Rural Access to Hospice Act of 2019

Hospice and Medicare Advantage; hospice payment reform; hospice alternative payment models;HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S.1921); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Coronavirus Aid, Relief, and Economic Security Act (S.3548); COVID-19 emergency funding and COVID-19 related legislation; Appropriations issues for veterans in hospice

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice alternative payment models;HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S.1921); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Coronavirus Aid, Relief, and Economic Security Act (S.3548); COVID-19 emergency funding and COVID-19 related legislation; Appropriations issues for veterans in hospice

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

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

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing, vaccines, and COVID-19 related legislation. Issues concerning hospice sequestration relief. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. Consolidated Appropriations Act, 2021 (H.R.133); ChiPACC Act of 2020 (H.R.9002); Medicare Sequester COVID Moratorium Act (H.R.8840); Compassionate Care Act (S.4945); HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S.4423/H.R.8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

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

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing, vaccines, and COVID-19 related legislation. Issues concerning hospice sequestration relief. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. Consolidated Appropriations Act, 2021 (H.R.133); ChiPACC Act of 2020 (H.R.9002); Medicare Sequester COVID Moratorium Act (H.R.8840); Compassionate Care Act (S.4945); HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S.4423/H.R.8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

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

Medicaid and Medicare payment for Health Centers; Telehealth legislation, including the Connect for Health Act of 2019 (S.2741/H.R.4932), Helping Ensure Access to Local Telehealth (HEALTH) Act of 2020 (H.R. 7187), Improving Telehealth for Underserved Communities Act (H.R. 6792/ S. 3998), Protecting Access to Post-COVID-19 Telehealth Act of 2020 Rural Access to Hospice Act (H.R.2594/S.1190); H.R.5693 - Primary Health Services Enhancement Act; Coronavirus Medicaid Response Act (S. 4108); Consolidated Appropriations Act of 2021(H.R.133).

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

S. 433/H.R. 2573, Home Health Payment Innovation Act. S. 296/H.R. 2150, Home Health Care Planning Improvement Act. Oppose home health and hospice payment cuts and co-pays. Recognition and payment for telehealth services under Medicare and Medicaid. Home health rural add-on payment adjustment. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. S. 2080/H.R. 647, Palliative Care and Hospice Education and Training Act. S. 1190/H.R. 2594, Rural Access to Hospice Act. S. 995, Lifespan Respite Reauthorization Act. Medicare outreach and enrollment efforts to low-income beneficiaries. H.R. 2878/S. 3261 , Homecare for Seniors Act. Hospice quality of care and survey reforms. Medicaid payment and eligibility policy. Medicaid Money Follows the Person. Medicaid protections against spousal impoverishments. Medicare Home Infusion Therapy Benefit. S. 2741/ H.R. 4932, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act. S. 2807, Hospice Care Improvement Act of 2019. H.R. 5821, HOSPICE Act. Administration for Community Living falls prevention program. H.R. 6201, Families First Coronavirus Response Act. Implementation of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Pub. L. No. 116-136. Implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, Pub. L. No. 116-123. Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, homebound status, Medicare Sequestration, and Physician Assistants conducting hospice face-to-face. Medicare Home Health Payment Policy. H.R. 133, Consolidated Appropriations Act, 2021, provisions impacting home care and hospice. H.R. 8677/S. 4854, Home Health Emergency Access to Telehealth Act. S. 4945, Compassionate Care Act.

Issues related to reimbursement for the Medicare hospice benefit; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647/S. 2080); Rural Access to Hospice Act (S. 1190/H.R. 2594); Provider Training in Palliative Care Act (S. 1921); Hospice program integrity; Hospice Care Improvement Act (S. 2807); the Helping Our Senior Population in Comfort Environments Act (HOSPICE Act, H.R. 5821); Issues impacting the hospice provider community related to COVID-19; Implementation of CARES Act (Public Law No: 116-136); the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act/H.R. 6800); Issues concerning Medicare Advantage and the hospice benefit; COVID-19 Hospice Respite Care Relief Act of 2020 (H.R.8322/S. 4423); the CONNECT for Health Act of 2019(H.R.4932/S. 2741).

