Restoring Rural Residencies Act of 2017

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.; Substance Use Disorder Workforce Loan Repayment Act of 2018 (H.R. 5102/S. 2524)

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education H.R. 5818/S.2843, Opioid Workforce Act of 2018 Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain management residency programs S. 3014 Rural Physician Workforce Production Act of 2018 Issue: Oppose legislation redesigning Medicare GME payment formulas Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose overly burdensome discussion draft Medicaid GME transparency legislation. Issue: Educate Congress on role of academic medicine as it relates to price transparency initiatives S. 455, Restoring Rural Residencies Act of 2017 Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Development and implementation of new Medicaid Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support extension of Medicaid Disproportionate Share Hospital (DSH) cuts delay Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders Issue: Support aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPAA) for the purposes of treatment, payment, and healthcare operations. Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs Issue: ACA Section 1115 and 1332 Medicaid Waivers Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. Issue: Support a third agreement period for certain Accountable Care Organizations in Medicare Shared Savings Program Issue: Support a delay in CMS issuing a final national coverage decision until the agency has an opportunity to receive and consider alternatives to limiting coverage to FDA-approved diagnostic tests developed using Next Generation Sequencing technology. H.R. 7217, Improving Medicaid Programs and Opportunities for Eligible Beneficiaries (IMPROVE) Act, Title I H.R. 3325/S. 428, ACE Kids Act Issue: Support legislation to improve health care for children with complex medical conditions on Medicaid Issue: Oppose Physician Fee Schedule rule proposal to collapse Medicare E/M coding

S. 455, Restoring Rural Residencies Act; S.3014, Rural Physicians Workforce Protection Act of 2018; implementation of the Mission Act - a pilot program under the Department of Veterans Affairs for rural family physician training programs; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act; reauthorization for title 7 primary care funding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education H.R. 5818/S.2843, Opioid Workforce Act of 2018 Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain management residency programs S. 3014 Rural Physician Workforce Production Act of 2018 Issue: Oppose legislation redesigning Medicare GME payment formulas Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose overly burdensome discussion draft Medicaid GME transparency legislation as part of opioid legislative package Issue: Submit letter and educate Congress on role of academic medicine as it relates to price transparency initiatives S. 455, Restoring Rural Residencies Act of 2017 Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs Issue: ACA Section 1115 and 1332 Medicaid Waivers Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. Issue: Support a third agreement period for certain Accountable Care Organizations in Medicare Shared Savings Program Issue: Support a delay in CMS issuing a final national coverage decision until the agency has an opportunity to receive and consider alternatives to limiting coverage to FDA-approved diagnostic tests developed using Next Generation Sequencing technology. H.R. 3325/S. 428, ACE Kids Act Issue: Support legislation to improve health care for children with complex medical conditions on Medicaid Issue: Oppose Physician Fee Schedule rule proposal to collapse Medicare E/M coding

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act of 2017, H.R. 4552/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Substance Use Disorder Workforce Loan Repayment Act of 2018, H.R. 5102/S. 2524; Opioid Workforce Act of 2018, H.R. 5818/S. 2843; Building a Health Care Workforce for the Future Act, H.R. 2574/S. 3095; Rural Physician Workforce Production Act of 2018, S. 3014; Advancing Medical Resident Training in Community Hospitals Act of 2018, H.R. 6056; Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act, H.R. 6; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284

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

S. 455, Restoring Rural Residencies Act; S.3014, Rural Physicians Workforce Protection Act of 2018; implementation of the Mission Act - a pilot program under the Department of Veterans Affairs for rural family physician training programs; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act; reauthorization for title 7 primary care funding

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.; Substance Use Disorder Workforce Loan Repayment Act of 2018 (H.R. 5102/S. 2524); Opioid Workforce Act of 2018, H.R. 5818/S. 2843

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2267/ S. 1301, Resident Shortage Physician Reduction Act of 2017 Issue: Support additional funding of graduate medical education H.R. 5818/S.2843, Opioid Workforce Act of 2018 Issue: Support additional funding for graduate medical education for addiction medicine, addiction psychiatry, and pain management residency programs S. 3014 Rural Physician Workforce Production Act of 2018 Issue: Oppose legislation redesigning Medicare GME payment formulas Issues: Support lifting cap on number of residents Medicare will count when determining teaching hospitals' Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments Issue: Oppose reduction of Medicare GME/IME payments Issue: Oppose reduction in Medicare hospital outpatient department reimbursement. Issue: Oppose Medicare hospital cuts Issue: Support Medicare Graduate Medical Education (GME) per resident amount technical corrections and administrative relief. Issue: Oppose redesign of Medicare Indirect Medical Education financing and redistribution. Issue: Oppose overly burdensome discussion draft Medicaid GME transparency legislation as part of opioid legislative package Issue: Submit letter and educate Congress on role of academic medicine as it relates to price transparency initiatives S. 455, Restoring Rural Residencies Act of 2017 Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. P.L. 115-123, Bipartisan Budget Act of 2018, Division E P.L. 115-120, Extension of Continuing Appropriations Act, 2018, Division C H.R. 3921, Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable (HEALTHY KIDS) Act of 2017 Issue: Support the reauthorization of and extension of funding for the Childrens Health Insurance Program (CHIP). Issue: Development and implementation of new Medicare Disproportionate Share Hospital (DSH) formula required under the ACA. Issue: Support allowing providers in new delivery models (e.g., ACOs, bundled payments, etc.) to access medical records with information on substance use disorders Issue: Modify CMS Hospital Compare Star Ratings to allow stakeholders time to work together to address concerns with methodology. Support inclusion of sociodemographic status as part of quality programs Issue: ACA Section 1115 and 1332 Medicaid Waivers Issue: ACA Medicaid expansion. Maintain commitment to match State spending on medical care for Medicaid beneficiaries without limits, caps, or block grants. Maintain and enforce network adequacy requirements and mandate sufficient payments to providers. H.R. 6, SUPPORT for Patients and Communities Act Issue: Support policy eliminating Medicaid IMD exclusion and revising 42 Code of Federal Regulations (CFR) Part 2 to amend the Public Health Service Act to align federal privacy standards for substance use disorder (SUD) patient records more closely with standards under the Health Insurance Portability and Accountability Act (HIPAA). Issue: Support policies to address the opioid epidemic including improving coverage and payment for non-opioid therapies, enhancing usability of PDMPs, addressing physician shortages, promoting medication assisted treatment, eliminating Medicare limits on in-patient psychiatric hospital treatment, eliminating Medicaid IMD exclusion, aligning privacy regulations and investing in research and education, and reauthorizing the Patient Centered Outcomes Research Institute. Issue: Support a third agreement period for certain Accountable Care Organizations in Medicare Shared Savings Program Issue: Support a delay in CMS issuing a final national coverage decision until the agency has an opportunity to receive and consider alternatives to limiting coverage to FDA-approved diagnostic tests developed using Next Generation Sequencing technology. Issue: Support nominees for the Medicare Payment Advisory Committee (MedPAC) and the Medicaid and CHIP Payment and Access Commission (MACPAC)

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.; Substance Use Disorder Workforce Loan Repayment Act of 2018 (H.R. 5102/S. 2524)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 455, Restoring Rural Residencies Act; S.3014, Rural Physicians Workforce Protection Act of 2018; changes to policy under the Department of Veterans Affairs for rural family physician training programs; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.; Substance Use Disorder Workforce Loan Repayment Act of 2018 (H.R. 5102/S. 2524)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 455, Restoring Rural Residencies Act of 2017 Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. H.R. 3728, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 Issue: Support reauthorization of Title VII health professions programs H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs Issue: Educate Congress and support training on substance abuse, pain management, and safe prescribing practices. Strategies to prevent, identify, and treat opioid dependence Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Potential nominations for presidential appointments Issue: Support policies to address IV fluid shortages exacerbated by hurricanes, and educate Congress on the shortage of IV saline fluid and injectable drug shortage. H.R. 5247, Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act. Issue: Oppose Right to Try legislation that removes safety measures under FDAs current expanded access program. Issue: Support policies to address the opioid epidemic including improving coverage and payment for non-opioid therapies, enhancing usability of PDMPs, addressing physician shortages, promoting medication assisted treatment, eliminating Medicare limits on in-patient psychiatric hospital treatment, eliminating Medicaid IMD exclusion, aligning privacy regulations and investing in research and education, and reauthorizing the Patient Centered Outcomes Research Institute. Issue: Support the Hospitals Preparedness Program and the reauthorization of the Pandemic and All Hazards Preparedness Act. H.R.4776 Hospital Preparedness Reauthorization Act of 2018. Issue: Support reauthorization of the Hospital Preparedness Program Issue: Oppose restrictions on fetal tissue and embryonic stem cell research. Issue: Amend Controlled Substances Act to improve MAT waiver process for qualified health professionals. H.R. 5261, Treatment, Education, and Community Help to Combat Addiction Act of 2018 Issue: Provide grants to regional Centers of Excellence in substance use disorder education. Issue: Support legislative solutions to fire arm related injuries and fatalities including research, public health surveillance, and firearm background checks.

S. 455, Restoring Rural Residencies Act; rural payment policy changes for physicians under graduate medical education; changes to policy under the Department of Veterans Affairs for rural family physician training programs; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Building a Health Care Workforce for the Future Act, H.R. 2574; and Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Building a Health Care Workforce for the Future Act, H.R. 2574

Client expense: $100,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Building a Health Care Workforce for the Future Act, H.R. 2574; and Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754.

Client expense: $150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1628, American Health Care Act of 2017/Better Care Reconciliation Act of 2017/Obamacare Repeal Reconciliation Act/Graham-Cassidy-Heller- Johnson Amendment Issue: ACA repeal and replace legislation and Medicaid changes. S. 455, Restoring Rural Residencies Act of 2017 Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. H.R. 3728, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 Issue: Support reauthorization of Title VII health professions programs H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs Issue: Educate Congress and support training on substance abuse, pain management, and safe prescribing praactices. Strategies to prevent, identify, and treat opioid dependence Issue: Oppose reductions to hospital reimbursements under 340B Drug Pricing Program Issue: Support the Hospitals Preparedness Program Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Potential nominations for presidential appointments Issue: Support policies to address IV fluid shortage exacerbated by Hurricane Maria

S. 455, Restoring Rural Residencies Act; rural payment policy changes for physicians under graduate medical education; changes to policy under the Department of Veterans Affairs for rural family physician training programs; appropriations for the Agency for Healthcare Research and Quality and title 7 primary care funding under the Public Health Service Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Building a Health Care Workforce for the Future Act, H.R. 2574; Training the Next Generation of Primary Care Doctors Act of 2017, H.R. 3394/S. 1754; Educating Medical Professional and Optimizing Workforce Efficiency and Readiness Act of 2017, H.R. 3728.

Client expense: $90,000 · Firm income: Not reported

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

H.R. 1628, American Health Care Act of 2017/Better Care Reconciliation Act of 2017/Obamacare Repeal Reconciliation Act/Graham-Cassidy-Heller-Johnson Amendment Issue: ACA repeal and replace legislation and Medicaid changes. S. 455, Restoring Rural Residencies Act of 2017 Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. H.R. 3728, Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) Act of 2017 Issue: Support reauthorization of Title VII health professions programs H.R. 959/S. 1109 Title VIII Nursing Workforce Reauthorization Act of 2017 Issue: Support reauthorization of Title VIII nursing workforce development programs Executive Order 13784 Issue: Training in substance abuse, pain management. Strategies to prevent, identify, and treat opioid dependence Issue: Oppose reductions to hospital reimbursements under 340B Drug Pricing Program Issue: Support the Hospitals Preparedness Program Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Potential nominations for presidential appointments Submitted comments to: -FDA on the training of health care providers on pain management and safe use of opioid analgesics

H.R. 1628, American Health Care Act/Better Care Reconciliation Act Issue: ACA repeal and replace legislation and Medicaid per capita cap and block grant provisions. S. 455, Restoring Rural Residencies Act of 2017 Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. Issue: Reauthorization of Title VII health professions programs Issue: Training in substance abuse, pain management. Strategies to prevent, identify, and treat opioid dependence Issue: 340B Drug Pricing Program Issue: Support the Hospitals Preparedness Program Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Regulation of Laboratory Developed Tests Issue: Potential nominations for presidential appointments Submitted comments to: -The Food and Drug Administration (FDA) on enhancing patient engagement efforts across FDA -FDA regarding the training of health care providers on pain management and safe use of opioid analgesics

Client expense: $1,156,000 · Firm income: Not reported

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R. 284/S. 1291; Restoring Rural Residencies Act, S. 455; Resident Physician Shortage Act of 2017, H.R. 2267/S. 1301; Building a Health Care Workforce for the Future Act, H.R. 2574

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

Government targets: Education, Dept of, HOUSE OF REPRESENTATIVES, SENATE

Medicare-Graduate Medical Education; HRSA THCGME Program; Advancing Medical Resident Training in Community Hospitals Act, H.R.284; Restoring Rural Residencies Act, S. 455.

Client expense: $90,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1628 American Health Care Act Issue: ACA repeal and replace legislation and Medcaid per capita cap and block grant provisions. S. 455 Restoring Rural Residencies Act of 2017 Issue: Support technical correction to increase access to physician services in rural communities by allowing teaching hospitals to count resident time spent in critical access hospitals for purposes of Medicare GME payments. Issue: Educate congressional staff on academic medicines missions, including education, research, patient care, GME, workforce, and physician shortages in rural and urban communities. Issue: Repeal and replace of Affordable Care Act. Support continuation high-quality affordable health insurance through preservation of current levels of health care coverage. Support programs and funds for safety-net providers. Issue: Reauthorization of Title VII health professions programs Issue: Training in substance abuse, pain management. Strategies to prevent, identify, and treat opioid dependence Issue: 340B Drug Pricing Program Issue: Support the Hospitals Preparedness Program Issue: Affirm the safety of vaccines Issue: Support the Patient Centered Outcomes Research Institute (PCORI) P.L. 114-255, 21st Century Cures Act Issue: Support Implementation of 21st Century Cures Act Issue: Promote resilience of health professionals Issue: Regulation of Laboratory Developed Tests Issue: Potential nominations for presidential appointments

Client expense: $763,000 · Firm income: Not reported