Removing Barriers to Colorectal Cancer Screening Act of 2015

Stark Law modernization; Colonoscopy/endoscopy reimbursement issues; S. 624/H.R. 1220, Removing Barriers to Colorectal Cancer Screening Act; S. 1079/H.R. 2035, SCREEN Act; MACRA implementation; CMS/CMMI Medicare Part B Drug Payment Model

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to implementation of legislative or regulatory changes to Medicare and Medicaid, including Medicare Part B drug reimbursement. Issues before CMS relating to Medicare payment for preventive screening, coordinated patient care, care planning; H.R.1220 & S.624, Removing Barriers to Colorectal Cancer Screening Act; and H.R.1190, Protecting Seniors' Access to Medicare Act and issues relating to CMS-issued regulations pertaining to Medicare Part B reimbursement, regulations relating to the Medicare Access and CHIP Reauthorization Act of 2015.

Client expense: $1,620,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), White House Office

Issues relating to implementation of legislative or regulatory changes to Medicare and Medicaid, including Medicare Part B drug reimbursement. Issues before CMS relating to Medicare payment for preventive screening, coordinated patient care, care planning; H.R.1220 & S.624, Removing Barriers to Colorectal Cancer Screening Act; and H.R.1190, Protecting Seniors' Access to Medicare Act and issues relating to CMS-issued regulations pertaining to Medicare Part B reimbursement, regulations relating to the Medicare Access and CHIP Reauthorization Act of 2015.

Client expense: $1,630,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), White House Office

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Opposition to proposed Part B demo (81 FR 13229). MACRA Implementation (81 FR 28161). Support for H.R.5122 - To prohibit further action on the proposed rule regarding testing of Medicare Part B prescription drug models. Opposition to H.R.5088 - PIMA of 2016. Sec. 4001, electronic health fairness provision H.R.34 - 21st Century Cures Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 S. 3101: Good Samaritan Health Professionals Act of 2016 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R.4909 - National Defense Authorization Act for Fiscal Year 2017 H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 3166: Ensuring Access to General Surgery Act of 2016 S. 3522: Graduate Medical Education Equity Act H.R. 1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in recognition of his many outstanding contributions to the Nation, including a tireless commitment to breast cancer research. H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (Stop The Bleed campaign) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $18,000 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 S. 3101: Good Samaritan Health Professionals Act of 2016 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R.4909 - National Defense Authorization Act for Fiscal Year 2017 H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 3166: Ensuring Access to General Surgery Act of 2016 S. 3522: Graduate Medical Education Equity Act H.R. 1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in recognition of his many outstanding contributions to the Nation, including a tireless commitment to breast cancer research. H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (Stop The Bleed campaign) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $18,000 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 S. 3101: Good Samaritan Health Professionals Act of 2016 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R.4909 - National Defense Authorization Act for Fiscal Year 2017 H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 3166: Ensuring Access to General Surgery Act of 2016 S. 3522: Graduate Medical Education Equity Act H.R. 1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in recognition of his many outstanding contributions to the Nation, including a tireless commitment to breast cancer research. H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (Stop The Bleed campaign) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $168,000 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 S. 3101: Good Samaritan Health Professionals Act of 2016 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R.4909 - National Defense Authorization Act for Fiscal Year 2017 H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 3166: Ensuring Access to General Surgery Act of 2016 S. 3522: Graduate Medical Education Equity Act H.R. 1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in recognition of his many outstanding contributions to the Nation, including a tireless commitment to breast cancer research. H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (Stop The Bleed campaign) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $168,000 · 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, Veterans Affairs, Dept of (VA)

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 3770, End Surprise Billing Act of 2015 Hospital Improvements for Payment Act Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling- Medicare sequestration QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

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

House and Senate Appropriations for NIH, NCI, CDC DoD Peer Reviewed Cancer Research Program HR 1220 S. 624

Client expense: Not reported · Firm income: $11,500

Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE

HR 1220 / S. 624 - Removing Barriers to Colorectal Cancer Screening Act S. 1347 / HR 887 -- The Electronic Health Fairness Act; A bill exempting patient encounters that occur in Ambulatory Surgery Centers when calculating attainment of the Medicare Electronic Health Record Meaningful Use requirements. Further Flexibility in HIT Reporting and Advancing Interoperability Act (FLEX-IT 2 Act) (H.R. 3309)

