A bill to amend title XVIII of the Social Security Act to ensure appropriate supervision requirements for outpatient physical therapy and outpatient occupational therapy.

Monitor and engage on federal legislation and administrative action related to reintroduction of the John R. Lewis Voting Rights Advancement Act of 2021. H.R. 15, Equality Act. S. 5, Equality Act.

Client expense: $1,150,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Monitor and engage on federal legislation and administrative action related to reintroduction of the John R. Lewis Voting Rights Advancement Act of 2021. H.R. 15, Equality Act. S. 5, Equality Act.

Client expense: $1,940,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

Monitor and engage on federal legislation and administrative action related to reintroduction of the John R. Lewis Voting Rights Advancement Act of 2021. H.R. 15, Equality Act. S. 5, Equality Act.

Client expense: $1,440,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office

HR 8344: Electrodiagnostic Medicine Patient Protection and Fraud Elimination Act of 2022 Medicare sequestration moratorium Medicaid coverage and reimbursement Medicare wound care coverage National Correct Coding Initiative Edits Protection of programs related to physical therapy in deficit reduction Medicare Advantage Essential Health Benefits Medicare improvement standards Inclusion of physical therapists in quality programs Medicare Self-referral Coverage of telehealth under Medicare, Medicare Advantage, and Medicaid H.R. 2168/S. 3193 Expanded Telehealth Access Act APTA PT Outcomes Registry/Qualified Clinical Data Registries Medicare Quality Programs Accelerating Innovation in Medicine Act Improving Medicare Post-Acute Care Transformation Act Chronic Care Management Orthotics and Prosthetics H.R. 1990/S. 2556: Medicare Orthotics and Prosthetics Patient-Centered Care Act Medicare Private Contracting H.R. 3322/S. 826 Medicare Patient Empowerment Act Skilled Nursing Facility 3-Day rule H.R. 5536 Stabilizing Medicare Access to Rehabilitation and Therapy (SMART) Act PTA Differential in Medicare Prior Authorization in Medicare Advantage Plans Alternative payment models Health information technology: Electronic health records, health IT incentives for physical therapists, certification of EHRs interoperability, and information blocking durable medical equipment prosthetics orthotics and supplies competitive bidding H.R. 3630/S. 1315 Lymphedema Treatment Act Medicare enrollment Skilled Nursing Facility payment Home Health payment Medical review (Medicare) Reducing Health Care costs REAADI & DRMA Acts Home Health Payment Innovation Act H.R. 3173/S. 3018 Improving Seniors Timely Access to Care Act H.R. 3650/S. 2048 Improving Access to Medicare Coverage Act Critical Access Hospital Relief Act Medicare Fee Schedule Unified post-acute care prospective payment system Inpatient rehabilitation facilities / long term care hospital payment HIPAA proposed rule HR 6020 - Support Medicare Providers Act S. 3799 PREVENT Pandemics Act H.R. 5365 Primary Health Services Enhancement Act H.R. 8181 Optimizing Postpartum Outcomes Act H.R 8800 Supporting Medicare Providers Act of 2022 S. 5 PTA/OTA Supervision

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.

Advocated for Fiscal Year 2023 funding of 2018 Farm Bill programs, including the Farm and Ranch Stress Assistance Network, the Dairy Business Innovation program, conservation programs, broadband, and food aid. Advocated for report language to direct that certain feed additives be classified as foods rather than drugs and supportive of language which continues the allowance of 1% flavored milk in school feeding programs and maintains amounts for dairy options in WIC food allowance packages. Advocated for plus up funds for the COVID relief PMVAP program to be used to address the gap in reimbursement for farmers affected by the program's 5 million pound cap. Supported related provisions in the Fiscal Year 2023 Agriculture-FDA Appropriations Act (H.R. 8239), which passed the House as part of H.R. 8294. In budget reconciliation process, advocated against changes being made to the timing or assessment basis for taxing capital gains on inherited assets (a.k.a. opposed changes to the "stepped-up basis"). Also supported the inclusion of climate smart ag provisions in budget reconciliation, including those included in the Inflation Reduction Act (H.R. 5376).

Client expense: $306,540 · 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

Advocated for Fiscal Year 2023 funding of 2018 Farm Bill programs, including the Farm and Ranch Stress Assistance Network, the Dairy Business Innovation program, conservation programs, broadband, and food aid. Advocated for report language to direct that certain feed additives be classified as foods rather than drugs and supportive of language which continues the allowance of 1% flavored milk in school feeding programs and maintains amounts for dairy options in WIC food allowance packages. Advocated for plus up funds for the COVID relief PMVAP program to be used to address the gap in reimbursement for farmers affected by the program's 5 million pound cap. Supported related provisions in the Fiscal Year 2023 Agriculture-FDA Appropriations Act (H.R. 8239), which passed the House as part of H.R. 8294. In budget reconciliation process, advocated against changes being made to the timing or assessment basis for taxing capital gains on inherited assets (a.k.a. opposed changes to the "stepped-up basis"). Also supported the inclusion of climate smart ag provisions in budget reconciliation, including those included in the Inflation Reduction Act (H.R. 5376).

Client expense: $241,100 · Firm income: Not reported

S5 & HR 5- Equality Act HR 1440- Fairness for All Act

Client expense: $21,568 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S5 & HR 5- Equality Act HR 1440- Fairness for All Act

Client expense: $21,568 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S5 & HR 5- Equality Act HR 1440- Fairness for All Act

Client expense: $227,091 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Advocated for Fiscal Year 2023 funding of 2018 Farm Bill programs, including the Farm and Ranch Stress Assistance Network, the Dairy Business Innovation program, conservation programs, broadband, and food aid. Advocated for report language to direct that certain feed additives be classified as foods rather than drugs and supportive of language which continues the allowance of 1% flavored milk in school feeding programs and maintains amounts for dairy options in WIC food allowance packages. Advocated for plus up funds for the COVID relief PMVAP program to be used to address the gap in reimbursement for farmers affected by the program's 5 million pound cap. Supported related provisions in the Fiscal Year 2023 Agriculture-FDA Appropriations Act (H.R. 8239). In budget reconciliation process, advocated against changes being made to the timing or assessment basis for taxing capital gains on inherited assets (a.k.a. opposed changes to the "stepped-up basis"). Also supported the inclusion of climate smart ag provisions in budget reconciliation, including those included in the Build Back Better Act (H.R. 5376).

Client expense: $251,970 · Firm income: Not reported

Advocated for Fiscal Year 2023 funding of 2018 Farm Bill programs, including the Farm and Ranch Stress Assistance Network, the Dairy Business Innovation program, conservation programs, broadband, and food aid. Advocated for report language to direct that certain feed additives be classified as foods rather than drugs and supportive of language which continues the allowance of 1% flavored milk in school feeding programs and maintains amounts for dairy options in WIC food allowance packages. Advocated for plus up funds for the COVID relief PMVAP program to be used to address the gap in reimbursement for farmers affected by the program's 5 million pound cap. Supported related provisions in the Fiscal Year 2023 Agriculture-FDA Appropriations Act (H.R. 8239). In budget reconciliation process, advocated against changes being made to the timing or assessment basis for taxing capital gains on inherited assets (a.k.a. opposed changes to the "stepped-up basis"). Also supported the inclusion of climate smart ag provisions in budget reconciliation, including those included in the Build Back Better Act (H.R. 5376).

Client expense: $251,970 · Firm income: Not reported

S5 and HR5 - Equality Act HR 1440 Fairness for All Act

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S5 and HR5 - Equality Act HR 1440 Fairness for All Act

Client expense: Not reported · Firm income: Not reported

Government targets: SENATE

S5 and HR5 - Equality Act HR 1440 Fairness for All Act

Client expense: Not reported · Firm income: Not reported

Government targets: SENATE

Equality Act (H.R. 5/S.5) For the People Act (H.R. 1/S. 1): voting rights

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

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

Equality Act (H.R. 5/S.5) For the People Act (H.R. 1/S. 1): voting rights

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

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