ABLE Age Adjustment Act

Implementation of the Achieving a Better Life Experience (ABLE) Act, P.L. 113-295 Improvements to ABLE Act ABLE Age Adjustment Act, S. 817 and H.R. 1874 Opposing repeal of the Johnson Amendment regarding political activity. "Tax Reform 2.0" (H.R.6760, H.R.6757, H.R.6756)

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

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

Preservation of Medicaid as an entitlement program and avoiding cuts, including per capita caps and block grants. Implementation of and improving the Achieving a Better Life Experience Act, P.L. 113-295, provisions added in P.L. 115-97. Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192 HCBS Settings Rule ABLE Age Adjustment Act, S. 817 and H.R. 1874

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

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

Medicaid block grant/per capita caps; Medicaid Funding Threats/Reform; ABLE Age Adjustment Act (H.R. 1874/S. 817); Extension of Money Follows the Person Rebalancing Demonstration Project and support for the Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act (also known as the EMPOWER Care Act, S.2227/H.R. 5306); Spousal Impoverishment Protections in the IMPROVE Act (H.R. 7217); Improving Access to Behavioral Health Information Technology Act (S. 1732/H.R. 3331) as included in H.R. 6, the Opioid package (the SUPPORT for Patients and Communities Act); Administration efforts regarding Opioid Use; Medicaid 1115 Waiver Applications to the Department of Health & Human Services; and Disabled Access Credit Expansion Act (S. 3469), Disability Employment Incentive Act (S. 3260).

Client expense: $192,770 · Firm income: Not reported

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

Implementation of the Achieving a Better Life Experience (ABLE) Act, P.L. 113-295 Improvements to ABLE Act ABLE Age Adjustment Act, S. 817 and H.R. 1874 Opposing repeal of the Johnson Amendment regarding political activity. "Tax Reform 2.0" (H.R.6760, H.R.6757, H.R.6756)

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

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

Preservation of Medicaid as an entitlement program and avoiding cuts, including per capita caps and block grants. Implementation of and improving the Achieving a Better Life Experience Act, P.L. 113-295, provisions added in P.L. 115-97. Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192 HCBS Settings Rule ABLE Age Adjustment Act, S. 817 and H.R. 1874

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

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

Support S. 817 the ABLE Age Adjustment Act.

Client expense: Not reported · Firm income: $75,000

Government targets: AMTRAK - Natl Railroad Passenger Corporation, Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Support S. 3459 Disabled Access Tax Credit Expansion Act Support the Disability Employment Incentive Act, S. 3260. Support Protect Medical Innovation Act of 2017, H.R. 184. Support H.R.1874/S. 817, ABLE Age Adjustment Act

Client expense: Not reported · Firm income: $75,000

Government targets: AMTRAK - Natl Railroad Passenger Corporation, Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Education, Dept of, Federal Communications Commission (FCC), Federal Emergency Management Agency (FEMA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

IRC sec. 529, 529A; and tax exempt financing issues; Issues related to taxation of municipal bonds; Tax Reform proposals; H.R. 1874, S. 817 (ABLE Age Adjustment Act), S. 1790; H.R. 5003; H.R. 6757, The Family Savings Act of 2018; Implementation of H.R. 1, Tax Cuts and Jobs Act, (P.L. 115-97); infrastructure and infrastructure financing proposals; H.R. 6760.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Continue to work with Sens. Hatch and Casey to introduce the TBI Act to reauthorize the bill. H.R. 6615 Traumatic Brain Injury Program Reauthorization Act of 2018 was introduced in the House by Reps. Pascrell and Rooney. Met with Senator Casey staff, Senate Health Education Labor and Pension Minority and Majority staff ABLE Age Adjustment Act S. 817, Sens. Capito, McCaskill S. 808 Sports Medicine Licensure Clarity Act letter of support to House Leadership Attended meetings to meet the new Commissioner on Disability, Julie Hocker at the Administration for Community Living Attended NIDILRR 40th anniversary event at HHS

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

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

Implementation of the Achieving a Better Life Experience (ABLE) Act, P.L. 113-295 Improvements to ABLE Act ABLE Age Adjustment Act, S. 817 and H.R. 1874 Opposing repeal of the Johnson Amendment regarding political activity. "Tax Reform 2.0" (H.R.6760, H.R.6757, H.R.6756)

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

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

Preservation of Medicaid as an entitlement program and avoiding cuts, including per capita caps and block grants. Implementation of and improving the Achieving a Better Life Experience Act, P.L. 113-295, provisions added in P.L. 115-97. Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192 HCBS Settings Rule ABLE Age Adjustment Act, S. 817 and H.R. 1874

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

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

HR 1874/S 817: ABLE (Achieving a Better Life Experience) Age Adjustment Act.

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

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

H.R. 1874/S. 817, the ABLE Age Adjustment Act H.R. 5536/S. 3459, the Disabled Access Credit Expansion Act

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

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

Medicaid block grant/per capita caps; Medicaid Funding Threats/Reform; ABLE Age Adjustment Act (H.R. 1874/S. 817); Extension of Money Follows the Person Demonstration Project and support for the Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act (also known as the EMPOWER Care Act, S.2227/H.R. 5306); Improving Access to Behavioral Health Information Technology Act (S. 1732/H.R. 3331) as included in H.R. 6, the Opioid package (the SUPPORT for Patients and Communities Act); Administration efforts regarding Opioid Use; Medicaid 1115 Waiver Applications to the Department of Health & Human Services; and Disabled Access Credit Expansion Act (S. 3469), Disability Employment Incentive Act (S. 3260).

Client expense: $203,078 · Firm income: Not reported

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

To Congress: - Urging Congress to block "short-term, limited-duration" insurance (STLD) insurance plans as proposed by the administration - Expressing support for the Health Equity and Accountability Act - Expressing support for the ABLE Age Adjustment Act (S. 817/HR 1874) - Expressing support for S. 3029/H.R. 6085, the PREEMIE Reauthorization Act of 2018 To the administration: - Comments to HHS, Labor, Treasury about proposed rule on STLD insuarnce plans (CMS-9924-P) - Urging FDA and HHS to finalize rule to ban electrical stimulation devices for treatment of autism - Urging HHS to evaluate work requirements before approving more Medicaid Sec. 1115 waivers - Urging CMS to rescind invitation to states to institute Medicaid work requirements - Comments on proposed rule re: Medicaid assessments of access in fee-for-service plans in states with high concentrations of managed care (CMS-2018-0031-0001) - Comments on proposed waiver for Florida to eliminate retroactive Medicaid eligibility - Expressing concern about Medicaid waiver proposals, impact on children's general and oral health - Urging HHS to implement RAISE Family Caregivers Act - General Family Voices statement urging the administration to promptly reunite immigrant children and families, to ensure proper health care for children with special health care needs, and to provide counseling and support to children and families after reunification

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

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), Labor, Dept of (DOL), SENATE, Treasury, Dept of

Support H.R. 1874 and S. 817 - ABLE Age Adjustment Act of 2017

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

Government targets: Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Homeland Security, Dept of (DHS), SENATE

Continue to work with Reps. Pascrell and Rooney and Sens. Hatch and Casey to introduce the TBI Act to reauthorize the bill. Submitted appropriations testimony to both the House and Senate Appropriation Committees in support of the TBI state grant program, the TBI Model Systems, and the CDC TBI programs. ABLE Age Adjustment Act S. 817, Senator Thune S. 808 Sports Medicine Licensure Clarity Act letter of support to Senate Leadership

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

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

ACE Kids Act(S. 428/H.R. 3325) NIH Research (H.R. 1625) ABLE Act Improvements (S. 817/H.R. 1874)

Client expense: Not reported · Firm income: $10,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support S. 817 the ABLE Age Adjustment Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Federal Aviation Administration (FAA), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Social Security Administration (SSA)

Implementation of the Achieving a Better Life Experience (ABLE) Act, P.L. 113-295 Improvements to ABLE Act ABLE Age Adjustment Act, S. 817 and H.R. 1874 Protection of the Johnson Amendment regarding political activity.

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

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

Preservation of Medicaid as an entitlement program and avoiding cuts, including per capita caps and block grants. Implementation of and improving the Achieving a Better Life Experience Act, P.L. 113-295, provisions added in P.L. 115-97. Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192 HCBS Settings Rule ABLE Age Adjustment Act, S. 817 and H.R. 1874

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

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

H.R. 1874/S. 817: ABLE (Achieving a Better Life Experience) Age Adjustment Act.

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

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

Medicaid block grant/per capita caps; Medicaid Funding Threats/Reform; opposition to the ADA Education and Reform Act (H.R. 620); ABLE Age Adjustment Act (H.R. 1874/S. 817); Extension of Money Follows the Person Demonstration Project and support for the Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act (also known as the EMPOWER Care Act, S.2227/H.R. 5306);; Improving Access to Behavioral Health Information Technology Act (S. 1732/H.R. 3331) and CONNECT for Health Act (S. 1016/H.R. 2556); Administration Efforts regarding Opioid Use; Medicaid 1115 Waiver Applications to the Department of Health & Human Services; and Funding for the Children's Health Insurance Program

Client expense: $184,521 · Firm income: Not reported

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

H.R. 1874/S. 817, the ABLE Age Adjustment Act H.R. 5536, the Disabled Access Credit Expansion Act

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

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

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

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

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

Implementation of the Achieving a Better Life Experience (ABLE) Act, P.L. 113-295 Improvements to ABLE Act ABLE Age Adjustment Act, S. 817 and H.R. 1874 Protection of the Johnson Amendment regarding political activity.

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

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

Preservation of Medicaid as an entitlement program and avoiding cuts, including per capita caps and block grants. Implementation of and improving the Achieving a Better Life Experience Act, P.L. 113-295, provisions added in P.L. 115-97. Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192 HCBS Settings Rule ABLE Age Adjustment Act, S. 817 and H.R. 1874 Permanently repealing Medicare Therapy Caps (H.R. 807, S. 253) Independence At Home 2 year extension (S. 464). Steve Gleason Act (S. 1132) to make permanent changes protecting access to speech generating devices.

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

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

ABLE Act improvement bills (S. 818/H.R. 1896, S. 816/H.R. 1897 and S. 817/H.R. 1874)

Client expense: Not reported · Firm income: $10,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1, relating to reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018, provisions relating to ABLE savings accounts, medical expense deduction, and orphan drug tax credit; S. 816/H.R. 1897, ABLE Financial Planning Act, relating to rollovers from 529 programs to ABLE accounts, all provisions; S. 817/H.R. 1874, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S. 818/H.R. 1896, ABLE to Work Act of 2017, relating to contribution limits for ABLE account beneficiaries who work, all provisions.

Client expense: Not reported · Firm income: $20,000

Government targets: Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

H.R. 1/P.L. 115-97, the Tax Cut and Jobs Act - provisions related to the deductibility of medical expenses, the orphan drug tax credit, the ABLE to Work Act (S. 818/H.R. 1896), and the ABLE Financial Planning Act (S. 816/H.R. 1897) S. 817/H.R. 1874 - ABLE Age Adjustment Act; H.R. 529, the 529 and ABLE Account Improvement Act

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

Government targets: Executive Office of the President (EOP), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT)

United Spinal Association, along with numerous other disability organizations, signed on to a letter encouraging Congressional bipartisan leadership and members of Congress to honor the original intent of the Stephen Beck, Jr. Achieving a Better Life Experience Act of 2014 (ABLE Act) and stand with the individuals with disabilities who are denied the opportunity to achieve a better life experience simply due to the age at which they became disabled. The letter requested, that the ABLE Age Adjustment Act (H.R. 1894/S. 817) be passed before, or concurrently with, any legislation that provides for further benefits to those already eligible for the program. The ABLE Age Adjustment Act would increase the age requirement from 26 to 46 as a first step to eliminating the age restrictions in allowing certain individuals with disabilities the opportunity to save resources in a tax advantaged savings account (an ABLE account) for the purposes of covering disability related expenses. The resources saved in an ABLE account are not taken into consideration when determining the individuals eligibility for federally funded means tested benefits, including Supplemental Security Income (SSI) and Medicaid. United Spinal is concerned about the movement of any legislation related to the ABLE Act that does not include a meaningful increase to the age requirement within the eligibility criteria of the law. It supports both the ABLE to Work Act (H.R. 1896/S. 818) and the ABLE Financial Planning Act (H.R. 1897/S. 816), however it opposes their movement absent the movement of the ABLE Age Adjustment Act. United Spinal, along with numerous other disability organizations, signed on to a letter addressed to the Senate and House Committees on Appropriations bipartisan leadership regarding Senate appropriations language considering eliminating the Ticket to Work Program. The letter detailed the disability communitys long-standing support for the Social Security Ticket to Work Program.