Client expense: Not reported · Firm income: $28,500

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

H.R. 1453/S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015 H.R. 1220/S. 624 - Removing Barriers to Colorectal Cancer Screening Act of 2015 H.R. 887/S. 1347 - Electronic Health Fairness Act of 2015 H.R. 1314 - Bipartisan Budget Act of 2015 H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 2299 - To amend title XVIII of the Social Security Act to provide for site-of-service price transparency under the Medicare program H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $201,900 · Firm income: Not reported

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

Issues relating to implementation of legislative or regulatory changes to Medicare and Medicaid, including Medicare Part B drug reimbursement. Issues before CMS relating to Medicare payment for preventive screening, coordinated patient care, care planning; H.R.1220 & S.624, Removing Barriers to Colorectal Cancer Screening Act; and H.R.1190, Protecting Seniors' Access to Medicare Act and issues relating to CMS-issued regulations pertaining to Medicare Part B reimbursement, regulations relating to the Medicare Access and CHIP Reauthorization Act of 2015.

Client expense: $1,200,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), White House Office

Stark Law modernization; Colonoscopy/endoscopy reimbursement issues; S. 624/H.R. 1220, Removing Barriers to Colorectal Cancer Screening Act; S. 1079/H.R. 2035, SCREEN Act; MACRA rule; CMS/CMMI Medicare Part B Drug Payment Model

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 S. 3101: Good Samaritan Health Professionals Act of 2016 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R.4909 - National Defense Authorization Act for Fiscal Year 2017 H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 3166: Ensuring Access to General Surgery Act of 2016 H.R. 1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in recognition of his many outstanding contributions to the Nation, including a tireless commitment to breast cancer research. H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (Stop The Bleed campaign) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $30,154 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 S. 3101: Good Samaritan Health Professionals Act of 2016 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R.4909 - National Defense Authorization Act for Fiscal Year 2017 H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 3166: Ensuring Access to General Surgery Act of 2016 H.R. 1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in recognition of his many outstanding contributions to the Nation, including a tireless commitment to breast cancer research. H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (Stop The Bleed campaign) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $30,154 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 S. 3101: Good Samaritan Health Professionals Act of 2016 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R.4909 - National Defense Authorization Act for Fiscal Year 2017 H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 3166: Ensuring Access to General Surgery Act of 2016 H.R. 1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in recognition of his many outstanding contributions to the Nation, including a tireless commitment to breast cancer research. H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (Stop The Bleed campaign) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $184,615 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 S. 3101: Good Samaritan Health Professionals Act of 2016 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R.4909 - National Defense Authorization Act for Fiscal Year 2017 H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 S. 3166: Ensuring Access to General Surgery Act of 2016 H.R. 1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in recognition of his many outstanding contributions to the Nation, including a tireless commitment to breast cancer research. H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (Stop The Bleed campaign) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $184,615 · 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, Veterans Affairs, Dept of (VA)

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Opposition to proposed Part B demo (81 FR 13229). MACRA Implementation (81 FR 28161). EHR Provision in HR 5273 -Helping Hospitals Improve Patient Care Act of 2016. Support for H.R.5122 - To prohibit further action on the proposed rule regarding testing of Medicare part B prescription drug models.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 3770, End Surprise Billing Act of 2015 Hospital Improvements for Payment Act Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule Sunshine Act Implementation Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Graduate Medical Education Value-based modifier - PPACA Debt ceiling- Medicare sequestration QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

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

Lobbied in support of H.R. 1220/S. 624, the Removing Barriers to Colorectal Cancer Screening Act. Also lobbied in favor of specialists being able to qualify as alternative payment models under MACRA.

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

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

Lobbied in support of H.R. 1220/S. 624, the Removing Barriers to Colorectal Cancer Screening Act, legislation that would waive the coinsurance for a screening colonoscopy regardless of the outcome of the screening. Lobbied in support of specialists being able to qualify as alternative payment models under MACRA.

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

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

House and Senate Appropriations for NIH, NCI, CDC DoD Peer Reviewed Cancer Research Program HR 1220 S. 624

Client expense: Not reported · Firm income: $11,500

Government targets: Health Resources & Services Administration (HRSA)

HR 1220 / S. 624 - Removing Barriers to Colorectal Cancer Screening Act S. 1347 / HR 887 -- The Electronic Health Fairness Act; A bill exempting patient encounters that occur in Ambulatory Surgery Centers when calculating attainment of the Medicare Electronic Health Record Meaningful Use requirements. Urge CMS to adopt a reporting policy that would allow a 90-day continuous period for participants in the MU program in 2016, as was the policy for 2015. (HR 3309)

Client expense: Not reported · Firm income: $28,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to implementation of legislative or regulatory changes to Medicare and Medicaid, including Medicare Part B drug reimbursement. Issues before CMS relating to Medicare payment for preventive screening, coordinated patient care, care planning; H.R.1220 & S.624, Removing Barriers to Colorectal Cancer Screening Act; and H.R.1190, Protecting Seniors' Access to Medicare Act and issues relating to CMS-issued regulations pertaining to Medicare Part B reimbursement.

Client expense: $1,250,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), White House Office

H.R. 1453/S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015 H.R. 1220/S. 624 - Removing Barriers to Colorectal Cancer Screening Act of 2015 H.R. 887/S. 1347 - Electronic Health Fairness Act of 2015 H.R. 1314 - Bipartisan Budget Act of 2015 H.R. 2299 - To amend title XVIII of the Social Security Act to provide for site-of-service price transparency under the Medicare program H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $202,438 · Firm income: Not reported

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

S. 709, H.R. 1270,Restoring Access to Medication Act - Meetings, calls and emails urging support. H.R. 3590 - Halt Tax Increases on the Middle Class and Seniors Act - Meetings, calls and emails urging support. Discussed the Fair Medical Billing Act. (no bill #) Discussed Medicare Advantage, Medicare Supplemental and employer health insurance. S. 192, Older Americans Act - Discussed reauthorization. Discussed Affordable Care Act Medicaid expansion issues, including AARP comments on state 1115 waiver proposals to expand Medicaid. Discussed Medicare-Medicaid integration efforts and financial alignment demonstrations, other CMS demonstration initiatives. Discussed Older Americans Act home and community-based services program funding for FY2017. S. 2956, H.R. 5054 - Discussed nutrition programs including the Supplemental Nutrition Assistance Program (SNAP)and related changes under the 2014 farm bill. S. 624, H.R.1220, Removing Barriers to Colorectal Cancer Screening Act - Discussed bill. S. 3040, Labor, Health and Human Services Appropriations, FY2017 - Lobbied for funding support for various health and health care related programs serving seniors. (no bill #) S.311, Seniors Tax Hike Prevention Act - Discussed medical expense deduction for the 65 plus population. Advocated on the issue of limited age rating for private health insurance. Advocated on the medical expense tax deduction. Shared comment letters on SNAP with Agriculture Committee staff.

Client expense: $2,060,000 · 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), Equal Employment Opportunity Commission (EEOC), 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

Responded to inquiry regarding in-home supportive services programs. S. 1549, Care Planning Act - Discussed the bill and urged cosponsorship. Discussed structural changes to Medicaid. Discussed health care quality and measurement. Discussed changes to the Medicare benefit design, such as copays, premiums and deductibles. H.R.1571, Improving Access to Medicare Coverage Act - Discussed bill. S.578, Home Health Planning Improvement Act - Discussed bill and urged cosponsorship. Discussed the Medicare Part D prescription drug benefit program and changes needed to lower prescription drug costs and related agency proposed rule changes. 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. Discussed the Medicare Part B prescription drug demonstration proposal from the Centers for Medicare and Medicaid Services. S. 624, H.R.1220,Removing Barriers to Colorectal Cancer Screening Act - Discussed bill. S. 3040, Labor, Health and Human Services,FY2017 - Lobbied in support of increased funding for CMS' state survey and certification program. S. 1549 - Discussed support of Care Planning Act. Discussed the Medicare Part B 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. Discussed potential benefit and coverage improvements under Medicare and Medicaid Savings Programs. 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. S. 1719, H.R. 3099, RAISE Act - Discussed CMS' efforts regarding family caregiving. Provided feedback on advanced directive registry bill. (no bill #) Discussed independence at home legislation. S. 2961, Compassionate Care Act - Discussed our position and provided feedback. Discussed DOJ investigation regarding Olmstead and ADA violations by South Dakota and provided feedback (DOJ). Responded to inquiry regarding roundtable (ACL). S. 3096, Removing Barriers to Person-Centered Care Act of 2016 - Discussed and provided feedback. Discussed possible hearing witnesses. Discussed Medicaid HCBS spousal impoverishment bill. (no bill #) Responded to inquiry regarding MACRA rules and value modifier. Discussed Medicare's 180-day coverage of skilled nursing facility care. S. 2836, H.R. 5036, Protecting Families with Disabilities Act - Signed letter in support of bill.

