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Patient Access and Medicare Protection Act
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
79pct
10d open
vs 3,548 other S bills in the 114th — cohort avg 43d
(This measure has not been amended since it was introduced. The summary has been expanded because action occurred on the measure.) Patient Access and Medicare Protection Act (Sec. 2) This bill temporarily exempts from certain Medicare payment adjustments wheelchair accessories and seat and back cushions furnished in connection with Group 3 complex rehabilitative power wheelchairs. (Group 3 power wheelchairs are those that meet the highest performance requirements with regard to speed, range, and climbing capability.) The Government Accountability Office must study wheelchair accessories and seat and back cushions furnished in connection with Group 3 complex rehabilitative power wheelchairs. (Sec. 3) The bill amends title XVIII (Medicare) of the Social Security Act (SSAct) to prohibit specified adjustments to the Medicare fee schedule for certain radiation therapy services in 2017 or 2018. Under current law, the Centers for Medicare & Medicaid Services (CMS) must periodically identify, review, and make adjustments to potentially misvalued services under Medicare. The bill specifies that certain radiation therapy services shall not be considered as potentially misvalued services for these purposes in 2017 or 2018. (Sec. 4) For 2017, CMS may exempt categories of eligible professionals from requirements for meaningful use of electronic health records (EHR) technology. Under current law, CMS may, on a case-by-case basis, exempt an eligible professional from certain negative payment adjustments that would otherwise apply due to the professional's failure to comply with those requirements. (Sec. 5) The bill eliminates funding for the Medicare Improvement Fund. (The fund was established to make improvements under the original Medicare fee-for-service program.) (Sec. 6) The bill amends title XIX (Medicaid) of the SSAct to make changes related to the Medicaid Integrity Program (MIP). The bill: (1) specifies that program appropriations may cover the costs of equipment, travel, training, and salaries and benefits; and (2) allows CMS flexibility in determining the number of additional staff necessary to carry out the program. (MIP is a federal program aimed at preventing and reducing provider fraud, waste, and abuse in the Medicaid program.) (Sec. 7) Under current law, CMS may contract with Medicare administrative contractors (MACs), which are private insurers that process Medicare claims within specified geographic jurisdictions. The bill requires CMS to provide specified incentives for MACs to reduce improper payment error rates within their jurisdictions. (Sec. 8) The bill establishes criminal penalties of up to 10 years imprisonment and up to $500,000 ($1,000,000 for corporations) in fines for illegally purchasing or distributing Medicare, Medicaid, or Children's Health Insurance Program (CHIP) beneficiary identification or billing privileges. (Sec. 9) The bill increases the scope of the Medicare-Medicaid Data Match Program (Medi-Medi Program), an existing program through which contractors and participating governmental agencies collaboratively analyze Medicare and Medicaid billing trends. CMS must establish a plan to encourage states to participate in the Medi-Medi Program. CMS shall implement a plan to allow states to access relevant data on improper or fraudulent payments made under the Medicare program on behalf of individuals dually eligible for both Medicare and Medicaid.
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Filing registrants (41)
Became Public Law No: 114-115.
Became Public Law No: 114-115.
Signed by President.
Signed by President.
Presented to President.
Presented to President.
Motion to reconsider laid on the table Agreed to without objection.
On passage Passed without objection. (text: CR H10706-10707)
Passed/agreed to in House: On passage Passed without objection.(text: CR H10706-10707)
Considered by unanimous consent. (consideration: CR H10706-10707)
Mr. Price, Tom asked unanimous consent to take from the Speaker's table and consider.
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2020 · fourth_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support for reforms to the CMMI Proposed Radiation Oncology Alternative Payment Model S.3230 - TA SUPPORT Act to ensure that small and rural physician practices participating in Medicares new Merit-Based Incentive Payment System (MIPS) have access to the technical assistance. Support for waiving budget neutrality adjustments associated with evaluation and management code changes.
Client expense: $148,483 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2020 · third_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support for reforms to the CMMI Proposed Radiation Oncology Alternative Payment Model S.3230 - TA SUPPORT Act to ensure that small and rural physician practices participating in Medicares new Merit-Based Incentive Payment System (MIPS) have access to the technical assistance. Support for waiving budget neutrality adjustments associated with evaluation and management code changes.
Client expense: $71,882 · Firm income: Not reported
2020 · third_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support for reforms to the CMMI Proposed Radiation Oncology Alternative Payment Model S.3230 - TA SUPPORT Act to ensure that small and rural physician practices participating in Medicares new Merit-Based Incentive Payment System (MIPS) have access to the technical assistance. Support for waiving budget neutrality adjustments associated with evaluation and management code changes.
Client expense: $109,309 · Firm income: Not reported
2020 · second_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support for reforms to the CMMI Proposed Radiation Oncology Alternative Payment Model S.3230 - TA SUPPORT Act to ensure that small and rural physician practices participating in Medicares new Merit-Based Incentive Payment System (MIPS) have access to the technical assistance.
Client expense: $109,309 · Firm income: Not reported
2020 · first_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support for reforms to the CMMI Proposed Radiation Oncology Alternative Payment Model S.3230 - TA SUPPORT Act to ensure that small and rural physician practices participating in Medicares new Merit-Based Incentive Payment System (MIPS) have access to the technical assistance.
Client expense: $181,863 · Firm income: Not reported
Received in the House.
Message on Senate action sent to the House.
Introduced in the Senate, read twice, considered, read the third time, and passed without amendment by Voice Vote. (consideration: CR S8859-8861; text as passed Senate: CR S8859-8861)
Passed/agreed to in Senate: Introduced in the Senate, read twice, considered, read the third time, and passed without amendment by Voice Vote.(consideration: CR S8859-8861; text as passed Senate: CR S8859-8861)
Introduced in Senate
| -- |
| Democratic |
| CO |
| Patty Murray | Democratic | WA |
| Richard Blumenthal | Democratic | CT |
| Richard Burr | Republican | NC |
| Robert P. Casey, Jr. | Democratic | PA |
| Ron Wyden | Democratic | OR |
| Roy Blunt | Republican | MO |
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2019 · fourth_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support for reforms to the CMMI Proposed Radiation Oncology Alternative Payment Model
Client expense: $154,606 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2019 · third_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support for reforms to the CMMI Proposed Radiation Oncology Alternative Payment Model
Client expense: $205,506 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2019 · second_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015
Client expense: $217,045 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2019 · first_quarter · Medicare/Medicaid
HR 913, Clinical Treatment Act Local Coverage Determinations Clarification Act Oppose restrictive prior authorization practices. S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law. for radiation therapy services; Promoting Integrity in Medicare Act (H.R. 2143) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare. sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015
Client expense: $210,934 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2018 · fourth_quarter · Medicare/Medicaid
HR 6836, Clinical Treatment Act HR 3635, Local Coverage Determinations Act Prior Authorization S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to freeze radiation therapy payments through the end of 2019, increase funding for the NIH for FY 2018 and FY 2019, and simplify the MIPS program; Balanced Budget Act of 2018 (HR 1892). Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $189,038 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2018 · fourth_quarter · Medicare/Medicaid
HR 6836, Clinical Treatment Act HR 3635, Local Coverage Determinations Act Prior Authorization S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to freeze radiation therapy payments through the end of 2019, increase funding for the NIH for FY 2018 and FY 2019, and simplify the MIPS program; Balanced Budget Act of 2018 (HR 1892). Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $189,038 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2018 · fourth_quarter · Health Issues
Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2018 · fourth_quarter · Medicare/Medicaid
Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2018 · third_quarter · Medicare/Medicaid
HR 3635, Local coverage Determinations Act Prior Authorization S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to freeze radiation therapy payments through the end of 2019, increase funding for the NIH for FY 2018 and FY 2019, and simplify the MIPS program; Balanced Budget Act of 2018 (HR 1892). Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $197,287 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2018 · third_quarter · Health Issues
Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2018 · third_quarter · Medicare/Medicaid
Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2018 · second_quarter · Medicare/Medicaid
S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to freeze radiation therapy payments through the end of 2019, increase funding for the NIH for FY 2018 and FY 2019, and simplify the MIPS program; Balanced Budget Act of 2018 (HR 1892). Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $235,969 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2018 · second_quarter · Health Issues
Work to ensure that radiation oncologists on the island of Puerto Rico have access to the tools that they need to treat their patients after Hurricane Maria. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2018 · second_quarter · Medicare/Medicaid
Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2018 · first_quarter · Medicare/Medicaid
S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to freeze radiation therapy payments through the end of 2019, increase funding for the NIH for FY 2018 and FY 2019, and simplify the MIPS program; Balanced Budget Act of 2018 (HR 1892). Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $174,676 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2018 · first_quarter · Medicare/Medicaid
H.R. 1301/ P.L. 115-124 - Continuing Resolution of 2018 - advocating for the inclusion of policies that could positively impact the successful creation and promulgation of Alternative Payment Models for radiation oncologists, issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. H.R. 3921 - Healthy Kids Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2018 · first_quarter · Health Issues
H.R. 1625 - Consolidated Appropriations Act of 2018 - Issues related to funding the NIH to support cancer research and innovation. H.R. 1301/ P.L. 115-124 - Continuing Resolution of 2018 - advocating for the inclusion of policies that could positively impact the successful creation and promulgation of Alternative Payment Models for radiation oncologists, issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. Work to ensure that radiation oncologists on the island of Puerto Rico have access to the tools that they need to treat their patients after Hurricane Maria. S. 1827 - KIDS Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. H.R. 3921 - Healthy Kids Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2017 · fourth_quarter · Medicare/Medicaid
S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $146,734 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2017 · fourth_quarter · Health Issues
H.R. 1370 - Continuing Resolution for FY 2018 - advocating for the inclusion of policies that could positively impact the successful creation and promulgation of Alternative Payment Models for radiation oncologists. Work to ensure that radiation oncologists on the island of Puerto Rico have access to the tools that they need to treat their patients after Hurricane Maria. S. 1827 - KIDS Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. H.R. 3921 - Healthy Kids Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2017 · fourth_quarter · Medicare/Medicaid
H.R. 1370 - Continuing Resolution for FY 2018 - advocating for the inclusion of policies that could positively impact the successful creation and promulgation of Alternative Payment Models for radiation oncologists. S. 1827 - KIDS Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. H.R. 3921 - Healthy Kids Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2017 · third_quarter · Medicare/Medicaid
S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $88,649 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2017 · third_quarter · Health Issues
H.R. 1628 - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients, innovations in quality, coverage and payment methodologies for providers and access to care. Better Care Reconciliation Act (Senate Amendment to H.R. 1628) - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients, innovations in quality, coverage and payment methodologies for providers and access to care.Graham-Cassidy ACA repeal and replace policy- Issues related to the private insurance market and plans providing coverage in the individual and small group market places and any changes to the health delivery system in the United States. S. 1827 - KIDS Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. H.R. 3921 - Healthy Kids Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2017 · third_quarter · Medicare/Medicaid
H.R. 1628 - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients, innovations in quality, coverage and payment methodologies for providers and access to care. Better Care Reconciliation Act (Senate Amendment to H.R. 1628) - Issues related to the private insurance market and plans providing coverage in the individual and small group market places and any changes to the health delivery system in the United States. Graham-Cassidy ACA repeal and replace policy- Issues related to the private insurance market and plans providing coverage in the individual and small group market places and any changes to the health delivery system in the United States. S. 1827 - KIDS Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. H.R. 3921 - Healthy Kids Act of 2017 - issues related to the reauthorization of the Children's Health Insurance Program and ensuring coverage for children and their families fighting cancer. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2017 · second_quarter · Medicare/Medicaid
S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $384,364 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2017 · second_quarter · Health Issues
H.R. 1628 - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients, innovations in quality, coverage and payment methodologies for providers and access to care. Better Care Reconciliation Act (Senate Amendment to H.R. 1628) - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients, innovations in quality, coverage and payment methodologies for providers and access to care. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2017 · second_quarter · Medicare/Medicaid
H.R. 1628 - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients, innovations in quality, coverage and payment methodologies for providers and access to care. Better Care Reconciliation Act (Senate Amendment to H.R. 1628) - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients, innovations in quality, coverage and payment methodologies for providers and access to care. Rules and Regulations associated with the implementation of MACRA - including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act (S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2017 · first_quarter · Medicare/Medicaid
S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 2066) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 794 Local Coverage Determination Clarification Act of 2017
Client expense: $166,498 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2017 · first_quarter · Medicare/Medicaid
S. Con.Res. 3 - Issues related to the treatment of the Affordable Care Act and its impact on cancer patients and access to radiation oncology treatments. H.R. 1628 - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients,innovations in quality, coverage and payment methodologies for providers and access to care. Implementation of MACRA including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act ( S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2017 · first_quarter · Health Issues
S. Con.Res. 3 - Issues related to the treatment of the Affordable Care Act and its impact on cancer patients and access to radiation oncology treatments. H.R. 1628 - Issues related to the impact that changes reflected in the legislation to the affordable care act would have on coverage and treatment of cancer patients,innovations in quality, coverage and payment methodologies for providers and access to care. Implementation of MACRA including APMs for radiation oncology. Issues regarding the implementation of the Patient Access and Medicare Protection Act ( S. 2425) and the need to continue to support rational policies to improve and rationalize payment for radiation therapy services.
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation ***, no specific bill(s), diagnostics, Medicare Physician Reimbursement; reimbursement for imaging and technology; value based purchasing, Accountable Care Organizations, Sunshine Act, bundling, PODs, Cost centers, ICD-10, Stark H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1470/S. 810 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R. 1021 - Protecting the Integrity of Medicare Act of 2015 S. 2425 - Patient Access and Medicare Protection Act H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5009/S. 2998 - Ensuring Access to Critical Breakthrough Products Act S. 2343/H.R. 4155 - Telehealth Innovation and Improvement Act H.R. 34 - 21st Century Cures Act
Client expense: Not reported · Firm income: $70,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Medicare/Medicaid
Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 H.R. 5164 - Rural Hospital Regulatory Relief Act H.R. 5122 - To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 5613/S. 3129 - Continuing Access to Hospitals Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act S. 2787 - States Achieve Medicaid Expansion (SAME) Act S. 3130 - Independence at Home Act of 2016
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
2016 · fourth_quarter · Medicare/Medicaid
S 2425, Patient Access and Medicare Protection Act; Issues surrounding reimbursementfor free standing radiation therapy offices.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Department of Health & Human Services: Medicare Advantage: operational issues, annual payment updates and policy changes. HR 2505 - Medicare Advantage Coverage Transparency Act of 2015: To amend title XVIII of the Social Security Act to require the annual reporting of data on enrollment in Medicare Advantage plans. Kelly (R-PA) HR 2507 - Increasing Regulatory Fairness Act of 2015: To amend title XVIII of the Social Security Act to establish an annual rulemaking schedule for payment rates under Medicare Advantage. Brady (R-TX) HR 2570 - Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015: To amend title XVIII of the Social Security Act with respect to the treatment of patient encounters in ambulatory surgical centers in determining meaningful EHR use, establish a demonstration program requiring the utilization of Value-Based Insurance Design to demonstrate that reducing the co-payments or coinsurance charged to Medicare beneficiaries for selected high-value prescription medications and clinical services can increase their utilization and ultimately improve clinical outcomes and lower health care expenditures, and for other purposes. Black (R-TN) HR 2581 - Preservation of Access for Seniors in Medicare Advantage Act of 2015: To amend title XVIII of the Social Security Act to establish a 3-year demonstration program to test the use of value-based insurance design methodologies under eligible Medicare Advantage plans, to preserve Medicare beneficiary choice under Medicare Advantage, to revise the treatment under the Medicare program of infusion drugs furnished through durable medical equipment, and for other purposes. Brady (R-TX) HR 2582 - Seniors' Health Care Plan Protection Act of 2015: To amend title XVIII of the Social Security Act to delay the authority to terminate Medicare Advantage contracts for MA plans failing to achieve minimum quality ratings, to make improvements to the Medicare Adjustment risk adjustment system, and for other purposes. Buchanan (R-FL) HR 4275 - Medicare Advantage Quality Payment Relief Act of 2015: 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. Kelly (R-PA) HR 5659 - ESRD Choice Act of 2016: To amend title XVIII of the Social Security Act with respect to expanding Medicare Advantage coverage for individuals with end-stage renal disease (ESRD). Smith (R-MO) S 2425 - Patient Access and Medicare Protection Act: To amend titles XVIII and XIX of the Social Security Act to improve payments for complex rehabilitation technology and certain radiation therapy services, to ensure flexibility in applying the hardship exception for meaningful use for the 2015 EHR reporting period for 2017 payment adjustments, and for other purposes. Portman (R-OH) S 2484 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act: To amend titles XVIII and XI of the Social Security Act to promote cost savings and quality care under the Medicare program through the use of Telehealth and remote patient monitoring services, and for other purposes. Schatz (D-HI)
Client expense: $1,450,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Health Issues
HR 270 - Flexibility in Health IT Reporting, Electronic health Records, Patient Safety, Regulation of Health IT, Health Software Regulation, Quality Measurement/ Quality Reporting, Patient Data Matching/ Patient Identification, Interoperability, Cybersecurity, Telehealth, HR 6 - 21st Century Cures Act, HR 3309 - Further Flexibility on Health IT Reporting and Advancing Interoperability Act, S. 2425, S. 2511 - Improving Health Information Technology Act, Prescription Drug Monitoring Programs & Opioid Abuse Prevention, S. 2866 - Jessie's Law, S.3173 - Electronic Health Record (EHR) Regulatory Relief Act
Client expense: $10,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), SENATE
2016 · fourth_quarter · Medicare/Medicaid
HR 270 - Flexibility in Health IT Reporting, Meaningful Use EHR Incentive Program, Electronic Health Records, Interoperability, Telehealth, HR 6 - 21st Century Cures Act, HR 3309- Further Flexibility in Health IT Reporting and Advancing Interoperability Act, S. 2141 - TRUST-IT, Patient Identification, S. 2425, S. 2511 - Improving Health Information Technology Act, HR 5001/ S.2822 - Flexibility in EHR Reporting Act, S. 3173 - Electronic Health Record (EHR) Regulatory Relief Act
Client expense: $10,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Federal Bureau of Investigation (FBI), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Natl Institute of Standards & Technology (NIST), SENATE
2016 · fourth_quarter · Medicare/Medicaid
PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation, Medicare and Medicaid Reimbursement, Medicaid Rebate H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1470/S. 810 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency For Seniors H.R. 4273 - Medicare and Medicaid Improvements and Adjustments Act of 2015 S. 2425 - Patient Access and Medicare Protection Act Part B demonstration H.R. 5122 - Part B demonstration ***, no specific bill(s), Medicare and Medicaid Drug Reimbursement, Medicaid Rebate, dual eligibles, Sunshine, discount cards, MedPAC, biosimilars, Alternative Payment Models, Value based Purchasing, coding, CMMI
Client expense: Not reported · Firm income: $80,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Medicare/Medicaid
S. 2425 - Patient Access and Medicare Protection Act H.R. 605/S. 275 - Medicare Home Infusion Site of Care Act H.R. 4273 - Medicare and Medicaid Improvements and Adjustments Act, ASP H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 34 - 21st Century Cures Act **no specific bills; ASP, competitive bidding, Part B demonstration, MLN Learning Matters Billing Guidance H.R. 5122 - Part B demonstration
Client expense: Not reported · Firm income: $80,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Medicare and Medicaid Drug Reimbursement, Medicaid Rebate, Medicare Part D Non-Interference, health care reform, biosimilars, 340B, Sunshine, discount cards, MedPAC, coding, ASP PL 111-148 - The Patient Protection and Affordable Care Act, PL 111-152 - The Reconciliation Act of 2010, implementation H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1470/S. 810 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R. 1021 - Protecting the Integrity of Medicare Act of 2015 H.R. 4273 - Medicare and Medicaid Improvements and Adjustments Act of 2015 S. 2425 - Patient Access and Medicare Protection Act Part B Demonstration H.R. 5122 - Part B demonstration
Client expense: Not reported · Firm income: $80,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2016 · fourth_quarter · Medicare/Medicaid
PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1470/S. 810 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R. 1021 - Protecting the Integrity of Medicare Act of 2015 H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency For Seniors H.R. 2948 - Medicare Telehealth Parity Act of 2015 H.R. 2505 - Medicare Advantage Coverage Transparency Act H.R. 2507 - Increasing Regulatory Fairness Act H.R. 2582 - Seniors Health Care Plan Protection Act S. 2425 - Patient Access and Medicare Protection Act H.R. 3831 - Securing Fairness in Regulatory Timing S. 2484 - Connect for Health Act H.R. 5659 - ESRD Choice Act of 2016 H.R. 34 - 21st Century Cures Act ***, no specific bill(s), Medicare, Medicare Fraud, Medicare Advantage, Medicaid, Electronic Prescribing, Health Care Reform Implementation, Medigap reform, Physician Payment Reform, Delivery System Reform, medical review, Benefit design, prescription drug safety, Regional PPOs, chronic care, CHIP Reform, Medicare Advantage Payment Shift Offset, call letter, Puerto Rico and Medicare Advantage
Client expense: Not reported · Firm income: $100,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2016 · fourth_quarter · Medicare/Medicaid
PL 111-148 - The Patient Protection and Affordable Care Act, implementation H.R. 2 - Medicare Access and CHIP Reauthorization Act of 2015 H.R. 1470/S. 810 - SGR Repeal and Medicare Provider Payment Modernization Act of 2015 H.R. 1021 - Protecting the Integrity of Medicare Act of 2015 H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency For Seniors H.R. 2948 - Medicare Telehealth Parity Act of 2015 H.R. 2505 - Medicare Advantage Coverage Transparency Act H.R. 2507 - Increasing Regulatory Fairness Act H.R. 2582 - Seniors Health Care Plan Protection Act H.R. 3831 - Securing Fairness in Regulatory Timing S. 2425 - Patient Access and Medicare Protection Act S. 2484 - Connect For Health Act H.R. 5659 - ESRD Choice Act of 2016 H.R. 34 - 21st Century Cures Act ***, no specific bill(s), Medicare, Medicare and Medicaid Fraud, Medicare Advantage, Medicare Part D, Medicaid, Electronic Prescribing, Dual EligH.R. 34 - 21st Century Cures Actibles, Medigap reform, claims resolution, risk adjustment, Delivery System Reform, Special Needs Plans, Star Ratings, call letter, program integrity, Alzheimer's care, telehealth, chronic care, coding intensity
Client expense: Not reported · Firm income: $90,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office
2016 · fourth_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R.6 - 21st Century Cures Act, competitive bidding issues; S.2425 - Patient Access and Medicare Protection Act, all provisions; H.R.4185/S.2312 - DME Rural Relief, all provisions; S.2736/H.R.5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions; H.R.6 21st Century Cures Act.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
H.R. 3229 S. 2425, the Patient Access and Medicare Protection Act The Ending the Medicare Disability Waiting Period Act Medicaid Block Grants Proposed Reductions in Medicaid Spending Commission on Long Term Care
Client expense: $67,802 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)
2016 · fourth_quarter · Medicare/Medicaid
Issues pertaining to durable medical equipment including: bidding, power wheelchairs, oxygen, diabetic supplies, negative pressure wound therapy, Medicare audits, sequestration, and fraud abuse; H.R. 1516/S. 1013 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015, all provisions; H.R. 284/S. 148 - Medicare DMEPOS Competitive Bidding Improvement Act of 2015, all provisions; Medicare Audit Improvement and Reform (AIR) Act, all provisions; Medicare DMEPOS Market Pricing Program Act, all provisions; Reimbursement cuts in non-competitive bidding areas, all provisions; H.R. 6/H.R. 34 - 21st Century Cures Act, competitive bidding issues; Complex rehab technology accessories relating to competitive bidding; H.R. 2437 - Creating prior authorization process for DME items, all provisions; Expanding and making permanent the Medicare power mobility device demonstration program, all provisions; Audit and Appeal Fairness, Integrity, and Reforms in the Medicare Act of 2015, all provisions; H.R. 2 - Medicare Access and CHIP Re-authorization Act of 2015, competitive bidding provisions; H.R. 2029 - Omnibus Appropriations Bill, DME provisions; S. 2425 - Patient Access and Medicare Protection Act, all provisions; H.R. 4185/S. 2312 - DME Rural Relief, all provisions; H.R. 3229/S. 2196 - Complex Rehab Accessories Relief, all provisions; S. 2736/H.R. 5210 - Patient Access to Durable Medical Equipment Act of 2016, all provisions.
Client expense: $160,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
2016 · fourth_quarter · Medicare/Medicaid
S.2425-Patient Access and Medicare Protection Act (PAMPA) implementation. Support for legislation to ensure patient safety and preserve the integrity of the Medicare program by ending abuses of the physician self-referral law for radiation therapy services; Protecting Integrity in Medicare Act (H.R. 5088) Support for structural changes that lead to delivering high-quality care for patients while increasing efficiencies and promoting Medicare sustainability; oppose radiation oncology benefit managers. Support for ensuring radiation oncologists participation in the Medicare electronic health record incentive program. Support for reforming the way Medicare pays for radiation oncology services by tying payments to quality and value. Implementation of H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015 Support the elimination of abuse to the Medicare program by closing the in-office ancillary services exception to the Stark Law for radiation oncology services. S. 1549, To amend title XVIII of the Social Security Act to provide for advanced illness care coordination services for Medicare beneficiaries, and for other purposes. Helping Hospitals Improve Patient Care (H.R. 5273) H.R. 5721 Local Coverage Determination Clarification Act of 2016
Client expense: $169,918 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Nuclear Regulatory Commission (NRC), Office of Management & Budget (OMB), SENATE
2016 · fourth_quarter · Health Issues
IPAB Repeal (HR 1190 / S 141); Medical Liability Reform (HR 4771); Medicare physician payment / SGR (HR 2); Medicare Therapeutic Shoes program for persons with diabetes (HR 1221 / S 626 / HR 4756); Medicare waste, fraud & abuse; Medicaid waste, fraud and abuse; Budget Sequestration; health insurance anti-trust reform (HR 99, HR 105, HR 494); Medicaid access to podiatry (HR 1221 / S 626); Medicaid program integrity (HR 1221 / S 626); Physician Payments Sunshine Act; Electronic Health Records reform (HR 270; S 2425; S 2511); health care provider marketing and advertising (HR 1741); Affordable Care Act implementation as it pertains to physicians and providers; MAC / RAC / Medicare audit reform (HR 1526, S 2368); Medicare private contracting (HR 1650); public disclosure of Medicare claims data; Medicare self-referral issues; RUC reform (HR 2614); (HR 284 / S 148) DMEPOS Competitive Bidding; Patient Access to Disposable Medical Technology Act (HR 1018; HR 2029); (HR 1192 / S 586) Diabetes Clinical Care Commission Act; 21st Century Cures Act (HR 6); orthotics / prosthetics accreditation & licensure (S 829 / HR 1530); Medicare diabetes prevention (HR 2102 / S 1131); definition of full-time employees; ICD-10 implementation; Affordable Care Act repeal; liberalizing Medical Loss Ratio requirements (HR 815 / S 1661); budget reform (HR 3660)
Client expense: $140,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)