Expanding Capacity for Health Outcomes Act

Excellence in Mental Health Act (S.264); Medicaid and Medicare payment for Health Centers; Medicare Chronic Care Coordination; Medicaid quality reporting; Childrens Health Insurance Program (CHIP); Pharmacy Provider Status legislation(H.R.592/S.314); The Rural ACO Improvement Act of 2015(S.1456, S.2259 & S.2261); Telehealth legislation; Connect for Health Act (H.R.4442/S.2484); Incentivizing Medicaid Expansion Act(H.R.4588); ECHO Act (H.R.5395/S.2873); Rural ACO Provider Equity Act (H.R.5667); Rural Access to Hospice Act(H.R.5799).

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

Utah genome project Healthcare delivery innovation Telemedicine Precision medicine Cancer research S. 2873/H.R. 5395 - Expanding Capacity for Health Outcomes Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Energy, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), White House Office

Support for Home Health Planning Improvement Act, H.R. 1342/S. 578. Support for the Nurse and Health Care Worker Protection Act, H.R. 4266 Support for the Registered Nurse Safe Staffing Act, HR 2083/S.1132 Opposition to the Restoring America's Access to Freedom Reconciliation Act, H.R. 3762 Support for the CONNECT for Health Act, S. 2484/H.R. 4442 Support for H.R. 2948, the Medicare Telehealth Parity Act Support for S. 2873, the Expanding Capacity for Health Outcomes (ECHO) Act Support for S. 3504, the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act

Client expense: $430,200 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Veterans Affairs, Dept of (VA), White House Office

Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 1600, Patients' Access to Treatments Act of 2015). Lobby members of House and Senate to write to FDA regarding the agencys draft guidance document on office-use compounding. Support S. 2615, the Increasing Competition in Pharmaceuticals Act. Support H.R. 4784, the Lower Drug Costs through Competition Act. Lobby members of Congress to join the Congressional Skin Cancer Caucus. Lobby Congress to provide oversight of implementation of Public Law 113-54, the Drug Quality and Security Act, and to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription. Lobby in support of FDAs proposed rule to restrict indoor tanning for youth under 18. Lobby Congress on issues related to telemedicine. Advocate for increased price transparency for drugs and tools to help lower costs. Advocate for increased funding and reforms to Graduate Medical Education including Ensuring Childrens Access to Specialty Care Act (H.R. 1859/S. 2782). Oppose paragraph d, Location of Care in Section 704, Enhancement of Use of Telehealth Services in Military Health System" in the Senate-passed version of S. 2943, the National Defense Authorization Act for Fiscal Year 2017. Lobby members of Congress to support H. Res. 854 to encourage proper sun safety practices for youth under care of schools and camps. Support legislation to study online learning collaboratives and the impact they have on the health care systems (H.R. 5395/S. 2873 The Expanding Capacity for Health Outcomes Act aka ECHO Act).

Client expense: $350,000 · Firm income: Not reported

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

H.R. 1270, Restoring Access to Medication Act of 2015, all provisions S. 709, Restoring Access to Medication Act of 2015, all provisions H.R. 5395, Expanding Capacity for Health Outcomes (ECHO) Act, all provisions S. 2873, Expanding Capacity for Health Outcomes (ECHO) Act, all provisions H.R. 6, 21st Century Cures Act, all provisions H.R. 34, 21st Century Cures Act, all provisions 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, all provisions S.2978, Protect Continuing Physician Education and Patient Care Act, all provisions H.R. 1877, Mental Health First Aid Act of 2016, all provisions H.R. 4365, Protecting Patient Access to Emergency Medications Act of 2016, all provisions H.R. 1217, Public Safety and Second Amendment Rights Protection Act of 2015, all provisions H.R.1192, National Clinical Care Commission Act, all provisions S. 586, National Clinical Care Commission Act, all provisions H.R. 1725, National All Schedules Prescription Electronic Reporting Reauthorization (NASPER) Act of 2015, all provisions S.480, National All Schedules Prescription Electronic Reporting Reauthorization (NASPER) Act of 2016, all provisions H.R.2536, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions S. 1455, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions S. 524, Comprehensive Addiction and Recovery Act (CARA) of 2016, all provisions S. 3077, Marijuana Effective Drug Studies (MEDS) Act of 2016, all provisions H.R. 1139, Detergent Poisoning And Child Safety Act of 2015, all provisions S. 588, Detergent Poisoning And Child Safety Act of 2015, all provisions H.R. 5926, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017, language relating to non-burning sunshine H.R.1217, Public Safety and Second Amendment Rights Protection Act of 2015, all provisions Health Savings Accounts - Prescription requirements for over-the-counter medications Telemedicine - Interstate Medical Licensure Compact Health Care Reform Sunshine Act Surprise Medical Billing Rep. Tom Price nomination for HHS Secretary Health Data Security Gun Violence TRUST IT EHR Interoperability Meaningful Use 21st Century Cures, Innovations Diabetes Zika funding FDA's blood donor deferral recommendations Nootropics or "Smart Drugs" At-risk children/elevated blood lead level early-intervention screening programs Race/ethnicity data collection standards Opioid epidemic National Practitioner Data Bank Laboratory developed tests Precision medicine Compounding Health Insurance Portability and Accountability Act (HIPAA) FDA - Physician practice issues FDA - Device innovation Telehealth - payment

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

H.R. 2138, The Medicare Access to Rural Anesthesiology Act of 2015. Issues related to the implementation of MACRA. S. 2873, Expanding Capacity for Health Outcomes (ECHO) Act.

Client expense: Not reported · Firm income: $45,000

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

S. 849 / HR 292: The Advancing Research for Neurological Diseases Act S. 2873 / HR 5395: The Expanding Capacity for Health Outcomes (ECHO) for Act HR 34: 21st Century Cures Act Maintenance/expansion of Graduate Medical Education (GME); NIH funding, concussion related issues.

Client expense: Not reported · Firm income: $196,982

Government targets: HOUSE OF REPRESENTATIVES, 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

H.R.6 - 21st Century Cures Act - provisions related to medical innovation, technology and medical device regulatory reforms. S. 2187 - FDA Regulatory Efficiency Act, Efforts - provisions in support of third-party quality system programs. S. 1622 - The FDA Device Accountability Act of 2015 - provisions in support for centralized IRBs. S. 1767 - The Combination Product Regulatory Fairness Act - provisions related to combination product issues. S. 2737 - Improving Medical Device Innovation Act - provisions related to medical device innovation. S. 2998/H.R. 5009 - Ensuring Patient Access to Critical Breakthrough Products Act of 2016. H.R. 34 - 21st Century Cures Act - provisions related to medical innovation, technology and medical devices. S. 3504 - Chronic Care Act of 2017 - provisions related to teleheath and diabetes. S. 2873 - Echo Act - provisions related to telehealth. H.R. 2020 - Short Term Continuing Resolution - provisions related to federal funding of the government through April 28, 2017. Issues related to VA procurement and devices.

Client expense: $540,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

P.L. 111-148 - Patient Protection and Affordable Care Act Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs Ebola preparedness and response S. 1374, H.R. 2417, Foreign Medical Schools Accountability Act H.R. 3551, Ravi Thackurdeen Safe Students Study Abroad Act S. 2427, Disability Integration Act S.2873, Expanding Capacity for Health Outcomes (ECHO) Act H.R. 2713, Title VIII Nursing Workforce Reauthorization Act H.R. 2300, Empowering Patients First Act

Client expense: $70,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

- Advocated in support of the 21st Century Cures Act, HR 34/ HR 6 - Requested congressional support of Hospital Bill Legislation and to provide flexibility to Hospital Outpatient Departments (HOPDs) based on 2015 budget that restricted payments to future HOPDs - Advocated in support of ECHO Act passage, S. 2873 - Advocated for letter of support for Sheridan Health Services grant proposal - Discussed support of White House Tobacco Free Campus Initiative - Advocated for letter of support for Zika grant

Client expense: $103,824 · Firm income: Not reported

Government targets: Army, Dept of (Other), HOUSE OF REPRESENTATIVES, Natl Security Agency (NSA), SENATE

Mental Health Reform Legislation - encouraging passage of comprehensive mental health reform that addresses 42 CFR Part 2, expansion of telehealth, parity implementation without going too far in adding increased parity requirements. Specific bills lobbied on include S. 2680, the Mental Health Reform Act of 2016; H.R. 2646, the Helping Families in Mental Health Crisis Act; S. 1945, the Mental Health Reform Act; S. 1893, the Mental Health Awareness and Improvement Act; H.R. 34, the 21st Century Cures Act. 42 CFR Part 2 - advocating to align 42 CFR Part 2 (substance use privacy regulations) with HIPAA to allow appropriate access to patient information that is essential for providing whole-person care. Behavioral Health Information Technology, extending health information technology assistance eligibility to more mental health and substance use disorder professionals and facilities. Telehealth, reforming barriers to Medicare reimbursement; provisions in the 21st Century Cures bill. Specifically, the CONNECT for Health Act, S. 2484/H.R. 4442 and the ECHO Act, S.2873/H.R. 5395. Medicare coverage of Mental Health Counselors and Marriage and Family Therapists - S. 1830, the Seniors Mental Health Access Improvement Act Mental Health Parity, White House Mental Health and Substance Use Disorder Parity Task Force Behavioral Health Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016, S. 3504

Client expense: $100,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, White House Office

National Drug Abuse Crisis and related bills, including encouraging the passage of the conference report to S. 524, the Comprehensive Addiction and Recovery Act. 42 CFR Part 2 - advocating to align 42 CFR Part 2 (substance use privacy regulations) with HIPAA to allow appropriate access to patient information that is essential for providing whole-person care. Mental Health Reform Legislation - encouraging passage of comprehensive mental health reform that addresses 42 CFR Part 2, expansion of telehealth, parity implementation without going too far in adding increased parity requirements. Specific bills lobbied on include S. 2680, the Mental Health Reform Act of 2016; H.R. 2646, the Helping Families in Mental Health Crisis Act; S. 1945, the Mental Health Reform Act; S. 1893, the Mental Health Awareness and Improvement Act; H.R. 34, the 21st Century Cures Act. Behavioral Health Information Technology, extending health information technology assistance eligibility to more mental health and substance use disorder professionals and facilities. Telehealth, reforming barriers to Medicare reimbursement; provisions in the 21st Century Cures bill. Specifically, the CONNECT for Health Act, S. 2484/H.R. 4442 and the ECHO Act, S.2873/H.R. 5395. Mental Health Parity, White House Mental Health and Substance Use Disorder Parity Task Force Behavioral Health

Client expense: $100,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, White House Office

Mental Health Reform Legislation - encouraging passage of comprehensive mental health reform that addresses 42 CFR Part 2, expansion of telehealth, parity implementation without going too far in adding increased parity requirements. Specific bills lobbied on include S. 2680, the Mental Health Reform Act of 2016; H.R. 2646, the Helping Families in Mental Health Crisis Act; S. 1945, the Mental Health Reform Act; S. 1893, the Mental Health Awareness and Improvement Act; H.R. 34, the 21st Century Cures Act. Behavioral Health Information Technology, extending health information technology assistance eligibility to more mental health and substance use disorder professionals and facilities. Telehealth, reforming barriers to Medicare reimbursement; provisions in the 21st Century Cures bill. Specifically, the CONNECT for Health Act, S. 2484/H.R. 4442 and the ECHO Act, S.2873/H.R. 5395. Medicare coverage of Mental Health Counselors and Marriage and Family Therapists - S. 1830, the Seniors Mental Health Access Improvement Act Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016, S. 3504 National Drug Abuse Crisis and related bills, including encouraging the passage of the conference report to S. 524, the Comprehensive Addiction and Recovery Act. 42 CFR Part 2 - advocating to align 42 CFR Part 2 (substance use privacy regulations) with HIPAA to allow appropriate access to patient information that is essential for providing whole-person care. Mental Health Parity, White House Mental Health and Substance Use Disorder Parity Task Force Behavioral Health

Client expense: $100,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Treasury, Dept of, White House Office

HR 34, HR 6 21st Century Cures Act, all issues HR5395, S.2873 ECHO Act, all issues. H.R. 2713/S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2015, all issues HR1192, National Clinical Care Commission Act, all issues

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

Government targets: Defense, Dept of (DOD), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, Treasury, Dept of

Issues pertaining to implementation of the Affordable Care Act, particularly Medicaid expansion and state marketplaces Medical Tort Reform The Implementation of the Affordable Care Act 340B Drug pricing program Development of legislation to create partnership opportunities for essential hospitals Graduate medical education/physician residency slots/ indirect Medical Education Funding Increase awareness and work around eliminating health care disparities HR6 21st Century Cures Act Issues related to Telehealth and Telemedicine Issues around Medicare payment for end-of-life care planning Mental Health Reform Legislation S. 1945 Mental Health Reform Act of 2015 HR 2646 Helping Families in Mental Health Crisis Act of 2015 Hospital Trauma Care H.R. 4365 Protecting Patient Access to Emergency Medications Act S. 2873/H.R. 5395 Expanding Capacity for Health Outcomes Act H.R. 546/S. 298 ACE Kids Act H.R. 6174 Closing Loopholes for Orphan Drugs Act

Client expense: $280,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2603, Saving Lives, Saving Costs S.1475, Saving Lives, Saving Costs H.R.3014, Medical Controlled Substances Transportation Act of 2015 S. 524, Comprehensive Addiction & Recovery Act of 2016 H.R. 1725, National All Schedules Prescription Electronic Reporting Act S. 2873, Expanding Capacity for Health Outcomes (ECHO) Act 21st Century Cures Initiative Drug Shortages - FDA, DEA, HHS, CMS, GAO, House Energy and Commerce Committee, Senate HELP Committee DEA Scheduling Propofol Comparative Effectiveness Research - PCORI HITECH Implementation, Electronic Health Records, Final and Proposed Rules, HIT Meaningful Use HHS/OIG Anesthesia Practice Arrangements, Company Model FDA Safe Use Initiative Pain Management FTC Letters to States re: Interventional Pain Medicine & Advanced Practice Nurses & Competition in Healthcare Anesthesia Research Funding (Pediatric and others) Scope of Practice FDA Operating Room Fires Naloxone FDA Opioids Prescription Drug Abuse FDA Network of Experts NIH Interagency Pain Research Coordinating Committee FDA SMART TOTS - pediatric anesthesia research USP - US Pharmacopeia National Pain Strategy Nondiscrimination Compounding FDA Nominations to Advisory Committees (Anesthesia Drugs, Anesthesia Devices, Compounding) Agency for Healthcare Research and Quality (AHRQ) funding Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)

Client expense: $140,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Executive Office of the President (EOP), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Advocate for improved access to specialty drugs for patients with chronic conditions (H.R. 1600, Patients' Access to Treatments Act of 2015). Lobby members of House and Senate to write to FDA regarding the agencys draft guidance document on office-use compounding. Support S. 2615, the Increasing Competition in Pharmaceuticals Act. Support H.R. 4784, the Lower Drug Costs through Competition Act. Lobby members of Congress to join the Congressional Skin Cancer Caucus. Lobby Congress to provide oversight of implementation of Public Law 113-54, the Drug Quality and Security Act, and to protect and preserve the in-office use of compounded pharmaceuticals without a patient prescription. Lobby in support of FDA proposed rule to restrict indoor tanning for youth under 18. Lobby Congress on issues related to telemedicine. Support legislation to establish a federal standard for the provision of telemedicine (H.R. 691, the Telehealth Modernization Act). Support the review of online learning collaboratives and their integration into health care systems (H.R. 5395/S. 2873 The Expanding Capacity for Health Outcomes Act) Oppose S.2175, Department of Veterans Affairs Provider Equity Act. Advocate for increased price transparency for drugs and tools to help lower costs. Advocate for increased funding and reforms to Graduate Medical Education including Ensuring Childrens Access to Specialty Care Act (H.R. 1859/S. 2782). Oppose paragraph d, Location of Care, in Section 705, "Enhancement of Use of Telehealth Services in Military Health System," in S. 2943, the National Defense Authorization Act for Fiscal Year 2017. Lobby members of Congress to support H. Res 854 to encourage proper sun safety practices for youth under care of schools and camps.

Client expense: $470,000 · Firm income: Not reported

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Utah genome project Healthcare delivery innovation Telemedicine Precision medicine Cancer research S. 2873/H.R. 5395 - Expanding Capacity for Health Outcomes Act Zika Research S. 2873 & H.R. 5395 - The ECHO Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Energy, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Interior, Dept of (DOI), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), White House Office

Issues pertaining to implementation of the Affordable Care Act, particularly Medicaid expansion and state marketplaces Medical Tort Reform The Implementation of the Affordable Care Act 340B Drug pricing program Development of legislation to create partnership opportunities for essential hospitals Graduate medical education/physician residency slots/ indirect Medical Education Funding Increase awareness and work around eliminating health care disparities HR6 21st Century Cures Act Issues related to Telehealth and Telemedicine Issues around Medicare payment for end-of-life care planning Mental Health Reform Legislation S. 1945 Mental Health Reform Act of 2015 HR 2646 Helping Families in Mental Health Crisis Act of 2015 Hospital Trauma Care H.R. 4365 Protecting Patient Access to Emergency Medications Act S. 2873/H.R. 5395 Expanding Capacity for Health Outcomes Act H.R. 546/S. 298 ACE Kids Act

Client expense: $200,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Implementation of Health care reform generally pertaining to pediatric healthcare and autism services Medicaid program reforms, including hospital outpatient department regulations H.R. 546 and S.298 (ACE Kids Act of 2015), all provisions Section 340B Drug Pricing program H.R. 6 (21st century cures Act), entire bill and senate companion FDA reform legislation generally Stark Law Reform generally H.R. 5273 (Helping Hospitals Improve Patient Care Act of 2016), Section 201, regarding hospital outpatient departments H.R. 1807 (Sickle Cell Disease research, Surveillance, Prevention, and treatment Act of 2015), entire bill Hospital Outpatient Prospective payment system regulations regarding hospital outpatient department regulations Federal Policy regarding United Network for Organ Sharing (UNOS) and allocation of donated organs Reauthorization of Children's Hospital Graduate Medical Education program S.2873 and H.R.5395 (Expanding Capacity for Health Outcomes Act), all provisions S.1878 and H.R.1537 (Advancing Hope Act), all provisions S.Res.592 (A resolution expressing support for the designation of the month of September 2016 as "Sickle Cell Disease Awareness Month"), all provisions Centers for Medicare & Medicaid Services Patient Billing Issues

Client expense: $123,999 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

-Requested congressional letter of support to provide flexibility to Hospital Outpatient Departments (HOPDs) based on 2015 budget that restricted payments to future HOPDs - Advocated for revised Recovery Audit Contractors provisions (RAC) - Advocated in favor of Expanding Capacity for Health Outcomes (ECHO) Act (S. 2873) - Advocated on behalf of Adolescent Brain Cognitive Development (ABCD) study - Discussed Graduate Student Health Insurance Subsidies

Client expense: $101,589 · Firm income: Not reported

Government targets: Army, Dept of (Other), Education, Dept of, HOUSE OF REPRESENTATIVES, Natl Security Agency (NSA), SENATE

S. 849 / HR 292: The Advancing Research for Neurological Diseases Act S. 2873 / HR 5395: The Expanding Capacity for Health Outcomes (ECHO) for Act S. 2943: National Defense Authorization Act for Fiscal Year 2017, Section 705 S. 2978: Protect Continuing Physician Education and Patient Care Act HR 6: 21st Century Cures Act, Title 1, and Sections 1122, & 3021 HR 6010: Zika Pregnancy and Infant Registry Act of 2016 Maintenance/expansion of Graduate Medical Education (GME); NIH and Zika Funding; concussion related issues.

Client expense: Not reported · Firm income: $170,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

21st Century Cures Act, all issues relating to the National Institutes of Health (NIH) and the NIH Innovation Fund. S. 2742 Promoting Biomedical Research and Public Health for Patients Act, all issues S. 2700 National Institutes of Health (NIH) Workforce Authorities Modernization Act, all issues S. 2713 Advancing Precision Medicine Act of 2016, all issues S. 2745 Advancing NIH Strategic Planning and Representation in Medical Research Act, all issues S. 2742 Promoting Biomedical Research and Public Health for Patients Act, all issues HR5395, S.2873 ECHO Act, all issues. H.R. 2713/S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2015, all issues

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, SENATE

Excellence in Mental Health Act (S.264); Medicaid and Medicare payment for Health Centers; Medicare Chronic Care Coordination; Medicaid quality reporting; Childrens Health Insurance Program (CHIP); Pharmacy Provider Status legislation(H.R.592/S.314); The Rural ACO Improvement Act of 2015(S.1456, S.2259 & S.2261); Telehealth legislation; Connect for Health Act (H.R.4442/S.2484); Incentivizing Medicaid Expansion Act(H.R.4588); ECHO Act (H.R.5395/S.2873); Rural ACO Provider Equity Act (H.R.5667); Rural Access to Hospice Act(H.R.5799); Rural ACO Provider Equity Act(H.R.5667).

Client expense: $230,000 · 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

S.2511 Improving Health Information Technology Act H.R. 6 21st Century Cures Act H.R 5447/S. 3060 Small Business Health Care Relief Act of 2016 S. 2744 Genetic Research Privacy Protection Act H.R. 5273 Helping Hospitals Improve Patient Care Act S. 2713 Advancing Precision Medicine Act S. 1878 The Advancing Hope Act S. 1767 Combination Products Innovation Act S. 1077 Advancing Breakthrough Medical Devices for Patients Act S. 2512 Adding Zika Virus to the FDA Priority Review voucher Program Act S. 1101 Medical Electronic Data Technology Enhancement for Consumers Health Act S. 1597 Patient Focused Impact Assessment Act S. 2055 Medical Countermeasures Innovation Act S. 2873 Expanding Capacity for Health Outcomes (ECHO) Act H.R. 3081/ S. 1778 TELEmedicine for MEDicare (TELE-MED) Act H.R. 4442/S. 2484 CONNECT for Health Act H.R. 1192 National Diabetes Clinical Care Commission Act S. 620, H.R. 1189 Preserving Employee Wellness Programs Act H.R. 4878 Better Care, Lower Cost Act H.R. 5273 Helping Hospitals Improve Patient Care Act H.R. 4774 Training Tomorrows Doctors Today Act S. 2671, H.R.4732 Advancing Medical Resident Training in Community Hospitals Act S. 314, H.R. 592 Pharmacy and Medically and Underserved Areas Enhancement Act H.R.1314 Bipartisan Budget Act H.R. 1190/S. 141 Protecting Seniors' Access to Medicare Act H.R. 160/S. 149 Protect Medical Innovation Act H.R. 4732/ S. 2671 Advancing Medical Resident Training in Community Hospitals Act H.R. 2061, Equitable Access to Care and Health (EACH) Act H.R. 2446 To amend title XIX of the Social Security Act to require the use of electronic visit verification for personal care services furnished under the Medicaid program, and for other purposes. H.R. 2603/S. 1475 Saving Lives, Saving Costs Act H.R. 2646 Helping Families in Mental Health Crisis Act H.R. 2704/H.R. 4212/S.704 Community Based Independence for Seniors Act H.R. 2878/S. 1461 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. H.R.2911/S. 1697 Small Business Healthcare Relief Act H.R. 3539 Reinvigorating Antibiotic and Diagnostic Innovation (READI) Act H.R. 3660 Preventive Health Savings Act H.R. 3716 Ensuring Terminated Providers are Removed from Medicaid and CHIP Act H.R. 3762 Restoring Americans Healthcare Freedom Reconciliation Act H.R. 3821 Medicaid Directory of Caregivers Act H.R. 5380 Telehealth Parity Act S. 139 Ensuring Access to Clinical Trials Act S. 2023 Prescription Drug Affordability Act S. 2030 Advancing Targeted Therapies for Rare Diseases Act S. 2045 Middle Class Health Benefits Tax Repeal Act S. 2075 American Worker Health Care Tax Relief Act S. 2153 Provider Payment Sunshine Act S. 2187 FDA Regulatory Efficiency Act S. 754 Cyber security Information Sharing Act (CISA) S.2104 Preserving Medicare Advantage for all Medicare Beneficiaries Act

Client expense: $160,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Utah genome project Healthcare delivery innovation Telemedicine Precision medicine Cancer research S. 2873/H.R. 5395 - Expanding Capacity for Health Outcomes Act

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Energy, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), White House Office

Issues pertaining to implementation of the Affordable Care Act, particularly Medicaid expansion and state marketplaces Medical Tort Reform The Implementation of the Affordable Care Act 340B Drug pricing program Development of legislation to create partnership opportunities for essential hospitals Graduate medical education/physician residency slots/ indirect Medical Education Funding Increase awareness and work around eliminating health care disparities HR6 21st Century Cures Act Issues related to Telehealth and Telemedicine Issues around Medicare payment for end-of-life care planning Mental Health Reform Legislation S. 1945 Mental Health Reform Act of 2015 HR 2646 Helping Families in Mental Health Crisis Act of 2015 Hospital Trauma Care H.R. 4365 Protecting Patient Access to Emergency Medications Act S. 2873/H.R. 5395 Expanding Capacity for Health Outcomes Act H.R. 546/S. 298 ACE Kids Act

Client expense: $270,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

S. 2508/ HR 4460: Youth Sports Concussion Act HR 6: 21st Century Cures Act, Title 1, and Sections 1122, & 3021 S. 2782/ HR 1859: Ensuring Childrens Access to Specialty Care Act S. 849 / HR 292: The Advancing Research for Neurological Diseases Act S. 2873 / HR 5395: The Expanding Capacity for Health Outcomes (ECHO) for Act HR 5366: Alzheimers Breakthrough Sunshine Act Maintenance/expansion of Graduate Medical Education (GME); NIH Funding; concussion related issues.

Client expense: Not reported · Firm income: $280,000

Government targets: HOUSE OF REPRESENTATIVES, Medicare Payment Advisory Commission (MedPAC), SENATE

FQHCs and QHP payment rules per final rule on Establishment of Exchanges and Qualified Health Plans; QHP contracting requirements; Essential Community Provider rules; Excellence in Mental Health Act (S.264); Medicaid and Medicare payment for Health Centers; Medicare Chronic Care Coordination; Medicaid quality reporting; Childrens Health Insurance Program (CHIP); Pharmacy Provider Status legislation(H.R.592/S.314); The Rural ACO Improvement Act of 2015(S.1456, S.2259 & S.2261); Telehealth legislation; Connect for Health Act (H.R.4442/S.2484); Incentivizing Medicaid Expansion Act(H.R.4588); FQHC and hospice; ECHO Act (H.R.5395/S.2873); Rural ACO Provider Equity Act (H.R.5667).

Client expense: $250,000 · 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

S. 1945, Mental Health Reform Act of 2015, all provisions H.R. 2646, Helping Families in Mental Health Crisis Act of 2015, all provisions 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, all provisions H.R. 2536, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions S. 1455, Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions H.R. 1725, National All Schedules Prescription Electronic Reporting (NASPER) Reauthorization Act of 2015, all provisions S. 480, National All Schedules Prescription Electronic Reporting (NASPER) Reauthorization Act of 2016, all provisions H.R. 5046, Comprehensive Opioid Abuse Reduction Act of 2016, all provisions S. 524, Comprehensive Addiction and Recovery Act of 2016, all provisions H.R. 4586, Lali's Law, all provisions H.R. 1270, Restoring Access to Medication Act of 2015, all provisions S. 709, Restoring Access to Medication Act of 2015, all provisions H.R. 6, 21st Century Cures Act, provisions relating to transparency reporting, all provisions S. 2978, Protect Continuing Physician Education and Patient Care Act, all provisions S. 3077, Marijuana Effective Drug Studies (MEDS) Act of 2016, all provisions H.R. 5395, Expanding Capacity for Health Outcomes (ECHO) Act, all provisions S. 2873, Expanding Capacity for Health Outcomes (ECHO) Act, all provisions S. 779, Fair Access to Science and Technology Research Act of 2015, all provisions 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, all provisions H.R. 4063, Jason Simcakoski PROMISE Act, all provisions H.R. 4969, John Thomas Decker Act of 2016, all provisions H.R. 4985, Kingpin Designation Improvement Act of 2016, all provisions H.R. 5052, Opioid Program Evaluation (OPEN) Act, all provisions H.R. 4843, Infant Plan of Safe Care Improvement Act, all provisions H.R. 3680, Co-Prescribing to Reduce Overdoses Act of 2016, all provisions H.R. 4978, Nurturing And Supporting Healthy Babies Act, all provisions H.R. 3691, Improving Treatment for Pregnant and Postpartum Women Act of 2016, all provisions H.R. 4599, Reducing Unused Medications Act of 2016, all provisions H.R. 4976, Opioid Review Modernization Act of 2016, all provisions H.R. 4982, Examining Opioid Treatment Infrastructure Act of 2016, all provisions H.R. 4981, Opioid Use Disorder Treatment Expansion and Modernization Act, all provisions Prescription Drug Diversion Opioid Abuse/Medication assisted treatment 21st Century Cures/Innovations Zika Funding Laboratory Developed Tests (LDT) Guidance Telemedicine - Interstate Medical Licensure Compact Health data security Gun violence research/background checks funding Sexual violence EHR/Meaningful Use Sunshine Act Health Savings Accounts - Prescription requirements for over-the-counter medications Prediabetes coverage Blood pressure monitoring coverage Compounding PrecisionFDA Clinical trials - insurance coverage improvement HIPAA Regulations Dietary supplements EHR/Interoperability Diabetes Prevention Program (DPP) fees

Client expense: $4,310,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Internal Revenue Service (IRS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Veterans Affairs, Dept of (VA), White House Office

21st Century Cures Act, all issues relating to the National Institutes of Health (NIH) and the NIH Innovation Fund. S. 2742 Promoting Biomedical Research and Public Health for Patients Act, all issues S. 2700 National Institutes of Health (NIH) Workforce Authorities Modernization Act, all issues S. 2713 Advancing Precision Medicine Act of 2016, all issues S. 2745 Advancing NIH Strategic Planning and Representation in Medical Research Act, all issues S. 2742 Promoting Biomedical Research and Public Health for Patients Act, all issues H.R. 5273 Helping Hospitals Improve Patient Care of 2016 HR5395, S.2873 ECHO Act, all issues.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE