Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019

Medicare reimbursement including incident to billing; Medicare hospice restrictions; transparency; Veterans health care; opioid addiction treatment; Medication Access and Training Expansion (MATE) Act (S. 4640, HR 4974) H.R. 808/S. 237 - promoting access to diabetic shoes; S. 596/H.R. 1052 - PA direct payment; H.R. 900 - ACO Assignment Improvement Act; Telehealth, Cardiac and Pulmonary Rehabilitation and Care Act (S. 2842, HR 3911), Implementation issues with respect to H.R. 6201 - Families First Corona Virus Response Act; H.R. 748 - Corona Virus Relief and Economic Security Act (CARES)and Home Healthcare Planning and Improvement Act; H.R. 6800 - the Heroes Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Emergency federal response to COVID-19 (including the year-end funding and COVID relief package, HR 133), Medicare reimbursement and incident to billing, Medicare hospice restrictions, transparency, healthcare competition, PA Direct Payment Act (S 596, HR 1052), implementation of home health provisions and other provisions of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Promoting Access to Diabetic Shoes Act (S 237, HR 808), the Mainstreaming Addiction Treatment Act (S 2074, HR 2482), Medication Access and Training Expansion Act (S 4640, HR 4974), Increasing Access to Quality Cardiac Rehabilitation Care Act (S 2842, HR 3911), ACO Assignment Improvement Act (HR 900), PA Educational and Workforce Training Programs, eligibility of PAs to participate in National Health Service Corps Student to Service Program, surprise billing, Rural Health Clinic Modernization Act (S 1037 HR 2788), medical record documentation, federal PA workforce issues at the Departments of Veterans Affairs and Defense, Indian Health Services, and Bureau of Prisons, and requirements and restrictions related to federal DEA waivers to prescribe buprenorphine to treat opioid use disorder, ensuring PAs considered primary care and behavioral health providers (S 2793, HR 2774, HR 5575), Effective Suicide Screening and Assessment in the Emergency Department Act (S 3006, HR 4861)

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

H.R. 6390/S.3568 - Medical Supply Chain Emergency Act of 2020 H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act Provider Non-Discrimination and Network Adequacy S. 2074, HR 2482. Mainstreaming Addiction Treatment Act of 2019 H.R. 4974/S.4640 - Medication Access and Training Expansion (MATE) Act Reducing Regulatory Burdens - Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R.6800 - The Heroes Act H.R.6809 - Nurse Workforce Protection Act of 2020 Support for public health infrastructure Disproportionate impact of COVID-19 on communities of color Emergency Relief Fund support Nursing role in COVID-19 vaccine development, production, and distribution H.R. 8061 - Community Immunity During COVID-19 Act S.4315 - TRACE Act Issues surrounding maternal vaccinations S.4112 - Coronavirus Child Care and Education Relief Act Support for school nurses H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act Personal Protective Equipment Standards and access to Personal Protective Equipment, including supply chain issues Mental health resources for nurses No Surprises Act Protect Our Heroes Act of 2020 Issues surrounding COVID-19 vaccine distribution and administration H.R. 133 - Consolidated Appropriations Act, 2021

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

H.R. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act [P.L. No. 116-136] H.R. 2150/S. 296 - Home Health Care Planning Improvement Act H.R.808/S.237 - Promoting Access to Diabetic Shoes Act H.R.900 - ACO Assignment Improvement Act of 2019 Reducing Regulatory Burdens H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act H.R.6164 - Perinatal Workforce Act of 2020 H.R. 5575 - Primary and Behavioral Health Care Access Act Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R.6800 - The Heroes Act Skilled nursing facility admitting examination and assessment requirements H.R.6809 - Nurse Workforce Protection Act of 2020H.R.6650/S. 3634 - Health Heroes 2020 Act S.4055 - Strengthening Americas Health Care Readiness Act Telehealth flexibilities amidst COVID-19 pandemic Access to personal protective equipment Issues relating to Mental and Substance Use Disorder Workforce Training Demonstration implementation H.R. 4974/S.4640 - Medication Access and Training Expansion (MATE) Act of 2019 H.R. 2482/S.2074 - Mainstreaming Addiction Treatment (MAT) Act H.R. 8061 - Community Immunity During COVID-19 Act H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act S. 5000 - CARA 2.0 Act of 2020 Emergency Coronavirus Relief Act of 2020 No Surprises Act H.R. 133 - Consolidated Appropriations Act, 2021

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

Advancing Care for Exceptional Kids Act of 2019 (ACE Kids Act) (S.317/H.R.1226) CARING for Kids Act (H.R. 6151) Covering life-saving investigations needed in cancer and other life-threatening conditions through timely use of resources for easy and affordable treatment for Medicaid enrollees in need today act (CLINICAL TREATMENTS ACT) (H.R.913) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 (H.R. 3911/S.2842) Medicaid Services Investment & Accountability Act of 2019 (H.R.1839) Medicaid Waivers Provider scope of practice for cardiac and pulmonary rehabilitation

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Federal Reserve System, Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Interior, Dept of (DOI), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R. 6390/S.3568 - Medical Supply Chain Emergency Act of 2020 H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act Provider Non-Discrimination and Network Adequacy S. 2074, HR 2482. Mainstreaming Addiction Treatment Act of 2019 H.R. 4974/S.4640 - Medication Access and Training Expansion (MATE) Act Reducing Regulatory Burdens - Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R.6800 - The Heroes Act H.R.6809 - Nurse Workforce Protection Act of 2020 Support for public health infrastructure Disproportionate impact of COVID-19 on communities of color Emergency Relief Fund support Nursing role in COVID-19 vaccine development, production, and distribution H.R. 8061 - Community Immunity During COVID-19 Act S.4315 - TRACE Act Issues surrounding maternal vaccinations S.4112 - Coronavirus Child Care and Education Relief Act Support for school nurses H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act Personal Protective Equipment Standards and access to Personal Protective Equipment Mental health resources for nurses

Client expense: $265,728 · Firm income: Not reported

Medicare physician payment; new/alternative payment models; Medicare coverage, including coverage policies pertaining to transcatheter mitral valve repair, hospital payment of cardiovascular services; access to Medicare claims data; physician and hospital quality; electronic health record incentive program; clinical data registries; health care quality; medical imaging and prior authorization, including HR 3107; the Stark Law and the in-office ancillary services exception, including the Medicare Care Coordination Improvement Act (HR 2282/S 966); Medicare Access and CHIP Reauthorization Act implementation and oversight; Bipartisan Budget Act of 2015 and Medicare site of service policy; access to and supervision of Cardiac and Pulmonary Rehabilitation (HR 3911/S 2842); graduate medical education policy including HR 1763/S 348, Resident Physician Shortage Reduction Act of 2019; end of life care; oversight and implementation of the Protecting Access to Medicare Act of 2014, including Appropriate Use Criteria; physician-owned hospital policy, Medicaid coverage and eligibility, Medicare Part B Home Infusion Services Temporary Transitional Payment Act; Affordable Care Act repeal/replace/reform efforts; Ways and Means Committee Medicare extenders policy/legislation; paclitaxel mortality signal in PAD patients; cardiac CT payment; COVID-19 and the coronavirus, including HR 6074, the Coronavirus Preparedness and Response Supplemental Appropriations Act, HR 6201, the Families First Coronavirus Response Act and HR 748, the Coronavirus Aid, Relief, and Economic Security Act; Protecting Access to Post-COVID-19 Telehealth Act (HR 7663)

Client expense: $470,000 · Firm income: Not reported

S. 518/H.R. 1948 - Lymphedema Treatment Act of 2019 S. 1037/H.R. 2788 - Rural Health Clinic Modernization Act of 2019 S. 296/H.R. 2150 - Home Health Care Planning Improvement Act S. 237/H.R. 808 - Promoting Access to Diabetic Shoes Act H.R. 900 - ACO Assignment Improvement Act of 2019 S. 1399/H.R. 728 - Title VIII Nursing Workforce Reauthorization Act of 2019 S. 2842/H.R. 3911 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 S. 1895 - Lower Health Care Costs Act H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 H.R. 3630 - No Surprises Act H.R. 3925 - Reducing Barriers to Substance Use Treatment Act S.2074/H.R. 2482 - Mainstreaming Addiction Treatment Act of 2019 H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act H.R. 4974/S. 4640 - Medication Access and Training Expansion (MATE) Act of 2019 Executive Order 13890 - Protecting and Improving Medicare for Our Nation's Seniors S. 2741/H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S. 2971 - CAPTA Reauthorization Act of 2019 H.R. 19 - Lower Costs, More Cures Act of 2019 S. 2543 - Prescription Drug Pricing Reduction Act of 2019 H.R. 647 - Palliative Care and Hospice Education and Training Act H.R. 748 (P.L. 116-136) - CARES Act S. 3548 - CARES Act H.R. 6201 - Families First Coronavirus Response Act H.R. 6704 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6379 - Take Responsibility for Workers and Families Act H.R. 6159 - Kids' Access to Primary Care Act of 2020 H.R. 6164 - Perinatal Workforce Act of 2020 H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020 H.R. 5800 - Ban Surprise Billing Act H.R. 3436 - Chronic Care Management Improvement Act H.R. 5575 - Primary and Behavioral Health Care Access Act S. Res. 500/H. Res. 859 - A resolution supporting the goals and ideals of the "International Year of the Nurse and the Midwife", as designated by the World Health Organization H.R. 6800 - The HEROES Act H.R. 6809 - Nurse Workforce Protection Act of 2020 H.R. 6650/S. 3634 - Health Heroes 2020 Act S. 4055 - Strengthening Americas Health Care Readiness Act H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act S. 3993 - A bill to permit a licensed health care provider to provide health care services to individuals in one or more States in which the provider is not licensed S. 4088 - The Ensuring Access to Primary Care for Women & Children Act H.R. 1329 - the Medicaid Reentry Act H.R. 8061 - Community Immunity During COVID-19 Act H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.4775 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act S. 4103 - Telehealth Response for E-prescribing Addiction Therapy Services (TREATS) Act H.R. 7663 - Protecting Access to Post-COVID-19 Telehealth Act of 2020 S. 4396/H.R. 7945 - Future Advancement of Academic Nursing (FAAN) Act Increased Federal Medical Assistance Percentage (FMAP) funding to states Skilled nursing facility admitting examination and assessment requirements COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth pertaining to home health care COVID-19 Pandemic Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Documentation of medical records Rural Health Issues Provider Non-Discrimination Issues relating to Mental and Substance Use Disorder Workforce Training Demonstration implementation

Medicare reimbursement including incident to billing; Medicare hospice restrictions; transparency; Veterans health care; opioid addiction treatment; Medication Access and Training Expansion (MATE) Act (S. 4640, HR 4974) H.R. 808/S. 237 - promoting access to diabetic shoes; S. 596/H.R. 1052 - PA direct payment; H.R. 900 - ACO Assignment Improvement Act; Telehealth, Cardiac and Pulmonary Rehabilitation and Care Act (S. 2842, HR 3911), Implementation issues with respect to H.R. 6201 - Families First Corona Virus Response Act; H.R. 748 - Corona Virus Relief and Economic Security Act (CARES)and Home Healthcare Planning and Improvement Act; H.R. 6800 - the Heroes Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Emergency federal response to COVID-19 (including S 3548, HR 6800), Medicare reimbursement and incident to billing, Medicare hospice restrictions, transparency, healthcare competition, PA Direct Payment Act (S 596, HR 1052), implementation of home health provisions and other provisions of the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Promoting Access to Diabetic Shoes Act (S 237, HR 808), the Mainstreaming Addiction Treatment Act (S 2074, HR 2482), Medication Access and Training Expansion Act (S 4640, HR 4974), Increasing Access to Quality Cardiac Rehabilitation Care Act (S 2842, HR 3911), ACO Assignment Improvement Act (HR 900), PA Educational and Workforce Training Programs, eligibility of PAs to participate in National Health Service Corps Student to Service Program, surprise billing, Rural Health Clinic Modernization Act (S 1037 HR 2788), medical record documentation, federal PA workforce issues at the Departments of Veterans Affairs, Indian Health Services, and Bureau of Prisons, and requirements and restrictions related to federal DEA waivers to prescribe buprenorphine to treat opioid use disorder, ensuring PAs considered primary care and behavioral health providers (S 2793, HR 2774, HR 5575), Effective Suicide Screening and Assessment in the Emergency Department Act (S 3006, HR 4861)

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

H.R. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act [P.L. No. 116-136] H.R. 2150/S. 296 - Home Health Care Planning Improvement Act H.R.808/S.237 - Promoting Access to Diabetic Shoes Act H.R.900 - ACO Assignment Improvement Act of 2019 Reducing Regulatory Burdens H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act H.R.6164 - Perinatal Workforce Act of 2020 H.R. 5575 - Primary and Behavioral Health Care Access Act Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R.6800 - The Heroes Act Skilled nursing facility admitting examination and assessment requirements H.R.6809 - Nurse Workforce Protection Act of 2020H.R.6650/S. 3634 - Health Heroes 2020 Act S.4055 - Strengthening Americas Health Care Readiness Act Telehealth flexibilities amidst COVID-19 pandemic Access to personal protective equipment Issues relating to Mental and Substance Use Disorder Workforce Training Demonstration implementation H.R. 4974/S.4640 - Medication Access and Training Expansion (MATE) Act of 2019 H.R. 2482/S.2074 - Mainstreaming Addiction Treatment (MAT) Act H.R. 8061 - Community Immunity During COVID-19 Act H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act

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

H.R. 6390/S.3568 - Medical Supply Chain Emergency Act of 2020 H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act Provider Non-Discrimination and Network Adequacy S. 2074, HR 2482. Mainstreaming Addiction Treatment Act of 2019 H.R. 4974/S.4640 - Medication Access and Training Expansion (MATE) Act Reducing Regulatory Burdens - Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R.6800 - The Heroes Act H.R.6809 - Nurse Workforce Protection Act of 2020 Support for public health infrastructure Disproportionate impact of COVID-19 on communities of color Emergency Relief Fund support Nursing role in COVID-19 vaccine development, production, and distribution H.R. 8061 - Community Immunity During COVID-19 Act S.4315 - TRACE Act Issues surrounding maternal vaccinations S.4112 - Coronavirus Child Care and Education Relief Act Support for school nurses H.R. 925 - The Heroes Act The Health, Economic Assistance, Liability Protections & Schools (HEALS) Act S.178 - Delivering Immediate Relief to Americas Families, Schools and Small Businesses Act Personal Protective Equipment Standards and access to Personal Protective Equipment Mental health resources for nurses

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

Advancing Care for Exceptional Kids Act of 2019 (ACE Kids Act) (S.317/H.R.1226) CARING for Kids Act (H.R. 6151) Covering life-saving investigations needed in cancer and other life-threatening conditions through timely use of resources for easy and affordable treatment for Medicaid enrollees in need today act (CLINICAL TREATMENTS ACT) (H.R.913) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 (H.R. 3911/S.2842) Medicaid Services Investment & Accountability Act of 2019 (H.R.1839) Medicaid Waivers Provider scope of practice for cardiac and pulmonary rehabilitation

Client expense: $582,750 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

Issues related to cardiac rehabilitation coverage, including HR 3911 and S. 2842. Issues related to coronavirus, including regulatory flexibility for providers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S. 518/H.R. 1948 - Lymphedema Treatment Act of 2019 S. 1037/H.R. 2788 - Rural Health Clinic Modernization Act of 2019 S. 296/H.R. 2150 - Home Health Care Planning Improvement Act S. 237/H.R. 808 - Promoting Access to Diabetic Shoes Act H.R. 900 - ACO Assignment Improvement Act of 2019 S. 1399/H.R. 728 - Title VIII Nursing Workforce Reauthorization Act of 2019 S. 2842/H.R. 3911 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 S. 1895 - Lower Health Care Costs Act H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 H.R. 3630 - No Surprises Act H.R. 3925 - Reducing Barriers to Substance Use Treatment Act S.2074/H.R. 2482 - Mainstreaming Addiction Treatment Act of 2019 H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act H.R. 4974 - Medication Access and Training Expansion Act of 2019 Executive Order 13890 - Protecting and Improving Medicare for Our Nation's Seniors S. 2741/H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S. 2971 - CAPTA Reauthorization Act of 2019 H.R. 19 - Lower Costs, More Cures Act of 2019 S. 2543 - Prescription Drug Pricing Reduction Act of 2019 H.R. 647 - Palliative Care and Hospice Education and Training Act H.R. 748 (P.L. 116-136) - CARES Act S. 3548 - CARES Act H.R. 6201 - Families First Coronavirus Response Act H.R. 6704 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6379 - Take Responsibility for Workers and Families Act H.R. 6159 - Kids' Access to Primary Care Act of 2020 H.R. 6164 - Perinatal Workforce Act of 2020 H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act of 2020 H.R. 5800 - Ban Surprise Billing Act H.R. 3436 - Chronic Care Management Improvement Act H.R. 5575 - Primary and Behavioral Health Care Access Act S. Res. 500/H. Res. 859 - A resolution supporting the goals and ideals of the "International Year of the Nurse and the Midwife", as designated by the World Health Organization H.R. 6800 - The HEROES Act H.R. 6809 - Nurse Workforce Protection Act of 2020 H.R. 6650/S. 3634 - Health Heroes 2020 Act S. 4055 - A bill to address health workforce shortages and disparities highlighted by the COVID-19 pandemic through additional funding for the National Health Service Corps and the Nurse Corps, and to establish a National Health Service Corps Emergency Service demonstration project H.R. 266 - Paycheck Protection Program and Health Care Enhancement Act S. 3993 - A bill to permit a licensed health care provider to provide health care services to individuals in one or more States in which the provider is not licensed S. 4088 - The Ensuring Access to Primary Care for Women & Children Act H.R. 1329 - the Medicaid Reentry Act Increased Federal Medical Assistance Percentage (FMAP) funding to states Skilled nursing facility admitting examination and assessment requirements COVID-19 Pandemic relief: funding, removal of barriers, telehealth, mental health, personal protective equipment, and testing Telehealth pertaining to home health care COVID-19 Pandemic Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Documentation of medical records Rural Health Issues Provider Non-Discrimination Issues relating to Mental and Substance Use Disorder Workforce Training Demonstration implementation

-H.R. 6390/S.3568 - Medical Supply Chain Emergency Act of 2020 -H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 -Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification -H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act -H.R. 5800 - Ban Surprise Billing Act -Provider Non-Discrimination and Network Adequacy -S. 2074, HR 2482. Mainstreaming Addiction Treatment Act of 2019 -H.R. 4974 - Medication Access and Training Expansion (MATE) Act -Reducing Regulatory Burdens - Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors -H.R. 6800 - The HEROES Act -H.R. 6809 - Nurse Workforce Protection Act of 2020 -Support for public health infrastructure -Disproportionate Impact of COVID-19 on communities of color -PPE for providers -Emergency Use Authorizations for PPE and Decontamination Systems

Client expense: $301,010 · Firm income: Not reported

Medicare reimbursement including incident to billing; Medicare hospice restrictions; transparency; Veterans health care; opioid addiction treatment; ; H.R. 808/S. 237 - promoting access to diabetic shoes; S. 596/H.R. 1052 - PA direct payment; H.R. 900 - ACO Assignment Improvement Act; Telehealth, Cardiac and Pulmonary Rehabilitation and Care Act (S. 2842, HR 3911), Implementation issues with respect to H.R. 6201 - Families First Corona Virus Response Act; H.R. 748 - Corona Virus Relief and Economic Security Act (CARES)and Home Healthcare Planning and Improvement Act; H.R. 6800 - the Heroes Act.

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

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Emergency federal response to COVID-19 (including S 3548, HR 6800), Medicare reimbursement and incident to billing, Medicare hospice restrictions, Medicare definition of PA services, transparency, healthcare competition, PA Direct Payment Act (S 596, HR 1052), implementation of home health provisions and other provisions of the Coronavirus Aid, Relief, and Economic Security (CARES) Act ), Promoting Access to Diabetic Shoes Act (S 237, HR 808), the Mainstreaming Addiction Treatment Act (S 2074, HR 2482), Medication Access and Training Expansion Act (HR 4974), Increasing Access to Quality Cardiac Rehabilitation Care Act (S 2842, HR 3911), ACO Assignment Improvement Act (HR 900), PA Educational and Workforce Training Programs, surprise billing, Rural Health Clinic Modernization Act (S 1037 HR 2788), medical record documentation, federal PA workforce issues at the Departments of Veterans Affairs, Indian Health Services, and Bureau of Prisons, and requirements and restrictions related to federal DEA waivers to prescribe buprenorphine to treat opioid use disorder, ensuring PAs considered primary care and behavioral health providers (S 2793, HR 2774, HR 5575)

Client expense: $180,000 · Firm income: Not reported

Medicare, Medicaid, private insurance and other health care policies that impact patient access to cardiovascular care, including H.R. 1010, the "ENROLL Act (H.R. 1386)", the "State Health Care Premium Reduction Act of 2019 (H.R. 1425)", the "Protecting Americans with Pre-Existing Conditions Act of 2019 (H.R. 466)", the "Educating Consumers on the Risk of Short Term Plans Act of 2019 (H.R. 1143)", the "Strengthening Health Care and Lowering Prescription Drug Costs Act (S. 987)", the "Lowering Health Care Costs Act (S. 1895)", the "No Surprises Act (H.R. 3630)" and "Increasing Access to Quality Rehabilitation Care Act of 2019 (H.R. 3911, S.2842)", the "Coronavirus Preparedness and Response Supplemental (H.R. 6074)", the "Families First Coronavirus Response Act (H.R. 6201)", the "Coronavirus Aid, Relief and Economic Security Act (H.R. 748)", the "Ban Surprise Billing Act (H.R. 5800)" the "Consumer Protections Against Surprise Medical Bills Act (H.R. 5826)", the "Health and Economic Recovery Omnibus Emergency Solutions Act (H.R. 6800)", and the "Paycheck Protection Program and Health Care Enhancement Act (H.R. 266)".

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare, Medicaid, private insurance and other health care policies that impact patient access to cardiovascular care, including H.R. 1010, the "ENROLL Act (H.R. 1386)", the "State Health Care Premium Reduction Act of 2019 (H.R. 1425)", the "Protecting Americans with Pre-Existing Conditions Act of 2019 (H.R. 466)", the "Educating Consumers on the Risk of Short Term Plans Act of 2019 (H.R. 1143)", the "Strengthening Health Care and Lowering Prescription Drug Costs Act (S. 987)", the "Lowering Health Care Costs Act (S. 1895)", the "No Surprises Act (H.R. 3630)" and "Increasing Access to Quality Rehabilitation Care Act of 2019 (H.R. 3911, S.2842)", the "Coronavirus Preparedness and Response Supplemental (H.R. 6074)", the "Families First Coronavirus Response Act (H.R. 6201)", the "Coronavirus Aid, Relief and Economic Security Act (H.R. 748)", the "Ban Surprise Billing Act (H.R. 5800)" the "Consumer Protections Against Surprise Medical Bills Act (H.R. 5826)", the "Health and Economic Recovery Omnibus Emergency Solutions Act (H.R. 6800)", and the "Paycheck Protection Program and Health Care Enhancement Act (H.R. 266)".

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6390/S.3568 - Medical Supply Chain Emergency Act of 2020 H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act Provider Non-Discrimination and Network Adequacy S. 2074, HR 2482. Mainstreaming Addiction Treatment Act of 2019 H.R. 4974 - Medication Access and Training Expansion (MATE) Act Reducing Regulatory Burdens - Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R.6800 - The HEROES Act H.R.6809 - Nurse Workforce Protection Act of 2020 Support for public health infrastructure Disproportionate impact of COVID-19 on communities of color

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), Occupational Safety & Health Administration (OSHA), SENATE

H.R. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act [P.L. No. 116-136] H.R. 2150/S. 296 - Home Health Care Planning Improvement Act H.R.808/S.237 - Promoting Access to Diabetic Shoes Act H.R.900 - ACO Assignment Improvement Act of 2019 Reducing Regulatory Burdens H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act H.R.6164 - Perinatal Workforce Act of 2020 H.R. 5575 - Primary and Behavioral Health Care Access Act Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R.6800 - The HEROES Act Skilled nursing facility admitting examination and assessment requirements H.R.6809 - Nurse Workforce Protection Act of 2020H.R.6650/S. 3634 - Health Heroes 2020 Act S.4055 - A bill to address health workforce shortages and disparities highlighted by the COVID-19 pandemic through additional funding for the National Health Service Corps and the Nurse Corps, and to establish a National Health Service Corps Emergency Service demonstration project. Telehealth flexibilities amidst COVID-19 pandemic Access to personal protective equipment Issues relating to Mental and Substance Use Disorder Workforce Training Demonstration implementation

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

Advancing Care for Exceptional Kids Act of 2019 (ACE Kids Act) (S.317/H.R.1226) CARING for Kids Act (H.R. 6151) Covering life-saving investigations needed in cancer and other life-threatening conditions through timely use of resources for easy and affordable treatment for Medicaid enrollees in need today act (CLINICAL TREATMENTS ACT) (H.R.913) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 (H.R. 3911/S.2842) Medicaid Services Investment & Accountability Act of 2019 (H.R.1839) Medicaid Waivers Provider scope of practice for cardiac and pulmonary rehabilitation

Client expense: $250,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act [P.L. No. 116-136] H.R. 6201, the Families First Coronavirus Response Act H.R. 6047, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6379 - Take Responsibility for Workers and Families Act H.R. 6390/S.3568 - Medical Supply Chain Emergency Act of 2020 H.R. 2150/S. 296- Home Health Care Planning Improvement Act H.R.728/S.1399- Title VIII Nursing Workforce Reauthorization Act of 2019 H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act Provider Non-Discrimination and Network Adequacy S. 2074, HR 2482. Mainstreaming Addiction Treatment Act of 2019 H.R. 4974 - Medication Access and Training Expansion (MATE) Act Reducing Regulatory Burdens - Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors H.R. 6179, EQUIP Act of 2020 H.R. 6137, IMPACT to Save Moms Act H.R. 6143, Moms MATTER Act H.R. 6164, Perinatal Workforce Act

Client expense: $296,700 · Firm income: Not reported

S. 518/H.R. 1948 - Lymphedema Treatment Act of 2019 S. 1037/H.R. 2788 - Rural Health Clinic Modernization Act of 2019 S. 296/H.R. 2150 - Home Health Care Planning Improvement Act S. 237/H.R. 808 - Promoting Access to Diabetic Shoes Act H.R. 900 - ACO Assignment Improvement Act of 2019 S. 1399/H.R. 728 - Title VIII Nursing Workforce Reauthorization Act of 2019 S. 2842/H.R. 3911 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 S. 1895 - Lower Health Care Costs Act H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 H.R. 3630 - No Surprises Act H.R. 3925 - Reducing Barriers to Substance Use Treatment Act S.2074/H.R. 2482 - Mainstreaming Addiction Treatment Act of 2019 H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act H.R. 4974 - Medication Access and Training Expansion Act of 2019 Executive Order 13890 - Protecting and Improving Medicare for Our Nation's Seniors S. 2741/H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S. 2971 - CAPTA Reauthorization Act of 2019 H.R. 19 - Lower Costs, More Cures Act of 2019 S. 2543 - Prescription Drug Pricing Reduction Act of 2019 H.R. 647 - Palliative Care and Hospice Education and Training Act H.R. 748 (P.L. 116-136): CARES Act S. 3548: CARES Act H.R. 6201: Families First Coronavirus Response Act H.R. 6704: Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6379: Take Responsibility for Workers and Families Act H.R. 6159: Kids' Access to Primary Care Act of 2020 H.R. 6164: Perinatal Workforce Act of 2020 H.R. 5826: Consumer Protections Against Surprise Medical Bills Act of 2020 H.R. 5800: Ban Surprise Billing Act H.R. 3436: Chronic Care Management Improvement Act H.R. 5575: Primary and Behavioral Health Care Access Act S.Res. 500/H.Res. 859: A resolution supporting the goals and ideals of the "International Year of the Nurse and the Midwife", as designated by the World Health Organization COVID-19 Pandemic Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Documentation of medical records Rural Health Issues Provider Non-Discrimination

Medicare reimbursement including incident to billing; Medicare hospice restrictions; transparency; Veterans health care; opioid addiction treatment; S. 296/H.R. 2150- Home Healthcare Planning and Improvement Act; H.R. 808/S. 237 - promoting access to diabetic shoes; S. 596/H.R. 1052 - PA direct payment; H.R. 900 - ACO Assignment Improvement Act; Telehealth, Cardiac and Pulmonary Rehabilitation and Care Act (S. 2842, HR 3911), H.R. 6201 - Families First Corona Virus Response Act; H.R. 748 - Corona Virus Relief and Economic Security Act (CARES)(S. 3548).

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

Issues related to cardiac rehabilitation coverage, including HR 3911 and S. 2842. Issues related to coronavirus, including regulatory flexibility for providers.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act [P.L. No. 116-136] H.R. 6379 - Take Responsibility for Workers and Families Act H.R. 2150/S. 296 - Home Health Care Planning Improvement Act H.R.808/S.237 - Promoting Access to Diabetic Shoes Act H.R.900 - ACO Assignment Improvement Act of 2019 H.R.728/S.1399 - Title VIII Nursing Workforce Reauthorization Act of 2019 Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act H.R.6164 - Perinatal Workforce Act of 2020 H.R. 5575 - Primary and Behavioral Health Care Access Act Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors

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

H.R. 748 - Coronavirus Aid, Relief, and Economic Security (CARES) Act [P.L. No. 116-136] H.R. 6201, the Families First Coronavirus Response Act H.R. 6047, the Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6379 - Take Responsibility for Workers and Families Act H.R. 6390/S.3568 - Medical Supply Chain Emergency Act of 2020 H.R. 2150/S. 296 - Home Health Care Planning Improvement Act H.R.728/S.1399 - Title VIII Nursing Workforce Reauthorization Act of 2019 H.R. 3911/ S.2842 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 Reducing Regulatory Burdens, including those relating to home infusion therapy, Medicare Conditions of Participation, and hospice certification H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act H.R. 5800 - Ban Surprise Billing Act Provider Non-Discrimination and Network Adequacy S. 2074, HR 2482. Mainstreaming Addiction Treatment Act of 2019 H.R. 4974 - Medication Access and Training Expansion (MATE) Act Reducing Regulatory Burdens - Section 5 of Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors

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

Emergency federal response to COVID-19 (HR 748, HR 6201, S 3548), Medicare reimbursement and incident to billing, Medicare hospice restrictions, Medicare definition of PA services, transparency, healthcare competition, PA Direct Payment Act (S 596, HR 1052), Home Health Care Planning Improvement Act (S 296, HR 2150), Promoting Access to Diabetic Shoes Act (S 237, HR 808), the Mainstreaming Addiction Treatment Act (S 2074, HR 2482), Medication Access and Training Expansion Act (HR 4974), Increasing Access to Quality Cardiac Rehabilitation Care Act (S 2842, HR 3911), ACO Assignment Improvement Act (HR 900), PA Educational and Workforce Training Programs, surprise billing, Rural Health Clinic Modernization Act (S 1037 HR 2788), medical record documentation, federal PA workforce issues at the Departments of Veterans Affairs, Indian Health Services, and Bureau of Prisons, and requirements and restrictions related to federal DEA waivers to prescribe buprenorphine to treat opioid use disorder, ensuring PAs considered primary care and behavioral health providers (S 2793, HR 2774, HR 5575)

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

Medicare, Medicaid, private insurance and other health care policies that impact patient access to cardiovascular care, including H.R. 1010, the "ENROLL Act (H.R. 1386)", the "State Health Care Premium Reduction Act of 2019 (H.R. 1425)", the "Protecting Americans with Pre-Existing Conditions Act of 2019 (H.R. 466)", the "Educating Consumers on the Risk of Short Term Plans Act of 2019 (H.R. 1143)", the "Strengthening Health Care and Lowering Prescription Drug Costs Act (S. 987)", the "Lowering Health Care Costs Act (S. 1895)", the "No Surprises Act (H.R. 3630)" and "Increasing Access to Quality Rehabilitation Care Act of 2019 (H.R. 3911, S.2842)", the "Coronavirus Preparedness and Response Supplemental (H.R. 6074)", the "Families First Coronavirus Response Act (H.R. 6201)", the "Coronavirus Aid, Relief and Economic Security Act (H.R. 748)", the "Ban Surprise Billing Act (H.R. 5800)" and the "Consumer Protections Against Surprise Medical Bills Act (H.R. 5826)".

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advancing Care for Exceptional Kids Act of 2019 (ACE Kids Act) (S.317/H.R.1226) Covering life-saving investigations needed in cancer and other life-threatening conditions through timely use of resources for easy and affordable treatment for Medicaid enrollees in need today act (CLINICAL TREATMENTS ACT) (H.R.913) Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 (H.R. 3911/S.2842) Lower Health Care Cost Act (S.1895) Medicaid Services Investment & Accountability Act of 2019 (H.R.1839)

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

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Environmental Protection Agency (EPA), Federal Trade Commission (FTC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Transportation, Dept of (DOT), Treasury, Dept of, White House Office

Issues related to cardiac rehabilitation coverage, including HR 3911 and S. 2842.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement and incident to billing, Medicare hospice restrictions, Medicare definition of PA services, transparency, healthcare competition, PA Direct Payment Act (S 596, HR 1052), Home Health Care Planning Improvement Act (S 296, HR 2150), Promoting Access to Diabetic Shoes Act (S 237, HR 808), the Mainstreaming Addiction Treatment Act (S 2074, HR 2482), Increasing Access to Quality Cardiac Rehabilitation Care Act (S 2842, HR 3911), ACO Assignment Improvement Act (HR 900), PA Educational and Workforce Training Programs, surprise billing, Rural Health Clinic Modernization Act (S 1037 HR 2788), medical record documentation, issues related to federal PA workforce at the Departments of Veterans Affairs, Defense and Indian Health Services, requirements and restrictions related to federal DEA waivers to prescribe buprenorphine to treat opioid use disorder.

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

S. 518/H.R. 1948 - Lymphedema Treatment Act of 2019 S. 1037/H.R. 2788 - Rural Health Clinic Modernization Act of 2019 S. 296/H.R. 2150 - Home Health Care Planning Improvement Act S. 237/H.R. 808 - Promoting Access to Diabetic Shoes Act H.R. 900 - ACO Assignment Improvement Act of 2019 S. 1399/H.R. 728 - Title VIII Nursing Workforce Reauthorization Act of 2019 S. 2842/H.R. 3911 - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2019 S. 1895 - Lower Health Care Costs Act H.R. 3107 - Improving Seniors' Timely Access to Care Act of 2019 H.R. 3630 - No Surprises Act H.R. 3925 - Reducing Barriers to Substance Use Treatment Act S.2074/H.R. 2482 - Mainstreaming Addiction Treatment Act of 2019 H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act H.R. 4974 - Medication Access and Training Expansion Act of 2019 Executive Order 13890 - Protecting and Improving Medicare for Our Nation's Seniors S. 2741/H.R. 4932 - Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2019 S. 2971 - CAPTA Reauthorization Act of 2019 H.R. 19 - Lower Costs, More Cures Act of 2019 S. 2543 - Prescription Drug Pricing Reduction Act of 2019 H.R. 647 - Palliative Care and Hospice Education and Training Act Reducing Regulatory Burdens Medication-Assisted Therapies (MATs) Opioid Abuse Epidemic Documentation of medical records Rural Health Issues Provider Non-Discrimination

Client expense: $223,105 · Firm income: Not reported

Medicare, Medicaid, private insurance and other health care policies that impact patient access to cardiovascular care, including H.R. 1010, the "ENROLL Act (H.R. 1386)", the "State Health Care Premium Reduction Act of 2019 (H.R. 1425)", the "Protecting Americans with Pre-Existing Conditions Act of 2019 (H.R. 466)", the "Educating Consumers on the Risk of Short Term Plans Act of 2019 (H.R. 1143)", the "Strengthening Health Care and Lowering Prescription Drug Costs Act (S. 987)", the "Lowering Health Care Costs Act (S. 1895)", the "No Surprises Act (H.R. 3630)" and "Increasing Access to Quality Rehabilitation Care Act of 2019 (H.R. 3911, S.2842)" and the "Further Consolidated Appropriations Act, 2020".

Client expense: Not reported · Firm income: $12,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE