Cutting Costly Codes Act of 2013

H.R. 83, Consolidated and Further Continuing Appropriations Act - ACA risk corridor program, expatriate plans, HHS appropriations H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) - medical liability reform S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP;; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges/formerly referred to as the web portal); financing for infectious disease such as Ebola; and other issues relating to health care reform implementation.

Client expense: $2,230,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Treasury, Dept of, White House Office

H.R. 83, Consolidated and Further Continuing Appropriations Act - ACA risk corridor program, expatriate plans, HHS appropriations. H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine. H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconciliation Act (PL 111-152) Medicare and Medicaid reimbursement policies related to healthcare associated conditions, healthcare associated infections, readmission, payment bundling, and potentially preventable events.Comparative effectiveness research and policies Accountable Care Organizations (ACO) Policy Competitive Bidding Policy Regulations and legislation related to the Adoption of International Classification of Diseases, version 10 (ICD-10) Implementation of the Physician Payments Sunshine Act (PL 111-152, Section 6002) Implementation of the Food and Drug Administration Safety and Innovation Act (FDASIA) User Fee Program H.R.523-Protect Medical Innovation Act of 2013 S.232 - Medical Device Access and Innovation Protection Act Klobuchar / Hatch amendment #297 to S. Con. Res 8, the Senate FY 2014 Budget Resolution to support repeal of the medical device tax H.R.1701 / S.972 - Cutting Costly Codes Act H.R.2810 - Medicare Patient Access and Quality Improvement Act S.1871 - SGR Repeal and Medicare Beneficiary Access Act H.R.4302 - Protecting Access to Medicare Act H.R.5823 - Incentivizing Healthcare Quality Outcomes Act of 2014

Client expense: $1,500,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Implementation of the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconcilation Act (PL 111-152) Medicare and Medicaid reimbursement policies related to healthcare associated conditions, healthcare associated infections, readmissions, payment bundling, and potentially preventable eventsComparative effectiveness research and policies Accountable Care Organizations (ACO) Policy Competitive Bidding Policy Regulations and legislation related to the Adoption of International Classification of Diseases, version 10 (ICD-10) Implementation of the Physician Payments Sunshine Act (PL 111-152, Section 6002) H.R.1701 / S.972 - Cutting Costly Codes Act H.R.2810 - Medicare Patient Access and Quality Improvement Act S.1871 - SGR Repeal and Medicare Beneficiary Access Act H.R.4302 - Protecting Access to Medicare Act H.R.5823 - Incentivizing Healthcare Quality Outcomes Act of 2014

Client expense: $1,500,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

General issues relating to physicians to hospitals; Expanding Patients' Access to Quality Care Act of 2013 H.R.2027; Cutting Costly Codes Act of 2013 H.R.1701, S.972

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

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

S. 236, Medicare Patient Empowerment Act: Private contracting for patients and physicians S. 351, Protecting Seniors' Access to Medicare Act of 2013: Repeal of the Independent Payment Advisory Board (IPAB) S. 577, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training S. 972, Cutting Costly Codes Act Prohibit replacement of ICD-9 with ICD-10H.R. 351, Protecting Seniors' Access to Medicare Act of 2013: Repeal of the Independent Payment Advisory Board (IPAB)H.R. 574, Medicare Physician Payment Innovation Act of 2013: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1180, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training H.R.1201, Training Tomorrow's Doctors Today Act: Graduate medical education-residency training H.R. 1310, Medicare Patient Empowerment Act: Private contracting for patients and physicians H.R. 1333, Electronic Health Records Improvement Act: Electronic medical record penalties and incentive payments H.R.1701, Cutting Costly Codes Act Prohibit replacement of ICD-9 with ICD-10 H.R. 2810, Medicare Patient Access and Quality Improvement Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 4302, the Protecting Access to Medicare Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R.4418: Expanding the Availability of Medicare Data Act: making Medicare data available for clinical data registries

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-148, the Patient Protection and Affordable Care Act - Implementation issues related to Medicare and Medicaid physician payments, comparative effectiveness research, quality reporting and improvement initiatives.Public Law 111-152, the Health Care and Education Reconciliation Act of 2010 - Implementation issues related to Medicare and Medicaid physician payments. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - issues related to Medicare and Medicaid physician payments. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Medicare physician payment issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions The Medicare Payment Stability and Premium Security Act ( Draft bill) Medicare Program - Long term reform proposals for the Medicare physician payment system. Medicare Program - Regulatory and administrative issues with the Medicare physician formula. Medicare Program - Shared Savings/Accountable Care Organizations Medicare program - Value-based modifier Medicare program - Quality Reporting Programs Medicare program - New payment models/measuring quality performance Medicare and Medicaid programs - Burwell HHS nomination Medicaid program - Parity for primary care physician services Medicare program - Two-Midnight Rule Discussions concerning potential debt limit extension and deficit reduction legislation - physician payment issues. Public Law No: 113-46, Continuing Appropriations Act , 2014 - Medicare and Medicaid savings issues. Public Law 113-93 - The Protecting Access to Medicare Act of 2014 Discussions with congressional staff on misvalued coding issues.

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

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

S. 236, Medicare Patient Empowerment Act: Private contracting for patients and physicians S. 351, Protecting Seniors' Access to Medicare Act of 2013: Repeal of the Independent Payment Advisory Board (IPAB) S. 577, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training S. 972, Cutting Costly Codes Act Prohibit replacement of ICD-9 with ICD-10H.R. 351, Protecting Seniors' Access to Medicare Act of 2013: Repeal of the Independent Payment Advisory Board (IPAB)H.R. 574, Medicare Physician Payment Innovation Act of 2013: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1180, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training H.R.1201, Training Tomorrow's Doctors Today Act: Graduate medical education-residency training H.R. 1310, Medicare Patient Empowerment Act: Private contracting for patients and physicians H.R. 1333, Electronic Health Records Improvement Act: Electronic medical record penalties and incentive payments H.R.1701, Cutting Costly Codes Act Prohibit replacement of ICD-9 with ICD-10 H.R. 2810, Medicare Patient Access and Quality Improvement Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 4302, the Protecting Access to Medicare Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R.4418: Expanding the Availability of Medicare Data Act: making Medicare data available for clinical data registries

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation related to healthcare policy; Monitor implementation, P.L. 111-148; H.R. 460, Patients Access to Treatment Act of 2013; Extension, Section 3111, P.L. 111-148; H.R. 1701 / S. 972, Cutting Costly Codes Act; H.R. 1429 Scleroderma Research and Awareness Act; H.R. 2663 / S. 1422, To Amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings; H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013; H.R.4282, Creating Access to Residency Education Act of 2014; H.R. 5481, To continue the use of a 3-month quarter EHR reporting period for health care providers to demonstrate meaningful use for 2015 under EHR incentive payment programs

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

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

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) - medical liability reform S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; OPM data warehouse for FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; reference pricing; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges) and other issues relating to health care reform implementation.

Client expense: $2,010,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Bureau of Investigation (FBI), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Implementation of the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconciliation Act (PL 111-152) Medicare and Medicaid reimbursement policies related to healthcare associated conditions, healthcare associated infections, readmission, payment bundling, and potentially preventable events.Comparative effectiveness research and policies Accountable Care Organizations (ACO) Policy Competitive Bidding Policy Regulations and legislation related to the Adoption of International Classification of Diseases, version 10 (ICD-10) Implementation of the Physician Payments Sunshine Act (PL 111-152, Section 6002) Implementation of the Food and Drug Administration Safety and Innovation Act (FDASIA) User Fee Program H.R.523-Protect Medical Innovation Act of 2013 S.232 - Medical Device Access and Innovation Protection Act Klobuchar / Hatch amendment #297 to S. Con. Res 8, the Senate FY 2014 Budget Resolution to support repeal of the medical device tax H.R.1701 / S.972 - Cutting Costly Codes Act H.R.2810 - Medicare Patient Access and Quality Improvement Act S.1871 - SGR Repeal and Medicare Beneficiary Access Act H.R.4302 - Protecting Access to Medicare Act

Client expense: $1,300,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Implementation of the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconcilation Act (PL 111-152) Medicare and Medicaid reimbursement policies related to healthcare associated conditions, healthcare associated infections, readmissions, payment bundling, and potentially preventable eventsComparative effectiveness research and policies Accountable Care Organizations (ACO) Policy Competitive Bidding Policy Regulations and legislation related to the Adoption of International Classification of Diseases, version 10 (ICD-10) Implementation of the Physician Payments Sunshine Act (PL 111-152, Section 6002) H.R.1701 / S.972 - Cutting Costly Codes Act H.R.2810 - Medicare Patient Access and Quality Improvement Act S.1871 - SGR Repeal and Medicare Beneficiary Access Act H.R.4302 - Protecting Access to Medicare Act

Client expense: $1,300,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine. H.R. 3750, Telehealth Modernization Act (Matsui-Johnson) - telemedicine. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues. Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues relating to physicians to hospitals HR 2027- Expanding Patients' Access to Quality Care Act of 2013 HR 1701 and S 972- Cutting Costly Codes Act of 2013

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

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

S. 2529, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2014, all provisions S. 2645, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions H.R. 3229, Indian Health Service Advance Appropriations Act of 2013, all provisions S. 1570, Indian Health Service Advance Appropriations Act of 2013, all provisionsH.R. 4843, Native Contract and Rate Expenditure Act of 2014, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 3742, Antibiotic Development to Advance Patient Treatment (ADAPT) Act of 2013, all provisions ACA Implementation Prescription requirements for OTC medications Electronic Health Records Meaningful Use Regulations Opioid abuse, diversion control and treatment Prescription drug abuse/pain management/prescriber education Telemedicine ICD-10 Repeal CPT HIPAA Health Care Data Open Payments Regulations (Sunshine Act) Laboratory Developed Tests Personalized Medicine 21st Century Cures Initiative Mental Health Diabetes Nutrition Labeling Drug Compounding Biosimilars Clinical Data Registries Exchanges

Client expense: $4,230,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA), White House Office

Monitor federal issues and legislation related to healthcare policy; Monitor implementation, P.L. 111-148; H.R. 460, Patients Access to Treatment Act of 2013; Extension, Section 3111, P.L. 111-148; H.R. 1701 / S. 972, Cutting Costly Codes Act; H.R. 1429 Scleroderma Research and Awareness Act; H.R. 2663 / S. 1422 To Amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings; H.R. 1827, Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013; H.R.4282, Creating Access to Residency Education Act of 2014

Client expense: $110,000 · Firm income: Not reported

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

Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-148, the Patient Protection and Affordable Care Act - Implementation issues related to Medicare and Medicaid physician payments, comparative effectiveness research, quality reporting and improvement initiatives.Public Law 111-152, the Health Care and Education Reconciliation Act of 2010 - Implementation issues related to Medicare and Medicaid physician payments. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - issues related to Medicare and Medicaid physician payments. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Medicare physician payment issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions The Medicare Payment Stability and Premium Security Act ( Draft bill) Medicare Program - Long term reform proposals for the Medicare physician payment system. Medicare Program - Regulatory and administrative issues with the Medicare physician formula. Medicare Program - Shared Savings/Accountable Care Organizations Medicare program - Value-based modifier Medicare program - Quality Reporting Programs Medicare program - New payment models/measuring quality performance Medicare and Medicaid programs - Burwell HHS nomination Medicaid program - Parity for primary care physician services Medicare program - Two-Midnight Rule Discussions concerning potential debt limit extension and deficit reduction legislation - physician payment issues. Public Law No: 113-46, Continuing Appropriations Act , 2014 - Medicare and Medicaid savings issues. P.L 113-67, Continuing Appropriations Resolution for 2014 - Medicare physician payments S.2000 - The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4015 -The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 Public Law 113-93 - The Protecting Access to Medicare Act of 2014

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

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

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) price transparency16. Specific Lobbying Issues (continued): H.R. 1701, Cutting Costly Codes Act (Poe) ICD-10 implementation H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) transparency of hospital prices H.R. 3077, TELE-MED Act (Nunes-Pallone) telemedicine H.R. 4302, Protecting Access to Medicare Act (Pitts) ICD-10 Implementation S. 44, Medical Care Access Protection Act (Portman) medical liability reform S. 972, Cutting Costly Codes Act (Coburn) ICD-10 implementation S. 1897, Personal Data Privacy and Security Act (Leahy) privacy, data security issues Labor, HHS, and Education Appropriations Bill (Harkin) funding for HHS programs, ACA amendments Regulatory Issues: HIPAA administrative simplification issues, including standards for privacy, security, and electronic transactions and code sets (including ICD-10), identifiers including the health plan identifier, enforcement; FEHBP enrollment data clearinghouse initiative, the enrollment reconciliation process, and a related OPM reimbursement factor for records that cannot be reconciled; issues relating to health insurance plan participation in FEHBP, including contract requirements; issues relating to similarly sized subscriber group (SSSG) and MLR requirements under the FEHBP; OPM data warehouse for FEHBP; implementation of the health savings account provisions of the Medicare Act; issues related to Medicare Secondary Payer requirements; issues related to implementation of the National Health Information Infrastructure; electronic health records, personal health records, and similar technologies; issues relating to market consolidation; issues related to hospital consolidation; issues relating to quality improvement; issues related to potential priority research topics for the effective health care program; issues relating to the national health data stewardship; issues relating to hospital outpatient measurement and reporting; prescription drug pricing; issues relating to "meaningful use" requirements for health information technology; issues related to the collection of race and ethnicity data; issues related to medical loss ratios; review of rates for reasonableness; preexisting condition insurance plans; issues relating to antitrust; accountable care organizations; provider non-discrimination; coverage of preventive services; contraceptive coverage; pre-existing condition exclusions; lifetime and annual dollar limits on benefits; patient protections; grandfathered health plan provisions; issues relating to the annual fee on health insurance providers; health plan automatic enrollment requirements; health insurance web portal requirements; issues related to qualified health plans including certification and rate filing templates; health insurance market rules; reinsurance, risk corridors, and risk adjustment (commonly referred to as the 3 Rs); dependent coverage; summary of benefits and coverage disclosures; benefit and payment parameters for 2014; essential health benefits, actuarial value, and accreditation; issues related to fraud, waste, abuse, Stark/Anti-Kickback laws and regulations, and issues related to supplemental products; issues related to HIPAA excepted benefits; issues related to the federally-facilitated marketplaces (i.e., Exchanges) and other issues relating to health care reform implementation.

Client expense: $2,530,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Pension & Welfare Benefits Administration, SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Implementation of the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconcilation Act (PL 111-152) Medicare and Medicaid reimbursement policies related to healthcare associated conditions, healthcare associated infections, readmissions, payment bundling, and potentially preventable eventsComparative effectiveness research and policies Accountable Care Organizations (ACO) Policy Competitive Bidding Policy Regulations and legislation related to the Adoption of International Classification of Diseases, version 10 (ICD-10) Implementation of the Physician Payments Sunshine Act (PL 111-152, Section 6002) H.R.1701 / S.972 - Cutting Costly Codes Act H.R.2810 - Medicare Patient Access and Quality Improvement Act S.1871 - SGR Repeal and Medicare Beneficiary Access Act H.R.4302 - Protecting Access to Medicare Act

Client expense: $1,400,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Implementation of the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconciliation Act (PL 111-152) Medicare and Medicaid reimbursement policies related to healthcare associated conditions, healthcare associated infections, readmission, payment bundling, and potentially preventable events.Comparative effectiveness research and policies Accountable Care Organizations (ACO) Policy Competitive Bidding Policy Regulations and legislation related to the Adoption of International Classification of Diseases, version 10 (ICD-10) Implementation of the Physician Payments Sunshine Act (PL 111-152, Section 6002) Implementation of the Food and Drug Administration Safety and Innovation Act (FDASIA) User Fee Program H.R.523-Protect Medical Innovation Act of 2013 S.232 - Medical Device Access and Innovation Protection Act Klobuchar / Hatch amendment #297 to S. Con. Res 8, the Senate FY 2014 Budget Resolution to support repeal of the medical device tax H.R.1701 / S.972 - Cutting Costly Codes Act H.R.2810 - Medicare Patient Access and Quality Improvement Act S.1871 - SGR Repeal and Medicare Beneficiary Access Act H.R.4302 - Protecting Access to Medicare Act

Client expense: $1,400,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

S. 236, Medicare Patient Empowerment Act: Private contracting for patients and physicians S. 351, Protecting Seniors' Access to Medicare Act of 2013: Repeal of the Independent Payment Advisory Board (IPAB) S. 577, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training S. 972, Cutting Costly Codes Act Prohibit replacement of ICD-9 with ICD-10H.R. 351, Protecting Seniors' Access to Medicare Act of 2013: Repeal of the Independent Payment Advisory Board (IPAB)H.R. 574, Medicare Physician Payment Innovation Act of 2013: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1180, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training H.R.1201, Training Tomorrow's Doctors Today Act: Graduate medical education-residency training H.R. 1310, Medicare Patient Empowerment Act: Private contracting for patients and physicians H.R. 1333, Electronic Health Records Improvement Act: Electronic medical record penalties and incentive payments H.R.1701, Cutting Costly Codes Act Prohibit replacement of ICD-9 with ICD-10 H.R. 2810, Medicare Patient Access and Quality Improvement Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 4302, the Protecting Access to Medicare Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R.4418: Expanding the Availability of Medicare Data Act: making Medicare data available for clinical data registries

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 236, Medicare Patient Empowerment Act: Private contracting for patients and physicians S. 351, Protecting Seniors' Access to Medicare Act of 2013: Repeal of the Independent Payment Advisory Board (IPAB) S. 577, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training S. 972, Cutting Costly Codes Act Prohibit replacement of ICD-9 with ICD-10H.R. 351, Protecting Seniors' Access to Medicare Act of 2013: Repeal of the Independent Payment Advisory Board (IPAB)H.R. 574, Medicare Physician Payment Innovation Act of 2013: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 969, Medical Practice Freedom Act of 2013: Medical licensure H.R. 1180, Resident Physician Shortage Reduction Act of 2013: Graduate medical education-residency training H.R.1201, Training Tomorrow's Doctors Today Act: Graduate medical education-residency training H.R. 1310, Medicare Patient Empowerment Act: Private contracting for patients and physicians H.R. 1333, Electronic Health Records Improvement Act: Electronic medical record penalties and incentive payments H.R.1701, Cutting Costly Codes Act Prohibit replacement of ICD-9 with ICD-10 H.R. 2810, Medicare Patient Access and Quality Improvement Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R. 4302, the Protecting Access to Medicare Act: Medicare physician payment-sustainable growth rate (SGR) reform H.R.4418: Expanding the Availability of Medicare Data Act: making Medicare data available for clinical data registries

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 2552, A bill to enhance beneficiary and provider protections and improve transparency in the Medicare Advantage market, and for other purposes, all provisions H.R. 1180, Resident Physician Shortage Reduction Act of 2013, all provisions S. 577, Resident Physician Shortage Reduction Act of 2013, all provisionsH.R. 1701, Cutting Costly Codes Act of 201, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions S. 2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, all provisions H.R. 962, Medicare Diabetes Prevention Act of 2013, all provisions S. 452, Medicare Diabetes Prevention Act of 2013, all provisions H.R. 1070, Removing Barriers to Colorectal Cancer Screening Act of 2013, all provisions S. 2348, Removing Barriers to Colorectal Cancer Screening Act of 2014, all provisions H.R. 3750, Telehealth Modernization Act of 2013, all provisions H.R. 3698, Two-Midnight Rule Delay Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmission Program Act, all provisions S. 2501, Hospital Readmissions Program Accuracy and Accountability Act of 2014, all provisions H.R. 4302, Protecting Access to Medicare Act of 2014, provisions relating to the SGR patch Medicare program - Medicare Advantage Medicare program - SGR Repeal Medicare program - ICD-10 Repeal Medicare program - HIPAA (ICD-10, EFT) Medicare program - Physician payment and delivery reform issues Medicare program - Payment for short hospital stays Medicare program - Quality reporting penalty Medicare program - Independent Payment Advisory Board (IPAB) Medicare program - Medicare Patient Empowerment Act Medicare program - Funding for quality measure development Medicare program - Claims Data release Medicare program - Telemedicine Medicare program - Molecular diagnostics Medicare program - In-office Ancillary Services Exception Medicare program - Laboratory payments Medicare program - Graduate Medical Education Medicare program - Continuity of Care Medicare program - Coding Issues (Misvalued Codes and RUC Timeline) Medicare program - Current Procedural Terminology (CPT) Medicare program - Two-Midnight Rule Medicare program - Recovery Audit Contractors (RACs) Medicare program - Appeals backlog Medicare program - Program Integrity Medicare program - EHR Fraud Medicare program - Nursing home patients' access to Schedule II pain medication Medicare program - Physician identity theft Medicare program - Enrollment Medicare program - Grace period Medicare program - Exchanges Medicare program - Smart Cards Medicare program - Electronic Submission of Medical Documentation (esMD) Medicare program - Licensure Medicare program - Part D and Hospice Patients Medicare program - Physician Compare Medicare program - Conditions of Participation Medicare program - Quality resource use reports Medicare program - Physician Quality Reporting System (PQRS)Medicare program - Value-based modifier Medicare program - Narrow networks Medicare program - Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) survey Medicare and Medicaid programs - Meaningful Use of EHRs/Health Information Technology Medicare and Medicaid programs - Mental health care Medicaid program - Parity for primary care physician services

Client expense: $3,860,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Natl Drug Control Policy (NDCP), President of the U.S., SENATE, Treasury, Dept of, U.S. Secret Service, White House Office

H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 3750, Telehealth Modernization Act of 2013, all provisions H.R. 4341, Truth in Advertising Act of 2014, all provisionsH.R. 2027, Expanding Patients' Access to Quality Care Act of 2013, all provisions H.R. 4707, To authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention, all provisions S. 2373, A bill to authorize the appropriation of funds to the Centers for Disease Control and Prevention for conducting or supporting research on firearms safety or gun violence prevention, all provisions Food and Drugs Administration Safety and Innovation Act (FDASIA) Prescription Drug Abuse and Diversion DEA Registration and Registration Fees Telemedicine Prescription Drug Monitoring Program (PDMP) ICD-10 Repeal Prescriber education and mandatory/voluntary CME training Sunshine Act - Reprints Meaningful Use of EHRs/Health Information Technology EHR Patient Safety Prescription requirements for OTC medications Continuity of Care Hydrocodone Rescheduling Mental health care Diabetes Prevention Hospital Consolidation HIPAA Follow-on Biologics Access to care ACA Implementation Physician Consortium for Performance Improvement (PCPI) Compounding Laboratory developed tests Genetics

Client expense: $3,860,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Office of Natl Drug Control Policy (NDCP), President of the U.S., SENATE, Treasury, Dept of, U.S. Secret Service, White House Office

H.R. 1326, Health Care Price Transparency Promotion Act (Burgess) - price transparency. H.R. 1701, Cutting Costly Codes Act (Poe) - ICD-10 implementation. H.R. 2853, Hospital Price Transparency and Disclosure Act (Lipinski) - transparency of hospital prices. H.R. 3077, TELE-MED Act (Nunes-Pallone) - telemedicine. H.R. 4302, Protecting Access to Medicare Act (Pitts) - ICD-10 Implementation. S. 44, Medical Care Access Protection Act (Portman) - medical liability reform. S. 972, Cutting Costly Codes Act (Coburn) - ICD-10 implementation. S. 1897, Personal Data Privacy and Security Act (Leahy) - privacy, data security issues. Labor, HHS, and Education Appropriations Bill (Harkin) - funding for HHS programs, ACA amendments.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. H.R. 4241, Act to Ban Zohydro. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. H.R. 4241, Act to Ban Zohydro. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. H.R. 4241, Act to Ban Zohydro. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. H.R. 4241, Act to Ban Zohydro. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act. (P.L. 111-148). Monitor federal issues and legislation associated with health care policy. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015.H.R. 460, Patients Access to Treatment Act of 2013. H.R. 1416, Cancer Patient Protection Act of 2013. H.R. 1429, Scleroderma Research and Awareness Act of 2013. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R.2305, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013. H.R. 2663, to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S. 1422, A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. S. 1123, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor implementation of the Patient Protection and Affordable Care Act. (P.L. 111-148). Monitor federal issues and legislation associated with health care policy. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015.H.R. 460, Patients Access to Treatment Act of 2013. H.R. 1416, Cancer Patient Protection Act of 2013. H.R. 1429, Scleroderma Research and Awareness Act of 2013. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R.2305, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013. H.R. 2663, to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S. 1422, A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. S. 1123, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. H.R. 4241, Act to Ban Zohydro. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. H.R. 4241, Act to Ban Zohydro. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. H.R. 4241, Act to Ban Zohydro. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. H.R. 4241, Act to Ban Zohydro. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act. (P.L. 111-148). Monitor federal issues and legislation associated with health care policy. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015.H.R. 460, Patients Access to Treatment Act of 2013. H.R. 1416, Cancer Patient Protection Act of 2013. H.R. 1429, Scleroderma Research and Awareness Act of 2013. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R.2305, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013. H.R. 2663, to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S. 1422, A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. S. 1123, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor implementation of the Patient Protection and Affordable Care Act. (P.L. 111-148). Monitor federal issues and legislation associated with health care policy. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015.H.R. 460, Patients Access to Treatment Act of 2013. H.R. 1416, Cancer Patient Protection Act of 2013. H.R. 1429, Scleroderma Research and Awareness Act of 2013. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R.2305, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013. H.R. 2663, to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S. 1422, A bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. S. 1123, Preventing and Reducing Improper Medicare and Medicaid Expenditures Act of 2013.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

General issues relating to physicians and hospitals HR 2027- Expanding Patients' Access to Quality Care Act of 2013 HR 1701 and S. 972- Cutting Costly Codes Act of 2013

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation related to healthcare policy; Monitor implementation, P.L. 111-148; Extension, Section 3111, P.L. 111-148; H.R. 460, Patients' Access to Treatments Act; H.R. 1701 / S. 972, Cutting Costly Codes Act; H.R. 1429 Scleroderma Research and Awareness Act; H.R. 2663 / S. 1422 To Amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings

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

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

Public Law 111-5, the American Recovery and Reinvestment Act of 2009 - Implementation issues related to Medicare incentives and penalties for adoption of health information technology, comparative effectiveness issues. Public Law 111-148, the Patient Protection and Affordable Care Act - Implementation issues related to Medicare and Medicaid physician payments, comparative effectiveness research, quality reporting and improvement initiatives.Public Law 111-152, the Health Care and Education Reconciliation Act of 2010 - Implementation issues related to Medicare and Medicaid physician payments. Public Law 111-192 (H.R. 3962), the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - Medicare physician payment issues. P.L. 112-096, the Middle Class Tax Relief and Job Creation Act of 2012 - issues related to Medicare and Medicaid physician payments. P.L. 112-240, the American Taxpayer Relief Act of 2012 - Medicare physician payment issues. S. 388, American Family Economic Protection Act of 2013 - sequestration issues affecting Medicare physician payments and drug reimbursement issues. H.R. 1310, Medicare Patient Empowerment Act of 2013, all provisions S. 236, Medicare Patient Empowerment Act, all provisions H.R. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 351, Protecting Seniors' Access to Medicare Act of 2013, all provisions S. 1180, Medicare Data Access for Transparency and Accountability Act, all provisions H.R. 1701, Cutting Costly Codes Act of 2013, all provisions S. 972, Cutting Costly Codes Act of 2013, all provisions H.R. 1179, Improving Access to Medicare Coverage Act of 2013, all provisions S. 569, Improving Access to Medicare Coverage Act of 2013, all provisions The Medicare Payment Stability and Premium Security Act ( Draft bill) Medicare Program - Long term reform proposals for the Medicare physician payment system. Medicare Program - Regulatory and administrative issues with the Medicare physician formula. Medicare Program - Shared Savings/Accountable Care Organizations Medicare program - Value-based modifier Medicare program - Quality Reporting Programs Medicare program - New payment models/measuring quality performance Medicare and Medicaid programs - Tavenner CMS nomination Medicaid program - Primary care bonus Discussions concerning potential debt limit extension and deficit reduction legislation - physician payment issues. Public Law No: 113-46, Continuing Appropriations Act , 2014 - Medicare and Medicaid savings issues. P.L 113-67, Continuing Appropriations Resolution for 2014 - Medicare physician payments S.2000 - The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 H.R.4015 -The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 Public Law 113-93 - The Protecting Access to Medicare Act of 2014

