Seniors Mental Health Access Improvement Act of 2013

Support S. 562 and H.R. 3662, the Seniors Mental Health Access Improvement Act of 2013.

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

HR 3662, S 562 Mental Health Access Improvement Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to cover marriage and family therapist services and mental health counselor services under Medicare part B (Supplementary Medical Insurance), particularly those provided in rural health clinics, federally qualified health centers, and in hospice programs.

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

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

CHIP Extension Act of 2014 (S. 2461) all provisions related to the extension of CHIP funding through fiscal year 2017 and the extension of the 23 percent fiscal 2016 CHIP match increased authorized under the Affordable Care Act. Mental Health Access Improvement Act (H.R. 3662/S. 562) all provisions related to expanding Medicare coverage for mental health services of marriage and family therapists and mental health counselors services. Ensuring Enhanced Access to Primary Care Act (S.3007) all provisions related to extending the Affordable Care Acts Medicaid primary care pay bump to psychiatrists as well as increase the number of eligible providers.

Client expense: $71,600 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare coverage of Licensed Professional Counselors(S. 562 and H.R. 3662).

Client expense: $44,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Behavioral Health Information Technology, extending health information technology assistance eligibility to more mental health and substance use disorder professionals and facilities: specifically S. 1685, Behavioral Health Information Technology Act of 2014; S. 1517, the Behavioral Health Information Technology Act; and H.R. 2957, the Behavioral Health Information Technology Act of 2013. Telehealth, reforming barriers to Medicare reimbursement. Medicare coverage of Mental Health Counselors and Marriage and Family Therapists: specifically H.R. 3662, the Mental Health Access Improvement Act, and S. 562, the Seniors Mental Health Access Improvement Act. Mental Health Parity Duals Demonstrations 42 CFR Part 2 Behavioral Health

Client expense: $81,936 · 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), Labor, Dept of (DOL), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of

Behavioral Health Information Technology, extending health information technology assistance eligibility to more mental health and substance use disorder professionals and facilities: specifically S. 1685, Behavioral Health Information Technology Act of 2014; S. 1517, the Behavioral Health Information Technology Act; and H.R. 2957, the Behavioral Health Information Technology Act of 2013. Telehealth, reforming barriers to Medicare reimbursement. Medicare coverage of Mental Health Counselors and Marriage and Family Therapists: specifically H.R. 3662, the Mental Health Access Improvement Act, and S. 562, the Seniors Mental Health Access Improvement Act. Duals Demonstrations Behavioral Health

Client expense: $81,936 · 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), Labor, Dept of (DOL), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Labor, HHS Appropriations bill, 2015-Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed proposed regulation relating to Medicaid expansion coverage and minimum essential coverage. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H.R.3850/S. 1562, Discussed Older Americans Act reauthorization legislation. H.R.3662, the Mental Health Access Improvement Act - Sent letter of endorsement. H.R.4879, the Research for All Act - Sent letter of endorsement. S.2348, the Removing Barriers to Colorectal Cancer Screening Act - Sent letter of endorsement. Discussed legislation to address health disparities. (no bill) H.R.5294 - Discussed Health Equity & Accountability Act of 2014; no endorsement due to budget implications. H.J. Res. 124, Continuing Appropriations Resolution, 2015 - Lobbied to protect various healthcare programs serving seniors from disproportionate reduction under Continuing Resolution.Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. Labor, Health and Human Services Appropriations Act, 2015 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. Discussed H.R. 3717, the Helping Families in Mental Health Crisis Act. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed the Convention on the Rights of Persons with Disabilities. (no bill) H.R. 2835/S. 1647, Restoring Access to Medication Act of 2013 - Urged co-sponsorship of these bills. Discussed hospital readmissions. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H. R. 3850 - Discussed Older Americans Act reauthorization legislation. H.R. 5183, Better Care Act - Discussed legislation with staff regarding the bill. H.R. 5232, Notice of Observation Treatment & Implication for Care Eligibility (Notice Act) - Discussed legislation with staff.

Client expense: $2,380,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Congressional Budget Office (CBO), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Medicare coverage of Licensed Professional Counselors(S. 562 and H.R. 3662).

Client expense: $14,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

CHIP Extension Act of 2014 (S. 2461) all provisions related to the extension of CHIP funding through fiscal year 2017 and the extension of the 23 percent fiscal 2016 CHIP match increased authorized under the Affordable Care Act. Mental Health Access Improvement Act (H.R. 3662/S. 562) all provisions related to expanding Medicare coverage for mental health services of marriage and family therapists and mental health counselors services.

Client expense: $96,323 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support S. 562 and H.R. 3662, the Seniors Mental Health Access Improvement Act of 2013.

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Support S. 562 and H.R. 3662, the Seniors Mental Health Access Improvement Act of 2013.

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Medicare coverage of Licensed Professional Counselors (S. 562 and H.R. 3662).

Client expense: $54,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Labor, HHS Appropriations bill, 2015-Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed proposed regulation relating to Medicaid expansion coverage and minimum essential coverage. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. (no bill) Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) H.R.3850/S. 1562, Discussed Older Americans Act reauthorization legislation.Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. The Labor, Health and Human Services Appropriations Act, 2015 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. (no bill) Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. Discussed H.R. 3717, the Helping Families in Mental Health Crisis Act. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed National Alzheimer's Project Act 111-375. Discussed the Convention on the Rights of Persons with Disabilities. (no bill) Discussed family caregiving, doctors and health professionals engaging family caregivers of older adults with multiple chronic conditions, family caregiver assessment, shared relevant information. (no bill) H.R. 2835/S. 1647, Restoring Access to Medication Act of 2013 - Urged co-sponsorship of these bills. Submitted statement for the record to the Advisory Counsel on Alzheimer's Disease, Research, Care & Services for their April meeting. Discussed hospital readmissions. (no bill)

Client expense: $2,360,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Energy, Dept of, Environmental Protection Agency (EPA), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Support S. 562 and H.R. 3662, the Seniors Mental Health Access Improvement Act of 2013.

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

Government targets: Defense, Dept of (DOD), Education, Dept of, HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

S 562 Senior Mental Health Access Improvement Act of 2013; H.R. 3662 Mental Health Access Improvement Act of 2013

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

Government targets: Veterans Affairs, Dept of (VA)

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed proposed regulation relating to Medicaid expansion coverage and minimum essential coverage. (no bill)Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. S. 1284, The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. H.R 3547/H.J.R. 59/H.R. 2775/H.J.R. 106, Consolidated Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed H.R. 3717, the Helping Families in Mental Health Crisis Act. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed National Alzheimer's Project Act 111-375.

Client expense: $1,990,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 S. 1355 and H.R. 3986, the Rural Health Clinic Patient Access Improvement Act of 2009 Proposed Regulations affecting Rural Health ClinicsRegulations establishing standards for the meaningful use of electronic health records Provider enrollment (PECOS) in Medicare and the ability to order or refer patients Possible cuts to Medicare bad debt payments for RHCs Sequestration related cuts in RHC payments H.R. 986: Rural Health Clinics Fairness Act o 2013 H.R. 1331: Electronic Health Records Improvement Act S. 562: Seniors Mental health Access Improvement Act of 2013 Proposed Changes in RHC regulations dealing with employment of PAs and NPs Changes to the RHC manual by CMS Medicaid waiver applications submitted by Arkansas and Iowa Legislation to repeal/replace the SGR formula

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

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

Medicare coverage of licensed professional counselors (S. 562 and H.R. 5662).

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Excellence in Mental Health Act (S. 264/H.R. 1263), all provisions related to expanding access to mental health and addictions care by supporting FQCBHCs in treating all individuals regardless of their ability to pay, with a comprehensive array of outpatient behavioral health servicesMental Health First Aid Act of 2013 (S. 153/H.R. 274), all provisions related to authorizing a demonstration program to train college faculty and staff in Mental Health First Aid, a community education program that helps people identify, understand, and respond to signs of mental illnesses and addictions and deal with psychiatric crises Behavioral Health Information Technology Act (S. 1517/S. 1685/H.R. 2957), all provisions related to expanding federal incentive payments for the adoption and meaningful use of electronic health records to behavioral health providers and facilities Mental Health Access Improvement Act of 2013 (H.R. 3662/S. 562), all provisions related to amending title XVIII (Medicare) of the Social Security Act to cover marriage and family therapist services and mental health counselor services under Medicare part B (Supplementary Medical Insurance), particularly those provided in rural health clinics, federally qualified health centers, and in hospice programs. Justice and Mental Health Collaboration Act of 2013 (H.R. 401/S. 162), all provisions related to amending the Mentally Ill Offender Treatment and Crime Reduction Act of 2004 to expand the assistance provided under this Act and reauthorize appropriations for FY2015-FY2019. Better Care, Lower Cost Act (S. 1932/H.R. 3890), all provisions related to establishing an integrated chronic care delivery program that promotes accountability and better care management for chronically ill patient populations and coordinates items and services under Medicare parts A, B, and D while encouraging investment in infrastructure and redesigned care processes that result in high quality and efficient service delivery for the most vulnerable and costly populations. Suicide Prevention Research Innovation Act (S. 2035/H.R. 4075), all provisions related to providing funding to the National Institute of Mental Health to support suicide prevention and brain research, including funding for the Brain Research Through Advancing Innovative Neurotechnologies (BRAIN) Initiative. Recidivism Reduction and Public Safety Act of 2014 (S. 1675), all provisions related to amending the federal criminal code to direct the Bureau of Prisons to offer evidence-based recidivism reduction programs to prisoners who have been assessed to need to participate in such programs. Helping Families in Mental Health Crisis Act of 2013 (H.R. 3717), all provisions related to authorizing healthcare providers to bill Medicaid for mental health and primary care services provided to the same patient on the same day, the reauthorization of the Garrett Lee Smith Memorial Act, the reauthorization of MIOTCRA, enactment of a demonstration program based on the Excellence in Mental Health Act, and strengthening the six protected classes language in Medicare Part D.

Client expense: $87,419 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law 112-32, Combating Autism Reauthorization Act, Issues regarding Family Services Reauthorization of the Combating Autism Reauthorization Act, Issues regarding Family Services Nurse training related issues Medical education for Physician Assistant programs S.562, Seniors Mental Health Access Improvement Act of 2013, Certified mental health counselor issues S.1950, Comprehensive Veterans Health and Benefits and Military Retirement Pay Restoration Act of 2014, Advanced degrees in prosthetics and orthotics

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support S. 562 and H.R. 3662, the Seniors Mental Health Access Improvement Act of 2013.

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689) Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957/S.1685) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

Client expense: $5,347 · Firm income: Not reported

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

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689) Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957/S.1685) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

Client expense: $5,347 · Firm income: Not reported

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

Medicare coverage of licensed professional counselors (S. 562)

Client expense: $15,200 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Medicare coverage of licensed professional counselors (S. 562)

Client expense: $15,200 · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

S562, HR 3662 Seniors Mental Health Access Act

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

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

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957) Expedited Hiring for VA Trained Psychiatrists Act of 2013 (H.R.2540) Gun Violence Prevention and Reduction Act of 2013 (H.R.2910) Every Child Ready for College or Career Act of 2013 (S.1101) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

Client expense: $5,348 · Firm income: Not reported

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

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Children's Recovery from Trauma Act (S.380) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S.162/H.R.401) Mental Health Awareness and Improvement Act of 2013 (S.689)Youth PROMISE Act (H.R.1318/S.1307) Veterans Mental Health Accessibility Act (HR 1725) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Keeping All Students Safe Act (H.R.1893) Sober Truth on Preventing Underage Drinking Reauthorization Act (H.R.498) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957/S.1685) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

Client expense: $5,348 · Firm income: Not reported

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

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957/S.1685) FY2014 Omnibus Appropriations Bill (HR3547) FY2014 Continuing Resolution (HR2775) FY2014 Continuing Appropriations Resolution (H.J.RES.59) Second Chance Reauthorization Act of 2013 (H.R.3465/S.1690) Veterans and Armed Forces Health Promotion Act of 2013 (H.R.3516) Helping Families in Mental Health Crisis Act of 2013 (H.R.3717) Mental Health Support for Veteran Families and Caregivers Act of 2013 (S.1583) Occupational Therapy in Mental Health Act (S.1815) SGR Repeal and Medicare Beneficiary Access Act of 2013 (S.1871)

Client expense: $5,348 · Firm income: Not reported

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

Medicare coverage of Licensed Professional Counselors (S. 562, H.R. 3662).

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Personnel Management (OPM), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

S.452, Medicare Diabetes Prevention Act - Discussed bill with Senate. Discussed draft language on senior mental health with Senate HELP Committee staff. (no bill) Discussed Medicare Reform (no bill) Discussed Age Rating in the ACA and rate shock. (no bill)Lobbied on preserving funding for the ACA; defended meaningful use of the ACA. (no bill) Discussed need to increase health information technology quality measurements and access to qualified systems. (no bill) H.R. 1099, To repeal the Prevention and Public Health Fund - Lobbied against the repeal of the Prevention and Public Health Trust Fund, an important component in state and community efforts to prevent illness and promote health. Discussed Pre-existing Condition Insurance Program. (no bill) Discussed Accountable Care Organization and Medical Shared savings. (no bill) Discussed Rate Review. (no bill) Discussed Internal Appeals and External Review Process. (no bill) Discussed Medicare reimbursement issues. Lobbied in support of Medicare physician payment reform. Discussed legislation to make prescription drugs more affordable to older Americans. S. 1416/H.R. 2645 (112th Congress), Medigap Medical Loss Ratio Improvement Act of 2011. Discussed coverage for screening depression and screening and counseling for alcohol misuse. (no bill) Discussed consumer operated and oriented plan programs. (no bill) Discussed standards related to risk adjustment, reinsurance, and risk mitigation as they relate to exchanges. (no bill) H.R.2077, MLR Repeal Act of 2011 - Expressed opposition to the elimination of provision in the Affordable Care Act (P.L. 111-148)Discussed opposition to draft legislation regarding the elimination of grandfathered status. (no bill) Discussed association health plans with DOL, HHS and DOT. (no bill) Discussed quality and care coordination with HHS. (no bill) Discussed Essential Health Benefits with HHS. (no bill) Discussed employer affordability safe harbor. (no bill) Discussed health insurance exchanges - eligibility, enrollment, premium tax credits. (no bill) Discussed Basic Health Plans. (no bill) Discussed Medigap reform. (no bill) Discussed Pre-existing Condition Insurance Program. (no bill) Discussed role of grandfathered plans. (no bill) Discussed reauthorization of the Older Americans Act and other amendments to the OAA. (no bill) Discussed dual eligibles. (no bill) Discussed support for H.R. 2181, Safe Foods for Seniors Act of 2013. Discussed S.1119, Positive Aging Act of 2013. H.R. 2641, Farm Program bill-Discussed the severed nutrition programs from Farm Bill. S. 562, Seniors Mental Health Access Improvement Act - Discussed the bill for eventual endorsement. Discussed Care Corps. (no bill) Discussed grandparents raising grandchildren and ACA provision extending coverage to those under age 26. (no bill) Discussed need to suport family caregivers and long-term services and supports. (no bill) Discussed repeal of medical device tax. (no bill) Discussed consumer directed care. (no bill) Discussed policy related to dementia. (no bill) Discussed no wrong door system. (no bill) Discussed data on LTSS and women. (no bill)Discussed FTC participation in state scope of practice issues. Also sent follow-up items for their review. (no bill) Discussed Social Security programs. (no bill) Lobbied against cuts to the health care prevention fund. (no bill) Discussed deficit reduction issues dealing with Medicare and Medicaid including concerns over increasing Medicare's age of eligibility, chained CPI, payroll tax holiday extension, and cuts to Medicaid. (no bill) Discussed Affordable Care Medicaid expansion issues. Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed Medicaid reform, Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. (no bill) Discussed Medicaid expansion implementation, as included in the ACA (P.L. 111-140). Discussed Medicaid including concerns over cuts to Medicaid flexibility and Medicaid structural reforms to. (no bill) PL 112-240 of 2012, American Taxpayer Relief Act - Discussed the Commission on Long-Term Care and and service delivery workforce and caregiving, financing and related long-term care issues and data. Discussed implementation of the Affordable Care Act, its provisions and H.R. 95 to repeal the Patient Protection and Affordable Care Act. H. R. 933, Consolidated and Further Continuing Appropriations Act, 2013 - Lobbied to protect vital health and social services programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. S. Con. Res. 8/ H.Con. Res. 25, Concurrent Resolution on the Budget, 2014 - Lobbied to prevent inclusion of Medicare, Medicaid and Social Security benefit cuts and to protect vital health, social services, housing and transportation programs from enhanced reductions from the prior year baseline, and to prevent repeal of certain financial and health care-related regulation. H.R. 1549, Helping Sick Americans Now Act - Discussed cuts to the health care prevention fund. S. 1284, The Labor, Health and Human Services Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance. Discussed Affordable Care Act Medicaid expansion issues, including questions related to the use of premium assistance authority to expand Medicaid. (no bill) H.R. 1263, Excellence in Mental Health Act - Discussed the bill for eventual endorsement. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to use premium assistance authority to expand Medicaid, Centers for Medicare and Medicaid Services, Center for Medicaid and CHIP Services. Discussed perspectives on proposed ideas for legislation to address health disparities with HHS and CMS officials. H.J.R. 59/H.R. 2775, Continuing Appropriations Act, 2014 - Lobbied to protect employment, health and human services and energy assistance programs for seniors, disabled and low income assistance.

Client expense: $2,500,000 · Firm income: Not reported

Government targets: Administration on Aging, Agriculture, Dept of (USDA), Bureau of the Census, Centers For Medicare and Medicaid Services (CMS), Commodity Futures Trading Commission (CFTC), Equal Employment Opportunity Commission (EEOC), Executive Office of the President (EOP), Federal Communications Commission (FCC), Federal Highway Administration (FHA), Federal Reserve System, Federal Trade Commission (FTC), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Council on Disability, Natl Highway Traffic Safety Administration (NHTSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Support S. 562 and H.R. 3662, the Seniors Mental Health Access Improvement Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 S. 1355 and H.R. 3986, the Rural Health Clinic Patient Access Improvement Act of 2009 Proposed Regulations affecting Rural Health ClinicsRegulations establishing standards for the meaningful use of electronic health records Provider enrollment (PECOS) in Medicare and the ability to order or refer patients Possible cuts to Medicare bad debt payments for RHCs Sequestration related cuts in RHC payments H.R. 986: Rural Health Clinics Fairness Act o 2013 H.R. 1331: Electronic Health Records Improvement Act S. 562: Seniors Mental health Access Improvement Act of 2013 Proposed Changes in RHC regulations dealing with employment of PAs and NPs Changes to the RHC manual by CMS Medicaid waiver applications submitted by Arkansas and Iowa Legislation to repeal/replace the SGR formula

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

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

S 562 Seniors Mental Health Access Improvement Act of 2013

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

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

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195) Behavioral Health Information Technology Act of 2013 (S.1517/H.R.2957) Expedited Hiring for VA Trained Psychiatrists Act of 2013 (H.R.2540) Gun Violence Prevention and Reduction Act of 2013 (H.R.2910) Every Child Ready for College or Career Act of 2013 (S.1101)

Client expense: $5,176 · Firm income: Not reported

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

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Children's Recovery from Trauma Act (S.380) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S.162/H.R.401) Mental Health Awareness and Improvement Act of 2013 (S.689)Youth PROMISE Act (H.R.1318/S.1307) Veterans Mental Health Accessibility Act (HR 1725) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Keeping All Students Safe Act (H.R.1893) Sober Truth on Preventing Underage Drinking Reauthorization Act (H.R.498)

Client expense: $5,176 · Firm income: Not reported

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

Seniors Mental Health Improvement Act of 2013, S. 562

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE

Medicare coverage of licensed professional counselors (S.562)

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Personnel Management (OPM), Office of the Vice President of the United States, SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010 S. 1355 and H.R. 3986, the Rural Health Clinic Patient Access Improvement Act of 2009 Proposed Regulations affecting Rural Health ClinicsRegulations establishing standards for the meaningful use of electronic health records Provider enrollment (PECOS) in Medicare and the ability to order or refer patients Possible cuts to Medicare bad debt payments for RHCs Sequestration related cuts in RHC payments H.R. 986: Rural Health Clinics Fairness Act o 2013 H.R. 1331: Electronic Health Records Improvement Act S. 562: Seniors Mental health Access Improvement Act of 2013 Proposed Changes in RHC regulations dealing with employment of PAs and NPs Changes to the RHC manual by CMS Medicaid waiver applications submitted by Arkansas and Iowa

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

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

VA healthcare 7 training; Medicare mental health coverage; mental health funding. S.562, S.1155.

Client expense: Not reported · Firm income: Not reported

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Children's Recovery from Trauma Act (S.380) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S.162/H.R.401) Mental Health Awareness and Improvement Act of 2013 (S.689)Youth PROMISE Act (H.R.1318/S.1307) Veterans Mental Health Accessibility Act (HR 1725) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Keeping All Students Safe Act (H.R.1893) Sober Truth on Preventing Underage Drinking Reauthorization Act (H.R.498)

Client expense: $5,512 · Firm income: Not reported

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

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195)

Client expense: $5,512 · Firm income: Not reported

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

Senate and House FY 2014 Budget Resolutions (S.Con.Res.8/H.Con.Res.25) Mental Health in Schools Act (S.195/H.R.628) Children's Recovery from Trauma Act (S.380) Mental Health Awareness and Improvement Act of 2013 (S.689)Mental Health First Aid Act (S. 153/H.R.274) Garrett Lee Smith Memorial Act Reauthorization of 2013 (S. 116/H.R.2734) Justice and Mental Health Collaboration Act of 2013 (MIOTCRA; S. 162/H.R.401) Excellence in Mental Health Act (S. 264/H.R.1263) Youth PROMISE Act (H.R.1318/S.1307) Supplemental Security Income Restoration Act of 2013 (H.R.1601) Foster Children Opportunity Act (H.R.2036) Housing Assistance for Veterans Act (HAVEN Act) (H.R.385) Student Support Act (H.R.320) School Social Workers Improving Student Success Act (H.R.563) Afterschool for Americas Children Act (S.326) Mental Health on Campus Improvement Act (H.R.1100) Violence Against Women Act (VAWA) (S.47/H.R.11) CHAMPVA Childrens Protection Act (H.R.288) Healthy Lifestyles and Prevention America Act (S.39) Veterans Mental Health Accessibility Act (H.R.1725) Enhanced Access to Medicaid Services Act of 2013 (S.755) Seniors Mental Health Access Improvement Act of 2013 (S.562) CAMPUS Safety Act of 2013 (S.433/H.R.359) Servicemember Mental Health Review Act (S.628) Occupational Therapy in Mental Health Act (H.R.1037) Native American Suicide Prevention Act of 2013 (H.R.1599) Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 (H.R.1827) Positive Aging Act of 2013 (S.1119) Treat and Reduce Obesity Act of 2013 (S.1184/H.R.2415) Enhanced Access to Medicaid Services Act of 2013 (S.755) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2014 (S.1284) Medicare Mental Health Access Act (S.1064) Partnerships for Achieving Student Success Act (H.R.1854) Academic, Social, and Emotional Learning Act of 2013 (H.R.1875) Stop Child Abuse in Residential Programs for Teens Act of 2013 (H.R.1981) Keeping All Students Safe Act (H.R.1893) Military Mental Health Empowerment Act (H.R.1464) Military Suicide Reduction Act (H.R.1463) Homeless Veterans Prevention Act of 2013 (S.825) Veterans' Health Promotion Act of 2013 (S.852) Rural Veterans Mental Health Care Improvement Act (S.1155) Promise Neighborhoods Act of 2013 (H.R.2195)

Client expense: $5,512 · Firm income: Not reported

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

S 562 Seniors Mental Health Access Improvement Act of 2013

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

Government targets: Veterans Affairs, Dept of (VA)

Medicare coverage of licensed professional counselors (S. 562)

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

Government targets: Defense, Dept of (DOD), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Office of the Vice President of the United States, SENATE, Veterans Affairs, Dept of (VA)