Mental Health Reform Act of 2015

S 1517 / HR 2957 "Behavioral Health Information Technology Act," all provisions. S 1685 "Behavioral Health Information Technology Coordination Act of 2013," all provisions. HR 3717 "Helping Families in Mental Health Crisis Act of 2013," all provisions. HR 4574 "Strengthening Mental Health in Our Communities Act of 2014," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015,all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015,all provisions. S 1945 Mental Health Reform Act of 2015,all provisions. HR 6 21st Century Cures Act, all provisions. Issues pertaining to a Senate version of the 21st Century Cures Act. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 2691 "Integrating Behavioral Health Through Technology Act of 2016," all provisions. HR 3331/S 1732 "Improving Access to Behavioral Health Information Technology Act," all provisions. HR 1628 "American Health Care Act of 2017," all provisions.

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

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

S 711 "Mental Health First Act of 2015," all provisions. HR 1877 "To amend section 520J of the Public Health Service Act to authorize grants for mental health first aid training programs," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015, all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015, all provisions. S 1945 Mental Health Reform Act of 2015, all provisions. HR 4388 "Behavioral Health Care Integration Act of 2016," all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 2525 / HR 4567 "Expand Excellence in Mental Health Act of 2016," all provisions. HR 4569 "Extend Excellence in Mental Health Act of 2016," all provisions. HR 1628 "American Health Care Act," all provisions. Issues pertaining to the "Better Care Reconciliation Act," all provisions. Issues pertaining to FY 2018 Labor, HHS, Education (LHHS) appropriations. HR 3358 "Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018," all provisions pertaining to mental health.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3762 "Occupational Therapy Mental Health Act," all provisions. S 1815 / HR 1037 The Occupational Therapy in Mental Health Act, all provisions. Issues relating to draft criteria to certify Community Behavioral Health Clinics (CCBHC). HR 1761 "Occupational Therapy in Mental Health Act of 2015," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015, all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015, all provisions. S 1945 Mental Health Reform Act of 2015, all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. Issues pertaining to FY 2018 Labor, HHS, Education (LHHS) appropriations. HR 3358 "Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018, all provisions pertaining to mental health.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1517 / HR 2957 "Behavioral Health Information Technology Act," all provisions. S 1685 "Behavioral Health Information Technology Coordination Act of 2013," all provisions. HR 3717 "Helping Families in Mental Health Crisis Act of 2013," all provisions. HR 4574 "Strengthening Mental Health in Our Communities Act of 2014," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015,all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015,all provisions. S 1945 Mental Health Reform Act of 2015,all provisions. HR 6 21st Century Cures Act, all provisions. Issues pertaining to a Senate version of the 21st Century Cures Act. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 2691 "Integrating Behavioral Health Through Technology Act of 2016," all provisions. HR 3331/S 1732 "Improving Access to Behavioral Health Information Technology Act," all provisions.

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

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

S 711 "Mental Health First Act of 2015," all provisions. HR 1877 "To amend section 520J of the Public Health Service Act to authorize grants for mental health first aid training programs," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015, all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015, all provisions. S 1945 Mental Health Reform Act of 2015, all provisions. HR 4388 "Behavioral Health Care Integration Act of 2016," all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 2525 / HR 4567 "Expand Excellence in Mental Health Act of 2016," all provisions. HR 4569 "Extend Excellence in Mental Health Act of 2016," all provisions. HR 1628 "American Health Care Act," all provisions. Issues pertaining to the "Better Care Reconciliation Act," all provisions. Issues pertaining to FY 2018 Labor, HHS, Education (LHHS) appropriations. HR 3358 "Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018," all provisions pertaining to mental health.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3762 "Occupational Therapy Mental Health Act," all provisions. S 1815 / HR 1037 The Occupational Therapy in Mental Health Act, all provisions. Issues relating to draft criteria to certify Community Behavioral Health Clinics (CCBHC). HR 1761 "Occupational Therapy in Mental Health Act of 2015," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015, all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015, all provisions. S 1945 Mental Health Reform Act of 2015, all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. Issues pertaining to FY 2018 Labor, HHS, Education (LHHS) appropriations. HR 3358 "Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2018, all provisions pertaining to mental health.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 3762 "Occupational Therapy Mental Health Act," all provisions. S 1815 / HR 1037 The Occupational Therapy in Mental Health Act,all provisions. Issues relating to draft criteria to certify Community Behavioral Health Clinics (CCBHC). HR 1761 "Occupational Therapy in Mental Health Act of 2015," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015,all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015,all provisions. S 1945 Mental Health Reform Act of 2015,all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. Issues pertaining to FY 2018 Labor, HHS, Education (LHHS) appropriations.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1517 / HR 2957 "Behavioral Health Information Technology Act," all provisions. S 1685 "Behavioral Health Information Technology Coordination Act of 2013," all provisions. HR 3717 "Helping Families in Mental Health Crisis Act of 2013," all provisions. HR 4574 "Strengthening Mental Health in Our Communities Act of 2014," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015,all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015,all provisions. S 1945 Mental Health Reform Act of 2015,all provisions. HR 6 21st Century Cures Act, all provisions. Issues pertaining to a Senate version of the 21st Century Cures Act. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 2691 "Integrating Behavioral Health Through Technology Act of 2016," all provisions.

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

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

S 711 "Mental Health First Act of 2015," all provisions. HR 1877 "To amend section 520J of the Public Health Service Act to authorize grants for mental health first aid training programs," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015, all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015, all provisions. S 1945 Mental Health Reform Act of 2015, all provisions. HR 4388 "Behavioral Health Care Integration Act of 2016," all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 2525 / HR 4567 "Expand Excellence in Mental Health Act of 2016," all provisions. HR 4569 "Extend Excellence in Mental Health Act of 2016," all provisions. HR 1628 "American Health Care Act," all provisions. Issues pertaining to FY 2018 Labor, HHS, Education (LHHS) appropriations. Issues pertaining to the "Better Care Reconciliation Act," all provisions.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 1517 / HR 2957 "Behavioral Health Information Technology Act," all provisions. S 1685 "Behavioral Health Information Technology Coordination Act of 2013," all provisions. HR 3717 "Helping Families in Mental Health Crisis Act of 2013," all provisions. HR 4574 "Strengthening Mental Health in Our Communities Act of 2014," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015,all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015,all provisions. S 1945 Mental Health Reform Act of 2015,all provisions. HR 6 21st Century Cures Act, all provisions. Issues pertaining to a Senate version of the 21st Century Cures Act. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 2691 "Integrating Behavioral Health Through Technology Act of 2016," all provisions.

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

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

HR 2515 / S 1865 Anna Westin Act of 2015, all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015, all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015, all provisions. S 1945 Mental Health Reform Act of 2015, all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 3000 / HR 5293 "Department of Defense Appropriations Act, 2017," all provisions pertaining to mental health services. Issues relating to the Mental Health and Substance Use Disorder Parity Task Force. HR 1628 "American Health Care Act," all provisions. Issues relating to the implementation of Public Law No: 114-255 "21st Century Cures Act," all provisions.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), White House Office

HR 3762 "Occupational Therapy Mental Health Act," all provisions. S 1815 / HR 1037 The Occupational Therapy in Mental Health Act,all provisions. Issues relating to draft criteria to certify Community Behavioral Health Clinics (CCBHC). HR 1761 "Occupational Therapy in Mental Health Act of 2015," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015,all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015,all provisions. S 1945 Mental Health Reform Act of 2015,all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. Issues pertaining to FY 2018 Labor, HHS, Education (LHHS) appropriations.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S 711 "Mental Health First Act of 2015," all provisions. HR 1877 "To amend section 520J of the Public Health Service Act to authorize grants for mental health first aid training programs," all provisions. HR 2646 Helping Families in Mental Health Crisis Act of 2015, all provisions. S 1893 Mental Health Awareness and Improvement Act of 2015, all provisions. S 1945 Mental Health Reform Act of 2015, all provisions. HR 4388 "Behavioral Health Care Integration Act of 2016," all provisions. HR 4435 "Comprehensive Behavioral Health Reform and Recovery Act of 2016," all provisions. S 2680 "Mental Health Reform Act of 2016," all provisions. S 2525 / HR 4567 "Expand Excellence in Mental Health Act of 2016," all provisions. HR 4569 "Extend Excellence in Mental Health Act of 2016," all provisions. HR 1628 "American Health Care Act," all provisions. Issues pertaining to FY 2018 Labor, HHS, Education (LHHS) appropriations.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to inclusion of prescription drugs within Essential Health Benefit; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; S. 1945, Mental Health Reform Act of 2015; S. 2680, Mental Health Reform Act of 2016; and mental health coverage expansion

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1945, Mental Health Reform Act of 2015, Issues pertaining to mental and behavioral health, the role of social work, social determinants of health, the Minority Fellowship Program, and education and training programs. S.2680, Mental Health Reform Act of 2016, Issues pertaining to mental and behavioral health, the role of social work, social determinants of health, the Minority Fellowship Program, and education and training programs. H.R. 2646, Helping Families in Mental Health Crisis Act of 2015, Issues pertaining to mental and behavioral health, the role of social work, social determinants of health, the Minority Fellowship Program, and education and training programs. S. 3190, Strengthening Our Rural Health Workforce Act, Issues pertaining to rural health workforce and social work. Issues pertaining to the Minority Fellowship Program and authorization. Issues pertaining to chronic care and team-based care. Issues pertaining to federal support for education and training of social workers to address health care needs. H.R. 3712, S. 2173, Improving Access to Mental Health Act, Issues pertaining to workforce and pipeline of mental and behavioral health providers. H.R. 3712, S. 2173, Improving Access to Mental Health Act, Issues relating to reimbursement for clinical social workers, access to mental health services for residents of skilled nursing facilities, and reimbursement for health and behavior assessment and intervention.

