Home Health Care Planning Improvement Act of 2019

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Statute Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; Accountable Care Organizations; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19; Value in Health Care Act

Client expense: $580,000 · Firm income: Not reported

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

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; Surprise Billing; Anti-Kickback Statute Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; Accountable Care Organizations; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19; Value in Health Care Act.

Client expense: $580,000 · Firm income: Not reported

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1873/S. 880 - Improving HOPE for Alzheimer's Act - would support provider education and outreach to improve awareness and utilization of comprehensive Alzheimer's and dementia care planning services covered under Medicare. H.R. 1955, the Understanding Appropriate Alzheimer's Care Act of 2019 - Under the bill, CMS would be instructed to conduct a study on antipsychotic prescribing practices in non-nursing home settings. S.296/H.R. 2150 - Home Health Care Planning Improvement Act of 2019- allows Medicare payment for home health services ordered by a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant.

Client expense: $42,500 · Firm income: Not reported

Government targets: Administration on Aging, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Promoting Access to Diabetic Shoes Act (H.R. 808/S. 237) ACO Assignment Improvement Act of 2019 (H.R. 900) Medicare for All Act of 2019 (H.R. 1384) Protecting Patients Transportation to Care Act (H.R. 3935/S. 2846) Strengthening Innovation in Medicare and Medicaid Act (H.R. 5741) Home Health Care Planning Improvement Act of 2019 (S. 296/H.R. 2150) Childrens Health Insurance Program Pandemic Enhancement and Relief (CHIPPER) Act (S. 3881/H.R. 6797)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

Bill # H.R. 652: Comprehensive Care for Seniors Act Bill # H.R. 1329: Medicaid Reentry Act. Partially lifts the Medicaid Inmate Exclusion Bill # H.R. 1763 and S348: Resident Physician Shortage Reduction Act of 2019. Create 15,000 new Medicare-supported residency slots by 2024 Bill # H.R. 2552: Protecting Local Access to Care for Everyone Act. Halts CMS' site neutrality policy Bill # H.R. 3022: Patient Access Protection Act.To protect hospitals from Medicaid DSH cuts Bill # H.R. 4932 and S2741: CONNECT for Health Act. Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act to expand access to telehealth services Bill #S. 296: Home Health Care Planning Improvement Act of 2019.Revises conditions of and limitations on Medicare payment for home health care services Bill HR7791 Makes improvements to the ACO program, including modifying risk adjustment and ensuring fair benchmarks, removes barriers to participation for rural ACOs, and further incentivizes participation in advanced alternative payment models Bill HR 7663 Protecting Access to Post-COVID-19 Telehealth Act To authorize the HHS Secretary to waive or modify application of Medicare requirements with respect to telehealth services during any emergency period Bill HR 7292 The COVID-19 Hospital Forgiveness Act To provide for forgiveness of certain accelerated and advance payments under parts A and B of the Medicare program Supply chain coordination and transparency in response to COVID-19.

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Navy, Dept of, SENATE

Rural Physician Workforce Act S.289; S.304; Home Health Care Planning Improvement Act S.296/H.R.2150; No Surprises Act; Lower Health Care Costs Act S.1895; H.R.748; H.R.6201; 340B general issues / no legislation at this time;

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rural Physician Workforce Act S.289; S.304; Home Health Care Planning Improvement Act S.296/H.R.2150; No Surprises Act; Lower Health Care Costs Act S.1895; H.R.748; H.R.6201; 340B general issues / no legislation at this time;

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

Government targets: HOUSE OF REPRESENTATIVES, 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

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

Client expense: $191,402 · Firm income: Not reported

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

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Statute Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19; Accountable Care Organizations.

Client expense: $371,800 · Firm income: Not reported

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

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Statute Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19; Accountable Care Organizations.

Client expense: $371,800 · Firm income: Not reported

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

Post-acute and home health care payments; Drug pricing; Medicare regulatory reform; Medicaid funding; S. 433, H.R. 2573 Home Health Payment Innovation Act of 2019; S. 296, H.R. 2150 Home Health Care Planning Improvement Act of 2019; COVID supplemental funding and policy issues for health care providers; Home infusion and antibiotics; Telehealth policy; H.R. 6218/S. 3457 - Preserving Patient Access to Home Infusion Act; Home Infusion Therapy; Tele-home health; Medicaid Financial Accountability Regulation; Medicare Advanced and Accelerated Payments Program; Medicare Part D; Health, Economic Assistance, Liability Protection, and Schools Act; H.R.925 - The Heroes Act; H.R.748 - CARES Act.

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

H.R. 1873/S. 880 - Improving HOPE for Alzheimer's Act - would support provider education and outreach to improve awareness and utilization of comprehensive Alzheimer's and dementia care planning services covered under Medicare. H.R. 1955, the Understanding Appropriate Alzheimer's Care Act of 2019 - Under the bill, CMS would be instructed to conduct a study on antipsychotic prescribing practices in non-nursing home settings. S.296/H.R. 2150 - Home Health Care Planning Improvement Act of 2019- allows Medicare payment for home health services ordered by a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant.

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

Government targets: Administration on Aging, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 4100, Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act H.R.5741, Strengthening Innovation in Medicare and Medicaid Act H.R. 5743, National Telehealth Strategy and Data Advancement Act H.R.5924 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. H.R. 6788; S.3599, Healthcare Workforce Resilience Act H.R.6810, Health Care Protection Act H.R. 7663, Protecting Access to Post-COVID-19 Telehealth Act of 2020 S.296, Home Health Care Planning Improvement Act S.1712, DISARM Act S. 3595, Ensuring Understanding of COVID-19 to Protect Public Health Act S. 4317, Safeguarding America's Frontline Employees To Offer Work Opportunities Required to Kickstart the Economy Act S. 4421, Temporary Reciprocity to Ensure Access to Treatment Act S. 4456, Patient Matching Improvement Act of 2020

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

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

H.R. 4100, Developing an Innovative Strategy for Antimicrobial Resistant Microorganisms (DISARM) Act H.R.5741, Strengthening Innovation in Medicare and Medicaid Act H.R. 5743, National Telehealth Strategy and Data Advancement Act H.R.5924 - To amend the Public Health Service Act to authorize a loan repayment program to encourage specialty medicine physicians to serve in rural communities experiencing a shortage of specialty medicine physicians, and for other purposes. H.R. 6788; S.3599, Healthcare Workforce Resilience Act H.R.6810, Health Care Protection Act H.R. 7663, Protecting Access to Post-COVID-19 Telehealth Act of 2020 S.296, Home Health Care Planning Improvement Act S.1712, DISARM Act S. 3595, Ensuring Understanding of COVID-19 to Protect Public Health Act S. 4317, Safeguarding America's Frontline Employees To Offer Work Opportunities Required to Kickstart the Economy Act S. 4421, Temporary Reciprocity to Ensure Access to Treatment Act S. 4456, Patient Matching Improvement Act of 2020

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

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

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Promoting Access to Diabetic Shoes Act (H.R. 808/S. 237) ACO Assignment Improvement Act of 2019 (H.R. 900) Medicare for All Act of 2019 (H.R. 1384) Protecting Patients Transportation to Care Act (H.R. 3935/S. 2846) Strengthening Innovation in Medicare and Medicaid Act (H.R. 5741) Home Health Care Planning Improvement Act of 2019 (S. 296/H.R. 2150) Childrens Health Insurance Program Pandemic Enhancement and Relief (CHIPPER) Act (S. 3881/H.R. 6797)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, Veterans Affairs, Dept of (VA), Vice President of the U.S., White House Office

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

Client expense: $194,712 · Firm income: Not reported

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

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19

Client expense: $421,202 · Firm income: Not reported

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

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19

Client expense: $421,202 · Firm income: Not reported

Government targets: 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.

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

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

Rural Physician Workforce Act S.289; S.304; Home Health Care Planning Improvement Act S.296/H.R.2150; No Surprises Act; Lower Health Care Costs Act S.1895; H.R.748; H.R.6201

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Bill # H.R. 652: Comprehensive Care for Seniors Act Bill # H.R. 1329: Medicaid Reentry Act. Partially lifts the Medicaid Inmate Exclusion Bill # H.R. 1763 and S348: Resident Physician Shortage Reduction Act of 2019. Create 15,000 new Medicare-supported residency slots by 2024 Bill # H.R. 2552: Protecting Local Access to Care for Everyone Act. Halts CMS' site neutrality policy Bill # H.R. 3022: Patient Access Protection Act.To protect hospitals from Medicaid DSH cuts Bill # H.R. 4932 and S2741: CONNECT for Health Act. Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act to expand access to telehealth services Bill #S. 296: Home Health Care Planning Improvement Act of 2019.Revises conditions of and limitations on Medicare payment for home health care services

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

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), 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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Alternative Payment Models; Graduate Medical Education; Center for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-based purchasing/payments; Post-acute and home health care payments; Drug pricing; Medicare regulatory reform; Medicaid funding; Health care innovation; S. 433, H.R. 2573 Home Health Payment Innovation Act of 2019; S. 296, H.R. 2150 Home Health Care Planning Improvement Act of 2019; COVID supplemental funding and policy issues for health care providers; Home infusion and antibiotics; Telehealth policy; Disproportionate Share Hospitals; Sequestration; H.R. 6218/S. 3457 - Preserving Patient Access to Home Infusion Act; Home Infusion Therapy; Tele-home health; Medicaid Financial Accountability Regulation; Medicare Advanced and Accelerated Payments Program; Interoperability; Medicare Part D.

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

H.R. 1873/S. 880 - Improving HOPE for Alzheimer's Act - would support provider education and outreach to improve awareness and utilization of comprehensive Alzheimer's and dementia care planning services covered under Medicare. H.R. 1955, the Understanding Appropriate Alzheimer's Care Act of 2019 - Under the bill, CMS would be instructed to conduct a study on antipsychotic prescribing practices in non-nursing home settings. S.296/H.R. 2150 - Home Health Care Planning Improvement Act of 2019- allows Medicare payment for home health services ordered by a nurse practitioner, a clinical nurse specialist, a certified nurse-midwife, or a physician assistant.

Client expense: $45,000 · Firm income: Not reported

Government targets: Administration on Aging, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, White House Office

Legislation and policies related to: Physician/nurse practitioner reimbursement Provisions of the Patient Protection & Affordable Care Act (P.L. 111-148) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (P.L. 114-10) including policies related to the Quality Payment Program Adoption of recommendations of the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health Medicare Shared Savings Program beneficiary assignment requirements Medicare-Medicaid hospital conditions of participation Evaluation of the Medicare Graduate Nurse Education demonstration Medicare-Medicaid Program Integrity policies Medicaid maintenance of effort requirements Medicaid eligibility expansion and state options Medicaid waiver application procedures Medicaid per capita cap policy options Promoting Access to Diabetic Shoes Act (H.R. 808/S. 237) ACO Assignment Improvement Act of 2019 (H.R. 900) Medicare for All Act of 2019 (H.R. 1384) Improving Seniors Timely Access to Care Act (H.R. 3107) Protecting Patients Transportation to Care Act (H.R. 3935/S. 2846) Strengthening Innovation in Medicare and Medicaid Act (H.R. 5741) Expressing disapproval of the Trump administration's harmful actions towards Medicaid (H. Res. 826) Home Health Care Planning Improvement Act of 2019 (S. 296/H.R. 2150)

Client expense: Not reported · Firm income: $24,000

Government targets: Bureau of Alcohol Tobacco Firearms & Explosives, Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Homeland Security, Dept of (DHS), Justice, Dept of (DOJ), Medicare Payment Advisory Commission (MedPAC), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE, Veterans Affairs, Dept of (VA)

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

Government targets: 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. 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

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

S. 296/H.R. 2150 - Home Health Care Planning Improvement Act S. 237/H.R. 808 - Promoting Access to Diabetic Shoes Act CONNECT for Health Act of 2019 (S. 2741, H.R. 4932)

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

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

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

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

To the House and Senate Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies outlining the funding requests levels of at least $278 million for Title VIII Nursing Workforce Development Programs and at least $182 million for the National Institute of Nursing Research for Fiscal Year 2021. To include in H.R. 748,the Coronavirus Aid, Relief, and Economic Security (CARES) Act, immediate distribution of PPE to frontline health care personnel from the Strategic National Stockpile and mandate that sustainable PPE levels shuuld always be maintained at the SNS; reuathorize Title VIII Nursing Workforce Programs; remove all Unnecessary barriers for nurses to practice at the full scope of their training; include the Home Health Care Planning Improvement Act (H.R.2150/S.296); include the United States Public Health Service Modernization Act of 2019 (S. 2629/H.R. 4870) to create a Ready Reserve Corps in the United States Public Health Service Corps and funding to ensure government-funded child care for all healthcare workers dealing with this public health challenge.

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), HOUSE OF REPRESENTATIVES, SENATE, Vice President of the U.S.

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

Client expense: $195,000 · Firm income: Not reported

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

H.R. 728/S. 1399 - Title VIII Nursing Workforce Reauthorization Act of 2019 H.R. 748 [P.L. No: 116-136] - Coronavirus Aid, Relief, and Economic Security Act H.Res. 859/S.Res.500 - 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. 2150/S. 296 - Home Health Care Planning Improvement Act of 2019 H.R. 5172 - Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act. H.R. 4870/S. 2629 - United States Public Health Service Modernization Act of 2019 H.R 6379 - Take Responsibility for Workers and Families Act 2020 H.R. 5575 - The Primary and Behavioral Health Care Access Act H.R. 6164 - Perinatal Workforce Act of 2020 H.R. 3489 - Midwives for Maximizing Optimal Maternity Services (MOMS) Act of 2019 H.R.6142 - Black Maternal Health Momnibus Act of 2020 H.R.5631 - Solutions Not Stigmas Act of 2019 H.R.4974 - MATE Act of 2019 Executive Order #13890 on Protecting and Improving Medicare for Our Nations Seniors Nursing Workforce and Research PPE and Other Resources to Support Nursing Education, Practice, and the Workforce in combating COVID-19.

Client expense: $70,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), SENATE

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19

Client expense: $1,281,617 · Firm income: Not reported

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

340B Drug Pricing Program; Medicare Shared Savings Program; Medicare Advantage; Alternative Payment Models; Graduate Medical Education; Centers for Medicare and Medicaid Innovation; Stark Law Reform/Modernization; Value-Based Purchasing Payments; Post-Acute and Home Health Care Payments; Drug Pricing and Medicare Parts B and D; Medicare Regulatory Reform; Medicaid Funding; Health Care Innovation; Telehealth/Digital Health; S 433/HR 2753 Home Health Payment Innovation Act of 2019; S 296/HR 2150 Home Health Care Planning Improvement Act of 2019; Maternal Mortality; H.R. 1897/S. 916 - Mothers and Offspring Mortality and Morbidity Awareness Act (MOMMAs Act); Surprise Billing; Anti-Kickback Reform; CREATES Act; HR 1499 Protecting Consumer Access to Generic Drugs; HR 987 Strengthening Health Care and Lowering Prescription Drug Costs; COVID-19

Client expense: $1,281,617 · Firm income: Not reported

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

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

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

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

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

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

S. 296/H.R. 2150 - Home Health Care Planning Improvement Act S. 237/H.R. 808 - Promoting Access to Diabetic Shoes Act CONNECT for Health Act of 2019 (S. 2741, H.R. 4932)

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, Veterans Affairs, Dept of (VA)

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

Government targets: Bureau of Prisons (BOP), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Indian Health Service, Natl Economic Council (NEC), SENATE, Veterans Affairs, Dept of (VA)

Bill # H.R. 652: Comprehensive Care for Seniors Act Bill # H.R. 1329: Medicaid Reentry Act. Partially lifts the Medicaid Inmate Exclusion Bill # H.R. 1763 and S348: Resident Physician Shortage Reduction Act of 2019. Create 15,000 new Medicare-supported residency slots by 2024 Bill # H.R. 2552: Protecting Local Access to Care for Everyone Act. Halts CMS' site neutrality policy Bill # H.R. 3022: Patient Access Protection Act.To protect hospitals from Medicaid DSH cuts Bill # H.R. 4932 and S2741: CONNECT for Health Act. Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act to expand access to telehealth services Bill #S. 296: Home Health Care Planning Improvement Act of 2019.Revises conditions of and limitations on Medicare payment for home health care services

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6074, Coronavirus Preparedness and Response Supplemental Appropriations Act. H.R. 6201, Families First Coronavirus Response Act; H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act - Discussed Medicare enrollment national open enrollment period, medical expense deduction, cost-sharing protections for commercial/private health insurance holders, telehealth access, nursing homes, virtual visitation, home and community-based services, Older Americans Act programs, Medicare home health care, and family caregiving, no-cost COVID-19 testing, equitable relief payments, retirement savings tax relief, suspensions of foreclosures and evictions, expanded unemployment benefits, paid sick and family leave, affordable broadband, and government operations, among other issues. S. 3517, Discussed Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). S. 753/H.R. 1682, Improving Access to Medicare Coverage Act, discussed bill and Coronavirus legislation (no bill number). S. 296/H.R.2150, Home Health Care Planning Improvement Act, discussed bill and Coronavirus legislation. No bill number. CMS nursing home Coronavirus guidance. No bill number. Discussed nursing home virtual visitation. S. 3548/H.R. 748, P.L. 116-136, CARES Act Lobbied regarding nursing homes, virtual visitation, home and community-based services, Older Americans Act programs, Medicare home health care, and family caregiving. H.R. 6379, Take Responsibility for Workers and Families Act. Discussed virtual visitation provisions of bill and Medicaid HCBS grants. H.R. 6305, To assist older Americans and people with disabilities affected by COVID-19. S. 3544, Coronavirus Relief for Seniors and People with Disabilities Act. S. 1443, H.R. 2730, Discussed Credit for Caring Act, and inclusion of bill in Coronavirus legislation. No bill. Discussed Coronavirus disease 2019 and appropriations supplemental. S.64/H.R. 2375 - the Preserve Access to Generics and Biosimilars Act. H.R. 1499 - the Preserving Consumer Access to Generics Act. Discussed telehealth, interoperability, and data sharing with Department of Health and Human Services. H.R. 19/S. 3129, Lower Cost More Cures Act. S. 2543, the Prescription Drug Pricing Reduction Act. H.R. 2073/S. 110, Permanent Extension of the Medical Expense Deduction. H.R. 3, Elijah E. Cummings Lower Cost Drugs Now Act. S. 3057, Modernization of the Older Americans Act Amendments.

Client expense: $2,210,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Corporation for Natl & Community Service, Federal Deposit Insurance Corporation (FDIC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office

H.R. 6074, Coronavirus Preparedness and Response Supplemental Appropriations Act. H.R. 6201, Families First Coronavirus Response Act; H.R. 748, Coronavirus Aid, Relief, and Economic Security (CARES) Act - Discussed Medicare enrollment national open enrollment period, medical expense deduction, cost-sharing protections for commercial/private health insurance holders, telehealth access, nursing homes, virtual visitation, home and community-based services, Older Americans Act programs, Medicare home health care, and family caregiving, no-cost COVID-19 testing, equitable relief payments, retirement savings tax relief, suspensions of foreclosures and evictions, expanded unemployment benefits, paid sick and family leave, affordable broadband, and government operations, among other issues. S. 3517, Discussed Advancing Connectivity during the Coronavirus to Ensure Support for Seniors Act (ACCESS Act). S. 753/H.R. 1682, Improving Access to Medicare Coverage Act. H.R. 6305, To assist older Americans and people with disabilities affected by COVID-19.; S. 3544, Coronavirus Relief for Seniors and People with Disabilities Act. H.R. 6379, Take Responsibility for Workers and Families Act. Discussed Medicaid HCBS grants and virtual visitation provisions. No bill number, discussed Nursing Home Modernization Reform Act of 2019. No bill number, discussed Elder Justice Act Reauthorization and nursing home bill. S. 2807, discussed Hospice Care Improvement Act of 2019. H.R. 1343, Protecting Married Seniors from Impoverishment Act. Discussed Medicaid home and community-based services and family financial impacts. No bill number. Discussed nursing homes, criminal background checks, inappropriate use of anti-psychotropic drugs, guardianship, and Elder Justice Act Reauthorization. H.R. 5821, Helping Our Senior Population in Comfort Environments (HOSPICE) Act. Discussed HOSPICE Act and live discharges of long-term terminally ill individuals from hospice. S. 3277; Discussed feedback on HCBS Infrastructure Improvement Act and the bill. No bill number. Discussed long-term services and supports financing legislation, Social Security, Administrations Medicaid guidance, and Ways and Means Caring for Aging Americans hearing statement from November 2019. No bill number. Discussed family caregiving supports, Medicare Advantage (MA) Value-Based Insurance Design (VBID) Demonstration, and the MA VBID hospice demonstration component. H.R. 5821, Helping Our Senior Population in Comfort Environments Act. No bill number. Discussed issues impacting dual-eligibles. S. 296/H.R.2150, Home Health Care Planning Improvement Act. No bill number. CMS nursing home Coronavirus guidance. No bill number. Discussed nursing home virtual visitation. S. 3548/H.R. 748, P.L. 116-136, CARES Act Lobbied regarding nursing homes, virtual visitation, home and community-based services, Older Americans Act programs, Medicare home health care, and family caregiving. S.1999 - Improving Low Income Access to Prescription Drugs Act. H.R. 3, the Lower Drug Costs Now Act. S. 2543, the Prescription Drug Pricing Reduction Act. No bill number - Discussed surprise medical billing. H.R. 5800 - Ban Surprise Billing Act. H.R. 5826 - Consumer Protections Against Surprise Medical Bills Act. No bill number - Discussed Alaska-specific nursing home legislation.

Client expense: $2,210,000 · Firm income: Not reported

Government targets: Administration for Children & Families (ACF), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Consumer Financial Protection Bureau (CFPB), Corporation for Natl & Community Service, Federal Deposit Insurance Corporation (FDIC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Housing & Urban Development, Dept of (HUD), Indian Health Service, Internal Revenue Service (IRS), Labor, Dept of (DOL), Natl Institutes of Health (NIH), Office of Management & Budget (OMB), Office of Personnel Management (OPM), Office of the Comptroller of the Currency (OCC), Pension Benefit Guaranty Corporation (PBGC), SENATE, Securities & Exchange Commission (SEC), Social Security Administration (SSA), Transportation, Dept of (DOT), Treasury, Dept of, Veterans Affairs, Dept of (VA), White House Office