A bill to amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program.

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Medicare Appeals Procedures) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Targeted Medical Review Essential Health Benefits MIPS/PPP Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act H.R. 5261 Teach Act Opioid related H.R. 5197 Alto Act Opioid related Administrative Burden H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act H.R. 5773, Preventing Addiction for Susceptible Seniors Act H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act H.R. 5718, Perioperative Reduction for Opioids Act H.R. 5719, Reduce Overprescribing Opioids in Treatment Act H.R. 5722, Dr. Todd Graham Pain Management Improvement Act H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act. S. 3120, HEAL Act S. 2680, Opioid Crisis Response Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Certified EHR technology HR 7217 Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act (IMPROVE ACT) S. 3458: Improvements to Home Health HR 3635: Local Coverage Determination Clarification Act of 2018

Client expense: $252,000 · 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), Defense, Dept of (DOD), Education, Dept of, Government Accountability Office (GAO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Small Business Administration (SBA), Veterans Affairs, Dept of (VA), White House Office

Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; issues related to the Bipartisan Budget Act of 2018; S. 3458 & HR 6932, amendments to the Social Security Act related to home health payment under Medicare; S. 3545 Home Health Payment Innovation Act.

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

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

Issues related to Medicare payment for home health. Support HR 6932, S. 3458, S. 3545

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, Transportation, Dept of (DOT)

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

H.R. 6932/S. 3458 To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program; S. 3545 Home Health Payment Innovation Act of 2018; CY 2019 Medicare Home Health Prospective Payment System Final Rule (CMS-1689-F) (Patient-Driven Grouping Model)

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

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

H.R. 6932/S. 3458 To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program; S. 3545 Home Health Payment Innovation Act of 2018; CY 2019 Medicare Home Health Prospective Payment System Final Rule (CMS-1689-F) (Patient-Driven Grouping Model)

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

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

S. 3545, Home Health Payment Innovation Act of 2018; S. 3458/H.R. 6932, A bill to amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement for home health care providers. Issues related home health payments in H.R. 1625, the Consolidated Appropriations Act of 2018, H.R.6932 / S.3458 / S.3545 relating to medicare home health payments.

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

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

H.R. 807/S.253 Medicare Access to Rehabilitation Services Act (Medicare Appeals Procedures) QPP Prevention Initiatives for Fraud and Abuse in The Medicare program Accountable health care organizations/patient centered medical homes Electronic health records/health information technology incentives for Physical Therapists Local coverage determinations/EMG NCCI Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage PCORI National priority for research and research agenda Health information technology Functional Limitation Reporting Therapy Cap: Targeted Medical Review Essential Health Benefits MIPS/PPP Medicaid essential health benefits EHR/LTPAC settings: transitions of care Medicare improvement standards Bundled payment models/CJR Common assessment tool for Medicare post-acute care Medicare appeals process Inclusion of physical therapists in quality programs Self-referral Coverage of telehealth APTA Registry Quality Programs Accelerating Innovation in Medicine Act (AIM) IMPACT Medicare Pilot Programs Chronic Care Management New evaluation and reevaluation CPT codes & misvalued codes Orthotics and Prosthetics Medicare Private Contracting S.870 - Chronic Care Act SNF 3-Day Rule Registry- ACI HR 2042 - Frontline Act Youth Concussion Management DME HR 3446 RBI Act H.R. 5261 Teach Act Opioid related H.R. 5197 Alto Act Opioid related Administrative Burden H.R. 5686, Medicare Clear Health Options in Care for Enrollees Act H.R. 5773, Preventing Addiction for Susceptible Seniors Act H.R. 5774, Combating Opioid Abuse for Care in Hospitals Act H.R. 5718, Perioperative Reduction for Opioids Act H.R. 5719, Reduce Overprescribing Opioids in Treatment Act H.R. 5722, Dr. Todd Graham Pain Management Improvement Act H.R. 6, Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act. S. 3120, HEAL Act S. 2680, Opioid Crisis Response Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Certified EHR technology HR 7217 Improving Medicaid Programs and Opportunities for Eligible Beneficiaries Act (IMPROVE ACT) S. 3458: Improvements to Home Health HR 3635: Local Coverage Determination Clarification Act of 2018

Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; issues related to the Bipartisan Budget Act of 2018; S. 3458 & HR 6932, amendments to the Social Security Act related to home health payment under Medicare; S. 3545 Home Health Payment Innovation Act.

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

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

Modifications to the Medicare home health provisions in the Bipartisan Budget Act. Oppose home health and hospice payment cuts and co-pays. Home health rural add on payment adjustment. 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. 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. Chronic care management proposals. Long-term services and supports coverage under Medicare. Medicare Advantage hospice proposals. Home Health Pre-Claim Review Demonstration program. H.R. 2797/S. 1334, Patient Choice and Quality Care Act of 2017. H.R. 6042 (EVV Delay) To amend title XIX of the Social Security Act to delay the reduction in Federal medical assistance percentage for Medicaid personal care services furnished without an electronic visit verification system, and for other purposes. H.R. 3992, Rural Health Extension and Regulatory Relief Act. 1115 Waivers eliminating retroactive coverage in Florida and Arizona. Labor-HHS Appropriations. Proposed amendments to the Bipartisan Budget Act (Pub. L. No. 115-123) including provisions related to physician assistants as hospice attending physicians and hospital early discharge to hospice care. HHGM regulatory proposal. S. 3458/H.R. 6932, Medicare home health payment reform legislation. Appropriations for family caregiver support programs. S. 2227/H.R. 5306, EMPOWER Act. RAISE Family Caregivers Act - HHS implementation. Medicare Part B Time-limited equitable relief issues. Value based purchasing and bundling.

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

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: $460,000 · Firm income: Not reported

H.R. 6932/S. 3458 To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program.; S. 3545 Home Health Payment Innovation Act of 2018. FY 2019 Medicare Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule (CMS-1688-P); CY 2019 Medicare Home Health Prospective Payment System Proposed Rule (CMS-1689-P) (Patient-Driven Grouping Model)

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

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

H.R. 6932/S. 3458 To amend title XVIII of the Social Security Act to improve home health payment reforms under the Medicare program.; S. 3545 Home Health Payment Innovation Act of 2018. FY 2019 Medicare Inpatient Rehabilitation Facility Prospective Payment System Proposed Rule (CMS-1688-P); CY 2019 Medicare Home Health Prospective Payment System Proposed Rule (CMS-1689-P) (Patient-Driven Grouping Model)

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

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

Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; issues related to the Bipartisan Budget Act of 2018; S. 3458 & HR 6932, amendments to the Social Security Act related to home health payment under Medicare.

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

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