Client expense: Not reported · Firm income: $75,000

Government targets: AMTRAK - Natl Railroad Passenger Corporation, Federal Communications Commission (FCC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), SENATE, Transportation Security Administration (TSA), Transportation, Dept of (DOT), Veterans Affairs, Dept of (VA)

Preservation of Medicaid as an entitlement program and avoiding cuts, including per capita caps and block grants, opposing repeal of ACA & Medicaid Expansion. (American Health Care Act, HR 1628; BCRA) and all Senate substitutes to H.R. 1628. Implementation of and improving the Achieving a Better Life Experience Act, P.L. 113-295, provisions added in P.L. 115-97. Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192 HCBS Settings Rule Transition to Independence Medicaid Buy-In Option. ABLE Age Adjustment Act, S. 817 and H.R. 1874 ABLE Financial Planning Act, S. 816 and H.R. 1897 ABLE to Work Act, S. 818 and H.R. 1896 Benefit Enrollment Notification and Eligibility Simplification (BENES) Act of 2017 (H.R. 2575) (S. 1909) Permanently repealing Medicare Therapy Caps (H.R. 807, S. 253)

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

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

Implementation of the Achieving a Better Life Experience (ABLE) Act, P.L. 113-295 Improvements to ABLE Act ABLE Age Adjustment Act, S. 817 and H.R. 1874 ABLE Financial Planning Act, S. 816 and H.R. 1897 ABLE to Work Act, S. 818 and H.R. 1896 The Tax Cuts and Jobs Act (H.R. 1, P.L. 115-97)

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

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

H.R. 1, relating to reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018, provisions relating to ABLE savings accounts, medical expense deduction, and orphan drug tax credit; S. 816/H.R. 1897, ABLE Financial Planning Act, relating to rollovers from 529 programs to ABLE accounts, all provisions; S. 817/H.R. 1874, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S. 818/H.R. 1896, ABLE to Work Act of 2017, relating to contribution limits for ABLE account beneficiaries who work, all provisions; S. 2070/H.R. 4221, Kevin and Avonte's Law of 2017, relating to initiatives that reduce the risk of injury of children with autism who may wander, all provisions; S. 2237, EMPOWER Care Act, relating to reauthorizing the Money Follows the Person Demonstration Program, all provisions; H.R. 3199, Improving Access to Higher Education Act of 2017, relating to improving accessibility to, and completion of, post-secondary education, all provisions; H.R. 4508, PROSPER Act, relating to supporting students in completing an affordable post-secondary education, all provisions; H.R. 2353, Strengthening Career and Technical Education for the 21st Century Act, relating to career and technical education, all provisions; S. 1028/H.R. 3759, RAISE Family Caregivers Act, relating to the development of a family caregiving strategy, all provisions; S. 1827, KIDS Act of 2017, relating to funding for the Children's Health Insurance Program, all provisions; H.R. 3921, HEALTHY KIDS Act, relating to funding for the Children's Health Insurance Program, all provisions; Public Law 109-270, Carl D. Perkins Career and Technical Education Improvement Act of 2006, relating to career and technical education, all provisions; Public Law 110-315, Higher Education Opportunity Act of 2008, relating to post-secondary opportunities for students with autism, all provisions; Public Law 113-128, Workforce Innovation and Opportunity Act, relating to workforce development, all provisions; Public Law 113-157, Autism CARES Act of 2014, relating to autism research and services, all provisions; appropriations for autism and other scientific research; implementation of the Affordable Care Act as it affects people with autism; education and employment of and health care and housing for people with autism; Medicaid, Social Security, and other benefit programs that affect people with autism; early access to care for people with autism; financing for long-term services and supports; appropriations for the Congressionally Directed Medical Research Program autism program; Early and Periodic Screening, Diagnostic and Treatment benefit under title XIX of the Social Security Act; Final Rule CMS 2249-F and CMS 2296-F, related to long-term services and supports through home and community-based service programs, all provisions.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), SENATE

Medicaid Funding Threats; Medicaid Reimbursement; Medicare Reimbursement; Long-Term Care Financing Reform; Medicare; opposition to the ADA Education and Reform Act (H.R 620); ABLE Age Adjustment Act (H.R. 1874); ABLE to Work Act (H.R 1896); ABLE Financial Planning Act (H.R. 1897/S. 816); Able Age Adjustment Act (S. 817); Disability Integration Act (H.R. 2472/S. 910); Extension of Money Follows the Person Demonstration Project and support for the Ensuring Medicaid Provides Opportunities for Widespread Equity, Resources, and Care Act (S.2227); assorted Health Information Technology and Telehealth Legislation; RAISE Family Caregiver Act (S. 1028/ H.R. 3759); Improving Access to Behavioral Health Information Technology Act (S. 1732/H.R. 3331) and CONNECT for Health Act (S. 1732/H.R. 2556); RAISE Family Caregiver Act (S. 1028/H.R. 3759); Strong Families Act (S. 1829); and other Extender Issues (Medicare Therapy Caps Repeal, Maternal, Infant, and Early Childhood Home Visiting Program).

Client expense: $186,845 · Firm income: Not reported

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

ABLE Act improvement proposals (S. 818/H.R. 1896, S. 816/H.R. 1897 and S. 817/H.R. 1874)

Client expense: Not reported · Firm income: $10,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 816/H.R. 1897, ABLE Financial Planning Act, relating to rollovers from 529 programs to ABLE accounts, all provisions; S.817/H.R. 1874, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S.818/H.R. 1896, ABLE to Work Act of 2017, relating to contribution limits for ABLE account beneficiaries who work, all provisions

Client expense: Not reported · Firm income: $20,000

Government targets: Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

Health care issues affecting individuals with neuromuscular disease, including transitional health care, drug development, and newborn screening. H.R.2430/S. 934/P.L. 115-52 - FDA Reauthorization Act of 2017; H.R. 1628 - the American Health Care Act (AHCA) of 2017; the Better Care Reconciliation Act (BCRA); H.R. 750 - Ensuring Access to Quality Complex Rehabilitation Technology Act of 2017; S. 818/H.R. 1896 - ABLE to Work Act; S. 816/H.R. 1897 - ABLE Financial Planning Act; S. 817/H.R. 1874 - ABLE Age Adjustment Act; H.R. 529 - 529 and ABLE Account Improvement Act; S. 379/H.R. 1171 - ALS Disability Insurance Act

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

Government targets: Executive Office of the President (EOP), Federal Aviation Administration (FAA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Institutes of Health (NIH), SENATE, Transportation, Dept of (DOT)

Implementation of the Achieving a Better Life Experience (ABLE) Act, P.L. 113-295 Improvements to ABLE Act ABLE Age Adjustment Act, S. 817 and H.R. 1874 ABLE Financial Planning Act, S. 816 and H.R. 1897 ABLE to Work Act, S. 818 and H.R. 1896 Tax Reform Principles Tax credit scholarships - Educational Opportunities Act (S. 148, H.R. 895)

Client expense: $50,000 · 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, Social Security Administration (SSA)

Preservation of Medicaid as an entitlement program and avoiding cuts, including per capita caps and block grants, opposing repeal of ACA & Medicaid Expansion. (American Health Care Act, HR 1628; BCRA) and all Senate substitutes to H.R. 1628. Implementation of and improving the Achieving a Better Life Experience Act, P.L. 113-295 Implementation of the Affordable Care Act, P.L. 111-148 and P.L. 111-192 HCBS Settings Rule Transition to Independence Medicaid Buy-In Option. ABLE Age Adjustment Act, S. 817 and H.R. 1874 ABLE Financial Planning Act, S. 816 and H.R. 1897 ABLE to Work Act, S. 818 and H.R. 1896 Benefit Enrollment Notification and Eligibility Simplification (BENES) Act of 2017 (H.R. 2575) (S. 1909) Permanently repealing Medicare Therapy Caps (H.R. 807, S. 253) Improving Medicare local coverage decisions (H.R. 3655)

Client expense: $50,000 · 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, Social Security Administration (SSA)

H.R. 1628, American Health Care Act of 2017/Better Care Reconciliation Act of 2017, relating to reconciliation pursuant to title II of the concurrent resolution on the budget for fiscal year 2017, all provisions; S. 816/H.R. 1897, ABLE Financial Planning Act, relating to rollovers from 529 programs to ABLE accounts, all provisions; S. 817/H.R. 1874, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S. 818/H.R. 1896, ABLE to Work Act of 2017, relating to contribution limits for ABLE account beneficiaries who work, all provisions; H.R. 2353, Strengthening Career and Technical Education for the 21st Century Act, relating to career and technical education, all provisions; S. 1028/H.R. 3759, RAISE Family Caregivers Act, relating to the development of a family caregiving strategy, all provisions; S. 1827, KIDS Act of 2017, relating to funding for the Children's Health Insurance Program, all provisions; H.R. 3921, HEALTHY KIDS Act, relating to funding for the Children's Health Insurance Program, all provisions; Public Law 110-315, Higher Education Opportunity Act of 2008, relating to post-secondary opportunities for students with autism, all provisions; Public Law 113-128, Workforce Innovation and Opportunity Act, relating to workforce development, all provisions; Public Law 113-157, Autism CARES Act of 2014, relating to autism research and services, all provisions; implementation of the Affordable Care Act as it affects people with autism; education and employment of and health care and housing for people with autism; wandering by and safety of people with autism; Medicaid, Social Security, and other benefit programs that affect people with autism; early access to care for people with autism; GAO study related to the transition needs of and services for adults with autism; financing for long-term services and supports; appropriations for the Congressionally Directed Medical Research Program autism program; Early and Periodic Screening, Diagnostic and Treatment benefit under title XIX of the Social Security Act; Final Rule CMS 2249-F and CMS 2296-F, related to long-term services and supports through home and community-based service programs, all provisions.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), SENATE

Medicaid Funding Threats; Medicaid Reimbursement; Medicare Reimbursement; Long-Term Care Financing Reform; Better Care Reconciliation Act (H.R. 1628); Medicare; The American Health Care Act and McConnell substitute the Better Care Reconciliation Act that was part of HR 1628; the ADA Education and Reform Act (H.R 620); An extension of Money Follows the Person Demonstration Project (No bill has been introduced yet.); ABLE Age Adjustment Act (H.R. 1874); ABLE to Work Act (H.R 1896); ABLE Financial Planning Act (H.R. 1897/S. 816); Able Age Adjustment Act (S. 817); Disability Integration Act (H.R. 2472/S. 910); Independence at Home Act (S. 464); assorted Health Information Technology and Telehealth Legislation; RAISE Family Caregiver Act (S. 1028); Medicare Observation Stay legislation; and other Extender Issues (Medicare Therapy Caps, Maternal, Infant, and Early Childhood Home Visiting Program).

Client expense: $217,480 · Firm income: Not reported

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

ABLE Act improvement proposals (S. 818/H.R. 1896, S. 816/H.R. 1897 and S. 817/H.R. 1874)

Client expense: Not reported · Firm income: $10,500

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 816/H.R. 1897, ABLE Financial Planning Act, relating to rollovers from 529 programs to ABLE accounts, all provisions; S.817/H.R. 1874, ABLE Age Adjustment Act, relating to the eligible age for ABLE accounts, all provisions; S.818/H.R. 1896, ABLE to Work Act of 2017, relating to contribution limits for ABLE account beneficiaries who work, all provisions

Client expense: Not reported · Firm income: $20,000

Government targets: Education, Dept of, Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Natl Institute of Mental Health (NIMH), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE