Patient Choice and Quality Care Act of 2017

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections) HR 8702 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 (all sections) HR 133/PL 116-260 - Consolidated Appropriations Act, 2021 (Division M - Coronavirus Response & Relief Supplemental Appropriations Act, 2021) HR 2455 - The Resetting the IMPACT Act (TRIA) of 2021 (all sections) S. 610 - Protecting Medicare and American Farmers from Sequester Acts Cut (all sections)

Client expense: $370,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Office of Management & Budget (OMB), SENATE

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections) HR 8702 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 (all sections) HR 133/PL 116-260 - Consolidated Appropriations Act, 2021 (Division M - Coronavirus Response & Relief Supplemental Appropriations Act, 2021) HR 2455 - The Resetting the IMPACT Act (TRIA) of 2021 (all sections

Client expense: $340,000 · 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), Office of Management & Budget (OMB), SENATE

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections) HR 8702 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 (all sections) HR 133/PL 116-260 - Consolidated Appropriations Act, 2021 (Division M - Coronavirus Response & Relief Supplemental Appropriations Act, 2021) HR 2455 - The Resetting the IMPACT Act (TRIA) of 2021 (all sections

Client expense: $590,000 · 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), Office of Management & Budget (OMB), SENATE

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections) HR 8702 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 (all sections) HR 8826 - The Resetting the Impact Act (TRIA) of 2020 (all sections) HR 133/PL 116-260 - Consolidated Appropriations Act, 2021 (Division M - Coronavirus Response & Relief Supplemental Appropriations Act, 2021)

Client expense: $370,000 · 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), Office of Management & Budget (OMB), SENATE

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing value-based purchasing program under the Medicare program) HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 7154 - Outpatient Therapy Modernization and Stabilization Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections) HR 8702 - Holding Providers Harmless From Medicare Cuts During COVID-19 Act of 2020 (all sections) HR 8826 - The Resetting the Impact Act (TRIA) of 2020 (all sections) HR 133/PL 116-260 - Consolidated Appropriations Act, 2021 (Division M - Coronavirus Response & Relief Supplemental Appropriations Act, 2021)

Client expense: $720,300 · 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), Office of Management & Budget (OMB), SENATE

HR 4994/PL 113-185 Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014 (all sections) HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing value-based purchasing program under the Medicare program) HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR 7154 - Outpatient Therapy Modernization and Stabilization Act (all sections) HR 8600 - Health and Economic Recovery Omnibus Emergency Solutions (HEROES) Act (all sections)

Client expense: $316,000 · 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), Office of Management & Budget (OMB), SENATE

HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing value-based purchasing program under the Medicare program) HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) HR. 266 - Paycheck Protection Program and Health Care Enforcement Act (all sections) HR. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (all sections) HR. 7154 - Outpatient Therapy Modernization and Stabilization Act (all sections)

Client expense: $320,000 · 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), Office of Management & Budget (OMB), SENATE

HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing facility value-based purchasing program under the Medicare program) HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections) S. 3548 - Coronavirus Aid, Relief, and Economic Security (CARES) Act (Division B - Relief for Individuals, Families, and Businesses; Division D - Health Care Response)

Client expense: $520,000 · 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

HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) S.353 - Preserve Access to Medicare Rural Home Health Services Act of 2017 (all sections) R 3992 - Rural Home Health Extension and Regulatory Relief Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50208. Extension of home health rural add-on, Sec. 51001. Home health payment reform, Sec. 51002. Information to satisfy documentation of Medicare eligibility for home health services, Sec. 53110. Medicare payment update for home health services, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) HR 244 - Consolidated Appropriations Act, 2017 (Division H - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017) H.R.6932 - To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program (all sections) S.3458 - A bill to amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program. (all sections) S.3545 - Home Health Payment Innovation Act of 2018 (all sections) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) S. 433 - Home Health Payment Innovation Act of 2019 (all sections) S. 296 - Home Health Care Planning Improvement Act of 2019 (all sections) HR 2150 - Home Health Care Planning Improvement Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing facility value-based purchasing program under the Medicare program) HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections)

