PACE Expanded Act

S 1315/HR 3630 - The Lymphedema Treatment At: Support passage. HR 5536 - Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act: Advocated for passage of SMART Act and related S5 (To amend title XVIII of the Social Security Act to ensure appropriate supervision requirements for outpatient physical therapy and outpatient occupational therapy), which contained provision of SMART Act that revised supervision rules for Occupational Therapy Assistants. HR 2168/S3193 - Expanded Telehealth Access Act: Advocated for passage. S. 368/HR 1332 - Telehealth Modernization Act: Advocated for passage. HR 1990/S 2556 - Medicare Orthotics and Prosthetics Patient-Centered Care Act: Lobbied for changes to the bills to ensure the legislation does not disrupt the ability of occupational therapy practitioners to provide and bill for orthotics and prosthetics and related services under Medicare. S.4712-OT Mental Health Parity Act: Support Passage of bill to direct CMS to put forward guidance clarifying that occupational therapy services can be provided to a person with a mental or behavioral health diagnosis under Medicare and Medicaid. HR3173/S3018-Improving Seniors' Timely Access to Care Act: Support passage. HR 6202 - Telehealth Extension Act: Endorsed S.3593 - Telehealth Extension & Evaluation Act: Endorsed HR 6770-PACE Plus Act and S 3626 PACE Expanded Act: Support passage HR 8800 - Supporting Medicare Providers Act of 2022: Advocate for passage HR 4040, Advancing Telehealth Beond COVID-19 Act of 2021 - Support Senate adoption to extend telehealth waivers through the end of 2024. Provision adopted as part of the year-end Omnibus. H.R. 2617 - Consolidated Appropriations Act of 2023: Support inclusion of all above provisions in end of year Omnibus bill. No bill: Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. No bill number: Support for passage of legislative provisions to clarify providers who are exempt from competitive bidding when providing orthotics and prosthetics, and reducing fraud in the provision of orthotics and prosthetics.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 and S 4170 - Mental Health Reform Reauthorization Act of 2022: Advocated to add doctoral occupational therapy programs to the list of programs eligible for Mental and Behavioral Health Education and Training Grants. HR 2461/S 1089 - Access to Assistive Technology and Devices for Americans Study Act (Triple A Study): Support passage HR 3320/S 1679 - The Allied Health Workforce Diversity Act: Support passage. HR 3150/S 1578 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021: Support passage. HR 909/S 484 - Moms Matter Act: Support passage. HR 7116 - 9-8-8 Implementation Act of 2022: Support passage. S. 3799 - PREVENT Pandemics Act: Support passage. S 4306 - Improving Access to Behavioral Health Integration Act: Support passage. HR 6770-PACE Plus Act and S 3626-PACE Expanded Act: Support passage. HR 7667 - Food and Drug Amendments of 2022: Support for Section 811. Bans of Devices for One or More Intended Uses. S. 4348-FDASLA Act of 2022: Support for Sen. Chris Murphy's amendment banning the use of electric skin shock devices. HR 2617 - Consolidated Appropriations Act of 2023: Support inclusion of all above provisions in end of year Omnibus bill.

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

Issues/Topics Public health funding  Behavioral health and crisis intervention Healthcare Workforce Rural health care and rural hospitals Telehealth  Medicare   Medicaid  Dual Medicare and Medicaid Eligibility Hospital Consolidation  Nutrition Services and Food Security  Obesity in older adults School meals Child nutrition Opioids and Substance Use Disorders Caregiving and Aging Home and Community Based Services Pandemic Preparedness Bills S. 3799, PREVENT Pandemics Act H.R. 6613, Keeping School Meals Flexible Act S. 1536 / H.R. 3108, Medical Nutrition Therapy Act of 2021 H.R. 5218, Collaborate in an Orderly and Cohesive Manner H.R. 7232, 9-8-8 and Parity Assistance Act of 2022 H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022 H.R. 1887 / S. 4009, Rural Hospital Support Act S. 2089, Keep Kids Fed Act S. 3913 / H.R. 8481, Improving DATA in Public Health Act S.4264, Advancing Integration in Medicare and Medicaid (AIM) Act S.3534 / H.R.7152, Tracking Pathogens Act S. 1162 / H.R. 6770, PACE Plus Act S.3626, PACE Expanded Act S. 569 / H.R. 1577, Treat and Reduce Obesity Act H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2021

Client expense: $860,000 · Firm income: Not reported

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE) HR 7236 To expand the availability of mental, emotional, and behavioral health services under the Medicaid program HR 7353 To treat telehealth services as excepted benefits HR 7961 To protect hospital personnel from violence S 4352 To require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic S 3189 To provide a pathway to health careers through health profession opportunity grants HR 7666 Reauthorizes, expands, and modifies programs, grants, and activities that focus on mental and behavioral health

H.R. 2166/S. 150 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 PACE regulations and PACE demonstration. Medicaid and Medicare reimbursement. Medicare Part D reform. COVID provider relief fund, access to COVID treatments and vaccines. Issues related to Audio only Medicare. HCBS issues. Medicare sequestration delay; statutory pay-go impact on Medicare providers. S. 3626 - PACE Expanded Act. H.R. 4941 - PACE Part D Choice Act of 2021. H.R 6770/S. 1162 - PACE Plus Act. Inflation Reduction Act (H.R. 5376) Public Law No. 117-169.

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

S 1315/HR 3630 - The Lymphedema Treatment At: Support passage. HR 5536 - Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act: Advocated for passage and support introduction of similar legislation in the Senate. HR 2168/S3193 - Expanded Telehealth Access Act: Advocated for passage. S. 368/HR 1332 - Telehealth Modernization Act: Advocated for passage. HR 1990/S 2556 - Medicare Orthotics and Prosthetics Patient-Centered Care Act: Lobbied for changes to the bills to ensure the legislation does not disrupt the ability of occupational therapy practitioners to provide and bill for orthotics and prosthetics and related services under Medicare. S.4712-OT Mental Health Parity Act: Support Passage of bill to direct CMS to put forward guidance clarifying that occupational therapy services can be provided to a person with a mental or behavioral health diagnosis under Medicare and Medicaid. HR3173/S3018-Improving Seniors' Timely Access to Care Act: Support passage. HR 6202 - Telehealth Extension Act: Endorsed S.3593 - Telehealth Extension & Evaluation Act: Endorsed HR 6770-PACE Plus Act and S 3626 PACE Expanded Act: Support passage HR 8201: Promoting Health Care Quality Act of 2002 - support passage. No bill: Supported efforts to include occupational therapy in new school-based Medicaid guidelines, where appropriate. HR 8800 - Supporting Medicare Providers Act of 2022: Advocate for passage

Client expense: $120,000 · Firm income: Not reported

HR 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 and S 4170 - Mental Health Reform Reauthorization Act of 2022: Advocated to add doctoral occupational therapy programs to the list of programs eligible for Mental and Behavioral Health Education and Training Grants. HR 2461/S 1089 - Access to Assistive Technology and Devices for Americans Study Act (Triple A Study): Support passage HR 3320/S 1679 - The Allied Health Workforce Diversity Act: Support passage. HR 3150/S 1578 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021: Support passage. HR 909/S 484 - Moms Matter Act: Support passage. HR 7116 - 9-8-8 Implementation Act of 2022: Support passage. S. 3799 - PREVENT Pandemics Act: Support passage. S 4306 - Improving Access to Behavioral Health Integration Act: Support passage. HR 6770-PACE Plus Act and S 3626-PACE Expanded Act: Support passage. HR 7667 - Food and Drug Amendments of 2022: Support for Section 811. Bans of Devices for One or More Intended Uses. S. 4348-FDASLA Act of 2022: Support for Sen. Chris Murphy's amendment banning the use of electric skin shock devices.

Client expense: $120,000 · Firm income: Not reported

HR 7666 - Restoring Hope for Mental Health and Well-Being Act of 2022 and S 4170 - Mental Health Reform Reauthorization Act of 2022: Advocated to add doctoral occupational therapy programs to the list of programs eligible for Mental and Behavioral Health Education and Training Grants. HR 2461/S 1089 - Access to Assistive Technology and Devices for Americans Study Act (Triple A Study): Support passage HR 3320/S 1679 - The Allied Health Workforce Diversity Act: Support passage. HR 3150/S 1578 - Mental Health Professionals Workforce Shortage Loan Repayment Act of 2021: Support passage. No bill number: Advocated for the role of occupational therapy in acute and long-term recovery from the COVID pandemic. HR 909/S 484 - Moms Matter Act: Support passage. HR 7116 - 9-8-8 Implantation Act of 2022: Support passage. S. 3799 - PREVENT Pandemics Act: Support passage. S 4306 - Improving Access to Behavioral Health Integration Act: Support passage. S 2938 - Bipartisan Safer Communities Act: Support passage. HR 6770-PACE Plus Act and S 3626-PACE Expanded Act: Support passage. No Bill: Advocated for occupational therapy's role in long COVID treatment and recovery. HR 7667 - Food and Drug Amendments of 2022: Support for Section 811. Bans of Devices for One or More Intended Uses. S. 4748-FDASLA Act of 2022: Support for Sen. Chris Murphy's amendment banning the use of electric skin shock devices.

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

HR 1868 - A bill to prevent across-the-board direct spending cuts and for other purposes: Support for delaying Medicare Sequester and passage of bill. S 1315/HR 3630 - The Lymphedema Treatment At: Support passage. HR 5536 - Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act: Advocated for passage HR 2168/S3193 - Expanded Telehealth Access Act: Advocated for passage. S. 368/HR 1332 - Telehealth Modernization Act: Advocated for passage. HR 1990/S 2556 - Medicare Orthotics and Prosthetics Patient-Centered Care Act: Lobbied for changes to the bills to ensure the legislation does not disrupt the ability of occupational therapy practitioners to provide and bill for orthotics and prosthetics and related services under Medicare. No bill number: advocated for inclusion of language in Senate mental health legislation, directing CMS to put forward guidance clarifying that occupational therapy services can be provided to a person with a mental or behavioral health diagnosis under Medicare and Medicaid. No bill number: advocated for inclusion of language in Senate mental health legislation requiring an occupational therapy evaluation for anyone with dementia who lives in a skilled nursing or long-term care facility, or who is newly diagnosed with schizophrenia. HR3173/S3018-Improving Seniors' Timely Access to Care Act: Support passage. HR 6202 - Telehealth Extension Act: Endorsed S.3593 - Telehealth Extension & Evaluation Act: Endorsed HR 6770-PACE Plus Act and S 3626 PACE Expanded Act: Support passage S 2938 - Bipartisan Safer Communities Act: Support passage. No bill: Advocated for occupational therapy's role in long COVID treatment and recovery.

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

H.R. 2166/S. 150 - Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021 PACE regulations and PACE demonstration. Medicaid and Medicare reimbursement. Medicare Part D reform. COVID provider relief fund, access to COVID treatments and vaccines. Issues related to Audio only Medicare. HCBS issues. H.R. 5376 - Build Back Better Act. Medicare sequestration delay; statutory pay-go impact on Medicare providers. S. 3626 - PACE Expanded Act. H.R. 4941 - PACE Part D Choice Act of 2021. H.R 6770/S. 1162 - PACE Plus Act.

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

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE) HR 7236 To expand the availability of mental, emotional, and behavioral health services under the Medicaid program HR 7353 To treat telehealth services as excepted benefits HR 7961 To protect hospital personnel from violence S 4352 To require a study on the effects of travel nurse agencies on the health industry during the COVID-19 pandemic S 3189 To provide a pathway to health careers through health profession opportunity grants

HR 432 and S 828 To provide for the coverage of marriage and family therapist services and mental health counselor services under Medicare. HR 708 and S 168 To provide temporary licensing reciprocity for telehealth and interstate health care treatment. HR 1384 and S 445 Loosens restrictions on doctors prescribing buprenorphine for addiction treatment. HR 2503 To direct the HHS Secretary to establish an interagency council on social determinants of health. S 660 Improves access to tele-mental health during the length of the COVID-19 PHE. S 674 To support public health infrastructure (funding up to $4.5 billion). HR 2255/S. 1024 To recapture unused immigrant visas and allocate them to doctors and nurses to help in the fight against COVID-19. HR 2903/S. 1512 Comprehensive bill to expand telehealth access and make permanent telehealth flexibilities available during COVID-19 pandemic. HR 3203/S. 773 To enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program. S. 1162 To expand access to Programs of All-Inclusive Care for the Elderly (PACE). HR 4118 To authorize the HHS Secretary to invest in community-based violence reduction initiatives. S. 2257 To reduce drug and device shortages and costs. HR 5801 To apply additional payments, discounts, and other financial assistance towards the cost-sharing requirements of health insurance plans. Health care workforce shortage concerns. S. 3626 To improve access to the Program of All-Inclusive Care for the Elderly (PACE)

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