment Locality Update (Senate, House, White House, CMS) -Medicare SGR and Alternative Physician Payment System (Senate, House) - Palliative Care Medical Home Authorization and Funding (Senate, House) -Graduate Medical Education: Expanding the number of residency positions (Senate, House) -H.R. Medicare Private Contracting -H.R. 2810 (Upton/Waxman) Medicare Patient Access and Quality Improvement Act of 2013 -H.R. 1310 (Price) Patient Empowerment Act -H.R. 1201 (Schock/Schwart) Training Tomorrows Doctors Today Act -S 577 (Nelson/Schumer/Reid) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1180 (Crowley/Grimm) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1761 (Terry/DeGette): Helping Ensure Life-and Limb-Saving Access to Podiatric Physicians Act -H.R. 4015/S. 2000 The SGR Repeal and Medicare Physician Payment Improvement Act -H.R. 4302 Protecting Access to Medicare Act of 2014 -H.R. 3402 The Protecting Access to Medicare Act of 2014 ICD-10 Coding System -S 2000/HR 4015 The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 -S 2694 (Murray & Brown) Ensuring Access to Primary Care for Women and Children Act -H.R. ## DRAFT Telehealth Promotion Act of 2014 (Thompson) -H.R. 3077 The Telemedicine for Medicare Act of 2013 Senate Finance Committee Legislation SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Reauthorization of the SCHIP State Childrens Health Insurance Program (Healthy Families in California). Regulatory: Medicare and Medicaid Part II Regulations-Hospital Conditions of Participation-Provisions to Promote Efficiency, Transparency and Burden Reduction. (Centers for Medicare and Medicaid Services -- CMS) Center for Medicare and Medicaid Services: Proposed 2014 Medicare Physician Payment Rule (CMS-1600-P). Methodological Changes for CY 2014 for Medicare Advantage Capitation Rates Medicare and Medicaid Part II, Provisions to Promote Program Efficiency, Transparency and Burden Reduction Medicaid Primary Care Rate Increase Implementation 2013-2014 Medicaid Payment Reduction - Federal & State Recoupment of the 10% Medicaid Physician Payment Rate Reduction (State Plan Amendment 11-009) Physicians Referrals to Health Care Entities with which they have Financial Relationships: Exception for certain Electronic Health Records Arrangements. (CMS-1454-F) Retroactive Recoupment of the State 10% Medi-Cal Physician Reimbursement Rate Cut. (CMS) 2015 Proposed Medicare Physician Payment Rule (CMS-1612-P)Medicaid, Childrens Health Insurance Programs and Exchanges: Essential Health Benefits in Alternate Benefit Programs, Eligibility Notices, Fair Hearing and Appeals Processes for Medicaid and Exchanges; Eligibility and Appeals and Other Provisions related to Enrollment and Medicaid Prevention and Cost Sharing (CMS). Medicaid Primary Care Rate Increase Implementation (CMS). Medicare-Medicaid Dual Eligibles Coordinated Care Demonstration Program (CMS). Medicare Contractor Transition from Palmetto to Noridian in California (CMS). Value Index Implementation (CMS). Two-Midnight Rule (CMS). Medicaid Primary Care Rate Increase Implementation Clarifications Verbal Orders clarification Medicare, Medicaid and SCHIP: Transparency Reports and Reporting Physician Ownership or Investment Interests -- (HHS). Modifications to the HIPAA Privacy Rules (HHS). -42 CFR Part 1001. Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor Under the Anti-Kickback Statute. (DOJ/OIG).

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

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

Funding for National Institutes of Health Departments of Labor, HHS, Education, and Related Agencies Appropriations Act for FY 2015Biosimilars Naming Colombia Biologics Regulations Implementation of Affordable Care Act Interchangeability and Pharmacy Substitution Funding for Centers for Disease Control and Prevention Vaccine Programs Departments of Labor, HHS, Education, and Related Agencies Appropriations Act for FY 2015 Vaccine Access/Financing Implementation of Affordable Care Act S.2694: Ensuring Access to Primary Care for Women and Children Act 340B Drug Pricing Program Implementation of Affordable Care Act Program Implementation & Oversight Departments of Labor, HHS, Education, and Related Agencies Appropriations Act for FY 2015 Funding for FDA H.R. 4800/S.2389: Agriculture, Rural Development, FDA, and Related Agencies Appropriations Act for FY 2015 Funding for Biodefense/Biomedical/Emergency Preparedness Research, Development and Procurement Departments of Labor, HHS, Education, and Related Agencies Appropriations Act for FY 2015 Reimbursement for Innovative Products Medicare Part B Physician-Administered Products Medicare Part D Prescription Drug Program CMS Proposed Rule on Protected Classes Sequestration of PDUFA Fees S. 1413: FDA User Fee Protection Act Drug Evaluation and Review Compassionate Use/Expanded Access Special Medical Use/Limited Population Drug Implementation of the FDA Safety and Innovation Act Orphan Drug Act Tax Credit Clinical Trial Data Sharing and Disclosure EU Policies Canadian Policies Sunshine Act Implementation Affordable Care Act Implementation Third Party Support of Patient Premiums and Cost-Sharing Obligations 21st Century Cures InitiativeTransPacific Partnership Regulatory Transparency Data and Intellectual Property Protections for Pharmaceuticals Transatlantic Trade and Investment Partnership Regulatory Harmonization Reimbursement Transparency Intellectual Property Issues

Client expense: $2,090,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Security Council (NSC), Office of Management & Budget (OMB), Patent & Trademark Office (PTO), SENATE, Securities & Exchange Commission (SEC), U.S. Trade Representative (USTR)

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

S. 755/ H.R. 1838: Enhanced Access to Medicaid Services Act of 2013: H.R.5364: CHIP Extension and Improvement Act of 2014: Sec. 304. Payment parity for Medicaid primary care services H.R.5353: Medicaid Parity Act of 2014 S. 2694: Ensuring Access to Primary Care for Women & Children ActH.R. 5304: Audiology Patient Choice Act of 2014 Maintenance/expansion of Graduate Medical Education (GME); Permanent repeal to the sustainable growth rate (SGR) formula; Preservation of the in-office ancillary exception to the Stark law, Reimbursement and use of chronic care management codes; Elimination of global surgical periods; Retention of the CME exclusion in the Sunshine Act; Reimbursement and use of magnetoencephalography codes; Fair valuation, utilization and access to NCS/EMG services

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

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

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

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

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

H.R.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