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

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

Support S 258 and HR 169, Critical Access Hospital Relief Act, a bill that would remove the 96-hour physician certification requirement as a condition of payment for critical access hospitals (CAHs); Support HR 293, a bill to exempt certain journals and text books used in continuing medical education (CME) from manufacturer transparency reporting requirements; Participated in the Hearing, Examining the 340B Drug Pricing Program and submitted testimony about the 340B program, a federal drug discount program to Subcommittee members who will review the functionality of the program to ensure it is meeting its intended goals; HR 6, 21st Century Cures, a bill that accelerates the discovery and development of cures, and also includes provisions addressing interoperability of health IT and would provide additional money to NIH and the FDA; Two midnight discussion with several members of Congress; Support, Advancing Telehealth Opportunities in Medicare Telehealth, submitted a letter outlining the benefits of telehealth and showcases successful hospital and health system efforts. It also outlines barriers to greater use of telehealth; Submitted letter pertaining to interoperabilty within the hospital communities; Support S. 599, Improving Access to Emergency Psychiatric Care Act of 2015, legislation easing the shortage of psychiatric beds and extend and expand the CMS emergency psychiatric demonstration project; Comments on H.R.1458, BACPAC Act of 2015, a bill to amend title XVIII of the Social Security Act to provide bundled payments for post-acute care services under parts A and B of Medicare, and submitted a statement for a hearing on HR 1458 (re bundled payments for post-acute and other post-hospital services); Discussed Equity of Care Issues with Members of Congress; Advocate for funding by working with the Office of the Assistant Secretary for Preparedness and Response (ASPR) and Hospital Preparedness Program staff on ensuring adequate Ebola hospital funding; Working with the Centers for Disease Control and Prevention (CDC) on ongoing Ebola-related issues and guidance; Working with the Centers for Medicare and Medicaid Services (CMS) and the Food and Drug Administration (FDA) to ensure that hospitals continue to be able to use blood glucose monitoring systems (BGMS) on hospitalized patients;Discussion of draft guidance on drug compounding and repackaging; Working with ASPR and CDC staff to define the impact of the Hospital Preparedness Program and Public Health Emergency Preparedness Program on improving health care system preparedness; Support efforts to advocate on Ebola within a discussion with FDA regarding impact on access to chest tubes regarding the Atrium Medical Corp and Maquet consent decree ; Advocate for regulatory approach in a discussion with White House staff regarding new initiative promoting bystander involvement in stopping hemorrhage in injured civilians; Attended a roundtable discussion on Opioid-related dependence, overdose, and death at HHS; Advocate for changes to The Care Planning Act, a bill that would provide for advanced illness care coordination services for Medicare beneficiaries; Support HR 2878 and S 1461,a bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015; Support S.799/HR 1462, Protecting Our Infants Act of 2015, a bill to combat the rise of prenatal opioid abuse and neonatal abstinence syndrome; Discussed S.1349, a bill that amends title XVIII (Medicare) of the Social Security Act to require a hospital or critical access hospital with an agreement with the Secretary of Health and Human Services to give each individual who receives observation services as an outpatient for more than 24 hours an adequate oral and written notification within 36 hours after beginning treatment; Supported expansions to Medicare reimbursement for telehealth along with changes to the Health Care Connect Fund; Comments on S.1648, Rural Emergency Acute Care Hospital Act of 2015, a bill to amend title XVIII of the Social Security Act to create a sustainable future for rural healthcare. Urged that HHS refrain from finalizing a stage 3 meaningful use rule; Advocate for Appropriate Surveyor Guidance on Calculated Hospitals in discussion about member concerns regarding remarks of CMS official that were confusing during a health lawyers association webinar; Discussion with CMS staff regarding proposed rule on establishing market-based payments for clinical laboratory tests; Discussion to rescind the proposed 2 percent cut to CY 2016 outpatient PPS conversion factor; Support H.R.2948, Medicare Telehealth Parity Act of 2015, a bill to amend title XVIII (Medicare) of the Social Security Act to expand telehealth coverage in three phases; Support HR 2646, Helping Families in Mental Health Crisis Act of 2015,A bill to make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis; Support HR 1604, Veterans Mental Health Care Access Act, a bill that expands access to mental health services for veterans; Support H.R. 3183, The Veterans Health Care Freedom Act, a bill which makes significant improvements to the Veterans Choice Program; Support S 1189 The Conrad State 30 and Physician Access Act, a bill that reauthorizes the Conrad 30 and makes other changes to the program to improve patient access to care; Discussed quality measurement, meaningful use and Conditions of Participation; Conversation with CMS about the IOM Vital Signs report and how its recommendations could make quality measurement more meaningful; Spoke with CMS urging the Agency to correct the misimpression that was created statements made during a National Association of Medical Staff Specialists webinar by a CMS employee; Discussion with CMS about proposals contained in the Inpatient Psychiatric Facility PPS proposed rule urging CMS not to finalize two quality measures; Meeting at CMMI to discuss CCJR; Discuss S. 2141the Transparent Ratings on Usability and Security to Transform Information Technology Act of 2015, the TRUST Act, a bill that includes a definition of information blocking and a framework to assess interoperability of certified health IT (a health IT ratings program); Support S.1461 and H.R. 2878 a bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015; Oppose S. 1648 Rural Emergency Acute Care Hospital ActTo establish an alternative payment model for CAHs and small, rural hospitals whereby they may transition to become a rural emergency hospital.; Oppose H.R. 3225 Save Rural Hospitals Act, a bill to amend titles XVIII and XIX of the Social Security Act to provide for enhanced payments to rural health care providers under the Medicare and Medicaid programs; Discuss S. 1945 Mental Health Reform Act of 2015, a bill to make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis. It would reauthorize certain federal mental health programs, revise the IMD exclusion, reform SAMHSA, and study parity in mental health laws. Support S. 1893, The Mental Health Awareness and Improvement Act of 2015, a bill to reauthorize and improve programs related to mental health and substance use disorders; Letter asking for modifications to H.R. 3298 Medicare Post-Acute Care Value-Based Purchasing (PAC VBP) Act of 2015, the legislation would establish a value-based purchasing program for LTCHs, IRFs, SNFs and HH agencies. Worked to streamline and improve quality measures; Discussed how to implement the framework in the National Academy of Medicines Vital Signs report to streamline and focus quality measures used in Medicare programs; Discussed Opioid prescribing guidelines with the CDC to provide feedback on the opioid prescribing guidelines they were developing; Discussion with CMS regarding CAH designation status, negative impact of Insurance Consolidations on Medicare Advantage and for modifications to Comprehensive Care for Joint Replacement (CJR) model regarding aspects of the proposed rule; Discussion with CMS about the Emergency Preparedness final rule; Discussion with CMS regarding the 0.2 percent reduction to hospitals payments under the Inpatient Prospective Payment System (PPS); Support S. 524, the Johnson amendment and the Collins amendment, Comprehensive Addiction and Recovery Act of 2016, a bill to authorize the Attorney General to award grants to address the national epidemics of prescription opioid abuse and heroin use; Support H.R. 4499, Promoting Responsible Opioid Prescribing Act of 2016, a bill to amend title XVIII of the Social Security Act to remove consideration of certain pain-related issues from calculations under the Medicare hospital value-based purchasing program; Support S. 2220, The Healthy Maternity and Obstetric Medicine Act or Healthy MOM Act guarantees maternity coverage for women who are enrolled in the exchanges established under the Affordable Care Act, as well as women who are covered by individual and group insurance plans and federal employee health benefit plans; Comments to House Ways and Means and Senate Finance Committees on how to improve the physician self-referral (Stark) law; Urged CMS to delay the April 2016 release of the hospital star ratings on the Hospital Compare Website; Supported House and Senate letters urging CMS to delay release of hospital star ratings on the Hospital Compare Website; Support H.R. 4771, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act, a bill that would reduce health care costs and promote access to quality, affordable health care for all Americans; Letter to Senate HELP Committee draft legislation addressing health information technology (IT) and electronic health records (EHRs); Comments to CMS regarding addressing section 603 of the BBA of 2015 in regulation; Comments to House Energy & Commerce Committee regarding section 603 of the BBA of 2015 as well as site neutral payment policies in general; Statement for the record to House Energy & Commerce Committee on MACRA implementation; Statement for the record to Senate Finance Committee on MACRA implementation; Comments to the Senate Finance Committee Chronic Care document -Conversations with the CDC related to their opioid guidelines for chronic pain as well as a patient education piece about opioids; Discussions with CMS about CAH designation status Health Care Issues; Discussions with Rep. Hudson about H.R. 4365/ S. 2932, the Protecting Patient Access to Emergency Medications Act , a bill to amend the Controlled Substances Act with regard to the provision of emergency medical services; Support H.R. 4650 and S. 2108, Preserving Patient Access to Post-Acute Hospital Care Act of 2016, a bill to amend title XVIII of the Social Security Act to provide for an extension of certain Medicare long-term care hospital payment rules; Supported efforts to encourage Congress to send CMS letters on addressing the issue of colocation of facilities within a hospital; Discussions with Members of Congress on the potential implementation of Unique Device Identification on claims forms; Sponsored a Hill briefing on innovations in post-acute care;Supported House and Senate letters to CMS asking for flexibility when interpreting section 603 of the BBA of 2015 in regulation; Support HR 5547, the Health Care Price Transparency Promotion Act of 2016, a bill to require the sharing of health care price information; Support HR 5273, the Helping Hospitals Improve Patient Care Act of 2016, a bill to address outstanding issues with section 603 of the BBA of 2015 and provide for a socioeconomic adjustment to the Hospital Readmissions Reduction Program; Supported a letter to CMS on implementation of Sec. 603 of the Bipartisan Budget Acts site neutral cuts for off-campus HOPDs; Support H. res. 699 promoting minority health awareness and supporting the goals and ideals of National Minority Health Month in April 2016; Support H.R.4641 - a bill to provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication; Support H.R. 4982, the Examining Opioid Treatment Infrastructure Act of 2016, a bill which would require the Government Accountability Office (GAO) to evaluate and report on the capacity, availability and need for inpatient and outpatient treatment for opioid use disorders in the United States; Supports H.R. 3680, the Co-Prescribing to Reduce Overdoses Act of 2015, a bill would establish federal grants to carry out co-prescribing of overdose reversal drugs in areas experiencing significant numbers of opioid overdoses and deaths; Support H.R. 3691, the Improving Treatment for Pregnant and Postpartum Women Act of 2015, a bill that would reauthorize essential residential treatment programs for pregnant and postpartum women and provide grants to states to address the growing epidemic of infants suffering from opioid dependency; Support H.R. 4978, the Nurturing and Supporting Healthy Babies Act, a bill which would require a GAO evaluation of neonatal abstinence syndrome and the availability of treatment for this condition in the nations Medicaid programs; Support H.R. 4599, the Reducing Unused Medications Act of 2016, a bill to permit partial filling of schedule II prescriptions under specific circumstances; Support H.R. 4976, the Opioid Review Modernization Act of 2016, a bill which would provide for more stringent Food and Drug Administration review of new opioids without abuse-deterrent properties, recommendations for labeling of pediatric opioids, and recommendations for prescriber education; Support the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2016, a bill for achieving fair and sustainable drug pricing; Supporting full alignment of 42CFR substance use records confidentiality requirements with HIPAA privacy rule; Support S. 3173 EHR Regulatory Relief Act, a bill to amend title XVIII of the Social Security Act to provide for a 90-day EHR reporting period for the determination of whether an eligible professional or eligible hospital is a meaningful EHR user and to remove the all-or-nothing approach to meaningful use; Support for H.R. 5713, The Sustaining Healthcare Integrity and Fair Treatment Act of 2016, a bill that would extend 25% rule relief and provide targeted relief to certain LTCHs struggling to meet the new criteria standards; Support for H.R. 6174, the Closing Loopholes for Orphan Drugs Act, a bill to amend title III of the Public Health Service Act to limit the orphan drug exclusion under the drug discount program under section 340B of such title.

Client expense: $4,050,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Support S 258 and HR 169, Critical Access Hospital Relief Act, a bill that would remove the 96-hour physician certification requirement as a condition of payment for critical access hospitals (CAHs); Support HR 293, a bill to exempt certain journals and text books used in continuing medical education (CME) from manufacturer transparency reporting requirements; Participated in the Hearing, Examining the 340B Drug Pricing Program and submitted testimony about the 340B program, a federal drug discount program to Subcommittee members who will review the functionality of the program to ensure it is meeting its intended goals; HR 6, 21st Century Cures, a bill that accelerates the discovery and development of cures, and also includes provisions addressing interoperability of health IT and would provide additional money to NIH and the FDA; Two midnight discussion with several members of Congress; Support, Advancing Telehealth Opportunities in Medicare Telehealth, submitted a letter outlining the benefits of telehealth and showcases successful hospital and health system efforts. It also outlines barriers to greater use of telehealth; Submitted letter pertaining to interoperabilty within the hospital communities; Support S. 599, Improving Access to Emergency Psychiatric Care Act of 2015, legislation easing the shortage of psychiatric beds and extend and expand the CMS emergency psychiatric demonstration project; Comments on H.R.1458, BACPAC Act of 2015, a bill to amend title XVIII of the Social Security Act to provide bundled payments for post-acute care services under parts A and B of Medicare, and submitted a statement for a hearing on HR 1458 (re bundled payments for post-acute and other post-hospital services); Discussed Equity of Care Issues with Members of Congress; Advocate for funding by working with the Office of the Assistant Secretary for Preparedness and Response (ASPR) and Hospital Preparedness Program staff on ensuring adequate Ebola hospital funding; Working with the Centers for Disease Control and Prevention (CDC) on ongoing Ebola-related issues and guidance; Working with the Centers for Medicare and Medicaid Services (CMS) and the Food and Drug Administration (FDA) to ensure that hospitals continue to be able to use blood glucose monitoring systems (BGMS) on hospitalized patients;Discussion of draft guidance on drug compounding and repackaging; Working with ASPR and CDC staff to define the impact of the Hospital Preparedness Program and Public Health Emergency Preparedness Program on improving health care system preparedness; Support efforts to advocate on Ebola within a discussion with FDA regarding impact on access to chest tubes regarding the Atrium Medical Corp and Maquet consent decree ; Advocate for regulatory approach in a discussion with White House staff regarding new initiative promoting bystander involvement in stopping hemorrhage in injured civilians; Attended a roundtable discussion on Opioid-related dependence, overdose, and death at HHS; Advocate for changes to The Care Planning Act, a bill that would provide for advanced illness care coordination services for Medicare beneficiaries; Support HR 2878 and S 1461,a bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015; Support S.799/HR 1462, Protecting Our Infants Act of 2015, a bill to combat the rise of prenatal opioid abuse and neonatal abstinence syndrome; Discussed S.1349, a bill that amends title XVIII (Medicare) of the Social Security Act to require a hospital or critical access hospital with an agreement with the Secretary of Health and Human Services to give each individual who receives observation services as an outpatient for more than 24 hours an adequate oral and written notification within 36 hours after beginning treatment; Supported expansions to Medicare reimbursement for telehealth along with changes to the Health Care Connect Fund; Comments on S.1648, Rural Emergency Acute Care Hospital Act of 2015, a bill to amend title XVIII of the Social Security Act to create a sustainable future for rural healthcare. Urged that HHS refrain from finalizing a stage 3 meaningful use rule; Advocate for Appropriate Surveyor Guidance on Calculated Hospitals in discussion about member concerns regarding remarks of CMS official that were confusing during a health lawyers association webinar; Discussion with CMS staff regarding proposed rule on establishing market-based payments for clinical laboratory tests; Discussion to rescind the proposed 2 percent cut to CY 2016 outpatient PPS conversion factor; Support H.R.2948, Medicare Telehealth Parity Act of 2015, a bill to amend title XVIII (Medicare) of the Social Security Act to expand telehealth coverage in three phases; Support HR 2646, Helping Families in Mental Health Crisis Act of 2015,A bill to make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis; Support HR 1604, Veterans Mental Health Care Access Act, a bill that expands access to mental health services for veterans; Support H.R. 3183, The Veterans Health Care Freedom Act, a bill which makes significant improvements to the Veterans Choice Program; Support S 1189 The Conrad State 30 and Physician Access Act, a bill that reauthorizes the Conrad 30 and makes other changes to the program to improve patient access to care; Discussed quality measurement, meaningful use and Conditions of Participation; Conversation with CMS about the IOM Vital Signs report and how its recommendations could make quality measurement more meaningful; Spoke with CMS urging the Agency to correct the misimpression that was created statements made during a National Association of Medical Staff Specialists webinar by a CMS employee; Discussion with CMS about proposals contained in the Inpatient Psychiatric Facility PPS proposed rule urging CMS not to finalize two quality measures; Meeting at CMMI to discuss CCJR; Discuss S. 2141the Transparent Ratings on Usability and Security to Transform Information Technology Act of 2015, the TRUST Act, a bill that includes a definition of information blocking and a framework to assess interoperability of certified health IT (a health IT ratings program); Support S.1461 and H.R. 2878 a bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015; Oppose S. 1648 Rural Emergency Acute Care Hospital ActTo establish an alternative payment model for CAHs and small, rural hospitals whereby they may transition to become a rural emergency hospital.; Oppose H.R. 3225 Save Rural Hospitals Act, a bill to amend titles XVIII and XIX of the Social Security Act to provide for enhanced payments to rural health care providers under the Medicare and Medicaid programs; Discuss S. 1945 Mental Health Reform Act of 2015, a bill to make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis. It would reauthorize certain federal mental health programs, revise the IMD exclusion, reform SAMHSA, and study parity in mental health laws. Support S. 1893, The Mental Health Awareness and Improvement Act of 2015, a bill to reauthorize and improve programs related to mental health and substance use disorders; Letter asking for modifications to H.R. 3298 Medicare Post-Acute Care Value-Based Purchasing (PAC VBP) Act of 2015, the legislation would establish a value-based purchasing program for LTCHs, IRFs, SNFs and HH agencies. Worked to streamline and improve quality measures; Discussed how to implement the framework in the National Academy of Medicines Vital Signs report to streamline and focus quality measures used in Medicare programs; Discussed Opioid prescribing guidelines with the CDC to provide feedback on the opioid prescribing guidelines they were developing; Discussion with CMS regarding CAH designation status, negative impact of Insurance Consolidations on Medicare Advantage and for modifications to Comprehensive Care for Joint Replacement (CJR) model regarding aspects of the proposed rule; Discussion with CMS about the Emergency Preparedness final rule; Discussion with CMS regarding the 0.2 percent reduction to hospitals payments under the Inpatient Prospective Payment System (PPS); Support S. 524, the Johnson amendment and the Collins amendment, Comprehensive Addiction and Recovery Act of 2016, a bill to authorize the Attorney General to award grants to address the national epidemics of prescription opioid abuse and heroin use; Support H.R. 4499, Promoting Responsible Opioid Prescribing Act of 2016, a bill to amend title XVIII of the Social Security Act to remove consideration of certain pain-related issues from calculations under the Medicare hospital value-based purchasing program; Support S. 2220, The Healthy Maternity and Obstetric Medicine Act or Healthy MOM Act guarantees maternity coverage for women who are enrolled in the exchanges established under the Affordable Care Act, as well as women who are covered by individual and group insurance plans and federal employee health benefit plans; Comments to House Ways and Means and Senate Finance Committees on how to improve the physician self-referral (Stark) law; Urged CMS to delay the April 2016 release of the hospital star ratings on the Hospital Compare Website; Supported House and Senate letters urging CMS to delay release of hospital star ratings on the Hospital Compare Website; Support H.R. 4771, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act, a bill that would reduce health care costs and promote access to quality, affordable health care for all Americans; Letter to Senate HELP Committee draft legislation addressing health information technology (IT) and electronic health records (EHRs); Comments to CMS regarding addressing section 603 of the BBA of 2015 in regulation; Comments to House Energy & Commerce Committee regarding section 603 of the BBA of 2015 as well as site neutral payment policies in general; Statement for the record to House Energy & Commerce Committee on MACRA implementation; Statement for the record to Senate Finance Committee on MACRA implementation; Comments to the Senate Finance Committee Chronic Care document -Conversations with the CDC related to their opioid guidelines for chronic pain as well as a patient education piece about opioids; Discussions with CMS about CAH designation status Health Care Issues; Discussions with Rep. Hudson about H.R. 4365/ S. 2932, the Protecting Patient Access to Emergency Medications Act , a bill to amend the Controlled Substances Act with regard to the provision of emergency medical services; Support H.R. 4650 and S. 2108, Preserving Patient Access to Post-Acute Hospital Care Act of 2016, a bill to amend title XVIII of the Social Security Act to provide for an extension of certain Medicare long-term care hospital payment rules; Supported efforts to encourage Congress to send CMS letters on addressing the issue of colocation of facilities within a hospital; Discussions with Members of Congress on the potential implementation of Unique Device Identification on claims forms; Sponsored a Hill briefing on innovations in post-acute care;Supported House and Senate letters to CMS asking for flexibility when interpreting section 603 of the BBA of 2015 in regulation; Support HR 5547, the Health Care Price Transparency Promotion Act of 2016, a bill to require the sharing of health care price information; Support HR 5273, the Helping Hospitals Improve Patient Care Act of 2016, a bill to address outstanding issues with section 603 of the BBA of 2015 and provide for a socioeconomic adjustment to the Hospital Readmissions Reduction Program; Supported a letter to CMS on implementation of Sec. 603 of the Bipartisan Budget Acts site neutral cuts for off-campus HOPDs; Support H. res. 699 promoting minority health awareness and supporting the goals and ideals of National Minority Health Month in April 2016; Support H.R.4641 - a bill to provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication; Support H.R. 4982, the Examining Opioid Treatment Infrastructure Act of 2016, a bill which would require the Government Accountability Office (GAO) to evaluate and report on the capacity, availability and need for inpatient and outpatient treatment for opioid use disorders in the United States; Supports H.R. 3680, the Co-Prescribing to Reduce Overdoses Act of 2015, a bill would establish federal grants to carry out co-prescribing of overdose reversal drugs in areas experiencing significant numbers of opioid overdoses and deaths; Support H.R. 3691, the Improving Treatment for Pregnant and Postpartum Women Act of 2015, a bill that would reauthorize essential residential treatment programs for pregnant and postpartum women and provide grants to states to address the growing epidemic of infants suffering from opioid dependency; Support H.R. 4978, the Nurturing and Supporting Healthy Babies Act, a bill which would require a GAO evaluation of neonatal abstinence syndrome and the availability of treatment for this condition in the nations Medicaid programs; Support H.R. 4599, the Reducing Unused Medications Act of 2016, a bill to permit partial filling of schedule II prescriptions under specific circumstances; Support H.R. 4976, the Opioid Review Modernization Act of 2016, a bill which would provide for more stringent Food and Drug Administration review of new opioids without abuse-deterrent properties, recommendations for labeling of pediatric opioids, and recommendations for prescriber education; Support the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act of 2016, a bill for achieving fair and sustainable drug pricing; Supporting full alignment of 42CFR substance use records confidentiality requirements with HIPAA privacy rule.

Client expense: $4,690,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Communications Commission (FCC), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Senate Working Group on Innovation for Healthier Americans Prescription drug diversion and abuse S. 524, Comprehensive Addiction and Recovery Act of 2015, all provisions S. 2680, Mental Health Reform Act of 2016, all provisions S. 1945, Mental Health Reform Act of 2015, all provisions Mental health initiatives (H.R. 2646, Helping Families in Mental Health Crisis Act of 2016; S. 1945, Mental Health Reform Act of 2015); Health information technology - meaningful use; Senate HELP Committee's Working Group on Innovations; Zika funding; H.R. 6, 21st Century Cures Act; H.R. 5325, Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 1310, S. 590 Campus Accountability and Safety Act

Client expense: $101,809 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Highway Traffic Safety Administration (NHTSA), Natl Institute on Alcohol Abuse & Alcoholism (NIAA), Natl Institutes of Health (NIH), Natl Transportation Safety Board (NTSB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Transportation, Dept of (DOT)

H.R.6-21st Century Cures Act H.R.34-21st Century Cures Act H.R.2646-Helping Families in Mental Health Crisis Act of 2015 H.R.3299-Strengthening Public Health Emergency Response Act H.R.5243-Zika Response Appropriations Act S.1893-Mental Health Awareness and Improvement Act of 2015 S.1945-Mental Health Reform Act of 2015

Client expense: $462,139 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.6-21st Century Cures Act H.R.33-Protecting Volunteer Firefighters and Emergency Responders Act H.R.34-21st Century Cures Act H.R.290-Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015 H.R.293-To amend title XI of the Social Security Act to exempt from manufacturer transparency reporting certain transfers used for educational purposes, and for other purposes. H.R.398-Trafficking Awareness Training for Health Care Act H.R.639-Improving Regulatory Transparency for New Medical Therapies Act H.R.647-Access to Life-Saving Trauma Care for All Americans Act H.R.648-Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R.836-Health Care Safety Net Enhancement Act H.R.953-Comprehensive Addiction and Recovery Act of 2015 H.R.1190-Protecting Seniors Access to Medicare Act of 2015 H.R.1571-Improving Access to Medicare Coverage Act of 2015 H.R.1641-Jason Simcakoski Memorial Opioid Safety Act H.R.1725-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 H.R.1818-Veteran Emergency Medical Technician Support Act of 2015 H.R.1821-Opioid Overdose Reduction Act of 2015 H.R.1854-Comprehensive Justice and Mental Health Act of 2015 H.R.1877-Mental Health First Aid Act of 2015 H.R.2050-Middle Class Health Benefits Tax Repeal Act of 2015 H.R.2298-Medicare Patient Safety and Drug Abuse Prevention Act H.R.2366-Field EMS Modernization and Innovation Act H.R.2463-Dispose Responsibly of your Pills (DROP) Act of 2015 H.R.2536-Recovery Enhancement for Addiction Treatment (TREAT) Act H.R.2603-Saving Lives, Saving Costs Act H.R.2646-Helping Families in Mental Health Crisis Act of 2015 H.R.2799-Furthering Access to Stroke Telemedicine (FAST) Act H.R.2805-Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 H.R.2850-Stop Overdose Stat Act of 2015 H.R.2872-Opioid Addiction Treatment Modernization Act H.R.2948-Medicare Telehealth Parity Act of 2015 H.R.3014-Medical Controlled Substances Transportation Act of 2015 H.R.3081-TELEmedicine for MEDicare (TELE-MED) Act of 2015 H.R.3250-DXM Abuse Prevention Act of 2015 H.R.3299-Strengthening Public Health Emergency Response Act H.R.3537-Synthetic Drug Control Act of 2015 H.R.3677-Opioid Abuse Prevention and Treatment Act of 2015 H.R.3680-Co-Prescribing to Reduce Overdose Act of 2015 H.R.3681-Improving Access to Emergency Psychiatric Care Act H.R.3682-Reducing Employer Burdens, Unleashing Innovation, and Labor Development Act of 2015 H.R.3691-Improving Treatment for Pregnant and Postpartum Women Act of 2015 H.R.3762-Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 H.R.3770-End Surprise Billing Act of 2015 H.R.3865-Cradle Act H.R.4059-Medicare Choices Empowerment and Protection Act H.R.4063-Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act H.R.4150-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act H.R.4365-Protecting Patient Access to Emergency Medications Act of 2016 H.R.4435-Comprehensive Behavioral Health Reform and Recovery Act of 2016 H.R.4447-Opioid and Heroin Epidemic Emergency Supplemental Appropriations Act H.R.4499-Promoting Responsible Opioid Prescribing Act of 2016 H.R.4599-Reducing Unused Medications Act of 2016 H.R.4641-To provide for the establishment of an inter-agency task force to review, modify, and update best practices for pain management and prescribing pain medication, and for other purposes. H.R.4697-Prevevent Drug Addiction Act of 2016 H.R.4771-Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 H.R.4732-Advancing Medical Resident Training in Community Hospitals Act of 2016 H.R.5243-Zika Response Appropriations Act H.R.5273-Helping Hospitals Improve Patient Care H.R.5284-World's Greatest Healthcare Plan Act of 2016 H.R.5547-Health Care Price Transparency Promotion Act of 2016 H.Res.877-Encouraging each State to enact legislation that increases the likelihood of survival after sudden cardiac arrest in our Nation's schools. S.141-Protecting Seniors Access to Medicare Act of 2015 S.425-Homeless Veterans' Reintegration Programs Reauthorization Act of 2015 S.453-Veteran Emergency Medical Technician Support Act of 2015 S.480-National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015 S.524-Comprehensive Addiction and Recovery Act of 2015 S.599-Improving Access to Emergency Psychiatric Care Act S.636-Increasing the Safety of Prescription Drug Use Act of 2015 S.707-Opioid Overdose Reduction Act of 2015 S.711-Mental Health First Act of 2015 S.763-Trauma Systems and Regionalization of Emergency Care Reauthorization Act S.884-Health Care Safety Net Enhancement Act S.843-Improving Access to Medicare Coverage Act of 2015 S.954-FDA Accountability for Public Safety Act S.993-Comprehensive Justice and Mental Health Act of 2015 S.1134-Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 S.1392-Safer Prescribing of Controlled Substances Act S.1410-Treatment and Recovery Investment Act S.1431-Prescription Drug Abuse Prevention and Treatment Act of 2015 S.1446-SOAR to Health and Wellness Act of 2015 S.1450-Department of Veterans Affairs Emergency Medical Staffing Recruitment and Retention Act S.1452-Veterans Emergency Health Safety Net Expansion Act of 2015 S.1455-Recovery Enhancement for Addiction Treatment Act S.1465-Furthering Access to Stroke Telemedicine (FAST) Act S.1475-Saving Lives, Saving Costs Act S.1549-Care Planning Act of 2015 S.1648-Rural Emergency Acute Care Hospital (REACH) Act S.1654-Overdose Prevention Act S.1693-To amend title 38, United States Code, to expand eligibility for reimbursement for emergency medical treatment to certain veterans that were unable to receive care from the Department of Veterans Affairs in the 24-month period preceding the furnishing of such emergency treatment, and for other purposes. S.1778-TELEmedicine for MEDicare (TELE-MED) Act of 2015 S.1893-Mental Health Awareness and Improvement Act of 2015 S.1913-Stopping Medication Abuse and Protecting Seniors Act of 2015 S.1945-Mental Health Reform Act of 2015 S.2002-Mental Health and Safe Communities Act of 2015 S.2045-Middle Class Health Benefits Tax Repeal Act of 2015 S.2256-Co-Prescribing Saves Lives Act of 2015 S.2297-Medicare Choices Empowerment and Protection Act S.2525-Expand Excellence in Mental Health Act S.2562-Heroin and Prescription Drug Abuse Prevention and Reduction Act S.2567-Preventing Overprescribing for Pain Act of 2016 S.2578-Reducing Unused Medications Act of 2016 S.2597-Medicare Mental Health Access Act S.2671-Advancing Medical Resident Training in Community Hospitals Act of 2016 S.2680-Mental Health Reform Act of 2016 S.2687-Plan of Safe Care Improvement Act S.2932-Protecting Patient Access to Emergency Medications Act of 2016 S.2985-World's Greatest Healthcare Plan Act of 2016 S. 3407, Military Injury Surgical Systems Integrated Operationally Nationwide to Achieve ZERO Preventable Deaths (MISSION ZERO) Act P.L.114-10-Medicare Access and CHIP Reauthorization Act of 2015 P.L.114-324-Justice for All Reauthorization Act

Client expense: $462,139 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2646 - Helping Families in Mental Health Crisis Act of 2015 H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures Act S. 711 - Mental Health First Act of 2015 S. 599 - Improving Access to Emergency Psychiatric Care Act S. 149 - Medical Device Access and Innovation Protection Act H.R. 160 - Protect Medical Innovation Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 141 - Protecting Seniors Access to Medicare Act of 2015 H.R.3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 S. 1945 - Mental Health Reform Act of 2015 S. 2680 - Mental Health Reform Act of 2016 S. 524 - Comprehensive Addiction and Recovery Act (CARA)

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

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

H.R. 2646 - Helping Families in Mental Health Crisis Act of 2015 H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 6 - 21st Century Cures Act S. 711 - Mental Health First Act of 2015 S. 599 - Improving Access to Emergency Psychiatric Care Act S. 149 - Medical Device Access and Innovation Protection Act H.R. 160 - Protect Medical Innovation Act of 2015 H.R. 1190 - Protecting Seniors' Access to Medicare Act of 2015 S. 141 - Protecting Seniors Access to Medicare Act of 2015 H.R.3762 - Restoring Americans' Healthcare Freedom Reconciliation Act of 2015 S. 1945 - Mental Health Reform Act of 2015 S. 2680 - Mental Health Reform Act of 2016 S. 524 - Comprehensive Addiction and Recovery Act (CARA)

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

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

Legislation to amend the definition of physician in Medicare to provide for treatment of clinical psychologists as physicians, for purposes of providing clinical psychologist services under Medicare, including, H.R. 4277 and S. 2597, Medicare Mental Health Access Act; H.R. 2646, Helping Families in Mental Health Crisis; S. 1945, Mental Health Reform Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation to amend the definition of physician in Medicare to provide for treatment of clinical psychologists as physicians, for purposes of providing clinical psychologist services under Medicare, including, H.R. 4277 and S. 2597, Medicare Mental Health Access Act; H.R. 2646, Helping Families in Mental Health Crisis; S. 1945, Mental Health Reform Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Conversion Therapy Defending the Affordable Care Act End Discrimination Against Gay and Bisexual Blood and Tissue Donors Financial Services and General Government Appropriations Funding for HIV/AIDS Education, Prevention, and Research Funding for and Education Regarding Comprehensive Sexual Health Education HIV Organ Policy Equity (HOPE) Act Implementation Implementation of Section 1557 Nondiscrimination regulations Implementation of the Patient Protection and Affordable Care Act Interpretation of the Older Americans Act LGBTQ Data Collection Repeal of Federal Ban on Funding for Syringe Exchange Programs Ryan White CARE program Reauthorization Unfair Drug Pricing Practices Comprehensive Behavioral Health Reform and Recovery Act of 2016 (H.R. 4435) CURE Act (H.R. 3396) Health Equity and Accountability Act of 2016 (H.R. 5475) Healthy Families Act (H.R. 932; S. 497) Helping Families in Mental Health Crisis Act (H.R. 2646) The HIV Clinical Services Improvement Act (H.R. 3637; S. 2097) Labor, HHS, and Education Appropriations LGBT Data Inclusion Act (H.R. 5373; S. 3134) LGBT Elder Americans Act (S. 1765) LGBT Providing a Requirement to Improve Data Collection Efforts (PRIDE) Act (H.R. 5855) Mental Health Reform Act (S.1945) NIH Strategic Planning and Representation in Medical Research Act (S.2745) Older Americans Reauthorization Act (S. 192) Real Education for Healthy Youth Act (H.R. 1706; S. 2765) REPEAL (Repeal Existing Policies that Encourage and Allow Legal) HIV Discrimination Act (H.R. 1586) Security and Financial Empowerment Act of 2015 (H.R. 3841; S. 2208) Stop Harming Our Kids Resolution (H.Con.Res. 36; S.Res. 184) Teach Safe Relationships Act (H.R. 3141; S. 355) Therapeutic Fraud Prevention Act (H.R. 2450) Youth Access to Sexual Health Services Act (H.R. 4475; S. 3360)

Client expense: $190,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Centers For Disease Control & Prevention (CDC), Commerce, Dept of (DOC), Defense, Dept of (DOD), Education, Dept of, Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Interior, Dept of (DOI), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl AIDS Policy, Office of Personnel Management (OPM), Office on Violence Against Women, SENATE, Social Security Administration (SSA), State, Dept of (DOS), Treasury, Dept of, U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Family Health Care Accessibility Act(S.2151); Teaching Health Centers; The Helping Families in Mental Health Crisis Act (H.R.2646); Health Information Technology and TeleHealth; Flex IT Act (H.R.270); 21st Century Cures Act (H.R.34); Mental Health Reform Act(S.1945); Substance abuse and opioid use; 340B Drug Discount Program; Primary Care - Behavioral Health Integration; Access to Substance Abuse Treatment Act (H.R.4861); Comprehensive Addiction and Recovery Act (S.524); Repeal/Replace of ACA.

Client expense: $290,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Issues related to inclusion of prescription drugs within Essential Health Benefit; H.R. 2646, Helping Families in Mental Health Crisis Act of 2015; S. 1945, Mental Health Reform Act of 2015; S. 2680, Mental Health Reform Act of 2016; and mental health coverage expansion

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Affordable Care Act Issues - ACA Regulations, Postal Reform; Department of Labor Conflict of Interest Rule; HCR Implementation; Health Savings Accounts (HSA's); Re-insurance; Co-ops; Notice of Benefit and Payment Parameters (NBPP); Health Care Bill; Market Stability; Year end priorities; Cost Sharing Reduction (CSR); "Better Way"; Repeal/Replace Modeling: ACA reform; Risk Corridors; Chronic Care; Comprehensive Care; Comprehensive Care and Recovery Act (CARA); Mental Health Reform; Premium Education; Third Party Payment of Premiums; Association Health Plans; SEPs; Grace Periods; Age Bands. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA) this bill repeals a provision of the Patient Protection and Affordable Care Act that imposes an annual fee on a health insurance provider based on its net premium income. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21,2015 by Keith Rothfus (R-PA) this bill amends title XVII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 3463 Aligning Children's Dental Coverage Act Introduced September 9, 2015 by H. Griffith (R-VA) to amend title XXVII of the Public Health Service Act to clarify the treatment of pediatric dental coverage in the individual and group markets outside of Exchanges established under the Patient Protection and Affordable Care Act, and for other purposes as introduced. HR 3742 Access to Marketplace Insurance Act Introduced October 9, 2015 by Kevin Cramer (R-ND) to amend the Patient Protection and Affordable Care Act to allow for certain third party payments. HR 4275 Medicare Advantage Quality Payment Relief Act of 2015 Introduced December 16, 2015 by Mike Kelly (R-PA) to amend title XVIII of the Social Security Act to eliminate a provision under the Medicare Advantage program that inadvertently penalizes Medicare Advantage plans for providing high quality care to Medicare beneficiaries. HR 5410 Health Coverage State Flexibility Act of 2016 Introduced June 8, 2016 by Bill Flores (R-TX) to amend the Patient Protection and Affordable Care Act to better align the grace period required for non-payment of premiums before discontinuing coverage under qualified health plans with such grace periods provided for under State Law. HR 5447 Small Business Health Care Relief Act of 2016 introduced June 21, 2016 by Charles Boustany, Jr. (R-LA) to provide an exception from certain group health plan requirements for qualified small employer health reimbursement arrangements. HR 5506 Introduced June 15, 2016 by Todd Young (R-IN) to amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 5547 Health Care Price Transparency Promotion Act of 2016 Introduced by Michael Burgess (R-IN) to amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of-pocket costs. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) to amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. HR 5904 Tax Payers Before Insurers Act Introduced July 14, 2016 by Mark Walker (R-NC) to require the Secretary of Health and Human Services to deposit certain funds into the general fund of the Treasury in accordance with provisions of Federal law with regard to the Patient Protection and Affordable Care Act's Transitional Reinsurance Program. HR 5921 State Age Rating Flexibility Act Introduced July 21, 2016 by Larry Bucshon (R-IN) to amend title XXVII of the Public Health Service act to change the permissible age variation in health insurance rates. S. 524 Comprehensive Addiction and Recovery Act of 2016 Introduced February 12, 2015 by Sheldon Whitehouse (D-RI) overdoses from heroin prescription drugs and opioid pain relievers last year surpassed car accidents as the leading cause of injury-related death in America, according to the Center for Disease Control. Deaths have reached their highest levels of the 21st Century in 2014, the most recent year for which data is available, according to the National Institute on Drug Abuse. Heroin overdoses have more than tripled in the last five years, an issue receiving outsize attention nationally but especially during the presidential campaign season as New Hampshire has been one of the hardest-hit states. S. 1697 Small Business Healthcare Relief Act Introduced June 25, 2015 by Charles Grassley (R-IA) a bill to provide an exception from certain group health plan requirements to allow small businesses to use pre-tax dollars to assist employees in the purchase of policies in the individual health insurance market and for other purposes. S. 1945 Introduced August 5, 2015 by Bill Cassidy (R-LA) A bill to make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Mental health initiatives (H.R. 2646, Helping Families in Mental Health Crisis Act of 2016; S. 1945, Mental Health Reform Act of 2015); Opioid abuse (H.R. 953, Comprehensive Addiction and Recovery Act of 2015; S. 524, Comprehensive Addiction and Recovery Act of 2016); Prescription drug diversion and abuse initiatives; Health information technology - meaningful use; Senate HELP Committee's Working Group on Innovations; Zika funding; MACRA implementation; H.R. 6, 21st Century Cures Act; H.R. 5325, Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.2646, "Helping Families in Mental Health Crisis Act of 2015", regarding all provisions. S.1945, "Mental Health Reform Act of 2015", regarding all provisions. H.R. 5410, "Health Coverage State Flexibility Act of 2016", regarding all provisions. H.R. 5659, "ESRD Choice Act of 2016", regarding all provisions. S. 2803, "Taxpayers Before Insurers Act", regarding all provisions. H.R. 5589, "Plan Verification and Fairness Act of 2016", regarding all provisions. H.R. 3742, "Access to Marketplace Insurance Act", regarding all provisions. H.R. 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.", regarding all provisions. H.R. 5447, "Small Business Health Care Relief Act of 2016", regarding all provisions. Issues related to Mental Health Parity. Issues related to the Federal Employee Health Benefit Program (FEHBP). Issues related to the Affordable Care Act including Chronic Care Innovations; Payment reform; 2017 Notice of Benefit and Payment Parameters (NBPP); ACA Regulations; Co-ops; Implementation; Cyber Security; Open Enrollment; Market Stability; Department of Labor Conflict of Interest Rule; Grace Periods; Special Enrollment Periods.

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

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

Senate HELP Committee's Innovation Working Group Opioid issues (H.R. 953, Comprehensive Addiction and Recovery Act of 2015; S. 524, Comprehensive Addiction and Recovery Act of 2016); Mental health policies (H.R. 2646, Helping Families in Mental Health Crisis Act of 2016; S. 1945, Mental Health Reform Act of 2015); H.R. 6, 21st Century Cures Act; H.R. 5324, Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4499, Promoting Responsible Opioid Prescribing (PROP) Act of 2016, provisions relating to payment and delivery reform S. 2758, Promoting Responsible Opioid Prescribing (PROP) Act of 2016, provisions relating to payment and delivery reform S. 3130, Independence at Home Act of 2016, all provisions H.R. 3220, Medicare Common Access Card Act of 2015, all provisions S. 3504, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016, all provisions H.R.6333, To amend title XVIII of the Social Security Act with respect to the accreditation of osteopathic residency training programs for purposes of graduate medical education payments under the Medicare program, all provisions H.R. 976, Patient Access to Higher Quality Health Care Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015, provisions relating to payment and delivery reform H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to payment and delivery reform S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to payment and delivery reform H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, all provisions S.141, Protecting Seniors' Access to Medicare Act of 2015, all provisions H.R. 4442, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, provisions relating to telehealth S. 2484, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, provisions relating to telehealth S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 2646, Helping Families in Mental Health Crisis Act of 2016, all provisions S. 1945, Mental Health Reform Act of 2015, all provisions S. 1913, Stopping Medication Abuse and Protecting Seniors Act of 2015, all provisions Medicare program: MACRA Implementation Medicare program: PAMA implementation Medicare program: ACO Improvement Act Medicare program: The Center for Medicare and Medicaid Innovation (CMMI) Medicare program: Repeal of the Independent Payment Advisory Board (IPAB) Medicare program: Medicare Part B Drug Demonstration Medicare program: Regulatory Relief Medicare program: CY 2017 Medicare Physician Fee Schedule Medicare program: In-Office Ancillary Services Exception (IOASE) Medicare program: Merit-Based Incentive Payment System (MIPS) Medicare program: Value-Based Payment Modifier (VPM) Medicare program: Physician Compare Medicare program: Alternate Payment Models Medicare program: Physician Quality Reporting System (PQRS) Medicare program: Graduate Medical Education (GME) Medicare program: Electronic Health Records/Meaningful Use (EHR/MU) Medicare program: Quality Reporting Medicare program: ICD-10 Medicare program: Prescription Drug Diversion Medicare program: Physician data Medicare program: Telemedicine Medicare program: Patient Relationship Codes Medicare program: Social Security Number Removal Initiative Medicaid program: Amendment to New York's section 1115 demonstration waiver

Client expense: $3,990,000 · 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), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

Issues related to Medicaid managed care plans; H.R. 546/S. 298, Advancing Care for Exceptional Kids Act of 2015; mental health reform, specifically H.R. 2646, Helping Families in Mental Health Crisis Act of 2015, S. 1945, Mental Health Reform Act of 2015, and S. 2680, Mental Health Reform Act of 2016;and Medicaid reform efforts.

Client expense: Not reported · Firm income: $37,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to mental health and general health and health care legislation and regulation, including P.L. 111-148 (Patient Protection and Affordable Care Act) and P.L. 111-152 (Reconciliation Act of 2010). The health insurance excise tax, including H.R. 2050 and H.R. 879, S. 2045, the Middle Class Health Benefits Repeal Act of 2015, and S. 2075, the American Worker Health Care Tax Relief Act of 2015. S. 1945, the Mental Health Reform Act of 2015, S. 524 the Comprehensive Addiction and Recovery Act of 2016, and S. 2680, the Mental Health Reform Act of 2016; H.R. 5046 the Comprehensive Opioid Abuse Reduction Act and H.R. 2646 the Helping Family in Mental Crisis Act of 2016. Issues relating to employer sponsored healthcare.

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

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

Advocacy on childrens mental health issues, including H.R. 2646, Helping Families in Mental Health Crisis Act of 2015 and S. 1945, Mental Health Reform Act of 2015; Advocacy on Institutions for Mental Diseases (IMD) issues including implementation of S. 599, Improving Access to Emergency Psychiatric Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, Natl Institute of Standards & Technology (NIST), SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Section 2706 of the ACA regarding provider non-discrimination Policies affecting nurse practitioner education and workforce Definition of essential health benefits and provider network adequacy Health information technology and electronic health records Telehealth provisions of draft medical innovation legislation Mental health services and violence prevention Lead contamination of drinking water H.R. 6/H.R. 34 - 21st Century Cures Act H.R. 30 - Save American Workers Act H.R. 248/S. 305 - American Job Protection Act H.R. 512 - Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act H.R. 596 - To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010 H.R. 609/S. 287 - Safe Food Act H.R. 879 - Ax the Tax on Middle Class Americans' Health Plans Act H.R. 897 - Zika Vector Control Act H.R. 931 - Helping Effective Antibiotics Last (HEAL) Act H.R. 932/S. 497 - Healthy Families Act H.R. 933/S. 486 - Head Start on Vaccinations Act H.R. 1151 - USPSTF Transparency and Accountability Act of 2015 H.R 1189/S. 620 - Preserving Employee Wellness Programs Act H.R. 1209/S. 628 - Improving Access to Maternity Care Act H.R. 1372 - Home Visiting Extension Act H.R. 1462/S. 799 - Protecting Our Infants Act H.R 1517 - Stop Selling and Marketing to Our Kids E-Cigarettes (SMOKE) Act H.R. 1552 - Preservation of Antibiotics for Medical Treatment Act H.R. 1599 - Safe and Accurate Food Labeling Act H.R 1624 - Protecting Affordable Coverage for Employees (PACE) Act H.R. 2017/S. 2217 - Common Sense Nutrition Disclosure Act H.R. 2300/S. 2519 - Empowering Patients First Act of 2015 H.R. 2646 - Helping Families in Mental Health Crisis Act H.R. 2653 - American Health Care Reform Act H.R. 2690 - Including Families in Mental Health Recovery Act H.R. 2713 - Title VIII Nursing Workforce Reauthorization Act H.R. 2948 - Medicare Telehealth Parity Act H.R. 3081/S. 1778 - Telemedicine for Medicare (TELE-MED) Act H.R. 3299 - Strengthening Public Health Emergency Response Act of 2015 H.R. 3379 - Airplane Kits Act H.R. 3463 - Aligning Childrens Dental Coverage Act H.R. 3495 - Women's Public Health and Safety Act H.R. 3660 - Preventive Health Savings Act H.R. 3659 - Exchange Inclusion for a Healthy America Act H.R. 3762 - Restoring Americans Healthcare Freedom Reconciliation Act H.R. 3865/S. 2542 - Cradle Act H.R. 4276 - Behavioral Health Coverage Transparency Act H.R. 4400/S. 2512 - Adding Zika Virus to the FDA Priority Review Voucher Program Act H.R. 4479 - Families of Flint Act H.R. 4723 - Protecting Taxpayers by Recovering Improper Obamacare Subsidy Overpayments Act H.R. 4724 - Reducing Duplicative and Ineffective Federal Funding Act H.R. 4771 - Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2016 H.R. 5001/S. 2822 - Flexibility in Health IT Reporting (Flex-IT) Act H.R. 5003 - Improving Child Nutrition and Education Act of 2016 H.R. 5065/S. 3299 - Bottles and Breastfeeding Equipment Screening (BABES) Act H.R. 5284 - Worlds Greatest Healthcare Plan Act of 2016 H.R. 5456/S. 3065 - Family First Prevention Services Act S. 30 - Forty Hours Is Full Time Act S. 142/H.R. 1375/H.R. 3242 - Child Nicotine Poisoning Prevention Act S. 185 - Promise for Antibiotics and Therapeutics for Health (PATH) Act S. 203 - American Liberty Restoration Act S. 339 - ObamaCare Repeal Act S. 481 - Improving Regulatory Transparency for New Medical Therapies Act S. 522 - Protecting & Retaining Our Children's Health Insurance Program (PRO-CHIP) Act S. 612 - Water Infrastructure Improvements for the Nation Act S. 621 - Prevention of Antibiotic Resistance Act S. 673 - Winding Down Obamacare Act S. 674 - 21st Century Womens Health Act S. 764 - National Bioengineered Food Disclosure Standard S. 971 - Medicare Independence at Home Medical Practice Demonstration Improvement Act S. 993/H.R. 1854 - Comprehensive Justice and Mental Health Act S. 1014 - Personal Care Products Safety Act S. 1016 - Preserving Freedom and Choice in Health Care Act S. 1456 - Rural ACO Improvement Act S. 1549 - Care Planning Act S. 1793 - Promoting Physical Activity for Americans Act S. 1893 - Mental Health Awareness and Improvement Act S. 1945 - Mental Health Reform Act S. 2002/H.R. 3722 - Mental Health and Safe Communities Act S. 2045/H.R. 2050 - Middle Class Health Benefits Tax Repeal Act S. 2075 - American Worker Health Care Tax Relief Act S. 2100 - Tobacco to 21 Act S. 2153 - Provider Payment Sunshine Act S. 2173/H.R. 3712 - Improving Access to Mental Health Act S. 2218/H.R. 1218 - Personal Health Investment (PHIT) Act S. 2259 - ACO Assignment Improvement Act S. 2261 - Rural ACO Provider Equity Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act S. 2380 - Public Health Emergency Response and Accountability Act S. 2408/H.R. 4266 - Nurse and Health Care Worker Protection Act S. 2484 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act S. 2525/H.R. 4567 - Expand Excellence in Mental Health Act of 2016 S. 2609 - An original bill to amend the Agricultural Marketing Act of 1946 to require the Secretary of Agriculture to establish a national voluntary labeling standard for bioengineered foods S. 2680 - Mental Health Reform Act of 2016 S. 2687 - Plan of Safe Care Improvement Act S. 2821 - Testing, Removal, and Updated Evaluations of Lead Everywhere in America for Dramatic Enhancements that Restore Safety to Homes, Infrastructure, and Pipes (True LEADership) Act of 2016 S. 2848/H.R. 5303 - Water Resources Development Act of 2016 S. 2873/H.R. 5395 - Expanding Capacity for Health Outcomes (ECHO) Act S. 3136 - Improving Child Nutrition Integrity and Access Act of 2016 S. 3190 - Strengthening Our Rural Health Workforce Act of 2016 S. 3239 - Research to Accelerate Cures and Equity (RACE) for Children Act S. 3245 - Nursing Workforce Reauthorization Act of 2016 S. 3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act

Client expense: Not reported · Firm income: $23,450

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

HR1190, Protecting Seniors' Access to Medicare Act of 2015 (all sections of full text) S141, Protecting Seniors' Access to Medicare Act of 2015 (all sections of full text) S.2680 Mental Health Reform Act of 2016 (all sections of full text) S.1945 Mental Health Reform Act of 2015 (all sections of full text) Monitored the HHS/CMS 'Two-Midnight' rule-making process and decision on inpatient payments Monitored HR1083, Medicaid Physician Self-Referral Act of 2015 (All sections of full text) Monitored HR4273 Medicare and Medicaid Improvements and Adjustments Act of 2015; monitored the lowering of Medicare outpatient site neutral rate proposals Monitored HR4428 Fair Medicare Hospital Payments Act of 2016 Monitored HR5273 Helping Hospitals Improve Patient Care Act of 2016 Monitored HR 5547 Health Care Price Transparency Promotion Act of 2016

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

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of the Vice President of the United States, SENATE

Lobbied on issues relating to Infant and Early Childhood Mental Health, particularly, S. 1945, the Mental Health Reform Act of 2015 , S. 1893, the Mental Health Awareness and Improvement Act of 2015 and H.R. 2646, Helping Families in Mental Health Crisis Act of 2015. The final bill became P.L. 114-23, the 21st Century Cures Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Lobbied on issues relating to Infant and Early Childhood Mental Health, particularly, S. 1945, the Mental Health Reform Act of 2015 , S. 1893, the Mental Health Awareness and Improvement Act of 2015 and H.R. 2646, Helping Families in Mental Health Crisis Act of 2015.The final bill became P.L. 114-23, the 21st Century Cures Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Implementation of health care reform as it relates to access to substance abuse treatment and prevention and mental health services and parity; Implementation of Sec. 2707 of health care reform legislation; FY17 appropriations related to provision of mental health and substance abuse treatment services; Medicaid implementation of IMD Exclusion; HR 2664 - Title V as it relates to Medicaid and the IMD exclusion and S. 1945 - Title V as it relates to Medicaid and the IMD Exclusion; S. 1949 and H.R. 2646 provisions that relate to the IMD exclusion and such treatment; implementation of S. 524 provisions related to SUD treatment and funding for the emergency response to the opioid epidemic

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Implementation of health care reform as it relates to access to substance abuse treatment and prevention and mental health services and parity; Implementation of Sec. 2707 of health care reform legislation; FY17 appropriations related to provision of mental health and substance abuse treatment services; Medicaid implementation of IMD Exclusion; HR 2664 - Title V as it relates to Medicaid and the IMD exclusion and S. 1945 - Title V as it relates to Medicaid and the IMD Exclusion; S. 1949 and H.R. 2646 provisions that relate to the IMD exclusion and such treatment; implementation of S. 524 provisions related to SUD treatment and funding for the emergency response to the opioid epidemic

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Implementation of health care reform as it relates to access to substance abuse treatment and prevention and mental health services and parity; Implementation of Sec. 2707 of health care reform legislation; FY17 appropriations related to provision of mental health and substance abuse treatment services; Medicaid implementation of IMD Exclusion; HR 2664 - Title V as it relates to Medicaid and the IMD exclusion and S. 1945 - Title V as it relates to Medicaid and the IMD Exclusion; S. 1949 and H.R. 2646 provisions that relate to the IMD exclusion and such treatment; implementation of S. 524 provisions related to SUD treatment and funding for the emergency response to the opioid epidemic

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Implementation of health care reform as it relates to access to substance abuse treatment and prevention and mental health services and parity; Implementation of Sec. 2707 of health care reform legislation; FY17 appropriations related to provision of mental health and substance abuse treatment services; Medicaid implementation of IMD Exclusion; HR 2664 - Title V as it relates to Medicaid and the IMD exclusion and S. 1945 - Title V as it relates to Medicaid and the IMD Exclusion; S. 1949 and H.R. 2646 provisions that relate to the IMD exclusion and such treatment; implementation of S. 524 provisions related to SUD treatment and funding for the emergency response to the opioid epidemic

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Affordable Care Act (ACA) Issues; ACA Regulations, HCR Implementation; Market Stability; Health Savings Accounts (HSAs); Notice of Benefits and Payment Parameters (NBPP); Special Enrollment Periods (SEPs); Cost-sharing Reduction (CSR); Re-insurance; Risk Corridors; Better Way; Repeal/Replace Modeling; ACA Reform; Risk Programs; Premium Education; Chronic Care; Individual Market Reform; Third Party Payments of Premiums; Exchanges; Age Bands. HR 2488 Medicare Beneficiary Preservation of Choice Act of 2015 Introduced May 21, 2015 by Keith Rothfus (R-PA) This bill amends title XVIII (Medicare) of the Social Security Act to expand and modify enrollment and disenrollment options for Medicare Advantage (MA) eligible individuals. Specifically, the bill extends the annual period in which an individual enrolled in MA may elect to instead receive benefits under the original Medicare fee-for-service (FFS) program as well as elect to change qualified prescription drug coverage. Furthermore, any MA-eligible individual (whether or not enrolled in MA) may once per period change a previous election with respect to receiving benefits through MA or Medicare FFS, including changing from one MA plan to another. Unsolicited marketing during this period is prohibited. HR 928 Introduced February 12, 2015 by Charles Boustany (R-LA). This bill repeals a provision of the ACA that imposes an annual fee on a health insurance provider based on its net premium income. HR 2646 Helping Families in Mental Health Crisis Act of 2015 Introduced May 4, 2015 by Tim Murphy (R-PA) To make available needed psychiatric, psychological, and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. HR 3742 Access to Marketplace Insurance Act Introduced October 9, 2015 by Kevin Cramer (R-ND) To amend the Patient Protection and Affordable Care Act to allow for certain third party payments. HR 5410 Health Coverage State Flexibility Act of 2016, Introduced June 21, 2016 by Bill Flores (R-TX), Amends the Patient Protection and Affordable Care Act to revise the grace period that health insurers must provide to recipients of premium subsidies before discontinuing health coverage for nonpayment of premiums. HR 5506 Introduced June 15, 2016 by Todd Young (R-IN) To amend title XVIII of the Social Security Act to establish a demonstration program to provide integrated care for Medicare beneficiaries with end-stage renal disease, and for other purposes. HR 5547 Health Care Price Transparency Promotion Act of 2016 Introduced by Michael Burgess (R-IN) To amend title XIX of the Social Security Act to provide for increased price transparency of hospital information and to provide for additional research on consumer information on charges and out-of picket costs. HR 5589 Plan Verification and Fairness Act of 2016 Introduced June 28, 2016 by Marsha Blackburn (R-TN) To amend title I of the Patient Protection and Affordable Care Act to require verification for eligibility for enrollment during special enrollment periods in PPACA insurance plans, and for other purposes. HR 5904 Tax Payers Before Insurers Act Introduced July 14, 2016 by Mark Walker (R-NC) To require the Secretary of Health and Human Services to deposit certain funds into the general fund of the Treasury in accordance with provision of Federal law with regard to the Patient Protection and Affordable Care Acts Transitional reinsurance Program. HR 5921 State Age Rating Flexibility Act Introduced July 21, 2016 by Larry Bucshon (R-IN) To amend title XXVII of the Public Health Services Act to change the permissible age variation in health insurance premium rates. S. 524 Comprehensive Addition and Recovery Act of 2016 Introduced February 12, 2015 by Sheldon Whitehouse (D-RI) Overdoes from heroin, prescription drugs, and opioid pain relievers. Overdoses from heroin, prescription drugs, and opioid pain relievers last year surpassed car accidents as the leading cause of injury-related death in America, according to the Centers for Disease Control. Deaths have reached their highest levels of the 21st century in 2014, the most recent year for which data is available, according to the National Institute on Drug Abuse. The bill authorizes the Attorney General and Secretary of Health and Human Services to award grants to address the national epidemics of prescription opioid abuse and heroin use. S. 1945 Mental Health Reform Act of 2015 Introduced August 5, 2015 by Bill Cassidy (R-LA) A bill to make available needed psychiatric, psychological and supportive services for individuals with mental illness and families in mental health crisis, and for other purposes. Network Adequacy standards and tiered networks.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE