Chiropractic Medicare Coverage Modernization Act of 2023

Medicare reimbursement and coverage of chiropractic services, including H.R.1610 and S.799. Issues related to expanding access through telehealth. Issues related to physician reimbursement.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1610, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. S 799, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. HR 2474, Strengthening Medicare for Patients and Providers Act: Adds a permanent, MEI based inflationary update to the Medicare Physician Fee Schedule. HR 4366, Consolidated Appropriations Act, 2024: Lessened cuts to the Medicare physician fee schedule. HR 6371, The Provider Reimbursement Stability Act: Provides updates to direct costs used to calculate practice expense relative value units (RVUs). S. 4935, The Physician Fee Stabilization Act: Updates the budget neutrality threshold under the Medicare physician fee schedule. HR 10073, Medicare Patient Access and Practice Stabilization Act of 2024:foregoes scheduled cuts in Medicare provider reimbursement and adds an inflationary adjustment. HR 10545, American Relief Act: Making further continuing appropriations for FY2025 and certain Medicare provisions.

Client expense: $62,350 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor legislative and administrative action related to EPA New Source Performance Standards and guidelines for a Federal Implementation Plan. Monitor all administrative action at EPA related to coal fired electric generation. Monitor legislative and administrative action on issue of coal royalties. Monitor legislation and administrative action related to EPAs proposed National Ambient Air Quality Standards (NAAQS) for ground-level ozone. Monitor legislation and administrative action related to EPAs Disposal of Coal Combustion Residuals from Electric Utilities fmal rule. Monitor legislation and administrative action related to the Abandoned Mine Lands program. H.R.1992 To require the Secretary of Energy to establish programs for carbon dioxide capture, transport, utilization, and storage, and for other purposes. S.799 - SCALE Act H.R.1512 CLEAN Future Act Inflation Reduction Act 2022 S.1456 - Spur Act H.R. 3982/ S. 5167 - Methane Reduction and Economic Growth Act S.912 & H.R. 2685 Mining Schools Act of 2023

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

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE

H.R. 6645, Medicare Audiology Access Improvement Act of 2023, all provisions S. 2377, Medicare Audiology Access Improvement Act of 2023, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions S. 2016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions H.R. 8532, Connected MOM Act, all provisions S. 712, Connected MOM Act, all provisions H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions S. 2477, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 4968, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2023, all provisions H.R. 2713, Improving Care and Access to Nurses (I CAN) Act, all provisions S. 2418, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 2583, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023, all provisions H.R. 6487, No Fees for EFTs Act, all provisions S. 3805, No Fees for EFTs Act, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions H.R. 7050, Substance Use Disorder Workforce Act, all provisions H.R. 7623, Telehealth Modernization Act of 2024, all provisions H.R. 2474, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 830, Help Ensure Lower Patient (HELP) Copays Act, all provisions S. 1375, Help Ensure Lower Patient (HELP) Copays Act, all provisions H.R. 6371, Provider Reimbursement Stability Act of 2023, all provisions H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions H.R. 5378, Lower Costs, More Transparency Act, all provisions H.R. 6683, Preserving Seniors Access to Physicians Act of 2023, all provisions H.R. 5013, Value in Health Care Act of 2023, all provisions S. 3503, Value in Health Care Act of 2023, all provisions H.R. 8702, Improving Seniors Timely Access to Care Act of 2024, all provisions S. 4532, Improving Seniors Timely Access to Care Act of 2024, all provisions S. 4518, Improving Seniors Timely Access to Care Act of 2024, all provisions S. 4935, Physician Fee Stabilization Act, all provisions H.R. 6366, To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program, all provisions H.R. 7463, Extension of Continuing Appropriations and Other Matters Act, 2024, provisions relating to Medicare payments H.R. 7931, Preserving Emergency Access in Key Sites (PEAKS) Act, all provisions S. 4338, Pay PCPs Act of 2024, all provisions H.R. 8563, Preserving Access To Care in Hawaii (PATCH) Act, all provisions S. 4395, Protecting Access To Care in Hawaii (PATCH) Act, all provisions H.R. 6369, To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models, all provisions H.R. 7665, ACO Assignment Improvement Act of 2024, all provisions S. 3939, ACO Assignment Improvement Act of 2024, all provisions H.R. 8404, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2024, all provisions S. 4330, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2024, all provisions H.R. 4829, Physical Therapist Workforce and Patient Access Act of 2023, all provisions H.R. 8235, Rural Physician Workforce Preservation Act, all provisions H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, all provisions H.R. 1746, Preventing Medicare Telefraud Act, all provisions H.R. 8261, Preserving Telehealth, Hospital, and Ambulance Access Act, all provisions S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions S. 669, Increasing Mental Health Options Act of 2023, all provisions H.R. 7618, Stopping Addiction and Falls for the Elderly (SAFE) Act, all provisions H.R. 3730, Rural Health Clinic Burden Reduction Act, all provisions H.R. 7279, Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act, all provisions H.R. 7708, Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, all provisions S. 3508, Requiring Enhanced & Accurate Lists of (REAL) Health Providers Act, all provisions H.R. 9001, Physician Led and Rural Access to Quality Care Act, all provisions S. 5218, A bill to amend titles XI and XVIII of the Social Security Act to strengthen, increase oversight of, and compliance with, security standards for health information, and for other purposes, all provisions S. 4054, Health Care Cybersecurity Improvement Act of 2024, all provisions H.R. 8588, Linking Seniors to Needed Legal Services Act of 2024, all provisions H.R. 5526, Seniors Access to Critical Medications Act of 2024, all provisions H.R. 9129, Patient Debt Relief Act, all provisions Fewer Burdens for Better Care Act/draft MACRA/MIPS program reform legislation/draft FY 2025 Medicare physician payment increase/draft Medical Chaperones in Medicare/draft Medicare program: No Surprises Act implementation Medicare program: 21st Century Cures Act implementation Medicare program: FY 2025 Physician payment cut Medicare program: Information Blocking Disincentives Medicare program: Merit-based Incentive Payment System (MIPS) reform Medicare program: Medicare Economic Index (MEI) Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA) reform Medicare program: Budget neutrality reforms/Inflationary update Medicare program: G2211 Inherent complexity code Medicare program: Protecting Access to Medicare Act (PAMA 2014) lab cut reform Medicare program: High-cost disposable services payment Medicare program: Medicare Administrative Contractor/local-coverage determinations Medicare program: Making Care Primary alternative payment models (APM) Medicare program: Rural physicians APM Medicare program: Site neutral payment Medicare program: Physician-owned hospitals Medicare program: Graduate Medical Education (GME) funding Medicare program: Audio-visual supervision of residents/permanent expansion Medicare program: Conditions of Participation (COP)/Obstetrical service Medicare program: MACRA/physician burdens Medicare program: Health Information Technology/physician burdens Medicare program: Prior authorization/Medicare Advantage plans Medicare program: Interoperability/data sharing/information blocking/provider disincentives Medicare program: Promoting interoperability reporting Medicare program: Trusted exchange framework/common agreement Medicare program: Data segmentation Medicare program: Quality payment program Medicare program: Medicare Shared Savings Program/Advanced APM Medicare program: Public health reporting and data exchange Medicare program: Accountable Care Organizations/APM flexibilities Medicare program: Certified Electronic Health Record (EHR) Technology Medicare program: Physician Practice Information (PPI) survey/practice expense Medicare program: MIPS Value Pathways (MVPs)/APMs Medicare program: Telehealth flexibilities Medicare and Medicaid programs: Data Privacy and Cybersecurity Medicare and Medicaid programs: Health Insurance Portability and Accountability Act (HIPAA)/electronic records

Medicare reimbursement and coverage of chiropractic services, including H.R.1610 and S.799. Issues related to expanding access through telehealth. Issues related to physician reimbursement.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1610, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. S 799, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. HR 2474, Strengthening Medicare for Patients and Providers Act: Adds a permanent, MEI based inflationary update to the Medicare Physician Fee Schedule. HR 4366, Consolidated Appropriations Act, 2024: Lessened cuts to the Medicare physician fee schedule. HR 6371, The Provider Reimbursement Stability Act: Provides updates to direct costs used to calculate practice expense relative value units (RVUs). S. 4935, The Physician Fee Stabilization Act: Updates the budget neutrality threshold under the Medicare physician fee schedule.

Client expense: $62,350 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Monitor legislative and administrative action related to EPA New Source Performance Standards and guidelines for a Federal Implementation Plan. Monitor all administrative action at EPA related to coal fired electric generation. Monitor legislative and administrative action on issue of coal royalties. Monitor legislation and administrative action related to EPAs proposed National Ambient Air Quality Standards (NAAQS) for ground-level ozone. Monitor legislation and administrative action related to EPAs Disposal of Coal Combustion Residuals from Electric Utilities fmal rule. Monitor legislation and administrative action related to the Abandoned Mine Lands program. H.R.1992 To require the Secretary of Energy to establish programs for carbon dioxide capture, transport, utilization, and storage, and for other purposes. S.799 - SCALE Act H.R.1512 CLEAN Future Act Inflation Reduction Act 2022 S.1456 - Spur Act H.R. 3982 - Methane Reduction and Economic Growth Act S.912 & H.R. 2685 Mining Schools Act of 2023

Client expense: $170,000 · Firm income: Not reported

Government targets: Energy, Dept of, HOUSE OF REPRESENTATIVES, Interior, Dept of (DOI), SENATE

Medicare reimbursement and coverage of chiropractic services, including H.R.1610 and S.799. Issues related to coronavirus, including regulatory flexibility for providers. Issues related to expanding access through telehealth. Issues related to physician reimbursement.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 6445, Medicare Audiology Access Improvement Act of 2023, all provisions S. 2377, Medicare Audiology Access Improvement Act of 2023, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions S. 2016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions S. 712, Connected MOM Act, all provisions H.R. 5066, Tech to Save Moms Act, all provisions H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions S. 2477, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 4968, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2023 H.R. 2713, Improving Care and Access to Nurses (ICAN) Act, all provisions S. 2418, Improving Care and Access to Nurses (ICAN) Act, all provisions H.R. 2583, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions H.R. 7050, Substance Use Disorder Workforce Act, all provisions H.R. 7623, Telehealth Modernization Act of 2024, all provisions S. 3967, Telehealth Modernization Act, all provisions H.R. 2474, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 6371, Provider Reimbursement Stability Act of 2023, all provisions H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions H.R. 5378, Lower Costs, More Transparency Act, all provisions H.R. 6683, Preserving Seniors Access to Physicians Act of 2023, all provisions H.R. 5013, Value in Health Care Act of 2023, all provisions S. 3503, Value in Health Care Act of 2023, all provisions H.R. 7856, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 4094, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions H.R. 8702, To amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans, all provisions S. 4532, A bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans, all provisions H.R. 6366, To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program, all provisions S. 4338, Pay PCPs Act of 2024, all provisions H.R. 8261, Preserving Telehealth, Hospital, and Ambulance Access Act, all provisions S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions S. 669, Increasing Mental Health Options Act of 2023, all provisions H.R. 7618, Stopping Addiction and Falls for the Elderly (SAFE) Act, all provisions H.R. 7254, Hearing Device Coverage Clarification Act, all provisions S. 3059, Requiring Enhanced & Accurate Lists of Health Providers Act, all provisions H.R. 7708, To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes, all provisions S. 4054, Health Care Cybersecurity Improvement Act of 2024, all provisions H.R. 1691, Ensuring Patient Access to Critical Breakthrough Products Act of 2023, all provisions H.R. 2407, Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act, all provisions H.R. 4818, Treat and Reduce Obesity Act of 2023, all provisions H.R. 8816, American Medical Innovation and Investment Act of 2024, all provisions H.R. 6369, To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models, all provisions H.R. 7665, ACO Assignment Improvement Act of 2024, all provisions S. 3939, ACO Assignment Improvement Act of 2024, all provisions H.R. 8404, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2024, all provisions S. 4330, Radiation Oncology Case Rate (ROCR) Value Based Program Act of 2024, all provisions H.R. 8235, Rural Physician Workforce Preservation Act, all provisions H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, provisions related to telehealth H.R. 1746, Preventing Medicare Telefraud Act, all provisions H.R. 8532, To identify and address barriers to coverage of remote physiologic devices under State Medicaid programs to improve maternal and child health outcomes for pregnant and postpartum women, all provisions S. 4350, Hospital Inpatient Services Modernization Act, all provisions H.R. 134, To amend title XVIII of the Social Security Act to remove geographic requirements and expand originating sites for telehealth services, all provisions H.R. 7279, Remove Duplicative Unnecessary Clerical Exchanges (REDUCE) Act, all provisions S. 971, Due Process Continuity of Care Act, all provisions Data-Driven Performance Payment System/draft Fewer Burdens for Better Healthcare Act/draft Supporting Healthy Moms and Babies Act/draft Medicare program: Improving Seniors Timely Access to Care Act implementation Medicare program: No Surprises Act implementation Medicare program: 21st Century Cures Act implementation Medicare program: Medicare physician payment reform Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA)/physician burdens Medicare program: Merit-based Incentive Payment System (MIPS) Medicare program: MIPS Value Pathways Medicare program: MIPS/timely, actionable data Medicare program: Site neutral payments Medicare program: Information blocking Medicare program: Alternative Payment Models (APMs) Medicare program: Physician payment/inflation/practice costs Medicare program: High-cost disposable services/payment Medicare program: Prior authorization Medicare program: Hospital-at-Home Extension Medicare program: Prescriber-facing real-time benefit tools Medicare program: Accountable Care Organizations (ACO) Medicare program: ACO/APM flexibilities Medicare program: Medicare Shared Savings Program/regulatory changes Medicare program: Shared Savings Program/Promoting Interoperability/Certified EHR Technology Medicare program: Primary care payment reform Medicare program: Chronic care Medicare program: Diabetes Prevention Program Medicare program: Graduate Medical Education Medicare program: Medicare Administrative Contractors (MACs)/Local Coverage Article (LCA)/Local Coverage Determination (LCD) Medicare program: Quality Payment Program/physician burdens Medicare program: Medicare Shared Savings Program/Advanced APM reporting requirements Medicare program: Patient engagement Medicare program: Health IT/physician burdens Medicare program: Provider feedback/quality and efficiency measures Medicare and Medicaid programs: CHANGE Healthcare cyberattack Medicare and Medicaid programs: Rural health care Medicare and Medicaid programs: Data privacy Medicare and Medicaid programs: Pharmacy Benefit Managers Medicaid program: Maternal mortality

HR 1610, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. S 799, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. HR 2474, Strengthening Medicare for Patients and Providers Act: Adds a permanent, MEI based inflationary update to the Medicare Physician Fee Schedule. HR 6683, Preserving Seniors' Access to Physicians Act: Prevents full Medicare physician fee schedule cuts from being implemented on Jan. 1, 2024. HR 4366, Consolidated Appropriations Act, 2024: Lessened cuts to the Medicare physician fee schedule.

Client expense: $92,100 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement and coverage of chiropractic services, including H.R.1610 and S.799. Issues related to coronavirus, including regulatory flexibility for providers. Issues related to expanding access through telehealth. Issues related to physician reimbursement.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 6445, Medicare Audiology Access Improvement Act, all provisions S. 2377, Medicare Audiology Access Improvement Act, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act , all provisions S. 799, Chiropractic Medicare Coverage Modernization Act , all provisions H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 2016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 799, Creating Opportunities Now for Necessary and Effective Care Technologies for Health Act, all provisions S. 712, Connected MOM Act, all provisions H.R. 5066, Tech to Save Moms Act, all provisions H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions S. 2477, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 4968, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act, all provisions H.R. 2713, Improving Care and Access to Nurses (ICAN) Act, all provisions S. 2418, Improving Care and Access to Nurses (ICAN) Act, all provisions H.R. 2583, Increasing Access to Quality Cardiac Rehabilitation Care Act, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act, all provisions S. 470, Patient Access to Higher Quality Health Care Act, all provisions H.R. 7050, Substance Use Disorder Workforce Act, all provisions H.R. 7623, Telehealth Modernization Act of 2024, all provisions H.R. 2474, Strengthening Medicare for Patients and Providers Act, provisions relating to Medicare MEI update H.R. 6371, Provider Reimbursement Stability Act, provisions relating to reforming Medicare budget neutrality process and MIPS program H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions H.R. 5378, Lower Costs, More Transparency Act, all provisions H.R. 6683, Preserving Seniors Access to Physicians Act, all provisions H.R. 5013, Value in Health Care Act, provisions relating to extension of Medicare bonus payment for APM participation S. 3503, Value in Health Care Act, provisions relating to extension of Medicare bonus payment for APM participation H.R. 4366, Consolidated Appropriations Act, 2024, provisions relating to mitigating physician payment cuts S. 2226, National Defense Authorization Act for Fiscal Year 2024, provisions relating to extension of sequester H.R. 6366, To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program, all provisions H.R. 6369, To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models, all provisions H.R. 7665, ACO Assignment Improvement Act of 2024, all provisions S. 3939, ACO Assignment Improvement Act of 2024, all provisions H.R. 4829, Physical Therapist Workforce and Patient Access Act, all provisions H.R. 1745, Medicare Fraud Detection and Deterrence Act, all provisions H.R. 1746, Preventing Medicare Telefraud Act, all provisions S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions S. 669, Increasing Mental Health Options Act, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021/possible reintroduction S. 4054, A bill to require entities to meet minimum cybersecurity standards to be eligible for Medicare accelerated and advance payment programs if the reason for the need for such payments is due to a cybersecurity incident, all provisions H.R. 7708, To amend title XVIII of the Social Security Act to require MA organizations offering network-based plans to maintain an accurate provider directory, and for other purposes, all provisions S. 3458, Seniors Access to Critical Medications Act of 2023, all provisions H.R. 5526, Seniors Access to Critical Medications Act of 2023, all provisions S. 971, Due Process Continuity of Care Act, all provisions H.R. 134, To amend title XVIII of the Social Security Act to remove geographic requirements and expand originating sites for telehealth services, all provisions Fewer Burdens for Better Care Act/draft IHS Health Professions Tax Fairness Act/drafts Opioid Workforce Act/Senate draft Hospital Inpatient Services Modernization Act/drafts Draft of bill to establish a new technical advisory committee on relative value updates and revisions Improving Access to Emergency Medical Services Act of 2024/draft PREVENT Diabetes Act/draft Medicare program: No Surprises Act implementation Medicare program: 21st Century Cures Act implementation Medicare program: Medicare physician payment Medicare program: Prior Authorization Medicare program: CY 2024 3.37% Medicare Part B provider cuts Medicare program: RUC technical advisory committee Medicare program: Medicare Advantage equity issues Medicare program: Merit-based Incentive Payment System (MIPS)/quality, cost, improvement activities/promoting interoperability Medicare program: MIPS Value Pathways Medicare program: Alternative Payment Models Medicare program: MIPS hardship exception/CHANGE Healthcare cyberattack Medicare program: EHR certification Medicare program: Health IT physician burdens Medicare program: HIPAA/electronic records Medicare program: Accountable Care Organizations (ACOs)/Alternative Payment Model (APM) Medicare program: Diabetes Prevention Program Medicare program: Transitions of care Medicare program: Coverage determinations process Medicare program: Acute Hospital Care at Home waiver program Medicare program: Care at home access/rural and underserved communities Medicare program: Provider compliance and regulatory relief Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment/Revalidation Medicare program: Open Payments Medicare program: Nursing home staff mandate Medicare program: Post-acute care/skilled nursing facility Medicare program: Provider directory Medicare and Medicaid programs: Mental Health Parity and Addiction Equity Act/ implementation Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA)/broad reform Medicare and Medicaid programs: MACRA physician burdens Medicare and Medicaid programs: Information blocking Medicare and Medicaid programs: Cybersecurity Medicare and Medicaid programs: Data privacy Medicare and Medicaid programs: Site neutral payment policies Medicare and Medicaid programs: Substance use disorder Medicare and Medicaid programs: CHANGE Healthcare cyberattack Medicaid program: Transforming Maternal Health (TMaH) program Medicaid program: Barriers to Medicaid and CHIP/immigrants Medicaid program: Medicaid/post-COVID Unwinding Medicaid program: Maternal mortality and morbidity Medicaid program: Emergency Medical Treatment and Labor Act (EMTALA)/abortion

HR 1610, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. S 799, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. HR 2474, Strengthening Medicare for Patients and Providers Act: Adds a permanent, MEI based inflationary update to the Medicare Physician Fee Schedule. HR 6683, Preserving Seniors' Access to Physicians Act: Prevents full Medicare physician fee schedule cuts from being implemented on Jan. 1, 2024. HR 4366, Consolidated Appropriations Act, 2024: Lessened cuts to the Medicare physician fee schedule.

Client expense: $90,600 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2474, Strengthening Medicare for Patients and Providers Act, provisions relating to Medicare Economic Index inflation updates H.R. 6371, Provider Reimbursement Stability Act of 2023, provisions relating to budget neutrality, MIPS, and G2211 code H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions S. 2016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions H.R. 2829, Chronic Care Management Improvement Act of 2023, all provisions H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions S. 2477, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 2713, Improving Care and Access to Nurses (I CAN) Act, all provisions S. 2418, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 2377, Saving Access to Laboratory Services Act, all provisions S. 1000, Saving Access to Laboratory Services Act, all provisions H.R. 3432, Telemental Health Care Access Act of 2023, all provisions H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions S. 712, Connected MOM Act, all provisions H.R. 4968, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2023, all provisions H.R. 2474, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 6683, Preserving Seniors Access to Physicians Act of 2023, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions H.R. 6445, Medicare Audiology Access Improvement Act of 2023, all provisions S. 2377, Medicare Audiology Access Improvement Act of 2023, all provisions H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions H.R. 6369, To amend title XVIII of the Social Security Act to extend incentive payments for participation in eligible alternative payment models, all provisions H.R. 6364, Medicare Telehealth Privacy Act of 2023, all provisions H.R. 4822, Health Care Price Transparency Act of 2023, all provisions H.R. 4839, Hospital and ASC Price Transparency Act of 2023, all provisions H.R. 5378, Lower Costs, More Transparency Act, all provisions H.R. 5013, Value in Health Care Act of 2023, all provisions S. 3503, Value in Health Care Act of 2023, all provisions H.R. 6545, Physician Fee Schedule Update and Improvements Act, all provisions H.R. 6366, To amend title XVIII of the Social Security Act with respect to the work geographic index for physician payments under the Medicare program, and to revise the phase-in of clinical laboratory test payment changes under such program, all provisions S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions S. 669, Increasing Mental Health Options Act of 2023, all provisions H.R. 2583, Increasing Access to Quality Cardiac Rehabilitation Care Act of 2023, all provisions H.R. 5958, Drug-price Transparency for Consumers Act of 2023, all provisions H.R. 3074, Due Process Continuity of Care Act, all provisions S. 971, Due Process Continuity of Care Act, all provisions H.R. 1694, Emergency Care Improvement Act, all provisions H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, all provisions H.R. 1746, Preventing Medicare Telefraud Act, all provisions H.R. 497, Freedom for Health Care Workers Act, all provisions H.R. 5506, Hospitals As Naloxone Distribution Sites (HANDS) Act, all provisions H.R. 5388, Supporting Innovation for Seniors Act, all provisions H.R. 8863, Better Mental Health Care, Lower-Cost Drugs, and Extenders Act of 2023, provisions relating to eliminating 3.37 Medicare cuts S. 198, Rural Health Clinic Burden Reduction Act, all provisions H.R. 4882, Clinical Laboratory Price Transparency Act of 2023, provisions relating to Section 101 H.R. 6475, Health Disparity Zones Act of 2023, all provisions H.R. 6230, Doctor Knows Best Act of 2023, all provisions S. 127, Pharmacy Benefit Manager Transparency Act of 2023, all provisions H.R. 3284, Providers and Payers COMPETE Act, all provisions H.R. 4828, Imaging Services Price Transparency Act of 2023, all provisions Improving Seniors Timely Access to Care Act of 2022 SURS Extension Act, provisions related to renewal of technical support for small practices in the Quality Payment Program Fewer Burdens for Better Care Act/drafts Medicare Student Education Authorization Act/drafts Medicare program: 21st Century Cures Act implementation Medicare program: No Surprises Act implementation Medicare program: Medicare Access and CHIP Reauthorization Act (MACRA)/physician burden Medicare program: MACRA/Broad reform Medicare program: Medicare Payment Advisory Commission (MedPAC)/Physician payment inflationary update Medicare program: Physician payment Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation Medicare program: Provider Relief Fund recoupment Medicare program: Open Payments Medicare program: Budget neutrality Medicare program: Merit-based Incentive Payment System (MIPS)/Cost performance category Medicare program: MIPS/quality/cost/promoting interoperability Medicare program: Quality/Diabetes measure Medicare program: Site neutral payment policies Medicare program: Physician-Owned Hospitals Medicare program: 3.37% CY 2024 Medicare cut Medicare program: Nursing home staff mandate Medicare program: Quality payment program/physician burdens Medicare program: Health IT/physician burdens Medicare program: EHR certification Medicare program: Miller-Meeks, Bera, Bucshon and Schrier letter/2024 Medicare cut Medicare program: Alternative payment models for specialists Medicare program: Medicare Advantage cuts/Advanced Rate Notice Medicare program: Scope of practice Medicare program: Prescription drug pricing and payment Medicare program: G2211 utilization Medicare program: Provider compliance and regulatory relief Medicaid program: Information blocking/reproductive health and penalties Medicare program: In-office pharmacies/Part B prescriptions/Stark Law Medicare program: Part B/geographic payment disparities Medicare and Medicaid programs: Data privacy Medicare and Medicaid programs: Lung cancer/low-dose computed tomography coverage expansion Medicare and Medicaid programs: Wheelchair repairs/barriers to timely access Medicare and Medicaid programs: Street medicine/place of service code Medicaid program: Medicaid unwinding/data collection Medicaid program: Maternal health

Medicare reimbursement and coverage of chiropractic services, including H.R.1610 and S.799. Issues related to coronavirus, including regulatory flexibility for providers. Issues related to expanding access through telehealth. Issues related to physician reimbursement.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1610, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. S 799, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. HR 2474, Strengthening Medicare for Patients and Providers Act: Adds a permanent, MEI based inflationary update to the Medicare Physician Fee Schedule. HR 6683, Preserving Seniors' Access to Physicians Act: Prevents full Medicare physician fee schedule cuts from being implemented on Jan. 1, 2024.

Client expense: $96,705 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 1610, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. S 799, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. HR 2474, Strengthening Medicare for Patients and Providers Act: Adds a permanent, MEI based inflationary update to the Medicare Physician Fee Schedule.

Client expense: $99,850 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement and coverage of chiropractic services, including H.R.1610 and S.799. Issues related to coronavirus, including regulatory flexibility for providers. Issues related to expanding access through telehealth. Issues related to physician reimbursement.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 2474, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 4822, Health Care Price Transparency Act of 2023, all provisions H.R. 4507, Transparency in Coverage Act of 2023, all provisions H.R. 4508, Hidden Fee Disclosure Act, all provisions H.R. 3284, Providers and Payers COMPETE Act, all provisions H.R. 4828, Imaging Services Price Transparency Act of 2023, all provisions H.R. 4882, Clinical Laboratory Price Transparency Act of 2023, all provisions H.R. 4839, Hospital and ASC Price Transparency Act of 2023, Section 101 H.R. 5378, Lower Costs, More Transparency Act, all provisions H.R. 5013, Value in Health Care Act of 2023, all provisions H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, provisions relating to telehealth S. 2016, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, provisions relating to telehealth H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, all provisions H.R. 1746, Preventing Medicare Telefraud Act, all provisions H.R. 2713, Improving Care and Access to Nurses (ICAN) Act, all provisions S. 2418, Improving Care and Access to Nurses (ICAN) Act, all provisions H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions S. 2477, Equitable Community Access to Pharmacist Services Act, all provisions S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 669, Increasing Mental Health Options Act of 2023, all provisions H.R. 4968, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2023, provisions relating to prior authorization S. 1246, Strengthening Medicare And Reducing Taxpayer (SMART) Prices Act, all provisions H.R. 830, Help Ensure Lower Patient (HELP) Copays Act, all provisions S. 1375, Help Ensure Lower Patient (HELP) Copays Act, all provisions H.R. 5506, Hospitals As Naloxone Distribution Sites (HANDS) Act, all provisions H.R. 5687, HSA Modernization Act of 2023, all provisions H.R. 3046, Medical Student Education Authorization Act of 2023, all provisions S. 1403, Medical Student Education Authorization Act of 2023, all provisions H.R. 2829, Chronic Care Management Improvement Act of 2023, all provisions H.R. 2377, Saving Access to Laboratory Services Act, all provisions S. 1000, Saving Access to Laboratory Services Act, all provisions H.R. 3432, Telemental Health Care Access Act of 2023, all provisions S. 712, Connected MOM Act, all provisions H.R. 4818, Treat and Reduce Obesity Act of 2023, all provisions S. 2407, Treat and Reduce Obesity Act of 2023, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 1694, Emergency Care Improvement Act, all provisions H.R. 497, Freedom for Health Care Workers Act, all provisions Improving Seniors Timely Access to Care Act of 2022/implementation Opioid Workforce Act/reintroduction Medicare Student Education Authorization Act/draft Doctor Knows Best Act (House discussion draft, prior authorization) Fewer Burdens for Better Care Act/discussion draft Modernizing and Ensuring PBM Accountability (MEPA) Act/draft Medicare program: No Surprises Act implementation Medicare program: 21st Century Cure Act implementation Medicare program: Budget neutrality Medicare program: FY24 Medicare Physician Fee Schedule Medicare program: Medicare Physician Payment Advisory Commission (MedPAC)/Physician payment system reform recommendations Medicare program: Part B Medicare providers/MEI update Medicare program: Merit-based Incentive Payment System (MIPS) Reforms/penalties Medicare program: G2211 Inherent Complexity Code Medicare program: Electronic direct deposits/unauthorized insurer fees Medicare program: Making Care Primary (MCP)/alternative payment model (APM) Medicare program: Medicare Part B/payment geographic disparities/primary care physicians Medicare program: Physician Owned Hospitals Medicare program: Site neutral payment policies Medicare program: Breast reconstruction codes/reimbursement and coverage Medicare program: MIPS/data feedback Medicare program: MIPS hardship exceptions/payment penalties Medicare program: MIPS Measure Development Process Medicare program: Value-based payment models/comorbid conditions Medicare program: Provider compliance/regulatory relief Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment/Revalidation Medicare program: Open Payments Medicare program: Diabetes Medicare program: Scope of practice Medicare program: Electronic Health Records (EHR) certification Medicare program: Quality Payment Program/physician burdens Medicare program: Health IT/physician burdens Medicare program: HIPAA/electronic records Medicare program: Interoperability/data sharing/information blocking Medicare program: Data segmentation Medicare program: Health care attachments/electronic transaction standards Medicare program: Prior authorization reform Medicare program: Episode-based Payment Model Medicare program: Medicare Advantage cuts/Advanced Rate Notice Medicare and Medicaid programs: Data/patient control Medicare and Medicaid programs: Cybersecurity/Information blocking Medicaid program: Medicaid unwinding

H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions H.R. 2474, Strengthening Medicare for Patients and Providers Act, all provisions H.R. 2829, Chronic Care Management Improvement Act of 2023, all provisions H.R. 1770, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 2377, Saving Access to Laboratory Services (SALSA) Act, all provisions S. 1000, Saving Access to Laboratory Services (SALSA) Act, all provisions S. 703, Physicians for Underserved Areas Act, all provisions H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 1694, Emergency Care Improvement Act, all provisions H.R. 4189, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2023, all provisions S. 2016, A bill to amend title XVIII of the Social Security Act to expand access to telehealth services, and for other purposes, all provisions H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, all provisions H.R. 1746, Preventing Medicare Telefraud Act, all provisions S. 1491, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions S. 1246, Strengthening Medicare And Reducing Taxpayer (SMART) Prices Act, all provisions H.R. 2811, Limit, Save, Grow Act of 2023, provisions relating to Medicaid work requirements H.R. 3746, Fiscal Responsibility Act of 2023, provisions relating to Medicaid work requirements H.R. 3561, Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act of 2023, provisions relating to Sections 101 and 105 H.R. 3281, Transparent PRICE Act, all provisions H.R. 3248, Diagnostic Lab Testing Transparency Act, all provisions S. 669, Increasing Mental Health Options Act of 2023, all provisions H.R. 2713, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 3262, To amend title XI of the Social Security Act to increase transparency of certain health-related ownership information, all provisions H.R. 496, Freedom for Health Care Workers Act, all provisions S. 1606, Black Maternal Health Momnibus Act, all provisions S. 712, Connected MOM Act, all provisions S. 1339, Pharmacy Benefit Manager Reform Act, all provisions H.R. 2389, Resident Physician Shortage Reduction Act of 2023, all provisions S. 1302, Resident Physician Shortage Reduction Act of 2023, all provisions Amputation Reduction and Compassion (ARC) Act, all provisions Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions Opioid Workforce Act, all provisions Substance Use Disorder Workforce Act, all provisions Increasing Mental Health Options Act/House draft/psychologists prescribing Value in Healthcare Act CONNECT for Health Act Chronic Care Management Improvement Act of 2023 Medicare program: Making Care Primary/alternative payment model Medicare program: Surprise medical billing Medicare program: Physician payment reform Medicare program: Physician inflation updates/Medicare Economic Index (MEI) Medicare program: Budget neutrality Medicare program: Physician-owned hospitals Medicare program: Merit-based Incentive Payment System (MIPS) reforms/quality/cost/promoting interoperability/data sharing Medicare program: MIPS/MSSP/Data Completeness and eCQM Adoption Medicare program: Quality Payment Program/physician burdens Medicare program: Medicare Payment Advisory Commission (MedPAC)/physician payment reform recommendations Medicare program: Medicare Physician Payment - Add-on code Medicare program: Medicare Advantage/Prior Authorization Medicare program: Prior authorization regulation/include major provisions of Improving Seniors Timely Access to Care Act Medicare program: Site Neutral Payment Policies Medicare program: Medicare telehealth restrictions/permanent repeal Medicare program: Health IT/physician burdens Medicare program: Medicare Advantage cuts/Advanced Rate Notice Medicare program: Electronic Health Records (EHR) certification Medicare program: Remote patient monitoring/local coverage determinations Medicare program: Patient engagement/quality data reporting Medicare program: Residents in teaching settings/supervision through real-time audio visual technology Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/enrollment and validation Medicare program: Open Payments Medicare program: Prior authorization study update Medicare and Medicaid programs: 21st Century Cures Act/implementation Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization (MACRA) Act/Broad reform Medicare and Medicaid programs: MACRA/physician burdens Medicare and Medicaid programs: Cybersecurity/Information Blocking Medicare and Medicaid programs: Coding Medicare and Medicaid programs: Substance use disorder Medicare and Medicaid programs: Data privacy Medicare and Medicaid programs: HIPAA/electronic health records Medicare and Medicaid programs: Puerto Rico/physician payment inequities/access to care Medicare and Medicaid programs: Undocumented immigrants/access to care Medicaid program: Unwinding continuous enrollment

Medicare reimbursement and coverage of chiropractic services, including H.R.1610 and S.799. Issues related to coronavirus, including regulatory flexibility for providers. Issues related to expanding access through telehealth. Issues related to physician reimbursement.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

HR 1610, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. S 799, Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. HR 2474, Strengthening Medicare for Patients and Providers Act: Adds a permanent, MEI based inflationary update to the Medicare Physician Fee Schedule.

Client expense: $98,725 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Medicare reimbursement and coverage of chiropractic services, including H.R.1610 and S.799. Issues related to coronavirus, including regulatory flexibility for providers. Issues related to expanding access through telehealth. Issues related to physician reimbursement.

Client expense: Not reported · Firm income: $40,000

Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

S. 127, Pharmacy Benefit Manager Transparency Act of 2023, all provisions S. 113, Prescription Pricing for the People Act of 2023, all provisions H.R. 830, Help Ensure Lower Patient (HELP) Copays Act, all provisions H.R. 618, Improving Access to Workers Compensation for Injured Federal Workers Act, provisions relating to scope of practice S. 131, Improving Access to Workers Compensation for Injured Federal Workers Act, provisions relating to scope of practice S. 669, Increasing Mental Health Options Act of 2023, all provisions H.R. 382, Pandemic is Over Act, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions Black Maternal Health Momnibus Act, all provisions No Surprises Act/Implementation Medication Access and Training Expansion (MATE) Act/Implementation 21st Century Cures Act/implementation Pandemic and All-Hazards Preparedness Reauthorization Act (PAHPRA), all provisions Integrating social workers across health care settings act/draft Strengthening Americas Health Care Readiness Act, provisions relating to funding for National Health Service Corps and demonstration project Pharmacy Benefit Manager Maternal mortality/Access to care Mental health parity/Physician burnout Physician workforce issues Cybersecurity/Information Blocking Unique Device Identifier issues Telehealth flexibility/permanent expansion Health equity Clinical Algorithms/Bias/Discrimination Prior Authorization Data Privacy/patient control HIPAA/EHR Primary health care Child Nutrition Meal Standards WIC Nutrition Program Air pollution/Oil and Gas Augmented Intelligence (AI) Taxonomy Reproductive health services

Client expense: $6,700,000 · Firm income: Not reported

H.R. 751, Fair Access In Residency (FAIR) Act, all provisions H.R. 1610, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions S. 799, Chiropractic Medicare Coverage Modernization Act of 2023, all provisions H.R. 2474, To amend title XVIII of the Social Security Act to provide for an update to a single conversion factor under the Medicare physician fee schedule that is based on the Medicare economic index, all provisions H.R. 2389, To amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes, all provisions S. 703, Physicians for Underserved Areas Act, provisions pertaining to emergency department residency shortages H.R. 977, Patient Access to Higher Quality Health Care Act of 2023, all provisions S. 470, Patient Access to Higher Quality Health Care Act of 2023, all provisions H.R. 1694, Emergency Care Improvement Act, provisions relating to emergency rooms H.R. 1745, Medicare Fraud Detection and Deterrence Act of 2023, all provisions H.R. 1746, Preventing Medicare Telefraud Act, all provisions H.R. 497, Freedom for Health Care Workers Act, all provisions H.R. 704, Promoting Access to Diabetic Shoes Act, all provisions S. 669, Increasing Mental Health Options Act of 2023, all provisions Medicare program: Improving Seniors Timely Access to Care Act of 2022, all provisions/CBO score Medicare program: Value in Health Care Act, provisions relating to Alternative Payment Models (APMs) Medicare program: CONNECT for Health Act, all provisions Medicare program: Resident Physician Shortage Reduction Act, (Senate draft) all provisions Medicare program: Opioid Workforce Act, all provisions Medicare program: Substance Use Disorder Workforce Act, all provisions Medicare program: Safe Step Act, all provisions Medicare program: Improving Care and Access to Nurses (ICAN) Act, all provisions Medicare program: Equitable Community Access to Pharmacist Services Act, provisions related to scope of practice Medicare program: HHS Budget/MEI update/MACRA/APMs Medicare program: Medicare physician payment reform Medicare program: Add-on Code Medicare program: Medicare Economic Index (MEI)/MedPAC recommendations Medicare program: Budget neutrality Medicare program: Medicare Advantage cuts/Advanced Rate Notice Medicare program: Physician workforce issues Medicare program: Physician owned hospitals/stand-alone emergency rooms Medicare program: Prior Authorization Medicare program: Merit-based Incentive Payment System (MIPS) Medicare program: MIPS Value Pathways improvement Medicare program: Electronic Health Records (EHR) certification Medicare program: Quality Payment Program/MIPS/Quality/Cost/Promoting Interoperability/Improvement Activities Medicare program: Quality Payment Program/physician burdens Medicare program: Data sharing Medicare program: Patient engagement Medicare program: Provider Compliance and Regulatory Relief Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment/Revalidation Medicare program: Open Payments Medicare program: Coding Medicare program: Telehealth flexibility/extension Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization (MACRA) Act/broad reform Medicare and Medicaid programs: MACRA/Physician burdens Medicare and Medicaid programs: Cybersecurity/Information Blocking Medicare and Medicaid programs: Data Privacy/patient control Medicare and Medicaid programs: HIPAA/EHR Medicaid program: Maternal health

HR 1610 Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. S 799 Chiropractic Medicare Coverage Modernization Act: Increases access to covered services in Medicare for chiropractic beneficiaries. Strengthening Medicare for Patients and Providers Act: Adds a permanent, MEI based inflationary update to the Medicare Physician Fee Schedule.

Client expense: $93,475 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE