Prevent Interruptions in Physical Therapy Act of 2015

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling H.R. 2948 Medicare Telehealth Parity Act S. 2484/H.R. CONNECT for Health Act New evaluation and reevaluation CPT codes & misvalued codes EMG

Client expense: $258,406 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611; S.578/H.R.1342

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for S.539, Medicare Access to Rehabilitation Services Act of 2015; H.R.775, Medicare Access to Rehabilitation Services Act of 2015; S. 313, Prevent Interruptions in Physical Therapy Act. Support for S. 2364, Medicare Home Health Flexibility Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $258,406 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling H.R. 2948 Medicare Telehealth Parity Act S. 2484/H.R. CONNECT for Health Act New evaluation and reevaluation CPT codes & misvalued codes EMG

Client expense: $258,406 · Firm income: Not reported

HR 775/S 539 - Medicare Access to Rehabilitation Services Act: Advocate for removal of cap on occupational therapy services and support passage. HR 1516 - Ensuring Access and Quality Complex Rehabilitation Technology Act of 2015: Advocate for inclusion of occupational therapy professionals as providers of complex rehabilitation technology. HR 1608 - Lymphedema Treatment Act: Support passage and educate about role of occupational therapy services. HR 729 - Medicare Demonstration of Coverage for Low Vision Devices Act of 2015: Support passage and education about role of occupational therapy services. HR 6 - 21st Century Cures Act: Advocated to improve research under the National Institutes of Health (NIH). S. 313 - Prevent Interruptions in Physical Therapy Act: Advocated for inclusion of occupational therapy, specifically policies allowing occupational therapists to perform certain home health assessments. S. 2364 - The Medicare Home Health Flexibility Act: support passage to allow occupational therapy as an initiating service in Medicare's home health setting. Seeking introduction of a companion bill in the House of Reps. H.R. 2948 - Medicare Telehealth Parity Act of 2015: Support passage especially as it relates to inclusion of occupational therapy services. S. 2484/HR 4442 - CONNECT for Health Act: Support occupational therapy provisions. No bill: Advocate for inclusion of occupational therapy services in legislation addressing the needs of those with chronic conditions. HR 5926/S 3040, Fiscal 2017 Labor-HHS-Education Appropriations - Advocated for funding for Agency for Health Research & Quality (AHRQ); Center for Medicare and Medicaid Innovation (CMMI); Center for Medicare and Medicaid Services (CMS); Substance Abuse and Mental Health Services Administration (SAMHSA); Administration for Children and Families (ACF); Administration for Community Living (ACL); education; Increase 302B levels, Title VII workforce programs and NIOSH. HR 3298, Medicare Post-Acute Care Value Based Purchasing Act: Advocated for more focus on function, quality, and long-term outcomes.

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611; S.578/H.R.1342

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR556/S313, Prevent Interruptions to Physical Therapy: adding physical therapists to the Medicare locum tenens program HR775/S539, Medicare Access to Rehabilitation Services: to repeal the monetary cap on physical therapy for Medicare beneficiaries. HR2948, Medicare Telehealth Parity to allow for Medicare to reimburse all eligible providers--including physical therapists--for care provided via telehealth. HR1650/S1849, Medicare Patient Empowerment Act: to allow Medicare providers to opt out of Medicare on a case-by-case basis to empower patients to chose their provider and how to pay for care. HR2712, Commonsense Reporting and Verification Act and S1996, Commonsense Reporting Act: simplify the process for employer reporting of employees using the ACA Marketplace to purchase health insurance while increasing transparency and disclosure for employees. HR2799/S1465; Furthering Access to Stroke Telemedicine (FAST) Act: to allow for stroke assessment via telehealth regardless of location of the originating site. HR4442/S2484, CONNECT for Health Act of 2016: telehealth reform bill in three parts: 1. allowing for Medicare Advantage to provide telehealth coverage as a basic benefit; 2. allowing stroke assessment via telehealth regardless of originating site; and 3. allow for MIPS providers to be covered for use of telehealth, and allows for HHS Secretary to add additional providers such as physical therapists; Medicare Telehealth Parity Act (H.R.2948) to allow for complete access to care via telehealth for Medicare beneficiaries. Supporting the Promoting Integrity in Medicare Act (H.R.5088)to remove physical therapists from the in-office ancillary services exception. Also lobbying for any reforms to veterans health coverage to ensure continued access to community based providers.

Client expense: Not reported · Firm income: Not reported

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313). Support grassroots efforts of practitioner members to ask for their representatives to support locum tenens legislation. Advocated for the inclusion of the permanent repeal of the therapy cap as well as support for HR1650 and S1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries. Also lobbying two bills that PPS has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 775/S 539 - Medicare Access to Rehabilitation Services Act: Advocate for removal of cap on occupational therapy services and support passage. HR 1516 - Ensuring Access and Quality Complex Rehabilitation Technology Act of 2015: Advocate for inclusion of occupational therapy professionals as providers of complex rehabilitation technology. HR 1608 - Lymphedema Treatment Act: Support passage and educate about role of occupational therapy services. HR 729 - Medicare Demonstration of Coverage for Low Vision Devices Act of 2015: Support passage and education about role of occupational therapy services. HR 6 - 21st Century Cures Act: Advocated to improve research under the National Institutes of Health (NIH). S. 313 - Prevent Interruptions in Physical Therapy Act: Advocated for inclusion of occupational therapy, specifically policies allowing occupational therapists to perform certain home health assessments. S. 2364 - The Medicare Home Health Flexibility Act: support passage to allow occupational therapy as an initiating service in Medicare's home health setting. Seeking introduction of a companion bill in the House of Reps. H.R. 2948 - Medicare Telehealth Parity Act of 2015: Support passage especially as it relates to inclusion of occupational therapy services. S. 2484/HR 4442 - CONNECT for Health Act: Support occupational therapy provisions. No bill: Advocate for inclusion of occupational therapy services in legislation addressing the needs of those with chronic conditions.

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

Support for S.539, Medicare Access to Rehabilitation Services Act of 2015; H.R.775, Medicare Access to Rehabilitation Services Act of 2015; S. 313, Prevent Interruptions in Physical Therapy Act. Support for S. 2364, Medicare Home Health Flexibility Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling H.R. 2948 Medicare Telehealth Parity Act S. 2484/H.R. CONNECT for Health Act

Client expense: $253,752 · Firm income: Not reported

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $253,752 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611; S.578/H.R.1342

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR556/S313, Prevent Interruptions to Physical Therapy: adding physical therapists to the Medicare locum tenens program HR775/S539, Medicare Access to Rehabilitation Services: to repeal the monetary cap on physical therapy for Medicare beneficiaries. HR2948, Medicare Telehealth Parity to allow for Medicare to reimburse all eligible providers--including physical therapists--for care provided via telehealth. HR1650/S1849, Medicare Patient Empowerment Act: to allow Medicare providers to opt out of Medicare on a case-by-case basis to empower patients to chose their provider and how to pay for care. HR2712, Commonsense Reporting and Verification Act and S1996, Commonsense Reporting Act: simplify the process for employer reporting of employees using the ACA Marketplace to purchase health insurance while increasing transparency and disclosure for employees. HR2799/S1465, Furthering Access to Stroke Telemedicine (FAST) Act: to allow for stroke assessment via telehealth regardless of location of the originating site. HR4442/S2484, CONNECT for Health Act of 2016: telehealth reform bill in three parts: 1. allowing for Medicare Advantage to provide telehealth coverage as a basic benefit; 2. allowing stroke assessment via telehealth regardless of originating site; and 3. allow for MIPS providers to be covered for use of telehealth, and allows for HHS Secretary to add additional providers such as physical therapists also lobbying for any reforms to veterans health coverage to ensure continued access to community based providers.

Client expense: Not reported · Firm income: Not reported

Support for S.539, Medicare Access to Rehabilitation Services Act of 2015; H.R.775, Medicare Access to Rehabilitation Services Act of 2015; S. 313, Prevent Interruptions in Physical Therapy Act. Support for policies allowing occupational therapists to perform certain home health assessments.Support for S. 2364, Medicare Home Health Flexibility Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $197,103 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling H.R. 2948 Medicare Telehealth Parity Act S. 2484/H.R. CONNECT for Health Act

Client expense: $197,103 · Firm income: Not reported

Support for S.539, Medicare Access to Rehabilitation Services Act of 2015; H.R.775, Medicare Access to Rehabilitation Services Act of 2015; S. 313, Prevent Interruptions in Physical Therapy Act. Support for policies allowing occupational therapists to perform certain home health assessments.Support for S. 2364, Medicare Home Health Flexibility Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 775/S 539 - Medicare Access to Rehabilitation Services Act: Advocate for removal of cap on occupational therapy services and support passage. HR 1516 - Ensuring Access and Quality Complex Rehabilitation Technology Act of 2015: Advocate for inclusion of occupational therapy professionals as providers of complex rehabilitation technology. HR 1608 - Lymphedema Treatment Act: Support passage and educate about role of occupational therapy services. HR 729 - Medicare Demonstration of Coverage for Low Vision Devices Act of 2015: Support passage and education about role of occupational therapy services. HR 1458 - Bundling and Coordinating Post-Acute Care Act of 2015 (BACPAC Act of 2015): Provide information on occupational therapy's role in bundled payment. HR 6 - 21st Century Cures Act: Advocated to improve research under the National Institutes of Health (NIH). S. 313 - Prevent Interruptions in Physical Therapy Act: Advocated for inclusion of occupational therapy, specifically policies allowing occupational therapists to perform certain home health assessments. S. 2364 - The Medicare Home Health Flexibility Act: support passage to allow occupational therapy as an initiating service in Medicare's home health setting. Seeking introduction of a companion bill in the House of Reps. H.R. 2948 - Medicare Telehealth Parity Act of 2015: Support passage especially as it relates to inclusion of occupational therapy services. S. 2484/HR 4442 - CONNECT for Health Act: Support occupational therapy provisions. No bill: Advocate for inclusion of occupational therapy services in legislation addressing the needs of those with chronic conditions.

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

Transition to Independence Act (S.1604) creates a five year transition to independence medicaid buy in demonstration program. Complex Rehabilitation Technology Acts (S. 1013) (H.R. 1516) amend Medicare to cover complex rehabilitation technology that is designed to meet an individuals medical, physical, functional and capacity for activities for daily living. Able Act (H.R. 647) (S. 313) encourages and assists individuals with disabilities and their families to be able to save funds for maintaining their health, independence and quality of life. Lifespan Respite Care Act (H.R. 3248) increases the availability and coordination of respite care services for family caregivers of individuals with disabilities, regardless of age. Disability Integration Act of 2015 (S.2427) amends state and local governments plans to house people with disabilities in defined living spaces.

Client expense: Not reported · Firm income: Not reported

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

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313). Advocated for the permanent repeal of the therapy cap and increasing cosponsors of that legislation, as well for two bills PTPN has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $302,185 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management

Client expense: $302,185 · Firm income: Not reported

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313). Advocated for the inclusion of the permanent repeal of the therapy cap and increasing cosponsors of the bill as well as support for two bills PTPN has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313). Support grassroots efforts of practitioner members to ask for their representatives to support locum tenens legislation. Advocated for the inclusion of the permanent repeal of the therapy cap as well as support for HR1650 and S1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries. Also lobbying two bills that PPS has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for S.539, Medicare Access to Rehabilitation Services Act of 2015; H.R.775, Medicare Access to Rehabilitation Services Act of 2015; S. 313, Prevent Interruptions in Physical Therapy Act. Support for policies allowing occupational therapists to perform certain home health assessments.Support for S. 2364, Medicare Home Health Flexibility Act of 2015.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 775/S 539 - Medicare Access to Rehabilitation Services Act: Advocate for removal of cap on occupational therapy services and support passage. HR 1516 - Ensuring Access and Quality Complex Rehabilitation Technology Act of 2015: Advocate for inclusion of occupational therapy professionals as providers of complex rehabilitation technology. HR 1608 - Lymphedema Treatment Act: Support passage and educate about role of occupational therapy services. HR 729 - Medicare Demonstration of Coverage for Low Vision Devices Act of 2015: Support passage and education about role of occupational therapy services. HR 1458 - Bundling and Coordinating Post-Acute Care Act of 2015 (BACPAC Act of 2015): Provide information on occupational therapy's role in bundled payment. HR 6 - 21st Century Cures Act: Advocated to improve research under the National Institutes of Health (NIH). S.984 - Steve Gleason Act of 2015: Advocated for Passage S. 313 - Prevent Interruptions in Physical Therapy Act: Advocated for inclusion of occupational therapy, specifically policies allowing occupational therapists to perform certain home health assessments. S. 2364 - The Medicare Home Health Flexibility Act: support passage to allow occupational therapy as an initiating service in Medicare's home health setting. Seeking introduction of a companion bill in the House of Reps. H.R. 2948 - Medicare Telehealth Parity Act of 2015: Support passage especially as it relates to inclusion of occupational therapy services.

Client expense: $150,000 · Firm income: Not reported

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act HR.4766/S.2408 Safe Patient Handling

Client expense: $186,092 · Firm income: Not reported

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $186,092 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313) as well as prepared and responded to congressional inquiry during hearing of HR557 by the House Energy and Commerce Health Subcommittee. Advocated for the inclusion of the permanent repeal of the therapy cap and increasing cosponsors of the bill as well as support for HR1650 and S1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries. Also lobbying on two bills PTPN has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313) as well as prepared and responded to congressional inquiry during hearing of HR556 in the Energy & Commerce, Health Subcommittee. Support grassroots efforts of practitioner members to ask for their representatives to support locum tenens legislation. Advocated for the inclusion of the permanent repeal of the therapy cap as well as support for HR1650 and S1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries. Also lobbying two bills that PPS has endorsed: a stroke telehealth bill (HR2799/S1465) and bills to simplify employer reporting of health plan coverage under the ACA in order to increase transparency and reduce administrative burdens (HR2712/S1996).

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for S.539, Medicare Access to Rehabilitation Services Act of 2015; H.R.775, Medicare Access to Rehabilitation Services Act of 2015; S. 313, Prevent Interruptions in Physical Therapy Act. Support for policies allowing occupational therapists to perform certain home health assessments.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 775/S 539 - Medicare Access to Rehabilitation Services Act: Advocate for removal of cap on occupational therapy services and support passage. HR 1516 - Ensuring Access and Quality Complex Rehabilitation Technology Act of 2015: Advocate for inclusion of occupational therapy professionals as providers of complex rehabilitation technology. HR 1608 - Lymphedema Treatment Act: Support passage and educate about role of occupational therapy services. HR 729 - Medicare Demonstration of Coverage for Low Vision Devices Act of 2015: Support passage and education about role of occupational therapy services. HR 2 - Medicare Access and CHIP Reauthorization Act: Advocate to include full repeal of the cap on Medicare Part B Outpatient therapy, including occupational therapy. Support for SGR provision. HR 1458 - Bundling and Coordinating Post-Acute Care Act of 2015 (BACPAC Act of 2015): Provide information on occupational therapy's role in bundled payment. HR 6 - 21st Century Cures Act: Advocated to improve research under the National Institutes of Health (NIH). S.984 - Steve Gleason Act of 2015: Advocated for Passage S. 313 - Prevent Interruptions in Physical Therapy Act: Advocated for inclusion of occupational therapy, specifically policies allowing occupational therapists to perform certain home health assessments. No bill: seek introduction of the Home Health Flexibility Act, to allow occupational therapy as an initiating service in Medicare's home health setting.

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

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $243,884 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management HR.2709 Professional Success to Health Workforce Integration Act of 2015 HR.1674 Protecting Affordable Coverage for Employees Act

Client expense: $243,884 · Firm income: Not reported

H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156; S.257/H.R.1611;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $292,701 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act

Client expense: $292,701 · Firm income: Not reported

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $302,185 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management

Client expense: $302,185 · Firm income: Not reported

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Medicare Therapy Caps) H.R. 556/S. 313 Locum tenens H.R. 1650 Medicare private contracting

Client expense: $302,185 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), 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, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

H.R. 775/S. 539 Medicare Access to Rehabilitation Services Act (Repeal of Therapy Caps) Physician Quality Reporting System Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Manual Medical Review Essential Health Benefits Sustainable Growth Rate Reform Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models Common assessment tool for Medicare post-acute care Medicare appeals process H.R. 556/5 & S. 313 Prevent interruptions in Physical Therapy Act Inclusion of physical therapists in quality programs in SGR reform FTC Anti-competition Self-referral Comments on CY2015 OPPS rule Coverage of telehealth APTA Registry H.R. 2 Medicare Access and CHIP reauthorization act Medicare, amendment to repeal the therapy cap H.R. 1650 Private contracting H.R. 556/S. 313 Prevent interruptions in physical therapy cap H.R. 1458 Bundling and coordinating post-acute care act

Client expense: $302,185 · Firm income: Not reported

Advocated for support of the locum tenens legislation, the Prevent Interruptions in Physical Therapy Act of 2015 (HR556/S313) as well as prepared and responded to congressional inquiry during markup of S.313 in Senate Finance Committee. Supported a fly-in Hill day where practitioner members asked for their representatives to support locum tenens legislation, the reform and repeal of the sustainable growth rate as well as the Medicare therapy cap in the same bill. Advocated for the inclusion of the permanent repeal of the therapy cap as well as support for HR1650 and HR 1849--a reform of the medicare opt-out provision that includes physical therapists and allows for one-to-one billing relationships between providers and beneficiaries.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE