PEAKS Act

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673), Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) and American Relief Act (H.R. 10545) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on legislation, Improving Access to Emergency Medical Services Act of 2024 (H.R. 8977, S. 5400), to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

Client expense: $290,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

S. 2840, Bipartisan Primary Care and Health Workforce Act H.R. 3305 - Black Maternal Health Momnibus Act H.R. 4420, the Preparedness and Response Reauthorization Act H.R. 4531, the Support for Patients and Communities Reauthorization Act H.R. 2534, PROTECT 340B Act of 2023 H.R. 5013, the Value in Health Care Act of 2023 H.R. 3290, To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. H.R. 7050 - Substance Use Disorder Workforce Act S.4101/ H.R.7931 - the Preserving Emergency Access in Key Sites Act Keeping Obstetrics Local Act S.4088, Welcome Back to the Health Care Workforce Act Issues related to essential hospital designation Issues related to health equity Issues related to the 340B Drug Pricing program Issues related to contact pharmacies Issues related to the health care workforce Issues related to Community Paramedicine Issues related to Artificial Intelligence and Health Care Issues related to hospital digital infrastructure Issues related to cybersecurity H.R. 9351 Save our Safety-Net Hospitals Act of 2024 Issues related to Opioid overdose reduction

Client expense: $460,000 · Firm income: Not reported

H.R. 9101/S. 4274, 9/11 Responder and Survivor Health Funding Correction Act of 2024 H.R. 8977, Improving Access to Emergency Medical Services Act of 2024 H.R. 7931/S. 4101, PEAKS Act H.R. 7788/S. 4013, Firefighter PFAS Injury Compensation Act of 2024 H.R. 4306, Michael Lecik Military Firefighters Protection Act H.R. 3671/S. 1925, HERO Act H.R. 2407/S. 2085, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act H.R. 1666/S. 1673, Protecting Access to Ground Ambulance Medical Services Act of 2021 H.R. 1294/S. 569, 9/11 Responder and Survivor Health Funding Correction Act Issues related to health insurance for retired public safety officers Issues related to supplemental Medicaid reimbursements for ground ambulance service Issues pertaining to the provision of mental health services for fire fighters Issues pertaining to ground ambulance billing/reimbursement Issues pertaining to implementation of the No Surprises Act Supporting the National Firefighter Cancer Registry Issues related to cancer screenings for fire fighters

Client expense: $163,011 · Firm income: Not reported

H.R. 8977, Improving Access to Emergency Medical Services Act of 2024 H.R. 7931/S. 4101, PEAKS Act Issues pertaining to CMS reimbursement for ground ambulance services Issues pertaining to implementation of the No Surprises Act Issues pertaining to supplemental Medicaid reimbursement opportunities for ambulance service Issues pertaining to CMS' Ground Ambulance and Patient Billing Advisory Committee Issues pertaining to the ET3 Model Policy

Client expense: $163,011 · Firm income: Not reported

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

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673) and Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on legislation, Improving Access to Emergency Medical Services Act of 2024 (H.R. 8977), to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

Client expense: $275,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

S. 2840, Bipartisan Primary Care and Health Workforce Act H.R. 3305 - Black Maternal Health Momnibus Act H.R. 4420, the Preparedness and Response Reauthorization Act H.R. 4531, the Support for Patients and Communities Reauthorization Act H.R. 2534, PROTECT 340B Act of 2023 H.R. 5013, the Value in Health Care Act of 2023 H.R. 3290, To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. H.R. 7050 - Substance Use Disorder Workforce Act S.4101/ H.R.7931 - the Preserving Emergency Access in Key Sites Act Keeping Obstetrics Local Act S.4088, Welcome Back to the Health Care Workforce Act Issues related to essential hospital designation Issues related to health equity Issues related to the 340B Drug Pricing program Issues related to contact pharmacies Issues related to the health care workforce Issues related to Community Paramedicine Issues related to Artificial Intelligence and Health Care Issues related to hospital digital infrastructure Issues related to cybersecurity

Client expense: $450,000 · Firm income: Not reported

Lobbied on the Protecting Access to Ground Ambulance Medical Services Act (H.R. 1666, S.1673) and Preserving Telehealth, Hospital, and Ambulance Access Act (H.R. 8261) to extend temporary increases in Medicare payments to ground ambulance services. Educated congressional offices and committees on scheduled changes in geographical designation of zip codes under the Medicare ambulance fee schedule following the 2020 Census. Lobbied on draft legislation to create a CMMI demonstration project on the reimbursement of treatment in place as well as on alternative destination and mobile integrated health policies. Lobbied on the Emergency Medical Services Reimbursement for On-Scene Care and Support Act (S. 3236, H.R. 6257) and Community Paramedicine Act (H.R. 8042). Engaged with congressional offices on the Preserving Emergency Access in Key Sites Act (H.R. 7931, S. 4101).

Client expense: $275,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE

S. 2840, Bipartisan Primary Care and Health Workforce Act H.R. 3305 - Black Maternal Health Momnibus Act H.R. 4420, the Preparedness and Response Reauthorization Act H.R. 4531, the Support for Patients and Communities Reauthorization Act H.R. 2534, PROTECT 340B Act of 2023 H.R. 5013, the Value in Health Care Act of 2023 H.R. 3290, To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program. H.R. 7050 - Substance Use Disorder Workforce Act S.4101/ H.R.7931 - the Preserving Emergency Access in Key Sites Act Welcome Back to the Health Care Workforce Act Issues related to essential hospital designation Issues related to health equity Issues related to the 340B Drug Pricing program Issues related to contact pharmacies Issues related to the health care workforce Issues related to Community Paramedicine Issues related to Artificial Intelligence and Health Care Issues related to hospital digital infrastructure Issues related to cybersecurity

Client expense: $420,000 · Firm income: Not reported

S 4101 Preserving Patient Access to Home Infusion Act (all sections of full text)(support) HR 1976 Preserving Patient Access to Home Infusion Act (all sections of full text)(support) Discussions involving funding for state Medicaid programs to improve home- and community-based services Discussions involving federal definition of Long-Term Care pharmacies Discussions involving CMS finalized physician fee schedule Discussions involving home health Monitored discussions pertaining to proposed legislation regarding Pharmacy Benefit Managers Monitored discussions involving Medicare prescription drug proposals Monitored discussions involving hospice proposals

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE