Recognize, Assist, Include, Support, and Engage Family Caregivers Act of 2017

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the implementation of the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $1,060,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA)

The Improving Access to Medicare Coverage Act of 2019 (H.R. 1682/S. 753) Observation Stays Issue Outreach to HHS/CMS/Administration Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the implementation of the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $1,060,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), SENATE, Veterans Affairs, Dept of (VA)

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), SENATE

Issues related to home care and hospice, telehealth, Medicare reimbursement and state's health insurance program legislation. Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. S. 1028, RAISE Family Caregivers Act.

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

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

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking H.R. 315/S. 783 - Improving Access to Maternity Care Act H.R. 767/S. 256 - Stop, Observe, Ask, and Respond (SOAR) to Health and Wellness Act of 2017 H.R. 772/S. 261 - Common Sense Nutrition Disclosure Act H.R. 959/S. 1109 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1168 - United States Cadet Nurse Corps Equity Act H.R. 1174/S. 1497 - Fairness For Breastfeeding Mothers Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 H.R. 1318 - Preventing Maternal Deaths Act of 2017 H.R. 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 H.R. 2742/S. 1257 - Modernizing the Interstate Placement of Children in Foster Care Act H.R. 2824 - Increasing Opportunity through Evidence-Based Home Visiting Act H.R. 2857 - Supporting Families in Substance Abuse Treatment Act H.R. 2834 - Partnership Grants to Strengthen Families Affected by Parental Substance Abuse Act H.R. 2866 - Reducing Barriers for Relative Foster Parents Act H.R. 2847 - Improving Services for Older Youth in Foster Care Act H.R. 3192 - CHIP Mental Health Parity Act H.R. 3291 - Alleviating Adverse Childhood Experiences (ACES) Act H.R. 3387 - Drinking Water System Improvement Act of 2017 H.R. 3525 - Home Visiting Works Act of 2017 H.R. 3728 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 H.R. 3921 - Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act H.R. 3922 - Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.R. 3928 - Truth in Healthcare Marketing Act of 2017 H.R. 4695 - Bipartisan Market Stabilization and Innovation Act of 2017 H.R. 4978/S. 2410 - Chronic Disease Management Act of 2018 H.R. 4998 - Health Insurance for Former Foster Youth Act H.R. 5385/S. 2597 - Childrens Hospital GME Support Reauthorization Act of 2018 H.R. 5425/S. 2647 - Food Labeling Modernization Act of 2018 H.R. 5977 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6560 - ChiPACC Act of 2018 H.R. 7141 - Workplace Violence Prevention for Health Care and Social Service Workers Act S. 761/H.R. 1933 - Health Care Options Act of 2017 S. 920 - National Clinical Care Commission Act S. 1016/H.R. 2556 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S. 1028 - Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act S. 1091/H.R. 3105 - Supporting Grandparents Raising Grandchildren Act S. 1112 - Maternal Health Accountability Act of 2017 S. 1268 - Child Protection and Family Support Act of 2017 S. 1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act S. 1441/H.R. 3059 - Community Health Center and Primary Care Workforce Expansion Act of 2017 S. 1522/H.R. 3186 - Every Kid Outdoors Act S. 1630/H.R. 3381 - Child Poverty Reduction Act of 2017 S. 1693 - Stop Enabling Sex Traffickers Act of 2017 S. 1827 - Keeping Kids Insurance Dependable and Secure (KIDS) Act S. 1829 - Strong Families Act of 2017 S. 2415 - Accelerating Kids Access to Care Act S. 2582 - Consumer Health Insurance Protection Act of 2018 S. 2852/H.R. 3678 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 S. 3029 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2018 S. 3074 - Focus on Children Act S. 3075 - Childrens Budget Act S. 3319 - Stopping Appealing Flavors in E-Cigarettes (SAFE) for Kids Act S. 3388 - Ensuring Coverage for Patients with Pre-Existing Conditions Act S. 3482/H.R. 6748 - Emergency Medical Services for Children Program Reauthorization Act of 2018 S. 3685 - Nursing Where It's Needed (Nurse WIN) Act S. 3729 - United States Cadet Nurse Corps Service Recognition Act of 2018 S. J. Res. 63 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to Short-Term, Limited Duration Insurance

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Issues related to home care and hospice, telehealth, Medicare reimbursement and state's health insurance program legislation. Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. S. 1028, RAISE Family Caregivers Act.

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

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

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS/ACL on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CNA bill) AHCA/NCAL supported the Building Our Largest Dementia Infrastructure for Alzheimers Act, or BOLD Infrastructure for Alzheimers Act (S. 2076/H.R. 4256), which became Public Law No. 115-406 on December 31, 2018

Client expense: $970,000 · Firm income: Not reported

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

Issues relating to access to care, health disparities, childhood cancer, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, tanning beds, clinical trials, skin cancer, and wellness, including: H.R.1676 & S.693, the Palliative Care and Hospice Education and Training Act; H.R. 4122 & S. 2006, the Breast Density & Mammography Reporting Act; and H.R.820 & S.292, the Childhood Cancer STAR Act. Issues relating to anti-cancer medication cost-sharing parity respecting H.R. 1409. Issues regarding a national family caregiving strategy respecting S. 1719 and H.R. 1028. Issues regarding access to medicines respecting S.204, the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017, as well as H.R.878, the Right to Try Act of 2017. Issues regarding lymphedema treatment respecting The Lymphedema Treatment Act, H.R. 930 and S. 497. The proposed Medical Records Fairness Act (no number yet). Issues regarding the Affordable Care Act premium tax credits and catastrophic plans, HR 6311. Issues regarding protections for people with pre-existing conditions, including S. 3388, HR 6898, and H. Res. 1066. Resolutions to disapprove the short-term rule, H.J. Res 140 and S. J. Res. 63. Advocacy against including the Association Health Plan provision of the House Farm bill in the conference report, H.R. 2 and s. 3042 (section 6004 of the House-passed version of the legislation). Issues involving patient navigation, including the Patient Navigation Assistance Act, HR 6808. H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, respecting Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, and protecting communities. Draft legislation on patient access to medical records. Draft legislation on FDA regulation of laboratory tests, Verifying Accurate Leading-edge IVCT Development Act of 2018 or the VALID Act of 2018. H.R. 4897 & S. 2358 Women and Lung Cancer Research and Preventive Services Act of 2018. Issues related to caregiving, including H.R. 3759/S. 1028, the RAISE Family Caregivers Act, H. Res. 282, supporting initiatives to encourage parents and guardians to take measures to prevent sunburns in minors they care for.

Client expense: $1,610,710 · 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), Veterans Affairs, Dept of (VA), White House Office

PL 109442: Lifespan Respite Care Act; PL 109365: Older Americans Act Amendments of 2006; PL 111148: The Patient Protection and Affordable Care Act; PL 111152: Affordable Health Care for America Act; PHS 42 USC 254C8: Healthy Start Reauthorization of 2007; PL 111192: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act; PL 111-152, 124 Stat. 1029: Health Care & Education Reconciliation Act; HR 1628: American Health Care Act of 2017; S 253/HR 807: Medicaid Access to Rehabilitation Services Act of 2017; FY 2017/2018 Labor, Health and Human Services, Education Appropriations; HR 3758/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 11-119); HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act; HR 3493: Care Corps Demonstration Act; HR 6: SUPPORT (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment) for Patients and Communities Act (PL 115-271); S 1091/HR 3105: Supporting Grandparents Raising Grandchildren Act (PL 115-196); and HR 6157: Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 (PL 115-245); S 2227/H 5306: EMPOWER (Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources) Care Act; and HR 7217: Improving Medicaid Programs and Opportunities for Eligible Beneficiaries (IMPROVE) Act.

Client expense: $55,061 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

PL 108173: Medicare Prescription Drug and Modernization Act of 2003; PL 111148: Patient Protection and Affordable Care Act; PL 111-152, 124 Stat. 1029: Health Care and Education Reconciliation Act of 2010; PL 113157: Autism CARES (Collaboration, Accountability, Research, Education and Support) Act of 2014; HR 1628: American Health Care Act of 2017; FY 2019 Labor, Health and Human Services, Education Appropriations; HR 1628: American Health Care Act of 2017/Better Care Reconciliation Act of 2017; HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; HR 3759/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 115-119); S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act; and H.R. 5912/S. 2897: To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services and home health services furnished without an electronic visit verification system, and for other purposes.

Client expense: $55,061 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

H.R. 750, the Ensuring Access to Quality Complex Rehabilitation Technology Act H.R. 1628, the American Health Care Act H.R. 3759/S. 1028, the RAISE Family Care Givers Act Senate Draft Bill comprehensive vision coverage The Better Care Reconciliation Act The Draft Graham-Cassidy Health Care Bill The Community Choice Act Implementation of P.L. 111-148, the Patient Protection and Affordable Care Act

Client expense: $65,208 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking H.R. 315/S. 783 - Improving Access to Maternity Care Act H.R. 767/S. 256 - Stop, Observe, Ask, and Respond (SOAR) to Health and Wellness Act of 2017 H.R. 772/S. 261 - Common Sense Nutrition Disclosure Act H.R. 959/S. 1109 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1174/S. 1497 - Fairness For Breastfeeding Mothers Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 H.R. 1318 - Preventing Maternal Deaths Act of 2017 H.R. 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 H.R. 2742/S. 1257 - Modernizing the Interstate Placement of Children in Foster Care Act H.R. 2824 - Increasing Opportunity through Evidence-Based Home Visiting Act H.R. 2857 - Supporting Families in Substance Abuse Treatment Act H.R. 2834 - Partnership Grants to Strengthen Families Affected by Parental Substance Abuse Act H.R. 2866 - Reducing Barriers for Relative Foster Parents Act H.R. 2847 - Improving Services for Older Youth in Foster Care Act H.R. 3192 - CHIP Mental Health Parity Act H.R. 3291 - Alleviating Adverse Childhood Experiences (ACES) Act H.R. 3387 - Drinking Water System Improvement Act of 2017 H.R. 3525 - Home Visiting Works Act of 2017 H.R. 3728 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 H.R. 3921 - Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act H.R. 3922 - Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.R. 3928 - Truth in Healthcare Marketing Act of 2017 H.R. 4695 - Bipartisan Market Stabilization and Innovation Act of 2017 H.R. 4978/S. 2410 - Chronic Disease Management Act of 2018 H.R. 4998 - Health Insurance for Former Foster Youth Act H.R. 5385/S. 2597 - Childrens Hospital GME Support Reauthorization Act of 2018 H.R. 5425/S. 2647 - Food Labeling Modernization Act of 2018 H.R. 5977 - Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act H.R. 6199 - Restoring Access to Medication and Modernizing Health Savings Accounts Act of 2018 H.R. 6560 - ChiPACC Act of 2018 S. 761/H.R. 1933 - Health Care Options Act of 2017 S. 920 - National Clinical Care Commission Act S. 1016/H.R. 2556 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S. 1028 - Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act S. 1091/H.R. 3105 - Supporting Grandparents Raising Grandchildren Act S. 1112 - Maternal Health Accountability Act of 2017 S. 1268 - Child Protection and Family Support Act of 2017 S.1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act S. 1441/H.R. 3059 - Community Health Center and Primary Care Workforce Expansion Act of 2017 S. 1693 - Stop Enabling Sex Traffickers Act of 2017 S. 1827 - Keeping Kids Insurance Dependable and Secure (KIDS) Act S. 1829 - Strong Families Act of 2017 S. 2415 - Accelerating Kids Access to Care Act S. 2852/H.R. 3678 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 S. 3029 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2018 S. 3319 - Stopping Appealing Flavors in E-Cigarettes (SAFE) for Kids Act S. 3388 - Ensuring Coverage for Patients with Pre-Existing Conditions Act S. J. Res. 63 - A joint resolution providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Secretary of the Treasury, Secretary of Labor, and Secretary of Health and Human Services relating to Short-Term, Limited Duration Insurance"

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

Issues related to home care and hospice, telehealth, Medicare reimbursement and state's health insurance program legislation. Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. S. 1028, RAISE Family Caregivers Act.

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

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

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c). HR 6502, the RUSH Act VA Provider Agreement related language and the VA MISSION Act of 2018 HR 6986, Nursing Home Workforce Act. (CAN bill)

Client expense: $980,000 · Firm income: Not reported

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

Issues relating to access to care, health disparities, childhood cancer, quality of life and palliative care, federal health care programs, genetic information, cancer, nutrition, tanning beds, skin cancer, and wellness, including: H.R.1676 & S.693, the Palliative Care and Hospice Education and Training Act; H.R. 4122 & S. 2006, the Breast Density & Mammography Reporting Act; H.R.820 & S.292, the Childhood Cancer STAR Act; and, H.R. 1231 & S. 456, the RACE for Children Act. In addition, issues related to reform of laboratory and diagnostic tests and the development of a new discussion draft for the Diagnostic Accuracy and Innovation Act; and H.R.772 and S.261, the Common Sense Nutrition Disclosure Act. Issues relating to anti-cancer medication cost-sharing parity respecting H.R. 1409. Issues regarding a national family caregiving strategy respecting S. 1719 and H.R. 1028. Issues regarding access to medicines respecting S.204, the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act of 2017, as well as H.R.878, the Right to Try Act of 2017. Issues regarding lymphedema treatment respecting The Lymphedema Treatment Act, H.R. 930 and S. 497. The proposed Medical Records Fairness Act (no number yet). Issues regarding the Affordable Care Act premium tax credits and catastrophic plans, HR 6311. Issues regarding protections for people with pre-existing conditions, including S. 3388, HR 6898, and H. Res. 1066. Resolutions to disapprove the short-term rule, H.J. Res 140 and S. J. Res. 63. Advocacy against including the Association Health Plan provision of the House Farm bill in the conference report, H.R. 2 and s. 3042 (section 6004 of the House-passed version of the legislation). Issues involving patient navigation, including the Patient Navigation Assistance Act, HR 6808. H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act, respecting Medicaid, Medicare, and public health reforms to combat the opioid crisis by advancing treatment and recovery initiatives, improving prevention, and protecting communities. Draft legislation on patient access to medical records. Draft legislation on FDA regulation of laboratory tests. H.R. 4897 & S. 2358 Women and Lung Cancer Research and Preventive Services Act of 2018. Issues related to caregiving, including H.R. 3759/S. 1028, the RAISE Family Caregivers Act.

Client expense: $1,230,000 · Firm income: Not reported

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

HHS Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs Authority of Health Care Providers To Practice Telehealth S. 1028, H.R.3759 Recognize, Assist, Include, Support, and Engage Family Caregivers Act of 2017 or the RAISE Family Caregivers Act The Medicare Part D Six Protected Class Drugs Florida coverage determination regarding DAT-SPECT imaging with I-123 Ioflupane SPECT diagnostic imaging The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) system amendments regarding Parkinson's disease "OFF" episodes. Medicare drug formulary flexibility General drug pricing Drug Pricing Request for Information S.2553, the Know the Lowest Price Act of 2018, which prohibits restrictions, known as gag clauses, so that pharmacists will be free to provide important guidance to patients regarding how to effectively minimize their prescription drug costs S.2554, the Patient Right to Know Drug Prices Act, which prohibits restrictions, known as gag clauses, so that pharmacists will be free to provide important guidance to patients regarding how to effectively minimize their prescription drug costs H.R.6502, the RUSH Act of 2018, which would establish a program to allow qualified group practices to furnish certain items and services at qualified skilled nursing facilities to individuals entitled to benefits under part A and enrolled under part B of the Medicare program to reduce unnecessary hospitalizations, and for other purposes. Extension of the current 7.5 percent threshold for the medical expense deduction in Rep. Brady's Tax 2.0 legislation Revisions to Payment Policies under the Medicare Physician Fee Schedule, Quality Payment Program and Other Revisions to Part B for CY 2019

Client expense: $18,530 · Firm income: Not reported

Government targets: Environmental Protection Agency (EPA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE

PL 109442: Lifespan Respite Care Act; PL 109365: Older Americans Act Amendments of 2006; PL 111148: The Patient Protection and Affordable Care Act; PL 111152: Affordable Health Care for America Act; PHS 42 USC 254C8: Healthy Start Reauthorization of 2007; PL 111192: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act; PL 111-152, 124 Stat. 1029: Health Care & Education Reconciliation Act; HR 1628: American Health Care Act of 2017; S 253/HR 807: Medicaid Access to Rehabilitation Services Act of 2017; FY 2017/2018 Labor, Health and Human Services, Education Appropriations; HR 3758/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 11-119); HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act; HR 3493: Care Corps Demonstration Act; HR 6: SUPPORT (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment) for Patients and Communities Act; S 1091/HR 3105: Supporting Grandparents Raising Grandchildren Act (PL 115-196); and HR 6157: Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 (PL 115-245); and S 2227/H 5306: EMPOWER (Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources) Care Act.

Client expense: $46,018 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

PL 108173: Medicare Prescription Drug and Modernization Act of 2003; PL 111148: Patient Protection and Affordable Care Act; PL 111-152, 124 Stat. 1029: Health Care and Education Reconciliation Act of 2010; PL 113157: Autism CARES (Collaboration, Accountability, Research, Education and Support) Act of 2014; HR 1628: American Health Care Act of 2017; FY 2019 Labor, Health and Human Services, Education Appropriations; HR 1628: American Health Care Act of 2017/Better Care Reconciliation Act of 2017; HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; HR 3759/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 115-119); S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; and HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act; and H.R. 5912/S. 2897: To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services and home health services furnished without an electronic visit verification system, and for other purposes.

Client expense: $46,018 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

H.R. 750, the Ensuring Access to Quality Complex Rehabilitation Technology Act H.R. 1628, the American Health Care Act H.R. 3759/S. 1028, the RAISE Family Care Givers Act The Better Care Reconciliation Act The Draft Graham-Cassidy Health Care Bill The Community Choice Act Implementation of P.L. 111-148, the Patient Protection and Affordable Care Act

Client expense: $46,327 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Issues related to home care and hospice, telehealth, Medicare reimbursement and state's health insurance program legislation. Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. S. 1028, RAISE Family Caregivers Act.

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

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

Access to quality spiritual care; H.R. 1676 / S. 693, the Palliative Care and Hospice Education and Training Act (PCHETA); H.R. 2797 / S. 1334, the Patient Choice and Quality Care Act (PCQCA); H.R. 3759 / S. 1028, the Recognize, Assist, Include, and Engage (RAISE) Family Caregivers Act.

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

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

Access to quality spiritual care; H.R. 1676 / S. 693, the Palliative Care and Hospice Education and Training Act (PCHETA); H.R. 2797 / S. 1334, the Patient Choice and Quality Care Act (PCQCA); H.R. 3759 / S. 1028, the Recognize, Assist, Include, and Engage (RAISE) Family Caregivers Act.

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

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

The Improving Access to Medicare Coverage Act of 2017 (S.568/H.R. 1421) Observation Stays Issue Outreach to HHS/CMS Medicare Post-Acute Care Value-Based Purchasing Act of 2015 H.R. 3298 Skilled Nursing Facility Payment Reform Skilled Nursing Facility Requirements of Participation, RIN 0938-AR61 Survey Relief/Civil Monetary Penalties Medicare Access to Rehabilitation Services Act of 2017 (S. 253/H.R. 807) Payroll Based Journal - Section 6106 of the Affordable Care Act The Improving Medicare Post-Acute Care Transformation Act of 2014 (H.R. 4994) Therapy caps exception process Group and Concurrent Therapy CR: Public Law No: 115-123 Omni: Public Law No: 115-141 The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018. Outreach to HHS on Implementation of the Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (Public Law No: 115-119). Allow Secretarial discretion of CNA Training termination pertaining to Sec. 1819 (f)(2)(B)(iii)(l)(c).

Client expense: $920,000 · Firm income: Not reported

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

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking H.R. 251 - Family First Prevention Services Act of 2017 H.R. 315/S. 783 - Improving Access to Maternity Care Act H.R. 767/S. 256 - Stop, Observe, Ask, and Respond (SOAR) to Health and Wellness Act of 2017 H.R. 772/S. 261 - Common Sense Nutrition Disclosure Act H.R. 959/S. 1109 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1174/S. 1497 - Fairness For Breastfeeding Mothers Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 H.R. 1318 - Preventing Maternal Deaths Act of 2017 H.R. 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 H.R. 2742/S. 1257 - Modernizing the Interstate Placement of Children in Foster Care Act H.R. 2824 - Increasing Opportunity through Evidence-Based Home Visiting Act H.R. 2857 - Supporting Families in Substance Abuse Treatment Act H.R. 2834 - Partnership Grants to Strengthen Families Affected by Parental Substance Abuse Act H.R. 2866 - Reducing Barriers for Relative Foster Parents Act H.R. 2847 - Improving Services for Older Youth in Foster Care Act H.R. 3192 - CHIP Mental Health Parity Act H.R. 3291 - Alleviating Adverse Childhood Experiences (ACES) Act H.R. 3387 - Drinking Water System Improvement Act of 2017 H.R. 3525 - Home Visiting Works Act of 2017 H.R. 3728 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 H.R. 3921 - Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act H.R. 3922 - Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.R. 3928 - Truth in Healthcare Marketing Act of 2017 H.R. 4695 - Bipartisan Market Stabilization and Innovation Act of 2017 H.R. 4998 - Health Insurance for Former Foster Youth Act H.R. 5385/S. 2597 - Childrens Hospital GME Support Reauthorization Act of 2018 H.R. 5425/S. 2647 - Food Labeling Modernization Act of 2018 S. 761/H.R. 1933 - Health Care Options Act of 2017 S. 920 - National Clinical Care Commission Act S. 1016/H.R. 2556 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S. 1028 - Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act S. 1091/H.R. 3105 - Supporting Grandparents Raising Grandchildren Act S. 1112 - Maternal Health Accountability Act of 2017 S. 1268 - Child Protection and Family Support Act of 2017 S.1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act S. 1441/H.R. 3059 - Community Health Center and Primary Care Workforce Expansion Act of 2017 S. 1693 - Stop Enabling Sex Traffickers Act of 2017 S. 1827 - Keeping Kids Insurance Dependable and Secure (KIDS) Act S. 1829 - Strong Families Act of 2017 S. 2852/H.R. 3678 - Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2018 S. 3029 - Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Reauthorization Act of 2018

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

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), SENATE

PL 109442: Lifespan Respite Care Act; PL 109365: Older Americans Act Amendments of 2006; PL 111148: The Patient Protection and Affordable Care Act; PL 111152: Affordable Health Care for America Act; PHS 42 USC 254C8: Healthy Start Reauthorization of 2007; PL 111192: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act; PL 111-152, 124 Stat. 1029: Health Care & Education Reconciliation Act; HR 1628: American Health Care Act of 2017; S 253/HR 807: Medicaid Access to Rehabilitation Services Act of 2017; FY 2017/2018 Labor, Health and Human Services, Education Appropriations; HR 3758/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 11-119); HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; and HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act.

Client expense: $47,764 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

PL 108173: Medicare Prescription Drug and Modernization Act of 2003; PL 111148: Patient Protection and Affordable Care Act; PL 111-152, 124 Stat. 1029: Health Care and Education Reconciliation Act of 2010; PL 113157: Autism CARES (Collaboration, Accountability, Research, Education and Support) Act of 2014; HR 1628: American Health Care Act of 2017; FY 2019 Labor, Health and Human Services, Education Appropriations; HR 1628: American Health Care Act of 2017/Better Care Reconciliation Act of 2017; HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; HR 3759/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 115-119); S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; and HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act; and H.R. 5912/S. 2897: To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services and home health services furnished without an electronic visit verification system, and for other purposes.

Client expense: $47,764 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

H.R. 750, the Ensuring Access to Quality Complex Rehabilitation Technology Act H.R. 1628, the American Health Care Act H.R. 3759/S. 1028, the RAISE Family Care Givers Act The Better Care Reconciliation Act The Draft Graham-Cassidy Health Care Bill The Community Choice Act Implementation of P.L. 111-148, the Patient Protection and Affordable Care Act

Client expense: $53,114 · Firm income: Not reported

Government targets: AMTRAK - Natl Railroad Passenger Corporation, HOUSE OF REPRESENTATIVES, Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S.870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 S.670/H.R. 1652 - Over-the-Counter Hearing Aid Act H.R. 6 - SUPPORT for Patients and Communities Act H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. S.1732 - Improving Access to Behavioral Health Information Technology Act S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act S.1016/H.R. 2556 - CONNECT for Health Act of 2017 S.2120/H.R. 5034 - International Violence Against Women Act of 2017 S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 H.R.620 - ADA Education and Reform Act of 2017 S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 S. 1015/H.R.2345 - National Suicide Hotline Improvement Act of 2017 H.R.4704 - Nursing Home CARE Act S.2227/H.R. 5306 - EMPOWER Care Act S.2076/H.R. 4256 - BOLD Infrastructure for Alzheimer's Act S.2680 - Opioid Crisis Response Act of 2018 Improving Parity for Mental Health and Substance Use Disorder Coverage. H.R. 5942 - Health Equity and Accountability Act of 2018 Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities Opioid Epidemic 340B drug pricing issues Section 1115 waiver approval issues Medicare Part D program issues Medicaid non-emergency medical transportation (NEMT) issues

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

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)

S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 H.R. 6 - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 S. 2317 - Addiction Treatment Access Improvement Act of 2018 S. 2456/H.R. 5311- CARA 2.0 Act of 2018 H.R.1478 - Gun Violence Research Act Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act Priorities for health care reform Opioid Abuse Epidemic S.2680 - Opioid Crisis Response Act of 2018 S. 2891 - Fighting the Opioid Epidemic with Sunshine Act of 2018

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

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

H.R. 5138 "Bipartisan Health Savings Accounts (HSAs) Improvement Act" H.R. 5625 "Easy Enrollment Act" H.R. 1876 "Good Samaritan Health Professionals Act" S. 2278 "State Offices of Rural Health Reathorization Act" H.R. 5674 "VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act" H.R. 5102 "Substance Use Disorder Workforce Loan Repayment Act" H.R. 5261 "Treatment, Education, and Community Help to Combat Addiction Act" S. 2680 "Opioid Crisis Response Act" which included S. 1850 "Jessie's Law" S. 2597 "Children's Hospital GME Support Reauthorization Act" S. 2852 "Pandemic and All-Hazards Preparedness and Advancing Innovation Act" S. 204 "Right to Try Act" H.R. 2026 "Pharmaceutical Information Exchange (PIE) Act" H.R. 5795 "Overdose Prevention and Patient Safety Act" H.R. 3545 "Overdose Prevention and Patient Safety Act" H.R. 6082 "Overdose Prevention and Patient Safety Act" H.R. 4613 "Ensuring Access to Patient Healthcare Records Act" S. 1732 "Improving Access to Behavioral Health Information Technology Act" H.R. 5603 "Access to Telehealth Services for Opioid Use Disorder Act" H.R. 5483 "Special Registration for Telemedicine Clarification Act" H.R. 2 "Agricultural and Nutrition Act" S. 925 "Veterans in E-Health and Telemedicine Support Act" (H.R. 2123) S. 2315 "Over-the-Counter Drug Safety, Innovation, and Reform Act" H.R. 2953 / S. 2164 a bill to amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings S. 1028 RAISE Family Caregivers Act (P.L. 115-119) S. 445 "home Health Planning Improvement Act" H.R. 1617 "Promoting Access to Diabetic Shoes Act" H.R. 5385 "Children's Hospital GME Support Reauthorization Act" S. 2483 "Opioid Workforce Act" H.R. 5176 "Preventing Overdoses while in Emergency Rooms (POWER) Act of 2018" H.R. 5327 "Comprehensive Opioid Recovery Centers (CORC) Act of 2018" H.R. 5261 "Training, Education, and Community Help (TEACH) to Combat Addiction Act of 2018" H.R. 5695 "Emmett's Law" H.R. 5735 "Transitional Housing for Recovery in Viable Environments (THRIVE) Act" H.R. 5041 "Safe Disposal of Unused Medication Act" H.R. 4684 "Ensuring Access to Quality Sober Living Act of 2018" H.R. 5587 "Peer Support Communities of Recovery Act" H.R. 449 "Synthetic Drug Awareness Act" H.R. 4275 "Empowering Pharmacists in the Fight Against Opioid Abuse Act" H.R. 5197 "Alternatives to Opioids (ALTO) in the Emergency Department Act" H.R. 6 "Support for Patients and Communities Act" H.R. 1565 "Saving Lives, Saving Costs Act" S. 1850 "Protecting Jessica Grubb's Legacy Act" P.L. 115-141 omnibus appropriations

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Medicaid block grant/per capita caps; Medicaid Funding Threats/Reform; opposition to the ADA Education and Reform Act (H.R 620); ABLE Age Adjustment Act (H.R. 1874); ABLE to Work Act (H.R 1896); ABLE Financial Planning Act (H.R. 1897/S. 816); Able Age Adjustment Act (S. 817); Disability Integration Act (H.R. 2472/S. 910); Extension of Money Follows the Person Demonstration Project and support for the Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act (also known as the EMPOWER Care Act, S.2227/H.R. 5306); RAISE Family Caregiver Act (S. 1028/ H.R. 3759); Improving Access to Behavioral Health Information Technology Act (S. 1732/H.R. 3331) and CONNECT for Health Act (S. 1732/H.R. 2556); Administration Efforts regarding Opioid Use; Disproportionate Share Hospital Funding; Disability Integration Act (S. 910 /HR 2472); and other Extender Issues (Medicare Therapy Caps, Maternal, Infant, and Early Childhood Home Visiting Program; DSH Cut Delay).

Client expense: $196,828 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Administration on Aging, Federal Emergency Management Agency (FEMA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Housing & Urban Development, Dept of (HUD), Office of Management & Budget (OMB), SENATE, State, Dept of (DOS), Treasury, Dept of, White House Office

The Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act (S. 1028 and H.R. 3759). Congress passed the legislation, and became Public Law No: 115-119 on 1/22/2018.

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

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

-Bipartisan Health Care Stabilization Act, support bipartisan efforts led by Senators Alexander and Murray to stabilize and improve the individual health insurance market while protecting people with chronic conditions. -H.R. 807/S.253, Medicare Access to Rehabilitation Services Act, support passage. -H.R. 1892, Bipartisan Budget Act of 2018, support repeal of the Medicare therapy cap. -S. 1028/H.R. 3759, RAISE Family Caregivers Act, support passage. -H.R. 2439/S. 1131, FAIR Drug Pricing Act, support passage. - H.R. 2212/ S. 974, Creating and Restoring Equal Access To Equivalent Samples Act of 2017 (CREATES Act), support passage. -H.R. 2077, Restoring Patients Voice Act, support passage. -S. 637, Creating Transparency to Have Drug Rebates Unlocked (C-THRU) Act, support passage. - H.R. 2051, Fair Access for Safe and Timely Generics Act of 2017 (FAST Generics Act), support passage. -H.R. 750, support passage of the Ensuring Access to Quality Complex Rehabilitation Technology Act. -H.R. 1361/S. 486/H.R. 3730, support passage to protect access to complex rehabilitative technology accessories. -H.R. 2535/S. 1188, Lifespan Respite Care Reauthorization Act, support reauthorization of the Lifespan Respite Care Program. -HR 2575/S. 1909, Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act

Client expense: $149,531 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

Children's Health Insurance Program (CHIP) Support a five-year extension through to fiscal year 2022. H.R.1749, VET CARE Act of 2017. Support. H.R.3759/S.1028, RAISE Family Caregivers Act. Support. Need to fill the Chief Dental Officer vacancy at CMS. (no bill) General discussion of oral health's importance to one's overall, systemic health and well-being.

Client expense: Not reported · Firm income: $6,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Legislation and policies relating to: Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Reauthorization of funding for the Childrens Health Insurance Program Reauthorization of the Child Nutrition Act Section 2706 of the ACA regarding provider non-discrimination Policies related to health insurance market stabilization Policies affecting nurse practitioner education and workforce Definition, evaluation and enforcement of essential health benefits and provider network adequacy Health information technology and electronic health records Mental health services and violence prevention Human and child trafficking H.R. 251 - Family First Prevention Services Act of 2017 H.R. 315/S. 783 - Improving Access to Maternity Care Act H.R. 767/S. 256 - Stop, Observe, Ask, and Respond (SOAR) to Health and Wellness Act of 2017 H.R. 772/S. 261 - Common Sense Nutrition Disclosure Act H.R. 959/S. 1109 - Title VIII Nursing Workforce Reauthorization Act of 2017 H.R. 1174/S. 1497 - Fairness For Breastfeeding Mothers Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 H.R. 1318 - Preventing Maternal Deaths Act of 2017 H.R. 1865 - Allow States and Victims to Fight Online Sex Trafficking Act of 2017 H.R. 2742/S. 1257 - Modernizing the Interstate Placement of Children in Foster Care Act H.R. 2824 - Increasing Opportunity through Evidence-Based Home Visiting Act H.R. 2857 - Supporting Families in Substance Abuse Treatment Act H.R. 2834 - Partnership Grants to Strengthen Families Affected by Parental Substance Abuse Act H.R. 2866 - Reducing Barriers for Relative Foster Parents Act H.R. 2847 - Improving Services for Older Youth in Foster Care Act H.R. 3291 - Alleviating Adverse Childhood Experiences (ACES) Act H.R. 3387 - Drinking Water System Improvement Act of 2017 H.R. 3525 - Home Visiting Works Act of 2017 H.R. 3728 - Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 H.R. 3921 - Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act H.R. 3922 - Continuing Community Health And Medical Professional Programs to Improve Our Nation, Increase National Gains, and Help Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (CHAMPIONING HEALTHY KIDS) Act of 2017 H.R. 3928 - Truth in Healthcare Marketing Act of 2017 H.R. 4695 - Bipartisan Market Stabilization and Innovation Act of 2017 S. 761/H.R. 1933 - Health Care Options Act of 2017 S. 920 - National Clinical Care Commission Act S. 1016/H.R. 2556 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2017 S. 1028 - Recognize, Assist, Include, Support, and Engage (RAISE) Family Caregivers Act S. 1091/H.R. 3105 - Supporting Grandparents Raising Grandchildren Act S. 1112 - Maternal Health Accountability Act of 2017 S. 1268 - Child Protection and Family Support Act of 2017 S. 1377 - Reaching Underserved Rural Areas to Lead on Telehealth Act S. 1441/H.R. 3059 - Community Health Center and Primary Care Workforce Expansion Act of 2017 S. 1693 - Stop Enabling Sex Traffickers Act of 2017 S. 1827 - Keeping Kids Insurance Dependable and Secure (KIDS) Act S. 1829 - Strong Families Act of 2017

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

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

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Recognition and payment for telehealth services under Medicare and Medicaid. Physician face to face encounter requirement. Home health rural add on payment adjustment. Value based purchasing and bundling. Advance care planning services. Appropriations for family caregiver support programs. Case mix creep payment cuts. Hospice payment policy. Home health non-physician certification authority. S. 353, Preserve Access to Medicare Rural Home Health Services Act. H.R. 1825/S. 445, Home Health Care Planning Improvement Act. H.R. 1676/S. 693, Palliative Care and Hospice Education and Training Act. H.R. 1284/S. 2214, Medicare Patient Access to Hospice Act. H.R. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Post-Acute Value-Based Purchasing Act (pending). H.R. 3820/S. 977, Medicare Home Health Flexibility Act of 2017. S. 870, CHRONIC Care Act. Chronic care management proposals. Medicare Advantage hospice proposals. CMS Home Health Conditions of Participation. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. Disposal of controlled substances. CY2019 Home Health Groupings Model (HHGM) included in CMS CY2018 Home Health Prospective Payment System proposed rule. H.R. 3992, Rural Health Extension and Regulatory Relief Act. H.R. 1628, American Health Care Act, including proposed Graham-Cassidy amendment. Medicare and Other Health and Human Services Extender provisions. H.R. 3728, EMPOWER Act. Medicare Part D Auto-escalation. Independent Payment Advisory Board Repeal. Protection for recipients of home and community-based services against spousal impoverishment. H.R. 3493, Care Corps Demonstration Act of 2017. S. 1028, RAISE Family Caregivers Act. H.R. 1892, Bipartisan Budget Act of 2018. H.R. 1625, Consolidated Appropriations Act of 2018.

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

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

S. 1028/H.R.3759, P.L. 115-119, RAISE Family Caregivers Act - Discussed RAISE Family Caregivers Act implementation, Older Americans Act; social isolation (shared report and related invitation to an event); and homelessness/housing for older adults (shared related research and resources). (HHS ASPE) S. 1028/H.R.3759, P.L. 115-119, RAISE Family Caregivers Act - Discussed Senate consideration of the bill, thanked House and Senate offices, discussed implementation and letter to HHS on implementation. (House and Senate) Discussed the Assisting Caregivers Today (ACT) Caucus, abuse in nursing homes, long-term care facility arbitration, long-term care ombudsman program, and elder financial abuse. Responded to inquiry on family caregivers of people with mental health needs and mental health education programs. (no bill number) (Senate) S.1151/H.R. 2505, Credit for Caring Act - Discussed the legislation and next steps. H.R. 3493, Care Corps Demonstration Act of 2017 - Discussed this legislation in response to an inquiry. (Senate) Provided ideas on possible long-term services and supports briefing speakers. (no bill number) (Senate) Responded to inquiry on family caregiving and retirement security. (GAO) S. 218/H.R. 624, P.L. 115-59, Social Security Number Fraud Prevention Act; S. 223/H.R. 3758, Senior Safe Act; H.R. 2721, Seniors Tax Simplification Act; S. 547, Senior Financial Empowerment Act - Discussed AARPs support for these bills and provided family caregiving resources. H.R. 1625, Consolidated Appropriations Act for FY 2018, (P.L. 115-141), H.R.3354, Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R. 244, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3268 & S. 1603) Agriculture-Rural Development & Related Agencies bill for FY 2018, Labor-HHS Appropriations bill for FY 2018 (H.R. 3358 & S. 1771), Transportation-HUD Appropriations bill for FY 2018 (H.R. 3353 & S. 1655), and Energy & Water Appropriation bill for FY 2018 (H.R. 3266 & S. 1609) - Lobbied in support of funding for various programs, including Social Security administrative expenses, senior nutrition (Commodity Supplemental Food program and Older Americans Act Title III), caregiving, energy assistance, supportive services, housing and volunteer community service programs.

Client expense: $2,190,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Equal Employment Opportunity Commission (EEOC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Veterans Affairs, Dept of (VA)

S. 1028/H.R.3759, P.L. 115-119, RAISE Family Caregivers Act - Discussed RAISE Family Caregivers Act implementation, Older Americans Act; social isolation (shared report and related invitation to an event); and homelessness/housing for older adults (shared related research and resources). (HHS ASPE) S. 1028/H.R.3759, P.L. 115-119, RAISE Family Caregivers Act - Discussed Senate consideration of the bill, thanked House and Senate offices, discussed implementation and letter to HHS on implementation. (House and Senate) Discussed the Assisting Caregivers Today (ACT) Caucus, abuse in nursing homes, long-term care facility arbitration, long-term care ombudsman program, and elder financial abuse. Responded to inquiry on family caregivers of people with mental health needs and mental health education programs. (no bill number) (Senate) S.1151/H.R. 2505, Credit for Caring Act - Discussed the legislation and next steps. H.R. 3493, Care Corps Demonstration Act of 2017 - Discussed this legislation in response to an inquiry. (Senate) Provided ideas on possible long-term services and supports briefing speakers. (no bill number) (Senate) Responded to inquiry on family caregiving and retirement security. (GAO) S. 218/H.R. 624, P.L. 115-59, Social Security Number Fraud Prevention Act; S. 223/H.R. 3758, Senior Safe Act; H.R. 2721, Seniors Tax Simplification Act; S. 547, Senior Financial Empowerment Act - Discussed AARPs support for these bills and provided family caregiving resources. H.R. 1625, Consolidated Appropriations Act for FY 2018, (P.L. 115-141), H.R.3354, Interior and Environment, Agriculture and Rural Development, Commerce, Justice, Science, Financial Services and General Government, Homeland Security, Labor, Health and Human Services, Education, State and Foreign Operations, Transportation, Housing and Urban Development, Defense, Military Construction and Veterans Affairs, Legislative Branch, and Energy and Water Development Appropriations Act, 2018, H.J.R. 123, Further Continuing Appropriations Act, 2018, H.J. Res. 99 (P.L. 115-30), H.R. 244, Consolidated Appropriations Act 2017 (P.L. 115-31), (H.R. 3268 & S. 1603) Agriculture-Rural Development & Related Agencies bill for FY 2018, Labor-HHS Appropriations bill for FY 2018 (H.R. 3358 & S. 1771), Transportation-HUD Appropriations bill for FY 2018 (H.R. 3353 & S. 1655), and Energy & Water Appropriation bill for FY 2018 (H.R. 3266 & S. 1609) - Lobbied in support of funding for various programs, including Social Security administrative expenses, senior nutrition (Commodity Supplemental Food program and Older Americans Act Title III), caregiving, energy assistance, supportive services, housing and volunteer community service programs.

Client expense: $2,109,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Equal Employment Opportunity Commission (EEOC), Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Housing & Urban Development, Dept of (HUD), Labor, Dept of (DOL), Natl Highway Traffic Safety Administration (NHTSA), Office of Management & Budget (OMB), SENATE, Securities & Exchange Commission (SEC), Veterans Affairs, Dept of (VA)

* S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 * H.R.3728 Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness Act of 2017 (EMPOWER Act) * S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 * H.R.3692 - Addiction Treatment Access Improvement Act of 2017 * S. 2317 - Addiction Treatment Access Improvement Act of 2018 * S. 2456/H.R. 5311- CARA 2.0 Act of 2018 * H.R.1478 - Gun Violence Research Act * Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act * Priorities for health care reform * Opioid Abuse Epidemic

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

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

PL 108173: Medicare Prescription Drug and Modernization Act of 2003; PL 111148: Patient Protection and Affordable Care Act; PL 111-152, 124 Stat. 1029: Health Care and Education Reconciliation Act of 2010; PL 113157: Autism CARES (Collaboration, Accountability, Research, Education and Support) Act of 2014; HR 1628: American Health Care Act of 2017; FY 2019 Labor, Health and Human Services, Education Appropriations; HR 1628: American Health Care Act of 2017/Better Care Reconciliation Act of 2017; HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; HR 3759/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 115-119); S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; and HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act.

Client expense: $64,578 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

PL 109442: Lifespan Respite Care Act; PL 109365: Older Americans Act Amendments of 2006; PL 111148: The Patient Protection and Affordable Care Act; PL 111152: Affordable Health Care for America Act; PHS 42 USC 254C8: Healthy Start Reauthorization of 2007; PL 111192: Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act; PL 111-152, 124 Stat. 1029: Health Care & Education Reconciliation Act; HR 1628: American Health Care Act of 2017; S 253/HR 807: Medicaid Access to Rehabilitation Services Act of 2017; FY 2017/2018 Labor, Health and Human Services, Education Appropriations; HR 3758/S 1028: Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act (PL 11-119); HR 2824: Increasing Opportunity and Success for Children and Parents through Evidence-Based Home Visiting Act; S 1827/HR 3921: Children's Health Insurance Program (CHIP); S 1829/HR 2824: Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program; HR 3778: Direct CARE (Creation, Advancement, and Retention of Employment) Opportunity Act; and HR 5306/S 2227: Ensuring Medicaid Provides Opportunities for Widespread Equality, Resources (EMPOWER) Care Act.

Client expense: $64,578 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Defense, Dept of (DOD), Education, Dept of, Equal Employment Opportunity Commission (EEOC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Labor, Dept of (DOL), Natl Council on Disability, SENATE, Social Security Administration (SSA), Transportation, Dept of (DOT), U.S. Architectural & Transportation Barriers Compliance Board (ACCESS), Veterans Affairs, Dept of (VA), White House Office

Support for - RAISE Family Caregivers Act (S.1028/HR3759)

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

"H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act "S.870 Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 "Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act "S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 "S.670/H.R. 1652 - Over-the-Counter Hearing Aid Act "H.R.3331 - To amend title XI of the Social Security Act to promote testing of incentive payments for behavioral health providers for adoption and use of certified electronic health record technology. "S.1732 - Improving Access to Behavioral Health Information Technology Act "S. 1905/ H.R.3931 - Excellence in Mental Health and Addiction Treatment Expansion Act "S.1016/H.R. 2556 - CONNECT for Health Act of 2017 "S.2120/H.R. 5034 - International Violence Against Women Act of 2017 "S.2164/H.R.2953 - To amend the Congressional Budget Act of 1974 respecting the scoring of preventive health savings. "S.1334/H.R.2797 - Patient Choice and Quality Care Act of 2017 "H.R.620 - ADA Education and Reform Act of 2017 "S.Res.427 - A resolution supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. "H.Res.770 - Supporting the goals and ideals of Social Work Month during March 2018 and World Social Work Day on March 20, 2018. "H.R.3713 - Geriatrics Workforce and Caregiver Enhancement Act "S. 2456/H.R. 5311 - CARA 2.0 Act of 2018 "S.2301/H.R. 4778- Behavioral Health Coverage Transparency Act of 2018 "S. 1015/H.R.2345 - National Suicide Hotline Improvement Act of 2017 "H.R.4704 - Nursing Home CARE Act "S.2227/H.R. 5306 - EMPOWER Care Act "S.2076/H.R. 4256 - BOLD Infrastructure for Alzheimer's Act "Improving Parity for Mental Health and Substance Use Disorder Coverage. "Preserve ACA Essential Health Benefits, cost sharing subsidies, state waivers, and funding for navigators and assisters. "Reduce Gun Violence: Comprehensive Legislative Solutions to firearm-related injuries and fatalities "Opioid Epidemic

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

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

"S.1109/H.R.959 - Title VIII Nursing Workforce Reauthorization Act of 2017 "S. 445/ H.R.1825 - Home Health Care Planning Improvement Act of 2017 "H.R. 3692 - Addiction Treatment Access Improvement Act of 2017 "S. 2317 - Addiction Treatment Access Improvement Act of 2018 "S. 2456/H.R. 5311- CARA 2.0 Act of 2018 "H.R.1478 - Gun Violence Research Act "Public Law No: 115-119 (S.1028/H.R. 3759) RAISE Family Caregivers Act "Priorities for health care reform "Opioid Abuse Epidemic

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

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