Client expense: $2,060,000 · 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), Equal Employment Opportunity Commission (EEOC), 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

PPACA implementation. Provider recognition. Medicare payment for CRNA and physician services and for outpatient and inpatient hospitals and ambulatory surgical centers. Implementation of Medicare Access and CHIP Reauthorization Act. HR 1220/S 624, Removing Barriers to Colorectal Cancer Screening Act. HR 2138, Medicare Access to Rural Anesthesiology Act. S 2153, provider payment sunshine act. HR 4553, CARE Act of 2016.

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

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

PPACA implementation. Provider recognition. HR 6, 21st Century Cures Act. HR 1220/S 624, Removing Barriers to Colorectal Cancer Screening Act. S 524 / HR 953, Comprehensive Addiction & Recovery Act.

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

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

Stark Law modernization; Colonoscopy/endoscopy reimbursement issues; S. 624/H.R. 1220, Removing Barriers to Colorectal Cancer Screening Act; S. 1079/H.R. 2035, SCREEN Act; MACRA rule; CMS/CMMI Medicare Part B Drug Payment Model

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Education and advocacy regarding proposed colonoscopy cuts in CY 2016 Proposed Rule for Medicare Physician Fee Schedule. Opposition to proposed Part B demo (81 FR 13229). MACRA Implementation (81 FR 28161). EHR Provision in HR 5273 -Helping Hospitals Improve Patient Care Act of 2016.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act (PL 114-10) H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

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

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

H.R. 1741, Truth in Healthcare Marketing Act of 2015 H.R. 2, Medicare Access and CHP Reauthorization Act H.R. 1470, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 S.810, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2015 H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015 S.141, Protecting Seniors' Access to Medicare Act of 2015 H.R. 2138, Medicare Access to Rural Anesthesiology Act of 2015 H.R. 1220, Removing Barriers to Colorectal Screening Act of 2015 S.624, Removing Barriers to Colorectal Screening Act of 2015 H.R. 887, Electronic Health Fairness Act of 2015 S. 679, Quality Data, Quality Healthcare Act of 2015 H.R. 1247, Improving Access to Quality Care Act of 2015 Hospital Improvements for Payment Act Budget Control Act of 2011: P.L. 112-25 Historical Medicare payment undervaluation for anesthesiology services (33% problem) Anesthesia Conversion Factor Perioperative Surgical Home Model Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal Bundled payments CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services 2016 Medicare Physician Fee Schedule Rule CMS decision to decrease values of interlaminar epidural injections CMS Value-Based purchasing CMS Medicare Data Final Rule CMS Proposed Rule on Sunshine Act Conditions of Participation - Anesthesia services, opt-outs, supervision Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation President Obama's deficit reduction plans, IPAB cuts Accountable Care Organizations Graduate Medical Education Cuts HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation Value-based modifier - PPACA Debt ceiling- Medicare sequestration E-Prescribing QCDR- Qualified Clinical Data Registry CMS Meaningful Use Stage 3

Client expense: $260,000 · Firm income: Not reported

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

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (B-Con) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $26,700 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (B-Con) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $26,700 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (B-Con) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $219,600 · 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, Veterans Affairs, Dept of (VA)

H.R. 4959: Ensuring Access to General Surgery Act of 2016 H.R. 105: Quality Health Care Coalition Act of 2015 H.R. 3309: Flex-IT 2 Act H.R. 647: Access to Life-Saving Trauma Care for All Americans Act H.R. 648: Trauma Systems and Regionalization of Emergency Care Reauthorization Act H.R. 836: Health Care Safety Net Enhancement Act of 2015 H.R. 865: Good Samaritan Health Professionals Act of 2015 H.R. 1934: Cancer Care Payment Reform Act of 2015 S. 2943/H.R.1735: National Defense Authorization Act (NDAA) H.R. 2739: Cancer Drug Coverage Parity Act of 2015 S. 624/H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015 H.Res. 487: Recognizing the importance of cancer program accreditation in ensuring comprehensive, high quality, patient-centered cancer care Veterans Access, Choice and Accountability Act Concurrent Surgery MACRA Proposed Rule Implementation GME Health Professional Shortage Areas (HPSAs) Health Information Technology (Health IT) Chronic Care Coordination 96-Hour Rule Bleeding Control for the Injured (B-Con) Opioids Cancer/Appropriations Medicare Part B Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs) Qualified Clinical Data Registry (QCDR) reporting mechanism Physician Quality Reporting System (PQRS) Video Recording Surgery RAC Audits Energy and Commerce Concussion Initiative Data Use Protection Legislation FOIA Energy and Commerce Pediatric Trauma Caucus Responsible Data Transparency Act

Client expense: $219,600 · 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, Veterans Affairs, Dept of (VA)

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Education and advocacy regarding proposed colonoscopy cuts in CY 2016 Proposed Rule for Medicare Physician Fee Schedule. S.2425, Patient Access and Medicare Protection Act. Opposition to proposed Part B demo (81 FR 13229)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

House and Senate Appropriations for NIH, NCI, CDC DoD Peer Reviewed Cancer Research Program HR 1220 S. 624

Client expense: Not reported · Firm income: $11,500

Government targets: Health Resources & Services Administration (HRSA)

HR 1220 / S. 624 - Removing Barriers to Colorectal Cancer Screening Act S. 1347 / HR 887 -- The Electronic Health Fairness Act; A bill exempting patient encounters that occur in Ambulatory Surgery Centers when calculating attainment of the Medicare Electronic Health Record Meaningful Use requirements. Urge CMS to adopt a reporting policy that would allow a 90-day continuous period for participants in the MU program in 2016, as was the policy for 2015. (no specific bill) Request for stakeholder input and Centers for Medicare and Medicaid Services transparency related to implementation of the Medicare Access and CHIP Reauthorization Act. (no specific bill)

Client expense: Not reported · Firm income: $28,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Issues relating to implementation of legislative or regulatory changes to Medicare and Medicaid, including Medicare Part B drug reimbursement. Issues before CMS relating to Medicare payment for preventive screening, coordinated patient care, care planning; H.R.1220 & S.624, Removing Barriers to Colorectal Cancer Screening Act; and H.R.1190, Protecting Seniors' Access to Medicare Act.

Client expense: $760,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, State, Dept of (DOS), U.S. Agency for International Development (USAID), U.S. Trade Representative (USTR), White House Office

H.R. 1453/S. 2071 - Ambulatory Surgical Center Quality and Access Act of 2015 H.R. 1220/S. 624 - Removing Barriers to Colorectal Cancer Screening Act of 2015 H.R. 887/S. 1347 - Electronic Health Fairness Act of 2015 H.R. 2299 - To amend title XVIII of the Social Security Act to provide for site-of-service price transparency under the Medicare program H.R. 2570 - Strengthening Medicare Advantage through Innovation and Transparency for Seniors of 2015 Reform of Medicare payments to ASCs Reform of Medicare regulations dealing with ASCs

Client expense: $182,027 · Firm income: Not reported

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

H.R. 1220: Removing Barriers to Colorectal Cancer Screening Act of 2015. S. 624: Removing Barriers to Colorectal Cancer Screening Act of 2015. Support H.R.887 & S.1347 - Electronic Health Fairness Act of 2015. Education and advocacy regarding proposed colonoscopy cuts in CY 2016 Proposed Rule for Medicare Physician Fee Schedule. S.2425, Patient Access and Medicare Protection Act. Opposition to proposed Part B demo (81 FR 13229)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE