ANNE O'ROURKE

Q3 Lobbying Report (July 1-September 30) HCR FEMA re: COVID-19 related reimbursement Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Expanding Medical Education Act (H.R. 2106) Preserving Emergency Access in Key Sites Act (H.R. 3778/S.1860) Improving Seniors Timely Access to Care Act (H.R. 3514/S.1816) Prompt and Fair Pay Act (H.R. 4559) Apples to Apples Comparison Act of 2025 (H.R. 4093) Protect Our Hospitals Act (H.R. 4807) Resident Physician Shortage Reduction Act of 2025 (H.R. 4731/S.2439) MMM Graduate Medical Education (GME) funding Telehealth flexibilities and payment Californias Medicaid Hospital Quality Assurance Fee Program Medicaid 340B BUD FY 2025 budget FY 2026 appropriations One Big Beautiful Bill Act (H.R. 1) Submitted Comments (regulatory comment letters) Preserving Medicaid Funding for Vulnerable Populations: Closing a Health Care-Related Tax Loophole Proposed Rule Calendar Year 2026 Home Health Prospective Payment System Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies Proposed Rule 340B Rebate Model Pilot Program Notice CMS Hospital Price Transparency Accuracy and Completeness Request for Information Calendar Year 2026 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program Proposed Rule Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Overall Hospital Quality Star Ratings; and Hospital Price Transparency Proposed Rule

Q2 Lobbying Report (April 1-June 30) HCR FEMA re: COVID-19 related reimbursement Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Expanding Medical Education Act (H.R. 2106) Preserving Emergency Access in Key Sites Act (H.R. 3778/S.1860) Improving Seniors Timely Access to Care Act (H.R. 3514/S.1816) MMM Graduate Medical Education (GME) funding Telehealth flexibilities and payment Californias Medicaid Hospital Quality Assurance Fee Program Medicaid 340B BUD FY 2025 budget FY 2026 appropriations One Big Beautiful Bill Act (H.R. 1) Submitted Comments Regulatory Comment Letters Agency Information Collection Activities: Submission for OMB Review; Comment Request; CMS-10905, Service Level Data Collection for Initial Determinations and Appeals, Paperwork Reduction Act (PRA) Listing Request for Information: Unleashing Prosperity Through Deregulation of the Medicare Program (Executive Order 14192) Proposed Rule; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates Proposed Rule; Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability

Q1 Lobbying Report (Jan. 1-March 31) HCR FEMA re: COVID-19 related reimbursement Critical Access Hospital Relief Act (H.R. 538) Rural Hospital Support Act (S. 335) Expanding Medical Education Act (H.R. 2106) MMM Graduate Medical Education (GME) funding Telehealth flexibilities and payment Californias Medicaid Hospital Quality Assurance Fee Program Medicaid 340B BUD FY 2025 budget FY 2026 appropriations Submitted Comments Regulatory Comment Letters Proposed Rule; Medicare and Medicaid Programs: Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly Proposed Rule; Health Insurance Portability and Accountability Act Security Rule to Strengthen the Cybersecurity of Electronic Protected Health Information Proposed Rule; Patient Protection and Affordable Care Act; Marketplace Integrity and Affordability

Q4 Lobbying Report (Oct.1 -Dec. 31) HCR Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program Resident Physician Shortage Act of 2023 (H.R. 2389) No Surprises Act regulations Food and Drug Amendments No Surprise Bills for New Moms Act (H.R. 3387) Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544) Promoting Access to Treatments and Increasing Extremely Needed Transparency Act (H.R. 3561) Medicaid VBPs for Patients (MVP) Act (H.R. 2666) Providers and Payers COMPETE Act (H.R. 3284) To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program (H.R. 3290) Transparent PRICE Act (H.R. 3281/H.R. 2691)) Resident Physician Shortage Reduction (S. 1302) Medical Student Education Authorization Act (H.R. 3046) Save Americas Rural Hospitals Act (H.R. 833) Chronic Care Management Improvement Act (H.R. 2829) Safety From Violence for Healthcare Employees Act (H.R. 2584) Supporting Safety Net Hospitals Act (H.R. 2665) Patient Access to Higher Quality Health Care Act (H.R. 977/S.470) FEMA re: COVID-19 related reimbursement Public Health Guidance Transparency and Accountability Act of 2023 (H.R. 4529) Public Health Emergency Congressional Review Act (H.R. 4381) CDC Leadership Accountability Act of 2023 (H.R. 3813) Preparing for All Hazards and Pathogens Reauthorization Act (H.R. 4421) Preparedness and Response Reauthorization Act (H.R. 4420) Childrens Hospital GME Support Reauthorization Act of 2023 (H.R. 3887) Health Care Price Transparency Act of 2023 (H.R. 4822) Providers and Payers COMPETE Act (H.R. 3284) Lower Costs, More Transparency Act (H.R. 5378 Transparency in Coverage Act (H.R. 4507) GOLD Card Act of 2023 (H.R. 4968) No Fees for EFTs Act (H.R.6487) Rural Health Care Facilities Revitalization Act (H.R. 5989) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 7153) To amend title XVIII of the Social Security Act to establish a definition of essential health system in statute (H.R. 7397) Substance Use Disorder Workforce Act (H.R. 7050) 340B PATIENTS Act (H.R. 7635) The 340B Affording Care for Communities and Ensuring a Strong Safety-net (ACCESS) Act (H.R. 8574) Improving Seniors Access to Timely Care Act (H.R. 8702/S.4532) The Preserving Emergency Access in Key Sites (PEAKS) Act (H.R. 7931) Rural Health Care Facilities Revitalization Act (H.R. 5989) MMM Accelerated and Advance Payment Program repayment flexibility Graduate Medical Education (GME) funding Telehealth flexibilities and payment Annual Prospective Payment System Rules Organ acquisition payment policies Californias Medicaid Hospital Quality Assurance Fee Program Medicare Advantage BUD FY 2025 Appropriations bills Nursing and allied health workforce funding FY 2025 budget request Further Continuing Appropriations and Other Extensions Act (H.R. 6363) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 5894) Tax Relief for American Families and Workers Act of 2024 (H.R. 7024) Extension of Continuing Appropriations and Other Matters Act, 2024 (H.R. 7463) Submitted Comments Regulatory Comment Letters SUBJECT: CMS-10913, Medicare Part C Utilization Management Annual Data Submission and Audit Protocol Data Request; Notice, Agency Information Collection Activities: Proposed Collection; Comment Request; Federal Register (Vol 89, No 145), September 10, 2024

Q3 Lobbying Report (July 1-Sept. 10) HCR Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program Resident Physician Shortage Act of 2023 (H.R. 2389) No Surprises Act regulations Food and Drug Amendments No Surprise Bills for New Moms Act (H.R. 3387) Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544) Promoting Access to Treatments and Increasing Extremely Needed Transparency Act (H.R. 3561) Medicaid VBPs for Patients (MVP) Act (H.R. 2666) Providers and Payers COMPETE Act (H.R. 3284) To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program (H.R. 3290) Transparent PRICE Act (H.R. 3281/H.R. 2691)) Resident Physician Shortage Reduction (S. 1302) Medical Student Education Authorization Act (H.R. 3046) Save Americas Rural Hospitals Act (H.R. 833) Chronic Care Management Improvement Act (H.R. 2829) Safety From Violence for Healthcare Employees Act (H.R. 2584) Supporting Safety Net Hospitals Act (H.R. 2665) Patient Access to Higher Quality Health Care Act (H.R. 977/S.470) FEMA re: COVID-19 related reimbursement Public Health Guidance Transparency and Accountability Act of 2023 (H.R. 4529) Public Health Emergency Congressional Review Act (H.R. 4381) CDC Leadership Accountability Act of 2023 (H.R. 3813) Preparing for All Hazards and Pathogens Reauthorization Act (H.R. 4421) Preparedness and Response Reauthorization Act (H.R. 4420) Childrens Hospital GME Support Reauthorization Act of 2023 (H.R. 3887) Health Care Price Transparency Act of 2023 (H.R. 4822) Providers and Payers COMPETE Act (H.R. 3284) Lower Costs, More Transparency Act (H.R. 5378 Transparency in Coverage Act (H.R. 4507) GOLD Card Act of 2023 (H.R. 4968) No Fees for EFTs Act (H.R.6487) Rural Health Care Facilities Revitalization Act (H.R. 5989) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 7153) To amend title XVIII of the Social Security Act to establish a definition of essential health system in statute (H.R. 7397) Substance Use Disorder Workforce Act (H.R. 7050) 340B PATIENTS Act (H.R. 7635) The 340B Affording Care for Communities and Ensuring a Strong Safety-net (ACCESS) Act (H.R. 8574) Improving Seniors Access to Timely Care Act (H.R. 8702/S.4532) The Preserving Emergency Access in Key Sites (PEAKS) Act (H.R. 7931) Rural Health Care Facilities Revitalization Act (H.R. 5989) MMM Accelerated and Advance Payment Program repayment flexibility Graduate Medical Education (GME) funding Telehealth flexibilities and payment Annual Prospective Payment System Rules Organ acquisition payment policies Californias Medicaid Hospital Quality Assurance Fee Program Medicare Advantage BUD FY 2024 Appropriations bills Nursing and allied health workforce funding FY 2024 budget request Further Continuing Appropriations and Other Extensions Act (H.R. 6363) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 5894) Tax Relief for American Families and Workers Act of 2024 (H.R. 7024) Extension of Continuing Appropriations and Other Matters Act, 2024 (H.R. 7463) Submitted Comments Regulatory Comment Letters SUBJECT: CMS-1809-P, Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities, (Vol 89, No 140), July 22, 2024 SUBJECT: CMS-1803-P, Medicare Program; Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin (IVIG) Items and Services Rate Update; and Other Medicare Policies, Federal Register (Vol. 89, No. 128), July 3, 2024 SUBJECT: CMS-5535-P, Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model, Federal Register (Vol. 89, No. 97), May 17, 2024 Legislative Comment Letters Letter to HHS on Johnson & Johnson's Proposed Changes to 340B Drug Discount Program, Sept. 19, 2024

Q2 Lobbying Report (April 1-June 30) HCR Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program Resident Physician Shortage Act of 2023 (H.R. 2389) No Surprises Act regulations Food and Drug Amendments No Surprise Bills for New Moms Act (H.R. 3387) Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544) Promoting Access to Treatments and Increasing Extremely Needed Transparency Act (H.R. 3561) Medicaid VBPs for Patients (MVP) Act (H.R. 2666) Providers and Payers COMPETE Act (H.R. 3284) To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program (H.R. 3290) Transparent PRICE Act (H.R. 3281/H.R. 2691)) Resident Physician Shortage Reduction (S. 1302) Medical Student Education Authorization Act (H.R. 3046) Save Americas Rural Hospitals Act (H.R. 833) Chronic Care Management Improvement Act (H.R. 2829) Safety From Violence for Healthcare Employees Act (H.R. 2584) Supporting Safety Net Hospitals Act (H.R. 2665) Patient Access to Higher Quality Health Care Act (H.R. 977/S.470) FEMA re: COVID-19 related reimbursement Public Health Guidance Transparency and Accountability Act of 2023 (H.R. 4529) Public Health Emergency Congressional Review Act (H.R. 4381) CDC Leadership Accountability Act of 2023 (H.R. 3813) Preparing for All Hazards and Pathogens Reauthorization Act (H.R. 4421) Preparedness and Response Reauthorization Act (H.R. 4420) Childrens Hospital GME Support Reauthorization Act of 2023 (H.R. 3887) Health Care Price Transparency Act of 2023 (H.R. 4822) Providers and Payers COMPETE Act (H.R. 3284) Lower Costs, More Transparency Act (H.R. 5378 Transparency in Coverage Act (H.R. 4507) GOLD Card Act of 2023 (H.R. 4968) No Fees for EFTs Act (H.R.6487) Rural Health Care Facilities Revitalization Act (H.R. 5989) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 7153) To amend title XVIII of the Social Security Act to establish a definition of essential health system in statute (H.R. 7397) Substance Use Disorder Workforce Act (H.R. 7050) 340B PATIENTS Act (H.R. 7635) The 340B Affording Care for Communities and Ensuring a Strong Safety-net (ACCESS) Act (H.R. 8574) Improving Seniors Access to Timely Care Act (H.R. 8702/S.4532) The Preserving Emergency Access in Key Sites (PEAKS) Act (H.R. 7931) Rural Health Care Facilities Revitalization Act (H.R. 5989) MMM Accelerated and Advance Payment Program repayment flexibility Graduate Medical Education (GME) funding Telehealth flexibilities and payment Annual Prospective Payment System Rules Organ acquisition payment policies Californias Medicaid Hospital Quality Assurance Fee Program BUD FY 2024 Appropriations bills Nursing and allied health workforce funding FY 2024 budget request Further Continuing Appropriations and Other Extensions Act (H.R. 6363) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 5894) Tax Relief for American Families and Workers Act of 2024 (H.R. 7024) Extension of Continuing Appropriations and Other Matters Act, 2024 (H.R. 7463) Submitted Comments Regulatory Comment Letters SUBJECT: CMS-1808-P, Medicare and Medicaid Programs and the Childrens Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes; Proposed Rule, Federal Register (Vol. 89, No. 86), May 2, 2024 SUBJECT: CMS-4207-NC, Medicare Program; Request for Information on Medicare Advantage Data, Federal Register (Vol. 89, No. 20), January 30, 2024 SUBJECT: CMS-1806-P, Medicare Program; FFY 2025 Inpatient Psychiatric Facilities Prospective Payment System - Rate Update, Proposed Rule, Federal Register (Vol. 89, No. 65), April 3, 2024 SUBJECT: CMS-1804-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for FFY 2025 and Updates to the IRF Quality Reporting Program; Proposed Rule, Federal Register (Vol. 89, No. 62), March 29, 2024 SUBJECT: Docket No. ATR 102 - Request for Information on Consolidation in Health Care Markets SUBJECT: CMS-3367-P, Medicare Program; Strengthening Oversight of Accrediting Organizations (AOs) and Preventing AO Conflict of Interest, and Related Provisions, Proposed Rule, Federal Register (Vol 89, No 32), February 15, 2024 Legislative Comment Letters Rep. Ami Bera Request for Information Regarding the Current State of Artificial Intelligence (AI) in the Health Care Industry, April 30, 2024 Senate Request for Information Regarding Draft SUSTAIN 340B Act, April 1, 2024

Q1 Lobbying Report (Jan. 1-March 31) HCR Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program Resident Physician Shortage Act of 2023 (H.R. 2389) No Surprises Act regulations Public Health Emergency designation Food and Drug Amendments No Surprise Bills for New Moms Act (H.R. 3387) Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544) Promoting Access to Treatments and Increasing Extremely Needed Transparency Act (H.R. 3561) Medicaid VBPs for Patients (MVP) Act (H.R. 2666) Providers and Payers COMPETE Act (H.R. 3284) To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program (H.R. 3290) Transparent PRICE Act (H.R. 3281/H.R. 2691)) Resident Physician Shortage Reduction (S. 1302) Medical Student Education Authorization Act (H.R. 3046) Save Americas Rural Hospitals Act (H.R. 833) Chronic Care Management Improvement Act (H.R. 2829) Safety From Violence for Healthcare Employees Act (H.R. 2584) Supporting Safety Net Hospitals Act (H.R. 2665) Patient Access to Higher Quality Health Care Act (H.R. 977/S.470) FEMA re: COVID-19 related reimbursement Public Health Guidance Transparency and Accountability Act of 2023 (H.R. 4529) Public Health Emergency Congressional Review Act (H.R. 4381) CDC Leadership Accountability Act of 2023 (H.R. 3813) Preparing for All Hazards and Pathogens Reauthorization Act (H.R. 4421) Preparedness and Response Reauthorization Act (H.R. 4420) Childrens Hospital GME Support Reauthorization Act of 2023 (H.R. 3887) Health Care Price Transparency Act of 2023 (H.R. 4822) Providers and Payers COMPETE Act (H.R. 3284) Lower Costs, More Transparency Act (H.R. 5378 Transparency in Coverage Act (H.R. 4507) GOLD Card Act of 2023 (H.R. 4968) No Fees for EFTs Act (H.R.6487) Rural Health Care Facilities Revitalization Act (H.R. 5989) Dr. Lorna Breen Health Care Provider Protection Reauthorization Act (H.R. 7153) To amend title XVIII of the Social Security Act to establish a definition of essential health system in statute (H.R. 7397) Substance Use Disorder Workforce Act (H.R. 7050) 340B PATIENTS Act (HR7635) MMM Accelerated and Advance Payment Program repayment flexibility Graduate Medical Education (GME) funding Telehealth flexibilities and payment Annual Prospective Payment System Rules Organ acquisition payment policies Californias Medicaid Hospital Quality Assurance Fee Program BUD FY 2024 Appropriations bills Nursing and allied health workforce funding FY 2024 budget request Further Continuing Appropriations and Other Extensions Act (H.R. 6363) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 5894) Tax Relief for American Families and Workers Act of 2024 (H.R. 7024) Extension of Continuing Appropriations and Other Matters Act, 2024 (H.R. 7463) Submitted Comments SUBJECT: CMS-4205-P, Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications (Vol 88, No. 219), Wednesday, November 15th SUBJECT: RIN 0955-AA05, 21st Century Cures Act: Establishment of Disincentives for Health Care Providers That Have Committed Information Blocking, Proposed Rule, Federal Register (Vol 88, No 210), November 1, 2023 Subject: CMS-9897-P Federal Independent Dispute Resolution Operations, Proposed Rule, Federal Register (Vol. 88, No. 212), November 3, 2023

Q4 Lobbying Report (Oct.1-Dec. 31) HCR Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program Resident Physician Shortage Act of 2023 (H.R. 2389) No Surprises Act regulations Public Health Emergency designation Food and Drug Amendments No Surprise Bills for New Moms Act (H.R. 3387) Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544) Promoting Access to Treatments and Increasing Extremely Needed Transparency Act (H.R. 3561) Medicaid VBPs for Patients (MVP) Act (H.R. 2666) Providers and Payers COMPETE Act (H.R. 3284) To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program (H.R. 3290) Transparent PRICE Act (H.R. 3281/H.R. 2691)) Resident Physician Shortage Reduction (S. 1302) Medical Student Education Authorization Act (H.R. 3046) Save Americas Rural Hospitals Act (H.R. 833) Chronic Care Management Improvement Act (H.R. 2829) Safety From Violence for Healthcare Employees Act (H.R. 2584) Supporting Safety Net Hospitals Act (H.R. 2665) Patient Access to Higher Quality Health Care Act (H.R. 977/S.470) FEMA re: COVID-19 related reimbursement Public Health Guidance Transparency and Accountability Act of 2023 (H.R. 4529) Public Health Emergency Congressional Review Act (H.R. 4381) CDC Leadership Accountability Act of 2023 (H.R. 3813) Preparing for All Hazards and Pathogens Reauthorization Act (H.R. 4421) Preparedness and Response Reauthorization Act (H.R. 4420) Childrens Hospital GME Support Reauthorization Act of 2023 (H.R. 3887) Health Care Price Transparency Act of 2023 (H.R. 4822) Providers and Payers COMPETE Act (H.R. 3284) Lower Costs, More Transparency Act (H.R. 5378 Transparency in Coverage Act (H.R. 4507) GOLD Card Act of 2023 (H.R. 4968) No Fees for EFTs Act (H.R.6487) MMM Accelerated and Advance Payment Program repayment flexibility Graduate Medical Education (GME) funding Telehealth flexibilities and payment Annual Prospective Payment System Rules Organ acquisition payment policies Californias Medicaid Hospital Quality Assurance Fee Program BUD FY 2024 Appropriations bills Nursing and allied health workforce funding FY 2024 budget request Further Continuing Appropriations and Other Extensions Act (H.R. 6363) Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act (H.R. 5894) Submitted Comments SUBJECT: [Docket No. FDA-2023-N-2177], Medical Devices; Laboratory-Developed Tests, Proposed Rule, Federal Register (Vol 88, No 190), October 3, 2023 SUBJECT: CMS-9890 Federal Independent Dispute Resolution Process Fees, Proposed Rule, Federal Register (Vol. 88, No. 185), September 26, 2023 SUBJECT: Medicare Program and Medicaid Programs: Minimum Staffing for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting (CMS-3442-P): Vol 88, No 171, September 6, 2023 SUBJECT: (File Code 1210-AC11), Requirements Related to the Mental Health Parity and Addiction Equity Act; Proposed Rule, Federal Register (Vol. 88, No. 148), August 3, 2023

Q3 Lobbying Report (July 1-Sept 30) HCR Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program Resident Physician Shortage Act of 2023 (H.R. 2389) No Surprises Act regulations Public Health Emergency designation Food and Drug Amendments No Surprise Bills for New Moms Act (H.R. 3387) Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544) Promoting Access to Treatments and Increasing Extremely Needed Transparency Act (H.R. 3561) Medicaid VBPs for Patients (MVP) Act (H.R. 2666) Providers and Payers COMPETE Act (H.R. 3284) To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program (H.R. 3290) Transparent PRICE Act (H.R. 3281/H.R. 2691)) Resident Physician Shortage Reduction (S. 1302) Medical Student Education Authorization Act (H.R. 3046) Save Americas Rural Hospitals Act (H.R. 833) Chronic Care Management Improvement Act (H.R. 2829) Safety From Violence for Healthcare Employees Act (H.R. 2584) Supporting Safety Net Hospitals Act (H.R. 2665) Patient Access to Higher Quality Health Care Act (H.R. 977/S.470) FEMA re: COVID-19 related reimbursement Public Health Guidance Transparency and Accountability Act of 2023 (H.R. 4529) Public Health Emergency Congressional Review Act (H.R. 4381) CDC Leadership Accountability Act of 2023 (H.R. 3813) Preparing for All Hazards and Pathogens Reauthorization Act (H.R. 4421) Preparedness and Response Reauthorization Act (H.R. 4420) Childrens Hospital GME Support Reauthorization Act of 2023 (H.R. 3887) Health Care Price Transparency Act of 2023 (H.R. 4822) Providers and Payers COMPETE Act (H.R. 3284) Lower Costs, More Transparency Act (H.R. 5378 Transparency in Coverage Act (H.R. 4507) MMM Accelerated and Advance Payment Program repayment flexibility Graduate Medical Education (GME) funding Telehealth flexibilities and payment Annual Prospective Payment System Rules Organ acquisition payment policies BUD FY 2024 Appropriations bills Nursing and allied health workforce funding FY 2024 budget request Submitted Comments SUBJECT: CMS-1784-P, Medicare and Medicaid Program: CY 2024 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health Program, Federal Register (Vol. 88, No. 50), August 7, 2023 SUBJECT: CMS-1786-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Payment for Intensive Outpatient Services in Rural Health Clinics, Federally Qualified Health Centers, and Opioid Treatment Programs; Hospital Price Transparency; Changes to Community Mental Health Centers Conditions of Participation, Proposed Changes to the Inpatient Prospective Payment System Medicare Code Editor; Rural Emergency Hospital Conditions of Participation Technical Correction, Federal Register (Vol. 88, No. 145), July 31, 2023 Subject: 340B Program - Senate Request for Information SUBJECT: CMS-5540-NC, Request for Information; Episode-Based Payment Model, Federal Register (Vol. 88, No. 136), July 18, 2023 SUBJECT: (CMS-1793-P) Medicare Program; Hospital Outpatient Prospective Payment System: Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022; Federal Register (Vol. 88, No. 131), July 11, 2023 SUBJECT: CMS-1780-P, Medicare Program; Calendar Year (CY) 2024 Home Health (HH) Prospective Payment System Rate Update; HH Quality Reporting Program Requirements; HH Value-Based Purchasing Expanded Model Requirements; Home Intravenous Immune Globulin Items and Services; Hospice Informal Dispute Resolution and Special Focus Program Requirements, Certain Requirements for Durable Medical Equipment Prosthetics and Orthotics Supplies; and Provider and Supplier Enrollment Requirements; Federal Register (Vol. 88, No. 130), July 10, 2023 Comments re: Application and Employment Certification for Public Service Loan Forgiveness (Agency/Docket no. ED-2023-SCC-0079; Docket ID no. 2023-10191) SUBJECT: CMS-2434-P, Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program; Proposed Rule, Federal Register (Vol. 88, No. 102), May 26, 2023 SUBJECT: CMS-2439-P, Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality; Proposed Rule, Federal Register (Vol. 88, No. 85), May 3, 2023 SUBJECT: CMS-2442-P, Medicaid Program; Ensuring Access to Medicaid Services; Proposed Rule, Federal Register (Vol. 88, No. 85), May 3, 2023

Q2 Lobbying Report (April 1-June 30) HCR Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program Resident Physician Shortage Act of 2023 (H.R. 2389) No Surprises Act regulations Public Health Emergency designation Food and Drug Amendments No Surprise Bills for New Moms Act (H.R. 3387) Securing the U.S. Organ Procurement and Transplantation Network Act (H.R. 2544) Promoting Access to Treatments and Increasing Extremely Needed Transparency Act (H.R. 3561) Medicaid VBPs for Patients (MVP) Act (H.R. 2666) Providers and Payers COMPETE Act (H.R. 3284) To amend title III of the Public Health Service Act to ensure transparency and oversight of the 340B drug discount program (H.R. 3290) Transparent PRICE Act (H.R. 3281/H.R. 2691)) Resident Physician Shortage Reduction (S. 1302) Medical Student Education Authorization Act (H.R. 3046) Save Americas Rural Hospitals Act (H.R. 833) Chronic Care Management Improvement Act (H.R. 2829) Safety From Violence for Healthcare Employees Act (H.R. 2584) Supporting Safety Net Hospitals Act (H.R. 2665) Patient Access to Higher Quality Health Care Act (H.R. 977/S.470) FEMA re: COVID-19 related reimbursement MMM Accelerated and Advance Payment Program repayment flexibility Graduate Medical Education (GME) funding Telehealth flexibilities and payment Annual Prospective Payment System Rules Organ acquisition payment policies BUD FY 2024 Appropriations bills Nursing and allied health workforce funding FY 2024 budget request Submitted Comments SUBJECT: CMS-1785-P Medicare Program; Proposed Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2024 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Rural Emergency Hospital and Physician-Owned Hospital Requirements; and Provider and Supplier Disclosure of Ownership, Federal Register (Vol. 88, No. 83), May 1, 2023 SUBJECT: CMS-1779-P, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2024, Federal Register (Vol 88, No 68), April 10, 2023 SUBJECT: CMS-1783-P, Medicare Program; FFY 2024 Inpatient Psychiatric Facilities Prospective Payment System - Rate Update, Proposed Rule, Federal Register (Vol. 88, No. 68), April 10, 2023 SUBJECT: CMS-1781-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2024 and Updates to the IRF Quality Reporting Program; Proposed Rule, Federal Register (Vol. 88, No. 67), April 7, 2023 SUBJECT: CMS-2445-P, Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule (Vol 88, No 37) February 24, 2023 SUBJECT: CMS-2445-P, Medicaid Program; Disproportionate Share Hospital Third-Party Payer Rule (Vol 88, No 37) February 24, 2023

Q1 Lobbying Report (Jan 1-March 31) HCR Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program Resident Physician Shortage Act of 2023 (H.R. 2389) No Surprises Act regulations Public Health Emergency designation Food and Drug Amendments MMM Accelerated and Advance Payment Program repayment flexibility Graduate Medical Education (GME) funding Telehealth flexibilities and payment Annual Prospective Payment System Rules Organ acquisition payment policies BUD FY 2024 Appropriations bills Nursing and allied health workforce funding FY 2024 budget request Submitted Comments SUBJECT: CMMI Anticipated Accelerating Clinical Evidence Model, March 20, 2023 SUBJECT: CMS-0057-P, Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans, State Medicaid Agencies, Childrens Health Insurance Program (CHIP) Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, Merit-Based Incentive Payment System (MIPS) Eligible Clinicians, and Eligible Hospitals and Critical Access Hospitals in the Medicare Promoting Interoperability Program, Proposed Rule (Vol 87, No 238), December 13, 2022 SUBJECT: CMS-4201-P, Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, Medicare Parts A, B, C, and D Overpayment Provisions of the Affordable Care Act and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications (Vol 87, No 247), December 27, 2022 SUBJECT: HRSA-2021-000X; 340B Drug Pricing Program; Administrative Dispute Resolution; Federal Register (Vol. 87, No. 229, November 30, 2022)

Q4 Lobbying Report (October 1-December 31) HCR Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act Build Back Better Act (H.R. 5376) Dr. Lorna Breen Health Care Provider Protection Act (HR 1667) Provider Relief Fund Improvement Act (H.R. 5963 / S. 3611) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Resilience Act of 2021 Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 Resident Physician Shortage Act (S. 834/H.R. 2256) No Surprises Act regulations Public Health Emergency designation Blood shortages PREVENT Pandemics Act (S. 3799) CMS Region IX re: Guidance on California State Bill 311 The Compassionate Access to Medical Cannabis Act Meeting with OMB re: Physician Loan Forgiveness CMS Regional Office re: Admission, Discharge, and Transfer Patient Event Notification Conditions of Participation (42 CFR 482.24(d), 482.61(f), and 485.638(d)) Food and Drug Amendments of 2022 (H.R. 7667) Improving Seniors Timely Access to Care Act (H.R. 1587/S. 3018) Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 7961) Bipartisan Safer Communities Act (S. 2938) Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666) Saving Access to Laboratory Services Act (SALSA Act) (H.R. 8188/S.4449) Assistance for Rural Community Hospitals (ARCH) Act (H.R. 8747) Meetings with FEMA re: COVID-19 related reimbursement Train More Doctors Act of 2022 (H.R. 9156) H.R. 2617 2023 Omnibus MMM Accelerated and Advance Payment Program repayment flexibility (H.R. 1349, The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834/H.R. 2256) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332) Hospital Inpatient Services Modernization Act (H.R. 7053) Annual Prospective Payment System Rules Organ acquisition payment policies Clinical lab fee schedule BUD FY2022 Appropriations bills Consolidated Appropriations Act of 2022 (HR 2471) - omnibus Further Additional Extending Government Funding Act, HR 6617 Nursing and allied health workforce funding FY 2023 budget request Submitted Comments Subject: CMS-9900-NC, Request for Information; Advanced Explanation of Benefits and Good Faith Estimate for Covered Individuals, Federal Register (Vol. 87, No. 179), September 16, 2022 Request for Information on Healthcare Access, Provider Experience, Health Equity, and PHE Flexibilities, November 4, 2022

Q3 Lobbying Report (July 1- September 30) HCR Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act Build Back Better Act (H.R. 5376) Dr. Lorna Breen Health Care Provider Protection Act (HR 1667) Provider Relief Fund Improvement Act (H.R. 5963 / S. 3611) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Resilience Act of 2021 Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 Resident Physician Shortage Act (S. 834/H.R. 2256) No Surprises Act regulations Public Health Emergency designation Blood shortages PREVENT Pandemics Act (S. 3799) CMS Region IX re: Guidance on California State Bill 311 The Compassionate Access to Medical Cannabis Act Meeting with OMB re: Physician Loan Forgiveness CMS Regional Office re: Admission, Discharge, and Transfer Patient Event Notification Conditions of Participation (42 CFR 482.24(d), 482.61(f), and 485.638(d)) Food and Drug Amendments of 2022 (H.R. 7667) Improving Seniors Timely Access to Care Act (H.R. 1587/S. 3018) Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 7961) Bipartisan Safer Communities Act (S. 2938) Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666) Saving Access to Laboratory Services Act (SALSA Act) (H.R. 8188/S.4449) Assistance for Rural Community Hospitals (ARCH) Act (H.R. 8747) Meetings with FEMA re: COVID-19 related reimbursement MMM Accelerated and Advance Payment Program repayment flexibility (H.R. 1349, The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834/H.R. 2256) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332) Hospital Inpatient Services Modernization Act (H.R. 7053) Annual Prospective Payment System Rules Organ acquisition payment policies Clinical lab fee schedule BUD FY2022 Appropriations bills Consolidated Appropriations Act of 2022 (HR 2471) - omnibus Further Additional Extending Government Funding Act, HR 6617 Nursing and allied health workforce funding FY 2023 budget request Submitted Comments Methodology for Preventing Duplication of FEMA Benefits SUBJECT: Forthcoming Guidance on Discharge Planning Requirements; August 4, 2022 RE: Public Service Loan Forgiveness Regulations Docket ID ED-2021-OPE-0077: Student Assistance General Provisions, Federal Perkins Loan Program, Federal Family Ed Loan Program, and William D. Ford Federal Direct Loan Program SUBJECT: CMS-4203-NC, Medicare Program; Request for Information on Medicare; Vol. 87, No. 146, August 1, 2022 SUBJECT: CMS-3419-P, Medicare and Medicaid Programs; Conditions of Participation (CoPs) for rural emergency hospitals and critical access hospital CoPs Updates (Vol 87, No 128), July 6, 2022 SUBJECT: CMS-1772-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Acquisition; Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral; New Service Category for Hospital Outpatient Department Prior Authorization Process; Overall Hospital Quality Star Rating, (Vol 87, No 142), July 26, 2022 SUBJECT: CMS-1770-P, Medicare and Medicaid Programs; CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicare and Medicaid Provider Enrollment Policies, Including for Skilled Nursing Facilities; Conditions of Payment for Suppliers of Durable Medicaid Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS); and Implementing Requirements for Manufacturers of Certain Single-Dose Container or Single-Use Package Drugs To Provide Refunds With Respect to Discarded Amounts (Vol 87, No 145), July 29, 2022 SUBJECT: CMS1766P Medicare Program; Calendar Year 2023 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Program Requirements; Home Health Value Based Purchasing Expanded Model Requirements; and Home Infusion Therapy Services Requirement; Federal Register (Vol. 87, No. 120) June 23, 2022

