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Long-Term Care Workforce Support Act
Legislative Progress
Introduced
April 15, 2024
Latest Action
April 15, 2024
Primary Sponsor
Robert P. Casey, Jr.Democratic(PA)
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
0pct
0d open
vs 5,649 other S bills in the 118th — cohort avg 33d
No CRS summary is available for this bill yet. The source title, actions, sponsors, and text versions below come from Congress.gov.
These links require the bill number to appear in the filing's source-reported specific issue text. Client expenses and lobbying-firm income are separate disclosure fields.
Filing registrants (16)
Read twice and referred to the Committee on Finance.
Introduced in Senate
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2025 · second_quarter · Health Issues
Issues pertaining to biomedical research and health professions education. Issues pertaining to the Minority Fellowship Program. Issues pertaining to mental and behavioral health and the role of social work. Reauthorization of the Health Equity and Accountability Act, Issues pertaining to social work, health disparities, and the mental and behavioral health workforce. S. 2840, Bipartisan Primary Care and Health Workforce Act, Issues pertaining to the National Health Service Corps and HRSA social work education and training programs. Issues pertaining to NIH reform, ARPA-H, and biomedical research. Issues pertaining to mental health and the mental health workforce. H.R. 7994, S. 4120, Long-Term Care Workforce Support Act, Issues pertaining to education and training of workforce. S.B. 266, Dr. Lorna Breen Health Care Provider Protection Reauthorization Act, All provisions.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · fourth_quarter · Labor Issues/Antitrust/Workplace
Transformation to Competitive Integrated Employment Act (HR1263, S533) Recognizing the Role of Direct Support Professionals Act (H.R. 2941, S. 1332) Direct Creation Advancement and Retention of Employment (CARE) Opportunity Act (H.R. 4720) Reform to the AbilityOne Program Long-Term Care Workforce Support Act (H.R. 7944/S. 4120)
Client expense: $20,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · fourth_quarter · Medicare/Medicaid
We Cant Wait Act, S. 3400 (generally, no specific provisions) Immediate Access for the Terminally Ill Act, H.R. 6427 (generally, no specific provisions) Stop the Wait Act, H.R. 883, provision related to the working period for social security benefits Improved access to SSA benefits for those with Long COVID (generally, so specific legislation) Long-Term Care Workforce Support Act, S.4120 (generally, no specific provisions) Social Security Overpayment Fairness Act, H.R.8265 (generally, no specific provisions) Improved access to claimant medical records (generally, no specific legislation)
Client expense: $20,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · fourth_quarter · Medicare/Medicaid
MMM [House, Senate, HHS, CMS, FDA, Administration on Aging, EOP, DOC] Medicare Observation Stays. The Improving Access to Medicare Coverage Act of 2023 (H.R. 5138 and S. 4137): Proposals to count time spent in observation status toward the three-day prior inpatient stay required under Medicare for coverage of a subsequent stay in a skilled nursing facility. Medicare Drug Prices (No bill): Proposal to have the Biden Administration lower the price of the prostate cancer drug Xtandi through executive action by using so-called march-in rights under the Bayh-Dole Act; to amend the Federal Food, Drug, and Cosmetic Act to grant eligible researchers access to drugs or biologic products for research purposes at a price no higher than the cost to the manufacturer; to block so-called Dispense-As-Written campaigns where drug manufacturers incentivize health care providers to specify a brand drug on a prescription to block generic substitution at the pharmacy. Medicare Drug Costs. The Pharmaceutical Research Transparency Act of 2023 (S. 1476 and H.R. 3160): Proposal to amend the Public Health Service Act and the Security Exchange Act to require pharmaceutical manufacturers to report their costs related to clinical trials and research and development. Medicare Drug Savings. The Seniors Securing Access to Vital and Essential Prescription Drugs Act (H.R. 2893): Proposals to discount the treatment of eligible retirement plans in determining the eligibility of individuals for premium and cost sharing subsidies under Part D of the Medicare program. (No bills): Proposals to eliminate the Medicare Part D low-income subsidy programs asset test and raise the income eligibility levels to 200 percent of the federal poverty level. Medicare Prescription Drugs. Drug Costs. Inflation Reduction Act (Public Law No: 117-169): Proposal to allow Medicare to negotiate prices with drug makers, cap prices at inflation in Part B and D, cap beneficiary out-of-pocket costs in Part D, eliminate cost-sharing for vaccines, eliminate cost-sharing in the catastrophic phase of Part D, and to raise the income threshold for the Low-Income Subsidy program offering assistance in paying for drugs. Medicare Prescription Drugs. The Affordable Pricing for Taxpayer-Funded Prescription Drugs Act of 2023 (H.R. 3093): Proposals to require companies that receive federal funding for research (or a license of the rights to a patent or regulatory test data) for a biomedical product or service to agree to set reasonable prices for the resulting biomedical product or service and authorize to determine a reasonable price based on a formula that ensures the U.S. price for the product or service is not more than the median price for the product or service in Canada and six other reference countries. Medicare Prescription Drugs. (No bill): A regulatory proposal encouraging the Secretaries of the Departments of Health and Human Services (HHS) and Commerce to exercise march in rights that would aim to better control the pricing of prescription drugs. Medicare Prescription Drugs. (No bill): An HHS regulatory proposal to ensure robust negotiation rules and processes that aim to curtail the cost of certain prescription drugs, as authorized by the Inflation Reduction Act (Public Law No: 117-169). Medicare and Medicaid Prescription Drugs. (No bill): Joined comments with 19 other organizations urging HHS to use its existing authority to license competition in order to lower consumer and taxpayer costs for semaglutide drugs treating diabetes and weight management (e.g., Ozempic and Wegovy). Medicare Prescription Drugs. The PACE Part D Choice Act (H.R. 3549 and S. 1703): Proposal to increase the affordability of the Program of All-Inclusive Care for the Elderly (PACE) for Medicare beneficiaries by lowering the cost of Part D premiums substantially for Medicare-only enrollees, thus opening up the PACE program to this population. Medicare Low-Income Subsidy (LIS) Program. (No bill): Proposal to increase funding for LIS outreach and enrollment, so that low-income beneficiaries can more readily access needed medications at prices they can afford. Medicare Reform. The Assuring Medicares Promise Act (H.R. 34) and The Medicare and Social Security Fair Share Act (S. 1174 and H.R. 4535): Proposals to close the loophole for wealthy individuals who bypass paying net investment income tax (NIIT) and directing the revenue to the Hospital Insurance Trust Fund, which pays for Medicare Part A that covers inpatient care in hospitals, and to the Social Security Trust Funds. Medicare Trustees Report (No bill). Review of the findings on economic, legislative and other developments affecting the actuarial soundness of the Medicare Part A (Hospital Insurance) Trust Fund and the Trust Funds for Parts B and D coverage. Medicare Dental Coverage. The Medicare Dental Benefit Act (S. 2012 and H.R. 4146): Proposal to add a dental benefit to Medicare. Medicare Hearing Coverage. The Help Extend Auditory Relief Act of 2024 (H.R. 8064): Proposal to expand Medicare coverage to include hearing examinations and diagnoses, fittings and hearing aids. Medicare call center (No bill): Proposal to address the poor working conditions of the call center workers employed by Maximus, a federal contractor with the Department of Health and Humans Services/Center for Medicare and Medicaid Services) HHS/CMS. Public Health Emergency (No bill): Proposals to ensure the transition out of the public health emergency doesnt create enrollment or coverage gaps for Medicare eligible individuals. Medicare Advantage (MA). (No bill): Proposals to create transparency around Medicare Advantage plans using prior authorization and supplemental benefits that are not offered under traditional Medicare. Medicare Advantage. (No bill): Proposals to apply a higher coding adjustment factor to fully account for intensive upcoding by MA plans and to exclude certain information for MA risk adjustment scores and payments; to use two years of traditional Medicare and MA diagnostic data for calculating MA risk-adjusted payments; and to promulgate more fundamental changes to the Hierarchical Condition Category (HCC) risk adjustment model. Medicare Privatization (No bill): Proposals to create reimbursement policies in traditional Medicare that mimic those used by private health insurance plans. Medicaid Home and Community-Based Services. The HCBS Access Act (H.R. 1493 and S. 762): Proposals to make home and community-based services (HCBS) a mandatory benefit within Medicaid, and to ensure eligible older adults and people with disabilities have the option to choose between home care and institutional care. Caregiving. The Alleviating Barriers to Caregiving Act (H.R. 8018 and S. 3109): Proposal to require the Secretaries of HHS and SSA to review and streamline enrollment in coverage and benefits for family caregivers in Medicare, Medicaid, CHIP and Social Security. Medicare and Medicaid Nursing Homes. The Nursing Home Disclosure Act (H.R. 177): Proposal to direct HHS to establish a national registry of medical directors. Medicare, Medicaid Nursing Homes. The Protecting Americas Seniors Access to Care Act (H.R. 7513 and S. 3410): Proposal to prohibit the HHS Secretary from promulgating national staffing standards in nursing homes. Medicare, Medicaid Nursing Homes. (H.J. Res. 139 and S.J. Res. 91): Proposal to use the Congressional Review Act to disapprove the HHS Secretarys final rule promulgating national staffing standards in nursing homes Medicare, Medicaid Nursing Homes. The Building Americas Health Care Workforce Act (H.R. 9067): Proposal to allow time spent working in a nursing home (prior to any formal training, and permitted during the COVID-19 pandemic) to count toward a 75-hour minimum federal training standard that is required for certified nursing assistants. Medicare, Medicaid Nursing Homes. The Ensuring Seniors Access to Quality Care Act (H.R. 3227): Proposal to repeal regulations that prohibit certified nursing assistant training and competency evaluation programs in skilled nursing facilities that have a record of health and safety deficiencies and have incurred penalties (e.g., civil monetary penalties for substandard quality of care). Medicare, Medicaid Nursing Homes, Assisted Living and Other Long Term Care Services and Supports (LTSS) Settings. The Long-Term Care Workforce Support Act (H.R. 7994 and S. 4120): Proposals to increase the number of direct care professionals, including in rural communities; pathways to enter and be supported in the workforce for women, people of color, and people with disabilities; and to improve compensation for direct care professionals to reduce vacancies and turnover. Medicare and Medicaid Nursing Home Ownership. (No bill): A final HHS regulation for comprehensive ownership disclosure in the nursing home sector issued on November 17th, 2023. Rule calls for strengthened cost reporting requirements, together with ongoing national analyses and monitoring of the performance of the nursing home sector that uses ownership, staffing, cost report data and inspection data. Medicare and Medicaid Nursing Home Staffing. (No bill): Final regulations establishing national staffing standards in nursing homes that would safeguard the health and safety of all elderly and disabled residents. Medicaid Long-Term Services and Supports (LTSS). (No bill): Proposals to request that CMS collect standardized LTSS expenditure data annually from every state and across all LTSS programs and for disaggregation of expenditure data by the delivery system and demographic characteristics in order to identify disparities in access and use of LTSS and help states and CMS deploy targeted strategies to meet the needs of older adults and people with disabilities. Oversight of Health Care Industry Owned by Private Equity Firms. (No bill): Joined with other organizations in submitting comments (April 2024) to HHS, the Federal Trade Commission and the Department of Justice urging sustained, stepped up and rigorous oversight be extended to health care industry transactions that are financed by private equity company companies and other types of private investors. Medicaid Eligibility and Beneficiary Assets. Medicaid Estate Recovery Act (H.R. 7573): Proposals to provide financial protection to the families of Medicaid beneficiaries, including ending Medicaid estate claims and Medicaid liens, except in cases when benefits had been incorrectly paid, as determined by a court.
2024 · fourth_quarter · Medicare/Medicaid
Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 6445/S. 2377) Issues related to the provision of audiology and speech-language pathology services through telepractice, including the Expanded Telehealth Access Act (H.R. 3875/S. 2880), the CONNECT for Health Act (H.R. 4189/S. 2016) and the Telehealth Modernization Act (H.R. 7623). Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 2474, the Strengthening Medicare for Patients and Providers Act, H.R. 2474, H.R. 6545, the Physician Fee Schedule Update and Improvements Act, and S. 4935, the Physician Fee Schedule Stabilization Act Various issues related to CMS Actions surrounding: Audits of medical records and claims for Part A and B services Procedure code development and valuation of audiology and speech-language pathology services Quality reporting under MIPS Implementation of the IMPACT Act Medicare physician fee schedule Prospective payments systems, including home health and skilled nursing facility policy and payment issues Accountable Care Organizations Federally-facilitated marketplace Medicare Advantage Various issues related to interoperable health information, including the post-acute care interoperability project (PACIO) Medicare telehealth coverage under Part A and B Implementation of CARES Act (P.L. 116-136) Provision and payment for Part A therapy Various issues related to implementation of ACA Issues related to Medicare beneficiaries accessing services provided by audiologists without a physician order Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care The Long-Term Care Workforce Support Act (H.R. 7994/S. 4120) Issues related to the Medicaid program, including Medicaid and Medicaid managed care access, the Early and Periodic Screening, Diagnosis, and Treatment benefit, school-based billing, and block grants, per capita caps, and work requirements. Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532) The American Relief Act, 2025 (H.R. 10545)
| Democratic |
| MD |
| Cory A. Booker | Democratic | NJ |
| Debbie Stabenow | Democratic | MI |
| Edward J. Markey | Democratic | MA |
| Elizabeth Warren | Democratic | MA |
| Gary C. Peters | Democratic | MI |
| Jeff Merkley | Democratic | OR |
| John Fetterman | Democratic | PA |
| Kirsten E. Gillibrand | Democratic | NY |
| Laphonza R. Butler | Democratic | CA |
| Maria Cantwell | Democratic | WA |
| Martin Heinrich | Democratic | NM |
| Patty Murray | Democratic | WA |
| Peter Welch | Democratic | VT |
| Richard Blumenthal | Democratic | CT |
| Ron Wyden | Democratic | OR |
| Sheldon Whitehouse | Democratic | RI |
| Sherrod Brown | Democratic | OH |
| Tammy Baldwin | Democratic | WI |
| Tammy Duckworth | Democratic | IL |
| Tim Kaine | Democratic | VA |
| Tina Smith | Democratic | MN |
| S 4182 |
117th |
| Related bill |
| HR 1195 | 117th | Related bill |
Client expense: $200,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Client expense: $422,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
2024 · fourth_quarter · Unemployment
H.R. 1263/S. 533, the Transformation to Competitive Integrated Employment Act H.R. 6655, the A Stronger Workforce for America Act H.R. 7994/S. 4120, the Long-Term Care Workforce Support Act S. 1298, the Supporting the Direct Care Workforce Act Implementation of P.L. 113-128, the Workforce Innovation and Opportunity Act (WIOA) Implementation of DOL VETS Disabled Veterans Program Discussions: Federal employment of people with disabilities Discussions: Disability Employment Incentives Act
Client expense: $87,752 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Veterans Employment & Training Service
S.495, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; H.R.1815, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; S.1298, The Supporting Our Direct Care Workforce and Family Caregivers Act, to support recruitment, training, and retention of direct care workers; S.1448, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; HR.3153, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; S.722, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1477, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.4520, Reignite Hope Act of 2023, to provide tax credits for critical workers in assisted living communities in opportunity zones; S.2112, SEE Care Compare Act, to make the Care Compare internet website and its data more accessible by individuals using search engines; S.3254, Lowering Costs for Caregivers Act of 2023, to allow health savings accounts and flexible spending accounts to be used on medical expenses for individuals' parents; H.R.6835, Care Across Generations Act, to establish grants for long-term care facilities to co-locate or partner with childcare centers for intergenerational activities; H.R.6833, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.2584, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services on service delivery, financing, workforce adequacy, and other issues; H.R.7605, SENIOR Act of 2024, to provide a cost reduction program for low-income seniors to access assisted living and workforce development programs to meet caregiving needs; S.4503, Corporate Crimes Against Health Care Act, to exclude assisted living from entities subject to act addressing private equity issues in health care; H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.7784, Start Applying Labor Transparency (SALT) Act, to increase transparency for workers by requiring unions to register salts and their actions with the Department of Labor; H.R.6655, A Stronger Workforce for America Act, to reauthorize the Workforce Innovation and Opportunity Act and extend opportunities for senior living workforce development; S.4120, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; H.R.7994, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; S.1332, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.2941, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.8915, Education and Workforce Freedom Act, to extend eligibility for education savings accounts for career development; S.4804, Health Over Wealth Actto distinguish assisted living as separate from the definition of a health care entity subject to the requirements; H.R.9156, Health Over Wealth Act, to distinguish assisted living as separate from the definition of a health care entity subject to the requirements; S. 4503, Corporate Crimes Against Health Care Act, to distinguish assisted living from the oversight of health care settings subject to criminal, civil, and financial sanctions; H.R. 8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; S. 141, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services.
Client expense: $40,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments, care, and devices, including intermittent catheter (IC) coding, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Long-Term Care Workforce Support Act (S.4120/H.R.7994); HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); Creating Hope Reauthorization Act (H.R.7384/ S. 4583) - FDA priority review voucher program, healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573), accessible medical diagnostic equipment, durable medical equipment, intermittent catheter coding, FDA Rare Disease Center of Excellence, Think Differently Database Act (H.R.670/ S. 4174), Accelerating Kids Access to Care Act ((H.R.4758/S.2372); Ensuring Access to Medicaid Buy-In Programs Act (H.R.8107/ S.5070); Defense Health Research Programs (Congressionally Directed Medical Research Programs)
Client expense: $75,000 · Firm income: Not reported
Government targets: 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), Natl Institutes of Health (NIH), SENATE
Promote employment opportunities for people with SMA and other disabilities, reasonable accommodations and workforce protections for workers with SMA and other disabilities, direct care workforce shortage (DSP standard occupational classification), vocational rehabilitation, Labor-HHS-Education Appropriations bill, Disability Employment Incentive Act, Transformation to Competitive Integrated Employment Act (S. 533, H.R. 1263), Supporting Our Direct Care Workforce & Family Caregivers Act (S.1298), Recognizing the Role of Direct Support Professionals Act (H.R. 2941; S. 1332), Apprenticeship and Career and Technical Education Programs NPRM, Long-Term Care Workforce Support Act (S.4120/H.R.7994); ENABLE Act (H.R. 9614/S.4539); ABLE Tomorrow Act (H.R.10296);
Client expense: $75,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583); Think Differently Database Act (H.R.670/ S. 4174); Ensuring Access to Medicaid Buy-In Programs Act (H.R.8107 / S. 5070)
Client expense: $75,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Promote employment opportunities for people with SMA and other disabilities, reasonable accommodations and workforce protections for workers with SMA and other disabilities, direct care workforce shortage (DSP standard occupational classification), vocational rehabilitation, Labor-HHS-Education Appropriations bill, Disability Employment Incentive Act, Transformation to Competitive Integrated Employment Act (S. 533, H.R. 1263), Supporting Our Direct Care Workforce & Family Caregivers Act (S.1298), Recognizing the Role of Direct Support Professionals Act (H.R. 2941; S. 1332), Apprenticeship and Career and Technical Education Programs NPRM, Long-Term Care Workforce Support Act (S.4120/H.R.7994); ENABLE Act (H.R. 9614/S.4539)
Client expense: $75,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments, care, and devices, including intermittent catheter (IC) coding, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Long-Term Care Workforce Support Act (S.4120/H.R.7994); HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); Creating Hope Reauthorization Act (H.R.7384/ S. 4583), healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573), accessible medical diagnostic equipment, durable medical equipment, intermittent catheter coding, FDA Rare Disease Center of Excellence, Think Differently Database Act (H.R.670/ S. 4174), Accelerating Kids Access to Care Act ((H.R.4758/S.2372)
Client expense: $75,000 · Firm income: Not reported
Government targets: 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), Natl Institutes of Health (NIH), SENATE
Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583); Think Differently Database Act (H.R.670/ S. 4174)
Client expense: $75,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2024 · second_quarter · Education
Appropriations efforts for Allied Health Workforce Diversity Act that passed at end of 2022--funding language now included in S. 4120
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · second_quarter · Health Issues
HR 2474--Strengthening Medicare for Patients and Providers--tying Medicare reimbursement rates to inflation Ally's Act S.2377-- The Medicare Audiology Access Improvement Act--modernize treatment of audiology services in traditional Medicare S.1135--Ally's Act--require insurance coverage of osseointegrated devices H.R. 7542 Stop CMV Act of 2024--provide state funding for CMV screening programs S. 4120 Long Term Care Workforce Support Act--includes funding for AHWD program H.R. 2474 Strengthening Medicare for Patients and Providers Act
Client expense: $30,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2024 · third_quarter · Labor Issues/Antitrust/Workplace
Transformation to Competitive Integrated Employment Act (HR1263, S533) Recognizing the Role of Direct Support Professionals Act (H.R. 2941, S. 1332) Direct Creation Advancement and Retention of Employment (CARE) Opportunity Act (H.R. 4720) Reform to the AbilityOne Program Long-Term Care Workforce Support Act (H.R. 7944/S. 4120)
Client expense: $10,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · third_quarter · Health Issues
H.R. 485 - Protecting Health Care For All Patients Act of 2023 - Rep. McMorris Rodgers, Cathy - federal programs using prices based on quality-adjusted life years H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023 - Rep. Walberg, Tim - telehealth and ERISA amendments H.R. 830 - HELP Copays Act - Rep. Carter, Earl - health insurers responsibility for payments made by or on behalf of a plan enrollee toward a plans cost-sharing requirements H.R. 1488 - Affordable Insulin Now Act of 2023 - Rep. Craig, Angie - cost-sharing for insulin products H.R. 2666 - MVP Act - Rep. Guthrie, Brett - value-based purchasing arrangements under Medicaid program and reforms to price reporting H.R. 2691 - Transparent Price Act - Rep. McMorris Rodgers, Cathy - health insurer price transparency H.R. 2813 - Self-Insurance Protection Act - Rep. Good, Bob - ERISA amendments H.R. 2868 - Association Health Plans Act - Rep. Walberg, Tim - ERISA amendments H.R. 2872 - Further Additional Continuing Appropriations and Other Extensions Act, 2024 - Rep. Graves, Garret - extends FY24 funding and program authorities through March 8, 2024 H.R. 2882 - Further Consolidated Appropriations Act, 2024 - Rep. Ciscomani, Juan - provides annual funding through September 30, 2024, for the Departments of Labor, Health and Human Services, and Education, and Related Agencies H.R. 3305 - Black Maternal Health Momnibus Act - Rep. Underwood, Lauren - maternal health including in Medicaid and CHIP H.R. 3561 - PATIENT Act - Rep. McMorris Rodgers, Cathy - PBM transparency, PBM contract design, health insurance transparency, hospital transparency H.R. 3799 - Custom Health Option and Individual Care Expense Arrangement Act- Rep. Hern, Kevin - health reimbursement arrangements H.R. 3801 - Employer Reporting Improvement Act - Rep. Smith, Adrian - ACA reporting requirements H.R. 6956 - Opioid Settlement Accountability Act - Rep. Kaptur, Marcy - funding for opioid prevention and treatment services, training, equipment, and social support services H.R. 6960 - Emergency Medical Services for Children Reauthorization Act of 2024 - Rep. Carter, Earl L. Buddy - funding for emergency medical services for children program H.R. 7513 - Protecting Americas Seniors Access to Care Act - Rep. Fischbach, Michelle - regarding minimum staffing for nursing facilities H.R. 7623 - Telehealth Modernization Act of 2024- Rep. Carter, Buddy - including requirements for Part D plan contracts with PBMs including transparency and delinking provisions H.R. 7858 - Telehealth Enhancement for Mental Health Act of 2024 - Rep. James, John - Medicare, behavioral health, telehealth H.R. 7899 - To direct the Attorney General, in consultation with the Secretary of Health and Human Services, to promulgate the final regulations relating to special registration for telemedicine. - Rep. Ezell, Mike - telehealth H.R. 7907 - Welcome Back to the Health Care Workforce Act - Rep. Krishnamoorthi, Raja- grants/funding, health care workforce H.R. 7929 - Nursing Home Workforce Support and Expansion Act of 2024 - Rep. Horsford, Steven - grants/funding, health care workforce H.R. 7994 - Long-Term Care Workforce Support Act - Rep. Dingell, Debbie - health care workforce H.R. 8444 - Mental Health in Schools Act - Rep. Napolitano, Grace - grant to promote mental health S. 1606 - A bill to end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. - Sen. Booker, Cory - maternal mortality S. 3393 - SUPPORT for Patients and Communities Reauthorization Act. - Sen. Sanders, Bernie - SUD treatment S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 - Sen. Wyden, Ron - mental health, telehealth, health workforce S. 3612 - Access to Family Building Act- Sen. Duckworth, Tammy- right to access reproductive technology (ex. IVF) S. 3756 - At HOME Services Act of 2024- Sen. Rubio, Marco- pilot program for outpatient observation, acute care at home S. 3775 - BOLD Infrastructure for Alzheimers Reauthorization Act of 2024- Sen. Collins, Susan - healthcare infrastructure, Alzheimers S. 3805 - A bill to amend title XI of the Social Security Act to prohibit health plans from imposing fees on health care providers for electronic funds transfers and health care payment and remittance advice transactions, and for other purposes. - Sen. Cassidy, Bill - SSA, healthcare, electronic funds, payments, remittance S. 3847 - Improving Social Determinants of Health Act of 2024- Sen. Smith, Tina- CDC authorization S. 4088 - Welcome Back to the Health Care Workforce Act - Sen. Kaine, Tim - grants/funding, health care workforce S. 4120 - Long-Term Care Workforce Support Act - Sen. Casey, Robert P., Jr. - health care workforce S. 4195 - Childhood Diabetes Reduction Act of 2024 - Sen. Sanders, Bernie - nutrition labeling S. 4357 - Comprehensive Dental Reform Act of 2024- Sen. Sanders, Bernie - promotes access to oral health care S. 4358 - Preventing and Treating Substance Use Disorders Among Older Adults Act- Sen. Casey, Robert - SAMHSA grant program for SUDs S. 4554 - Reproductive Freedom for Women Act- Sen. Murray, Patty - protecting abortion and reproductive rights Issues related to broadband and public health infrastructure; mental health and telehealth; behavioral health; rural health; substance use disorder treatments; Health Savings Accounts; provider directories; artificial intelligence and privacy; insurance industry response to and support for providers regarding the Change Healthcare cyberattack and broader cyber security issues; ACA Marketplace; and Mental Health Parity Proposed Rule.
Client expense: $2,560,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2024 · third_quarter · Medicare/Medicaid
We Cant Wait Act, S. 3400 (generally, no specific provisions) Immediate Access for the Terminally Ill Act, H.R. 6427 (generally, no specific provisions) Stop the Wait Act, H.R. 883, provision related to the working period for social security benefits Improved access to SSA benefits for those with Long COVID (generally, so specific legislation) Long-Term Care Workforce Support Act, S.4120 (generally, no specific provisions) Social Security Overpayment Fairness Act, H.R.8265 (generally, no specific provisions)
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · third_quarter · Medicare/Medicaid
Medicare Observation Stays. The Improving Access to Medicare Coverage Act of 2023 (H.R. 5138 and S. 4137): Proposals to count time spent in observation status toward the three-day prior inpatient stay required under Medicare for coverage of a subsequent stay in a skilled nursing facility. Medicare Drug Prices (No bill): Proposal to have the Biden Administration lower the price of the prostate cancer drug Xtandi through executive action by using so-called march-in rights under the Bayh-Dole Act; to amend the Federal Food, Drug, and Cosmetic Act to grant eligible researchers access to drugs or biologic products for research purposes at a price no higher than the cost to the manufacturer; to block so-called Dispense-As-Written campaigns where drug manufacturers incentivize health care providers to specify a brand drug on a prescription to block generic substitution at the pharmacy. Medicare Drug Costs. The Pharmaceutical Research Transparency Act of 2023 (S. 1476 and H.R. 3160): Proposal to amend the Public Health Service Act and the Security Exchange Act to require pharmaceutical manufacturers to report their costs related to clinical trials and research and development. Medicare Drug Savings. The Seniors Securing Access to Vital and Essential Prescription Drugs Act (H.R. 2893): Proposals to discount the treatment of eligible retirement plans in determining the eligibility of individuals for premium and cost sharing subsidies under Part D of the Medicare program. (No bills): Proposals to eliminate the Medicare Part D low-income subsidy programs asset test and raise the income eligibility levels to 200 percent of the federal poverty level. Medicare Prescription Drugs. Drug Costs. Inflation Reduction Act (Public Law No: 117-169): Proposal to allow Medicare to negotiate prices with drug makers, cap prices at inflation in Part B and D, cap beneficiary out-of-pocket costs in Part D, eliminate cost-sharing for vaccines, eliminate cost-sharing in the catastrophic phase of Part D, and to raise the income threshold for the Low-Income Subsidy program offering assistance in paying for drugs. Medicare Prescription Drugs. The Affordable Pricing for Taxpayer-Funded Prescription Drugs Act of 2023 (H.R. 3093): Proposals to require companies that receive federal funding for research (or a license of the rights to a patent or regulatory test data) for a biomedical product or service to agree to set reasonable prices for the resulting biomedical product or service and authorize to determine a reasonable price based on a formula that ensures the U.S. price for the product or service is not more than the median price for the product or service in Canada and six other reference countries. Medicare Prescription Drugs. (No bill): A regulatory proposal encouraging the Secretaries of the Departments of Health and Human Services (HHS) and Commerce to exercise march in rights that would aim to better control the pricing of prescription drugs. Medicare Prescription Drugs. (No bill): An HHS regulatory proposal to ensure robust negotiation rules and processes that aim to curtail the cost of certain prescription drugs, as authorized by the Inflation Reduction Act (Public Law No: 117-169). Medicare and Medicaid Prescription Drugs. (No bill): Joined comments with 19 other organizations urging HHS to use its existing authority to license competition in order to lower consumer and taxpayer costs for semaglutide drugs treating diabetes and weight management (e.g., Ozempic and Wegovy). Medicare Prescription Drugs. The PACE Part D Choice Act (H.R. 3549 and S. 1703): Proposal to increase the affordability of the Program of All-Inclusive Care for the Elderly (PACE) for Medicare beneficiaries by lowering the cost of Part D premiums substantially for Medicare-only enrollees, thus opening up the PACE program to this population. Medicare Low-Income Subsidy (LIS) Program. (No bill): Proposal to increase funding for LIS outreach and enrollment, so that low-income beneficiaries can more readily access needed medications at prices they can afford. Medicare Reform. The Assuring Medicares Promise Act (H.R. 34) and The Medicare and Social Security Fair Share Act (S. 1174 and H.R. 4535): Proposals to close the loophole for wealthy individuals who bypass paying net investment income tax (NIIT) and directing the revenue to the Hospital Insurance Trust Fund, which pays for Medicare Part A that covers inpatient care in hospitals, and to the Social Security Trust Funds. Medicare Trustees Report (No bill). Review of the findings on economic, legislative and other developments affecting the actuarial soundness of the Medicare Part A (Hospital Insurance) Trust Fund and the Trust Funds for Parts B and D coverage. Medicare Dental Coverage. The Medicare Dental Benefit Act (S. 2012 and H.R. 4146): Proposal to add a dental benefit to Medicare. Medicare Hearing Coverage. The Help Extend Auditory Relief Act of 2024 (H.R. 8064): Proposal to expand Medicare coverage to include hearing examinations and diagnoses, fittings and hearing aids. Medicare call center (No bill): Proposal to address the poor working conditions of the call center workers employed by Maximus, a federal contractor with the Department of Health and Humans Services/Center for Medicare and Medicaid Services) HHS/CMS. Public Health Emergency (No bill): Proposals to ensure the transition out of the public health emergency doesnt create enrollment or coverage gaps for Medicare eligible individuals. Medicare Advantage (MA). (No bill): Proposals to create transparency around Medicare Advantage plans using prior authorization and supplemental benefits that are not offered under traditional Medicare. Medicare Advantage. (No bill): Proposals to apply a higher coding adjustment factor to fully account for intensive upcoding by MA plans and to exclude certain information for MA risk adjustment scores and payments; to use two years of traditional Medicare and MA diagnostic data for calculating MA risk-adjusted payments; and to promulgate more fundamental changes to the Hierarchical Condition Category (HCC) risk adjustment model. Medicare Privatization (No bill): Proposals to create reimbursement policies in traditional Medicare that mimic those used by private health insurance plans. Medicaid Home and Community-Based Services. The HCBS Access Act (H.R. 1493 and S. 762): Proposals to make home and community-based services (HCBS) a mandatory benefit within Medicaid, and to ensure eligible older adults and people with disabilities have the option to choose between home care and institutional care. Caregiving. The Alleviating Barriers to Caregiving Act (H.R. 8018 and S. 3109): Proposal to require the Secretaries of HHS and SSA to review and streamline enrollment in coverage and benefits for family caregivers in Medicare, Medicaid, CHIP and Social Security. Medicare and Medicaid Nursing Homes. The Nursing Home Disclosure Act (H.R. 177): Proposal to direct HHS to establish a national registry of medical directors. Medicare, Medicaid Nursing Homes. The Protecting Americas Seniors Access to Care Act (H.R. 7513 and S. 3410): Proposal to prohibit the HHS Secretary from promulgating national staffing standards in nursing homes. Medicare, Medicaid Nursing Homes. (H.J. Res. 139 and S.J. Res. 91): Proposal to use the Congressional Review Act to disapprove the HHS Secretarys final rule promulgating national staffing standards in nursing homes Medicare, Medicaid Nursing Homes. The Building Americas Health Care Workforce Act (H.R. 9067): Proposal to allow time spent working in a nursing home (prior to any formal training, and permitted during the COVID-19 pandemic) to count toward a 75-hour minimum federal training standard that is required for certified nursing assistants. Medicare, Medicaid Nursing Homes. The Ensuring Seniors Access to Quality Care Act (H.R. 3227): Proposal to repeal regulations that prohibit certified nursing assistant training and competency evaluation programs in skilled nursing facilities that have a record of health and safety deficiencies and have incurred penalties (e.g., civil monetary penalties for substandard quality of care). Medicare, Medicaid Nursing Homes, Assisted Living and Other Long Term Care Services and Supports (LTSS) Settings. The Long-Term Care Workforce Support Act (H.R. 7994 and S. 4120): Proposals to increase the number of direct care professionals, including in rural communities; pathways to enter and be supported in the workforce for women, people of color, and people with disabilities; and to improve compensation for direct care professionals to reduce vacancies and turnover. Medicare and Medicaid Nursing Home Ownership. (No bill): A final HHS regulation for comprehensive ownership disclosure in the nursing home sector issued on November 17th, 2023. Rule calls for strengthened cost reporting requirements, together with ongoing national analyses and monitoring of the performance of the nursing home sector that uses ownership, staffing, cost report data and inspection data. Medicare and Medicaid Nursing Home Staffing. (No bill): Final regulations establishing national staffing standards in nursing homes that would safeguard the health and safety of all elderly and disabled residents. Medicaid Long-Term Services and Supports (LTSS). (No bill): Proposals to request that CMS collect standardized LTSS expenditure data annually from every state and across all LTSS programs and for disaggregation of expenditure data by the delivery system and demographic characteristics in order to identify disparities in access and use of LTSS and help states and CMS deploy targeted strategies to meet the needs of older adults and people with disabilities. Oversight of Health Care Industry Owned by Private Equity Firms. (No bill): Joined with other organizations in submitting comments (April 2024) to HHS, the Federal Trade Commission and the Department of Justice urging sustained, stepped up and rigorous oversight be extended to health care industry transactions that are financed by private equity company companies and other types of private investors.
Client expense: $200,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2024 · third_quarter · Medicare/Medicaid
Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Disability Community Act (H.R. 7267), which would provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes including the Overtime Rule on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule. Long-Term Care Workforce Act (S.4120/H.R. 7794), which would provide support to direct care workers through grants, and an increased federal match for states. Think Differently Database Act (S. 4174/H.R. 670), requires the Department of Health and Human Services (HHS) to establish an online clearinghouse of resources and other information for individuals with an intellectual disability (and their caregivers and families) that is searchable by zip code
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE
S.495, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; H.R.1815, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; S.1298, The Supporting Our Direct Care Workforce and Family Caregivers Act, to support recruitment, training, and retention of direct care workers; S.1448, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; HR.3153, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; S.722, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1477, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.4520, Reignite Hope Act of 2023, to provide tax credits for critical workers in assisted living communities in opportunity zones; S.2112, SEE Care Compare Act, to make the Care Compare internet website and its data more accessible by individuals using search engines; S.3254, Lowering Costs for Caregivers Act of 2023, to allow health savings accounts and flexible spending accounts to be used on medical expenses for individuals' parents; H.R.6835, Care Across Generations Act, to establish grants for long-term care facilities to co-locate or partner with childcare centers for intergenerational activities; H.R.6833, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.2584, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services on service delivery, financing, workforce adequacy, and other issues; H.R.7605, SENIOR Act of 2024, to provide a cost reduction program for low-income seniors to access assisted living and workforce development programs to meet caregiving needs; S.4503, Corporate Crimes Against Health Care Act, to exclude assisted living from entities subject to act addressing private equity issues in health care; H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.7784, Start Applying Labor Transparency (SALT) Act, to increase transparency for workers by requiring unions to register salts and their actions with the Department of Labor; H.R.6655, A Stronger Workforce for America Act, to reauthorize the Workforce Innovation and Opportunity Act and extend opportunities for senior living workforce development; S.4120, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; H.R.7994, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; S.1332, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.2941, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.8915, Education and Workforce Freedom Act, to extend eligibility for education savings accounts for career development; S.4804, Health Over Wealth Actto distinguish assisted living as separate from the definition of a health care entity subject to the requirements; H.R.9156, Health Over Wealth Act, to distinguish assisted living as separate from the definition of a health care entity subject to the requirements; S. 4503, Corporate Crimes Against Health Care Act, to distinguish assisted living from the oversight of health care settings subject to criminal, civil, and financial sanctions.
Client expense: $70,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2024 · third_quarter · Medicare/Medicaid
Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 6445/S. 2377) Issues related to the provision of audiology and speech-language pathology services through telepractice, including the Expanded Telehealth Access Act (H.R. 3875/S. 2880), the CONNECT for Health Act (H.R. 4189/S. 2016) and the Telehealth Modernization Act (H.R. 7623). Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 2474, the Strengthening Medicare for Patients and Providers Act, H.R. 2474, H.R. 6545, the Physician Fee Schedule Update and Improvements Act, and S. 4935, the Physician Fee Schedule Stabilization Act Various issues related to CMS Actions surrounding: oAudits of medical records and claims for Part A and B services oProcedure code development and valuation of audiology and speech-language pathology services oQuality reporting under MIPS oImplementation of the IMPACT Act oMedicare physician fee schedule oProspective payments systems, including home health and skilled nursing facility policy and payment issues oAccountable Care Organizations oFederally-facilitated marketplace oMedicare Advantage oVarious issues related to interoperable health information, including the post-acute care interoperability project (PACIO) oMedicare telehealth coverage under Part A and B oImplementation of CARES Act (P.L. 116-136) oProvision and payment for Part A therapy oVarious issues related to implementation of ACA oIssues related to Medicare beneficiaries accessing services provided by audiologists without a physician order Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care The Long-Term Care Workforce Support Act (H.R. 7994/S. 4120) Issues related to the Medicaid program, including Medicaid and Medicaid managed care access, the Early and Periodic Screening, Diagnosis, and Treatment benefit, and school-based billing. Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532)
Client expense: $360,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
2024 · third_quarter · Unemployment
H.R. 1263/S. 533, the Transformation to Competitive Integrated Employment Act H.R. 6655, the A Stronger Workforce for America Act H.R. 7994/S. 4120, the Long-Term Care Workforce Support Act S. 1298, the Supporting the Direct Care Workforce Act Implementation of P.L. 113-128, the Workforce Innovation and Opportunity Act (WIOA) Implementation of DOL VETS Disabled Veterans Program Discussions: Federal employment of people with disabilities Discussions: Disability Employment Incentives Act
Client expense: $86,378 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Veterans Employment & Training Service
2024 · second_quarter · Health Issues
Support Workplace Violence Prevention for Health Care & Social Workers Act H.R. 2663/ S. 1176 Support Long-term Care Workforce Support Act H.R. 7994/ S. 4120 Support Nursing Standards for Hospital Patient Safety and Quality Care Act H.R. 2530/ S. 1113 Support Protecting America's Seniors' Access to Care Act H.R. 7986 CRA of Minimum Staffing Standards for Long-Term Care Facilities S.J. Res 91/ H.J. Res 139
Client expense: $650,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · second_quarter · Health Issues
H.R. 485 - Protecting Health Care For All Patients Act of 2023 - Rep. McMorris Rodgers, Cathy - federal programs using prices based on quality-adjusted life years H.R. 824 - Telehealth Benefit Expansion for Workers Act of 2023 - Rep. Walberg, Tim - telehealth and ERISA amendments H.R. 830 - HELP Copays Act - Rep. Carter, Earl - health insurers responsibility for payments made by or on behalf of a plan enrollee toward a plans cost-sharing requirements H.R. 1488 - Affordable Insulin Now Act of 2023 - Rep. Craig, Angie - cost-sharing for insulin products H.R. 2666 - MVP Act - Rep. Guthrie, Brett - value-based purchasing arrangements under Medicaid program and reforms to price reporting H.R. 2691 - Transparent Price Act - Rep. McMorris Rodgers, Cathy - health insurer price transparency H.R. 2813 - Self-Insurance Protection Act - Rep. Good, Bob - ERISA amendments H.R. 2868 - Association Health Plans Act - Rep. Walberg, Tim - ERISA amendments H.R. 2872 - Further Additional Continuing Appropriations and Other Extensions Act, 2024 - Rep. Graves, Garret - extends FY24 funding and program authorities through March 8, 2024 H.R. 2882 - Further Consolidated Appropriations Act, 2024 - Rep. Ciscomani, Juan - provides annual funding through September 30, 2024, for the Departments of Labor, Health and Human Services, and Education, and Related Agencies H.R. 3305 - Black Maternal Health Momnibus Act - Rep. Underwood, Lauren - maternal health including in Medicaid and CHIP H.R. 3561 - PATIENT Act - Rep. McMorris Rodgers, Cathy - PBM transparency, PBM contract design, health insurance transparency, hospital transparency H.R. 3799 - Custom Health Option and Individual Care Expense Arrangement Act- Rep. Hern, Kevin - health reimbursement arrangements H.R. 3801 - Employer Reporting Improvement Act - Rep. Smith, Adrian - ACA reporting requirements H.R. 6956 - Opioid Settlement Accountability Act - Rep. Kaptur, Marcy - funding for opioid prevention and treatment services, training, equipment, and social support services H.R. 6960 - Emergency Medical Services for Children Reauthorization Act of 2024 - Rep. Carter, Earl L. Buddy - funding for emergency medical services for children program H.R. 7513 - Protecting Americas Seniors Access to Care Act - Rep. Fischbach, Michelle - regarding minimum staffing for nursing facilities H.R. 7858 - Telehealth Enhancement for Mental Health Act of 2024 - Rep. James, John - Medicare, behavioral health, telehealth H.R. 7899 - To direct the Attorney General, in consultation with the Secretary of Health and Human Services, to promulgate the final regulations relating to special registration for telemedicine. - Rep. Ezell, Mike - telehealth H.R. 7907 - Welcome Back to the Health Care Workforce Act - Rep. Krishnamoorthi, Raja- grants/funding, health care workforce H.R. 7929 - Nursing Home Workforce Support and Expansion Act of 2024 - Rep. Horsford, Steven - grants/funding, health care workforce H.R. 7994 - Long-Term Care Workforce Support Act - Rep. Dingell, Debbie - health care workforce H.R. 8444 - Mental Health in Schools Act - Rep. Napolitano, Grace - grant to promote mental health S. 1606 - A bill to end preventable maternal mortality, severe maternal morbidity, and maternal health disparities in the United States, and for other purposes. - Sen. Booker, Cory - maternal mortality S. 3393 - SUPPORT for Patients and Communities Reauthorization Act. - Sen. Sanders, Bernie - SUD treatment S. 3430 - Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023 - Sen. Wyden, Ron - mental health, telehealth, health workforce S. 3612 - Access to Family Building Act- Sen. Duckworth, Tammy- right to access reproductive technology (ex. IVF) S. 3756 - At HOME Services Act of 2024- Sen. Rubio, Marco- pilot program for outpatient observation, acute care at home S. 3775 - BOLD Infrastructure for Alzheimers Reauthorization Act of 2024- Sen. Collins, Susan - healthcare infrastructure, Alzheimers S. 3805 - A bill to amend title XI of the Social Security Act to prohibit health plans from imposing fees on health care providers for electronic funds transfers and health care payment and remittance advice transactions, and for other purposes. - Sen. Cassidy, Bill - SSA, healthcare, electronic funds, payments, remittance S. 3847 - Improving Social Determinants of Health Act of 2024- Sen. Smith, Tina- CDC authorization S. 4088 - Welcome Back to the Health Care Workforce Act - Sen. Kaine, Tim - grants/funding, health care workforce S. 4120 - Long-Term Care Workforce Support Act - Sen. Casey, Robert P., Jr. - health care workforce S. 4195 - Childhood Diabetes Reduction Act of 2024 - Sen. Sanders, Bernie - nutrition labeling S. 4357 - Comprehensive Dental Reform Act of 2024- Sen. Sanders, Bernie - promotes access to oral health care S. 4358 - Preventing and Treating Substance Use Disorders Among Older Adults Act- Sen. Casey, Robert - SAMHSA grant program for SUDs S. 4554 - Reproductive Freedom for Women Act- Sen. Murray, Patty - protecting abortion and reproductive rights Issues related to broadband and public health infrastructure; mental health and telehealth; behavioral health; rural health; substance use disorder treatments; Health Savings Accounts; provider directories; artificial intelligence and privacy; insurance industry response to and support for providers regarding the Change Healthcare cyberattack; ACA Marketplace; and Mental Health Parity Proposed Rule.
Client expense: $2,390,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE, White House Office
2024 · second_quarter · Medicare/Medicaid
Medicare Observation Stays. The Improving Access to Medicare Coverage Act of 2023 (H.R. 5138 and S. 4137): Proposals to count time spent in observation status toward the three-day prior inpatient stay required under Medicare for coverage of a subsequent stay in a skilled nursing facility. Medicare Drug Prices (No bill): Proposal to have the Biden Administration lower the price of the prostate cancer drug Xtandi through executive action by using so-called march-in rights under the Bayh-Dole Act; to amend the Federal Food, Drug, and Cosmetic Act to grant eligible researchers access to drugs or biologic products for research purposes at a price no higher than the cost to the manufacturer; to block so-called Dispense-As-Written campaigns where drug manufacturers incentivize health care providers to specify a brand drug on a prescription to block generic substitution at the pharmacy. Medicare Drug Costs. The Pharmaceutical Research Transparency Act of 2023 (S. 1476 and H.R. 3160): Proposal to amend the Public Health Service Act and the Security Exchange Act to require pharmaceutical manufacturers to report their costs related to clinical trials and research and development. Medicare Drug Savings. The Seniors Securing Access to Vital and Essential Prescription Drugs Act (H.R. 2893): Proposals to discount the treatment of eligible retirement plans in determining the eligibility of individuals for premium and cost sharing subsidies under Part D of the Medicare program. (No bills): Proposals to eliminate the Medicare Part D low-income subsidy programs asset test and raise the income eligibility levels to 200 percent of the federal poverty level. Medicare Prescription Drugs. Drug Costs. Inflation Reduction Act (Public Law No: 117-169): Proposal to allow Medicare to negotiate prices with drug makers, cap prices at inflation in Part B and D, cap beneficiary out-of-pocket costs in Part D, eliminate cost-sharing for vaccines, eliminate cost-sharing in the catastrophic phase of Part D, and to raise the income threshold for the Low-Income Subsidy program offering assistance in paying for drugs. Medicare Prescription Drugs. The Affordable Pricing for Taxpayer-Funded Prescription Drugs Act of 2023 (H.R. 3093): Proposals to require companies that receive federal funding for research (or a license of the rights to a patent or regulatory test data) for a biomedical product or service to agree to set reasonable prices for the resulting biomedical product or service and authorize to determine a reasonable price based on a formula that ensures the U.S. price for the product or service is not more than the median price for the product or service in Canada and six other reference countries. Medicare Prescription Drugs. (No bill): A regulatory proposal encouraging the Secretaries of the Departments of Health and Human Services (HHS) and Commerce to exercise march in rights that would aim to better control the pricing of prescription drugs. Medicare Prescription Drugs. (No bill): An HHS regulatory proposal to ensure robust negotiation rules and processes that aim to curtail the cost of certain prescription drugs, as authorized by the Inflation Reduction Act. Medicare Low-Income Subsidy (LIS) Program. (No bill): Proposal to increase funding for LIS outreach and enrollment, so that low-income beneficiaries can more readily access needed medications at prices they can afford. Medicare Reform. The Assuring Medicares Promise Act (H.R. 34) and The Medicare and Social Security Fair Share Act (S. 1174 and H.R. 4535): Proposals to close the loophole for wealthy individuals who bypass paying net investment income tax (NIIT) and directing the revenue to the Hospital Insurance Trust Fund, which pays for Medicare Part A that covers inpatient care in hospitals, and to the Social Security Trust Funds. Medicare Dental Coverage. The Medicare Dental Benefit Act (S. 2012 and H.R. 4146): Proposal to add a dental benefit to Medicare. Medicare Hearing Coverage. The Medicare Hearing Aid Coverage Act of 2021 (H.R. 244): Proposal to expand Medicare coverage to include hearing aids and services for seniors under Medicare Part B. Medicare call center (No bill): Proposal to address the poor working conditions of the call center workers employed by Maximus, a federal contractor with the Department of Health and Humans Services/Center for Medicare and Medicaid Services) HHS/CMS. Public Health Emergency (No bill): Proposals to ensure the transition out of the public health emergency doesnt create enrollment or coverage gaps for Medicare eligible individuals. Medicare Advantage (MA). (No bill): Proposals to create transparency around Medicare Advantage plans using prior authorization and supplemental benefits that are not offered under traditional Medicare. Medicare Advantage. (No bill): Proposals to apply a higher coding adjustment factor to fully account for intensive upcoding by MA plans and to exclude certain information for MA risk adjustment scores and payments; to use two years of traditional Medicare and MA diagnostic data for calculating MA risk-adjusted payments; and to promulgate more fundamental changes to the Hierarchical Condition Category (HCC) risk adjustment model. Medicare Privatization (No bill): Proposals to create reimbursement policies in traditional Medicare that mimic those used by private health insurance plans. Medicaid Home And Community-Based Services. The HCBS Access Act (H.R. 1493 and S. 762): Proposals to make home and community-based services (HCBS) a mandatory benefit within Medicaid, and to ensure eligible older adults and people with disabilities have the option to choose between home care and institutional care. Caregiving. The Alleviating Barriers to Caregiving Act (H.R. 8018 and S. 3109): Proposal to require the Secretaries of HHS and SSA to review and streamline enrollment in coverage and benefits for family caregivers in Medicare, Medicaid, CHIP and Social Security. Medicare and Medicaid Nursing Homes. The Nursing Home Disclosure Act (H.R. 177): Proposal to direct HHS to establish a national registry of medical directors. Medicare, Medicaid Nursing Homes. The Protecting Americas Seniors Access to Care Act (H.R. 7513 and S. 3410): Proposal to prohibit the HHS Secretary from promulgating national staffing standards in nursing homes. Medicare, Medicaid Nursing Homes. (H.J. Res. 139 and S.J. Res. 91): Proposal to use the Congressional Review Act to disapprove the HHS Secretarys final rule promulgating national staffing standards in nursing homes Medicare, Medicaid Nursing Homes, Assisted Living and Other Long Term Care Services and Supports (LTSS) Settings. The Long-Term Care Workforce Support Act (H.R. 7994 and S. 4120): Proposal to increase the number of direct care professionals, including in rural communities; pathways to enter and be supported in the workforce for women, people of color, and people with disabilities; and to improve compensation for direct care professionals to reduce vacancies and turnover. Medicare and Medicaid Nursing Home Ownership. (No bill): A proposed final HHS regulation for comprehensive ownership disclosure in the nursing home sector issued on November 17th, 2023. Rule calls for strengthened cost reporting requirements, together with ongoing national analyses and monitoring of the performance of the nursing home sector that uses ownership, staffing, cost report data and inspection data. Medicare and Medicaid Nursing Home Staffing. (No bill): Final regulations establishing national staffing standards in nursing homes that would safeguard the health and safety of all elderly and disabled residents. Medicaid Long-Term Services and Supports (LTSS). (No bill): Proposal to request that CMS collect standardized LTSS expenditure data annually from every state and across all LTSS programs and for disaggregation of expenditure data by the delivery system and demographic characteristics in order to identify disparities in access and use of LTSS and help states and CMS deploy targeted strategies to meet the needs of older adults and people with disabilities.
Client expense: $210,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), Commerce, Dept of (DOC), Executive Office of the President (EOP), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2024 · second_quarter · Medicare/Medicaid
We Cant Wait Act, S. 3400 (generally, no specific provisions) Immediate Access for the Terminally Ill Act, H.R. 6427 (generally, no specific provisions) Stop the Wait Act, H.R. 883, provision related to the working period for social security benefits Improved access to SSA benefits for those with Long COVID (generally, so specific legislation) Long-Term Care Workforce Support Act, S.4120 (generally, no specific provisions) Social Security Overpayment Fairness Act, H.R.8265 (generally, no specific provisions)
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · second_quarter · Health Issues
CMS staffing mandate; S.4120 - Long-Term Care Workforce Support Act; Issues related to staffing and workforce support, generally; policies impacting nursing homes and assisted living, generally.
Client expense: Not reported · Firm income: $50,000
Government targets: SENATE
2024 · second_quarter · Unemployment
H.R. 1263/S. 533, the Transformation to Competitive Integrated Employment Act H.R. 6655, the A Stronger Workforce for America Act H.R. 7994/S. 4120, the Long-Term Care Workforce Support Act S. 1298, the Supporting the Direct Care Workforce Act Implementation of P.L. 113-128, the Workforce Innovation and Opportunity Act (WIOA) Implementation of DOL VETS Disabled Veterans Program Discussions: Federal employment of people with disabilities Discussions: Disability Employment Incentives Act
Client expense: $75,053 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE, Veterans Employment & Training Service
2024 · second_quarter · Labor Issues/Antitrust/Workplace
Participated in meetings and Joined House and Senate Sponsors Statement in Support upon introduction of H.R. 7664/S. 4120, the Long-Term Care Workforce Support Act. Letter and meetings in Opposition to H.R. 468, Building Americas Health Care Workforce Act. Participated in meetings and joined Sponsors Statement in Support during reintroduction of H.R. 7929, Nursing Home Workforce Support and Expansion Act of 2024. Letter to all House and Senate offices in Opposition to the following list of Congressional Review Act Resolutions (CRAs) which threaten important worker protections: Improvements to the methodology for determining the adverse effect wage rate for agricultural workers (disapproved by H.J. Res. 59 and S.J. Res. 25) Improvements to the administration and enforcement of prevailing wage requirements for construction workers (disapproved by H.J. Res. 103) Improvements to wage and hour law enforcement by ensuring the FLSAs definition of independent contractor is consistent with economic reality, important for workers in industries with rampant misclassification, like construction (disapproved by H.J. Res. 116 and S.J. Res. 63) Improvements to labor standards for H-2A farmworkers (disapproved by H.J. Res. 134 and 135) Protections for workers retirement savings by ensuring unconflicted investment advice from fiduciaries (disapproved by H.J. Res. 142 and S.J. Res. 79) Protection of workers right to designate a walkaround representative for OSHA inspections (disapproved by H.J. Res. 147) Protection of retirement plan fiduciaries ability to properly consider climate change aspects and other costs and bad business practices of potential investments and to exercise their shareholder rights (disapproved by H.J. Res. 30 and S.J. Res. 8) Expansion of workers right to overtime pay, especially important for low-level supervisory employees (disapproved by H.J. Res. 166) Improvements to the standard for determining joint employer status under the NLRA, especially important for workers in the fast food industry (disapproved by H.J. Res. 98 and S.J. Res. 49) Vital improvements in income-driven student loan repayment, which would provide real relief to young workers severely burdened by debt (disapproved by H.J. Res. 88 and S.J. Res. 43) Encouraging the use of project labor agreements, which are a proven way of delivering cost-savings and on-time completion while ensuring stable labor relations, on large-scale federally-owned construction projects (disapproved by H.J. Res. 132) Requirements for crew sizes on trains to minimize safety risks to railroad employees (disapproved by H.J. Res. 130). Advocating for expanded labor rights protections, and on legislative issues that strengthen unions. Advocated against resolutions and bills to weaken organizing or workers' rights. Protecting the Right to Organize Act H.R. 20/S.567 911 Saves Act (HB6319); HR 4897/S.2501, and OSHA Heat Rule; Advocating against several CRA resolutions of disapproval that would overturn agency action on behalf of workers. Advocating for judicial nominees that will uphold civil liberties, respect for the rule of law, and support constitutional rights of workers. N/A - Supported several of Biden Admin judicial nominees with experience working on behalf of workers and unions.
Client expense: $230,000 · Firm income: Not reported
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Occupational Safety & Health Administration (OSHA), SENATE
2024 · second_quarter · Medicare/Medicaid
Support for the Recognizing the Role of Direct Support Professionals Act (S. 1332 / H.R. 2941), to urge the Office of Management and Budget to revise the Standard Occupational Classification system to establish a separate code for direct support professionals. Support for HCBS Relief Act (S. 3118/ H.R. 6296), which would authorize increased federal match for states for Medicaid Home and Community-Based Services. Support for the Disability Community Act (H.R. 7267), which would provide increased funding for Medicaid intellectual and developmental disability services to offset costs of compliance with regulations, including the DOL proposed overtime rule. Advocated for better coordination between HHS and DOL for recognition of the impact of regulatory changes including the Overtime Rule on the cost of services for providers and the need for updated state reimbursement rates. Advocated for increased funding and reimbursement rates in response to CMS' proposed HCBS access rule. Long-Term Care Workforce Act (S.4120/H.R. 7794), which would provide support to direct care workers through grants, and an increased federal match for states.
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE
2024 · second_quarter · Health Issues
Issues pertaining to the Minority Fellowship Program. Issues pertaining to mental and behavioral health and the role of social work. The Older Americans Act, All provisions. H.R. 7994, S. 4120, Long-Term Care Workforce Support Act, Issues pertaining to education and training of workforce. CARE for Student Mental Health Act, All provisions.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · second_quarter · Health Issues
FY 2025 Funding- Report Language on Medicare Prescription Payment Program H.R.2630/S. 652SafeStepAct - Continued call for passage S.1375/H.R. 839 HELP Copays Act - Continued call for passage Advocacy to extend enhanced ACA premium tax credits Bills endorsed in 2nd Quarter: S.4120 Long-term Care Workforce Support Act S. 3109/H.R. 8018 Alleviating Barriers for Caregivers (ABC) Act S. 4532/ H.R. 8702 Improving Seniors Timely Access to Care Act Increasing Medication Access for Seniors Act of 2024 S. 3109/H.R. 8018 Alleviating Barriers for Caregivers Act H.R. 1691 - Ensuring Patient Access to Critical Breakthrough Products Act of 2023 Broker Accountability Act
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
No bill number. Discussed ACA subsidy expansion and older Americans. No bill number. Discussed vaccinations and fall respiratory virus season. No bill number. Discussed overdose prevention. No bill number. Discussed the establishment of an Office of Caregiver Health. No bill number. Discussed health care coverage expansion. No bill number. Discussed family caregivers, Acute Hospital Care at Home waiver. H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. S. 495/H.R. 1815, the Expanding Veterans Options for Long Term Care Act. H.R. 542, the Elizabeth Dole Home Care Act. H.R. 3581, the Caregiver Outreach and Program Enhancement (COPE) Act. No bill number. Discussed SAFE Steps for Veterans Act. S. 4120/H.R. 7994, the Long-Term Care Workforce Support Act. No bill number. Discussed Medicaid unwinding.
Client expense: $5,170,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
No bill number. Discussed medically necessary dental coverage and oral health care in Medicare. No bill number. Discussed Medicare coverage for telehealth services. No bill number. Discussed workforce training, physician reimbursement, and Medicare provider access. No bill number. Discussed Improving Seniors Timely Access to Care Act of 2024. H.R. 2407, the Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act. No bill number. Discussed Medicaid estate recovery. No bill number. Discussed Medicare Advantage data. H.R. 3549/ S. 1703, the PACE Part D Choice Act of 2023. No bill number. Discussed family caregivers and Medicare and Medicaid policy. No bill number. Discussed Medicare FY25 Skilled Nursing Facility Payment Proposed Rule. No bill number. Discussed Medicare FY25 Hospital Inpatient Payment Proposed Rule. No bill number. Discussed hospitals and a buffer of essential medicines. No bill number. Discussed Medicaid unwinding. H.R. 8114, To prohibit the Secretary of Health and Human Services from finalizing a rule proposed by the Centers for Medicare & Medicaid Services to place certain limitations on Medicaid payments for home or community-based services. No bill number. Discussed Care Executive Order. H.R. 8018, the Alleviating Barriers for Caregivers Act. S. 3109, Alleviating Barriers for Caregivers Act. S. 3766/H.R. 7274, Connecting Caregivers to Medicare Act. No bill number. Discussed Acute Hospital Care at Home waiver and family caregivers. No bill number. Discussed family caregivers, direct care workers, care at home, and in other settings. S. 4120/H.R. 7994, the Long-Term Care Workforce Support Act. H.R. 8094, to amend Title XIX of the Social Security Act to modify certain asset recovery rules. H.R. 7573, the Stop Unfair Medicaid Recoveries Act. No bill number. Discussed the Coordinating Care for Veterans and Wounded Warriors Act. No bill number. Discussed nursing home staffing standards. No bill number. Discussed Medicare home health and hospice benefits. No bill number. Discussed health care coverage expansion. H.R. 8331/S. 4280, the Essential Caregivers Act. H.R. 7442, Philippine Medicare Portability Study Act. H.R. 3227, the Ensuring Seniors Access to Quality Care Act. H.R. 8244, Ensuring Seniors Access to Quality Care Act. H.R.468, the Building Americas Health Care Workforce Act. HR 7513/S.3410, the Protecting Americas Seniors Access to Care Act. H.J.Res.139, Providing for Congressional disapproval of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting. S.J.Res.91, A joint resolution providing for congressional disapproval of the rule submitted by the Centers for Medicare & Medicaid Services relating to "Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting" S.4137, the Improving Access to Medicare Coverage Act of 2024.
Client expense: $5,170,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
No bill number. Discussed Workforce Innovation and Opportunity Act Reauthorization. H.R. 6655, A Stronger Workforce for America Act. No bill number. Discussed Department of Labor Retirement Security Rule. No bill number. Discussed family caregiving and overtime. S. 4120/H.R. 7994, the Long-Term Care Workforce Support Act. No bill number. Discussed Domestic Worker Bill of Rights. No bill number. Discussed Senior Community Service Employment Program.
Client expense: $5,170,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, White House Office
2024 · second_quarter · Medicare/Medicaid
Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 6445/S. 2377) Issues related to the provision of audiology and speech-language pathology services through telepractice, including the Expanded Telehealth Access Act (H.R. 3875/S. 2880), the CONNECT for Health Act (H.R. 4189/S. 2016) and the Telehealth Modernization Act (H.R. 7623). Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 2474, the Strengthening Medicare for Patients and Providers Act, H.R. 2474 Various issues related to CMS Actions surrounding: oAudits of medical records and claims for Part A and B services oProcedure code development and valuation of audiology and speech-language pathology services oQuality reporting under MIPS oImplementation of the IMPACT Act oMedicare physician fee schedule oProspective payments systems, including home health and skilled nursing facility policy and payment issues oAccountable Care Organizations oFederally-facilitated marketplace oMedicare Advantage oVarious issues related to interoperable health information, including the post-acute care interoperability project (PACIO) oMedicare telehealth coverage under Part A and B oImplementation of CARES Act (P.L. 116-136) oProvision and payment for Part A therapy oVarious issues related to implementation of ACA oIssues related to Medicare beneficiaries accessing services provided by audiologists without a physician order Issues related to the Center for Medicare and Medicaid Innovation (CMMI) actions related to value-based care Issues related to Medicaid work requirements, including H.R. 2811, the Limit, Save, Grow Act of 2023 The Long-Term Care Workforce Support Act (H.R. 7994/S. 4120) Issues related to the Medicaid program, including Medicaid and Medicaid managed care access, the Early and Periodic Screening, Diagnosis, and Treatment benefit, and school-based billing. Improving Seniors Timely Access to Care Act (H.R. 8702/S. 4532)
Client expense: $290,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE
S.495, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; H.R.1815, The Expanding Veterans Options for Long Term Care Act, To establish a pilot program to allow Veterans to access assisted living care services; S.1298, The Supporting Our Direct Care Workforce and Family Caregivers Act, to support recruitment, training, and retention of direct care workers; S.1448, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; HR.3153, The Grandfamily Housing Act, to provide grants to owners of intergenerational dwelling units; S.722, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.1477, Freedom To Invest in Tomorrow's Workforce Act, to expand eligible uses of education savings accounts for career development; H.R.4520, Reignite Hope Act of 2023, to provide tax credits for critical workers in assisted living communities in opportunity zones; S.2112, SEE Care Compare Act, to make the Care Compare internet website and its data more accessible by individuals using search engines; S.3254, Lowering Costs for Caregivers Act of 2023, to allow health savings accounts and flexible spending accounts to be used on medical expenses for individuals' parents; H.R.6835, Care Across Generations Act, to establish grants for long-term care facilities to co-locate or partner with childcare centers for intergenerational activities; H.R.6833, Improve and Enhance the Work Opportunity Tax Credit Act, to update the WOTC, increase the credit percentages and add additional credits for employers; S.2584, Supporting Our Seniors Act, to establish a National Advisory Commission on long-term care services on service delivery, financing, workforce adequacy, and other issues; H.R.7605, SENIOR Act of 2024, to provide a cost reduction program for low-income seniors to access assisted living and workforce development programs to meet caregiving needs; S.4503, Corporate Crimes Against Health Care Act, to exclude assisted living from entities subject to act addressing private equity issues in health care; H.R.8371, Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, to establish a pilot program to allow Veterans to access assisted living care services; H.R.7784, Start Applying Labor Transparency (SALT) Act, to increase transparency for workers by requiring unions to register salts and their actions with the Department of Labor; H.R.6655, A Stronger Workforce for America Act, to reauthorize the Workforce Innovation and Opportunity Act and extend opportunities for senior living workforce development; S.4120, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; H.R.7994, Long-Term Care Workforce Support Act, to increase workforce development programs and opportunities for senior living and mitigate any duplicity within existing federal/state programs; S.1332, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes; H.R.2941, Recognizing the Role of Direct Support Professionals Act, to establish a separate category within the Standard Occupational Classification system for direct support professionals for data reporting purposes.
Client expense: $75,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Labor, Dept of (DOL), Office of Management & Budget (OMB), SENATE, White House Office
2024 · second_quarter · Labor Issues/Antitrust/Workplace
Transformation to Competitive Integrated Employment Act (HR1263, S533) Recognizing the Role of Direct Support Professionals Act (H.R. 2941, S. 1332) Direct Creation Advancement and Retention of Employment (CARE) Opportunity Act (H.R. 4720) Reform to the AbilityOne Program Long-Term Care Workforce Support Act (H.R. 7944/S. 4120)
Client expense: $10,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
Medicaid home and community-based services, continuation of HCBS services following the public health emergency, Medicaid unwinding, healthcare access and coverage, including to patient preferred treatment, assistive technology devices, accessible diagnostic equipment, and durable medical equipment, such as power wheelchairs and power wheelchair features such as seat elevators and standing systems, intermittent catheter coding, HCBS Access Act (H.R. 1493, S. 762), HCBS Relief Act (S. 3118, H.R. 6296), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Recognizing the Role of Direct Support Professionals Act (S.1332), Stop Unfair Medicaid Recoveries Act (H.R. 7573), Long-term Care Workforce Support Act ((S.4120/H.R.7994), Creating Hope Reauthorization Act (H.R.7384/ S. 4583)
Client expense: $75,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Promote employment opportunities for people with SMA and other disabilities, reasonable accommodations and workforce protections for workers with SMA and other disabilities, direct care workforce shortage (DSP standard occupational classification), vocational rehabilitation, Labor-HHS-Education Appropriations bill, Disability Employment Incentive Act, Transformation to Competitive Integrated Employment Act (S. 533, H.R. 1263), Supporting Our Direct Care Workforce & Family Caregivers Act (S.1298), Recognizing the Role of Direct Support Professionals Act (H.R. 2941; S. 1332), Apprenticeship and Career and Technical Education Programs NPRM, Long-Term Care Workforce Support Act (S.4120/H.R.7994)
Client expense: $75,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Education, Dept of, HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE
Research into spinal muscular atrophy, timely access to care, treatments, medical devices, and home and community-based services, newborn screening, newborn screening funding, coverage of rare disease treatments and care, HCBS Access Act (H.R. 1493, S. 762), BENEFIT Act (H.R. 1092, S. 526), Safe Step Act (S. 652, H.R. 2630), Protecting Health Care for All Patients Act of 2023 (H.R. 485), Supporting Our Direct Care Workforce & Family Caregivers Act (S. 1298), Long-Term Care Workforce Support Act (S.4120/H.R.7994); HCBS Relief Act (S. 3118, H.R. 6296); Recognizing the Role of Direct Support Professionals Act (S. 1332), Medicaid unwinding protections for people with SMA and other disabilities, direct care workforce shortage, healthcare discrimination (i.e., quality adjusted life years), Ensuring Patient Access to Critical Breakthrough Products Act (H.R. 1691); Creating Hope Reauthorization Act (H.R.7384/ S. 4583), healthcare utilization protocols (i.e., prior authorization and step therapy), Patient Protection and Affordable Care Act (111-148), Inflation Reduction Act (P.L. 117-169), Supporting accessible medical diagnostic equipment, Charlotte Woodward Organ Transplant Discrimination Prevention Act (H.R. 2706/S. 1183), Lifespan Respite Reauthorization Act (H.R. 6160), Stop Unfair Medicaid Recoveries Act (H.R. 7573), accessible medical diagnostic equipment, durable medical equipment, intermittent catheter coding, FDA Rare Disease Center of Excellence, Think Differently Database Act (H.R.670), Accelerating Kids Access to Care Act ((H.R.4758/S.2372)
Client expense: $75,000 · Firm income: Not reported
Government targets: 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), Natl Institutes of Health (NIH), SENATE
2024 · first_quarter · Education
Appropriations efforts for Allied Health Workforce Diversity Act that passed at end of 2022--funding language now included in S. 4120
Client expense: $30,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · first_quarter · Health Issues
HR 2474--Strengthening Medicare for Patients and Providers--tying Medicare reimbursement rates to inflation Ally's Act S.2377-- The Medicare Audiology Access Improvement Act--modernize treatment of audiology services in traditional Medicare S.1135--Ally's Act--require insurance coverage of osseointegrated devices H.R. 7542 Stop CMV Act of 2024--provide state funding for CMV screening programs S. 4120 Long Term Care Workforce Support Act--includes funding for AHWD program
Client expense: $30,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2024 · first_quarter · Labor Issues/Antitrust/Workplace
Transformation to Competitive Integrated Employment Act (HR1263, S533) Recognizing the Role of Direct Support Professionals Act (H.R. 2941, S. 1332) Direct Creation Advancement and Retention of Employment (CARE) Opportunity Act (H.R. 4720) Reform to the AbilityOne Program Long-Term Care Workforce Support Act (H.R. 7944/S. 4120)
Client expense: $10,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2024 · first_quarter · Medicare/Medicaid
Issues related to Medicare coverage of audiology services and the Medicare Audiology Access Improvement Act (H.R. 6445/S. 2377) Issues related to the provision of audiology and speech-language pathology services through telepractice, including the Expanded Telehealth Access Act (H.R. 3875/S. 2880), the CONNECT for Health Act (H.R. 4189/S. 2016) and the Telehealth Modernization Act (H.R. 7623). Issues related to Medicare Part B reimbursement of audiology and speech-language pathology services, including H.R. 2474, the Strengthening Medicare for Patients and Providers Act, H.R. 2474,the Preserving Seniors Access to Physicians Act of 2023 (H.R. 6683), and H.R. 4366, the Consolidated Appropriations Act, 2024 Various issues related to CMS Actions surrounding: oAudits of medical records and claims for Part A and B services oProcedure code development and valuation of audiology and speech-language pathology services oQuality reporting under MIPS oImplementation of the IMPACT Act oMedicare physician fee schedule oProspective payments systems oAccountable Care Organizations oFederally-facilitated marketplace oMedicare Advantage oVarious issues related to interoperable health information, including the post-acute care interoperability project (PACIO) oMedicare telehealth coverage under Part A and B oImplementation of CARES Act (P.L. 116-136) oProvision and payment for Part A therapy oVarious issues related to implementation of ACA oIssues related to Medicare beneficiaries accessing services provided by audiologists without a physician order Issues related to Medicaid work requirements, including H.R. 2811, the Limit, Save, Grow Act of 2023 S. 4120, the Long-Term Care Workforce Support Act Issues related to the Medicaid program, including Medicaid and Medicaid managed care access, the Early and Periodic Screening, Diagnosis, and Treatment benefit, and school-based billing.
Client expense: $350,000 · Firm income: Not reported
Government targets: Administration on Aging, Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE