Prevent Interruptions in Physical Therapy Act of 2021

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 7667- Food and Drug Amendments of 2022, support passage S.4248- Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act, support passage H.R. 5435- BRAIN Act of 2021, establishing a Neuroscience Center of Excellence at the Food and Drug Administration, support passage H.R.315 - Common Sense Cannabis Reform for Veterans, Small Business and Medical Professionals Act, monitor to support H.R. 6000 - Cures 2.0 Act, supporting the goals of Rep. Upton/DeGette's Cures 2.0 initiative aimed at accelerating medical research, patient access to novel therapeutics and authorizing the Administration's Advanced Research Projects Agency for Health (ARPA-H) proposal -support passage S. 3726- CARE for Long COVID Act- support passage S.4447 - Modernizing Accelerated Approval Act, support passage and inclusion in Senate FDASLA package. S. 3799 Prevent Pandemics Act - support passage Lisa Blunt Rochester- Long-COVID RECOVERY NOW Act, support passage (bill number forthcoming)

Client expense: $58,169 · Firm income: Not reported

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

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 7667- Food and Drug Amendments of 2022, support passage S.4248- Food and Drug Administration Safety and Landmark Advancements (FDASLA) Act, support passage H.R. 5435- BRAIN Act of 2021, establishing a Neuroscience Center of Excellence at the Food and Drug Administration, support passage H.R.315 - Common Sense Cannabis Reform for Veterans, Small Business and Medical Professionals Act, monitor to support H.R. 6000 - Cures 2.0 Act, supporting the goals of Rep. Upton/DeGette's Cures 2.0 initiative aimed at accelerating medical research, patient access to novel therapeutics and authorizing the Administration's Advanced Research Projects Agency for Health (ARPA-H) proposal -support passage S. 3726- CARE for Long COVID Act- support passage S.4447 - Modernizing Accelerated Approval Act, support passage and inclusion in Senate FDASLA package. S. 3799 Prevent Pandemics Act - support passage Lisa Blunt Rochester- Long-COVID RECOVERY NOW Act, support passage (bill number forthcoming)

H.R. 1611/S. 2612 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Promoting Integrity in Medicare Act H.R. 5365 Primary Health Services Enhancement Act H.R. 5216 Protecting Student Athletes from Concussions Act S. 3043 Protecting Student Athletes from Concussions Act of 2021 1115 Waivers S. 3799 PREVENT Pandemics Act H.R. 7246 Student and Student Athlete Opioid Misuse Prevention Act H.R. 3109/S. 844 Personal Health Investment Today Act H.R. 2094/S. 1301 Promoting Physical Activity for Americans Act H.R. 8181 Optimizing Postpartum Outcomes Act H.R. 5536 SMART Act

Client expense: $202,662 · Firm income: Not reported

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. S.5, a bill to change the supervision requirement for PTAs in private practice settings to that which state law requires. 6. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

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

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. S.5, a bill to change the supervision requirement for PTAs in private practice settings to that which state law requires. 6. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

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

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 5376, Inflation Reduction Act (support passage, particularly drug pricing provisions)

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 5376, Inflation Reduction Act (support passage, particularly drug pricing provisions)

H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation. H.R. 5376, Inflation Reduction Act (support passage, particularly drug pricing provisions)

H.R. 1611/S. 2612 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Promoting Integrity in Medicare Act H.R. 5365 Primary Health Services Enhancement Act H.R. 5216 Protecting Student Athletes from Concussions Act S. 3043 Protecting Student Athletes from Concussions Act of 2021 1115 Waivers S. 3799 PREVENT Pandemics Act H.R. 7246 Student and Student Athlete Opioid Misuse Prevention Act H.R. 3109/S. 844 Personal Health Investment Today Act H.R. 2094/S. 1301 Promoting Physical Activity for Americans Act H.R. 8181 Optimizing Postpartum Outcomes Act

Client expense: $194,970 · Firm income: Not reported

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization. 6. The bipartisan Primary Health Services Enhancement Act (H.R.5365) would allow CHCs to offer physical therapy services which will be provided by a physical therapist.

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

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

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

H.R.3 - Elijah Cummings Lower Drug Costs Now, monitor legislation S.151- "COVID HCBS Relief Act of 2021"- support passage H.R. 4131- "To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes."- support passage H.R. 2455 - The Resetting the IMPACT Act (TRIA) of 2021." - support passage H.R. 1319- The American Rescue Plan Act of 2021, support passage H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage Senate Reconciliation/Senate Finance prescription drug pricing package - supporting provisions that allow Medicare to negotiate for a specific amount of drugs, implement a $2,000 out-of-pocket cap on drug costs in Medicare Part D and a smoothing mechanism so that people in Medicare can spread their costs over the course of the year, and limit drug price increases by implementing rebates if prescription drug prices rise faster than inflation.

H.R. 1611/S. 2612 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Promoting Integrity in Medicare Act H.R. 5365 Primary Health Services Enhancement Act H.R. 5216 Protecting Student Athletes from Concussions Act S. 3043 Protecting Student Athletes from Concussions Act of 2021 1115 Waivers S. 3799 PREVENT Pandemics Act H.R. 7246 Student and Student Athlete Opioid Misuse Prevention Act H.R. 3109/S. 844 Personal Health Investment Today Act H.R. 2094/S. 1301 Promoting Physical Activity for Americans Act H.R. 8181 Optimizing Postpartum Outcomes Act

Client expense: $195,457 · Firm income: Not reported

H.R.3 - Elijah Cummings Lower Drug Costs Now, monitor legislation S.151- "COVID HCBS Relief Act of 2021"- support passage H.R. 4131- "To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes."- support passage H.R. 2455 - The Resetting the IMPACT Act (TRIA) of 2021." - support passage H.R. 1319- The American Rescue Plan Act of 2021, support passage H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage

Client expense: $58,183 · Firm income: Not reported

H.R. 1611/S. 2612 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Promoting Integrity in Medicare Act H.R. 5365 Primary Health Services Enhancement Act H.R. 5216 Protecting Student Athletes from Concussions Act S. 3043 Protecting Student Athletes from Concussions Act of 2021 1115 Waivers S. 3799 PREVENT Pandemics Act H.R. 7246 Student and Student Athlete Opioid Misuse Prevention Act H.R. 3109/S. 844 Personal Health Investment Today Act H.R. 2094/S. 1301 Promoting Physical Activity for Americans Act

Client expense: $236,616 · Firm income: Not reported

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. Gain supporters for extending the 3.75% Medicare payment adjustment for another year, including gaining cosigners for Bera-Bucshon letter requesting that action before end of 2021. 6. The bipartisan Eliminating Provider Relief Fund Tax Penalties Act (H.R.2079) is seeking to override the 2020 IRS guidance which stated provider relief fund grants are to be treated as gross income and therefore taxable. 7. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

H.R.3 - Elijah Cummings Lower Drug Costs Now, monitor legislation S.151- "COVID HCBS Relief Act of 2021"- support passage H.R. 4131- "To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes."- support passage H.R. 2455 - The Resetting the IMPACT Act (TRIA) of 2021." - support passage H.R. 1319- The American Rescue Plan Act of 2021, support passage H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage

Client expense: $45,264 · Firm income: Not reported

H.R. 1611/S. 2612 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Promoting Integrity in Medicare Act H.R. 5396 Primary Health Services Enhancement Act Protecting Student Athletes from Concussions Act 1115 Waivers H.R. 3109/S. 844 Personal Health Investment Today Act H.R. 2094/S. 1301 Promoting Physical Activity for Americans Act

Client expense: $182,825 · Firm income: Not reported

1. The Prevent Interruptions in Physical Therapy Act (H.R.1611/S.2612)and potential Senate companion bill, to allow ALL private practice physical therapists-regardless of where their clinic is located-to use a locum tenens to provide their Medicare patients continued care when they need to be out of the clinic. 2. The Expanded Telehealth Access Act (H.R.2168/S.3193) and potential Senate companion bill, to permanently add physical therapists, physical therapist assistants, and other rehabilitation therapists to the list of providers that Medicare pays for telehealth. 3. The Medicare Patient Empowerment Act (S.826/H.R.3322)to allow a Medicare beneficiary to enter into a direct contract with an eligible professional (regardless of whether that person was a participating or non-participating physician or practitioner) for any item or service covered by Medicare. 4. The SMART Act (H.R.5536) to delay implementation of the PTA/OTA differential by one year, exempt therapy assistants in rural and medically underserved areas from the differential, and to change the supervision requirement for PTAs in private practice settings to that which state law requires. 5. Gain supporters for extending the 3.75% Medicare payment adjustment for another year, including gaining cosigners for Bera-Bucshon letter requesting that action before end of 2021. 6. The bipartisan Eliminating Provider Relief Fund Tax Penalties Act (H.R.2079) is seeking to override the 2020 IRS guidance which stated provider relief fund grants are to be treated as gross income and therefore taxable. 7. The Improving Seniors Timely Access to Care Act (H.R.3173/S.3108) to reduce administrative burden by requiring a streamed and standardized way Medicare Advantage (MA) plans use prior authorization as well as increasing oversight and transparency around prior authorization.

H.R.3 - Elijah Cummings Lower Drug Costs Now, monitor legislation S.151- "COVID HCBS Relief Act of 2021"- support passage H.R. 4131- "To amend title XIX of the Social Security Act to expand access to home and community-based services (HCBS) under Medicaid, and for other purposes."- support passage H.R. 2455 - The Resetting the IMPACT Act (TRIA) of 2021." - support passage H.R. 1319- The American Rescue Plan Act of 2021, support passage H.R. 2815, BIOSIM Act, support passage H.R. 2855, the STAR Rating for Biosimilars Act, support passage H.R. 2846- Ensuring Access to Lower-Cost Medicines for Seniors Act of 021 - support passage S.2210/H.R. 4131- Better Care Better Jobs Act - support passage S.2315- Medicaid Saves Lives Act, support passage S.2327- Seniors Prescription Drug Relief Act- support passage S.2562-Choose Home Care Act of 2021- support passage S.2612- Prevent Interruptions in Physical Therapy Act of 2021- support passage S. 2694- Nursing Home Improvement and Accountability Act of 2021 - support passage H.R. 5011- Choose Medicare Act, support passage H.R. 5099- Lowering Medicare Premiums and Prescription Drug Costs Act, support passage H.R. 5165 - Improving Medicare Coverage Act - support passage H.R. 5237 - "To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and Medicaid programs, to improve transparency related to pharmaceutical prices and transactions, to lower patients' out-of-pocket costs, and to ensure accountability to taxpayers, and for other purposes." - monitor for position determination H.R. 5260 - Reduced Costs and Continued Cures Act - monitor for position determination H.R. 5536 - SMART Act - support passage H.R. 5514 Choose Home Care Act of 2021, support passage

Client expense: $66,069 · Firm income: Not reported

H.R. 1611/S. 2612 Prevent Interruptions in Physical Therapy Act Implementation/Expansion of CDC Falls Program Physician self-referral/Stark Law 21st Century Cures Act Health Information Technology Medicaid Expansion MACRA/MIPS APMS IMPACT/PAC reform Network adequacy Opioid Epidemic/Pain Management DOL/OSHA Nominations to NQF committees Primary Care Administrative Burden/Prior Authorizations 1332 Empowerment Waivers Affordable Care Act Promoting Integrity in Medicare Act H.R. 5396 Primary Health Services Enhancement Act Protecting Student Athletes from Concussions Act 1115 Waivers H.R. 3109/S. 844 Personal Health Investment Today Act H.R. 2094/S. 1301 Promoting Physical Activity for Americans Act

Client expense: $146,158 · Firm income: Not reported