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; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647/S. 2080); Rural Access to Hospice Act (S. 1190/H.R. 2594); Provider Training in Palliative Care Act (S. 1921); Hospice program integrity; Hospice Care Improvement Act (S. 2807); the Helping Our Senior Population in Comfort Environments Act (HOSPICE Act, H.R. 5821); Issues impacting the hospice provider community related to COVID-19; Implementation of CARES Act (Public Law No: 116-136); the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act/H.R. 6800); Issues concerning Medicare Advantage and the hospice benefit; COVID-19 Hospice Respite Care Relief Act of 2020 (H.R.8322/S. 4423); the CONNECT for Health Act of 2019(H.R.4932/S. 2741).

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 concerning access to the Medicare hospice benefit. S. 1190 / H.R. 2594, Rural Access to Hospice Act of 2019 and issues involving access to hospice for Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) patients. Issues regarding reimbursement for the Medicare hospice benefit. Issues related to community based palliative care and advanced care illness management. Issues related to regulatory relief. S. 2807, Hospice Care Improvement Act of 2019, H.R. 5821, Helping Our Senior Population in Comfort Environments Act, and issues regarding hospice program integrity. Issues concerning Medicare Advantage and the hospice benefit. S. 4423 / H.R. 8322, COVID-19 Hospice Respite Care Relief Act of 2020 and issues involving inpatient respite care. Issues involving hospice providers and The Cares Act provider relief fund. Issues related to the corona virus. S. 2741 / H.R. 4931, CONNECT for Health Act of 2019, as it relates to use of telehealth in the recertification of a beneficiary for the hospice benefit. Monitored H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act. H.R. 133, The Continuing Appropriations Act of 2021, including issues regarding rural access to hospice services, program integrity, Medicare sequestration relief and the hospice aggregate cap.

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

Support H.R.1265 &H.R.4468 - Nursing Home Workforce Quality Act- to end the mandatory certified nursing assistant training lock out. Support H.R.1343 Protecting Married Seniors from Impoverishment Act, to extend the Money Follows the Person Act and protection against impoverishment for spouses of Medicaid beneficiaries receiving long term services and supports at home. Support H.R.1342 - EMPOWER Care Act, to reauthorize Money Follows the Person for 5 years. Support H.R 1682/S. 753- Improving Access to Medicare Coverage Act of 2019, to solve the Medicare "observation days" issue by counting all time a beneficiary spends in a hospital toward the 3-day stay requirement for coverage of post-acute care. Support H.R 6698- Quality Care for Nursing Home Residents and Workers During COVID-19 Act Support H.R.2594/ S.1190 - Rural Access to Hospice Act of 2019 Support H.R 2150, Home Health Care Planning Improvement Act Support H.R.4063 - Medicare Adult Day Services Act of 2019 Support- H.R.748 - CARES Act Support H.R.5821 - HOSPICE Act Support S. 3544 Coronavirus Relief for Seniors and People with Disabilities Act of 2020 Support H.R. 6305 Coronavirus Relief for Seniors and People with Disabilities Act of 2020 Support H.R 8727/S.4375 Telehealth Modernization Act Support H.R 7663 Protecting Access to Post COVID-19 Telehealth Act of 2020

Client expense: $31,167 · Firm income: Not reported

Medicaid and Medicare payment for Health Centers; Telehealth legislation, including the Connect for Health Act of 2019 (S.2741/H.R.4932), Helping Ensure Access to Local Telehealth (HEALTH) Act of 2020 (H.R. 7187), Improving Telehealth for Underserved Communities Act (H.R. 6792/ S. 3998), Protecting Access to Post-COVID-19 Telehealth Act of 2020 Rural Access to Hospice Act (H.R.2594/S.1190); H.R.5693 - Primary Health Services Enhancement Act; Coronavirus Medicaid Response Act (S. 4108).

Client expense: $200,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Issues related to reimbursement for the Medicare hospice benefit; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647/S. 2080); Rural Access to Hospice Act (S. 1190/H.R. 2594); Provider Training in Palliative Care Act (S. 1921); Hospice program integrity; Hospice Care Improvement Act (S. 2807); the Helping Our Senior Population in Comfort Environments Act (HOSPICE Act, H.R. 5821); Issues impacting the hospice provider community related to COVID-19; Implementation of CARES Act (Public Law No: 116-136); the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act/H.R. 6800); Issues concerning Medicare Advantage and the hospice benefit; COVID-19 Hospice Respite Care Relief Act of 2020 (H.R.8322/S. 4423); the CONNECT for Health Act of 2019(H.R.4932/S. 2741).

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; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647/S. 2080); Rural Access to Hospice Act (S. 1190/H.R. 2594); Provider Training in Palliative Care Act (S. 1921); Hospice program integrity; Hospice Care Improvement Act (S. 2807); the Helping Our Senior Population in Comfort Environments Act (HOSPICE Act, H.R. 5821); Issues impacting the hospice provider community related to COVID-19; Implementation of CARES Act (Public Law No: 116-136); the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act/H.R. 6800); Issues concerning Medicare Advantage and the hospice benefit; COVID-19 Hospice Respite Care Relief Act of 2020 (H.R.8322/S. 4423); the CONNECT for Health Act of 2019(H.R.4932/S. 2741).

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

S. 433/H.R. 2573, Home Health Payment Innovation Act. S. 296/H.R. 2150, Home Health Care Planning Improvement Act. Oppose home health and hospice payment cuts and co-pays. Recognition and payment for telehealth services under Medicare and Medicaid. Home health rural add-on payment adjustment. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. S. 2080/H.R. 647, Palliative Care and Hospice Education and Training Act. S. 1190/H.R. 2594, Rural Access to Hospice Act. S. 995, Lifespan Respite Reauthorization Act. Medicare outreach and enrollment efforts to low-income beneficiaries. H.R. 2878/S. 3261 , Homecare for Seniors Act. Hospice quality of care and survey reforms. Medicaid payment and eligibility policy. Medicaid Money Follows the Person. Medicaid protections against spousal impoverishments. Medicare Home Infusion Therapy Benefit. S. 2741/ H.R. 4932, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act. S. 2807, Hospice Care Improvement Act of 2019. H.R. 5821, HOSPICE Act. Administration for Community Living falls prevention program. H.R. 6201, Families First Coronavirus Response Act. Implementation of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Pub. L. No. 116-136. Implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, Pub. L. No. 116-123. Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, homebound status, Medicare Sequestration, and Physician Assistants conducting hospice face-to-face. Medicare Home Health Payment Policy.

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

Issues concerning access to the Medicare hospice benefit. S. 1190 / H.R. 2594, Rural Access to Hospice Act of 2019 and issues involving access to hospice for Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) patients. Issues regarding reimbursement for the Medicare hospice benefit. Issues related to advanced care illness management. Issues related to regulatory relief. S. 2807, Hospice Care Improvement Act of 2019, H.R. 5821, Helping Our Senior Population in Comfort Environments Act, and issues regarding hospice program integrity. Issues concerning Medicare Advantage and the hospice benefit. Issues involving palliative care and issues involving inpatient respite care. Issues involving hospice providers and The Cares Act provider relief fund. Issues related to the corona virus.

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

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

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing and COVID-19 related legislation. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S. 2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S. 4423/H.R. 8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); CARES Act (H.R. 748); HEROES Act (H.R. 6200); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

Client expense: $178,000 · Firm income: Not reported

Issues concerning the Medicare Hospice Benefit and children's hospice issues. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, extension of the public health emergency, testing and COVID-19 related legislation. Issues related to telehealth flexibilities and regulatory flexibilities granted under the public health emergency. Issues involving hospice providers and tax treatment and reporting requirements of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues concerning Medicare Advantage Value-Based Insurance Design. Issues pertaining to the hospice election statement and election statement addendum. HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S. 2807); Rural Access to Hospice Act (H.R.2594/S.1190); COVID-19 Hospice Respite Care Relief Act of 2020 (S. 4423/H.R. 8322); CONNECT Act (S. 2741/H.R. 4932); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S. 1921); CARES Act (H.R. 748); HEROES Act (H.R. 6200); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Eliminating the Provider Relief Fund Tax Penalties Act of 2020 (H.R.7819); National Hospice and Palliative Care Month Proclamation Request and Senate Resolution

Client expense: $178,000 · Firm income: Not reported

Support H.R.1265 &H.R.4468 - Nursing Home Workforce Quality Act- to end the mandatory certified nursing assistant training lock out. Support H.R.1343 Protecting Married Seniors from Impoverishment Act, to extend the Money Follows the Person Act and protection against impoverishment for spouses of Medicaid beneficiaries receiving long term services and supports at home. Support H.R.1342 - EMPOWER Care Act, to reauthorize Money Follows the Person for 5 years. Support H.R 1682/S. 753- Improving Access to Medicare Coverage Act of 2019, to solve the Medicare "observation days" issue by counting all time a beneficiary spends in a hospital toward the 3-day stay requirement for coverage of post-acute care. Support H.R 6698- Quality Care for Nursing Home Residents and Workers During COVID-19 Act Support H.R.2594/ S.1190 - Rural Access to Hospice Act of 2019 Support H.R 2150, Home Health Care Planning Improvement Act Support H.R.4063 - Medicare Adult Day Services Act of 2019 Support- H.R.748 - CARES Act Support H.R.5821 - HOSPICE Act Support S. 3544 Coronavirus Relief for Seniors and People with Disabilities Act of 2020 Support H.R. 6305 Coronavirus Relief for Seniors and People with Disabilities Act of 2020

Client expense: $65,513 · Firm income: Not reported

Issues concerning access to the Medicare hospice benefit. S. 1190 / H.R. 2594, Rural Access to Hospice Act of 2019 and issues involving access to hospice for Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) patients. Issues regarding reimbursement for the Medicare hospice benefit. Issues related to community based palliative care and advanced care illness management. Issues related to regulatory relief. S. 2807, Hospice Care Improvement Act of 2019, H.R. 5821, Helping Our Senior Population in Comfort Environments Act, and issues regarding hospice program integrity. Issues concerning Medicare Advantage and the hospice benefit. S. 4423 / H.R. 8322, COVID-19 Hospice Respite Care Relief Act of 2020 and issues involving inpatient respite care. Issues involving hospice providers and The Cares Act provider relief fund. Issues related to the corona virus. S. 2741 / H.R. 4931, CONNECT for Health Act of 2019 as it relates to use of telehealth in the recertification of a beneficiary for the hospice benefit. Monitored H.R. 8337, Continuing Appropriations Act, 2021 and Other Extensions Act.

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

Medicaid and Medicare payment for Health Centers; Telehealth legislation, including the Connect for Health Act of 2019 (S.2741/H.R.4932), Helping Ensure Access to Local Telehealth (HEALTH) Act of 2020 (H.R. 7187), Improving Telehealth for Underserved Communities Act (H.R. 6792/ S. 3998), Protecting Access to Post-COVID-19 Telehealth Act of 2020 Rural Access to Hospice Act (H.R.2594/S.1190); H.R.5693 - Primary Health Services Enhancement Act; Coronavirus Medicaid Response Act (S. 4108).

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Issues related to reimbursement for the Medicare hospice benefit; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647/ S. 2080); Rural Access to Hospice Act (S. 1190/H.R. 2594); Provider Training in Palliative Care Act (S. 1921); Hospice program integrity; S. 2807, the Hospice Care Improvement Act; H.R. 5821, the Helping Our Senior Population in Comfort Environments Act (HOSPICE Act); Issues impacting the hospice provider community related to COVID-19; Implementation of CARES Act (Public Law No: 116-136); the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act/H.R. 6800).

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; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647/ S. 2080); Rural Access to Hospice Act (S. 1190/H.R. 2594); Provider Training in Palliative Care Act (S. 1921); Hospice program integrity; S. 2807, the Hospice Care Improvement Act; H.R. 5821, the Helping Our Senior Population in Comfort Environments Act (HOSPICE Act); Issues impacting the hospice provider community related to COVID-19; Implementation of CARES Act (Public Law No: 116-136); the Health and Economic Recovery Omnibus Emergency Solutions Act (HEROES Act/H.R. 6800).

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 concerning access to the Medicare hospice benefit. S. 1190 / H.R. 2594, Rural Access to Hospice Act of 2019 and issues involving access to hospice for Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) patients. Issues regarding reimbursement for the Medicare hospice benefit. Issues related to advanced care illness management. Issues related to regulatory relief. S. 2807, Hospice Care Improvement Act of 2019, H.R. 5821, Helping Our Senior Population in Comfort Environments Act, and issues regarding hospice program integrity. Issues concerning Medicare Advantage and the hospice benefit. Issues involving palliative care and issues involving inpatient respite care. Issues involving hospice providers and The Cares Act provider relief fund. Issues related to the corona virus.

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

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

Issues concerning access to the Medicare hospice benefit. S. 1190 / H.R. 2594, Rural Access to Hospice Act of 2019 and issues involving access to hospice for Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) patients. Issues regarding reimbursement for the Medicare hospice benefit. Issues related to advanced care illness management. Issues related to regulatory relief. S. 2807, Hospice Care Improvement Act of 2019, H.R. 5821, Helping Our Senior Population in Comfort Environments Act, and issues regarding hospice program integrity. Coronavirus Aid, Relief and Economic Security Cares Act, P.L. 116-136, as it relates to COVID-19 funding for hospices.

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

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

Support H.R.1265 &H.R.4468 - Nursing Home Workforce Quality Act- to end the mandatory certified nursing assistant training lock out. Support H.R.1343 Protecting Married Seniors from Impoverishment Act, to extend the Money Follows the Person Act and protection against impoverishment for spouses of Medicaid beneficiaries receiving long term services and supports at home. Support H.R.1342 - EMPOWER Care Act, to reauthorize Money Follows the Person for 5 years. Support H.R 1682/S. 753- Improving Access to Medicare Coverage Act of 2019, to solve the Medicare "observation days" issue by counting all time a beneficiary spends in a hospital toward the 3-day stay requirement for coverage of post-acute care. Support H.R 6698- Quality Care for Nursing Home Residents and Workers During COVID-19 Act Support H.R.2594/ S.1190 - Rural Access to Hospice Act of 2019 Support H.R 2150, Home Health Care Planning Improvement Act Support H.R.4063 - Medicare Adult Day Services Act of 2019 Support- H.R.748 - CARES Act Support H.R.5821 - HOSPICE Act Support S. 3544 Coronavirus Relief for Seniors and People with Disabilities Act of 2020 Support H.R. 6305 Coronavirus Relief for Seniors and People with Disabilities Act of 2020

Client expense: $97,055 · Firm income: Not reported

S. 433/H.R. 2573, Home Health Payment Innovation Act. S. 296/H.R. 2150, Home Health Care Planning Improvement Act. Oppose home health and hospice payment cuts and co-pays. Recognition and payment for telehealth services under Medicare and Medicaid. Home health rural add-on payment adjustment. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. S. 2080/H.R. 647, Palliative Care and Hospice Education and Training Act. S. 1190/H.R. 2594, Rural Access to Hospice Act. S. 995, Lifespan Respite Reauthorization Act. Medicare outreach and enrollment efforts to low-income beneficiaries. H.R. 2878/S. 3261 , Homecare for Seniors Act. Hospice quality of care and survey reforms. Medicaid payment and eligibility policy. Medicaid Money Follows the Person. Medicaid protections against spousal impoverishments. Medicare Home Infusion Therapy Benefit. S. 2741/ H.R. 4932, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act. S. 2807, Hospice Care Improvement Act of 2019. H.R. 5821, HOSPICE Act. Administration for Community Living falls prevention program. H.R. 6201, Families First Coronavirus Response Act. Implementation of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Pub. L. No. 116-136. Implementation of the Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, Pub. L. No. 116-123. Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, homebound status, Medicare Sequestration, and Physician Assistants conducting hospice face-to-face.

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

Issues concerning the Medicare Hospice Benefit. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, COVID-19 related legislation, telehealth flexibilities, regulatory flexibilities granted under the public health emergency, and extension of the public health emergency. Issues involving hospice providers and tax treatment of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues related to palliative care for seriously ill children. Issues concerning Medicare Advantage Value Based Insurance Design. Issues related to reasonable liability protections. HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S.1921); CARES Act (H.R. 748); HEROES Act (H.R. 6200); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); National Hospice and Palliative Care Month Proclamation Request

Client expense: $170,000 · Firm income: Not reported

Issues concerning the Medicare Hospice Benefit. Issues concerning hospice payment and alternative payment models. Issues related to advanced care illness management. Issues involving inpatient respite care, bereavement funding, palliative care and a community-based palliative care demonstration. Issues related to COVID-19 emergency funding, COVID-19 related legislation, telehealth flexibilities, regulatory flexibilities granted under the public health emergency, and extension of the public health emergency. Issues involving hospice providers and tax treatment of the CARES Act Public Health and Social Services Emergency Fund. Issues concerning hospice program integrity. Issues related to palliative care for seriously ill children. Issues concerning Medicare Advantage Value Based Insurance Design. HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S.1921); CARES Act (H.R. 748); HEROES Act (H.R. 6200); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); National Hospice and Palliative Care Month Proclamation Request

Client expense: $170,000 · Firm income: Not reported

Issues related to home health payment systems, S. 433- Home Health Payment Innovation Act of 2019, S. 1190- Rural Access to Hospice Act of 2019, S. 296- Home Health Care Planning Improvement Act of 2019, H.R. 6201- Families First Coronavirus Response Act, H.R. 748- CARES Act, COVID-19 Response Efforts, Telehealth payments for home health episodes, CARES Act Implementation

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

S. 433/H.R. 2573, Home Health Payment Innovation Act. S. 296/H.R. 2150, Home Health Care Planning Improvement Act. Oppose home health and hospice payment cuts and co-pays. Recognition and payment for telehealth services under Medicare and Medicaid. Home health rural add-on payment adjustment. Value based purchasing and bundling. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. S. 2080/H.R. 647, Palliative Care and Hospice Education and Training Act. S. 1190/H.R. 2594, Rural Access to Hospice Act. S. 995, Lifespan Respite Reauthorization Act. Medicare outreach and enrollment efforts to low-income beneficiaries. H.R. 2878/S. 3261 , Homecare for Seniors Act. Hospice quality of care and survey reforms. Medicaid payment and eligibility policy. Medicaid Money Follows the Person. Medicaid protections against spousal impoverishments. Medicare Home Infusion Therapy Benefit. S. 2741/ H.R. 4932, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act. S. 2807, Hospice Care Improvement Act of 2019. H.R. 5821, HOSPICE Act. Administration for Community Living falls prevention program. H.R. 6201, Families First Coronavirus Response Act. H.R. 748/S. 3548, Coronavirus Aid, Relief, and Economic Security (CARES) Act. H.R. 6074,Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020. Federal response to coronavirus pandemic, including: regulatory relief, PPE, testing, telehealth, Medicaid reimbursement, homebound status, Medicare Sequestration, and Physician Assistants conducting hospice face-to-face.

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

Support H.R.1265 &H.R.4468 - Nursing Home Workforce Quality Act- to end the mandatory certified nursing assistant training lock out. Support H.R.1343 Protecting Married Seniors from Impoverishment Act, to extend the Money Follows the Person Act and protection against impoverishment for spouses of Medicaid beneficiaries receiving long term services and supports at home. Support H.R.1342 - EMPOWER Care Act, to reauthorize Money Follows the Person for 5 years. Support H.R 1682/S. 753- Improving Access to Medicare Coverage Act of 2019, to solve the Medicare "observation days" issue by counting all time a beneficiary spends in a hospital toward the 3-day stay requirement for coverage of post-acute care. Support H.R.2594/ S.1190 - Rural Access to Hospice Act of 2019 Support H.R 2150, Home Health Care Planning Improvement Act Support H.R.4063 - Medicare Adult Day Services Act of 2019 Support- H.R.748 - CARES Act Support H.R.5821 - HOSPICE Act

Client expense: $49,764 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid and Medicare payment for Health Centers; Telehealth legislation, including the Connect for Health Act of 2019 (S.2741/H.R.4932); Rural Access to Hospice Act (H.R.2594/S.1190); H.R.5693 - Primary Health Services Enhancement Act.

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

Issues concerning access to the Medicare hospice benefit. S. 1190 / H.R. 2594, Rural Access to Hospice Act of 2019 and issues involving access to hospice for Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) patients. Issues regarding reimbursement for the Medicare hospice benefit. Issues related to advanced care illness management. Issues related to regulatory relief. S. 2807, Hospice Care Improvement Act of 2019, H.R. 5821, Helping Our Senior Population in Comfort Environments Act, and issues regarding hospice program integrity. Coronavirus Aid, Relief and Economic Security Cares Act, P.L. 116-136, as it relates to COVID-19 funding for hospices.

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice alternative payment models;HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S.1921); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Coronavirus Aid, Relief, and Economic Security Act (S.3548); COVID-19 emergency funding and COVID-19 related legislation; Appropriations issues for veterans in hospice

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

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

Hospice and Medicare Advantage; hospice payment reform; hospice alternative payment models;HOSPICE Act (H.R. 5821); Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S.1921); Strengthening Innovation in Medicare and Medicaid Act (H.R.5741); Coronavirus Aid, Relief, and Economic Security Act (S.3548); COVID-19 emergency funding and COVID-19 related legislation; Appropriations issues for veterans in hospice

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

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

Issues related to reimbursement for the Medicare hospice benefit; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647 / S. 2080); Rural Access to Hospice Act (S. 1190 / H.R. 2594); Provider Training in Palliative Care Act (S. 1921); Hospice program integrity; S. 2807/ , the Hospice Care Improvement Act; H.R. 5821, the Helping Our Senior Population in Comfort Environments Act (HOSPICE Act); Issues impacting the hospice provider community related to COVID-19; H.R. 748/S. 3548 - Coronavirus Aid, Relief, and Economic Security (CARES) Act.

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; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647 / S. 2080); Rural Access to Hospice Act (S. 1190 / H.R. 2594); Provider Training in Palliative Care Act (S. 1921); Hospice program integrity; S. 2807/ , the Hospice Care Improvement Act; H.R. 5821, the Helping Our Senior Population in Comfort Environments Act (HOSPICE Act); Issues impacting the hospice provider community related to COVID-19; H.R. 748/S. 3548 - Coronavirus Aid, Relief, and Economic Security (CARES) Act.

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

Support H.R.1265 &H.R.4468 - Nursing Home Workforce Quality Act- to end the mandatory certified nursing assistant training lock out. Support H.R.1343 Protecting Married Seniors from Impoverishment Act, to extend the Money Follows the Person Act and protection against impoverishment for spouses of Medicaid beneficiaries receiving long term services and supports at home. Support H.R.1342 - EMPOWER Care Act, to reauthorize Money Follows the Person for 5 years. Support H.R 1682/S. 753- Improving Access to Medicare Coverage Act of 2019, to solve the Medicare "observation days" issue by counting all time a beneficiary spends in a hospital toward the 3-day stay requirement for coverage of post-acute care. Support H.R.2594/ S.1190 - Rural Access to Hospice Act of 2019 Support H.R 2150, Home Health Care Planning Improvement Act Support H.R.4063 - Medicare Adult Day Services Act of 2019

Client expense: $42,017 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicaid and Medicare payment for Health Centers; Medicaid quality reporting; Telehealth legislation; Rural Access to Hospice Act(H.R.2594/S.1190); Connect for Health Act of 2019 (S.2741/H.R.4932); Strengthening our Rural Health Workforce Act of 2019 (S.2902)

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

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), Office of Management & Budget (OMB), SENATE, White House Office

S. 433/H.R. 2573, Home Health Payment Innovation Act. S. 296/H.R. 2150, Home Health Care Planning Improvement Act. Oppose home health and hospice payment cuts and co-pays. Recognition and payment for telehealth services under Medicare and Medicaid. Home health rural add-on payment adjustment. Value based purchasing and bundling. Home Health Review Choice Demonstration Program. Hospice payment policy. CMMI VBID Medicare Advantage Carve-in proposal. S. 2080/H.R. 647, Palliative Care and Hospice Education and Training Act. S. 829, Removing Barriers to Person- and Family-Centered Care Act. S. 1190/H.R. 2594, Rural Access to Hospice Act. H.R. 1839, Medicaid Services Investment and Accountability Act. H.R. 3253, Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act. Lifespan Respite Reauthorization Act. Medicare outreach and enrollment efforts to low-income beneficiaries. H.R. 2878, Homecare for Seniors Act. Hospice quality of care and survey reforms. Medicare Time-limited equitable relief. Medicaid payment and eligibility policy. Medicaid Money Follows the Person. Medicaid protections against spousal impoverishments. Increasing the federal budgetary caps as mandated by the Budget Control Act of 2011. Medicare Home Infusion Therapy Benefit. S. 2765, Bipartisan Congressional Budget Reform Act. S. 2741/ H.R. 4932, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act. S. 2807, Hospice Care Improvement Act of 2019. Extending Medicaid funding in US territories.

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

Issues concerning access to the Medicare hospice benefit. S. 1190 / H.R. 2594, Rural Access to Hospice Act of 2019 and issues involving access to hospice for Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) patients. Issues regarding reimbursement for the Medicare hospice benefit. Issues related to advanced care illness management. Issues related to regulatory relief. S. 2807, Hospice Care Improvement Act of 2019 and issues regarding hospice program integrity.

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

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

Issues related to reimbursement for the Medicare hospice benefit; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647 / S. 2080); Rural Access to Hospice Act (S. 1190 / H.R. 2594); Patient Choice & Quality Care Act; Provider Training in Palliative Care Act (S. 1921). Hospice program integrity; S. 2807, the Hospice Care Improvement Act.

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; Palliative Care and Hospice Education and Training Act (PCHETA) (H.R. 647 / S. 2080); Rural Access to Hospice Act (S. 1190 / H.R. 2594); Patient Choice & Quality Care Act; Provider Training in Palliative Care Act (S. 1921). Hospice program integrity; S. 2807, the Hospice Care Improvement Act.

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

Hospice and Medicare Advantage; hospice payment reform; hospice alternative payment models; hospice program integrity; Hospice Care Improvement Act of 2019 (S.2807); Rural Access to Hospice Act (H.R.2594/S.1190); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S.1921); National Hospice and Palliative Care Month Proclamation

Client expense: $193,000 · Firm income: Not reported

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

Hospice and Medicare Advantage; hospice payment reform; hospice alternative payment models; hospice program integrity; Hospice Care Improvement Act of 2019 (S.2807) Rural Access to Hospice Act (H.R.2594/S.1190); Palliative Care and Hospice Education and Training Act (H.R.647/S.2080); Provider Training in Palliative Care Act (S.1921); National Hospice and Palliative Care Month Proclamation

Client expense: $193,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, 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; H.R. 2573/S. 433 - Home Health Payment Innovation Act of 2019; CMMI Home Health Value Based Purchasing Demonstration; CMMI Value Based Insurance Design Demonstration; S. 296/H.R. 2150 - Home Care Planning & Improvement Act; S. 2080/H.R. 647 - Enhance Palliative and Hospice Education and Training Act; S. 1190/H.R. 2594 - Rural Access to Hospice Act 2019; S. 1725/H.R. 3127 - Home Health Flexibility Act 2019; S. 2807 - Hospice Care Improvement Act of 2019.

Client expense: $240,000 · 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