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

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

Implementation of the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconciliation Act (PL 111-152) Medicare and Medicaid reimbursement policies related to healthcare associated conditions, healthcare associated infections, readmission, and payment bundlingComparative effectiveness research and policies Accountable Care Organizations (ACO) Policy Competitive Bidding Policy Regulations and legislation related to the Adoption of International Classification of Diseases, version 10 (ICD-10) Implementation of the Physician Payments Sunshine Act (PL 111-152, Section 6002) Implementation of Food and Drug Administration Safety and Innovation Act (FDASIA) User Fee Program H.R.523 - Protect Medical Innovation Act of 2013 S.232 - Medical Device Access and Innovation Protection Act Klobuchar / Hatch ammendment # 297 to S. Con. Res 8, the Senate FY 2014 Budget Resolution to support repeal of the medical device tax H.R.1701 / S.972 - Cutting Costly Codes Act H.R.2810 - Medicare Patient Access and Quality Improvement Act S.1871 - SGR Repeal and Medicare Beneficiary Access Act H.R.4302 - Protecting Access to Medicare Act

Client expense: $1,420,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Implementation of the Patient Protection and Affordable Care Act (PL 111-148) and the Health Care and Education Reconciliation Act (PL 111-152) Medicare and Medicaid reimbursement policies related to healthcare associated conditions, healthcare associated infections, readmissions, and payment bundlingComparative effectiveness research and policies Accountable Care Organizations (ACO) Policy Competitive Bidding Policy Regulations and legislation related to the Adoption of International Classification of Diseases, version 10 (ICD-10) Implementation of the Physician Payments Sunshine Act (PL 111-152, Section 6002) H.R.1701 / S.972 - Cutting Costly Codes Act H.R.2810 - Medicare Patient Access and Quality Improvement Act S.1871 - SGR Repeal and Medicare Beneficiary Access Act H.R.4302 - Protecting Access to Medicare Act

Client expense: $1,420,000 · Firm income: Not reported

Government targets: Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Energy, Dept of, Environmental Protection Agency (EPA), Federal Highway Administration (FHA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Securities & Exchange Commission (SEC), State, Dept of (DOS), Transportation, Dept of (DOT), Treasury, Dept of, U.S. International Trade Commission (ITC), U.S. Trade Representative (USTR)

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. S. 2134, Act to Ban Zohydro.

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

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

Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Monitor federal and legislative activity related to health care and reauthorization of National All Schedules Prescription Electronic Reporting Act (NASPER) (P.L. 109-60). Monitor federal and legislative activity related to Medicare Reimbursement. Monitor federal issues and legislation associated with health care policy.Draft, House Departments of Labor, Health and Human Services and Related Agencies Appropriations Act, 2015. Draft, Senate Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 1701, Cutting Costly Codes Act of 2013. S. 972, Cutting Costly Codes Act of 2013. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. S. 1871, SGR Repeal and Medicare Beneficiary Access Act of 2013. H.R. 4302, Protecting Access to Medicare Act. S. 2134, Act to Ban Zohydro.

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

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