Access to Genetic Counselor Services Act of 2021

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act. H.R. 4128, the VALID Act S. 2209, the VALID Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

COVID-19 relief P.L. 111-148 - Patient Protection and Affordable Care Act Health Information Technology Health workforce shortage issues, Title VII and Title VIII of the Public Health Service Act, nursing, graduate nursing education, nursing-managed health clinics Health wellness and prevention programs Research tobacco, e-cigarettes and flavorings University Center for Excellence in Developmental Disabilities Leadership in Education in Neurodevelopmental Disabilities and Related Disorders (LEND) Rural Communities Opioid Response Program Rural Centers of Excellence Veterans Affairs Community Care H.R. 4292 - COVID-19 and Pandemic Response Centers of Excellence Act H.R. 959 - Black Maternal Health Momnibus Act H.R. 4128, S. 2209 - VALID Act H.R. 4151, S. 2238 - FASD Respect Act S. 4348 - FDA Safety and Landmark Advancement Act H.R. 7667 - Food And Drug Amendments of 2022 H.R. 8747 - Assistance for Rural Community Hospitals (ARCH) Act (H.R.8747 S. 4009 - Assistance for Rural Hospital Support Act S.3799 - PREVENT Pandemics Act Metropolitan Anchor Hospital Designation H.R. 2144, S. 1450 - Access to Genetic Counselor Services Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Enhance Medicare beneficiary access to genetic counseling services, including related provisions in H.R. 2144, and S. 1450, the Access to Genetic Counselor Services Act, to amend the Social Security Act to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; and related provisions regarding genetic counselor services in H.R. 6000, the Cures 2.0 Act, Section 408, regarding Medicare coverage of pharmacogenetic consultations. Coronavirus response efforts, including support for health care providers and patients, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for waiving the 4% statutory PAYGO sequester that would force cuts to Medicare and other health programs, and addressing cuts resulting from CMS 2023 Medicare Physician Fee Schedule Rule. Medicare support for Medicare Graduate Medical Education, including the Resident Physician Shortage Reduction Act (S. 834/H.R. 2256), bipartisan legislation that would add 14,000 new Medicare-supported graduate medical education (GME) slots. Support for extending CMS's Acute Hospital Care at Home waiver through the Hospital Inpatient Services Modernization Act (H.R. S. 3792/7053), which would extend the waiver for two years beyond the end of the federal public health emergency. Support for the Access to Genetic Counselor Services Act (S. 1450/H.R. 2144) which would allow Medicare to reimburse genetic counselors directly and expand access to these services. . . Ensure that individuals eligible for Medicaid and CHIP have stable and comprehensive health coverage that provides affordable access to high-quality care, and closing coverage and care gaps for critical health and behavioral health services. Support for making CHIP funding permanent, and enacting a nationwide standard to ensure12-month continuous eligibility to children enrolled in CHIP and/or Medicaid.

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

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

H.R. 1730, S. 670 - STAT Act; H.R. 482, S. 350 - Newborn Screening Save Lives Reauthorization Act; Cures 2.0; PDUFA; ARPA-H; Telehealth; Covid-relief; Appropriations; S. 373, H.R. 4472 - Better Empowerment Now to Enhance Framework to Improve Treatments (BENEFIT) Act; H.R. 2144, S. 1450 - Access to Genetic Counselor Services Act; H.R. 5989 - Precision Medicine Answers for Kids Today Act (PMAKTA); VALID Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Enhance Medicare beneficiary access to genetic counseling services, including related provisions in H.R. 2144, and S. 1450, the Access to Genetic Counselor Services Act, to amend the Social Security Act to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; and related provisions regarding genetic counselor services in H.R. 6000, the Cures 2.0 Act, Section 408, regarding Medicare coverage of pharmacogenetic consultations. Coronavirus response efforts, including support for health care providers and patients, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy on health care issues related to genetics and genetic testing, including H.R. 482 / S. 350, Newborn Screening Saves Lives Reauthorization Act; H.R. 1439; the Expanded Genetic Screening Act; H.R. 2144 / S. 1450, to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; S. 1666, the Verified Innovative Testing in American Laboratories Act (VITAL Act) of 2021; H.R. 4128/S. 2209, the Verifying Accurate Leading-edge IVCT Development Act (VALID Act) of 2021; S.4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1730, S. 670 - STAT Act; H.R. 482, S. 350 - Newborn Screening Save Lives Reauthorization Act; Cures 2.0; PDUFA; ARPA-H; Telehealth; Covid-relief; Appropriations; S. 373, H.R. 4472 - Better Empowerment Now to Enhance Framework to Improve Treatments (BENEFIT) Act; H.R. 2144, S. 1450 - Access to Genetic Counselor Services Act; H.R. 5989 - Precision Medicine Answers for Kids Today Act (PMAKTA); VALID Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act. H.R. 4128, the VALID Act S. 2209, the VALID Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy on health care issues related to genetics and genetic testing, including H.R. 482 / S. 350, Newborn Screening Saves Lives Reauthorization Act; H.R. 1439; the Expanded Genetic Screening Act; H.R. 2144 / S. 1450, to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; S. 1666, the Verified Innovative Testing in American Laboratories Act (VITAL Act) of 2021; H.R. 4128/S. 2209, the Verifying Accurate Leading-edge IVCT Development Act (VALID Act) of 2021; S.4348, Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act of 2022

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Enhance Medicare beneficiary access to genetic counseling services, including related provisions in H.R. 2144, and S. 1450, the Access to Genetic Counselor Services Act, to amend the Social Security Act to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; and related provisions regarding genetic counselor services in H.R. 6000, the Cures 2.0 Act, Section 408, regarding Medicare coverage of pharmacogenetic consultations. Coronavirus response efforts, including support for health care providers and patients, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1730, S. 670 - STAT Act; H.R. 482, S. 350 - Newborn Screening Save Lives Reauthorization Act; Cures 2.0; PDUFA; ARPA-H; Telehealth; Covid-relief; Appropriations; S. 373, H.R. 4472 - Better Empowerment Now to Enhance Framework to Improve Treatments (BENEFIT) Act; H.R. 2144, S. 1450 - Access to Genetic Counselor Services Act; H.R. 5989 - Precision Medicine Answers for Kids Today Act (PMAKTA); VALID Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Enhance Medicare beneficiary access to genetic counseling services, including related provisions in H.R. 2144, and S. 1450, the Access to Genetic Counselor Services Act, to amend the Social Security Act to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; and related provisions regarding genetic counselor services in H.R. 6000, the Cures 2.0 Act, Section 408, regarding Medicare coverage of pharmacogenetic consultations. Coronavirus response efforts, including support for health care providers and patients, including related provisions in S. 3799, the PREVENT Pandemics Act, and monitor implementation of H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy on health care issues related to genetics and genetic testing, including H.R. 482 / S. 350, Newborn Screening Saves Lives Reauthorization Act; H.R. 1439; the Expanded Genetic Screening Act; H.R. 2144 / S. 1450, to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; and S. 1666, the Verified Innovative Testing in American Laboratories Act (VITAL Act) of 2021; and H.R. 4128/S. 2209, the Verifying Accurate Leading-edge IVCT Development Act (VALID Act) of 2021.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1730, S. 670 - STAT Act; H.R. 482, S. 350 - Newborn Screening Save Lives Reauthorization Act; Cures 2.0; PDUFA; ARPA-H; Telehealth; Covid-relief; Appropriations; S. 373, H.R. 4472 - Better Empowerment Now to Enhance Framework to Improve Treatments (BENEFIT) Act; H.R. 2144, S. 1450 - Access to Genetic Counselor Services Act; H.R. 5989 - Precision Medicine Answers for Kids Today Act (PMAKTA).

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for robust funding in FY 22 appropriations for CDC, NIH, SAMHSA, NIOSH, Public Health Training Centers, Injury Control Research Centers, and all federal health research agencies Support for increasing access to genetic counseling services, including S. 1450, Access to Genetic Counselor Services Act

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocacy on health care issues related to genetics and genetic testing, including H.R. 482 / S. 350, Newborn Screening Saves Lives Reauthorization Act; H.R. 1439; the Expanded Genetic Screening Act; and H.R. 2144 / S. 1450, to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 5612, To amend title XVIII of the Social Security Act to provide for a one-year waiver of budget neutrality adjustments under the Medicare physician fee schedule, and for other purposes, all provisions H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, provisions relating to averting Medicare physician fee schedule cuts H.R. 6144, Removing Waste and Protecting Medicare Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 1332, Telehealth Modernization Act, provisions related to permanently lifting Medicare telehealth restrictions S. 368, Telehealth Modernization Act, provisions related to permanently lifting Medicare telehealth restrictions H.R. 2903, CONNECT for Health Act of 2021, provisions related to permanently lifting Medicare telehealth restrictions S. 1512, CONNECT for Health Act of 2021, provisions related to permanently lifting Medicare telehealth restrictions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, provisions related to permanently lifting Medicare telehealth restrictions S. 2061, Telemental Health Care Access Act of 2021, provisions related to permanently lifting Medicare telehealth restrictions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 2503, Social Determinants Accelerator Act of 2021, all provisions S. 3039, Social Determinants Accelerator Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 2163, Safe Step Act, all provisions S. 464, Safe Step Act, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 987, CARA 3.0 Act of 2021, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions H.R. 3407, MOMMAs Act, all provisions S. 411, MOMMAs Act, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 3352, Midwives for MOMS Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 4034, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 2144, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice S. 1450, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, provisions relating to scope of practice H.R. 2305, Improving Access to Mental Health Act of 2021, all provisions H.R. 5218, Collaborate in an Orderly and Cohesive Manner Act, all provisions S. 801, Connected MOM Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H. R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 6311, Comprehensive Addiction Resources Emergency Act of 2021, provisions relating to Medicare and Medicaid S. 3418, Comprehensive Addiction Resources Emergency Act of 2021, provisions relating to Medicare and Medicaid Medicare program: No Surprises Act/implementation Medicare program: CY 2021 Physician Fee Schedule/3.75% payment adjustment Medicare program: Physician Payment Reform Medicare program: 2022 physician payment Medicare program: Alternative payment models (APMs) Medicare program: Health equity Medicare program: Medicare Diabetes Prevention Program Medicare program: Prescription drug prices Medicare program: Cybersecurity Medicare program: Medicare expansion/dental, vision, hearing coverage Medicare program: Physician payment/PAYGO and sequester Medicare program: Barriers to patient care Medicare program: 2020 Physician spending/COVID-19 Impact Medicare program: Evaluation and Management (E/M)/budget neutrality Medicare program: Pharmacy Benefit Managers/Rx drug price transparency Medicare program: Merit-Based Incentive Payment System (MIPS) program Medicare program: MIPS/Value Pathways (MVPs) Medicare program: MIPS/cost, promoting interoperability, improvement activities Medicare program: Quality Payment Program (QPP) Medicare program: Health IT physician burdens Medicare program: Primary Care First models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Open Payments Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment/Revalidation Medicare program: Telehealth policies Medicare program: RVS Update Committee (RUC) - physician payment Medicare program: Coding - CPT Panel Medicare program: Accountable Care Organizations (ACOs)/Pre-COVID Benchmarks Medicare program: Federal Gold Carding Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/Accountable Care Organizations Medicare and Medicaid programs: MACRA Oversight Medicare and Medicaid programs: MACRA physician burdens Medicare and Medicaid programs: Prior authorization Medicare and Medicaid programs: COVID-19 public health emergency/accelerated and advance payments Medicare and Medicaid programs: Electronic funds transfer (EFT) standard/Enforcement Medicare and Medicaid programs: Provider Relief Fund Medicare and Medicaid programs: Telehealth Extension and Evaluation Act/draft Medicare and Medicaid programs: Telehealth and Dialysis centers Medicare and Medicaid programs: COVID-19 telehealth flexibilities continuation Medicare and Medicaid programs: Primary and Virtual Health Care Affordability Act Medicare and Medicaid programs: Data Privacy Medicare and Medicaid programs: Social determinants of health Medicare and Medicaid programs: Information blocking/privacy Medicare and Medicaid programs: Information blocking/privacy of adolescents Medicare and Medicaid programs: Opioids Medicaid program: Medicaid funding in U.S. Territories Medicaid program: Medicaid expansion Medicaid program: Maternal mortality Medicaid program: COVID-19/uninsured healthcare coverage Medicaid program: Medicaid Special Enrollment Period

Client expense: $4,770,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), 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), Office of Science & Technology Policy (OSTP), SENATE, Veterans Affairs, Dept of (VA), White House Office

Enhance Medicare beneficiary access to genetic counseling services, including related provisions in H.R. 2144, and S. 1450, the Access to Genetic Counselor Services Act, to amend the Social Security Act to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; and related provisions regarding genetic counselor services in H.R. 6000, the Cures 2.0 Act, Section 408, regarding Medicare coverage of pharmacogenetic consultations. Coronavirus response efforts, including support for health care providers, patients, and implementation of related provisions in H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for robust funding in FY 22 appropriations for CDC, NIH, SAMHSA, NIOSH, Public Health Training Centers, Injury Control Research Centers, and all federal health research agencies Support for increasing access to genetic counseling services, including S. 1450, Access to Genetic Counselor Services Act

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

Government targets: Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE

H.R. 1730, S. 670 - STAT Act; H.R. 482, S. 350 - Newborn Screening Save Lives Reauthorization Act; Cures 2.0; PDUFA; ARPA-H; Telehealth; Covid-relief; Appropriations; S. 373, H.R. 4472 - Better Empowerment Now to Enhance Framework to Improve Treatments (BENEFIT) Act; H.R. 2144, S. 1450 - Access to Genetic Counselor Services Act; H.R. 4393 - Advancing Precision Medicine Act; H.R. 3783, S. 2013 - Medical Nutrition Equity Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Enhance Medicare beneficiary access to genetic counseling services, including related provisions in H.R. 2144, and S. 1450, the Access to Genetic Counselor Services Act, to amend the Social Security Act to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B; and related provisions regarding genetic counseling and genetic counselor services in draft legislation, Cures 2.0. Coronavirus response efforts, including support for health care providers, patients, and implementation of related provisions in H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 5241, Linking Seniors to Needed Legal Services Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 1330, Patient Access to Higher Quality Health Care Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, NOVEL Act of 2021, all provisions H.R. 2144, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice S. 1450, Access to Genetic Counselor Services Act of 2021, provisions relating to scope of practice H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, provisions relating to scope of practice H.R. 5370, Medically Tailored Home-Delivered Meals Demonstration Pilot Act of 202, all provisions H.R. 2807, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 2173, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, provisions relating to pharmacy benefits managers and drug price transparency S. 801, Connected MOM Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 2214, Promote Responsible Oversight and Targeted Employee background Check Transparency for Seniors (PROTECTS) Act, all provisions H.R. 5125, Strengthening Innovation in Medicare and Medicaid Act, all provisions H.R. 1587, Medicare Audiologist Access and Services Act of 2021, all provisions S. 2691, Strengthening the Vaccines for Children Program Act of 2021, all provisions Medicare program: No Surprises Act/implementation Medicare program: Physician payment Medicare program: 2022 Physician Fee Schedule/audio-only telehealth expansion Medicare program: Telehealth Extension and Evaluation Act Medicare program: Alternative payment models Medicare program: National Coverage Determination/self-measured blood pressure monitoring devices Medicare program: Physician payment issues/PAYGO and Sequester/3.75% Conversion Factor increase Medicare program: Evaluation and Management (E/M)/budget neutrality Medicare program: Physician-owned hospitals/hospital consolidation Medicare program: Medicare expansion/dental, vision, hearing coverage Medicare program: Diabetes Prevention Medicare program: Surprise Medical Billing/Price transparency Medicare program: Merit-Based Incentive Payment System (MIPS) program Medicare program: MIPS Value Pathways Medicare program: Quality Payment Program Medicare program: Information blocking/interoperability/data segmentation Medicare program: Cybersecurity and HIPAA Medicare program: Measure Application Partnership (MAP) Medicare program: COVID-19 Public Health Emergency/Accelerated and Advance Payments Medicare program: Primary Care First (PCF) models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Physician payment/globals Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation Medicare program: Open Payments Medicare program: Prescription Drug Prices Medicare program: Chronic Care Management code Medicare program: Graduate Medical Education (GME) Medicare program: Step Therapy Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/Accountable Care Organizations Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Drug overdose epidemic Medicare and Medicaid programs: 21st Century Cures 2.0 Medicare and Medicaid programs: Waste, fraud, and abuse in telehealth Medicare and Medicaid programs: Prior authorization Medicare and Medicaid programs: Public Option Medicare and Medicaid programs: Electronic Health Records (EHR) certification Medicare and Medicaid programs: Physician Health IT burdens Medicare and Medicaid programs: Data privacy Medicare and Medicaid programs: Provider compliance and regulatory relief Medicaid program: COVID-19/Provider Relief Fund Medicaid program: Funding for U.S. territories Medicaid program: Medicaid expansion Medicaid program: Work requirements Medicaid program: COVID-19/Uninsured and healthcare coverage/child 12 month continuous eligibility Medicaid program: Pediatric mental health care access/behavioral health services Medicaid program: Special enrollment period Medicaid program: Proprietary Laboratory Analysis (PLA) codes

Client expense: $3,490,000 · Firm income: Not reported

Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Federal Emergency Management Agency (FEMA), 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), Labor, Dept of (DOL), Natl Institute of Standards & Technology (NIST), Office of Science & Technology Policy (OSTP), SENATE, U.S. Customs & Border Protection, Veterans Affairs, Dept of (VA), White House Office

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

H.R. 1730, S. 670 - STAT Act; H.R. 482, S. 350 - Newborn Screening Save Lives Reauthorization Act; Cures 2.0; PDUFA; ARPA-H; Telehealth; Covid-relief; Appropriations; S. 373, H.R. 4472 - Better Empowerment Now to Enhance Framework to Improve Treatments (BENEFIT) Act; H.R. 2144, S. 1450 - Access to Genetic Counselor Services Act; H.R. 4393 - Advancing Precision Medicine Act; H.R. 3783, S. 2013 - Medical Nutrition Equity Act.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Support for robust funding in FY 22 appropriations for CDC, NIH, SAMHSA, NIOSH, Public Health Training Centers, Injury Control Research Centers, and all federal health research agencies Support for HR 708 the TREAT Act to increase access to Telehealth services Support for increasing access to genetic counseling services, including S. 1450, Access to Genetic Counselor Services Act

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

Government targets: Agriculture, Dept of (USDA), Defense, Dept of (DOD), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE

H.R. 1330, Patient Access to Higher Quality Health Care Act of 2021, all provisions H.R. 2807, PREVENT DIABETES Act, all provisions S. 2173, A bill to permit Centers for Disease Control and Prevention-recognized virtual diabetes prevention program suppliers to be included in the Medicare Diabetes Prevention Program Expanded Model conducted by the Center for Medicare and Medicaid Innovation under section 1115A of the Social Security Act (42 U.S.C. 1315a), all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions H.R. 4040, To amend title XVIII of the Social Security Act to extend telehealth flexibilities under the Medicare program, and for other purposes, all provisions H.R. 2503, Social Determinants Accelerator Act of 2021, all provisions H.R. 4014, To provide for a new building period with respect to the cap on full-time equivalent residents for purposes of payment for graduate medical education costs under the Medicare program for certain hospitals that have established a shortage specialty program, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 2347, Strengthening the Vaccines for Children Program Act of 2021, all provisions S. 801, Connected MOM Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3746, To amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program, all provisions H.R. 2144, Access to Genetic Counselor Services Act of 2021, all provisions S. 1450, Access to Genetic Counselor Services Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021 H.R, 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions H.R. 3630, Lymphedema Treatment Act, all provisions S. 1315, Lymphedema Treatment Act, all provisions H.R. 1587, Medicare Audiologist Access and Services Act of 2021, all provisions Medicare program: Value in Healthcare Act Medicare program: No Surprises Act/implementation Medicare program: Physician payment issues/PAYGO and Sequester/Patient care barriers/mitigating future cuts/provider relief fund Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA)/implementation/ oversight/reform Medicare program: MACRA Alternative Payment Models (APMs) Medicare program: MACRA/Accountable Care Organizations Medicare program: MACRA physician burdens Medicare program: FY22 Inpatient Prospective Payment System (IPPS)/Alternative 2 methodology Medicare program: FY22 IPPS/Medicare transplant payment policies Medicare program: FY 22 IPPS/Graduate Medical Education proposals Medicare program: Merit-based Incentive Payment System (MIPS)/Quality, Cost, Improvement Activities, Promoting Interoperability Medicare program: Digital quality measurement Medicare program: Physician self-referral Medicare program: Surprise Medical Billing Medicare program: Primary Care First model Medicare program: Appropriate Use Criteria (AUC) Medicare program: Provider compliance and regulatory relief Medicare program: Open Payments Medicare program: Medicare Shared Savings Program (MSSP)/Quality reporting changes Medicare program: Measure Application Partnership (MAP) Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation Medicare and Medicaid programs: E/M reimbursement changes Medicare and Medicaid programs: Remote Patient Monitoring Medicare and Medicaid programs: Health Insurance Portability and Accountability Act (HIPAA)/changes/Information Blocking Medicare and Medicaid programs: Health Equity Medicare and Medicaid programs: Coding Medicaid program: Justice for Incarcerated Moms Act Medicaid program: Funding for US territories Medicaid program: Special enrollment period Medicare program: Pediatric mental health care/access to behavioral health services Medicaid program: Medicaid program work requirements

Client expense: $4,220,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), Education, Dept of, Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE, State, Dept of (DOS), Veterans Affairs, Dept of (VA), White House Office

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

Advocate for Medicare reimbursement for genetic counselors. H.R.2144, the Access to Genetic Counselors Act. S. 1450, the Access to Genetic Counselors Act.

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

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

Enhance Medicare beneficiary access to genetic counseling services, including related provisions in H.R. 2144, and S. 1450, the Access to Genetic Counselor Services Act, to amend the Social Security Act to provide for expanded coverage of services furnished by genetic counselors under Medicare Part B. Coronavirus response efforts, including support for health care providers, patients, and implementation of related provisions in H.R. 1319, the American Rescue Plan Act, P.L. 117-2.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

THE TELEHEALTH MODERNIZATION ACT (H.R. 1332/ S.368) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC views telehealth expansion as critical for cancer patient access to healthcare providers. THE SAFE STEP ACT (H.R.2163/S.464) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC views step therapy in the use of cancer care delivery to be a hinderance to best practice and timely treatment/access of care for patients. THE ACCESS TO GENETIC COUNSELOR SERVICES ACT (H.R. 2144/S.1450) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC views genetic counselors as integral members of the cancer care delivery team in oncology programs/practices in the US. THE RESEARCH INVESTMENT TO SPARK THE ECONOMY (RISE) ACT (H.R. 869/S.289) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC understands the importance of research funding for the NIH and oncology investigators to promote clinical trials that impact improving cancer outcomes. THE MEDICARE MULTI-CANCER EARLY DETECTION SCREENING COVERAGE ACT OF 2021 (H.R. 1946) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC advocates for the use and coverage of cancer screening modalities that will diagnose cancer at earlier stages therefore improving patient outcomes. MOST FAVORED NATION (Proposed by Trump Administration at end of 2020) ACCC entered into a lawsuit against HHS in December 2020 opposing the Most Favored Nation proposal tying drug reimbursements to international reference pricing. By lowering reimbursement to cancer programs and practices, patient access to care would be limited as supportive cancer care services limited due to lack of reimbursement to cover positions. ACCC was concerned over programs/practices closing if proposal were to move forward. ACCC met with one Senators office on this topic expressing concern in January 2021. RADIATION ONCOLOGY MODEL (Proposed by CMMI) ACCC met with 1 Senate office and 1 House office over concerns re: this alternative payment model. ACCC has concerns over mandatory nature of Radiation Oncology model testing reimbursement rates and potentially limiting access to care for patients who are recommended radiation for their cancer diagnosis, particularly in rural areas of the U.S.

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

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

THE ACCESS TO GENETIC COUNSELOR SERVICES ACT (H.R. 2144/S.1450) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC views genetic counselors as integral members of the cancer care delivery team in oncology programs/practices in the US. THE RESEARCH INVESTMENT TO SPARK THE ECONOMY (RISE) ACT (H.R. 869/S.289) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC understands the importance of research funding for the NIH and oncology investigators to promote clinical trials that impact improving cancer outcomes. THE MEDICARE MULTI-CANCER EARLY DETECTION SCREENING COVERAGE ACT OF 2021 (H.R. 1946) Organized a Virtual Capitol Hill Day for ACCC members (70+) on May 12th, 2021. Created one-pagers and talking points on importance of this legislation. ACCC advocates for the use and coverage of cancer screening modalities that will diagnose cancer at earlier stages therefore improving patient outcomes. MOST FAVORED NATION (Proposed by Trump Administration at end of 2020) ACCC entered into a lawsuit against HHS in December 2020 opposing the Most Favored Nation proposal tying drug reimbursements to international reference pricing. By lowering reimbursement to cancer programs and practices, patient access to care would be limited as supportive cancer care services limited due to lack of reimbursement to cover positions. ACCC was concerned over programs/practices closing if proposal were to move forward. ACCC met with one Senators office on this topic expressing concern in January 2021. RADIATION ONCOLOGY MODEL (Proposed by CMMI) ACCC met with 1 Senate office and 1 House office over concerns re: this alternative payment model. ACCC has concerns over mandatory nature of Radiation Oncology model testing reimbursement rates and potentially limiting access to care for patients who are recommended radiation for their cancer diagnosis, particularly in rural areas of the U.S.

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

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