Independence at Home Act of 2016

HR 3298 Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) S 2108 Preserving Access to Post-Acute Hospital Care Act of 2015 (all sections) S 1211 Temporary exception to site neutral payment rate for certain discharges involving severe wounds (all sections) HR 1250 Temporary exception to site neutral payment rate for certain discharges involving severe wounds (all sections) S 202 Technical change to the Medicare Long-Term Care Hospital moratorium exception (all sections) HR 1458 BACPAC (Bundling and Coordinating Post-Acute Care) Act of 2015 (all sections) HR 3037 Hospice Care Access Improvement Act of 2015 (all sections) HR 2196 Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015 (all sections) HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (Title II, Sec 202 - Therapy Cap Exceptions Process; Title IV, Sec 411 - PAC pay for; Title V, Sec 513 - Home health surety bond) S. 1650 Home Health Documentation and Program Improvement Act of 2015 (all sections) S. 2368 Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015 (all sections) HR. 2029 Consolidated Appropriations Act, 2016 (Title II, Section 231 - LTAC Wound Criteria; Title V, Section 504 - HH Disposable Devices) HR 4725 Common Sense Savings Act of 2016 - Section 4, Extending previous Medicaid Threshold Applied for Determining Acceptable Provider Taxes HR 4725 Common Sense Savings Act of 2016 - Section 4, Extending previous Medicaid Threshold Applied for Determining Acceptable Provider Taxes S.3107 - A bill to amend title XVIII of the Social Security Act to provide for a temporary exception to the application of the Medicare long-term care hospital site neutral provisions for certain spinal cord specialty hospitals (all sections) H.R.5559 - To amend section 1206 of the Pathway for SGR Reform Act of 2013 to clarify the application of rules on the calculation of hospital length of stay to certain moratorium-excepted long-term care hospitals (LTCHs) (all sections) H.R.5273 - Helping Hospitals Improve Patient Care Act of 2016 (TITLE 1, (Sec. 104) With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases.) HR 5688 - To amend title XVIII of the Social Security Act to provide for a temporary exception to the application of the Medicare long-term care hospital site neutral provisions for certain spinal cord specialty hospitals (all sections) S.3096 - Removing Barriers to Person-Centered Care Act of 2016 (all sections) S. 3130 - Independence at Home Act of 2016 (all sections) HR 34 - 21st Century CURES Act, Title XV - Provisions Relating to Medicare Part A (Sec. 15004. Regulatory relief for LTCHs, Sec. 15006. Extension of certain LTCH Medicare payment rules, and Sec. 15007. Application of rules on the calculation of hospital length of stay to all LTCHs)

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

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

P.L. 111-375 National Alzheimer's Project Act, All sections H.R. 9/S. 1137, the Innovation Act H.R. 1559/S. 857, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 H.R. 1468, the Global Brain Health Act of 2015 H.R. 2624/S. 1488, the Part D Beneficiary Appeals Fairness Act H.R. 3090/S. 3113, the Alzheimer's Caregiver Support Act H.R. 3091, the Missing Alzheimer's Disease Patient Alert Program Reauthorization Act H.R. 3092, the Alzheimer's Disease Semipostal Stamp Act H.R. 3099/S. 1719, the RAISE Family Caregivers Act H.R. 3119/S. 2748, the Palliative Care and Hospice Education and Training Act H.R. 3243/S. 1362, the PACE Innovation Act H.R. 3660/S. 3126, the Preventive Health Savings Act H.R. 4708/S.2759, the Credit for Caring Act of 2016 H.R. 4919/S. 2614, Kevin and Avonte's Law of 2016 H.R. 5196/S. 879, the Americans Giving Care to Elders (AGE) Act of 2015 H.R. 5347, the Social Security Disability Fairness Act H.R. 5681/S. 3137, the Alzheimer's Beneficiary and Caregiver Support Act H. Res. 237/S. Res. 74, a resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority S. 192, the Older Americans Act Reauthorization Act of 2015 S. 1549, the Care Planning Act of 2015 S. 2010, the Expedited Disability Insurance Payments for Terminally Ill Individuals Act S. 2961, the Compassionate Care Act S. 3130, the Independence at Home Act of 2016 S. 3270, the Elder Abuse Prevention and Prosecution Act

Client expense: $245,500 · Firm income: Not reported

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

P.L. 111-375 National Alzheimer's Project Act, All sections H.R. 9/S. 1137, the Innovation Act H.R. 1559/S. 857, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 H.R. 1468, the Global Brain Health Act of 2015 H.R. 2624/S. 1488, the Part D Beneficiary Appeals Fairness Act H.R. 3090/S. 3113, the Alzheimer's Caregiver Support Act H.R. 3091, the Missing Alzheimer's Disease Patient Alert Program Reauthorization Act H.R. 3092, the Alzheimer's Disease Semipostal Stamp Act H.R. 3099/S. 1719, the RAISE Family Caregivers Act H.R. 3119/S. 2748, the Palliative Care and Hospice Education and Training Act H.R. 3243/S. 1362, the PACE Innovation Act H.R. 3660/S. 3126, the Preventive Health Savings Act H.R. 4708/S.2759, the Credit for Caring Act of 2016 H.R. 4919/S. 2614, Kevin and Avonte's Law of 2016 H.R. 5196/S. 879, the Americans Giving Care to Elders (AGE) Act of 2015 H.R. 5347, the Social Security Disability Fairness Act H.R. 5681/S. 3137, the Alzheimer's Beneficiary and Caregiver Support Act H. Res. 237/S. Res. 74, a resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority S. 192, the Older Americans Act Reauthorization Act of 2015 S. 1549, the Care Planning Act of 2015 S. 2010, the Expedited Disability Insurance Payments for Terminally Ill Individuals Act S. 2961, the Compassionate Care Act S. 3130, the Independence at Home Act of 2016 S. 3270, the Elder Abuse Prevention and Prosecution Act

Client expense: $245,500 · Firm income: Not reported

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

Home-based primary care; chronic care; S. 3130, Independence at Home Act of 2016.

Client expense: Not reported · Firm income: $12,000

Government targets: SENATE

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

Client expense: $3,990,000 · Firm income: Not reported

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

Connect for Health Act (S.2484/ H.R. 4442) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Medicare Access to Rehabilitation Services Act(H.R.775/S.539) Medicare Cardiac Rehab Supervision Bill(S.488/H.R.3355) Medicare Diabetes Prevention Act(H.R.2102/S.1131) Medicare-Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015(S.2382) Medicare Telehealth Parity Act(H.R.2448) Senate Finance Chronic Care Bill States Achieve Medicaid Expansion(SAME)Act(S.2787) Independence at Home Act(S.3130)

Client expense: $175,017 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

PL 111-375 - The National Alzheimer's Project Act, implementation PL 112-144 - The Food and Drug Administration Safety and Innovation Act, implementation H.R. 1559/S. 857 - Health Outcomes, Planning and Education for Alzheimer's Act of 2015 H.R. 6 - 21st Century Cures S. 192 - Older Americans Act Reauthorization Innovation For Healthier Americans S. 3113/H.R. 3090 - The Alzheimer's Caregiver Support Act S. 3130 - Independence at Home H.R. 3243/S. 1362 - PACE Innovation Act H.R. 34 - 21st Century Cures Act no specific bill, Older Americans' Act Reauthorization, care planning, home and community based care, Independence at Home, Chronic Care Initiative

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

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

Public Law 111-48, "Patient Protection and Affordable Car Act" and Public Law 111-52, "Health Care and Education Reconciliation Act 2010"--monitored implementation of key Medicaid and health insurance market provisions. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act". S 831, "Jobs and Premium Protection Act" S 3130, "Independence at Home Act of 2016" HR 546 and S 298 "Advancing Care for Exceptional Kids Act of 2015 (ACE Kids Act of 2015)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 H.R. 5164 - Rural Hospital Regulatory Relief Act H.R. 5122 - To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 5613/S. 3129 - Continuing Access to Hospitals Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act S. 2787 - States Achieve Medicaid Expansion (SAME) Act S. 3130 - Independence at Home Act of 2016

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

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

Helping Hospitals Improve Patient Care Act (H.R. 5273); provisions related to Medicare Part B in outpatient facilities/HOPD reimbursement. Issues surrounding prior authorization of surgical care. Bipartisan Budget Act of 2015 (H.R. 1314), Sec 603; provisions related to hospital outpatient reimbursements. FY 2017 Outpatient Prospective Payment System proposed and final rules. Hospital Quality Rating Transparency Act (H.R. 5927); provisions related to hospital quality reporting. Independence at Home Act of 2016 (S. 3130); general issues related to bill content. Issues related to the reimbursement of cancer care.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

Primary care, Medicare reimbursement, PA Hospice (HR 1202/S 1354), Transparency, Mental Health Treatment (HR 2646/S. 2680), VA issues, GOOD Bill (S 2134/HR 3974), Treatment for Opioid Addiction(S 524, S 1455, HR 4981), Independence at Home Legislation (S.3130), Home Health (HR 1342/S 578), & PA Educational Program Funding (FY 17 L/HHS Appropriations), Promote Access to Diabetic Shoes (HR 4756).

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

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

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 H.R. 1378, S. 789 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act Public Law No: 114-144, S. 192 - Older Americans Act Reauthorization Act of 2015 S. 993/H.R. 1854 Comprehensive Justice and Mental Health Act of 2015 S. 1893 Mental Health Awareness and Improvement Act of 2015 S. 2691 Integrating Behavioral Health Through Technology Act of 2016 H.R. 1559/S.857 Health Outcomes, Planning, and Education (HOPE) for Alzheimers Act S. 1719/H.R. 3099 the Recognize, Assist, Include, Support, and Engagement (RAISE) Family Caregivers Act H.R. 2515/S. 1865 Anna Westin Act of 2015 H.R. 3913 the Lifespan Respite Care Reauthorization Act S.2691 Integrating Behavioral Health through Technology Act of 2016 S.3130 Independence at Home Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act S.3236/H.R. 5772 the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act. Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 Opioid Abuse Epidemic Affordable Care Act Integration Practice and Reimbursement issues related to clinical social workers Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016

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

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

Medicare Part B Premium. (No bill.) Proposals to mitigate the expected increase in the 2017 Part B premium for beneficiaries not protected by the "hold harmless" provision. Medicare Part B Enrollment. Comments on the CMS/HHS Proposed Notice of Benefit and Payment Parameters for 2018. Medicare Supplemental Insurance. H.R. 6265, the Medigap Consumer Protection Act of 2016: proposal to improve access to and improve beneficiary information about Medigap for seniors and disabled individuals in the traditional Medicare program. Medicare Affordability. S. 3371, H.R. 6109, Medicare Affordability and Enrollment Act of 2016: proposals to improve Medicare for beneficiaries by capping out-of-pocket costs in traditional Medicare; increasing financial assistance for low-income beneficiaries; aligning the Medicare Savings Programs and Low-Income Subsidy; eliminating the 24- month waiting period for Medicare coverage for people receiving Social Security Disability Insurance benefits; making changes in the enrollment period for Medicare; eliminating gaps between enrollment and when actual coverage begins; limiting the Part B late enrollment penalty; and providing permanent funding for the State Health Insurance Assistance Programs (SHIPs), Area Agencies on Aging (AAAs), Aging and Disability Resource Centers ADRCs) and the National Center for Benefits Outreach and Enrollment. Medicare Part B Enrollment. S. 3236, H.R. 5772, the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act: legislation to modernize and simplify Part B enrollment. Medicare Hearing Coverage. H.R. 1653, the Medicare Hearing Aid Coverage Act of 2015: proposal to provide Medicare coverage for the cost of hearing aids and examinations. Medicare Dental Coverage. S. 570, H.R. 1055, the Comprehensive Dental Reform Act of 2015: proposal to expand Medicare coverage to include dental care. Medicare Dental, Vision, and Hearing Coverage. H.R. 5396, H.R. 3308: Proposals to expand Medicare coverage to include comprehensive coverage of dental, vision, and hearing care. Home-based Primary Medical Care. S. 3130, Independence at Home Act of 2016: legislation to expand the Independence at Home Medicare demonstration project providing home-based primary medical care to elders with severe chronic illness and disability. Continuous Glucose Monitoring Devices. S. 804, Medicare CGM Access Act: legislation to provide Medicare coverage of continuous glucose monitoring (CGM) devices for beneficiaries with diabetes who meet specified medical criteria. Biologics Market Exclusivity Period. S. 3094, H.R. 5573, Price Relief, Innovation and Competition for Essential Drugs (PRICED) Act: legislation to reduce the market exclusivity period for biologics from its current 12 years to seven years. Drug Manufacture Transparency. S. 3335, H.R. 6043, Fair Accountability and Innovative Research Drug Pricing Act of 2016: proposal to require drug manufacturers to be more transparent about justification for increases in drug prices over ten percent, namely to report their spending on a drug's research and development as well as their profits on a drug each year since its approval. Drug Importation. H.R. 2623, the Personal Drug Importation Fairness Act: proposal to establish policies for the safe reimportation of pharmaceutical drugs by individuals for their personal use. Containment of Prescription Drug Costs. S. 2023, the Prescription Drug Affordability Act: proposals to require Medicare to negotiate drug prices under the Medicare Part D prescription drug program; allow for importation of prescription drugs from licensed Canadian pharmacies; require manufacturers to provide a rebate to the federal government for drugs covered under Medicare Part D for low-income Medicare beneficiaries; require generic drug manufacturers to pay an additional rebate to Medicaid if their drug prices rise faster than inflation; close the Medicare Part D donut hole for brand and generic drugs by 2017; and prohibit anti-competitive pay-for-delay arrangements between brand and generic drug makers. Medicare Prescription Drug Negotiation Authority. H.R. 4207, Medicare Fair Drug Pricing Act: proposal to allow the Secretary of Health and Human Services (HHS) to negotiate prices with pharmaceutical companies when drugs lack sufficient competition. Medicare Observation Status. S. 843, H.R. 1571, Improving Access to Medicare Coverage Act of 2015: proposal to count days in the hospital in observation status toward meeting the three-day prior hospitalization requirement for skilled nursing facility (SNF) care eligibility. Medicare Privatization. (No bill.) Proposals to transform traditional Medicare to a private insurance carrier program. Medicare Eligibility Age. (No bill.) Proposals to raise the eligibility age for Medicare from 65 to 67. Medicaid Restructuring. (No bill.) Proposals to change Medicaid from an entitlement program to block grants or per capita caps, forms of lump sum payments from the federal government. Affordable Care Act (ACA) repeal. (No bill.) Proposals to repeal the ACA affecting the closing of the Medicare Part D donut hole, Medicare coverage of ACA-mandated preventive services, and payment and delivery reforms that extend the life of the Medicare Part A Trust Fund. Childrens Health Insurance Program (CHIP) extension. (No bill.) Proposal to add an extension of the Medicare therapy cap exceptions process.

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

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), President of the U.S., SENATE, Social Security Administration (SSA), Treasury, Dept of, Vice President of the U.S.

S. 3130, the Independence at Home Act of 2016 S. 3137/H.R. 5681 - To require the Center for Medicare and Medicaid Innovation (CMMI) to test the efficacy of providing Alzheimers Disease caregiver support services

Client expense: $29,500 · Firm income: Not reported

Government targets: Administration on Aging, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

HR 3298 Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) S 2108 Preserving Access to Post-Acute Hospital Care Act of 2015 (all sections) S 1211 Temporary exception to site neutral payment rate for certain discharges involving severe wounds (all sections) HR 1250 Temporary exception to site neutral payment rate for certain discharges involving severe wounds (all sections) S 202 Technical change to the Medicare Long-Term Care Hospital moratorium exception (all sections) HR 1458 BACPAC (Bundling and Coordinating Post-Acute Care) Act of 2015 (all sections) HR 3037 Hospice Care Access Improvement Act of 2015 (all sections) HR 2196 Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015 (all sections) HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (Title II, Sec 202 - Therapy Cap Exceptions Process; Title IV, Sec 411 - PAC pay for; Title V, Sec 513 - Home health surety bond) S. 1650 Home Health Documentation and Program Improvement Act of 2015 (all sections) S. 2368 Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015 (all sections) HR. 2029 Consolidated Appropriations Act, 2016 (Title II, Section 231 - LTAC Wound Criteria; Title V, Section 504 - HH Disposable Devices) HR 4725 Common Sense Savings Act of 2016 - Section 4, Extending previous Medicaid Threshold Applied for Determining Acceptable Provider Taxes HR 4725 Common Sense Savings Act of 2016 - Section 4, Extending previous Medicaid Threshold Applied for Determining Acceptable Provider Taxes S.3107 - A bill to amend title XVIII of the Social Security Act to provide for a temporary exception to the application of the Medicare long-term care hospital site neutral provisions for certain spinal cord specialty hospitals (all sections) H.R.5559 - To amend section 1206 of the Pathway for SGR Reform Act of 2013 to clarify the application of rules on the calculation of hospital length of stay to certain moratorium-excepted long-term care hospitals (LTCHs) (all sections) H.R.5273 - Helping Hospitals Improve Patient Care Act of 2016 (TITLE 1, (Sec. 104) With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases.) HR 5688 - To amend title XVIII of the Social Security Act to provide for a temporary exception to the application of the Medicare long-term care hospital site neutral provisions for certain spinal cord specialty hospitals (all sections) S.3096 - Removing Barriers to Person-Centered Care Act of 2016 (all sections) S. 3130 - Independence at Home Act of 2016 (all sections) HR 34 - 21st Century CURES Act, Title XV - Provisions Relating to Medicare Part A (Sec. 15004. Regulatory relief for LTCHs, Sec. 15006. Extension of certain LTCH Medicare payment rules, and Sec. 15007. Application of rules on the calculation of hospital length of stay to all LTCHs)

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

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

P.L. 111-375 National Alzheimer's Project Act, All sections H.R. 9/S. 1137, the Innovation Act H.R. 1559/S. 857, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 H.R. 1468, the Global Brain Health Act of 2015 H.R. 2624/S. 1488, the Part D Beneficiary Appeals Fairness Act H.R. 3090/S. 3113, the Alzheimer's Caregiver Support Act H.R. 3091, the Missing Alzheimer's Disease Patient Alert Program Reauthorization Act H.R. 3092, the Alzheimer's Disease Semipostal Stamp Act H.R. 3099/S. 1719, the RAISE Family Caregivers Act H.R. 3119/S. 2748, the Palliative Care and Hospice Education and Training Act H.R. 3243/S. 1362, the PACE Innovation Act H.R. 3660/S. 3126, the Preventive Health Savings Act H.R. 4708/S.2759, the Credit for Caring Act of 2016 H.R. 4919/S. 2614, Kevin and Avonte's Law of 2016 H.R. 5196/S. 879, the Americans Giving Care to Elders (AGE) Act of 2015 H.R. 5347, the Social Security Disability Fairness Act H.R. 5681/S. 3137, the Alzheimer's Beneficiary and Caregiver Support Act H. Res. 237/S. Res. 74, a resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority S. 192, the Older Americans Act Reauthorization Act of 2015 S. 1549, the Care Planning Act of 2015 S. 2010, the Expedited Disability Insurance Payments for Terminally Ill Individuals Act S. 2961, the Compassionate Care Act S. 3130, the Independence at Home Act of 2016 S. 3270, the Elder Abuse Prevention and Prosecution Act

Client expense: $220,000 · Firm income: Not reported

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

H.R. 2577 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act - Supported housing S.3130 - Independence at Home Act of 2016 - Supported

Client expense: $7,558 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R.927 - Keeping All Students Safe Act H.R.2646 - Helping Families in Mental Health Crisis Act H.R.2624/S. 1488 - Part D Beneficiary Appeals Fairness H.R.1211/S. 1588 - Mental Health in Schools Act of 2015 H.R.3060 - Stop Child Abuse in Residential Programs for Teens Act H.R.4977 - COVER Act H. 6 - 21st Century Cures Act H.R.1859/S. 2782 - Ensuring Children's Access to Specialty Care Act H.R.2555 - Veteran Wellness Act S. 473 - Saving Our Next Generation Act S. 841 - Prioritizing Veterans Access to Mental Health Care H.R.2632/S.1494 - Children's Recovery from Trauma Act H.R.938/S. 1299 - Garrett Lee Smith Memorial Act Reauthorization of 2015 H.R.5 - Student Success Act S.1177 - Every Child Achieves Act of 2015 S. 1893 - Mental Health Awareness & Improvement Act H.R. 670 - The Special Needs Trust Fairness Act S. 1865 - Anna Westin Act S. 524/H.R.953: Comprehensive Addiction and Recovery Act of 2015 H.R. 2994: Safer Communities Act of 2015 H.R.1006 - Building a Health Care Workforce for the Future Act H.R.3285 - Reducing Disparities Using Care Models and Education Act of 2015 H.R. 3020 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2016 H.R.3640 - Mental Health Awareness Semipostal Stamp Act S.2012 - Energy Policy Modernization Act of 2015 - support an amendment funding lead poisoning research H.R.4276/S. 2647 - Behavioral Health Coverage Transparency Act of 2015 - support S.2680 - Mental Health Reform Act of 2016 - recommendations to improve coordination and children's health H.R.3660 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. - support S. 2685/H.R.4374 - Mental Health on Campus Improvement Act - support S. 2787S - States Achieve Medicaid Expansion Act of 2016 - Support H.R. 5234 - The Stop Mental Health Stigma in Our Communities Act of 2016 - Support S.3130 - Independence at Home Act of 2016 - Support S.2848 - Water Resources Development Act of 2016 - Support funding for lead exposure supports H.R. 5330: Peer-Support Specialist Act of 2016 - supported H.R.5100 - At-Risk Youth Medicaid Protection Act of 2016 - Supported S. 2691: Integrating Behavioral Health Through Technology Act of 2016 - Supported S.3130 - Independence at Home Act of 2016 - supported S.1604/H.R.5903 - Transition to Independence Act - supported

Client expense: $7,558 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R.927 - Keeping All Students Safe Act - Support H.R.2646 - Helping Families in Mental Health Crisis Act - Support H.R.2624/S. 1488 - Part D Beneficiary Appeals Fairness - Support H.R.4435 - Comprehensive Behavioral Health Reform and Recovery Act of 2016 - Discuss why Medicaid reforms are important H.R. 670 - The Special Needs Trust Fairness Act - Support S. 1865 - Anna Westin Act - Support H.R.3285 - Reducing Disparities Using Care Models and Education Act of 2015 S. 2787S - States Achieve Medicaid Expansion Act of 2016 - Support H.R.5100 - At-Risk Youth Medicaid Protection Act of 2016 - Supported S. 2691: Integrating Behavioral Health Through Technology Act of 2016 - Supported S.3130 - Independence at Home Act of 2016 - Supported

Client expense: $7,558 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Independence at Home Act of 2016 (S. 3130), Value-based Insurance Design Seniors Copayment Reduction Act of 2015 (S.1396), Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 205 (H.R. 2570) (Value-Based Insurance Design in Medicare Advantage), dental coverage in the Medicare program

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Discussed structural changes to Medicaid. Discussed health care quality and measurement. Discussed changes to the Medicare benefit design, such as copays, premiums and deductibles. S. 1083, H.R.2005 - Discussed legislation to require drug manufacturers to provide rebates for drugs provided to Medicare Part D low-income subsidy beneficiaries, including those who are dually eligible for Medicare and Medicaid. S. 1488, H.R. 2624, Part D Beneficiary Appeals Fairness Act - Discussed bill that would allow seniors to appeal the placement of their medications on a Medicare Part D specialty tier. Discussed Medicare Part D fraud and abuse legislation including lock-in provisions for high risk enrollees. Discussed legislation to require the addition of unique device identifier (UDI) of medical devices in health insurance claim forms. S. 624, H.R.1220, Removing Barriers to Colorectal Cancer Screening Act - Discussed bill. S. 3040, H.R. 5926, H.R. 5325, Labor, Health and Human Services Appropriations bill, FY2017 - Lobbied in support of increased funding for CMS' state survey and certification program. Discussed the Medicare Part D prescription drug benefit program and changes needed to lower prescription drug costs and related agency proposed rule changes. H.R. 5122 - Discussed the Medicare Part B prescription drug demonstration proposal from the Centers for Medicare and Medicaid Services. Discussed potential benefit and coverage improvements under Medicare and Medicare Savings Programs. Discussed Section 1115 Medicaid expansion demonstration waivers (HHS, CMS). H.R. 2759, Mental Health Access Improvement Act - Discussed support of bill. Discussed MACRA implementation. Discussed Medicare enrollment and coverage issues such as: provider access, direct billing and penalties. Discussed DOJ investigation regarding Olmstead and ADA violations by South Dakota (DOJ, ACL) and related public events. Discussed Olmstead enforcement and older adults at roundtable discussion. S. 3096, Removing Barriers to Person-Centered Care Act of 2016 - Discussed and provided feedback. Discussed possible hearing witnesses. Responded to inquiry regarding MACRA rules and value modifier. H.R. 3298, Post Acute Care Value Based Purchasing Act - Discussed and provided feedback. Discussed arbitration provision in LTC facility requirements proposed rule (OMB, CMS, HHS). Responded to inquiry on Virtual Caregiving Fair. PL 111-148 - Discussed ACA Medicaid HCBS spousal impoverishment provisions. Responded to inquiry on state nursing home legislation. Discussed Medicaid assisted living, HCBS setting rule and follow-up (GAO). Discussed Medicare home health (CMS). Urged support for family caregivers in Medicare and Medicaid and testing modeling. Signed letter to CMS regarding arbitration in LTC facility requirements rule. Discussed family caregiver assessment guidance (CMS). Attended PPI home health roundtable with staff from HHS. Responded to a question about a scorecard and letters to CMS. Responded to an inquiry regarding an arbitration regulatory provision. Responded to an inquiry regarding personal needs allowances. Discussed Medicaid functional assessment tools, family caregiver assessment, and follow-up(GAO). Responded to inquiries regarding Medicaid managed long-term services and supports, best practices, and state ombuds programs. S. 3130, Independence at Home Act - Discussed and sent AARP endorsement letter for bill

Client expense: $2,290,000 · 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), Commerce, Dept of (DOC), Congressional Budget Office (CBO), Federal Transit Administration (FTA), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), Veterans Affairs, Dept of (VA), White House Office

Testified at the Food and Drug Administration July 12th Arthritis Advisory Committee to oppose the biologics license application 761024, for ABP 501, a proposed biosimilar to AbbVie Inc.'s HUMIRA (adalimumab), submitted by Amgen, Inc. Read testimony at the Food and Drug Administration July 13th Arthritis Advisory Committee to oppose biologics license application 761042, for GP2015, a proposed biosimilar to Amgen Inc.s ENBREL (etanercept) submitted by Sandoz, Inc. Support H.R. 1631/S. 800 Enhancing the Stature and Visibility of Medical Rehabilitation Research at NIH Act: To improve, coordinate, and enhance rehabilitation research at the National Institutes of Health. Support S.849, Advancing Research for Neurological Diseases Act of 2015 that would create a centralized data collection system and the Centers for Disease Control and Prevention to track and collect data on the epidemiology of neurological diseases. United Spinal Association signed onto a bill, introduced by Sen. Ed Markey (D-MA), Sen. John Cornyn (R-TX), Sen. Rob Portman (R-OH), and Sen. Michael Bennet (D-CO), S. 3130, legislation which establishes an independence at home medical practice program. This program would be directed by physicians, nurse practitioners, or physician assistants; and emphasize home-based care that is designed to reduce expenditures and improve health outcomes in the provision of items and services to applicable beneficiaries. The goal of the legislation is to garner support for the concept of converting the successful Independence at Home (IAH) demonstration into a nationwide program.

Client expense: Not reported · Firm income: $75,000

Government targets: Education, Dept of, Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), SENATE, Social Security Administration (SSA), Transportation Security Administration (TSA)

Helping Hospitals Improve Patient Care Act (H.R. 5273); provisions related to Medicare Part B in outpatient facilities/HOPD reimbursement. Issues surrounding conditions of participation. Inpatient Prospective Payment System; issues surrounding inpatient hospital transfers. Social Security Amendments of 1983 (P. L. 98-21); issues related to exemptions. Bipartisan Budget Act of 2015 (P.L. 114-74); issues surrounding Section 603. General issues related to provider-based billing. Hospital Quality Rating Transparency Act (H.R. 5927); provisions related to hospital quality reporting. Independence at Home Act of 2016 (S. 3130); general issues related to bill content. General issues related to Graduate Medical Education. Proposed bundled payments; issues related to post-acute care.

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

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

Home-based primary care; chronic care; S. 3130, Independence at Home Act of 2016.

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

Government targets: SENATE

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Medicare-Medicaid dual eligible coverage and demonstration Draft Hospital Improvement for Payment (HIP) Act HHS study on the comparability of CHIP coverage and benefits with those of marketplace health plans Medicare provisions of H.R. 1892, the Trade Adjustment Assistance Act H.R. 2 - Medicare Access and CHIP Reauthorization Act H.R. 160/S. 149 - Protect Medical Innovation Act H.R. 546/S. 298 - Advancing Care for Exceptional Kids (ACE Kids) Act H.R. 700 - Stabilize Medicaid and CHIP Coverage Act H.R. 818/S. 861 - Preventing and Reducing Improper Medicare and Medicaid Expenditures (PRIME) Act H.R. 876 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act H.R. 919 - CHIP Extension and Improvement Act H.R. 1021 - Protecting Integrity of Medicare Act (PIMA) H.R. 1190/S. 141 - Protecting Seniors Access to Medicare Act H.R. 1362 - Medicaid Requiring Expenditures for Public Objectives to be Reflective of Total Spending (Medicaid REPORTS) Act H.R. 1458 - Bundling and Coordinating Post-Acute Care (BACPAC) Act H.R. 1470 - SGR Repeal and Medicare Provider Payment Modernization Act H.R. 2339 - To amend title XIX of the Social Security Act to clarify the treatment of lottery winnings and other lump sum income for purposes of income eligibility under the Medicaid program H.R. 3014 - Medical Controlled Substances Transportation Act H.R. 3134 - Defund Planned Parenthood Act of 2015 H.R. 3292 - Medicare IME Pool Act H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 3716 - Ensuring Terminated Providers Are Removed From Medicaid and CHIP Act H.R. 3821/S. 2618 - Medicaid Directory of Caregivers (Medicaid DOC) Act H.R. 4588 - Incentivizing Medicaid Expansion Act of 2016 H.R. 4725 - Common Sense Savings Act of 2016 H.R. 5164 - Rural Hospital Regulatory Relief Act H.R. 5210/S. 2736 - Patient Access to Durable Medical Equipment Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 5613/S. 3129 - Continuing Access to Hospitals Act of 2016 S. 257/H.R. 1611 - Protecting Access to Rural Therapy Services Act S. 578/H.R. 1342 - Home Health Care Planning Improvement Act S. 737/H.R. 2253 - Ensuring Access to Primary Care for Women & Children Act S. 1349 - Notice of Observation Treatment and Implication for Care Eligibility (NOTICE) Act S. 1456 - Rural ACO Improvement Act S. 1461 - Extending a moratorium on enforcement of direct physician supervision of outpatient therapeutic services in critical access and small rural hospitals through 2015 S. 2425 - Patient Access and Medicare Protection Act S. 2787 - States Achieve Medicaid Expansion (SAME) Act S. 3130 - Independence at Home Act of 2016

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

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

Connect for Health Act (S.2484/ H.R. 4442) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Medicare Access to Rehabilitation Services Act(H.R.775/S.539) Medicare Cardiac Rehab Supervision Bill(S.488/H.R.3355) Medicare Diabetes Prevention Act(H.R.2102/S.1131) Medicare-Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015(S.2382) Medicare Telehealth Parity Act(H.R.2448) Senate Finance Chronic Care Bill States Achieve Medicaid Expansion(SAME)Act(S.2787) Independence at Home Act(S.3130)

Client expense: $166,728 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, U.S. Trade Representative (USTR), White House Office

S. 3130, Independence at Home Act of 2016, all provisions S. 3220, Medicare Common Access Card Act of 2015, all provisions H.R. 3355, To amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs, all provisions S. 488, A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs, all provisions S. 1913, Stopping Medication Abuse and Protecting Seniors Act of 2015, all provisions H.R. 4442, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 2484, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 2141, Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 976, Patient Access to Higher Quality Health Care Act of 2015, all provisions H.R. 2568, Fair Medical Audits Act of 2015, 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 Medicare program: ACO Improvement Act of 2016 Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA) implementation Medicare program: Merit-Based Incentive Payment System (MIPS) Medicare program: Part B Drug Demonstration Medicare program: Outpatient Prospective Payment - site of service, pain measures Medicare program: Advancing Care Information (ACI) Medicare program: Clinical Practice Improvement Activities (CPIA) Medicare program: Resource use Medicare program: Physician Fee Schedule Medicare program: Independent Payment Advisory Board (IPAB) Medicare program: Center for Medicare and Medicaid Innovation (CMMI) Medicare program: Global surgical codes Medicare program: Mobility payment add-on Medicare program: Episode groups Medicare program: Patient relationship codes Medicare program: Composite scoring and performance adjustments Medicare program: Feedback reports Medicare program: Alternative payment models (APMs) Medicare program: Relative Value Scale Update Committee (RUC) Medicare program: Health Insurance Portability and Accountability Act (HIPAA) Medicare program: Electronic health record (EHR) interoperability Medicare program: EHR/Meaningful Use Medicare program: EHR Certification Medicare program: ICD-10 Medicare program: Medicare appeals Medicare program: Medicare Pre-Diabetes Program Medicare program: Unique Device Identifier Medicare program: CPT Medicare program: Social Security Number Removal Initiative Medicare program: Telehealth Medicare program: In-office Ancillary Services Exception Medicare program: Value-based Payment Modifier Medicare program: Graduate Medical Education Medicare program: Physician Quality Reporting System (PQRS) Medicare program: Prescription drug diversion Medicare program: Physician data Medicare program: Physician-owned hospital moratorium Medicare program: Smart Card technology Medicare program: PECOS/Medicare Enrollment Medicare program: Diabetes Prevention Program fees

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

Public Law 111-48, Patient Protection and Affordable Care Act and Public Law 111-152, Health Care and Education Reconciliation Act of 2010 - monitored implementation of key Medicaid and health insurance market provisions. HR 928, "To repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act". S 183, "Jobs and Premium Protection Act" S 3130, "Independence at Home Act of 2016" HR 546 and S 298 "Advancing Care for Exceptional Kids Act of 2015 (ACE Kids Act of 2015)"

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Primary care, Medicare reimbursement, PA Hospice (HR 1202/S 1354), Transparency, Mental Health Treatment (HR 2646/S. 2680), VA issues, GOOD Bill (S 2134/HR 3974), Treatment for Opioid Addiction (S 524, S 1455, HR 4981), Independence at Home Legislation (S.3130), Home Health (HR 1342/S 578), & PA Educational Program Funding (FY 17 L/HHS Appropriations).

Client expense: $120,000 · Firm income: Not reported

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

PL 111-375 - The National Alzheimer's Project Act, implementation PL 112-144 - The Food and Drug Administration Safety and Innovation Act, implementation H.R. 1559/S. 857 - Health Outcomes, Planning and Education for Alzheimer's Act of 2015 H.R. 6 - 21st Century Cures S. 192 - Older Americans Act Reauthorization Innovation For Healthier Americans S. 3113/H.R. 3090 - The Alzheimer's Caregiver Support Act S. 3130 - Independence at Home H.R. 3243/S. 1362 - PACE Innovation Act no specific bill, Older Americans' Act Reauthorization, care planning, home and community based care, Independence at Home, Chronic Care Initiative

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

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

H.R.927 - Keeping All Students Safe Act - Support H.R.2646 - Helping Families in Mental Health Crisis Act - Support H.R.2624/S. 1488 - Part D Beneficiary Appeals Fairness - Support H.R.4435 - Comprehensive Behavioral Health Reform and Recovery Act of 2016 - Discuss why Medicaid reforms are important H.R. 670 - The Special Needs Trust Fairness Act - Support S. 1865 - Anna Westin Act - Support H.R.3285 - Reducing Disparities Using Care Models and Education Act of 2015 S. 2787S - States Achieve Medicaid Expansion Act of 2016 - Support H.R.5100 - At-Risk Youth Medicaid Protection Act of 2016 - Supported S. 2691: Integrating Behavioral Health Through Technology Act of 2016 - Supported S.3130 - Independence at Home Act of 2016 - Supported

Client expense: $7,558 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R.927 - Keeping All Students Safe Act H.R.2646 - Helping Families in Mental Health Crisis Act H.R.2624/S. 1488 - Part D Beneficiary Appeals Fairness H.R.1211/S. 1588 - Mental Health in Schools Act of 2015 H.R.3060 - Stop Child Abuse in Residential Programs for Teens Act H.R.4977 - COVER Act H. 6 - 21st Century Cures Act H.R.1859/S. 2782 - Ensuring Children's Access to Specialty Care Act H.R.2555 - Veteran Wellness Act S. 473 - Saving Our Next Generation Act S. 841 - Prioritizing Veterans Access to Mental Health Care H.R.2632/S.1494 - Children's Recovery from Trauma Act H.R.938/S. 1299 - Garrett Lee Smith Memorial Act Reauthorization of 2015 H.R.5 - Student Success Act S.1177 - Every Child Achieves Act of 2015 S. 1893 - Mental Health Awareness & Improvement Act H.R. 670 - The Special Needs Trust Fairness Act S. 1865 - Anna Westin Act S. 524/H.R.953: Comprehensive Addiction and Recovery Act of 2015 H.R. 2994: Safer Communities Act of 2015 H.R.1006 - Building a Health Care Workforce for the Future Act H.R.3285 - Reducing Disparities Using Care Models and Education Act of 2015 H.R. 3020 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2016 H.R.3640 - Mental Health Awareness Semipostal Stamp Act S.2012 - Energy Policy Modernization Act of 2015 - support an amendment funding lead poisoning research H.R.4276/S. 2647 - Behavioral Health Coverage Transparency Act of 2015 - support S.2680 - Mental Health Reform Act of 2016 - recommendations to improve coordination and children's health H.R.3660 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. - support S. 2685/H.R.4374 - Mental Health on Campus Improvement Act - support S. 2787S - States Achieve Medicaid Expansion Act of 2016 - Support H.R. 5234 - The Stop Mental Health Stigma in Our Communities Act of 2016 - Support S.3130 - Independence at Home Act of 2016 - Support S.2848 - Water Resources Development Act of 2016 - Support funding for lead exposure supports H.R. 5330: Peer-Support Specialist Act of 2016 - supported H.R.5100 - At-Risk Youth Medicaid Protection Act of 2016 - Supported S. 2691: Integrating Behavioral Health Through Technology Act of 2016 - Supported S.3130 - Independence at Home Act of 2016 - supported S.1604/H.R.5903 - Transition to Independence Act - supported

Client expense: $7,558 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

H.R. 2577 - Transportation, Housing and Urban Development, and Related Agencies Appropriations Act - Supported housing S.3130 - Independence at Home Act of 2016 - Supported

Client expense: $7,558 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

HR 3298 Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) S 2108 Preserving Access to Post-Acute Hospital Care Act of 2015 (all sections) S 1211 Temporary exception to site neutral payment rate for certain discharges involving severe wounds (all sections) HR 1250 Temporary exception to site neutral payment rate for certain discharges involving severe wounds (all sections) S 202 Technical change to the Medicare Long-Term Care Hospital moratorium exception (all sections) HR 1458 BACPAC (Bundling and Coordinating Post-Acute Care) Act of 2015 (all sections) HR 3037 Hospice Care Access Improvement Act of 2015 (all sections) HR 2196 Medicare Independence at Home Medical Practice Demonstration Improvement Act of 2015 (all sections) HR 2 Medicare Access and CHIP Reauthorization Act of 2015 (Title II, Sec 202 - Therapy Cap Exceptions Process; Title IV, Sec 411 - PAC pay for; Title V, Sec 513 - Home health surety bond) S. 1650 Home Health Documentation and Program Improvement Act of 2015 (all sections) S. 2368 Audit & Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015 (all sections) HR. 2029 Consolidated Appropriations Act, 2016 (Title II, Section 231 - LTAC Wound Criteria; Title V, Section 504 - HH Disposable Devices) HR 4725 Common Sense Savings Act of 2016 - Section 4, Extending previous Medicaid Threshold Applied for Determining Acceptable Provider Taxes HR 4725 Common Sense Savings Act of 2016 - Section 4, Extending previous Medicaid Threshold Applied for Determining Acceptable Provider Taxes S.3107 - A bill to amend title XVIII of the Social Security Act to provide for a temporary exception to the application of the Medicare long-term care hospital site neutral provisions for certain spinal cord specialty hospitals (all sections) H.R.5559 - To amend section 1206 of the Pathway for SGR Reform Act of 2013 to clarify the application of rules on the calculation of hospital length of stay to certain moratorium-excepted long-term care hospitals (LTCHs) (all sections) H.R.5273 - Helping Hospitals Improve Patient Care Act of 2016 (TITLE 1, (Sec. 104) With respect to long-term care hospitals, the bill lifts a moratorium on bed increases. The bill reduces rates for high-cost outlier payments, which are additional Medicare payments made in extraordinarily high-cost cases.) HR 5688 - To amend title XVIII of the Social Security Act to provide for a temporary exception to the application of the Medicare long-term care hospital site neutral provisions for certain spinal cord specialty hospitals (all sections) S.3096 - Removing Barriers to Person-Centered Care Act of 2016 (all sections) S. 3130 - Independence at Home Act of 2016 (all sections)

Client expense: $570,000 · Firm income: Not reported

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

H.R. 1378, S. 789 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act Public Law No: 114-144, S. 192 - Older Americans Act Reauthorization Act of 2015 H.R. 2646 Helping Families in Mental Health Crisis Act of 2015 S.1945 Mental Health Reform Act of 2015 S.2680 Mental Health Reform Act of 2016 S. 993/H.R. 1854 Comprehensive Justice and Mental Health Act of 2015 S. 1893 Mental Health Awareness and Improvement Act of 2015 S. 2691 Integrating Behavioral Health Through Technology Act of 2016 H.R. 1559/S.857 Health Outcomes, Planning, and Education (HOPE) for Alzheimers Act S. 1719/H.R. 3099 the Recognize, Assist, Include, Support, and Engagement (RAISE) Family Caregivers Act H.R. 2515/S. 1865 Anna Westin Act of 2015 H.R. 3913 the Lifespan Respite Care Reauthorization Act S.2691 Integrating Behavioral Health through Technology Act of 2016 S.3130 Independence at Home Act of 2016 S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act S.3236/H.R. 5772 the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act. Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 Opioid Abuse Epidemic Affordable Care Act Integration Practice and Reimbursement issues related to clinical social workers Chronic Care

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

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

Preservation of Medicaid as an entitlement program and avoiding cuts, including per capita caps and block grants. Importing Medicare Affordability, Enrollment, Notification (S. 3371, H.R. 6109, H.R. 5772) Independence at Home Act (S. 3130) Improving Medicaid care coordination for medically complex children (H.R. 546, S. 298) Local Coverage Determination Act (H.R. 5721) Implementation of and improving the Achieving a Better Life Experience Act, P.L. 113-295 Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192 HCBS Settings Rule S. 1604 Transition to Independence Medicaid Buy-In Option. H.R. 5903 ABLE Age Adjustment Act, S. 2704 and H.R. 4813 ABLE Financial Planning Act, S. 2703 and H.R. 4794 ABLE to Work Act, S. 2702 and H.R. 4795 Money Follows the Person Program Extension

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, Social Security Administration (SSA), Treasury, Dept of, White House Office

Medicare Part B Premium. (No bill.) Proposals to mitigate the expected increase in the 2017 Part B premium for beneficiaries not protected by the hold harmless provision. Medigap. H.R. 6265, the Medigap Consumer Protection Act of 2016: proposal to improve access to and improve beneficiary information about Medigap for seniors and disabled individuals in the traditional Medicare program. Medicare Affordability. S. 3371, H.R. 6109, Medicare Affordability and Enrollment Act of 2016: proposals to improve Medicare for beneficiaries by capping out-of-pocket costs in traditional Medicare; increasing financial assistance for low-income beneficiaries; aligning the Medicare Savings Programs and Low-Income Subsidy; eliminating the 24-month waiting period for Medicare coverage for people receiving Social Security Disability Insurance benefits; making commonsense changes in the enrollment period for Medicare; eliminating gaps between enrollment and when actual coverage begins; limiting the Part B late enrollment penalty; and providing permanent funding for the State Health Insurance Assistance Programs (SHIPs), Area Agencies on Aging (AAAs), Aging and Disability Resource Centers (ADRCs) and the National Center for Benefits Outreach and Enrollment. Medicare Part B Enrollment. S. 3236, H.R. 5772, the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act: legislation to modernize and simplify Part B enrollment. Medicare Observation Status. Public Law 114-42, Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act): comments on the CMS/HHS proposed rule to strengthen protections for Medicare beneficiaries who are hospitalized in observation status. Medicare Hearing Coverage. H.R. 1653, the Medicare Hearing Aid Coverage Act of 2015: proposal to provide Medicare coverage for the cost of hearing aids and examinations. Expanding Drug Monopolies. H.R. 6, 21st Century Cures Act. Proposal to extend orphan drug market exclusivity for existing drugs to new indications. Medicare Part B Drug Payments. H.R. 5122: legislation to prohibit the Department of Health and Human Services from taking any further action on a proposed rule to change how Medicare pays for certain drugs that are typically not self-administered (such as some intravenous medications and chemotherapy drugs). Drug Manufacture Transparency. S. 3335, H.R. 6043, Fair Accountability and Innovative Research Drug Pricing Act of 2016: proposal to require drug manufacturers to be more transparent about justification for increases in drug prices over ten percent, namely to report their spending on a drugs research and development as well as their profits on a drug each year since its approval. Biologics Market Exclusivity Period. S. 3094, H.R. 5573, Price Relief, Innovation and Competition for Essential Drugs (PRICED) Act: legislation to reduce the market exclusivity period for biologics from its current 12 years to seven years. Continuous Glucose Monitoring Devices. S. 804, Medicare CGM Access Act: legislation to provide Medicare coverage of continuous glucose monitoring (CGM) devices for beneficiaries with diabetes who meet specified medical criteria. Home-based Primary Medical Care. S. 3130, Independence at Home Act of 2016: legislation to expand the Independence at Home Medicare demonstration project providing home-based primary medical care to elders with severe chronic illness and disability. Alzheimers Beneficiary and Caregiver Assistance. S. 3137, H.R. 5681, Alzheimers Beneficiary and Caregiver Support Act: proposals to improve the quality of life for people living with Alzheimers disease and other forms of dementia, support family care partners, and reduce costs to federal and state health programs. Alzheimers Caregiver Support. S. 3113, H.R. 3039, Alzheimers Caregiver Support Act: legislation to provide vital support and training to people living with Alzheimers disease and other forms of dementia and to their caregivers. Medicare Payment Policy. Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017 (CMS-16545-P): comments to CMS/HHS pertaining to the proposed rule for Sec. II. E. 5, Assessment and Care Planning for Patients with Cognitive Impairment, which recognizes the value of assessment and care planning services for patients with cognitive impairment, including people living with Alzheimers disease and other forms of dementia. Medicare End-Stage Renal Disease Prospective Payment System. End-Stage Renal Disease Prospective Payment System, Coverage and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program Bid Surety Bonds, State Licensure and Appeals Process for Breach of Contract Actions, Durable Medical Equipment, Prosthetics, Orthotics and Supplies Competitive Bidding Program and Fee Schedule Adjustments, Access to Care Issues for Durable Medical Equipment; and the Comprehensive End-Stage Renal Disease Care Model (CMS-1651-P): comments to CMS/HHS regarding obstacles in many states to obtaining DME among people with Medicaid and Medicare benefits (dual eligibles).

Client expense: $180,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Economic Council (NEC), Office of Management & Budget (OMB), President of the U.S., SENATE, Social Security Administration (SSA), Treasury, Dept of, Vice President of the U.S.

S. 3130, the Independence at Home Act of 2016 S. 3137/H.R. 5681 - To require the Center for Medicare and Medicaid Innovation (CMMI) to test the efficacy of providing Alzheimers Disease caregiver support services

Client expense: $28,000 · Firm income: Not reported

Government targets: Administration on Aging, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

P.L. 111-375 National Alzheimer's Project Act, All sections H.R. 9/S. 1137, the Innovation Act H.R. 1559/S. 857, the Health Outcomes, Planning, and Education (HOPE) for Alzheimer's Act of 2015 H.R. 1468, the Global Brain Health Act of 2015 H.R. 2624/S. 1488, the Part D Beneficiary Appeals Fairness Act H.R. 3090/S. 3113, the Alzheimer's Caregiver Support Act H.R. 3091, the Missing Alzheimer's Disease Patient Alert Program Reauthorization Act H.R. 3092, the Alzheimer's Disease Semipostal Stamp Act H.R. 3099/S. 1719, the RAISE Family Caregivers Act H.R. 3119/S. 2748, the Palliative Care and Hospice Education and Training Act H.R. 3243/S. 1362, the PACE Innovation Act H.R. 3660, the Preventive Health Savings Act H.R. 4708/S.2759, the Credit for Caring Act of 2016 H.R. 4919/S. 2614, Kevin and Avonte's Law of 2016 H.R. 5196/S. 879, the Americans Giving Care to Elders (AGE) Act of 2015 H. Res. 237/S. Res. 74, a resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority S. 192, the Older Americans Act Reauthorization Act of 2015 S. 1549, the Care Planning Act of 2015 S. 2961, the Compassionate Care Act S. 3130, the Independence at Home Act of 2016

Client expense: $180,000 · Firm income: Not reported

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

H.R.927 - Keeping All Students Safe Act H.R.2646 - Helping Families in Mental Health Crisis Act H.R.2624/S. 1488 - Part D Beneficiary Appeals Fairness H.R.1211/S. 1588 - Mental Health in Schools Act of 2015 H.R.3060 - Stop Child Abuse in Residential Programs for Teens Act H.R.4977 - COVER Act H. 6 - 21st Century Cures Act H.R.1859/S. 2782 - Ensuring Children's Access to Specialty Care Act H.R.2555 - Veteran Wellness Act S. 473 - Saving Our Next Generation Act S. 841 - Prioritizing Veterans Access to Mental Health Care H.R.2632/S.1494 - Children's Recovery from Trauma Act H.R.938/S. 1299 - Garrett Lee Smith Memorial Act Reauthorization of 2015 H.R.5 - Student Success Act S.1177 - Every Child Achieves Act of 2015 S. 1893 - Mental Health Awareness & Improvement Act H.R. 670 - The Special Needs Trust Fairness Act S. 1865 - Anna Westin Act S. 524/H.R.953: Comprehensive Addiction and Recovery Act of 2015 H.R. 2994: Safer Communities Act of 2015 H.R.1006 - Building a Health Care Workforce for the Future Act H.R.3285 - Reducing Disparities Using Care Models and Education Act of 2015 H.R. 3020 - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2016 H.R.3640 - Mental Health Awareness Semipostal Stamp Act S.2012 - Energy Policy Modernization Act of 2015 - support an amendment funding lead poisoning research H.R.4276/S. 2647 - Behavioral Health Coverage Transparency Act of 2015 - support S.2680 - Mental Health Reform Act of 2016 - recommendations to improve coordination and children's health H.R.3660 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. - support S. 2685/H.R.4374 - Mental Health on Campus Improvement Act - support S. 2787S - States Achieve Medicaid Expansion Act of 2016 - Support H.R. 5234 - The Stop Mental Health Stigma in Our Communities Act of 2016 - Support S.3130 - Independence at Home Act of 2016 - Support S.2848 - Water Resources Development Act of 2016 - Support funding for lead exposure supports H.R. 5330: Peer-Support Specialist Act of 2016 - supported H.R.5100 - At-Risk Youth Medicaid Protection Act of 2016 - Supported S. 2691: Integrating Behavioral Health Through Technology Act of 2016 - Supported

Client expense: $6,916 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

Independence at Home Act of 2016 (S. 3130), Value-based Insurance Design Seniors Copayment Reduction Act of 2015 (S.1396), Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 205 (H.R. 2570) (Value-Based Insurance Design in Medicare Advantage), oral health

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE