Protect Continuing Physician Education and Patient Care Act

Monitor federal issues and legislation related to healthcare policy. Monitor federal issues and legislation related to Medicare reimbursement. Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Extend Section 3111, P.L. 111-148. Monitor the implementation of Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriation Act, 2017, and Zika Response and Preparedness Act (P.L. 114-223). H.R. 6, House 21st Century Cures Act. H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015. H.R.775, Medicare Access to Rehabilitation Services Act of 2015. H.R. 1600, Patients' Access to Treatments Act of 2015. H.R. 1725, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015. H.R. 1859, Ensuring Children's Access to Specialty Care Act of 2015. H.R. 2256, Veterans Information Modernization Act. H.R. 2464, Demanding Accountability for Veterans Act of 2015. H.R. 3020, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 3309, Flex-IT 2 Act H.R. 4227, Medicare Advantage Bill of Rights. H.R. 4848, HIP Act H.R. 4909, National Defense Authorization Act for Fiscal Year 2017 H.R. 5001, Flexibility in Electronic Health Record Reporting Act. H.R. 5122, To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models. H.R. 5293, Department of Defense Appropriations, FY 2017. H.R.5721, Local Coverage Determination Clarification Act S. 480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015. S.539, Medicare Access to Rehabilitation Services Act of 2015. S. 2392, Medicare Advantage Bill of Rights. S. 2511, Improving Health Information Technology Act. S. 2822, Flexibility in Electronic Health Record Reporting Act S. 2943, National Defense Authorization Act for Fiscal Year 2017 S. 2978, The Protect Continuing Physician Education and Patient Care Act. S. 3000, Department of Defense Appropriations, FY 2017. S. 3040, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY 2017. S.3173, EHR Regulatory Relief Act. Senate 21st Century Cures Act counterpart package, including S. 2700, S.185, S.2713, S.2745, S.2742, S.1878, S.1077, S.1101, S.2055, S.1767, S.1597, S.2512, S.2030, S.1622, S.2014, S.800, S.849, S.2503, and S.2511. Funding for NIH, CDC, DOD, related to arthritis and rheumatic disease research and education. Funding for Pediatric Subspecialty Loan Repayment Program. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY 2017.

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

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

Advocate regarding proposed regulations under Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Advocate against CMS proposal regarding collection of data for all 10- and 90- day global surgery services. Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2392 / H.R. 4227, the Medicare Advantage Bill of Rights Act of 2015). Support legislation to eliminate the Independent Payment Advisory Board (S.141/ H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015). Lobby Congress on improvements to Health Information Technology implementation. Lobby Congress on issues related to telemedicine and Medicare reimbursement. Support legislation to have telemedicine services reimbursable by Medicare (S. 2484/ H.R. 4442, the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act). Advocate on use and availability of health care data. Lobby in support of legislation to provide more flexibility in the Meaningful Use program (H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability (Flex IT 2) Act). Advocate for EHR interoperability and enhancements to the federal certification system for health information technology; advocate for provisions to restrict data blocking by Electronic Health Records vendors (S. 2141, Transparent Ratings on Usability & Security to Transform Technology Act of 2015, S.2511, Improving Health Information Technology Act and H.R. 6/H.R. 34, 21st Century Cures Act). Advocate for improving disease management and care coordination for patients with chronic diseases (H.R. 6/H.R. 34, 21st Century Cures Act). Support preservation of the In-Offices Ancillary Services Exemption under Stark Law regarding physician self-referral. Advocate against H.R. 5008, Promoting Integrity in Medicare Act of 2016 Support legislation to provide more flexibility in compliance with the Sunshine Act (S.2978). Support legislation to have telemedicine services reimbursable by Medicare (S. 2484/H.R. 4442, the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act). Support S. 2978, Protecting Continuing Physician Education & Patient Care Act. Advocate for increased graduate medical education funding.

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

Issues related to scientific, technical, and medical publications H.R. 1477 - Fair Access to Science and Technology Research Act of 2015 S. 779 - Fair Access to Science and Technology Research Act of 2015 Open access language in all appropriations and authorization bills S. 3084 - American Innovation and Competitiveness Act S. 2978 & H.R. 293 - Protect Continuing Physician Education and Patient Care Act Physician Payments Sunshine Act and clarification summarizing medical textbooks

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues related to scholarly publications, research data, and public access policies; H.R. 1477 / S. 779, Fair Access to Science and Technology Research Act; H.R. 1426, Public Access to Public Science Act; S. 3084, American Innovation and Competitiveness Act; Issues related to reporting exclusions under the Physician Pay Sunshine Act for educational materials; S. 2978, Protect Continuing Physician Education and Patient Care Act; H.R. 6, 21st Century Cures Act

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

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Comments to the Institute of Medicine's Committee on Accessible and Affordable Hearing Health Care for Adults regarding the delivery of hearing healthcare services in the United States. Encourage USP to maintain current rules applicable to allergen extracts with sterile compounding. H.R. 1741, the "Truth in Healthcare Marketing Act of 2015," all provisions. H.R. 1859/S. 2782, the "Ensuring Childrens Access to Specialty Care Act," all provisions. S. 2978, the Protect Continuing Physician Education and Patient Care Act," all provisions. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re:Docket No. FDA-2015-N-4602 for Streamlining Regulations for Good Manufacturing Practices for Hearing Aids; Public Workshop; Request for Comments. Support for provisions in the "21st Century Cures" bill relating to the exchange of clinical outcomes data between electronic health record (EHR) technologies and clinician-led clinical data registries, including provisions to promote and facilitate interoperability of clinical data and to prevent EHR vendors from blocking the transmission of such data to third parties, including clinician-led clinical data registries. Comments re: Docket No. FDA-2016-D-2268 for Insanitary Conditions at Compounding Facilities.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

H.R.5057 - Safe Prescribing for Veterans Act - This bill directs the Department of Veterans Affairs (VA) to require a VA employee who is authorized to prescribe any controlled substance to complete at least one accredited continuing education course on pain management every two years HR 293/S 2978 - the Protecting Continuing Physician Education Act and Patient Care Act - corrections to regulations to implement the Sunshine Act HR 6 - 21st Century Cures Act - provisions impacting Sunshine Act Regulations CMS Medicare Part B Drug Demonstration Project - no specific bill E prescribing for Schedule II drugs - no specific bill Prescription Drug Pricing - no specific bill Negotiating of Part D Drugs - no specific bill Meaningful Use and Electronic Medical Records - no specific bill Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models; Proposed Rule (CMS-5517-FC)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

H.R.5057 - Safe Prescribing for Veterans Act - This bill directs the Department of Veterans Affairs (VA) to require a VA employee who is authorized to prescribe any controlled substance to complete at least one accredited continuing education course on pain management every two years HR 293/S 2978 - the Protecting Continuing Physician Education Act and Patient Care Act - corrections to regulations to implement the Sunshine Act HR 6 - 21st Century Cures Act - provisions impacting Sunshine Act Regulations Gun Violence Prevention - support lifting federal ban on research into gun violence and prevention - appropriations CMS Medicare Part B Drug Demonstration Project - no specific bill E prescribing for Schedule II drugs - no specific bill DEA Reclassification of Marijuana to allow scientific research and study - no specific bill Prescription Drug Pricing - no specific bill Direct to Consumer Advertising - no specific bill Negotiating of Part D Drugs - no specific bill Access to medically tailored foods for low income patients - no specific bill Meaningful Use and Electronic Medical Records - no specific bill Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models; Proposed Rule (CMS-5517-FC)

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

Explore partnership opportunities with the government to disseminate healthcare and research information to physicians and consumers. Federal health care reform efforts; Privacy, security and confidentiality issues; Direct to consumer advertising; Wellness programs and incentives for creation of such programs; Pharma issues related to both advertising and deduction of expenses associated with advertising; Personal health records. S.2978 (Barrasso R-WY) --- A Bill to amend title XI of the Social Security Act to exempt certain transfers for educational purposes from manufacturer transparency reporting requirements).

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

Government targets: SENATE

Explore partnership opportunities with the government to disseminate healthcare and research information to physicians and consumers. Federal health care reform efforts; Privacy, security and confidentiality issues; Direct to consumer advertising; Wellness programs and incentives for creation of such programs; Pharma issues related to both advertising and deduction of expenses associated with advertising; Personal health records. S.2978 --- A Bill to amend title XI of the Social Security Act to exempt certain transfers for educational purposes from manufacturer transparency reporting requirements, all provisions.

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

Government targets: SENATE

Explore partnership opportunities with the government to disseminate healthcare and research information to physicians and consumers. Federal health care reform efforts; Privacy, security and confidentiality issues; Direct to consumer advertising; Wellness programs and incentives for creation of such programs; Pharma issues related to both advertising and deduction of expenses associated with advertising; Personal health records. S.2978 (Barrasso R-WY) --- A Bill to amend title XI of the Social Security Act to exempt certain transfers for educational purposes from manufacturer transparency reporting requirements).

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

Government targets: SENATE

Issues related to scientific, technical and medical publications. Issues related to fraud prevention in Medicare and Medicaid programs. HR 293, amending Title XI of the Social Security Act to include provisions on medical textbooks and journal article reprints under the reporting exclusion in the Physician Payments Sunshine Act. HR 1477 / S 779, Fair Access to Science and Technology Research Act, provisions related to scientific, technical and medical publications. HR 34 / HR 6, 21st Century Cures Act, provisions related to medical publications and clinical software. Issues related to CMS recognized compendia for off-label indications. S 2981, a bill to amend title XIX of the Social Security Act to add standards for drug compendia for physician use for purposes of Medicaid payment for certain drugs, and for other purposes, all provisions. S 2978, Protect Continuing Physician Education and Patient Care Act, all provisions. S 3084, American Innovation & Competitiveness Act, provisions related to science, technical and medical publications.

Client expense: $410,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R.293/S.2978, Protect Continuing Physician Education and Patient Care Act. H.R.34, 21st Century Cures Act (P.L.114-255). S.2153, Provider Payment Sunshine Act. Issues related to the promotion of continuing medical education and the implementation of the Physician Payment Sunshine Act. Implementation issues related to the Medicare Access and CHIP Reauthorization Act of 2015, P.L.114-10.

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

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

HR 34 21st Century Cures Act HR 2646 Helping Families in Mental Health Crisis Act of 2015 HR 1859 Ensuring Children's Access to Specialty Care Act of 2015 S. 2782 Ensuring Children's Access to Specialty Care Act of 2016 S. 2680 Mental Health Reform Act of 2016 S. 524 Comprehensive Addiction and Recovery Act of 2016 HR 953 Comprehensive Addiction and Recovery Act of 2015 HR 4435 Comprehensive Behavioral Health Reform and Recovery Act of 2016 S. 1945 Mental Health Reform Act of 2015 S. 2002 Mental Health and Safe Communities Act of 2015 S. 1893 Mental Health Awareness and Improvement Act of 2015 S. 1494 Children's Recovery from Trauma Act HR 2632 Children's Recovery from Trauma Act S. 711 Mental Health First Act of 2015 H.R. 1877 Mental Health First Aid Act of 2016 HR 938 Garrett Lee Smith Memorial Act Reauthorization of 2015 S. 429 Family-Based Foster Care Services Act HR 835 Family-Based Foster Care Services Act HR 1211 Mental Health in Schools Act HR 5362 Mental and Behavioral Health Care Bump Act of 2016 HR 5549 Medical Marijuana Research Act of 2016 S. 3077 MEDS Act S. 2978 Protect Continuing Physician Education and Patient Care Act HR 5456 Family First Prevention Services Act of 2016 S. 3065 Family First Prevention Services Act of 2016 HR 5462 To amend title XIX of the Social Security Act to provide for a State Medicaid option to enhance administrative matching funds to support statewide behavioral health access program activities for... MACRA/MIPS Level appropriations for the Sober Truth on Preventing Underage Drinking Act Strengthen the Pediatric Quality Measures Program in CHIPRA Opposing the expansion of the role of Advance Practice Registered Nurses Ending the federal ban on gun violence research Expansion of the Excellence in Mental Health Act demonstration grants Increased appropriations for mental health profession loan repayment

Client expense: $36,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

S. 2978 - Protect Continuing Physician Education and Patient Care Act S. 2981 - A bill to amend title XIX of the Social Security Act to add standards for drug compendia for physician use for purposes of Medicaid payment for certain drugs, and for other purposes.

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

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

Issues related to scientific, technical, and medical publications H.R. 1477 - Fair Access to Science and Technology Research Act of 2015 S. 779 - Fair Access to Science and Technology Research Act of 2015 Open access language in all appropriations and authorization bills S. 3084 - American Innovation and Competitiveness Act S. 2978 & H.R. 293 - Protect Continuing Physician Education and Patient Care Act Physician Payments Sunshine Act and clarification summarizing medical textbooks

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor federal issues and legislation related to healthcare policy. Monitor federal issues and legislation related to Medicare reimbursement. Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Extend Section 3111, P.L. 111-148. Monitor the implementation of Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriation Act, 2017, and Zika Response and Preparedness Act (P.L. 114-223). H.R. 6, House 21st Century Cures Act. H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015. H.R.775, Medicare Access to Rehabilitation Services Act of 2015. H.R. 1600, Patients' Access to Treatments Act of 2015. H.R. 1725, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015. H.R. 1859, Ensuring Children's Access to Specialty Care Act of 2015. H.R. 2256, Veterans Information Modernization Act. H.R. 2464, Demanding Accountability for Veterans Act of 2015. H.R. 3020, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 3309, Flex-IT 2 Act H.R. 4227, Medicare Advantage Bill of Rights. H.R. 4848, HIP Act H.R. 4909, National Defense Authorization Act for Fiscal Year 2017 H.R. 5001, Flexibility in Electronic Health Record Reporting Act. H.R. 5122, To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models. H.R. 5293, Department of Defense Appropriations, FY 2017. H.R.5721, Local Coverage Determination Clarification Act S. 480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015. S.539, Medicare Access to Rehabilitation Services Act of 2015. S. 2392, Medicare Advantage Bill of Rights. S. 2511, Improving Health Information Technology Act. S. 2822, Flexibility in Electronic Health Record Reporting Act S. 2943, National Defense Authorization Act for Fiscal Year 2017 S. 2978, The Protect Continuing Physician Education and Patient Care Act. S. 3000, Department of Defense Appropriations, FY 2017. S. 3040, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY 2017. S.3173, EHR Regulatory Relief Act. Senate 21st Century Cures Act counterpart package, including S. 2700, S.185, S.2713, S.2745, S.2742, S.1878, S.1077, S.1101, S.2055, S.1767, S.1597, S.2512, S.2030, S.1622, S.2014, S.800, S.849, S.2503, and S.2511. Funding for NIH, CDC, DOD, related to arthritis and rheumatic disease research and education. Funding for Pediatric Subspecialty Loan Repayment Program. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY 2017.

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

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

Monitor federal issues and legislation related to healthcare policy. Monitor federal issues and legislation related to Medicare reimbursement. Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Extend Section 3111, P.L. 111-148. Monitor the implementation of Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriation Act, 2017, and Zika Response and Preparedness Act (P.L. 114-223). H.R. 6, House 21st Century Cures Act. H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015. H.R.775, Medicare Access to Rehabilitation Services Act of 2015. H.R. 1600, Patients' Access to Treatments Act of 2015. H.R. 1725, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015. H.R. 1859, Ensuring Children's Access to Specialty Care Act of 2015. H.R. 2256, Veterans Information Modernization Act. H.R. 2464, Demanding Accountability for Veterans Act of 2015. H.R. 3020, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 3309, Flex-IT 2 Act H.R. 4227, Medicare Advantage Bill of Rights. H.R. 4848, HIP Act H.R. 4909, National Defense Authorization Act for Fiscal Year 2017 H.R. 5001, Flexibility in Electronic Health Record Reporting Act. H.R. 5122, To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models. H.R. 5293, Department of Defense Appropriations, FY 2017. H.R.5721, Local Coverage Determination Clarification Act S. 480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015. S.539, Medicare Access to Rehabilitation Services Act of 2015. S. 2392, Medicare Advantage Bill of Rights. S. 2511, Improving Health Information Technology Act. S. 2822, Flexibility in Electronic Health Record Reporting Act S. 2943, National Defense Authorization Act for Fiscal Year 2017 S. 2978, The Protect Continuing Physician Education and Patient Care Act. S. 3000, Department of Defense Appropriations, FY 2017. S. 3040, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY 2017. S.3173, EHR Regulatory Relief Act. Senate 21st Century Cures Act counterpart package, including S. 2700, S.185, S.2713, S.2745, S.2742, S.1878, S.1077, S.1101, S.2055, S.1767, S.1597, S.2512, S.2030, S.1622, S.2014, S.800, S.849, S.2503, and S.2511. Funding for NIH, CDC, DOD, related to arthritis and rheumatic disease research and education. Funding for Pediatric Subspecialty Loan Repayment Program. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY 2017.

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

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

Monitor federal issues and legislation related to healthcare policy. Monitor federal issues and legislation related to Medicare reimbursement. Monitor implementation of Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Monitor implementation of the Patient Protection and Affordable Care Act (P.L. 111-148). Extend Section 3111, P.L. 111-148. Monitor the implementation of Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriation Act, 2017, and Zika Response and Preparedness Act (P.L. 114-223). H.R. 6, House 21st Century Cures Act. H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015. H.R.775, Medicare Access to Rehabilitation Services Act of 2015. H.R. 1600, Patients' Access to Treatments Act of 2015. H.R. 1725, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015. H.R. 1859, Ensuring Children's Access to Specialty Care Act of 2015. H.R. 2256, Veterans Information Modernization Act. H.R. 2464, Demanding Accountability for Veterans Act of 2015. H.R. 3020, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2015. H.R. 3309, Flex-IT 2 Act H.R. 4227, Medicare Advantage Bill of Rights. H.R. 4848, HIP Act H.R. 4909, National Defense Authorization Act for Fiscal Year 2017 H.R. 5001, Flexibility in Electronic Health Record Reporting Act. H.R. 5122, To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models. H.R. 5293, Department of Defense Appropriations, FY 2017. H.R.5721, Local Coverage Determination Clarification Act S. 480, National All Schedules Prescription Electronic Reporting Reauthorization Act of 2015. S.539, Medicare Access to Rehabilitation Services Act of 2015. S. 2392, Medicare Advantage Bill of Rights. S. 2511, Improving Health Information Technology Act. S. 2822, Flexibility in Electronic Health Record Reporting Act S. 2943, National Defense Authorization Act for Fiscal Year 2017 S. 2978, The Protect Continuing Physician Education and Patient Care Act. S. 3000, Department of Defense Appropriations, FY 2017. S. 3040, Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY 2017. S.3173, EHR Regulatory Relief Act. Senate 21st Century Cures Act counterpart package, including S. 2700, S.185, S.2713, S.2745, S.2742, S.1878, S.1077, S.1101, S.2055, S.1767, S.1597, S.2512, S.2030, S.1622, S.2014, S.800, S.849, S.2503, and S.2511. Funding for NIH, CDC, DOD, related to arthritis and rheumatic disease research and education. Funding for Pediatric Subspecialty Loan Repayment Program. Draft, House Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations, FY 2017.

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

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

S. 2978 - Protect Continuing Physician Education and Patient Care Act S. 2981 - A bill to amend title XIX of the Social Security Act to add standards for drug compendia for physician use for purposes of Medicaid payment for certain drugs, and for other purposes.

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

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

Advocate regarding proposed regulations under Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2392 / H.R. 4227, the Medicare Advantage Bill of Rights Act of 2015). Support legislation to eliminate the Independent Payment Advisory Board (S.141/ H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015). Lobby Congress on improvements to Health Information Technology implementation. Lobby Congress on issues related to telemedicine and Medicare reimbursement. Support legislation to have telemedicine services reimbursable by Medicare (S. 2484/ H.R. 4442, the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act). Advocate on use and availability of health care data. Lobby in support of legislation to provide more flexibility in the Meaningful Use program (, H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability (Flex IT 2) Act), H.R. 3940, HR 5001/S.2822 Flexibility in Electronic Health Record Reporting Act. Advocate for EHR interoperability and enhancements to the federal certification system for health information technology (S. 2141, Transparent Ratings on Usability & Security to Transform Technology Act of 2015 and S.2511, Improving Health Information Technology Act). Lobby in support of legislation to require the Secretary of Health and Human Services to issue guidance on the application of the Common Rule to clinical data registries (H.R. 965, Facilitating Participation in Clinical Data Registries Act of 2015). Support legislation to reduce Medicare fraud and improve access to Death Master File, S. 1073, the Stopping Improper Payments to Deceased People Act. Advocate for improving disease management and care coordination for patients with chronic diseases Support preservation of the In Offices Ancillary Services Exemption under Stark Law regarding physician self-referral. Advocate against H.R. 5008, Promoting Integrity in Medicare Act of 2016 Support legislation to provide more flexibility in compliance with the Sunshine Act (S.2978). Advocate against data blocking by Electronic Health Records vendors. Support legislation to have telemedicine services reimbursable by Medicare (S. 2484/H.R. 4442, the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act). Support S. 2978, Protecting Continuing Physician Education & Patient Care Act. Advocate for increased graduate medical education funding. Lobby members of House to write to CMS in opposition of a policy in the 2017 Medicare Physician Fee Schedule Proposed Rule that would require all physicians to collect and report data on all services included in 10- and 90-day global surgery codes.

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

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

Issues related to scientific, technical and medical publications. Issues related to fraud prevention in Medicare and Medicaid programs. HR 293, amending Title XI of the Social Security Act to include provisions on medical textbooks and journal article reprints under the reporting exclusion in the Physician Payments Sunshine Act. HR 1426, Public Access to Public Science Act, all provisions. HR 1477 / S 779, Fair Access to Science and Technology Research Act, provisions related to scientific, technical and medical publications. HR 6, 21st Century Cures Act, provisions related to medical publications and clinical software. Issues related to CMS recognized compendia for off-label indications. S 2981, a bill to amend title XIX of the Social Security Act to add standards for drug compendia for physician use for purposes of Medicaid payment for certain drugs, and for other purposes, all provisions. S 2978, Protect Continuing Physician Education and Patient Care Act, all provisions.

Client expense: $380,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

No bill: Medicare Access and CHIP Reauthorization Act oversight, MIPS and APMs No bill: Global Surgery Payment data collection mandates S. 2978, the Protect Continuing Physician Education and Patient Care Act: Modifications to the Sunshine Act to allow dissemination of text books and journal articles S. 3173, EHR Regulatory Relief Act: 90-day EHR reporting period

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

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

No bill: Medicare Access and CHIP Reauthorization Act oversight, MIPS and APMs No bill: Global Surgery Payment data collection mandates S. 2978, the Protect Continuing Physician Education and Patient Care Act: Modifications to the Sunshine Act to allow dissemination of text books and journal articles S. 3173, EHR Regulatory Relief Act: 90-day EHR reporting period

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, 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. 3926, Gun Violence Research Act, all provisions S. 524, Comprehensive Addiction and Recovery Act (CARA) of 2016, all provisions S. 2978, Protecting Continuing Physician Education and Patient Care 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. 1945, Mental Health Reform Act of 2015, all provisions H.R. 2646, Helping Families in Mental Health Crisis Act of 2016, all provisions H.R. 1217, Public Safety and Second Amendment Rights Protection Act of 2015, 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, The Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions S. 1455, The Recovery Enhancement for Addiction Treatment (TREAT) Act, all provisions H.R. 4499, Promoting Responsible Opioid Prescribing (PROP) Act of 2016, all provisions S. 2758, Promoting Responsible Opioid Prescribing (PROP) Act of 2016, all provisions H.R. 1877, Mental Health First Aid Act of 2016, all provisions H.R. 1217, Public Safety and Second Amendment Rights Protection Act of 2015, all provisions H.R. 1209, Improving Access to Maternity Care Act, all provisions S. 3077, Marijuana Effective Drug Studies (MEDS) Act of 2016, all provisions S. 2141, Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015, all provisions Health Savings Accounts - Prescription requirements for over-the-counter medications Opioid Abuse Prescription Drug Diversion Telemedicine - Interstate Medical Licensure Compact Gun Violence Zika Virus Funding Health Insurance Portability and Accountability Act (HIPAA), audits and physician education Electronic health record (EHR) interoperability Physician Payment Sunshine 21st Century Cures, Innovations Personalized Medicine Initiative Laboratory developed testing PrecisionFDA Diabetes Prevention Health Data Security Next Generation Sequencing Drug Compounding

Client expense: $3,870,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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

Comments to the Institute of Medicine's Committee on Accessible and Affordable Hearing Health Care for Adults regarding the delivery of hearing healthcare services in the United States. Encourage USP to maintain current rules applicable to allergen extracts with sterile compounding. H.R. 1741, the "Truth in Healthcare Marketing Act of 2015," all provisions. H.R. 1859/S. 2782, the "Ensuring Childrens Access to Specialty Care Act," all provisions. S. 2978, the Protect Continuing Physician Education and Patient Care Act," all provisions. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re:Docket No. FDA-2015-N-4602 for Streamlining Regulations for Good Manufacturing Practices for Hearing Aids; Public Workshop; Request for Comments.

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

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Issues related to scientific, technical, and medical publications H.R. 1477 - Fair Access to Science and Technology Research Act of 2015 S. 779 - Fair Access to Science and Technology Research Act of 2015 Open access language in all appropriations and authorization bills S. 3084 - American Innovation and Competitiveness Act S. 2978 & H.R. 293 - Protect Continuing Physician Education and Patient Care Act Physician Payments Sunshine Act and clarification summarizing medical textbooks

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

Government targets: HOUSE OF REPRESENTATIVES, 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

S 2978-Protect Continuing Physician Education & Patient Care Act, Cures/Innovations, Drug Pricing spikes, Medicare Part B Rx prices demo, PDUFA-Prescription Drug User Fee Act

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

Government targets: Director of National Intelligence (ODNI), Federal Deposit Insurance Corporation (FDIC), HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Occupational Safety & Health Administration (OSHA), Office of Management & Budget (OMB), Office of Special Counsel, Office of the Comptroller of the Currency (OCC), SENATE, Securities & Exchange Commission (SEC), Treasury, Dept of, White House Office

Explore partnership opportunities with the government to disseminate healthcare and research information to physicians and consumers. Federal health care reform efforts; Privacy, security and confidentiality issues; Direct to consumer advertising; Wellness programs and incentives for creation of such programs; Pharma issues related to both advertising and deduction of expenses associated with advertising; Personal health records. S.2978 (Barrasso R-WY) --- A Bill to amend title XI of the Social Security Act to exempt certain transfers for educational purposes from manufacturer transparency reporting requirements).

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

Government targets: SENATE

Explore partnership opportunities with the government to disseminate healthcare and research information to physicians and consumers. Federal health care reform efforts; Privacy, security and confidentiality issues; Direct to consumer advertising; Wellness programs and incentives for creation of such programs; Pharma issues related to both advertising and deduction of expenses associated with advertising; Personal health records. S.2978 --- A Bill to amend title XI of the Social Security Act to exempt certain transfers for educational purposes from manufacturer transparency reporting requirements, all provisions.

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

Government targets: SENATE

Explore partnership opportunities with the government to disseminate healthcare and research information to physicians and consumers. Federal health care reform efforts; Privacy, security and confidentiality issues; Direct to consumer advertising; Wellness programs and incentives for creation of such programs; Pharma issues related to both advertising and deduction of expenses associated with advertising; Personal health records. S.2978 (Barrasso R-WY) --- A Bill to amend title XI of the Social Security Act to exempt certain transfers for educational purposes from manufacturer transparency reporting requirements).

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

Government targets: SENATE

Comprehensive Addiction and Recovery Act ( CARA) PL 114-198,formerly S. 524/HR 953 - funds to prevent and treat opioid addiction and substance abuse, Including: S. 1455 - Treat Act -The Recovery Enhancement for Addiction Act - legislation to increase the # of patients a provider can treat with buprenorphine S.25781/H.R. 4599 Reducing Unused Medications Act - allows partial fill for Schedule II drugs. H.R.5057 - Safe Prescribing for Veterans Act - This bill directs the Department of Veterans Affairs (VA) to require a VA employee who is authorized to prescribe any controlled substance to complete at least one accredited continuing education course on pain management every two years SAMHSA Supplemental Notice of Proposed Rulemaking: Medication Assisted Treatment for Opioid Use Disorders Reporting Requirements [RIN 0930-AA22] Assistant Secretary for Planning and Evaluation: : Request for Information: Opioid Analgesic Prescriber Education and Training Opportunities to Prevent Opioid Overdose and Opioid Use Disorder HR 4276/S 2647 - Behavioral Health Coverage Transparency Act - legislation to provide transparency in insurance coverage complying with behavioral health parity requirements HR 293/S 2978 - the Protecting Continuing Physician Education Act and Patient Care Act - corrections to regulations to implement the Sunshine Act HR 6 - 21st Century Cures Act - provisions impacting Sunshine Act Regulations CMS Medicare Part B Drug Demonstration Project - no specific bill E prescribing for Schedule II drugs - no specific bill Prescription Drug Pricing - no specific bill Negotiating of Part D Drugs - no specific bill Meaningful Use and Electronic Medical Records - no specific bill Medicare Program: Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Proposed Rule (CMS-1654-P); and Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Proposed Rule (CMS-2016-0115-0002). Veterans Health Administration Proposed Rule RIN 2900-AP44-Advanced Practice Registered Nurses National Defense Authorization Act for FY 2017 -issues relating to telemedicine

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

Comprehensive Addiction and Recovery Act ( CARA) PL 114-198,formerly S. 524/HR 953 - funds to prevent and treat opioid addiction and substance abuse, Including: S. 1455 - Treat Act -The Recovery Enhancement for Addiction Act - legislation to increase the # of patients a provider can treat with buprenorphine S.25781/H.R. 4599 Reducing Unused Medications Act - allows partial fill for Schedule II drugs. H.R.5057 - Safe Prescribing for Veterans Act - This bill directs the Department of Veterans Affairs (VA) to require a VA employee who is authorized to prescribe any controlled substance to complete at least one accredited continuing education course on pain management every two years SAMHSA Supplemental Notice of Proposed Rulemaking: Medication Assisted Treatment for Opioid Use Disorders Reporting Requirements [RIN 0930-AA22] Assistant Secretary for Planning and Evaluation: : Request for Information: Opioid Analgesic Prescriber Education and Training Opportunities to Prevent Opioid Overdose and Opioid Use Disorder HR 4276/S 2647 - Behavioral Health Coverage Transparency Act - legislation to provide transparency in insurance coverage complying with behavioral health parity requirements HR 293/S 2978 - the Protecting Continuing Physician Education Act and Patient Care Act - corrections to regulations to implement the Sunshine Act HR 6 - 21st Century Cures Act - provisions impacting Sunshine Act Regulations Gun Violence Prevention - support lifting federal ban on research into gun violence and prevention - appropriations CMS Medicare Part B Drug Demonstration Project - no specific bill E prescribing for Schedule II drugs - no specific bill DEA Reclassification of Marijuana to allow scientific research and study - no specific bill Prescription Drug Pricing - no specific bill Direct to Consumer Advertising - no specific bill Negotiating of Part D Drugs - no specific bill Access to medically tailored foods for low income patients - no specific bill Meaningful Use and Electronic Medical Records - no specific bill Medicare Program: Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Proposed Rule (CMS-1654-P); and Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Proposed Rule (CMS-2016-0115-0002). Veterans Health Administration Proposed Rule RIN 2900-AP44-Advanced Practice Registered Nurses National Defense Authorization Act for FY 2017 -issues relating to telemedicine

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

H.R.293/S.2978, Protect Continuing Physician Education and Patient Care Act. H.R.6, 21st Century Cures Act. S.2153, Provider Payment Sunshine Act. Issues related to the promotion of continuing medical education and the implementation of the Physician Payment Sunshine Act. Implementation issues related to the Medicare Access and CHIP Reauthorization Act of 2015, P.L.114-10.

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

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

S. 2978, Protect Continuing Physician Education and Patient Care Act

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

Government targets: HOUSE OF REPRESENTATIVES, Office of Science & Technology Policy (OSTP), SENATE

HR 2646 Helping Families in Mental Health Crisis Act of 2015 HR 1859 Ensuring Children's Access to Specialty Care Act of 2015 S. 2782 Ensuring Children's Access to Specialty Care Act of 2016 S. 2680 Mental Health Reform Act of 2016 S. 524 Comprehensive Addiction and Recovery Act of 2016 HR 953 Comprehensive Addiction and Recovery Act of 2015 HR 4435 Comprehensive Behavioral Health Reform and Recovery Act of 2016 S. 1945 Mental Health Reform Act of 2015 S. 2002 Mental Health and Safe Communities Act of 2015 S. 1893 Mental Health Awareness and Improvement Act of 2015 S. 1494 Children's Recovery from Trauma Act HR 2632 Children's Recovery from Trauma Act S. 711 Mental Health First Act of 2015 H.R. 1877 Mental Health First Aid Act of 2016 HR 938 Garrett Lee Smith Memorial Act Reauthorization of 2015 S. 429 Family-Based Foster Care Services Act HR 835 Family-Based Foster Care Services Act HR 1211 Mental Health in Schools Act HR 5362 Mental and Behavioral Health Care Bump Act of 2016 HR 5549 Medical Marijuana Research Act of 2016 S. 3077 MEDS Act S. 2978 Protect Continuing Physician Education and Patient Care Act HR 5456 Family First Prevention Services Act of 2016 S. 3065 Family First Prevention Services Act of 2016 HR 5462 To amend title XIX of the Social Security Act to provide for a State Medicaid option to enhance administrative matching funds to support statewide behavioral health access program activities for... MACRA/MIPS Level appropriations for the Sober Truth on Preventing Underage Drinking Act Strengthen the Pediatric Quality Measures Program in CHIPRA Opposing the expansion of the role of Advance Practice Registered Nurses Ending the federal ban on gun violence research Expansion of the Excellence in Mental Health Act demonstration grants Increased appropriations for mental health profession loan repayment

Client expense: $64,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA), Veterans Affairs, Dept of (VA)

S. 689, Sports Medicine Licensure Clarity Act: Provide protections for certain sports medicine professionals who provide certain medical services in a secondary State. S. 763, Trauma Systems and Regionalization of Emergency Care Reauthorization Act: To reauthorize certain trauma care programs. S. 884, Health Care Safety Net Enhancement Act of 2015: To improve access to emergency medical services. S. 1077, Advancing Breakthrough Devices for Patients Act: Expand FDA approval process for breakthrough devices S. 2511, Improving Health Information Technology: data blocking, HIT rating system, EHR interoperability S. 2578, Reducing Unused Medication Act: Opioid prescriptions; partial refill S. 2782, Ensuring Childrens Access to Specialty Care Act: pediatric subspecialty shortages S. 2978, Protect Continuing Physician Education and Patient Care Act: exempt CME from Sunshine Act reporting S. 3101, Good Samaritan Health Professionals Act of 2016: To limit the liability of health care professionals who volunteer to provide health care services in response to a disaster. H.R. 836, Health Care Safety Net Enhancement Act of 2015: To improve access to emergency medical services. H.R 865, Good Samaritan Health Professionals Act of 2015: To limit the liability of health care professionals who volunteer to provide health care services in response to a disaster. H.R. 921, Sports Medicine Licensure Clarity Act of 2015: To provide protections for certain sports medicine professionals who provide certain medical services in a secondary State. H.R. 1859, Ensuring Childrens Access to Specialty Care Act: pediatric subspecialty shortages H.R.2603, Saving Lives, Saving Costs Act: Medical liability reform H.R. 4771, Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act: Comprehensive medical liability reform H.R. 4599, Reducing Unused Medication Act: Opioid prescriptions; partial refill No bill: improving pediatric trauma systems No bill: prevention and treatment for concussions No bill: incorporation of medical liability reform into House Republican health reform bill

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

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

Advocate regarding proposed regulations under Medicare Access and CHIP Reauthorization Act of 2015 (P.L. 114-10). Advocate for adequate and accurate network coverage for dermatologic care within Medicare Advantage and health insurance exchange networks (S. 2392 / H.R. 4227, the Medicare Advantage Bill of Rights Act of 2015). Support legislation to eliminate the Independent Payment Advisory Board (S.141/ H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015). Lobby Congress on improvements to Health Information Technology implementation. Lobby Congress on issues related to telemedicine and Medicare reimbursement. Advocate on use and availability of health care data. Lobby in support of legislation to provide more flexibility in the Meaningful Use program (, H.R. 3309, the Further Flexibility in HIT Reporting and Advancing Interoperability (Flex IT 2) Act), H.R. 3940, HR 5001/S.2822 Flexibility in Electronic Health Record Reporting Act. Advocate for EHR interoperability and enhancements to the federal certification system for health information technology (S. 2141, Transparent Ratings on Usability & Security to Transform Technology Act of 2015 and S.2511, Improving Health Information Technology Act). Lobby in support of legislation to require the Secretary of Health and Human Services to issue guidance on the application of the Common Rule to clinical data registries (H.R. 965, Facilitating Participation in Clinical Data Registries Act of 2015). Support legislation to improve transparency and due process in the Medicare RAC audit and appeals process (H.R. 2568, Fair Medical Audits Act). Support legislation to reduce Medicare fraud and improve access to Death Master File, S. 1073, the Stopping Improper Payments to Deceased People Act. Advocate for improving disease management and care coordination for patients with chronic diseases Support preservation of the In Offices Ancillary Services Exemption under Stark Law regarding physician self-referral. Advocate against H.R. 5008, Promoting Integrity in Medicare Act of 2016 Support legislation to provide more flexibility in compliance with the Sunshine Act (S.2978). Advocate against data blocking by Electronic Health Records vendors. Support legislation to have telemedicine services reimbursable by Medicare (S. 2484/ H.R. 4442, the Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act). Support S. 2978, Protecting Continuing Physician Education & Patient Care Act. Advocate for increased graduate medical education funding.

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

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

Comments to the Institute of Medicine's Committee on Accessible and Affordable Hearing Health Care for Adults regarding the delivery of hearing healthcare services in the United States. Encourage USP to maintain current rules applicable to allergen extracts with sterile compounding. H.R. 1741, the "Truth in Healthcare Marketing Act of 2015," all provisions. H.R. 1859/S. 2782, the "Ensuring Childrens Access to Specialty Care Act," all provisions. S. 2978, the Protect Continuing Physician Education and Patient Care Act," all provisions. Support for the inclusion of language in S.2511, the "Improving Health Information Technology Act," aimed at eliminating information blocking and enhancing data exchange between electronic health record technology and clinical data registries. Comments re:Docket No. FDA-2015-N-4602 for Streamlining Regulations for Good Manufacturing Practices for Hearing Aids; Public Workshop; Request for Comments.

Client expense: $130,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

S. 2511: Improving Health Information Technology Act S. 1465 / HR 2799: Furthering Access to Stroke Telemedicine (FAST) Act S. 2484: HR 4442: CONNECT for Health Act; Section 303 S. 2978: Protect Continuing Physician Education and Patient Care Act HR 2948: Medicare Telehealth Parity Act of 2015, Section 105(a)(1) HR 5122: To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models. Preservation of the in-office ancillary exception to the Stark law; urging changes to the Meaningful Use Program and Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

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

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

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

Explore partnership opportunities with the government to disseminate healthcare and research information to physicians and consumers. Federal health care reform efforts; Privacy, security and confidentiality issues; Direct to consumer advertising; Wellness programs and incentives for creation of such programs; Pharma issues related to both advertising and deduction of expenses associated with advertising; Personal health records. S.2978 --- A Bill to amend title XI of the Social Security Act to exempt certain transfers for educational purposes from manufacturer transparency reporting requirements, all provisions.

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

Government targets: SENATE

H.R.293/S.2978, Protect Continuing Physician Education and Patient Care Act. H.R.6, 21st Century Cures Act. S.2153, Provider Payment Sunshine Act. Issues related to the promotion of continuing medical education and the implementation of the Physician Payment Sunshine Act. Implementation issues related to the Medicare Access and CHIP Reauthorization Act of 2015, P.L.114-10.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 1455 - Treat Act -The Recovery Enhancement for Addiction Act - legislation to increase the # of patients a provider can treat with buprenorphine S. 524/HR 953- Comprehensive Addiction and Recovery Act (CARA) - funds to prevent and treat opioid addiction and substance abuse S. 2578/HR 4599 - Reducing Unused Medications Act - allows partial fill for Schedule II drugs H.R.5057 - Safe Prescribing for Veterans Act - This bill directs the Department of Veterans Affairs (VA) to require a VA employee who is authorized to prescribe any controlled substance to complete at least one accredited continuing education course on pain management every two years HR 4276/S 2647 - Behavioral Health Coverage Transparency Act - legislation to provide transparency in insurance coverage complying with behavioral health parity requirements HR 293/S 2978 - the Protecting Continuing Physician Education Act and Patient Care Act - corrections to regulations to implement the Sunshine Act HR 6 - 21st Century Cures Act - provisions impacting Sunshine Act Regulations CMS Medicare Part B Drug Demonstration Project - no specific bill E prescribing for Schedule II drugs - no specific bill Prescription Drug Pricing - no specific bill Negotiating of Part D Drugs - no specific bill Meaningful Use and Electronic Medical Records - no specific bill PL 114-20 - The Medicare Access and CHIP Reauthorization Act - comments to the notice of proposed rulemaking: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models; Proposed Rule (CMS-5517-P) Department of Veterans Affairs - Notice of proposed rulemaking re advanced practice nurses SAMSHA - Proposed Revisions to the Confidentiality of Alcohol and Drug Abuse Patient Records: Regulations at 42 CFR Part 2

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)