Q2 Lobbying Report (April 1 - June 30) HCR Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act Build Back Better Act (H.R. 5376) Dr. Lorna Breen Health Care Provider Protection Act (HR 1667) Provider Relief Fund Improvement Act (H.R. 5963 / S. 3611) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Resilience Act of 2021 Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 Resident Physician Shortage Act (S. 834/H.R. 2256) No Surprises Act regulations Public Health Emergency designation Blood shortages PREVENT Pandemics Act (S. 3799) CMS Region IX re: Guidance on California State Bill 311 The Compassionate Access to Medical Cannabis Act Meeting with OMB re: Physician Loan Forgiveness CMS Regional Office re: Admission, Discharge, and Transfer Patient Event Notification Conditions of Participation (42 CFR 482.24(d), 482.61(f), and 485.638(d)) Food and Drug Amendments of 2022 (H.R. 7667) Improving Seniors Timely Access to Care Act (H.R. 1587/S. 3018) Safety from Violence for Healthcare Employees (SAVE) Act (HR 7961) Bipartisan Safer Communities Act (S. 2938) Restoring Hope for Mental Health and Well-Being Act of 2022 (HR 7666) MMM Accelerated and Advance Payment Program repayment flexibility (H.R. 1349, The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834/H.R. 2256) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332) Hospital Inpatient Services Modernization Act (H.R. 7053) Annual Prospective Payment System Rules Organ acquisition payment policies Clinical lab fee schedule BUD FY2022 Appropriations bills Consolidated Appropriations Act of 2022 (HR 2471) - omnibus Further Additional Extending Government Funding Act, HR 6617 Nursing and allied health workforce funding FY 2023 budget request Submitted Comments SUBJECT: [CIS No. 2715-22; DHS Docket No. USCIS-2021-0013]; Public Charge Ground of Inadmissibility; Notice of Proposed Rulemaking (Federal Register Vol. 87, No. 37), February 24, 2022 SUBJECT: CMS-1769-P, Medicare Program; FFY 2023 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update and Quality Reporting-Request for Information Proposed Rule, Federal Register (Vol. 87, No. 64), April 4, 2022 SUBJECT: CMS-1767-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the IRF Quality Reporting Program, Proposed Rule, Federal Register (Vol. 87, No. 66), April 6, 2022 Drug Enforcement Administration re: California Senate Bill 311, April 7, 2022 SUBJECT: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2023; Request for Information on Revising the Requirements for Long-Term Care Facilities To Establish Mandatory Minimum Staffing Levels (Vol 87, No 73), April 15, 2022 Centers for Medicare & Medicaid Services Request for Information on improving access to care and coverage for individuals enrolled in Medicaid and the Childrens Health Insurance Program, April 18, 2022 SUBJECT: CMS-1771-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2023 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Costs Incurred for Qualified and Non-qualified Deferred Compensation Plans; and Changes to Hospital and Critical Access Hospital Conditions of Participation (Vol 87, No 90), May 10, 2022

Q1 Lobbying Report (January 1 - March 31) HCR Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act Build Back Better Act (H.R. 5376) Dr. Lorna Breen Health Care Provider Protection Act (HR 1667) Provider Relief Fund Improvement Act (H.R. 5963 / S. 3611) Public Service Loan Forgiveness program/physician federal loan forgiveness Healthcare Workforce Resilience Act of 2021 Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 Resident Physician Shortage Act (S. 834/H.R. 2256) No Surprises Act regulations Public Health Emergency designation Blood shortages PREVENT Pandemics Act (S. 3799) CMS Region IX re: Guidance on California State Bill 311 The Compassionate Access to Medical Cannabis Act MMM Accelerated and Advance Payment Program repayment flexibility (H.R. 1349, The COVID-19 Hospital and Health Provider Loan Conversion Act of 2021) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834/H.R. 2256) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332) Hospital Inpatient Services Modernization Act (H.R. 7053) Annual Prospective Payment System Rules Organ acquisition payment policies Clinical lab fee schedule BUD FY2022 Appropriations bills Consolidated Appropriations Act of 2022 (HR 2471) - omnibus Further Additional Extending Government Funding Act, HR 6617 Nursing and allied health workforce funding FY 2023 budget request Submitted Comments California Department of Managed Health Care Draft All Plan Letter - No Surprises Act (NSA) Guidance Specified State Law for Payment for Out-of-Network Emergency Services, February 3, 2022 SUBJECT: CMS-4192-P, Medicare Program; Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (Vol 87, No 8), January 12, 2022 SUBJECT: CMS-1752-FC3, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals; Changes to Medicare Graduate Medical Education Payments for Teaching Hospitals; Changes to Organ Acquisition Payment Policies (Vol 86, No 245), December 27, 2021

Q4 Lobbying Report (October 1-December 31) Health Issues Provider Relief Fund Improvement Act (H.R. 5963) Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act (H.R. 3684) Build Back Better Act (H.R. 5376) FY 2022 Budget Resolution Public Service Loan Forgiveness program/physician federal loan forgiveness Coronavirus Provider Protection Act (H.R. 3021) Healthcare Workforce Resilience Act of 2021 Increasing Behavioral Health Treatment Act (H.R.2611) Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Rural America Health Corps Act (S. 924/H.R. 2130), Strengthening Americas Health Care Readiness Act (S. 54) Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Medicare/Medicaid Protecting Medicare and American Farmers from Sequester Cuts Act (S.610) Medicaid DSH Payment Adjustment Fairness Act of 2021 (H.R. 5015) Stopping Doctor Shortages Act (H.R. 1133/S. 311) Better Way for Providers to Repay Act of 2021 (H.R. 2407) Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834) Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Resetting the Impact Act (TRIA) of 2021 (H.R. 2455) Submitted Comments SUBJECT: [Docket No. FDA-2016-D-0271], Hospital and Health System Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act; Revised Draft Guidance for Industry; (Vol 86, No 192), October 7, 2021 Subject: CMS-9908-IFC, Requirements Related to Surprise Billing; Part II; Interim Final Rule with Comment Period, Federal Register (Vol. 86, No. 192), October 7, 2021 SUBJECT: CMS-9907-P, Requirements Related to Air Ambulance Services, Agent and Broker Disclosures, and Provider Enforcement, Federal Register (Vol. 86, No. 177), September 16, 2021 SUBJECT: [IS No. 2696-21; DHS Docket No. USCIS- 2021-0013; Public Charge Ground of Inadmissibility; Advanced Notice of Proposed Rulemaking; Federal Register (Vol. 86, No. 160), August 23, 2021

Q3 Lobbying Report (July 1-September 30) Health Issues Provider Relief Fund Deadline Extension Act (S. 2493/H.R. 4735) Infrastructure Investment and Jobs Act (H.R. 3684) Build Back Better Act (H.R. 5376) FY 2022 Budget Resolution Public Service Loan Forgiveness program/physician federal loan forgiveness Coronavirus Provider Protection Act (H.R. 3021) Healthcare Workforce Resilience Act of 2021 Increasing Behavioral Health Treatment Act (H.R.2611) Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Rural America Health Corps Act (S. 924/H.R. 2130), Strengthening Americas Health Care Readiness Act (S. 54) Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Medicare/Medicaid Medicaid DSH Payment Adjustment Fairness Act of 2021 (H.R. 5015) Stopping Doctor Shortages Act (H.R. 1133/S. 311) Better Way for Providers to Repay Act of 2021 (H.R. 2407) Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 (S. 834) Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Resetting the Impact Act (TRIA) of 2021 (H.R. 2455) Submitted Comments Subject: CMS-9909-IFC, Requirements Related to Surprise Billing; Part I; Interim Final Rule with Comment Period, Federal Register (Vol. 86, No. 131), July 13, 2021 SUBJECT: CMS-1753-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Radiation Oncology Model; Request for Information on Rural Emergency Hospitals (Vol 86, No 147), August 4, 2021 SUBJECT: CMS-1751-P, Medicare Program; CY 2022 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Provider Enrollment Regulation Updates; Provider and Supplier Prepayment and Post Payment Medical Review Requirements; Proposed Rule; Federal Register (Vol. 86, No.139), July 23, 2021 SUBJECT: CMS-1747-P, Medicare and Medicaid Programs; CY 2022 Home Health Prospective Payment System Update: Home Health Value-Based Purchasing Model Requirements and Proposed Model Expansion; Home Health Quality Reporting Requirements; Home Infusion Therapy Services Requirements; survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; Inpatient Rehabilitation Facility Quality Reporting Program Requirements; and Long-term Care Hospital Quality Reporting Program Requirements; Federal Register (Vol. 86, No.127), July 7, 2021 Subject: Information Collection Request Title: COVID-19 Provider Relief Fund Reporting Activities, OMB No. 0906- XXXX New, Federal Register (Vol. 86, No. 140), July 26, 2021

Q2 Lobbying Report (April 1-June 30) Health Issues Coronavirus Provider Protection Act (H.R. 3021) Healthcare Workforce Resilience Act of 2021 Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program, including S. 773/H.R. 3203 American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Rural America Health Corps Act (S. 924/H.R. 2130), Strengthening Americas Health Care Readiness Act (S. 54) Resident Physician Shortage Act (S. 834/H.R. 2256) OSHA rule on COVID-19 Healthcare Workplace Safety No Surprises Act regulations Medicare/Medicaid Stopping Doctor Shortages Act (H.R. 1133/S. 311) Better Way for Providers to Repay Act of 2021 (H.R. 2407) Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 - S. 834 Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Resetting the Impact (TRIA) Act of 2021 (H.R. 2455) Submitted Comments SUBJECT: CMS-1752-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2022 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Proposed Changes to Medicaid Provider Enrollment; and Proposed Changes to the Medicare Shared Savings Program (Vol 86, No 88), May 10, 2021 SUBJECT: CMS-1748-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2022 and Updates to the IRF Quality Reporting Program; Proposed Rule, Federal Register (Vol. 86, No. 68), April 12, 2021 SUBJECT: CMS-1746-P, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2022, Federal Register (Vol. 86, No. 71), April 15, 2021 SUBJECT: CMS-1750-P, Medicare Program; FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 (FY 2022) Proposed Rule, Federal Register (Vol. 86, No. 69), April 13, 2021 SUBJECT: RIN 0945-AA00; Proposed Modifications to the HIPAA Privacy Rule to Support, and Remove Barriers to, Coordinated Care and Individual Engagement; Notice of Proposed Rulemaking, Federal Register (Vol. 86, No.12), January 21, 2021

Q1 Lobbying Report (January 1 - March 31) Health Issues Healthcare Workforce Resilience Act of 2021 Rural America Health Corps Act (S.54) Black Maternal Health Momnibus Act of 2021 (S. 346/H.R. 959) Conrad State 30 & Physician Access Act Public Health and Social Services Emergency Fund Regulatory relief in light of coronavirus Transparency (surprise medical bills; public posting of hospital charges) 340B Drug Pricing Program American Rescue Plan (H.R. 1319) American Jobs Plan Leading Infrastructure for Tomorrows America Act/LIFT America Act (H.R. 1848) Rural Hospital Closure Relief Act (H.R. 1639/S.644) National Coronavirus Commission Act (S. 412) Strengthening Mental Health Supports for BIPOC Communities Act (H.R. 1331) Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885) Medicare/Medicaid Public Health Emergency designation Accelerated and Advance Payment Program repayment flexibility Rural hospital policies (Rural Health Clinic payment - H.R. 1868) Sequestration relief (H.R. 1868) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 - S. 834) Disproportionate share hospital allotment increase (technical correction) Telehealth flexibilities and payment (TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act -S. 368/H.R. 1332; TREATS Act - S. 340) Medicare for All (H.R. 1976) Submitted Comments CMS-9123-P; Medicaid Program; Patient Protection and Affordable Care Act; Reducing Provider and Patient Burden by Improving Prior Authorization Processes, and Promoting Patients Electronic Access to Health Information for Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, and Issuers of Qualified Health Plans on the Federally Facilitated Exchanges; Health Information Technology Standards and Implementation Specifications; Proposed Rule, Federal Register (Vol. 85, No.244), December 18, 2020 CMS-2552-10: Hospital and Health Care Complex Cost Report; January 11, 2021 CMS-2020-0159-0001: IRF Review Choice Demonstration; February 16, 2021

Q4 Lobbying Report (October 1 - December 31) Health Issues Healthcare and COVID-19 measures included in the Consolidated Appropriations Act of 2020 (H.R. 133) Public Health and Social Services Emergency Fund (coronavirus relief packages H.R. 1300; H.R. 7010, H.R. 6800) Regulatory relief in light of coronavirus (all coronavirus relief packages - H.R. 133; H.R. 6074; H.R. 6201; H.R. 748, H.R. 6800) Transparency (surprise medical bills; public posting of hospital charges; final price transparency rule; inpatient prospective payment system proposed rule; Transparency in Coverage Proposed Rule) Surprise medical billing (H.R. 133; H.R. 5826; H.R. 3630; S. 1531) Liability relief (all coronavirus relief packages - H.R. 133; H.R. 6800; S. 1624; S. 4775) 340B Drug Pricing Program Medicare/Medicaid Public Health Emergency designation Medicaid Fiscal Accountability Regulation Rural hospital policies Graduate Medical Education (GME) funding (H.R. 133; S. 348/H.R. 1763; Resident Physician Shortage Reduction Act of 2019; H.R. 2349/H.R. 3414 Opioid Workforce Act) Delay of Medicaid Disproportionate Share Hospital payment cuts (H.R. 133; H.R. 3022) Medicare sequestration relief (H.R. 133) Federal Medical Assistance Percentage increase (H.R. 133) Telehealth flexibilities and payment (all coronavirus relief packages - H.R. 133; H.R. 6800, S. 1624, S. 4775, physician fee schedule proposed rule) Post-acute care flexibilities (coronavirus relief packages - H.R. 133; H.R. 6800; S. 1624, S. 4775) Site neutral payment policy OPPS, IPPS and physician fee schedule rules Budget FY 2021 Appropriations bills Submitted Comments CMS-10752; Submissions of 1135 Waiver Request Automated Process; Notice, Federal Register (Vol. 85, No. 204) October 21, 2020 CMS-1734-P; Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug Under a Prescription Drug Plan or an MA-PD Plan; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; and Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy Proposed Rule, Federal Register (Vol. 85, No.159), August 17, 2020 CMS-1736-P; Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; New Categories for Hospital Outpatient Department Prior Authorization Process; Clinical Laboratory Fee Schedule: Laboratory Date of Service Policy; Overall Hospital Quality Star Rating Methodology; and Physician Owned Hospitals; Proposed Rule, Federal Register (Vol. 85, No.156), August 12, 2020

2020 Q3 Lobbying Report - July 1-Sept. 30 HCR Continuing Appropriations Act, 2021 and Other Extensions Act (H.R. 8319) Coronavirus response legislation (H.R. 6800; S. 1624, S. 4775) Healthcare Workforce Resilience Act (S. 3599/H.R. 6788) Conrad State 30 & Physician Access Act (H.R. 2895) Public Health and Social Services Emergency Fund (coronavirus relief packages H.R. 7010, H.R. 6800) Regulatory relief in light of coronavirus (all coronavirus relief packages - H.R. 6074; H.R. 6201; H.R. 748, H.R. 6800) Transparency (surprise medical bills; public posting of hospital charges; final price transparency rule; Transparency in Coverage Proposed Rule) Surprise medical billing (H.R. 5826; H.R. 3630; S. 1531) Liability relief (all coronavirus relief packages - H.R. 6800; S. 1624; S. 4775) 340B Drug Pricing Program Drug pricing policy and drug shortages MMM Public Health Emergency designation Medicaid Fiscal Accountability Regulation Rural hospital policies Graduate Medical Education (GME) funding (S. 348/H.R. 1763; Resident Physician Shortage Reduction Act of 2019; H.R. 2349/H.R. 3414 Opioid Workforce Act) Delay of Medicaid Disproportionate Share Hospital payment cuts (H.R. 3022; Patient Access Protection Act) Medicare sequestration Federal Medical Assistance Percentage increase (CARES Act, H.R. 6800) Telehealth flexibilities and payment (all coronavirus relief packages - H.R. 6800, S. 1624, S. 4775) Medicare hospital accelerated payment program (coronavirus relief packages; H.R. 8319; Medicare Accelerated and Advance Payments Improvement Act, H.R. 6836/S. 3750) Post-acute care flexibilities (coronavirus relief packages - H.R. 6800; S. 1624, S. 4775) Stark law reform Site neutral payment policy included in outpatient prospective payment system rule BUD FY 2021 Appropriations bills Submitted Comments CMS-1735-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2021 Rates; Quality Reporting and Medicare and Medicaid Promoting Interoperability Programs Requirements for Eligible Hospitals and Critical Access Hospitals; Proposed Rule, Federal Register (Vol. 85, No. 104) May 29, 2020 CMS-1730-P, Medicare and Medicaid Programs; CY 2021 Home Health Prospective Payment System Update: Home Health Quality Reporting Requirements; and Home Infusion Therapy Services Requirements, Federal Register (Vol. 85, No.126), June 30, 2020

2020 Q2 Lobbying Report - April 1-June 30 HCR The Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 (H.R. 6074) Families First Coronavirus Response Act (H.R. 6201) The Coronavirus Aid, Relief, and Economic Security Act (H.R. 748, S. 3548) Paycheck Protection Program Flexibility Act of 2020 (H.R. 7010) Health and Economic Recovery Omnibus Emergency Solutions Act (H.R. 6800) Public Health and Social Services Emergency Fund (coronavirus relief packages-H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800) Regulatory relief in light of coronavirus (all coronavirus relief packages - H.R. 6074, H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800) Hospital Price Transparency (surprise medical bills; public posting of hospital charges; Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First; Final Rule on Price Transparency; Transparency in Coverage Proposed Rule) Surprise Medical Bills (coronavirus relief packages-H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800) Liability relief (all coronavirus relief packages - H.R. 6074, H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800) Hospital preparedness program (H.R. 6074) 340B Drug Pricing Program Drug pricing policy and drug shortages MMM Medicaid Fiscal Accountability Regulation Rural hospital policies Graduate Medical Education (GME) funding (S. 348/H.R. 1763, Resident Physician Shortage Reduction Act of 2019; H.R. 2349/H.R. 3414 Opioid Workforce Act) Delay of Medicaid Disproportionate Share Hospital payment cuts (H.R. 3022, Patient Access Protection Act; H.R. 748, CARES Act) Medicare sequestration (H.R. 748, CARES Act) Federal Medical Assistance Percentage increase (H.R. 6201, Families First Coronavirus Response Act; H.R. 748, CARES Act, H.R. 6800; Telehealth payment (H.R. 1892, Bipartisan Budget Act of 2018; H.R. 6, SUPPORT for Patients and Communities Act; H.R. 3417 Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act; all coronavirus relief packages - H.R. 6074, H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800) Medicare hospital accelerated payment program (coronavirus relief packages-H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800; H.R. 6837/S. 3750, Medicare Accelerated and Advance Payments Improvement Act; H.R. 7292, COVID-19 Hospital and Health Provider Loan Forgiveness Act of 2020) Post-acute care flexibilities (coronavirus relief packages - H.R. 6201, H.R. 748, H.R. 7010, H.R. 6800) Stark law reform Site neutral payment policy included in outpatient prospective payment system rule (H.R.2552, Protecting Local Access to Care for Everyone Act of 2019) OPPS and physician fee schedule rules Critical Access Hospitals, H.R. 6693 BUD FY 2021 Appropriations bills Submitted Comments [CMS-5529-P] Medicare Program: Comprehensive Care for Joint Replacement Model Three-Year Extension and Changes to Episode Definition and Pricing [CMS-1729-P] Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2021

2020 Q1 Lobbying Report - January 1-March 31 H.R. 5741 - Strengthening Innovation in Medicare and Medicaid Act H.R. 6379 - Take Responsibility for Workers and Families Act H.R. 6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act H.R. 6201 - Families First Coronavirus Response Act S. 3548 - CARES Act FY 2021 Labor-HHS Subcommittee Appropriations bill FY 2021 Appropriations bills Information Blocking and Interoperability Final Rule Submitted Comments SUBJECT: CMS-2393-P, Medicaid Program; Medicaid Fiscal Accountability Regulation; Proposed Rule, Federal Register (Vol. 84, No. 222), November 18, 2019 and CMS-2393-N (Vol. 84, No. 249) December 30, 2019 SUBJECT: CMS-9915-P, Transparency in Coverage; Proposed Rule, Federal Register (Vol. 84, No. 229), November 27, 2019

2019 Q4 Lobbying Report - October 1-December 31 H.R. 1865 -- Further Consolidated Appropriations Act H.R. 986, Protecting Americans with Preexisting Conditions Act of 2019 H.R. 1010, To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force; Oversight of final rules on short-term, limited duration insurance (STLDI) and Association Health Plans) Medicare X-Choice Proposal H.R. 1384, the Medicare for All Act of 2019 S. 1129, Medicare-for-all national health insurance program Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First S. 1895 Lower Health Care Costs Act of 2019 S. 1531 Stopping the Outrageous Practice of Surprise Medical Bills Act S. 1266 the Protecting Patients from Surprise Medical Bills Act S. 1497 the Health Care Price Check Act H.R.861the End Surprise Billing Act of 2019 S. 1688 - A bill to amend the Public Health Service Act to provide for the full disclosure of billing and service information to patients H.R. 3502 the Protecting People from Surprise Medical Bills Act H.R. 3630 No Surprises Act H.R. 2328 the Reauthorizing and Extending Americas Community Health Act S. 340/H.R. 965 CREATES Act H.R. 1499 Protecting Consumer Access to Generic Drugs Act H.R. 2375 Preserve Access to Affordable Generics and Biosimilars Act H.R. 2296 the More Efficient Tools to Realize Information for Consumers (METRIC) Act H.R. 2062 Overdose Prevention and Patient Safety Act H.R. 938 BLOCKING Act of 2019 (H.R. 938) S. 1173/H.R. 776 Emergency Medical Services for Children Program Reauthorization Act of 2019 S. 1199 Poison Center Network Enhancement Act of 2019 H.R. 2781 the Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 H.R. 728 the Title VIII Nursing Workforce Reauthorization Act Hospital Star Ratings S. 586/H.R. 1041 Critical Access Hospital Relief Act of 2019 H.R. 1052 To amend title XVIII of the Social Security Act to provide for direct payment to physician assistants under the Medicare program for certain services furnished by such physician assistants. S. 348/H.R. 1763 Resident Physician Shortage Reduction Act of 2019 H.R. 2349/H.R. 3414 Opioid Workforce Act H.R. 3022 Patient Access Protection Act H.R. 1892 Bipartisan Budget Act of 2018 H.R. 6 SUPPORT for Patients and Communities Act H.R. 3417 Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act S. 824/H.R. 1767 Excellence in Mental Health and Addiction Treatment Expansion Act Stark law reform Hospital outpatient payment policy Site neutral payment policy included in outpatient prospective payment system rule H.R.2552 Protecting Local Access to Care for Everyone Act of 2019 H.R. 3436 Chronic Care Management Improvement Act Proposed AWI changes in inpatient prospective payment system proposed rule OPPS and physician fee schedule proposed rules NIH funding Title VII health professions education and training programs FY 2020 Appropriations bills H.R. 4378 - Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 Public Charge proposed rule H.R. 3 - the Elijah Cummings Lower Drug Costs Now Act Submitted Comment Letters SUBJECT: CMS-1720-P, Medicare Program; Modernizing and Clarifying the Physician Self-Referral Regulations; Federal Register Vol. 84, No. 201, October 17, 2019 SUBJECT: OIG-0936-AA10-P, Medicare and State Healthcare Programs: Fraud and Abuse; Revisions to Safe Harbors Under the Anti-Kickback Statute, and Civil Monetary Penalty Rules Regarding Beneficiary Inducements; Federal Register (Vol. 84, No. 201), October 17, 2019 SUBJECT: Docket Number FDA-2017-D-6569, Draft Guidance for Industry and Food and Drug Administration Staff: Clinical Decision Support Software SUBJECT: Public Comments on Competitive Bidding Surveys SUBJECT: Request for Information on the Future of Program Integrity SUBJECT: SAMHSA-4162-20, Confidentiality of Substance Use Disorder Patient Records, Proposed Rule, Federal Register (Vol. 84, No. 165), August 26, 2019

2019 Q3 Lobbying Report - July 1-September 30 H.R. 986, Protecting Americans with Preexisting Conditions Act of 2019 H.R. 987, Strengthening Health Care and Lowering Prescription Drug Costs H.R. 1010, To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force; Oversight of final rules on short-term, limited duration insurance (STLDI) and Association Health Plans) Medicare X-Choice Proposal H.R. 1384, the Medicare for All Act of 2019 S. 1129, Medicare-for-all national health insurance program Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First S. 1895 Lower Health Care Costs Act of 2019 S. 1531 Stopping the Outrageous Practice of Surprise Medical Bills Act S. 1266 the Protecting Patients from Surprise Medical Bills Act S. 1497 the Health Care Price Check Act H.R.861the End Surprise Billing Act of 2019 S. 1688 - A bill to amend the Public Health Service Act to provide for the full disclosure of billing and service information to patients H.R. 3502 the Protecting People from Surprise Medical Bills Act H.R. 3630 No Surprises Act H.R. 2328 the Reauthorizing and Extending Americas Community Health Act S. 340/H.R. 965 CREATES Act H.R. 1499 Protecting Consumer Access to Generic Drugs Act H.R. 2375 Preserve Access to Affordable Generics and Biosimilars Act H.R. 2296 the More Efficient Tools to Realize Information for Consumers (METRIC) Act H.R. 2062 Overdose Prevention and Patient Safety Act H.R. 938 BLOCKING Act of 2019 (H.R. 938) H.R. 3439 To amend the Internal Revenue Code of 1986 and title XI of the Social Security Act to extend appropriations and transfers to the Patient-Centered Outcomes Research Trust Fund and to extend certain health insurance fees for such transfers, and for other purposes S. 1173/H.R. 776 Emergency Medical Services for Children Program Reauthorization Act of 2019 S. 1199 Poison Center Network Enhancement Act of 2019 H.R. 2781 the Educating Medical Professionals and Optimizing Workforce Efficiency and Readiness (EMPOWER) for Health Act of 2019 H.R. 728 the Title VIII Nursing Workforce Reauthorization Act Hospital Star Ratings S. 586/H.R. 1041 Critical Access Hospital Relief Act of 2019 H.R. 1052 To amend title XVIII of the Social Security Act to provide for direct payment to physician assistants under the Medicare program for certain services furnished by such physician assistants. S. 895, Rural Hospital Regulatory Relief Act of 2019 S. 948/H.R. 2895 Conrad 30 and Physician Access Act H.R. 3429 the HEARTS and Rural Relief Act S. 348/H.R. 1763 Resident Physician Shortage Reduction Act of 2019 H.R. 2349/H.R. 3414 Opioid Workforce Act H.R. 3022 Patient Access Protection Act H.R. 1892 Bipartisan Budget Act of 2018 H.R. 6 SUPPORT for Patients and Communities Act H.R. 3417 Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act H.R.3253 Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019 S. 824/H.R. 1767 Excellence in Mental Health and Addiction Treatment Expansion Act Stark law reform Hospital outpatient payment policy Site neutral payment policy included in outpatient prospective payment system rule H.R.2552 Protecting Local Access to Care for Everyone Act of 2019 H.R. 3107 Improving Seniors Timely Access to Care Act H.R. 3436 Chronic Care Management Improvement Act Proposed AWI changes in inpatient prospective payment system proposed rule OPPS and physician fee schedule proposed rules NIH funding Title VII health professions education and training programs FY 2020 Appropriations bills H.R. 4378 - Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 Public Charge proposed rule Submitted Comment Letters SUBJECT: CMS-1717-P, Medicare Program: Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Price Transparency of Hospital Standard Charges; Proposed Revisions of Organ Procurement Organizations Conditions of Coverage; Proposed Prior Authorization Process and Requirements for Certain Covered Outpatient Department Services; Potential Changes to the Laboratory Date of Service Policy; Proposed Changes to Grandfathered Childrens Hospitals-Within-Hospitals; Proposed Rule, Federal Register (Vol. 84, No.154), August 9, 2019 SUBJECT: CMS-5527-P, Medicare Program; Specialty Care Models to Improve Quality of Care and Reduce Expenditures; Proposed Rule, Federal Register (Vol. 84, No.138), July 18, 2019 SUBJECT: CMS-3347-P, Medicare and Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory Provisions to Promote Efficiency and Transparency, Federal Register (Vol. 84, No.138), July 18, 2019 SUBJECT: CMS-1711-P, Medicare and Medicaid Programs; CY 2020 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements; Proposed Rule, Federal Register (Vol. 84, No.138), July 18, 2019 Subject: Proposed Rule: CMS 2406-P2/RIN 0938-AT41 Medicaid Program; Methods for Assuring Access to Covered Medicaid Services - Rescission (Vol. 84, No. 135, July 15, 2019) SUBJECT: CMS-6082-NC, Request for Information; Reducing Administrative Burden to put Patients over Paperwork; Federal Register (Vol. 84, No. 112), June 11, 2019

2019 Q2 Lobbying Report - April 1-June 30 H.R.1386, the Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act of 2019 H.R.1385, the State Allowance for a Variety of Exchanges (SAVE) Act Medicare X-Choice Proposal H.R. 1384, the Medicare for All Act of 2019 S. 1129 Medicare-for-all national health insurance program S. 1895 Lower Health Care Costs Act of 2019 H.R. 3630 No Surprises Act S. 1379/H.R. 269, Pandemic and All-Hazards Preparedness and Advancing Innovation Act S. 340/H.R. 965, CREATES Act H.R. 938 BLOCKING Act of 2019 H.R. 986 Protecting Americans with Preexisting Conditions Act of 2019 H.R. 987 Strengthening Health Care and Lowering Prescription Drug Costs H.R. 1010 To provide that the rule entitled Short-Term, Limited Duration Insurance shall have no force H.R. 1499 Protecting Consumer Access to Generic Drugs Act of 2019 H.R. 2062 Overdose Prevention and Patient Safety Act (H.R. 2062) H.R. 3439 To amend the Internal Revenue Code of 1986 and title XI of the Social Security Act to extend appropriations and transfers to the Patient-Centered Outcomes Research Trust Fund and to extend certain health insurance fees for such transfers, and for other purposes S. 1173 Emergency Medical Services for Children Program Reauthorization Act of 2019 H.R. 3429, the HEARTS and Rural Relief Act H.R. 3414 Opioid Workforce Act H.R. 3417 Beneficiary Education Tools, Telehealth, and Extenders Reauthorization Act H.R. 3107 Improving Seniors Timely Access to Care Act H.R. 3436 Chronic Care Management Improvement Act Proposed AWI changes in inpatient prospective payment system proposed rule Submitted Comment Letters Ref: QSO-19-13 Hospital - DRAFT ONLY - Guidance for Hospital Co-Location with Other Hospitals or Healthcare Facilities Subject: DRAFT-QSO-19-12-Hospitals - Clarification of Ligature Risk Interpretive Guidelines RE: OMB-2019-0002, Request for Comment on the Consumer Inflation Measures Produced by Federal Statistical Agencies; Directive No. 14; Federal Register (Vol. 84, No. 88), May 7, 2019 Subject: CMS-3368-P, Medicare Program; Accrediting Organizations-Changes to Change of Ownership; Proposed Rule, Federal Register (Vol. 84, No. 85), May 2, 2019 SUBJECT: CMS-1716-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; Proposed Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Promoting Interoperability Programs Proposed Requirements for Eligible Hospitals and Critical Access Hospitals; Proposed Rule, Federal Register (Vol. 84, No. 86) May 3, 2019 SUBJECT: CMS-1710-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2020; Proposed Rule, Federal Register (Vol. 84, No.79), April 24, 2019 SUBJECT: CMS-1718-P, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities, Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2020 Proposed Rule, Federal Register (Vol. 84, No.80), April 25, 2019 SUBJECT: CMS-1712-P, Medicare Program; FY 2020 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2019 (FY 2020); Proposed Rule, Federal Register (Vol. 84, No. 78), April 23, 2019 Subject: CMS-9115-P; Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally-Facilitated Exchanges and Health Care Providers; Proposed Rule; and RIN 0955-AA01; 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program; Proposed Rule; Federal Register (Vol. 84, No. 42), March 4, 2019

H.R. 506 Hospital Competition Act of 2019 S. 131 Protect Medicaid Act H.R. 1384 Medicare for All Act of 2019 S. 1129 A bill to establish a Medicare-for-all national health insurance program H.R. 1041 Critical Access Hospital Relief Act of 2019 H.R. 1052 To amend title XVIII of the Social Security Act to provide for direct payment to physician assistants under the Medicare program for certain services furnished by such physician assistants H.R. 1425 State Health Care Premium Reduction Act H.R.1386 Expand Navigators Resources for Outreach, Learning, and Longevity (ENROLL) Act H.R.1385 State Allowance for a Variety of Exchanges (SAVE) Act H.R. 269 Pandemic and All-Hazards Preparedness and Advancing Innovation Act of 2019 S. 895 Rural Hospital Regulatory Relief Act of 2019 H.R. 1767 Excellence in Mental Health and Addiction Treatment Expansion Act H.R. 1010 To provide that the rule entitled "Short-Term, Limited Duration Insurance" shall have no force or effect H.R. 1763 Resident Physician Shortage Reduction Act of 2019 S. 348 Resident Physician Shortage Reduction Act of 2019 OPTN Policy re: Equitable Distribution of Livers for Transplantation SUBJECT: Proposed Changes to Overall Hospital Quality Star Ratings Methodology (Submitted 3/29/2019) SUBJECT: RIN 2900-AQ46; Veterans Community Care Program; Proposed Rule, Federal Register (Vol. 84, No. 36), February 22, 2019 (Submitted 3/26/2019) SUBJECT: CMS-3367-NC, Accrediting Organizations Conflict of Interest and Consulting Services; Request for Information; Federal Register (Vol. 83, No. 244) December 20, 2018 (Submitted 2/19/2019) SUBJECT: Request for Information on Modifying HIPAA Rules to Improve Coordinated Care (RIN 0945- AA00), 83 Fed. Reg. 64302 (Dec. 14, 2018) (Submitted 2/12/2019) SUBJECT: Worksheet S-10 Data (Sent 1/31/2019) SUBJECT: Draft Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs (Submitted 1/28/2019) SUBJECT: Early Findings from the National Beta Test of Standardized Patient Assessment Data Elements (Submitted 1/15/2019) SUBJECT: Proposed Rule: CMS-2408-P. Medicaid Program; Medicaid and Childrens Health Insurance Program Managed Care (Submitted 1/14/2019

Opioid issues (S. 2680, the Opioid Crisis Response Act of 2018; H.R. 5176, Preventing Overdoses While in Emergency Rooms (POWER) Act; H.R. 5197, Alternatives to Opioids (ALTO) in the Emergency Department Act; H.R. 5009, Jessies Law; H.R. 5818 / S. 2843, the Opioid Workforce Act; H.R. 5797, the IMD CARE Act; H.R. 6082/H.R. 5795, the Overdose Prevention and Patient Safety Act; S. 2905, Strengthening Partnerships to Prevent Opioid Abuse Act; S. 2460, Every Prescription Conveyed Securely Act; S. 2920, Commit to Opioid Medical Prescriber Accountability and Safety for Seniors Act; H.R. 5582, the Abuse Deterrent Access Act; H.R. 5685, the Medicare Opioid Safety Education Act; Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act of 2018; H.R. 6, the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act; S. 2899, Caring Recovery for Infants and Babies Act; S. 2898, Medication-Assisted Treatment Improvement Act; S.2911, Enhancing Patient Access to Non-Opioid Treatment Options) Draft Protecting Patients from Surprise Medical Bills Act HIPAA policy in mental and behavioral health information sharing 21st Century Cures Act implementation Pandemic and All Hazards Preparedness Reauthorization, including Hospital Preparedness Program (S. 2852, the Pandemic and All-Hazards Preparedness and Advancing Innovation Act (PAHPAI) of 2018) S.781/ HR 1876. Good Samaritan Health Professional Act of 2017 Health workforce reauthorizations (H.R. 959, the Title VIII Nursing Workforce Reauthorization Act; H.R. 3728, the Educating Medical Professionals and Optimizing Workforce Efficiency Readiness (EMPOWER) Act; H.R. 1676, the Palliative Care and Hospice Education and Training Act Liver allocation policy (H.R. 6458 National Organ Transplant Act Amendments of 2018; H.R. 6517 Fairness in Liver Allocation Act of 2018) H.R. 5678, Rural Emergency Medical Center (REMC) Act of 2018) Disproportionate share hospital payments (H.R. 1892, Bipartisan Budget Act of 2018; implementation of the S-10 worksheet) H.R. 2267 / S. 1301, Resident Physician Shortage Reduction Act H.R. 5818 / S. 2843, Opioid Workforce Act Telehealth payment (H.R. 1892, Bipartisan Budget Act of 2018; H.R. 6, SUPPORT for Patients and Communities Act) Stark law reform Hospital outpatient payment policy Site neutral payment policy included in outpatient prospective payment system proposed rule Physician fee schedule rule Evaluation and management coding and payment policy in physician fee schedule rule S. 2597 / H.R. 5385, Children's Hospital GME Support Reauthorization Act of 2018 Opioid funding (CARA implementation; S. 2004, Combating the Opioid Epidemic Act; H.R. 1892, Bipartisan Budget Act of 2018; Consolidated Appropriations Act, 2018) Behavioral health funding (H.R. 1892, Bipartisan Budget Act of 2018; Consolidated Appropriations Act, 2018; H.R. 6157) HR 6470 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 H.R. 5645, the Standard Merger and Acquisition Reviews Through Equal Rules (SMARTER) Act Public Charge proposed rule Q4 Submitted Letters SUBJECT: DHS Docket No. USCIS-2010-0012, Inadmissibility on Public Charge Grounds; Proposed Rule SUBJECT: Docket No. FDA-2018-N-3272, Identifying the Root Causes of Drug Shortages and Finding Enduring Solutions SUBJECT: CMS-1701-P, Medicare Program: Medicare Shared Savings Program; Accountable Care Organizations Pathways to Success Proposed Rule SUBJECT: OIG-0803-N, Request for Information Regarding Anti-Kickback Statute and Beneficiary Inducements CMP SUBJECT: CMS-3346-P, Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction SUBJECT: Notice of Proposed Rulemaking, 340B Drug Pricing Program Ceiling Price and Manufacturer Civil Monetary Penalties Effective Date Change

H.R. 6 SUPPORT for Patients and Communities Act H.R. 6458 National Organ Transplant Act Amendments of 2018 H.R. 6517 Fairness in Liver Allocation Act of 2018 H.R. 6157 Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 H.R. 6470 Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2019 Q3 Submitted Letters SUBJECT: CMS-1695-P, Medicare Program; Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Requests for Information on Promoting Interoperability and Electronic Health Care Information, Price Transparency, and Leveraging Authority for the Competitive Acquisition Program for Part B Drugs and Biologicals for a Potential CMS Innovation Center Model, Proposed Rule, Federal Register (Vol. 83, No, 147), July 31, 2018 SUBJECT: DEA-488P, Proposed Aggregate Production Quotas for Schedule I and II Controlled Substances and Assessment of Annual Needs for the List I Chemicals Ephedrine, Pseudoephedrine, and Phenylpropanolamine for 2019, Notice, Federal Register (Vol. 83, No, 161), August 20, 2018 SUBJECT: CMS-1693-P, Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2019; Medicare Shared Savings Program Requirements; Quality Payment Program; and Medicaid Promoting Interoperability Program Proposed Rule, Federal Register (Vol. 83, No. 145), July 27, 2018 SUBJECT: CMS-1691-P, Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments To Correct Existing Regulations Related to the CBP for Certain DMEPOS, Proposed Rule, Federal Register (Vol. 83, No, 139), July 19, 2018 SUBJECT: CMS 1689-P, Medicare and Medicaid Programs: CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements: Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements; Home Infusion Therapy; and Training Requirements, Proposed Rule, Federal Register (Vol. 83, No. 134), July 12, 2018 SUBJECT: CMS-1720-NC, Request for Information Regarding the Physician Self-Referral Law; Federal Register (Vol. 83, No. 122), June 25, 2018

H.R. 6071 Stretching Entity Resources for Vulnerable (SERV) Communities Act H.R. 5797 Individuals in Medicaid Deserve Care that is Appropriate and Responsible in its Execution Act H.R. 6082 Overdose Prevention and Patient Safety Act S. 2979 Spending Cuts to Expired and Unnecessary Programs Act H.R. 3 Spending Cuts to Expired and Unnecessary Programs Act H.R. 5385 Children's Hospital GME Support Reauthorization Act of 2018 H.R. 5795 Overdose Prevention and Patient Safety Act H.R. 3545 Overdose Prevention and Patient Safety Act S. 2847 Standard Merger and Acquisition Reviews Through Equal Rules Act of 2018 H.R. 5674 VA MISSION Act of 2018 S. 2597 Children's Hospital GME Support Reauthorization Act of 2018 H.R. 5598 340B Optimization Act H.R. 4392 To provide that the provision of the Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs final regulation relating to changes in the payment amount for certain drugs and biologicals purchased under the 340B drug discount program shall have no force or effect, and for other purposes. H.R. 4710 340B PAUSE Act Submitted Letters: SUBJECT: CMS-1696-P, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled-Nursing Facilities (SNFs) for Federal Fiscal Year 2019; SNF Value-Based Purchasing Program and SNF Quality Reporting Program, Proposed Rule, SUBJECT: CMS-1694-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2019 Rates; Proposed Quality Reporting Requirements for Specific Providers; Proposed Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs (Promoting Interoperability Programs) Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Medicare Cost Reporting Requirements; and Physician Certification and Recertification of Claims; Proposed Rule, Federal Register (Vol. 83, No. 88), May 7, 2018 SUBJECT: CMS-1688-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2019; Proposed Rule, Federal Register (Vol.82, No. 84), May 8, 2018 SUBJECT: CMS-1690-P, Medicare Program; FFY 2019 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2018 (FFY 2019); Proposed Rule, Federal Register (Vol. 83, No. 89), May 8, 2018 SUBJECT: Request for Information on Direct Provider Contracting Models SUBJECT: Proposed Rule: CMS 2406-P/RIN 0938-AT41 Medicaid Program: Methods for Assuring Access to Covered Medicaid Services - Access to Covered Medicaid Services-Exemptions for States With High Managed Care Penetration Rates and Rate Reduction Threshold (Vol. 83, No. 57, March 23, 2018) SUBJECT: Rural Health Care Program SUBJECT: Proposed Rule: CMS-9924-P/RIN 0938-AT48: Short-Term, Limited-Duration Insurance; Federal Register (Vol. 83, No. 35, February 21, 2018)

H.R. 4710 - 340B PAUSE Act H.R. 4143 - Dialysis PATIENTS Demonstration Act of 2017 H.R. 4776 - Hospital Preparedness Program Reauthorization Act of 2018 H.R. 1892 - Bipartisan Budget Act of 2018 H.R. 5155 - Undo Sabotage and Expand Affordability of Health Insurance Act of 2018 S. 2453 - Ensuring the Value of the 340B Program Act of 2018 SUBJECT: WC Docket No. 17-310; FCC 17-164, Promoting Telehealth in Rural America; Proposed Rule SUBJECT: CMS-1702-IFC, Medicare Program, Medicare Shared Savings Program: Extreme and Uncontrollable Circumstances Policies for Performance Year 2017; Interim Final Rule with Comment Period SUBJECT: CMS-3326-NC, Request for Information: Revisions to Personnel Regulations, Proficiency Testing Referral, Histocompatibility Regulations and Fee Regulations Under the Clinical Laboratory Improvement Amendments of 1988 SUBJECT: Medicaid Managed Care Rule SUBJECT: Clerical Error State Plan Amendments/DHCS Correction

S. 1301/H.R. 2267 - Resident Physician Shortage Reduction Act of 2017 H.R. 3922 - CHAMPIONING HEALTHY KIDS Act H.R. 1 - Tax Cuts and Jobs Act H.R. 4392 - bill that would block cuts for hospitals that participate in the 340B Drug Pricing Program S. 2156 - Hospital Payment Fairness Act H.J. Res. 124 - portion of the bill: CHAMPIONING HEALTHY KIDS Act H.R. 1370 - Department of Homeland Security Blue Campaign Authorization Act of 2017 (portion of the bill: CHIP and Public Health Funding Extension Act) SUBJECT: CY 2018 Clinical Laboratory Fee Schedule Preliminary Payment Rates SUBJECT: Durable Medical Equipment/Medicare Competitive Bidding Program SUBJECT: CMS Request for Information on Innovation Center New Direction SUBJECT: Shortage of Small-Volume Intravenous

H.R. 2267 / S. 1301 - Resident Physician Shortage Reduction Act of 2017 H.R. 3729 - Comprehensive Operations, Sustainability, and Transport Act of 2017 H.R. 3727 - Increasing Telehealth Access in Medicare (ITAM) H.R. 3726 - Stark Administrative Simplification Act of 2017 S. 1130 - Rural Emergency Acute Care Hospital Act H.R. 1628 - American Health Care Act of 2017, Graham-Cassidy Amendment H.R. 3545 - Overdose Prevention and Patient Safety (OPPS) Act Provider Statutory & Regulatory Relief Initiative CMS-5522-P, Medicare Program; CY 2018 Updates to the Quality Payment Program; Proposed Rule, Federal Register (Vol. 82, No. 125), June 30, 2017. CMS-1686-ANPRM, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities: Revisions to Case-mix Methodology; Federal Register (Vol.82, No. 84), May 4, 2017. Proposed Rule: Medicaid Program; State Disproportionate Share Hospital Allotment Reductions [CMS-2394-P]; Federal Register (82 FR 35163) July 28, 2017. CMS-1676-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2018; Medicare Shared Savings Program Requirements; and Medicare Diabetes Prevention Program; Proposed Rule, Federal Register (Vol. 82, No. 139), July 21, 2017. CMS-1678-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Proposed Rule, Federal Register (Vol. 82, No. 138), July 20, 2017. CMS 1672-P, CY 2018 Home Health Prospective Payment System Rate Update and Proposed 2019 Case-Mix Adjustment Methodology Refinements: Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements; Proposed Rule, Federal Register (Vol. 82, No. 144), July 28, 2017.

S. 1516 - A bill to expand health care choices by allowing Americans to buy health care coverage across State lines H.R. 1628 - Better Care Reconciliation Act of 2017 H.R. 1215 - Protecting Access to Care Act of 2017 S. 1016 - CONNECT for Health Act of 2017 S. 870 - Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 H.R. 2779 - Assessing Critical Care Efforts to Strengthen Services Act (ACCESS Act) H.R. 372 - Competitive Health Insurance Reform Act of 2017 H.R. 1156 - Patient Access to Higher Quality Health Care Act of 2017 H.R. 1628 - American Health Care Act of 2017 CMS-1679-P, Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Proposal to Correct the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020; Proposed Rule, Federal Register (Vol.82, No. 84), May 3, 2017 CMS-1671-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2018; Proposed Rule, Federal Register (Vol.82, No. 84), May 3, 2017 CMS-1677-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Service and Tribal Facilities and Organizations; Costs Reporting and Provider Requirements; Agreement Termination Notices; Proposed Rule, Federal Register (Vol. 82, No. 81), April 28, 2017 CMS-1677-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2018 Rates; Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Electronic Health Record Incentive Program Requirements for Eligible Hospitals, Critical Access Hospitals, and Eligible Professionals; Provider-Based Status of Indian Health Service and Tribal Facilities and Organizations; Costs Reporting and Provider Requirements; Agreement Termination Notices; Proposed Rule, Federal Register (Vol. 82, No. 81), April 28, 2017 CMS-3819-P2, Medicare and Medicaid Program: Conditions of Participation for Home Health Agencies; Delay of Effective Date, Proposed Rule (Vol. 82, No. 62), April 3, 2017

H.R. 1628 - American Health Care Act of 2017 H.R. 1156 - Patient Access to Higher Quality Health Care Act of 2017 H.R. 1130 - Fair Medicare Hospital Payments Act of 2017 S. 397 - Fair Medicare Hospital Payments Act of 2017 CMS-6012-P, Medicare Program; Establishment of Special Payment Provisions and Requirements for Qualified Practitioners and Qualified Suppliers of Prosthetics and Custom Fabricated Orthotics; Proposed Rule, Federal Register (Vol. 82, No. 8), January 12, 2017

H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act H.R. 5273, Helping Hospitals Improve Patient Care Act of 2016 H.R. 2646, Helping Families in Mental Health Crisis Act of 2016 H.R. 6, H.R.34, P.L. 114-255, 21st Century Cures Act Section 603 of P.L. 114-74, Bipartisan Budget Act of 2015 CMS-5519-P. Medicare Program; Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR); Proposed Rule, July 20, 2016 Interim Final Rule: CMS-1656-FC and IFC. Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Electronic Health Record Incentive Programs; Payment to Non-excepted Off-Campus Provider-Based Department of a Hospital; Hospital Value-Based Purchasing Program; Establishment of Payment Rates Under the Medicare Physician Fee Schedule for Non-excepted Items and Services Furnished by an Off-Campus Provider-Based Department of a Hospital; Interim Final Rule, November 14, 2016 CMS-2402-P. Medicaid Program; Pass-Through Provider Payments in Medicaid Managed Care; November 22, 2016

H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 2646 - Helping Families in Mental Health Crisis Act of 2016 H.R. 6 - 21st Century Cures Act CMS-5519-P. Medicare Program; Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR); Proposed Rule, July 20, 2016 CMS-5519-P. Medicare Program; Advancing Care Coordination through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model (CJR); Proposed Rule, July 20, 2016 H.R. 3298, Post-Acute Care Value Based Purchasing Act Proposed Rule: RIN 0938-AS92 Medicaid Program; Disproportionate Share Hospital Payments - Treatment of Third-Party Payers in Calculating Uncompensated Care Costs; (Vol. 81, No. 157, August 15, 2016) CMS-1656-P,Proposed Rule: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Electronic Health Record (EHR) Incentive Programs; Payment to Certain Off-Campus Outpatient Departments of a Provider; Hospital Value-Based Purchasing (VBP) Program (CMS-1656-P) CMS-1654-P, Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Proposed Rule, Federal Register (Vol. 81, No. 136), July 15, 2016 CMS-1656-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Electronic Health Record (EHR) Incentive Programs; Payment to Certain Off-Campus Outpatient Departments of a Provider; Hospital Value-Based Purchasing (VBP) Program (CMS-1656-P) CMS-10611,OIRA Review of the Medicare Outpatient Observation Notice (MOON) per the Paperwork Reduction Act CMS-1648-P, Medicare Program; Home Health Prospective Payment System Proposed Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements for Calendar Year 2017 HHS-2015-49, Proposed Rule: Medicare Program - Changes to the Medicare Claims and Entitlement, Medicare Advantage Organization Determination, and Medicare Prescription Drug Coverage Determination Appeals Procedures (HHS-2015-49) CMS-3295-P, CMS Proposed Rule Relating to Hospital and Critical Access Hospital Changes to Promote Innovation, Flexibility and Improvement in Patient Care Subject: The need to address geographic disparities in access to liver transplantation Subject: FDA Draft Compounding Guidances - Hospital and Health System Compounding Under the Federal Food, Drug and Cosmetic Act, FDA-2016-D-0271; Prescription Requirement Under Section 503A of the Federal Food, Drug, and Cosmetic Act, FDA-2016-D-0269 and Facility Definition Under Section 503B of the Federal Food, Drug, and Cosmetic Act, FDA-2016-D-0238

S. 2832 - Fair Medicare Hospital Payments Act of 2016 H.R. 5273 - Helping Hospitals Improve Patient Care Act of 2016 H.R. 3299 - Strengthening Public Health Emergency Response Act of 2015 H.R. 4428 - To amend title XVIII of the Social Security Act to ensure fairness in Medicare hospital payments by establishing a floor for the area wage index applied with respect to certain hospitals. H.R. 3716 - Ensuring Terminated Providers are Removed from Medicaid and CHIP Act S.2467 - The Patient Safety Improvement Act H.R. 4725 - The Common Sense Savings Act H.R. 2156 - Medicare Audit Improvement Act H.R. 1342 / S.688 - Establishing Beneficiary Equity in the Hospital Readmission Program Act Critical Access Hospital Reimbursement CMS-5517-P, Medicare Program: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models; Proposed Rule, May 9, 2016 CMS-1645-P, Medicare Program: Skilled Nursing Facility Prospective Payment System for Federal Fiscal Year 2017; Proposed Rule, April 25, 2016 CMS-1647-P, Medicare Program: Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2016; Proposed Rule, April 25, 2016 CMS-1655-P, Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Proposed Rule, April 27, 2016 (CMS-1655-P) CMS-1655-P, Medicare Program: Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2017 Rates; Quality Reporting Requirements for Specific Providers; Graduate Medical Education; Hospital Notification Procedures Applicable to Beneficiaries Receiving Observation Services; and Technical Changes Relating to Costs to Organizations and Medicare Cost Reports; Proposed Rule, April 27, 2016 Public Law 114-74 CMS-1670-P, Medicare Program: Part B Drug Payment Model, Proposed Rule (Vol. 81, No. 48, March 11, 2016) CMS 10599; Home health prior authorization

H.R. 4428 - To amend title XVIII of the Social Security Act to ensure fairness in Medicare hospital payments by establishing a floor for the area wage index applied with respect to certain hospitals. H.R. 3716 - Ensuring Terminated Providers are Removed from Medicaid and CHIP Act S.2467 - The Patient Safety Improvement Act H.R. 4725 - The Common Sense Savings Act H.R. 2156 - Medicare Audit Improvement Act H.R. 1342 / S.688 - Establishing Beneficiary Equity in the Hospital Readmission Program Act

H.R. 6, 21st Century Cures Act. H.R. 1314, Bipartisan Budget Act of 2015. H.R. 1343/S.688, Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015 H.R 1479, Repeal of the Obamacare Bay State Boondoggle Act. H.R. 2126, To prohibit the Secretary of Health and Human Services from replacing ICD-9 with ICD-10 in implementing the HIPAA code set standards. H.R. 2156, To amend title XVIII of the Social Security Act to reform the practices of recovery audit contractors under the Medicare program, and for other purposes. H.R.3018, Code-FLEX Act of 2015. S. 599, Improving Access to Emergency Psychiatric Care Act. S. 1461, A bill to provide for the extension of the enforcement instruction on supervision requirements for outpatient therapeutic services in critical access and small rural hospitals through 2015. S. 1648, Rural Emergency Acute Care Hospital Act. CMS-1613-FC, Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Physician-Owned Hospitals: Data Sources for Expansion Exception; Physician Certification of Inpatient Hospital Services; Medicare Advantage Organizations and Part D Sponsors: CMS-Identified Overpayments Associated with Submitted Payment Data, Final Rule. CMS-1621-P, Medicare Program: Medicare Clinical Diagnostic Laboratory Tests Payment System; Proposed Rule. CMS-3310-FC, Medicare and Medicaid Programs; Electronic Health Record Incentive Program, Stage 3; Final Rule Additional Comments. CMS-9937-P, Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017; Proposed Rule. EPA-HQ- RCRA-2007-0932; Management Standards for Hazardous Waste Pharmaceuticals; Proposed Rule. RIN Number 0945-AA02, Nondiscrimination in Health Programs and Activities; Proposed Rule. RIN 0906-AB08, 340B Drug Pricing Program Omnibus Guidance.

S. 332, Rural Emergency Acute Care Hospital Act. H.R.3018, Code-FLEX Act of 2015. CMS-2390-P, Medicaid and Childrens Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability; Proposed Rule, June 1, 2015. CMS-1633-P, Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals Under the Hospital Inpatient Prospective Payment System; Proposed Rule (Vol. 80, No. 130), July 8, 2015. CMS-5516-P, Medicare Program; Comprehensive Care for Joint Replacement Payment Model for Acute Care Hospitals Furnishing Lower Extremity Joint Replacement Services; Proposed Rule (Vol. 80, No. 134), July 14, 2015. CMS-1631-P, Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2016 Proposed Rule, Federal Register (Vol. 80, No. 135), July 15, 2015. CMS-1625-P; Medicare Program; Home Health Prospective Payment System Proposed Rule Calendar Year 2016. Compounding Regulations, Notice of Proposed Modifications, Articles 4.5, 7 and 7.5 of Division 17 of Title 16 California Code of Regulations, Section 1735 et seq., 1751 et seq.,1752, 1753, and 1754. Emergency Regulation, Provider Network Adequacy, Filed January 20, 2015 OAL Emergency File Number: 2015-0120-03E Department of Insurance File Number: ER-2015-00001. Emergency Regulation, Provider Network Adequacy, Filed January 20, 2015 OAL Emergency File Number: 2015-0120-03E Department of Insurance File Number: ER-2015-00001.

H.R. 6, 21st Century Cures Act. H.R. 1343/S.688, Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015. H.R 1479, Repeal of the Obamacare Bay State Boondoogle Act. H.R. 2126, To prohibit the Secretary of Health and Human Services from replacing ICD-9 with ICD-10 in implementing the HIPAA code set standards. H.R. 2156, To amend title XVIII of the Social Security Act to reform the practices of recovery audit contractors under the Medicare program, and for other purposes. S. 1648, Rural Emergency Acute Care Hospital Act. CMS-3310-P, Medicare and Medicaid Programs; Electronic Health Record Incentive Program, Stage 3; Proposed Rule. RIN 0938-AS24, Medicaid and Childrens Health Insurance Programs; Application of Mental Health Parity Requirements to Coverage Offered by Medicaid Managed Care Organizations, the Childrens Health Insurance Program, and Alternative Benefit Plans; Proposed Rule. CMS-1632-P, Medicare Program; Hospital Inpatient Prospective Payment System for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Records Incentive Program; Proposed Rule. CMS-1622-P, Medicare Program; Skilled Nursing Facility Prospective Payment System for Federal Fiscal Year 2016; Proposed Rule. CMS-3311-P, Medicare and Medicaid Programs; Electronic Health Record Incentive Program, Modifications to Meaningful Use in 2015 through 2017; Proposed Rule. CMS-1624-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2016; Proposed Rule. CMS-1627-P, Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System -Update for Fiscal Year Beginning October 1, 2015 (FY 2016); Proposed Rule.

H.R. 2 - The Medicare Access and CHIP Reauthorization Act H.R. 169 - Critical Access Hospital Relief Act H.R. 270 - Flexibility in Health IT Reporting (Flex-IT) Act H.R. 976 - Patient Access to Higher Quality Health Care Act of 2015 H.R. 977 - Making the Education of Nurses Dependable for Schools Act or the MEND Act H.R. 1343 - Establishing Beneficiary Equity in the Hospital Readmission Program At of 2015 CMS-1461-P - Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations

H.R. 1201, Training Tomorrows Doctors Today Act H.R. 1250, the Medicare Audit Improvement Act H.R. 1180/S. 577, The Resident Physician Shortage Reduction Act of 2013 H.R. 1920, the DSH Reduction Relief Act S. 2728, Community-Based Medical Education Act of 2014 S. 2658, The Accelerating Biomedical Research Act S. 2501, the Hospital Readmissions Program Accuracy and Accountability Act of 2014 H.R. 4188 Establishing Beneficiary Equity in the Hospital Readmission Program Act H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014 H.R. 5339, The Expanding Opportunities for Recovery Act H.R. 5110, SAVE Medicare Home Health Act of 2014 H.R. 5458, Building a Healthcare Workforce of the Future Act H.R. 5481, The Flexibility in Health IT Reporting (Flex-IT) Act OMHA-1401-NC, Medicare Program; Administrative Law Judge Hearing Program for Medicare Claim Appeals, Request for Information CMS-3819-P, Medicare and Medicaid Program: Conditions of Participation for Home Health Agencies; Proposed Rule

H.R. 1201, Training Tomorrows Doctors Today Act H.R. 1250, the Medicare Audit Improvement Act H.R. 1180/S. 577, The Resident Physician Shortage Reduction Act of 2013H.R. 1920, the DSH Reduction Relief Act S. 2728, Community-Based Medical Education Act of 2014 S. 2658, The Accelerating Biomedical Research Act S. 2501, The Hospital Readmissions Program Accuracy and Accountability Act of 2014 H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmission Program Act H.R. 4994, Improving Medicare Post-Acute Care Transformation Act of 2014 H.R. 5339, The Expanding Opportunities for Recovery Act H.R. 5110, SAVE Medicare Home Health Act of 2014 H.R. 5458, Building a Healthcare Workforce of the Future Act H.R. 5481, The Flexibility in Health IT Reporting (Flex-IT) Act CMS-0052-P, Medicare and Medicaid Programs; Modifications to the Medicare and Medicaid Electronic Health Record Incentive Programs for 2014; and Health Information Technology: Revisions to the Certified EHR Technology Definition CMS-1613-P, Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Physician-Owned Hospitals: Data Sources for Expansion Exception; Physician Certification of Inpatient Hospital Services; Medicare Advantage Organizations and Part D Sponsors: Appeals Process for Overpayments Associated with Submitted Data CMS1661P, Medicare Program; Home Health Prospective Payment System Proposed Rule Calendar Year 2015 CMS-1612-P, Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to Identifiable Data for the Center for Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015 CMS-1614-P, Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies

S. 2501, the Hospital Readmissions Program Accuracy and Accountability Act of 2014 H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmission Program Act H.R. 1250, Medicare Audit Improvement Act of 2013 H.R. 1920, DSH Reduction Relief Act of 2013H.R. 3712, Family and Medical Insurance Leave Act of 2013 H.R. 4994/S. 2553, The Improving Medicare Post-Acute Care Transformation Act of 2014 H.R. 3230, Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014 CMS-1607-P, Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2015 Rates; Quality Reporting Requirements for Specific Providers; Reasonable Compensation Equivalents for Physician Services in Excluded Teaching Hospitals; Provider Administrative Appeals and Judicial Review; Enforcement Provisions for Organ Transplant Centers; and Electronic Health Record (EHR) Incentive Program; Proposed Rule. CMS-1608-P, Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2015; Proposed Rule. CMS-1606-P, Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System - Update for Fiscal Year Beginning October 1, 2014 (FY 2015); Proposed Rule. CMS3277P, Medicare and Medicaid Programs; Fire Safety Requirements for Certain Health Care Facilities, Proposed Rule.

H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013 H.R. 1281, Newborn Screening Saves Lives Reauthorization Act of 2013 H.R. 1920, DSH Reduction Relief Act of 2013H.R. 2801, Protecting Access to Rural Therapy Services Act of 2013 H.R. 4188, Establishing Beneficiary Equity in the Hospital Readmission Program Act H.R. 4302, Protecting Access to Medicare Act of 2014 S. 1557, Children's Hospital GME Support Reauthorization Act of 2013

H.R. 1250/S. 1012, The Medicare Audit Improvement Act of 2013 H.R. 1920/S. 1555, The DSH Reduction Relief Act H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013 H.R. 2869, Medicare Patient Access to Cancer Treatment Act of 2013H.R. 3531, Creating Access to Rehabilitation for Every Senior (CARES) Act of 2013 H.R. 3750, The Telehealth Modernization Act of 2013 H.J. Res. 59, Continuing Appropriations Resolution, 2014 CMS-1443-P Medicare Program; Prospective Payment System for Federally Qualified Health Centers; Changes to Contracting Policies for Rural Health Clinics; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral; Proposed Rule

H.R. 1250/S. 1012, The Medicare Audit Improvement Act of 2013 H.R. 1920/S. 1555, The DSH Reduction Relief Act H.R. 2810, The Medicare Patient Access and Quality Improvement Act of 2013 H.R. 2801/S. 1143, The Protecting Access to Rural Therapy Services Act of 2013H.R. 2869 Medicare Patient Access to Cancer Treatment Act of 2013 H.R. 2931 Fairness in Health Care Claims, Guidance, and Investigations Act H.J. Res. 59 Continuing Appropriations Resolution, 2014 CMS1448P Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2014, Proposed Rule, (Federal Register Vol. 78, No. 89, May 8, 2013) CMS3255P Medicare and Medicaid Programs; Survey, Certification and Enforcement Procedures, Proposed Rule (Federal Register, Vol. 78, No. 66, April 5, 2013) REG10649912 Community Health Needs Assessments for Charitable Hospitals, Notice of Proposed Rulemaking (Federal Register Vol. 78, No. 66, April 5, 2013) CMS2367P Medicaid Program; State Disproportionate Share Hospital Allotment Reductions, Proposed Rule (Federal Register, Vol. 78, No. 94, May 15, 2013) CMS1601P Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Hospital Value- Based Purchasing Program; Organ Procurement Organizations; Quality Improvement Organizations; Electronic Health Records (EHR) Incentive Program; Provider Reimbursement Determinations and Appeals. Proposed Rule (Federal Register, Vol. 78, No. 139, July 19, 2013) CMS1450P Medicare and Medicaid Programs; Home Health Prospective Payment System Rate Update for CY 2014, Home Health Quality Reporting Requirements, and Cost Allocation of Home Health Survey Expenses, Proposed Rule (Federal Register, Vol. 78, No. 128, July 3, 2013) CMS1600P Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule, Clinical Laboratory Fee Schedule & Other Revisions to Part B for CY 2014, Proposed Rule (Federal Register, Vol. 78, No. 139, July 19, 2013)

H.R. 1250: The Medicare Improvement Act of 2013. H.R. 1920: DSH Reduction Relief Act of 2013. H.R. 2053: To amend Title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas.H.R. 2329: Administrative Relief and Accurate Medicare Payments Act of 2013. S. 963: The Preventing an Unrealistic Future Medicaid Augmentation Plans (FMAP) Act of 2013. S.744: Border Security, Economic Opportunity, and Immigration Modernization Act. S.1180: A bill to amend title XI of the Social Security Act to provide for the public availability of Medicare claims data. CMS-3267-P: Proposed Rule for Medicare and Medicaid Programs; Part II - Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction, Federal Register (Vol. 78, No. 26), February 7, 2013. CMS-1455-P: Medicare Program; Part B Inpatient Billing in Hospitals; Proposed Rule (Federal Register, Vol. 78, No. 52, March 18, 2013). CMS-1599-P: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2014 Rates; Proposed Rule, May 10, 2013. CMS-1454-P: Medicare Program; Physicians Referrals to Health Care Entities With Which They Have Financial Relationships: Exception for Certain Electronic Health Records Arrangements; Proposed Rule (Federal Register, Vol. 78, No. 69, April 10, 2013). OIG-404-P: Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor under the Anti-Kickback Statute; Proposed Rule (Federal Register, Vol. 78, No. 69, April 10, 2013).

H.R. 8: American Taxpayer Relief Act of 2012. H.R. 325: A bill to ensure the complete and timely payment of the obligations of the United States Government until May 19, 2013, and for other purposes.H.R. 351: To repeal the provisions of the Patient Protection and Affordable Care Act providing for the Independent Payment Advisory Board. H.R. 413: To eliminate the 2-year delay in including oral-only ESRD-related drugs in the Medicare ESRD prospective payment system, as provided under section 632(b)(1) of the American Taxpayer Relief Act of 2012. H.R. 1201: Training Tomorrow's Doctors Today Act. H.R. 1250: Medicare Audit Improvement Act of 2013. H.R. 1326: The Health Care Price Transparency Promotion Act of 2013. S. 264/H.R. 1263: Excellence in Mental Health Act. S. 183: A bill to amend title XVIII of the Social Security At to provide for fairness in hospital payments under the Medicare program. S. 577/H.R. 1180: The Resident Physician Shortage Reduction Act of 2013. (CMS-2334-P): Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing Proposed Rule, Federal Register, Vol. 78, No. 14, January 22, 2013.

H.R. 8 - American Taxpayer Relief Act of 2012 H.R. 6352 - Resident Physician Shortage Reduction and Graduate Medical Education Accountability and Transfer Act H.R. 6575 - The Medicare Audit Improvement Act of 2012 H.J. Res. 66 - Permanent Tax Relief for Families and Small Businesses Act of 2012 S. 958 - Children's Hospital GME Support Reauthorization Act of 2011 Internal Revenue Service, Additional Requirements for Charitable Hospitals, Proposed Rule, [REG-130266-11] Centers for Medicare & Medicaid Services; Department of Health and Human Services, Request for Information Regarding Health Care Quality for Exchanges [CMS-9962-NC]

S.3187 - Food and Drug Administration and Safety and Innovation Act and Related Conference Report PL 112-144 (drug shortage provisions). S.296/H.R.2245 - Preserving Access to Life-Saving Medications Act (drug shortage provisions). S.319 - Pharmaceutical Market Access and Drug Safety Act (drug shortages provisions). H.R.5651 - Food and Drug Administration Reform Act (drug shortage provisions). H.R.3839 - Drug Shortage Prevention Act (drug shortage provisions). Medicare physician fee schedule fix (issue only). Medicare hospital wage index (issue only). Inpatient Prospective Payment system final proposed regulation (coding offset). H.R.3519 - To exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011, (entire bill). S.2620/H.R.5943 - Rural Hospital Access Act, (entire bill). H.R.2224 - Improving Physician Access to Teaching Hospitals Act, (entire bill). S.1627/H.R.6562 - Resident Physician Shortage Reduction Act (entire bill). H.R.452 - Medicare Decisions Accountability Act (IPAB repeal). S.668 - Health Care Bureaucrats Elimination Act. Resident Physician Shortage Reduction and Graduate Medical Education Accountability Act, H.R.6352 (entire bill).

H.R.5 - Health Act. H.R.5994 - The Choice in Healthcare Act. H.R.5651 - Food and Drug Administration Reform Act of 2012. H.R.436 - Health Care Cost Reduction Act of 2012. H.R.5652 - Sequester Replacement Reconciliation Act of 2012. S.3187 - Food and Drug Administration Safety and Innovation Act. H.R.5943/S.2620 - The Rural Hospital Access Act of 2012. CMS-1588-P - Medicare Program; Proposed changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates; Proposed Rule. CMS-0040-P - Administrative Simplification Act: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the Natioanl Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Code Sets; Proposed Rule.

H.R.2245 - Preserving Access to Life-Saving Medications Act of 2011. H.R.3849 - Rural Hospital and Provide Equity (R-HoPE) Act. H.R.3839 - Drug Shortage Prevention Act. S.2257 - Excellence in Mental Health Act. S.296 - Preserving Access to Life-Saving Medications Act. S. 319 - Pharmaceutical Market Access and Drug Safety Act of 2011. H.R.3630 - Middle Class Tax Relief and Job Creation Act of 2012; Related Conference Report 112-399 H.R.3519 - To exempt the Medicare Program from fallback sequestration under the Budget Control Act of 2011. H.R.2500 - The Equal Access and Parity for Multi-Campus Hospitals Act. H.R. 2224 - Improving Physician Access to Teaching Hospitals. S.1627 - Resident Physician Shortage Reduction Act. H.R.452 - Medicare Decisions Accountability Act of 2011. S.668 - Health Care Bureaucrats Elimination Act. S.218/H.R.5 - Help Efficient, Accessible, Low-Cost, Timely Healthcare (Health) Act of 2011. Medicare Physician Fee Schedule Fix. Medicare Hospital Wage Index.

S. 3187, Food and Drug Administration and Safety and Innovation Act and Related Conference Report PL 112-144 (drug shortage provisions) S. 296/H.R. 2245, Preserving Access to Life-Saving Medications Act (drug shortage provisions) S. 319, Pharmaceutical Market Access and Drug Safety Act (drug shortages provisions) H.R. 5651, Food and Drug Administration Reform Act (drug shortage provisions) H.R. 3839, Drug Shortage Prevention Act (drug shortage provisions) Medicare physician fee schedule fix (issue only) Medicare hospital wage index (issue only) Inpatient Prospective Payment system final proposed regulation (coding offset) H.R. 3519, To exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011, (entire bill) S. 2620/H.R. 5943, Rural Hospital Access Act, (entire bill) H.R. 2224, Improving Physician Access to Teaching Hospitals Act, (entire bill) S.1627/H.R. 6562, Resident Physician Shortage Reduction Act (entire bill) H.R. 452, Medicare Decisions Accountability Act (IPAB repeal) S. 668, Health Care Bureaucrats Elimination Act Resident Physician Shortage Reduction and Graduate Medical Education Accountability Act, H.R. 6352 (entire bill)

H.R. 5: Health Act H.R. 5994: The Choice in Healthcare Act H.R. 5651: Food and Drug Administration Reform Act of 2012 H.R. 436: Health Care Cost Reduction Act of 2012 H.R. 5652: Sequester Replacement Reconciliation Act of 2012 S. 3187: Food and Drug Administration Safety and Innovation Act H.R.5943/S. 2620: The Rural Hospital Access Act of 2012 CMS-1588-P: Medicare Program; Proposed changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2013 Rates; Proposed Rule CMS-0040-P: Administrative Simplification Act: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the Natioanl Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Code Sets; Proposed Rule

H.R. 2245: Preserving Access to Life-Saving Medications Act of 2011. H.R. 3859: Rural Hospital and Provide Equity (R-HoPE) Act. H.R. 3839: Drug Shortage Prevention Act. S. 2257: Excellence in Mental Health Act. S. 296: Preserving Access to Life-Saving Medications Act. S. 319: Pharmaceutical Market Access and Drug Safety Act of 2011. H.R. 3630: Middle Class Tax Relief and Job Creation Act of 2012. -- Related Conference Report 112-399 H.R. 3519: To exempt the Medicare program from fallback sequestratio under the Budget Control Act of 2011. H.R. 2500: The Equal Access and Parity for Multi-Campus Hospitals Act. H.R. 2224: Improving Physician Access to Teaching Hospitals. S. 1627: Resident Physician Shortage Reduction Act. H.R. 452: Medicare Decisions Accountability Act of 2011. S. 668: Health Care Bureaucrats Elimination Act. S. 218/H.R. 5: Help Efficient, Accessible, Low-cost, Timely Healthcare (Health) Act of 2011 Medicare Physician Fee Schedule Fix Medicare Hospital Wage Index

H.R. 2576 - To amend the Internal Revenue Code of 1986 to modify the calculation of modified adjusted gross income for purposes of determining eligibility for certain healthcare-related programs. S. 1680 - Rural Hospital and Provider Equity Act of 2011. H.R.3519 - To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. H.R.3516 - To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services. H.R.3587 - To amend title XIX of the Social Security Act to provide for the application of Medicaid prompt pay requirement to claims for payment for covered items and services furnished by any Medicaid health care entity. H.R.3630 - Temporary Payroll Tax Cut Continuation Act of 2011; and, H.R.3765 - Temporary Payroll Tax Cut Continuation Act of 2011. Pub.L. 112-25 - Budget Control Act of 2011. Joint Select Committee on Deficit Reduction negotiations (Super committee created by Budget Control Act). H.R.2112 - Consolidated and Further Continuing Appropriations Act, 2012.

H.R. 1540 - National Defense Authorization Act for Fiscal Year 2012 (TRICARE) H.R. 1852 - Children's Hospital GME Support Reauthorization Act of 2011 S. 296/H.R. 2245 - Preserving Access to Life-Saving Medications Act of 2011 H.R. 2500 - The Equal Access and Parity for Multi-Campus Hospitals Act (Electronic Health Record multi-campus incentive bill) S. 958 - Children's Hospital GME Reauthorization H.R. 2224 - Improving Physician Access to Teaching Hospitals Act H.R. 452 - Medicare Decisions Accountability Act of 2011 S. 668 - Health Care Bureaucrats Elimination Act Public Law 112-25 - Budget Control Act of 2011 Joint Select Committee on Deficit negotiations ("Supercommittee" created by Budget Control Act) Medicare Extenders -- Expiring Provisions -- Inpatient section 508 wage reclassifications -- Outpatient therapy cap moratorium -- Geographic physician work payment floor -- Outpatient hold harmless -- Mental health add-ons -- Ambulance add-ons -- Independent lab direct Medicare billing -- Increased DXA payments -- Small rural hospital clinical lab hold harmless IPPS Coding Offset Letter (Sessions/Crowley letter sent July 2, 2011)

S.778 - Protecting Access to Rural Therapy Services (PARTS) Act S.1301 - Medicaid Improvement and State Empowerment Act H.R. 1 - Full-Year Continuing Appropriations Act of 2011 H.R. 452 - Medicare Decisions Accountability Act of 2011 H.R.1216 - Would make the Public Health Services Act's graduate medical education money no longer a direct appropriation. H.R.1398 - To amend Title XVIII of the Social Security Act to treat certain provider taxes as allowable costs for purposes of Medicare reimbursements to critical access hospitals. H.R.1546/S.829 - The Medicare Access to Rehabilitation Services Act. H.R.1852/S.958 - Children's Hospital GME Support Reauthorization Act of 2011. H.R.2267/S.227 - Home Health Care Planning Improvement Act of 2011. Inpatient Prospective Payment System Proposed Rule, 76 FR 25788, May 5, 2011, Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Propective Payment Systen and Fiscal Year 2012 Rates.

H.R. 2576: To amend the Internal Revenue Code of 1986 to modify the calculation of modified adjusted gross income for purposes of determining eligibility for certain healthcare-related programs. S. 1680: Rural Hospital and Provider Equity Act of 2011. H.R.3519: To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. H.R.3516: To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services. H.R.3587: To amend title XIX of the Social Security Act to provide for the application of Medicaid prompt pay requirement to claims for payment for covered items and services furnished by any Medicaid health care entity. H.R.3630: Temporary Payroll Tax Cut Continuation Act of 2011; and, H.R.3765: Temporary Payroll Tax Cut Continuation Act of 2011. Pub.L. 112-25: Budget Control Act of 2011. Joint Select Committee on Deficit Reduction negotiations (Super committee created by Budget Control Act). H.R.2112: Consolidated and Further Continuing Appropriations Act, 2012.

H.R. 2576: To amend the Internal Revenue Code of 1986 to modify the calculation of modified adjusted gross income for purposes of determining eligibility for certain healthcare-related programs. S. 1680: Rural Hospital and Provider Equity Act of 2011. H.R.3519: To amend to exempt the Medicare program from fallback sequestration under the Budget Control Act of 2011. H.R.3516: To amend title XVIII of the Social Security Act with respect to Medicare payment for long-term care hospital services. H.R.3587: To amend title XIX of the Social Security Act to provide for the application of Medicaid prompt pay requirement to claims for payment for covered items and services furnished by any Medicaid health care entity. H.R.3630: Temporary Payroll Tax Cut Continuation Act of 2011; and, H.R.3765: Temporary Payroll Tax Cut Continuation Act of 2011. Pub.L. 112-25: Budget Control Act of 2011. Joint Select Committee on Deficit Reduction negotiations (Super committee created by Budget Control Act). H.R.2112: Consolidated and Further Continuing Appropriations Act, 2012.

H.R. 1540: National Defense Authorization Act for Fiscal Year 2012 (TRICARE) H.R. 1852: Children's Hospital GME Support Reauthorization Act of 2011 S. 296/H.R. 2245: Preserving Access to Life-Saving Medications Act of 2011 H.R. 2500: The Equal Access and Parity for Multi-Campus Hospitals Act (Electronic Health Record multi-campus incentive bill) S. 958: Children's Hospital GME Reauthorization H.R. 2224: Improving Physician Access to Teaching Hospitals Act H.R. 452: Medicare Decisions Accountability Act of 2011 S. 668: Health Care Bureaucrats Elimination Act Public Law 112-25: Budget Control Act of 2011 Joint Select Committee on Deficit negotiations ("Supercommittee" created by Budget Control Act) Medicare Extenders -- Expiring Provisions -- Inpatient section 508 wage reclassifications -- Outpatient therapy cap moratorium -- Geographic physician work payment floor -- Outpatient hold harmless -- Mental health add-ons -- Ambulance add-ons -- Independent lab direct Medicare billing -- Increased DXA payments -- Small rural hospital clinical lab hold harmless IPPS Coding Offset Letter (Sessions/Crowley letter sent July 2, 2011)

S. 778: Protecting Access to Rural Therapy Services (PARTS) Act S. 1301: Medicaid Improvement and State Empowerment Act H.R. 1: Full-Year Continuing Appropriations Act of 2011 H.R. 452: Medicare Decisions Accountability Act of 2011

S. 778: Protecting Access to Rural Therapy Services (PARTS) Act S. 1301: Medicaid Improvement and State Empowerment Act H.R. 1: Full-Year Continuing Appropriations Act of 2011 H.R. 452: Medicare Decisions Accountability Act of 2011 H.R. 1216: Would make the Public Health Service Act's graduate medical education money no longer a direct appropriation. H.R. 1398: To amend title XVIII of the Social Security Act to treat certain provider taxes as allowable costs for purposes of Medicare reimbursements to critical access hospitals. H.R. 1546/S. 829: The Medicare Access to Rehabilitation Services Act. H.R. 1852/S. 958: Children's Hospital GME Support Reauthorization Act of 2011. H.R. 2267/S. 227: Home Health Care Planning Improvement Act of 2011. Inpatient Prospective Payment System Proposed Rule, 76 FR 25788, May 5, 2011, Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Fiscal Year 2012 Rates.

H.R. 1186, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals. H.R. 452, the Medicare Decisions Accountability Act of 2011. S. 668, the Health Care Bureaucrats Elimination Act.

H.R.3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R.4872 - The Health Care and Education Reconciliation Act of 2010 H.R.5712 - Physician Payment and Therapy Relief Act S.3653 - Health Care Bureaucrats Elimination Act (repeal of IPAB)

H.R.4994 Medicare and Medicaid Extenders Act H.R.6376 - To amend Title XVIII of the Social Security Act with respect to physician supervision of therapeutic hospital outpatient services. Inpatient Prospective Payment System FY 2011 Final Rule. Health Information Technology Regulations.

42 CFR Parts 412, et al. Medicare and Medicaid Programs; Electronic Health Record Incentive Program Proposed Rule Meaningful Use Inpatient Prospective Payment System FY 2011 Proposed Rule Inpatient Prospective Payment System FY 2011 Final Rule H.R.6072 and S.3708 - Electronic Health Record Incentives for Multi-campus Hospitals Act of 2010

H.R.4213 - American Workers, State and Business Relief At of 2010

H.R.3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R.4872 - The Health Care and Education Reconciliation Act of 2010 P.L. 148 - Patient Protectio and Affordable Care Act P.L. 152 - Health Care and Education Reconciliation At

H.R.4213 - American Workers, State and Business Relief Act of 2010

42 CFR Parts 412, et al. Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Proposed Rule Meaningful Use Inpatient Prospective Payment System FY 2011 Proposed Rule

H.R. 3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 4872 - The Health Care and Education Reconciliation At of 2010 P.L. 148 - Patient Protection and Affordable Care Act P.L. 152 - Health Care and Education Reconciliation Act House Substitute Amendment to H.R.4213 Senate Amendment to House Substitute Amendment to H.R.4213

H.R. 2847 - Hiring Incentives to Restore Employment Act H.R. 4691 - Temporary Extension Act of 2010 H.R. 4851 - Continuing Extension Act of 2010

H.R. 3590 - The Patient Protection and Affordable Care Act H.R. 3962 - Affordable Health Care for America Act H.R. 4872 - The Health Care and Education Reconciliation Act of 2010

42 CFR Parts 412, et al. Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Proposed Rule Meaningful Use

H.R. 3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R. 4872 - The Health Care and Education Reconciliation Act of 2010 H.R. 5712 - Physician Payment and Therapy Relief Act S. 3653 - Health Care Bureaucrats Elimination Act (repeal of IPAB)

H.R. 4994 - Medicare and Medicaid Extenders Act H.R. 6376 - To amend Title XVIII of the Social Security Act with respect to physician supervision of therapeutic hospital outpatient services. Inpatient Prospective Payment System FY 2011 Final Rule Health Information Technology Regulations

H.R.3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R.4872 - The Health Care and Education Reconciliation Act pf 2010 P.L. 148 - Patient Protection and Affordable Care Act P.L. 152 - Health Care and Education Reconciliation Act

42 CFR Parts 412, et al. Medicare and Medicaid Progs; Electronic Health Record Incentive Prog. Proposed Rule Meaningful Use Inpatient Prospective Payment System FY 2011 Proposed Rule Inpatient Prospective Payment System FY 2011 Final Rule H R 6072 and S 3708 - Electronic Health Record Incentives for Multi-Campus Hospitals Act of 2010

H.R.3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 H.R.4872 - The Health Care and Education Reconciliation Act pf 2010 P.L. 148 - Patient Protection and Affordable Care Act P.L. 152 - Health Care and Education Reconciliation Act House Substitute Amendment to H.R.4213 Senate Amendment to House Substitute Amendment to H.R. 4213

42 CFR Parts 412, et al. Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Proposed Rule Meaningful Use Inpatient Prospective Payment System FY 2011 Proposed Rule

H.R.3590 - The Patient Protection and Affordable Care Act H.R.3962 - Affordable Health Care for America Act H.R.4872 - The Health Care and Education Reconciliation Act pf 2010

H.R.4213 - American Workers, State and Business Relief Act of 2010

42 CFR Parts 412, et al. Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Proposed Rule Meaningful Use

S. 1679: Affordable Health Choices Act/CLASS Act/Community Living Associatance Services and Supports Act OR Affordable Health Choices Act/Biologics Price Competition and Innovation Act of 2009/CLASS Act/Community Living Assistance Services and Supports Act S. 1796: America's Healthy Future Act of 2009/Elder Juctice Act of 2009 H.R. 3200: America's Affordable Health Choices Act H.R. 3590: The Patient Protection and Affordable Care Act H.R. 3961: Medicare Physician Payment Reform Act of 2009 H.R. 3962: Affordable Health Care for America Act S. 1776: Medicare Physicians Fairness Act of 2009

H.R. 3185: To amend title XVIII of the Social Security Act to provide payment to hospitals for costs of expanded advanced practice nurse training programs. H.R.2381: Nurse and Health Care Worker Protection Act of 2009 (Conyers, MI) S. 1788: Nurse and Health Care Worker Protection Act of 2009 (Franken, MN) H.R. 1176 - Secret Ballot Protection Act - Entire bill S. 478 - Secret Ballot Protection Act - Entire bill H.R. 1409 - Employee Free Choice Act - Entire bill S. 560 - Employee Free Choice Act - Entire bill S. 973: Resident Physician Shortage Reduction Act of 2009 - Entire bill S. 1031: National Nursing Shortage Reform and Patient Advocacy Act - Entire bill H.R. 2273: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009 - Entire bill H.R. 2381: Nurse and Health Care Worker Protection Act of 2009 - Entire bill

H.R. 3185 (no short title) pay hospitals for costs of expanded advanced practice Register Nurse training programs. Entire bill H.R.2381: Nurse and Health Care Worker Protection Act of 2009 Entire bill S. 1788: Nurse and Health Care Worker Protection Act of 2009 Entire bill H.R. 1176 - Secret Ballot Protection Act - Entire bill S. 478 - Secret Ballot Protection Act - Entire bill H.R. 1409 - Employee Free Choice Act - Entire bill S. 560 - Employee Free Choice Act - Entire bill S. 973: Resident Physician Shortage Reduction Act of 2009 - Entire bill S. 1031: National Nursing Shortage Reform and Patient Advocacy Act - Entire bill H.R. 2273: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009 - Entire bill H.R. 2381: Nurse and Health Care Worker Protection Act of 2009 - Entire bill

S. 1679 Affordable Health Choices Act H.R. 2975: Medical Practice Protection Act of 2009 - Entire bill H.R. 3200 America's Affordable Health Choices Act Chairman's Mark: America's Health Future Act of 2009

H.R. 1011: Community Mental Health Services Improvement Act - Entire bill H.R. 2975: Medical Practice Protection Act of 2009 - Entire bill H.R. 2520: Patients Choice Act - Entire bill

H.R. 1176 - Secret Ballot Protection Act - Entire bill S. 478 - Secret Ballot Protection Act - Entire bill H.R. 1409 - Employee Free Choice Act - Entire bill S. 560 - Employee Free Choice Act - Entire bill S. 973: Resident Physician Shortage Reduction Act of 2009 - Entire bill S. 1031: National Nursing Shortage Reform and Patient Advocacy Act - Entire bill H.R. 2273: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009 - Entire bill H.R. 2381: Nurse and Health Care Worker Protection Act of 2009 - Entire bill

HConRes 85 - FY 2010 Budget - SConRes 13 - FY 2010 Budget -

H.R. 1176 - Secret Ballot Protection Act S. 478 - Secret Ballot Protection Act H.R. 1409 - Employee Free Choice Act S. 560 - Employee Free Choice Act

H.R. 1 - American Recovery and Reinvestment Act S. 1 - American Recovery and Reinvestment Act H.R. 2 - Title XXI of Social Security Act to extend and improve the Children's Health Insurance Program S. 275 - Title XXI of Social Security Act to extend and improve the Children's Health Insurance Program

H.R. 1 - American Recovery and Reinvestment Act S. 1 - American Recovery and Reinvestment Act H.R. 2 - Title XXI of Social Security Act to extend and improve the Children's Health Insurance Program S. 275 - Title XXI of Social Security Act to extend and improve the Children's Health Insurance Program

HConRes 85 - FY 2010 Budget - SConRes 13 - FY 2010 Budget -

H.R. 1176 - Secret Ballot Protection Act S. 478 - Secret Ballot Protection Act H.R. 1409 - Employee Free Choice Act S. 560 - Employee Free Choice Act

HConRes 85 - FY 2010 Budget - SConRes 13 - FY 2010 Budget -

H.R. 1176 - Secret Ballot Protection Act S. 478 - Secret Ballot Protection Act H.R. 1409 - Employee Free Choice Act S. 560 - Employee Free Choice Act

H.R. 1 - American Recovery and Reinvestment Act S. 1 - American Recovery and Reinvestment Act H.R. 2 - Title XXI of Social Security Act to extend and improve the Children's Health Insurance Program S. 275 - Title XXI of Social Security Act to extend and improve the Children's Health Insurance Program

H.R. 7327 - Worker, Retiree & Employer Recovery Act - Entire bill H.R. 1424 - Emergency Economic Stabilization Act, Div. A, B, C, parity provisions rolled into parity bill.

H.R. 1424/S.558 - Paul Wellstone Mental Health Parity & Addiction Act - Sect. 106 of House bill H.R. 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - Entire bill H.R. 5613 - Protecting the Medicaid Safety Net Act of 2008 - Entire bill S. 2819 Economical Recovery in Health Care Act of 2008 - Entire bill H.R. 5882 - To recapture employment-based immigrant visas lost to bureaucratic delays and to prevent losses of family-and employment-based immigrant visas in the future - Entire Bill H.R. 5924 - Emergency Nurse Supply Relief Act of 2008 - Entire bill H.R. 5942 - National Trauma Center Stabilization Act of 2008 - Entire bill H.R. 5998 - Protecting Children's Health Coverage Act of 2008 - Medicaid SCHIP Directive, Entire bill H.R. 6163 - Medicare Telehealth Enhancement Act - Entire bill. H.R. 6357 - PRO(TECH)T Act of 2008 - To amend Public Health - Entire bill H.R. 6331 - Medicare Improvements for Patients and Providers Act - Sections 121-125, 145, 205 H.R. 6898 - Health-e Information Technology Act of 2008 - Entire bill H.R. 6966 - Safeguarding Our Hospitals' Futures Act of 2008 - Entire bill H.R. 7067 - Quality FIRST Act of 2008 - Entire bill H.R. 7110 - Job Creation and Unemployement Relief Act of 2008 - Title III, Medicaid FMAP H.R. 7241 - Preserving Access to Healthcare (PATH) Act of 2008 - Entire bill S. 3656 - Preserving Access to Healthcare (PATH) Act of 2008 - Entire bill S. 3101 - Medicare Improvements for Patients and Providers Act - Rural Hospital Provisions

S.Con.Res. 70 - Senate Budget Bill - Section 306, Future funding for SCHIP; Section 307 Sense of the Senate regarding Medicaid; Section 211 Spending levels of Health Care Committees H.Con.Res. 312 - House Budget Bill - Section 301, Future funding for SCHIP; Section 311 Funding for Health Care Improvments. H.R. 2642 - Supplemental Appropriations Act of 2008, Title VII - Medicaid and Medicare Provisions

H.R. 1424/S.558 - Paul Wellstone Mental Health Parity & Addiction Act - Sect. 106 of House bill H.R. 4105 - Medicare Recovery Audit Contractor Program Moratorium Act of 2007 - Entire bill H.R. 5613 - Protecting the Medicaid Safety Net Act of 2008 - Entire bill S. 2819 Economical Recovery in Health Care Act of 2008 - Entire bill H.R. 5882 - To recapture employment-based immigrant visas lost to bureaucratic delays and to prevent losses of family-and employment-based immigrant visas in the future - Entire Bill H.R. 5924 - Emergency Nurse Supply Relief Act of 2008 - Entire bill H.R. 5942 - National Trauma Center Stabilization Act of 2008 - Entire bill H.R. 5998 - Protecting Children's Health Coverage Act of 2008 - Medicaid SCHIP Directive, Entire bill H.R. 6163 - Medicare Telehealth Enhancement Act - Entire bill. H.R. 6357 - PRO(TECH)T Act of 2008 - To amend Public Health - Entire bill H.R. 6331 - Medicare Improvements for Patients and Providers Act - Sections 121-125, 145, 205 H.R. 6898 - Health-e Information Technology Act of 2008 - Entire bill H.R. 6966 - Safeguarding Our Hospitals' Futures Act of 2008 - Entire bill H.R. 7110 - Job Creation and Unemployment Relief Act of 2008 - Title III, Medicaid FMAP H.R. 7067 - Quality FIRST (From Incentives, Reporting, Standards, and Technology) Act of 2008 - Entire bill S. 3101 - Medicare Improvements for Patients and Providers Act - Rural Hospital Provisions

Budget, SCHIP future funding issues, Medicare and Medicaid and other issues health care.

Budget, SCHIP future funding issues, Medicare and Medicaid and other issues health care.

Budget, SCHIP future funding issues, Medicare and Medicaid and other issues health care.

H.R. 2419, Farm bill Extension Act of 2007 (Food Conservation and Energy Act of 2008)- Section on Specialty Hospitals

S.Con.Res. 70 - Senate Budget Bill - Section 306, Future funding for SCHIP; Section 307 Sense of the Senate regarding Medicaid; Section 211 Spending levels of Health Care Committees H.Con.Res. 312 - House Budget Bill - Section 301, Future funding for SCHIP; Section 311 Funding for Health Care Improvments. H.R. 2642 - Supplemental Appropriations Act of 2008, Title VII - Medicaid and Medicare Provisions H.R. 5878/S.2705 - Troops to Nurse Teachers Act of 2008 - Entire Bill

H.R. 800 - Employee Free Choice Act of 2007 - Entire bill HR 1644 - Re-Empowerment of Skilled and Professional Employees and Construction Tradesworkers (RESPECT) Act - Sec. 2 Definition of Supervisor

S.Con.Res. 70 - Setting forth the congressional budget for the U.S. Government; Section 306 - Future funding for SCHIP; Section 307 Sense of the Senate regarding Medicaid; Section 211 Spending levels of Health Care Committees H.Con.Res. 312 - Revising the congressional budget for the U.S. Government; Section 301 - Future funding for SCHIP; Section 311 Funding for Health Care Improvments.

Fair and adequate Medicare and Medicaid payments to hospitals. Recruiting and retention opportunities for nurses and other health professions. Expanding healthcare coverage for the uninsured and promoting quality healthcare. Enhancing access to information technology for healthcare providers.

H. R. 6111 - Tax Relief and Health Care Act of 2006 S. Con. Res. – Senate Budget Resolution S. 1262 - Health Technology to Enhance Quality Act of 2005 S. 1932 - Deficit Reduction Act of 2005 S. 3708 - Labor, Health and Human Services, and Education and Related Agencies Appropriation Act, 2007 Ensuring fair and adequate Medicare and Medicaid payments to hospitals; promoting recruiting and retention opportunities for nurses and other health professions; working to expand healthcare coverage for the uninsured; promoting quality healthcare; enhancing access to information technology for healthcare providers. H.Con. Res. - House Budget Resolution H.R. 3373 - Preserving Patient Access to Inpatient Rehabilitation Hospitals Act of 2005 H.R. 4157 - Health Information Technology Promotion Act of 2005 H.R. 5647 Labor, Health and Human Services, and Education and Related Agencies Appropriation Act, 2007