National Nursing Shortage Reform and Patient Advocacy Act

P.L 111-148, Patient Protection and Affordable Care Act: implementation, state exchanges, provisions affecting multiemployer health plans, Healthcare.gov launch, employer reporting, premium tax credits, fees, transitional reinsurance fee Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsP.L. 111-152, Health Care and Education Reconciliation Act of 210: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

P.L 111-148, Patient Protection and Affordable Care Act: implementation, state exchanges, provisions affecting multiemployer health plans, Healthcare.gov launch, employer reporting, premium tax credits, fees, transitional reinsurance fee Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsP.L. 111-152, Health Care and Education Reconciliation Act of 210: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R. 1907/S.739: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 676: The Expanded & Improved Medicare for All Act; single payer issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L 111-148, Patient Protection and Affordable Care Act: implementation, state exchanges, provisions affecting multiemployer health plans, Healthcare.gov launch, employer reporting, premium tax credits, fees, transitional reinsurance fee Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsP.L. 111-152, Health Care and Education Reconciliation Act of 210: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

P.L 111-148, Patient Protection and Affordable Care Act: implementation, state exchanges, provisions affecting multiemployer health plans, Healthcare.gov launch, employer reporting, premium tax credits, fees, transitional reinsurance fee Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsP.L. 111-152, Health Care and Education Reconciliation Act of 210: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013

Client expense: $800,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Executive Office of the President (EOP), Export-Import Bank of the United States (EXIM Bank), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Security Council (NSC), Occupational Safety & Health Administration (OSHA), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, State, Dept of (DOS), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

H.R.2775 Continuing Appropriations Act, 2014 H.J. Res 59 Bipartisan Budget Act of 2013 H.R. 2810 The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 3077 TELE-MED Act of 2013H.R. 3303 Sensible Oversight for Technology which Advances Regulatory Efficiency (SOFTWARE) Act H.R. 2725 FDA Safety Over Sequestration Act H.R. 3204 Drug Quality and Security Act H.R. 2651 Critical Care Assessment and Improvement Act of 2013 S. 1439 Care Planning Act of 2013 S. 1193 Data Security and Breach Notification Act of 2013 S.1927 The Data Security Act of 2014 H.R. 3696 National Cybersecurity and Critical Infrastructure Protection Act of 2013 H.R. 3811 Healthcare Exchange Security and Transparency Act of 2014 S.1897 Personal Data Privacy and Security Act of 2014 H.R. 1326 Health Care Price Transparency Promotion Act of 2013 H.R. 2651 Critical Care Assessment and Improvement Act of 2013 H.R. 2843 Medicare Data Access for Transparency and Accountability Act S. 1180 Medicare Data Access for Transparency and Accountability Act S. 1758 Quality Data, Quality Healthcare Act of 2013 H.R.3367 To amend section 9010 of the Patient Protection and Affordable Care Act to delay the application of the health insurance provider annual fee until 2016 and to provide a process to return to consumers any amounts attributable to the expected application of the annual fee to 2014 or 2015 H.R. 1037 Occupational Therapy in Mental Health Act H.R. 3120 Comprehensive Dental Reform Act of 2013 H.R. 3306 Telehealth Enhancement Act of 2013 H.R. 3507 21st Century Care for Military and Veterans Act H.R. 487 Primary Care Workforce Access Improvement Act of 2013 H.R. 574 Medicare Physician Payment Innovation Act of 2013 H.R. 1180 Resident Physician Shortage Reduction Act of 2013 H.R. 1201 Training Tomorrow's Doctors Act H.R. 1252 Physical Therapist Workforce and Patient Access Act of 2013 H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 1339 Palliative Care and Hospice Education and Training Act H.R. 1427 Truth in Healthcare Marketing Act of 2013 H.R. 1790 Health IT Modernization for Underserved Communities Act of 2013 H.R. 1821 Registered Nurse Safe Staffing Act of 2013 H.R. 1827 Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013 H.R. 1838 Enhanced Access to Medicaid Services Act of 2013 H.R. 1907 Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 1976 Access to Certified Professional Midwives Act of 2013 H.R. 2131 Supplying Knowledge-based Immigrants and Lifting Levels of STEM (SKILLS) Visas Act of 2013 H.R. 235 Veteran Emergency Medical Technician Support Act of 2013 H.R. 244 Physician Availability Act of 2013 H.R. 2484 Conrad State 30 and Physician Access Act H.R. 2619 Medicare Repiratory Therapist Access Act of 2013 H.R. 2801 Protecting Access to Rural Therapy Services (PARTS) Act H.R. 2867 Medicare Hospice Care Access Act of 2013 H.R. 2969 Medicare Patient Access to Hospice Act of 2013 H.R. 297 Children's Hospital GME Support Reauthorization Act of 2013 H.R. 2986 Protecting Access to Primary Care ActH.R. 794 To amend title XVIII of the Social Security Act to provide for treatment of clinical psychologists as physicians for purposes of furnishing clinical psychologist services under the Medicare Program. S. 1060 Veterans to Paramedics Transition Act S. 1061 Veterans Access to Care Act S. 1064 Medicare Mental Health Access Act S. 1143 Protecting Access to Rural Therapy Services (PARTS) Act S. 1152 Building a Health Care Workforce for the Future Act S. 1444 Medicare Access to Rural Anesthesiology Act of 2013 S. 1445 National Health Service Corps Improvement Act of 2013 S. 1475 National Nurse Act of 2013 S. 1517 Behavioral Health Information Technology Act of 2013 S. 1522 Comprehensive Dental Reform Act of 2013 S. 1557 Children's Hospital GME Support Reauthorization Act of 2013 S. 1685 Behavioral Health Information Technology Coordination Act of 2013 S. 236 Medicare Patient Empowerment Act S. 328 Strengthening Rural Access to Emergency Services Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 602 Physical Therapist Workforce and Patient Access Act of 2013 S. 616 Conrad State 30 and Physician Access Act S. 641 Palliative Care and Hospice Education and Training Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act S. 755 Enhanced Access to Medicaid Services Act of 2013 S. 945 Access to Quality Diabetes Education Act of 2013 S.577 Resident Physician Shortage Reduction Act of 2013 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act H.R. 2663 Preventive Health Savings Act S. 1422 Preventive Health Savings Act S. 1228 Medicare Better Health Rewards Program Act S. 1184 Treat and Reduce Obesity Act H.R. 2415 Treat and Reduce Obesity Act H.R. 2810 Medicare Patient Access and Quality Improvement Act H.R. 2642 Federal Agriculture Reform and Risk Management (FARRM) Act S. 954 Agriculture Reform, Food and Jobs Act

H.R.1907/S.739 -- Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 676 -- The Expanded & Improved Medicare For All Act; single payer issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.1907/S.739 -- Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 H.R. 676 -- The Expanded & Improved Medicare For All Act; single payer issues

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1907; S. 739 -- Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 Safe Patient Handling

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

Government targets: HOUSE OF REPRESENTATIVES, Occupational Safety & Health Administration (OSHA), SENATE

S.739/H.R.1907 -- Nurse Staffing Ratios

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L 111-148, Patient Protection and Affordable Care Act: implementation of individual mandate, state exchanges, provisions affecting multiemployer health plans, Health care.gov launch, employer reporting, premium tax credits, fees Preservation of the income tax exclusion for employer-provided benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirementsTaft Hartley Health Plans S. 408, Medicare Prescription Drugs Savings Act of 2013 H.R 928, Medicare Prescription Drugs Savings Act of 2013 H.R 261, Public Option Deficit Reduction Act P.L. 111-152, Health Care and Education Reconciliation Act of 2010: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing Affordable Care Act: premium tax credits Medicaid: premium assistance Medicare Sustainable Growth Medicare physician fee system

Client expense: $1,040,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Council on Environmental Quality (CEQ), Defense, Dept of (DOD), Environmental Protection Agency (EPA), Executive Office of the President (EOP), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of the Vice President of the United States, Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

P.L 111-148, Patient Protection and Affordable Care Act: implementation of individual mandate, state exchanges, medical loss Preservation of the income tax exclusion for employer-provided healthcare benefits Preservation of Medicare: Medicare eligibility age cost-sharing requirements Taft Hartley Health PlansACA Implementation: conference call with agencies S. 408, Medicare Prescription Druge Savings Act of 2013 H.R 928, Medicare Prescription Druge Savings Act of 2013 H.R 261, Public Option Deficit Reduction Act H.R1406, Working Families Flexibility Act of 2013: FLSA, home health care regs, comp time P.L. 111-152, Health Care and Education Reconciliation Act of 2010: implementation H.R 1907, Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013: provisions related to required nurse-to-patient ratios and protections for workers in nursing S. 739, National Nurse Shortage Reform and Patient Advocacy Act: provisions related to required nurse-to-patient ratios and protections for workers in nursing H.R 1200, American Health Security Act of 2013: provisions related to providing universal health care coverage S. 1198, Medicare Fair Share Act of 2013: provisions related to incoming-relating premiums for Medicare beneficiaries H.R 982, Furthering Asbestos Claim Transparency (FACT) Act of 2013 Affordable Care Act: premium tax credits, multi-state plans Wellness Programs Proposed Rule: call with OMB

Client expense: $1,080,000 · Firm income: Not reported

Improving Quality Home Care Proposals to reform/cut Medicare and Medicaid HR 1907 - Nurse Staffing Standards for Patient Safety and Quality Act of 2013 S 739 - National Nursing Shortage Reform and Patient Advocacy ActS.Res.128, H.Res.187 - Long-term Care Supports and Services Nomination of Marilyn Tavenner to the position of Administrator of CMS HR 2328 - ACA HR 45 - Repeal of ACA S 1028 - Older Americans Act reauthorization Federal Tax exclusion for employer-sponsored health insurance

Client expense: $700,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office

HR567, HR676, HR1390, HR1787, S739, S842, New York State 1115 Medicaid Waiver Application.

Client expense: $28,809 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1634 - Medical Flexible Spending Account Improvement Act H.R. 1549 - Helping Sick American's Now Act H.R. 1853 - Medicaid Accountability and Care Act H.R. 1698 - Stabilize Medicaid and CHIP Coverage ActH.R. 1024 Medication Therapy Management Empowerment Act S. 557 Medication Therapy Management Empowerment Act H.R. 6482 : To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings H.R. 962 Medicare Diabetes Prevention Act S. 452 Medicare Diabetes Prevention Act H.R. 1549 Helping Sick Americans Now Act S. 531 Physical Activity Guidelines for Americans Act S. 39 Healthy Lifestyles and Prevention America Act H.R. 1274 Access to Quality Diabetes Education Act of 2013 H.R. 2415 Treat and Reduce Obesity Act of 2013 H.R. 2178 Fitness Integrated with Teaching Kids Act S. 945 Access to Quality Diabetes Education Act of 2013 S. 1184 Treat and Reduce Obesity Act of 2013 S.1033 Fitness Integrated with Teaching Kids Act H.R. 2457 Women's Preventive Health Awareness Campaign S. 1228 Medicare Better Health Rewards Program Act of 2013 H.R. 2524 Medicare Better Health Rewards Program Act of 2013 S. 744 Border Security, Economic Opportunity, and Immigration Modernization Act S. 616 Conrad State 30 and Physician Access Act H.R. 2484 Conrad State 30 and Physician Access Act H.R. 1201 Training Tomorrows Doctors Today Act S. 577 Resident Physician Shortage Reduction Act H.R. 1178 Creating Access to Residency Education Act H.R. 487 Primary Care Workforce Access Improvement Act S. 382 A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs. S. 1152 Building a Health Care Workforce for the Future Act S. 739 National Nursing Shortage Reform and Patient Advocacy Act H.R. 2480 Nurse and Health Care Worker Protection Act of 2013 H.R. 1735 - In It All Together Act H.R. 933 - Consolidated and Further Continuing Appropriations Act, 2013 H.R. 271 Resolving Environmental and Grid Reliability Conflicts Act of 2013 H.R. 1407 - Animal Drug User Fee Amendments of 2013 H.R. 1634 - Medical Flexible Spending Account Improvement Act S. 983 - Keep the IRS Off Your Health Care Act of 2013 H.R. 1990 Keep the IRS Off Your Health Care Act of 2013 S. 1154 Exchange Sunset Act of 2013 H.R. 2305 Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013 H.R. 2328 Access to Professional Health Insurance Advisors Act of 2013 S. 954 - Agriculture Reform, Food, and Jobs Act of 2013 S. 1094 - Strengthening America's Schools Act of 2013 H.R. 2300 - Empowering Patients First Act of 2013 S. 957 Drug Supply Chain Security Act H.R. 1121 Cyber Privacy Fortification Act H.R. 1919 Safeguarding Americas Pharmaceuticals Act of 2013 S. 1180 - Medicare Data Access for Transparency and Accountability Act S.1193 - Data Security and Breach Notification Act of 2013