Client expense: $520,000 · 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

HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) S.353 - Preserve Access to Medicare Rural Home Health Services Act of 2017 (all sections) R 3992 - Rural Home Health Extension and Regulatory Relief Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50208. Extension of home health rural add-on, Sec. 51001. Home health payment reform, Sec. 51002. Information to satisfy documentation of Medicare eligibility for home health services, Sec. 53110. Medicare payment update for home health services, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) HR 244 - Consolidated Appropriations Act, 2017 (Division H - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017) H.R.6932 - To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program (all sections) S.3458 - A bill to amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program. (all sections) S.3545 - Home Health Payment Innovation Act of 2018 (all sections) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) S. 433 - Home Health Payment Innovation Act of 2019 (all sections) S. 296 - Home Health Care Planning Improvement Act of 2019 (all sections) HR 2150 - Home Health Care Planning Improvement Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing facility value-based purchasing program under the Medicare program) HR 3107 - Improving Seniors Timely Access to Care Act of 2019 (all sections)

Client expense: $310,000 · 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

HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) S.353 - Preserve Access to Medicare Rural Home Health Services Act of 2017 (all sections) R 3992 - Rural Home Health Extension and Regulatory Relief Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50208. Extension of home health rural add-on, Sec. 51001. Home health payment reform, Sec. 51002. Information to satisfy documentation of Medicare eligibility for home health services, Sec. 53110. Medicare payment update for home health services, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) HR 244 - Consolidated Appropriations Act, 2017 (Division H - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017) H.R.6932 - To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program (all sections) S.3458 - A bill to amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program. (all sections) S.3545 - Home Health Payment Innovation Act of 2018 (all sections) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) S. 433 - Home Health Payment Innovation Act of 2019 (all sections) S. 296 - Home Health Care Planning Improvement Act of 2019 (all sections) HR 2150 - Home Health Care Planning Improvement Act of 2019 (all sections) HR 3417 - Beneficiary Education Tools, Telehealth, and Extenders (BETTER) Act of 2019 (Sec. 103. Medicare coverage of certain mental health telemedicine, Sec. 204. Improving measurements under the skilled nursing facility value-based purchasing program under the Medicare program)

Client expense: $770,000 · 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

HR 3298 Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) S.353 - Preserve Access to Medicare Rural Home Health Services Act of 2017 (all sections) R 3992 - Rural Home Health Extension and Regulatory Relief Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50208. Extension of home health rural add-on, Sec. 51001. Home health payment reform, Sec. 51002. Information to satisfy documentation of Medicare eligibility for home health services, Sec. 53110. Medicare payment update for home health services, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) HR 244 - Consolidated Appropriations Act, 2017 (Division H - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017) H.R.6932 - To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program (all sections) S.3458 - A bill to amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program. (all sections) S.3545 - Home Health Payment Innovation Act of 2018 (all sections) S. 594 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) HR 1901 - Preserving Rehabilitation Innovation Centers Act of 2019 (all sections) S. 433 - Home Health Payment Innovation Act of 2019 (all sections)

Client expense: $560,000 · 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

Hospice and Medicare Advantage; hospice payment reform; hospice program integrity; S.1334/HR.2797 Patient Choice and Quality Care Act; rural access to hospice; safe disposal of opioids; S.693/HR.1676 Palliative Care and Hospice Education and Training Act

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice program integrity; S.1334/HR.2797 Patient Choice and Quality Care Act; rural access to hospice; safe disposal of opioids; S.693/HR.1676 Palliative Care and Hospice Education and Training Act

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice program integrity; S.1334/HR.2797 Patient Choice and Quality Care Act; rural access to hospice; safe disposal of opioids; S.693/HR.1676 Palliative Care and Hospice Education and Training Act

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice program integrity; S.1334/HR.2797 Patient Choice and Quality Care Act; rural access to hospice; safe disposal of opioids; S.693/HR.1676 Palliative Care and Hospice Education and Training Act

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice program integrity; S.1334/HR.2797 Patient Choice and Quality Care Act; rural access to hospice; safe disposal of opioids; S.693/HR.1676 Palliative Care and Hospice Education and Training Act

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice program integrity; S.1334/HR.2797 Patient Choice and Quality Care Act; rural access to hospice; safe disposal of opioids; S.693/HR.1676 Palliative Care and Hospice Education and Training Act

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice program integrity; S.1334/HR.2797 Patient Choice and Quality Care Act; rural access to hospice; safe disposal of opioids

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice program integrity; S.1334/HR.2797 Patient Choice and Quality Care Act; rural access to hospice; safe disposal of opioids

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

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

P.L. 111-375 National Alzheimer's Project Act, All Sections P.L. 115-119 Recognize, Assist, Include, Support and Engage (RAISE) Family Caregivers Act S.311/H.R.2972 Alzheimer's Caregiver Support Act H.R. 1676/S. 693 The Palliative Care and Hospice Education and Training Act S. Res 49 A resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority H.R.2953/S.2164 Preventive Health Savings Act S. 464 the Independence at Home Act of 2017 S. 547 Senior Financial Empowerment Act of 2017 S. 1606 In-Home CARE Act H.R.2505/S.1151 Credit for Caring Act H.R.2797/S.1334 Patient Choice and Quality Care Act H.R.2973/S.2208 Alzheimer's Disease Semipostal Stamp Act S.2076/H.R.4256 BOLD Infrastructure for Alzheimer's Act S.1188/H.R.2535 Lifespan Respite Care Reauthorization Act H.R.5191 Medical Improvement of Neurodegenerative Diseases (MIND) Act of 2018 S.2387/H.R.4957 Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act of 2018 H.R.3493/S.3608 Care Corps Demonstration Act The CY 2018 Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Medicare Part B H.R.6561 Comprehensive Care for Seniors Act of 2018 H.R.6646 Younger-Onset Alzheimer's Disease Parity Act H.R.6502 Reducing Unnecessary Senior Hospitalizations (RUSH) Act of 2018 S.3412 Paid Family Leave Pilot Act

Client expense: $480,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

CLINICAL TREATMENT Act(H.R.6836) Furthering Access to Coordinated Treatment for Seniors Act of 2017(H.R.3447) Medicare Choice Empowerment and Protection Act(H.R.3181/S.1530) Palliative Care and Hospital Education and Training Act(H.R.1676/S.693) Patient Choice and Quality Care Act of 2017(S.1334/H.R.2797) S.3028- Americans Giving Care to Elders(AGE)Act of 2018 The ACE Kids Act (S.428/H.R.3325)

Client expense: $168,587 · Firm income: Not reported

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

Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Support H.R. 6986, the Nursing Home Workforce Quality Act, to modify the nurse aide training lock-out provisions of the Omnibus Budget Reconciliation Act of 1987. Support S. 2227, the EMPOWER Care Act, to extend the Money Follows the Person program. Support extension of protections against impoverishment for spouses of Medicaid beneficiaries receiving long-term services and supports in community settings Support S. 1334/HR 2797, the Patient Choice and Quality Care Act, to allow for better service coordination for Medicare beneficiaries with advanced illnesses. Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Support H.R. 3098, Medicare Adult Day Services Act Advocating for modification of the "settings rule" for Medicaid coverage of home care services provided to beneficiaries living on the campus of a nursing home or assisted living facility.

Client expense: $66,571 · Firm income: Not reported

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

Medicare physician payment; new/alternative payment models; Medicare coverage, including coverage policies pertaining to transcatheter aortic valve replacement, transcathether mitral valve repair, and ambulatory blood pressure monitoring; Medicare hospital payment; access to Medicare claims data; Ways & Means Committee hospital payment project; physician and hospital quality; electronic health record incentive program; clinical data registries; health care quality; medical imaging and prior authorization, including HR 4841, Standardizing Electronic Prior Authorization for Safe Prescribing Act of 2018; the Stark Law and the in-office ancillary services exception, including HR 4206/S 2051, the Medicare Care Coordination Improvement Act; Promoting Integrity in Medicare Act, HR 2066; Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; HR 1155/S 1361, a bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs; S 46, the Strengthening Medicare Intensive Cardiac Rehabilitation Programs Act of 2017; HR 3325/S 428, The Advancing Care for Exceptional Kids Act of 2017 (or ACE Kids Act), a bill to allow a state, at its option, to elect to provide medical assistance for items and services furnished to eligible children with medically complex conditions enrolled in a Medicaid Children's Care Coordination (MCCC) program; Senate Finance Committee chronic care project; graduate medical education policy including HR 2267/S 1301, Resident Physician Shortage Reduction Act of 2017; end of life care, including HR 2797/S 1334, the Patient Choice and Quality Care Act of 2017; Puerto Rico Oversight, Management, and Economic Stability Act (PROMESA) implementation; oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy, including HR 1156/S 1133, the Patient Access to High Quality Care Act of 2017; Medicaid coverage and eligibility, including HR 829, Prioritizing the Most Vulnerable Over Lottery Winners Act of 2017, HR 181, Close Annuity Loopholes in Medicaid Act, and HR 705, Verify Eligibility Coverage Act; HR 3163, Medicare Part B Home Infusion Services Temporary Transitional Payment Act; Affordable Care Act repeal/replace/reform efforts; HR 3767 and S 989, the Ensuring Childrens Access to Specialty Care Act of 2017; HR 3635, the Local Coverage Determination Clarification Act of 2017; Ways and Means Committee Medicare extenders policy/legislation.

Client expense: $480,000 · 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), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, White House Office

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

Support H.R. 741/ S. 243 Rural Hospital Regulatory Relief Act of 2017, a bill that amends title XVIII (Medicare) of the Social Security Act to permanently extend the application by the Centers for Medicare & Medicaid Services of an instruction against the enforcement of certain physician supervision requirements with respect to outpatient therapeutic services in critical access hospitals and small rural hospitals; Support H.R. 807/ S. 253 Medicare Access to Rehabilitation Services Act of 2017, a bill to amend title XVIII of the Social Security Act to repeal the Medicare outpatient rehabilitation therapy caps; Discussion about the Electronic Clinical Quality Measure Reporting: advocating for an extension of the reporting deadline to increase hospitals ability to meet requirements in the Hospital Inpatient Quality Reporting program and the Medicare EHR Incentive Program;Requested clarification from CMS about providing care to justice-involved individuals and receiving Medicaid/Medicare reimbursement for such care to Made efforts in support of clarifying that hospitals may have designated units to care for patients in the custody of law enforcement/correctional institutions and may receive Medicaid reimbursement for care provided in such units; Support S. 872/ HR 1955Rural Hospital Access Act of 2017, a bill to amend title XVIII of the Social Security Act to make permanent the extension of the Medicare-dependent hospital (MDH) program and the increased payments under the Medicare low-volume hospital program; Support S 1301/ HR 2267, Resident Physician Shortage Reduction Act of 2017, a bill to amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions; Oppose H.R. 1628 American Health Care Act / Better Care Reconciliation Act, a bill that would repeal and replace much of the Affordable Care Act, including repealing Medicaid expansion and the advanced premium tax credits for the purchase of coverage on the Health Insurance Marketplaces; Support S 1334/ HR 2797Patient Choices and Quality Care Act of 2017, a bill to provide for advanced illness care coordination services for Medicare beneficiaries; Urged the Administration to cancel Stage 3 of meaningful use by removing the 2018 start date from the regulation. The Administration also should institute a 90- day reporting period in every future year of the program, and gather input from stakeholders on ways to further reduce the burden of the meaningful use program from current requirements; Review S. 1169/ HR 2687, Medicaid Coverage for Addiction Recovery Expansion Act, a bill to amend title XIX of the Social Security Act to provide States with an option to provide medical assistance to individuals between the ages of 22 and 64 for inpatient services to treat substance use disorders at certain facilities; Review HR 2509 Medicare Mental Health Inpatient Equity Act, a bill to amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program; Urged CMS to rescind the 25% Rule and instead rely on the site-neutral payment policy to bring transformative change to the LTCH field; Discussion with CMS about direct supervision of outpatient therapeutic services; Support HR 3120, a bill to amend title XVIII of the Social Security Act to reduce the volume of future electronic health record-related significant hardship requests; Discussed with Congress potential offsets to pay for CHIP and other Medicare extender legislation; Support straight extensions of the Medicare-dependent hospital and enhanced low-volume adjustment program; Support eliminating the reductions to Medicaid payments for DSH in fiscal years 2018 and 2019; Urged CMS to eliminate a duplicative budget-neutrality adjustment (BNA) being applied to Medicare payments for LTCH site-neutral cases, an unwarranted 5.1 percent cut. Urged CMS to permanently eliminate the LTCH 25% Rule policy; support The Limited Repeal of the IMD Exclusion for Adult Medicaid Beneficiaries with Substance Use Disorder Act, which would improve access to needed substance use disorder (SUD)treatment services for millions of Americans.

Client expense: $5,460,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Justice, Dept of (DOJ), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA), White House Office

S. 3458/H.R. 6932, Medicare Home Health Payment Reform Legislation. S. 3545, Home Health Payment Innovation Act. Modifications to the Medicare home health provisions in the Bipartisan Budget Act. Oppose home health and hospice payments cuts and co-pays. Home health, rural add on payment adjustments. Value based purchasing and bundling. Appropriations for family caregiver support programs. Hospice payment policy. 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. 1828/S. 980, Rural Access to Hospice Act. H.R. 2663, Home Health Documentation and Program Improvement Act. Medicare Advantage hospice proposals. Home Health Review Choice Demonstration Program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. S. 2227/H.R. 5306, EMPOWER Act. Medicaid Money Follows the Person. Medicaid Spousal Impoverishment Protections. Labor-HHS Appropriations.

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

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

Palliative Care and Hospice Education and Training Act (H.R. 1676, S. 693) - Urged Congress to support palliative care education for medical providers and reduce barriers to care for patients with serious or life-threatening illnesses. Patient Choice and Quality Care Act (H.R. 2797, S. 1334) - Supported the compassionate delivery of healthcare services to those with serious advanced illnesses. The Raise Family Caregivers Act (H.R. 3759) - Supported the development of programs which assist caregivers in administering care to critically ill family members. (FDA-2017-N-5608) - Urged the FDA to consider the benefits of opioid prescribing in light of seriously ill patients, and to increase provider education guidelines on pain management, palliative care and opioid misuse while developing criteria for the Opioid Policy Steering Committee. The Opioid Crisis Response Act of 2018 (S. 2680) - Supported palliative care patient access to pain management prescriptions. (CMS-9924-P) - Urged CMS to not finalize the proposed rule on short-term, limited-duration insurance plans.

Client expense: $240,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), President of the U.S., SENATE

Issues concerning reimbursement for the Medicare hospice benefit. S. 980 and H.R. 1828, Rural Access to Hospice Act of 2017. S. 1334 and H.R. 2797, Patient Choice and Quality Care Act of 2017. Issues related to advanced illness care and management. S. 693 and H.R. 1676, Palliative Care and Hospice Education and Training Act. Issues related to regulatory relief. H.R. 5041 / S. 2659, Safe Disposal of Unused Medication Act. H.R. 6, SUPPORT for Patients and Communities Act as it pertains to the disposal of unused controlled substances; S. 2661, Hospice Safe Drug Disposal Act of 2018, S.2680, Opioid Crisis Response Act of 2018 as they pertain to the disposal of unused controlled substances.

Client expense: Not reported · Firm income: $43,749

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

HR 3298 Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) S.353 - Preserve Access to Medicare Rural Home Health Services Act of 2017 (all sections) R 3992 - Rural Home Health Extension and Regulatory Relief Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50208. Extension of home health rural add-on, Sec. 51001. Home health payment reform, Sec. 51002. Information to satisfy documentation of Medicare eligibility for home health services, Sec. 53110. Medicare payment update for home health services, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) HR 244 - Consolidated Appropriations Act, 2017 (Division H - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017) H.R.6932 - To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program (all sections) S.3458 - A bill to amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program. (all sections) S.3545 - Home Health Payment Innovation Act of 2018 (all sections) S. 2204 - Preserving Rehabilitation Innovation Centers Act of 2017 (all sections)

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

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

Issues related to reimbursement for the Medicare hospice benefit; Medicare Patient Access to Hospice Act of 2017 (H.R. 1284); Palliative Care and Hospice Education and Training Act (PCHETA) (S. 693/H.R. 1676); Rural Access to Hospice Act (S. 980/H.R. 1828); Patient Choice & Quality Care Act (S. 1334/H.R. 2797).

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

Issues related to reimbursement for the Medicare hospice benefit; Medicare Patient Access to Hospice Act of 2017 (H.R. 1284); Palliative Care and Hospice Education and Training Act (PCHETA) (S. 693/H.R. 1676); Rural Access to Hospice Act (S. 980/H.R. 1828); Patient Choice & Quality Care Act (S. 1334/H.R. 2797).

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

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

H.R. 1289 - Dorothy I. Height and Whitney M. Young, Jr., Social Work Reinvestment Act S. 1188/H.R.2535 - Lifespan Respite Care Reauthorization Act of 2017 H.R. 6 [P.L. No: 115-271] - SUPPORT for Patients and Communities Act S.2524/H.R. 5102 - Substance Use Disorder Workforce Loan Repayment Act of 2018 H.Res.1099 - Providing for the concurrence by the House in the Senate amendment to H.R. 6, with an amendment 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 [P.L. No: 115-233] - 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 [P.L. No: 115-406] - 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. Health care access 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 H.R.6597 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2018 H.R.5202/S.916 - Ensuring Patient Access to Substance Use Disorder Treatments Act of 2018 S.1370/H.R.2913 - Mental Health in Schools Act of 2017 S.3337 - Mental Health Services for Students Act of 2018

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

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

H.R. 6 - Support for Patients and Communities Act of 2018 - Issues related to developing and supporting innovative ways to help solve the nation's opioid crisis in the Medicare and Medicaid programs. S. 3120 - Helping to End Addiction and Lessen Substance Use Disorders Act of 2018 - Issues related to developing and supporting innovative ways to help solve the nation's opioid crisis in the Medicare and Medicaid programs. S.1334/H.R.2797 - The Patient Choice and Quality Care Act of 2017 - Issues related to better integration of end of life and palliative care into health care coverage.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6 - Support for Patients and Communities Act of 2018 - Issues related to developing and supporting innovative ways to help solve the nation's opioid crisis. S. 3120 - Helping to End Addiction and Lessen Substance Use Disorders Act of 2018 - Issues related to developing and supporting innovative ways to help solve the nation's opioid crisis. S.1334/H.R.2797 - The Patient Choice and Quality Care Act of 2017 - Issues related to better integration of end of life and palliative care into health care coverage. HHS regulations focused on the private insurance market. Legislative efforts to support market stabilization.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Administrative regulations, rules and guidelines related to insurance market stability for both state and federal individual insurance marketplaces. P.L. 115-119- RAISE Family Care Givers Act - work on implementation of the law related to developing better systems to integrate families into palliative and end-of-life care and related programs dedicated to the work. S. 1334/H.R. 2797- Patient Choice and Quality Care Act of 2017 - Issues related to better integrating and improving palliative and end of life care into our nation's health care system. Rules and Regulations regarding 1332 waivers and other issues impact the private insurance market. Trump Administration Blueprint to lower prescription drug prices - issues related to containing and decreasing prescription drug costs to consumers. Issues related to making health care in the United States of America more transparent and consumer-focused.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Administrative regulations, rules and guidelines related to insurance market stability for both state and federal individual insurance marketplaces. S. 1334/H.R. 2797- Patient Choice and Quality Care Act of 2017 - Issues related to better integrating and improving palliative and end of life care into our nation's health care system. Trump Administration Blueprint to lower prescription drug prices - issues related to containing and decreasing prescription drug costs to consumers. Issues related to making health care in the United States of America more transparent and consumer-focused.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 464 - Independence at Home Act of 2017 S. 693/H.R. 1676 - Palliative Care and Hospice Education and Training Act (PCHETA) S. 1334/H.R. 2797 - Patient Choice and Quality Care of Act of 2017 (PCQCA) S. 2076/H.R. 4256 - the BOLD Infrastructure for Alzheimer's Act S. 2387/H.R. 4957 - The Concentrating on High-Value Alzheimer's Needs to Get to and End (CHANGE) Act

Client expense: $39,500 · Firm income: Not reported

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

HR 3298 Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (all sections) HR 807 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) S 253 - Medicare Access to Rehabilitation Services Act of 2017 (all sections) HR 2797 - Patient Choice and Quality Care Act (all sections) S 1334 - Patient Choice and Quality Care Act (all sections) S.353 - Preserve Access to Medicare Rural Home Health Services Act of 2017 (all sections) R 3992 - Rural Home Health Extension and Regulatory Relief Act (all sections) HR 1892 - Bipartisan Budget Act of 2018 (Sec. 51005. Extension of Blended Site-Neutral Payment Rate for Certain Long-Term Care Hospital Discharges; Temporary Adjustment to Site Neutral Payment Rates, Sec. 50208. Extension of home health rural add-on, Sec. 51001. Home health payment reform, Sec. 51002. Information to satisfy documentation of Medicare eligibility for home health services, Sec. 53110. Medicare payment update for home health services, Sec. 50202. Repeal of Medicare payment cap for therapy services; limitation to ensure appropriate therapy, Title III-Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care.) HR 244 - Consolidated Appropriations Act, 2017 (Division H - Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2017) H.R.6932 - To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program (all sections) S.3458 - A bill to amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program. (all sections) S.3545 - Home Health Payment Innovation Act of 2018 (all sections)

Client expense: $450,000 · 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

Support H.R. 1421/S. 568, providing for all time a Medicare beneficiary spends in the hospital to count toward the 3-day stay requirement for coverage of post-acute care. Support H.R. 6986, the Nursing Home Workforce Quality Act, to modify the nurse aide training lock-out provisions of the Omnibus Budget Reconciliation Act of 1987. Support S. 1334/HR 2797, the Patient Choice and Quality Care Act, to allow for better service coordination for Medicare beneficiaries with advanced illnesses. Support S. 445/H.R. 1825, the Home Health Planning Improvement Act, to allow non-physician health professionals to approve Medicare coverage of home health care. Support S. 309, Community-Based Independence for Seniors Act, establishing a demonstration of Medicare coverage of non-medical supportive services Support H.R. 2797/S. 1334, the Patient Choice and Quality Care Act, to create a new Medicare model for advanced illness care. Support H.R. 2663, Home Health Documentation and Program Improvement Act, to address the current backlog of appeals on claims for Medicare reimbursement. Support H.R. 3098, Medicare Adult Day Services Act Advocating for modification of the "settings rule" for Medicaid coverage of home care services provided to beneficiaries living on the campus of a nursing home or assisted living facility. Oppose revisions to Medicaid to set lifetime limits on coverage.

Client expense: $91,901 · Firm income: Not reported

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

P.L. 111-375 National Alzheimer's Project Act, All Sections S.311/H.R.2972 Alzheimer's Caregiver Support Act H.R. 1676/S. 693 The Palliative Care and Hospice Education and Training Act S. Res 49 A resolution declaring that achieving the primary goal of the National Plan to Address Alzheimer's Disease of the Department of Health and Human Services to prevent and effectively treat Alzheimer's disease by 2025 is an urgent national priority H.R.2953/S.2164 Preventive Health Savings Act S. 464 the Independence at Home Act of 2017 S. 547 Senior Financial Empowerment Act of 2017 S. 1606 In-Home CARE Act H.R.2505/S.1151 Credit for Caring Act H.R.2797/S.1334 Patient Choice and Quality Care Act H.R.2973/S.2208 Alzheimer's Disease Semipostal Stamp Act S.2076/H.R.4256 BOLD Infrastructure for Alzheimer's Act S.1188/H.R.2535 Lifespan Respite Care Reauthorization Act H.R.5191 Medical Improvement of Neurodegenerative Diseases (MIND) Act of 2018 S.2387/H.R.4957 Concentrating on High-Value Alzheimer's Needs to Get to an End (CHANGE) Act of 2018 H.R.3493 Care Corps Demonstration Act The CY 2018 Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Medicare Part B H.R.6561 Comprehensive Care for Seniors Act of 2018 H.R.6646 Younger-Onset Alzheimer's Disease Parity Act H.R.6502 Reducing Unnecessary Senior Hospitalizations (RUSH) Act of 2018

Client expense: $480,000 · Firm income: Not reported

Government targets: Administration on Aging, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Interior, Dept of (DOI), Justice, Dept of (DOJ), Natl Institutes of Health (NIH), SENATE, Veterans Affairs, Dept of (VA)

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); 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); 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

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