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.

Public Law No: 114-225/ H.R. 34: 21st Century Cures Act H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity 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 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/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. Chronic Care: S.3504 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2016 Medication Assisted Therapies (MATs) Accountable Care Organizations (ACOs) Opioid Abuse Epidemic

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

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

340B program issues; H.R.6;S.524; H.R.5273; S.488/H.R.3355

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to cardiac and pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs. Improve access to varied home mechanical ventilators through passage of legislation improving archaic existing statutory language included in Section 1834 of Title XVIII of the Social Security Adt.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to cardiac and pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs. Improve access to varied home mechanical ventilators through passage of legislation improving archaic existing statutory language included in Section 1834 of Title XVIII of the Social Security Adt.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare physician payment; new/alternative payment models; Medicare coverage; Medicare hospital payment; Ways & Means Committee hospital payment project, including HR 2513, the PACE Act of 2015; physician and hospital quality; electronic health record incentive program and H.R. 5001/S. 2822, the Flexibility in Electronic Health Record Reporting Act; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Promoting Integrity in Medicare Act; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; S 488/HR 3355, 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; S 2382, the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015; S 298/HR 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; graduate medical education policy, including HR 2124/S 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care; Children's Health Insurance Program (CHIP) extension; Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) implementation.

Client expense: $850,000 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, 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

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity 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 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/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. Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care Accountable Care Organizations (ACOs)

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

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

H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S. 2259 ACO Assignment Improvement Act of 2015 H.R.6261 - To amend title XVIII of the Social Security Act to improve the way beneficiaries are assigned under the Medicare shared savings program by also basing such assignment on primary care services furnished by nurse practitioners, physician assistants, and clinical nurse specialists. H.R.2948 - Medicare Telehealth Parity 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 H.R. 4756 Promoting Access to Diabetic Shoes Act S.1641 Jason Simcakoski Memorial Opioid Safety Act H.R.4981 - Opioid Use Disorder Treatment Expansion and Modernization Act S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act S.1455, H.R. 2536 Recovery Enhancement for Addiction Treatment (TREAT) Act Public Law No: 114-198, S.524/ H.R. 953 Comprehensive Addiction and Recovery (CARA) Act of 2016 S.488/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. Medication Assisted Therapies (MATs) Opioid Abuse Epidemic Chronic Care Accountable Care Organizations (ACOs)

Client expense: Not reported · Firm income: Not reported

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

HR 952 - Put a Registered Nurse in the Nursing Home Act; HR 2799/ S 1465- Furthering Access to Stroke Telemedicine Act; HR 3355/ S 488- legislation to allow cardiac and pulmonary rehabilitation programs to be supervised by nurse practitioners.

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

S. 578, H.R. 1342 The Home Health Care Planning Improvement Act of 2015 S. 257, H.R. 1611 Protecting Access to Rural Therapy Services (PARTS) Act S. 628, H.R. 1209 The Improving Access to Maternity Care Act H.R. 6 21st Century Cures Act H.R. 1021 Protecting the Integrity of Medicare Act of 2015 (PIMA) H.R. 2253, S. 737 Ensuring Access to Primary Care for Women & Children Act S.1456 Rural ACO Improvement Act of 2015 S.1641 Jason Simcakoski Memorial Opioid Safety Act S. 2259, H.R. 6261 ACO Assignment Improvement 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 H.R. 4756 Promoting Access to Diabetic Shoes Act Medication Assisted Therapies (MATs) S. 1455, H.R. 2536 Recovery Enhancement for Addiction Treatment Act (TREAT) S. 524, H.R. 953 Comprehensive Addiction and Recovery Act of 2015 (CARA) S. 2562, H.R. 4396 Heroin and Prescription Drug Abuse Prevention and Reduction Act H.R.2948 Medicare Telehealth Parity Act of 2015 S.488, H.R. 3355 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. S. 3245 Title VIII Nursing Workforce Reauthorization Act of 2016 H.R. 2713 Title VIII Nursing Workforce Reauthorization Act of 2015 H.R. 4981 Opioid Use Disorder Treatment Expansion and Modernization Act Opioid Abuse Epidemic Chronic Care Accountable Care Organization (ACO)

Client expense: $125,547 · Firm income: Not reported

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

340B program issues; H.R.6;S.524; H.R.5273; S.488/H.R.3355

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

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) Meeting with CMMI-Mobile Stroke Units Senate Finance Chronic Care Bill States Achieve Medicaid Expansion(SAME)Act(S.2787)

Client expense: $159,620 · 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

Improve access to cardiac and pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare physician payment; new/alternative payment models; Medicare coverage; Medicare hospital payment; Ways & Means Committee hospital payment project, including HR 2513, the PACE Act of 2015; physician and hospital quality; electronic health record incentive program and H.R. 5001/S. 2822, the Flexibility in Electronic Health Record Reporting Act; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Promoting Integrity in Medicare Act; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; S 488/HR 3355, 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; S 2382, the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015; S 298/HR 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; graduate medical education policy, including HR 2124/S 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care.

Client expense: $360,000 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Improve access to cardiac and pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare physician payment; new/alternative payment models; Medicare coverage; Medicare hospital payment; Ways & Means Committee hospital payment project, including HR 2513, the PACE Act of 2015; physician and hospital quality; medical liability reform; electronic health record incentive program and the FLEX-IT Act; HR 3309, FLEX-IT 2 Act; clinical data registries; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Promoting Integrity in Medicare Act; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; S 488/HR 3355, 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; S 2382, the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2015; S 298/HR 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; graduate medical education policy, including HR 2124/S 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care.

Client expense: $700,000 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, 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 Telehealth Parity Act(H.R.2448) Senate Finance Chronic Care Bill

Client expense: $186,805 · 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

ACE Kids Act(H.R.546/S.298) Advance Care Planning Codes Care Planning Act of 2015(S.1549) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Hospital Outpatient Prospective Payments System for 2016(CMS-1633-P) 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 Telehealth Parity Act(H.R.2448) Medication Therapy Management Empowerment Act of 2015(S.776) Physician Fee Schedule for 2016(CMS-1631-P)

Client expense: $208,575 · 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

Medicare Access and CHIP Reauthorization Act(H.R.2) Medicare Access to Rehabilitation Services Act(H.R.775/S.539) Medicare Cardiac Rehab Supervision Bill(S.488) Medication Therapy Management Legislation Stage 3 of the Electronic Health Record Incentive Program (CMS-3310-P) Hospital Inpatient Prospective Payment System for Acute Care and Long Term Care Hospitals and Fiscal Year 2016 Rates (CMS-1632-P) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Meaningful Use Stage 1 and Stage 2 Modifications Advance Care Planning Codes

Client expense: $337,480 · 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, White House Office

Medicare Access and CHIP Reauthorization Act(H.R.2) Medicare Access to Rehabilitation Services Act(H.R.775/S.539) Medicare Cardiac Rehab Supervision Bill(S.488) Medicare Parts C&D Issuer Call Letter for 2016 Medication Therapy Management Legislation

Client expense: $210,171 · 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, White House Office

ACE Kids Act(H.R.546/S.298) Advance Care Planning Codes Care Planning Act of 2015(S.1549) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Hospital Outpatient Prospective Payments System for 2016(CMS-1633-P) 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 Telehealth Parity Act(H.R.2448) Medication Therapy Management Empowerment Act of 2015(S.776) Physician Fee Schedule for 2016(CMS-1631-P)

Client expense: $337,480 · 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

Care Planning Act of 2015(S.1549) Drug Pricing Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Hospital Outpatient Prospective Payments System for 2016(CMS-1633-P) 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 Telehealth Parity Act(H.R.2448) Medication Therapy Management Empowerment Act of 2015(S.776)

Client expense: $231,228 · 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

Care Planning Act of 2015(S.1549) Drug Pricing Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Hospital Outpatient Prospective Payments System for 2016(CMS-1633-P) 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 Telehealth Parity Act(H.R.2448) Medication Therapy Management Empowerment Act of 2015(S.776)

Client expense: $231,228 · 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

H.R. 1650, Medicare Patient Empowerment Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H.R. 1892, Trade Adjustment Assistance (TAA) Reauthorization Act of 2015, provisions relating to Medicare Sequestration Offset S. 1268, Trade Adjustment Assistance (TAA) Reauthorization Act of 2015, provisions relating to Medicare Sequestration Offset H.R. 1295, Trade Preferences Extension Act of 2015, provisions relating to Medicare cuts H.R. 1314, Trade Act of 2015, provisions relating to Medicare sequester H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, provisions relating to IPAB repeal H.R. 1220, Removing Barriers to Colorectal Cancer Screening Act of 2015, all provisions S. 624, Removing Barriers to Colorectal Cancer Screening Act of 2015, all provisions S. 1549, Care Planning Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 2126, Cutting Costly Codes Act of 2015, all provisions H.R. 1571, Improving Access to Medicare Coverage Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 2404, Treat and Reduce Obesity Act of 2015, all provisions S. 1509, Treat and Reduce Obesity Act of 2015, all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions S. 1549, Care Planning Act of 2015, all provisions H.R. 2247, ICD-TEN Act, 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 H.R. 1021, Protecting the Integrity of Medicare Act of 2015, provisions relating to Medicare pharmacy and physician lock-in Stopping Medication Abuse and protecting Seniors Act of 2015 draft legislation, provisions related to Medicare lock-in Audit and Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015 draft legislation Medicare program: Alternate payment models, merit-based incentive payment systems Medicare program: Two Midnights rule Medicare program: Private Contracting Medicare program: ICD-10 Repeal Medicare program: SGR Repeal Medicare program: ICD-10 transition Medicare program: Payment Reform - Means Testing; Medigap Reform Medicare program: EHR - Meaningful Use/Interoperability Medicare program: Meaningful Use, Stage 3 Medicare program: Meaningful Use - Certification, Physician Quality Reporting System, Physician Compare, penalties Medicare program: Advance care planning Medicare program: Medicare Appeals Backlog Medicare program: Recovery Audit Contractors Medicare program: Part D Coverage Medicare program: Part D Beneficiary Lock-in Medicare program: Part B drug payment policies Medicare program: Value-based Modifier Medicare program: Relative Value Update Committee (RUC) Medicare program: ICD-10 Implementation Medicare program: Chronic Care Medicare program: In-office Ancillary Services Exception Medicare program: Program Integrity Medicare program: Laboratory Developed Tests (LDTs) Medicare program: Shared Savings Program - ACO regulations Medicare program: Annual Wellness Visit Medicare program: Telehealth Medicare program: Quality measure development funding Medicare program: Medicare Advantage/transparency and beneficiary and provider protections Medicare program: Data Release Medicare program: HIPAA Administrative simplification (ICD-10, EFT, virtual credit cards) Medicare program: CLIA modernization Medicare program: Graduate Medical Education Medicare program: Global surgical services unbundling Medicare program: Physician-owned hospitals Medicare program: Sequester Medicare program: Alternative payment models Medicare program: Prescription drug diversion Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act implementation Medicare and Medicaid programs: Primary care payment

Client expense: $5,680,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

Medicare physician payment; new/alternative payment models; global surgical payment; Medicare coverage; Medicare hospital payment, including Ways & Means Committee hospital payment project; physician and hospital quality; medical liability reform; electronic health record incentive program and the FLEX-IT Act; HR 3309, FLEX-IT 2 Act; clinical data registries; graduate medical education; health care quality; medical imaging and prior authorization; the Stark Law and the in-office ancillary services exception; Promoting Integrity in Medicare Act; HR 2, the Medicare Access and CHIP Reauthorization Act of 2015; HR 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; S 488/HR 3355, 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; S. 298/H.R. 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; H.R. 2124/S. 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care; HR 3940, the Meaningful Use Hardship Relief Act, and S 2425, which provides for hardship exceptions for the 2015 Meaningful Use reporting period.

Client expense: $750,000 · 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), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

Care Planning Act of 2015(S.1549) Drug Pricing Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Hospital Outpatient Prospective Payments System for 2016(CMS-1633-P) 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 Telehealth Parity Act(H.R.2448) Medication Therapy Management Empowerment Act of 2015(S.776)

Client expense: Not reported · Firm income: $231,228

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

Improve access to cardiac and pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

ACE Kids Act(H.R.546/S.298) Advance Care Planning Codes Care Planning Act of 2015(S.1549) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Hospital Outpatient Prospective Payments System for 2016(CMS-1633-P) 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 Telehealth Parity Act(H.R.2448) Medication Therapy Management Empowerment Act of 2015(S.776) Physician Fee Schedule for 2016(CMS-1631-P)

Client expense: Not reported · Firm income: $337,480

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

Medicare physician payment; new/alternative payment models; global surgical payment; Medicare coverage; Medicare hospital payment; physician and hospital quality; medical liability reform; electronic health record incentive program and the FLEX-IT Act; HR 3309, FLEX-IT 2 Act; clinical data registries; graduate medical education; health care quality; medical imaging and prior authorization; in-office ancillary services exception; Promoting Integrity in Medicare Act; HR 2, the Medicare Access and CHIP Reauthorization Act of 2015; HR 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; 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; S. 298/H.R. 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; H.R. 2124/S. 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care.

Client expense: $470,000 · 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), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

H.R. 1021, Protecting the Integrity of Medicare Act of 2015, all provisions 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 S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention 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. 2513, Promoting Access, Competition, and Equity Act of 2015 (PACE Act), 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 H.R. 1936, Improving the Integrity of Disability Evidence Act, all provisions H.R. 2519, Audiology Patient Choice Act of 2015, all provisions H.R. 3081, TELEmedicine for MEDicare Act of 2015 (TELE-MED Act of 2015), all provisions H.R. 2568, Fair Medical Audits Act of 2015, all provisions H.R. 3309, Further Flexibility in HIT Reporting and Advancing Interoperability Act (Flex-IT 2 Act), all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions H.R. 3100, Medical Practice Freedom Act of 2015, all provisions H.R. 6, 21st Century Cures Act, all provisions H.R. 2502, Comprehensive Care Payment Innovation Act of 2015, all provisions H.R. 592, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions H.R. 3220, Medicare Common Access Card Act of 2015, all provisions H.R. 1117, Creating Access to Residency Education Act of 2015, all provisions S. 1148, Resident Physician Shortage Reduction Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to physician payment and delivery reform S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to physician payment and delivery reform H.R. 1295, Trade Preferences Extension Act of 2015, provisions relating to Medicare sequester H.R. 2146, Defending Public Safety Employees' Retirement Act, provisions relating to Medicare sequester S. 1020, Diagnostic Imaging Services Access Protection Act of 2015, all provisions Audit & Appeal Fairness Medicare program: Medicare Advantage market transparency/beneficiary and provider protections Medicare program: Protecting Access to Medicare Act (PAMA) implementation Medicare program; Merit-based incentive models Medicare program: Alternative payment models Medicare program: Independent Payment Advisory Board Repeal (IPAB) Medicare program: Medicare Physician Fee Schedule Medicare program: Meaningful Use, Certification, Interoperability Roadmap Medicare program: In-office Ancillary Services Exception Medicare program: Graduate Medical Education Medicare program: Electronic Health Records (EHR)/Meaningful Use (MU) Medicare program: Merit-based Incentive Payment System (MIPS) Medicare program: Two-Midnights Rule/Policy Medicare program: Alternative Payment Models Medicare program: Diabetes Medicare program: Sunshine Act/CME, reprints and medical textbooks Medicare program: Prescription Drug Diversion Medicare program: Medicare physician data Medicare program: Comprehensive Care for Joint Replacement (CCJR) Medicare program: Misvalued Codes Medicare program: Part B Drugs Medicare program: Chronic Care Medicare program: Sequestration Medicare program: Recovery Audit Contractors (RACs) Medicare program: Provider payments Medicare program: Local Coverage Decisions Medicare program: Enterprise Identity Management (EIDM) implementation Medicare program: Regulatory burdens Medicare program: Codes for drug abuse testing Medicare program: Physician Quality Reporting Program/Value-based Modifier/Physician Compare Medicare program: Diagnostic Coding Medicare and Medicaid programs: Nomination of Andrew Slavitt to be CMS Administrator Medicare and Medicaid programs: ICD-10 Medicare and Medicaid programs: Laboratory Developed Tests oversight and regulation Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA) implementation

Client expense: $4,280,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Natl Drug Control Policy (NDCP), President of the U.S., SENATE, Veterans Affairs, Dept of (VA), White House Office

PA Hospice (HR 1202/ S 1346), PA Home Health (S 578/HR 1342), PA supervision of cardiac and pulmonary tests (S 488), Medicaid reimbursement (S 737), VA GOOD Pilot Program (S 2134), federal workers' compensation, treatment for opioid addiction, PA federal employment, 21st century cures, primary care, telehealth, behavioral healthcare, federal funding for PA education programs, OPM qualification and classification standards for PAs.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Office of Natl Drug Control Policy (NDCP), SENATE

Improve access to cardiac and pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to pulmonary rehabilitation programs through passage of S. 488 and HR 3355 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare Access and CHIP Reauthorization Act(H.R.2) Medicare Access to Rehabilitation Services Act(H.R.775/S.539) Medicare Cardiac Rehab Supervision Bill(S.488) Medication Therapy Management Legislation Stage 3 of the Electronic Health Record Incentive Program (CMS-3310-P) Hospital Inpatient Prospective Payment System for Acute Care and Long Term Care Hospitals and Fiscal Year 2016 Rates (CMS-1632-P) Furthering Access to Stroke Telemedicine Act (S.1465/H.R.2799) Meaningful Use Stage 1 and Stage 2 Modifications Advance Care Planning Codes

Client expense: Not reported · Firm income: $337,480

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, White House Office

Medicare physician payment; new/alternative payment models; global surgical payment; Medicare coverage; Medicare hospital payment; physician and hospital quality; medical liability reform; electronic health record incentive program and the FLEX-IT Act; clinical data registries; graduate medical education; health care quality; medical imaging and prior authorization; in-office ancillary services exception; Promoting Integrity in Medicare Act; HR 2, the Medicare Access and CHIP Reauthorization Act of 2015; HR 1470, the SGR Repeal and Medicare Provider Payment Modernization Act of 2015; 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; S. 298/H.R. 546, The Advancing Care for Exceptional Kids Act of 2015, a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; H.R. 2124/S. 1148, the Resident Physician Shortage Reduction Act; ICD-10 transition; end of life care.

Client expense: $400,000 · 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), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

H.R. 1650, Medicare Patient Empowerment Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, all provisions H.R. 1892, Trade Adjustment Assistance (TAA) Reauthorization Act of 2015, provisions relating to Medicare Sequestration Offset S. 1268, Trade Adjustment Assistance (TAA) Reauthorization Act of 2015, provisions relating to Medicare Sequestration Offset H.R. 1295, Trade Preferences Extension Act of 2015, provisions relating to Medicare cuts H.R. 1314, Trade Act of 2015, provisions relating to Medicare sequester H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, provisions relating to IPAB repeal H.R. 1220, Removing Barriers to Colorectal Cancer Screening Act of 2015, all provisions S. 624, Removing Barriers to Colorectal Cancer Screening Act of 2015, all provisions S. 1549, Care Planning Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 2126, Cutting Costly Codes Act of 2015, all provisions H.R. 1571, Improving Access to Medicare Coverage Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 2404, Treat and Reduce Obesity Act of 2015, all provisions S. 1509, Treat and Reduce Obesity Act of 2015, all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions S. 1549, Care Planning Act of 2015, all provisions H.R. 2247, ICD-TEN Act, 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 H.R. 1021, Protecting the Integrity of Medicare Act of 2015, provisions relating to Medicare pharmacy and physician lock-in Stopping Medication Abuse and protecting Seniors Act of 2015 draft legislation, provisions related to Medicare lock-in Audit and Appeals Fairness, Integrity, and Reforms in Medicare Act of 2015 draft legislation Medicare program: Alternate payment models, merit-based incentive payment systems Medicare program: Two Midnights rule Medicare program: Private Contracting Medicare program: ICD-10 Repeal Medicare program: SGR Repeal Medicare program: ICD-10 transition Medicare program: Payment Reform - Means Testing; Medigap Reform Medicare program: EHR - Meaningful Use/Interoperability Medicare program: Meaningful Use, Stage 3 Medicare program: Meaningful Use - Certification, Physician Quality Reporting System, Physician Compare, penalties Medicare program: Advance care planning Medicare program: Medicare Appeals Backlog Medicare program: Recovery Audit Contractors Medicare program: Part D Coverage Medicare program: Part D Beneficiary Lock-in Medicare program: Part B drug payment policies Medicare program: Value-based Modifier Medicare program: Relative Value Update Committee (RUC) Medicare program: ICD-10 Implementation Medicare program: Chronic Care Medicare program: In-office Ancillary Services Exception Medicare program: Program Integrity Medicare program: Laboratory Developed Tests (LDTs) Medicare program: Shared Savings Program - ACO regulations Medicare program: Annual Wellness Visit Medicare program: Telehealth Medicare program: Quality measure development funding Medicare program: Medicare Advantage/transparency and beneficiary and provider protections Medicare program: Data Release Medicare program: HIPAA Administrative simplification (ICD-10, EFT, virtual credit cards) Medicare program: CLIA modernization Medicare program: Graduate Medical Education Medicare program: Global surgical services unbundling Medicare program: Physician-owned hospitals Medicare program: Sequester Medicare program: Alternative payment models Medicare program: Prescription drug diversion Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act implementation Medicare and Medicaid programs: Primary care payment

Client expense: $12,400,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Drug Enforcement Administration (DEA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Natl Drug Control Policy (NDCP), SENATE, White House Office

PA Hospice (HR 1202/ S 1346), PA Home Health (S 578/HR 1342), SGR (HR 2), PA supervision of cardiac and pulmonary tests (S 488), Medicaid EHR Incentive (HR 1345), Medicare DME face-to-face encounters (HR 1021), Medicaid reimbursement (S 737), DOD fellowship program for PAs in behavioral healthcare (S 714), federal workers' compensation, treatment for opioid addiction, PA federal employment, 21st century cures, telehealth, rural health, federal funding for PA education programs, FMCSA national registry of certified medical examiners, OPM qualification and classification standards for PAs.

Client expense: $210,000 · Firm income: Not reported

Government targets: Bureau of Labor Statistics (BLS), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), SENATE, Veterans Affairs, Dept of (VA)

Improve access to cardiac and pulmonary rehabilitation programs through passage of S. 488 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Improve access to pulmonary rehabilitation programs through passage of S. 488 to allow non physician practitioners to supervise these programs.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE