BETHANY KEIRANS

Support of HR 5004 - Air Carrier Access Amendments Act of 2018 and S. 1318, ACAAA of 2017. As a member of the Air Carriers Access Act Working Group, United Spinal, along with a number of other disability organizations, signed on to a letter of support for Sections 441, 442, and 443 of the Federal Aviation Administration (FAA) Reauthorization Act of 2018 (H.R. 4).

S. 2372, VA MISSION Act: Advocated on and submitted letter of support to Senate Veterans Affairs Committee Chairman Johnny Isakson regarding this legislation. S. 2372 would combine multiple existing programs to establish a permanent Community Care Program under the Department of Veterans Affair. This program is designed to allow for timely and quality access to medical care for veterans across the nation. It would also provide clear access guidelines and quality care standards, as well as offer education programs for veterans and medical staff members regarding the program. H.R. 4146, Disabled Veterans Life Insurance Act Advocated on and submitted a letter of support to Representative Steve Pearce (R-NM) regarding this legislation. H.R. 4146 will provide congressional mandates to update mortality and annuity tables used by the VA to calculate insurance payouts for disabled veterans life insurance policies. This bill will also extend the application period from two (2) years to ten (10) years in order for all qualifying veterans to be afforded the opportunity to apply. Updating this program will allow disabled veterans to receive affordable and equitable life insurance policies that they may otherwise not qualify for in the civilian sector. H.R. 5536, Disabled Access Credit Expansion Act: Submitted a letter of support regarding this legislation. H.R. 5536 offers incentives for small businesses to comply with landmark ADA requirements resulting in expanded access and job opportunities for disabled veterans. Support of S. 2193 - Caring for our Veterans Act.

Discussed potential legislation around National Trauma Care System Act - establishing a national trauma care system act to integrate existing civilian-military systems and promote research and support. Support FCC protection of low-income consumers' access to telephone service - "Promoting Broadband Internet Access Service for Veterans - support of the Lifeline program. Advocated on VA MISSION Act. Advocated on Disabled Veterans Life Insurance act, HR. 4146.

H.R. 4508, Promoting Real Opportunity, Success, and Prosperity Through Education Reform Act (PROSPER): VetsFirst, a program of United Spinal Association,signed onto a Student Veterans of America opposition letter regarding this legislation. HR 4508 would enable proprietary institutions to use deceptive recruitment practices that emphasize enrollment numbers rather than positive student outcomes. In addition, the bill proposes eliminating the 90/10 rule-a requirement that proprietary schools receive no more than 90 percent of its revenue from the federal government. United Spinal wrote a letter to the Department of Education (DOE) regarding Section 5005 of the Every Student Succeeds Act (ESSA). Rural school districts can be isolated and as such may not have access to the services/resources provided by urban educational organizations and disability entities. These resource restrictions can include the lack of services provided by full-time nurses, school psychologists, counselors and social workers who are most knowledgeable regarding identifying complex neurological conditions. The result is an inability to provide free and appropriate public education (FAPE). United Spinal Association and other members of the Consortium for Citizens with Disabilities (CCD) Civil Rights, Education, and Technology & Telecommunications Task Forces wrote to Congress in reference to Section 735 of the Promoting Real Opportunity, Success, and Prosperity through Education Reform (PROSPER) Act, H.R. 4508. Section 735 encourages institutions of higher education to design and use accessible instructional materials. We support the provisions of Section 735 of PROSPER Act and the Senate companion bill that would authorize the creation of a commission to develop voluntary accessibility guidelines for electronic instructional materials and related technologies used in postsecondary education. Our serious concern is with the inclusion of a safe harbor provision.

Continued lobby efforts on HR 620 The ADA Education and Reform Act meetings to oppose this legislation. Met with Congressional staff in the House and Senate to voice our concerns with the bill. Shared United Spinal letter of opposition on H.R. 620 the ADA Education and Reform Act via email to all House staff voicing our concerns with this legislation. United Spinal participated in NCD quarterly meeting to discuss potential new policy initiatives from autonomous vehicles to transitioning away from subminimum wage and 14(c) certificates. Attended, along with several other disability organizations, a meeting with Sen. Feinstein and Sen. Flake judiciary staffers to discuss our concerns with and opposition to H.R. 620 the ADA Education and Reform Act which was passed out of the House. H.R. 620, ADA Education and Reform Act: VetsFirst, a program of United Spinal Association, submitted a letter of opposition regarding this legislation. H.R. 620 restricts disabled patrons rights to accessible and accommodative facilities and services required by law through the Americans with Disabilities Act (ADA) by allowing businesses to delay meeting their obligations to make necessary changes to noncompliant facilities and services. United Spinal, along with numerous other disability organizations, signed on to a Consortium for Citizens with Disabilities (CCD) and the Collaboration to Promote Self Determination (CPSD) letter to express concern about the Justice Departments recent withdrawal of a number of guidance and technical assistance documents concerning the Americans with Disabilities Act (ADA). United Spinal met with Congressional staff in Rep. Langevin's office and Sen. Tammy Baldwin's office to thank them for their leadership on their bills, S, 1318 and HR 5004 and to discuss advocacy strategy together.

Support of HR 5004 - Air Carrier Access Amendments Act of 2018 and S. 1318, ACAAA of 2017. As a member of the Air Carriers Access Act Working Group, United Spinal, along with a number of other disability organizations, signed on to a letter of support for Sections 441, 442, and 443 of the Federal Aviation Administration (FAA) Reauthorization Act of 2018 (H.R. 4).

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

S. 2372, VA MISSION Act: Advocated on and submitted letter of support to Senate Veterans Affairs Committee Chairman Johnny Isakson regarding this legislation. S. 2372 would combine multiple existing programs to establish a permanent Community Care Program under the Department of Veterans Affair. This program is designed to allow for timely and quality access to medical care for veterans across the nation. It would also provide clear access guidelines and quality care standards, as well as offer education programs for veterans and medical staff members regarding the program. H.R. 4146, Disabled Veterans Life Insurance Act Advocated on and submitted a letter of support to Representative Steve Pearce (R-NM) regarding this legislation. H.R. 4146 will provide congressional mandates to update mortality and annuity tables used by the VA to calculate insurance payouts for disabled veterans life insurance policies. This bill will also extend the application period from two (2) years to ten (10) years in order for all qualifying veterans to be afforded the opportunity to apply. Updating this program will allow disabled veterans to receive affordable and equitable life insurance policies that they may otherwise not qualify for in the civilian sector. H.R. 5536, Disabled Access Credit Expansion Act: Submitted a letter of support regarding this legislation. H.R. 5536 offers incentives for small businesses to comply with landmark ADA requirements resulting in expanded access and job opportunities for disabled veterans. Support of S. 2193 - Caring for our Veterans Act.

Continued lobby efforts on HR 620 The ADA Education and Reform Act meetings to oppose this legislation. Met with Congressional staff in the House and Senate to voice our concerns with the bill. Shared United Spinal letter of opposition on H.R. 620 the ADA Education and Reform Act via email to all House staff voicing our concerns with this legislation. United Spinal participated in NCD quarterly meeting to discuss potential new policy initiatives from autonomous vehicles to transitioning away from subminimum wage and 14(c) certificates. Attended, along with several other disability organizations, a meeting with Sen. Feinstein and Sen. Flake judiciary staffers to discuss our concerns with and opposition to H.R. 620 the ADA Education and Reform Act which was passed out of the House. H.R. 620, ADA Education and Reform Act: VetsFirst, a program of United Spinal Association, submitted a letter of opposition regarding this legislation. H.R. 620 restricts disabled patrons rights to accessible and accommodative facilities and services required by law through the Americans with Disabilities Act (ADA) by allowing businesses to delay meeting their obligations to make necessary changes to noncompliant facilities and services. United Spinal, along with numerous other disability organizations, signed on to a Consortium for Citizens with Disabilities (CCD) and the Collaboration to Promote Self Determination (CPSD) letter to express concern about the Justice Departments recent withdrawal of a number of guidance and technical assistance documents concerning the Americans with Disabilities Act (ADA). United Spinal met with Congressional staff in Rep. Langevin's office and Sen. Tammy Baldwin's office to thank them for their leadership on their bills, S, 1318 and HR 5004 and to discuss advocacy strategy together.

Continued lobby efforts on HR 620 The ADA Education and Reform Act meetings to oppose this legislation. United Spinal continues to advocate for the Disability Integration Act (S. 910, H.R. 2472). The legislation builds on the Americans with Disabilities Act and the Supreme Courts Olmstead decision, and asserts that people with disabilities have a right to live in their own homes and communities and to receive the services and supports they need to do so. United Spinal signed onto a letter of support for the Disability Integration Act (S. 910, H.R. 2472)along with numerous other disability organizations as members of the Consortium for Citizens (CCD), signed onto a letter to congressional leaders, Majority Leader McConnell and Minority Leader Schumer, Speaker Ryan and Leader Pelosi reiterating support of the Disability Integration Act (S. 910, H.R. 2472). This legislation, if passed, would ensure the rights of people with disabilities to live full and independent lives in their communities. Working with the Department of Labor in Twitter chats in promoting accessible transportation for people with disabilities. United Spinal and other stakeholder groups met with Sen. Caseys office to discuss employment challenges and opportunities for people with disabilities.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Discussed with CMS, the issue of power wheelchair standing and seat elevation devices and the need for appropriate coverage under Medicare. Discussed with CMS, the need for excluding ostomy and urology supplies from CMS' competitive bidding program. Sent letter to CMS re: the National Coverage Decision on Blood Pressure Monitoring to account for the specific needs of the SCI population. Sent letter to CMS on appropriate coding for powered orthotic and prosthetic devices for the SCI/D population. Spoke with CMS on the issue of catheter-associated UTIs and to ask CMS to look at the policy around removing indwelling catheters from individuals with SCI in a hospital setting. Removing catheters from SCI individuals is a very complex decision. Supported HR 7217 - the IMPROVE Act. Supported additional telehealth benefits in Medicare Advantage as United Spinal, and as a member of the Coalition, PCHAlliance. And provided comments to CMS on digital health and need the innovation to CMMI as part of PCHAlliance. Continued to provide comments on appropriate access to assistive technology and medical devices, as part of the ITEM Coalition on behalf of the SCI community and on appropriate rehabilitation as part of the Coalition to Preserve Rehabilitation.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Discussed with CMS, the issue of power wheelchair standing and seat elevation devices and the need for appropriate coverage under Medicare. Discussed with CMS, the need for excluding ostomy and urology supplies from CMS' competitive bidding program. Sent letter to CMS re: the National Coverage Decision on Blood Pressure Monitoring to account for the specific needs of the SCI population. Sent letter to CMS on appropriate coding for powered orthotic and prosthetic devices for the SCI/D population. Spoke with CMS on the issue of catheter-associated UTIs and to ask CMS to look at the policy around removing indwelling catheters from individuals with SCI in a hospital setting. Removing catheters from SCI individuals is a very complex decision. Supported HR 7217 - the IMPROVE Act. Supported additional telehealth benefits in Medicare Advantage as United Spinal, and as a member of the Coalition, PCHAlliance. And provided comments to CMS on digital health and need the innovation to CMMI as part of PCHAlliance. Continued to provide comments on appropriate access to assistive technology and medical devices, as part of the ITEM Coalition on behalf of the SCI community and on appropriate rehabilitation as part of the Coalition to Preserve Rehabilitation.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Support of HR 5004 - Air Carrier Access Amendments Act of 2018 and S. 1318, ACAAA of 2017. As a member of the Air Carriers Access Act Working Group, United Spinal, along with a number of other disability organizations, signed on to a letter of support for Sections 441, 442, and 443 of the Federal Aviation Administration (FAA) Reauthorization Act of 2018 (H.R. 4).

S. 2193, Caring for our Veterans Act: VetsFirst, a program of United Spinal Association, supports this bill which would establish a Community Care Program under the Department of Veterans Affairs to allow for timely and quality access to medical care for veterans across the nation. It would also provide clear access guidelines and quality care standards, as well as offer education programs for veterans and medical staff members regarding the program. S. 2184, Veterans Community Care and Access Act: This bill would allow for adequate appropriations for VA Choice. VetsFirst supports Title I of this legislation as an amendment to S. 2193.

S. 2193, Caring for our Veterans Act: VetsFirst, a program of United Spinal Association, supports this bill which would establish a Community Care Program under the Department of Veterans Affairs to allow for timely and quality access to medical care for veterans across the nation. It would also provide clear access guidelines and quality care standards, as well as offer education programs for veterans and medical staff members regarding the program. S. 2184, Veterans Community Care and Access Act: This bill would allow for adequate appropriations for VA Choice. VetsFirst supports Title I of this legislation as an amendment to S. 2193.

S. 2372, VA MISSION Act: Advocated on and submitted letter of support to Senate Veterans Affairs Committee Chairman Johnny Isakson regarding this legislation. S. 2372 would combine multiple existing programs to establish a permanent Community Care Program under the Department of Veterans Affair. This program is designed to allow for timely and quality access to medical care for veterans across the nation. It would also provide clear access guidelines and quality care standards, as well as offer education programs for veterans and medical staff members regarding the program. H.R. 4146, Disabled Veterans Life Insurance Act Advocated on and submitted a letter of support to Representative Steve Pearce (R-NM) regarding this legislation. H.R. 4146 will provide congressional mandates to update mortality and annuity tables used by the VA to calculate insurance payouts for disabled veterans life insurance policies. This bill will also extend the application period from two (2) years to ten (10) years in order for all qualifying veterans to be afforded the opportunity to apply. Updating this program will allow disabled veterans to receive affordable and equitable life insurance policies that they may otherwise not qualify for in the civilian sector. H.R. 5536, Disabled Access Credit Expansion Act: Submitted a letter of support regarding this legislation. H.R. 5536 offers incentives for small businesses to comply with landmark ADA requirements resulting in expanded access and job opportunities for disabled veterans. Support of S. 2193 - Caring for our Veterans Act.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

S. 2372, VA MISSION Act: Advocated on and submitted letter of support to Senate Veterans Affairs Committee Chairman Johnny Isakson regarding this legislation. S. 2372 would combine multiple existing programs to establish a permanent Community Care Program under the Department of Veterans Affair. This program is designed to allow for timely and quality access to medical care for veterans across the nation. It would also provide clear access guidelines and quality care standards, as well as offer education programs for veterans and medical staff members regarding the program. H.R. 4146, Disabled Veterans Life Insurance Act Advocated on and submitted a letter of support to Representative Steve Pearce (R-NM) regarding this legislation. H.R. 4146 will provide congressional mandates to update mortality and annuity tables used by the VA to calculate insurance payouts for disabled veterans life insurance policies. This bill will also extend the application period from two (2) years to ten (10) years in order for all qualifying veterans to be afforded the opportunity to apply. Updating this program will allow disabled veterans to receive affordable and equitable life insurance policies that they may otherwise not qualify for in the civilian sector. H.R. 5536, Disabled Access Credit Expansion Act: Submitted a letter of support regarding this legislation. H.R. 5536 offers incentives for small businesses to comply with landmark ADA requirements resulting in expanded access and job opportunities for disabled veterans. Support of S. 2193 - Caring for our Veterans Act.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Discussed with CMS, the issue of power wheelchair standing and seat elevation devices and the need for appropriate coverage under Medicare. Discussed with CMS, the need for excluding ostomy and urology supplies from CMS' competitive bidding program. Sent letter to CMS re: the National Coverage Decision on Blood Pressure Monitoring to account for the specific needs of the SCI population. Sent letter to CMS on appropriate coding for powered orthotic and prosthetic devices for the SCI/D population. Spoke with CMS on the issue of catheter-associated UTIs and to ask CMS to look at the policy around removing indwelling catheters from individuals with SCI in a hospital setting. Removing catheters from SCI individuals is a very complex decision. Supported HR 7217 - the IMPROVE Act. Supported additional telehealth benefits in Medicare Advantage as United Spinal, and as a member of the Coalition, PCHAlliance. And provided comments to CMS on digital health and need the innovation to CMMI as part of PCHAlliance. Continued to provide comments on appropriate access to assistive technology and medical devices, as part of the ITEM Coalition on behalf of the SCI community and on appropriate rehabilitation as part of the Coalition to Preserve Rehabilitation.

Supports H.R. 750 The Ensuring Access to Quality Complex Rehabilitation Technology (CRT) Act. Supports S. 486 Protecting Beneficiary Access to Complex Rehab Technology Act of 2017 Supports H.R. 3730 (To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative manual wheelchairs and accessories) was introduced by Representatives Lee Zeldin (R-NY) and John Larson (D-CT) to stop CMS from using Competitive Bid pricing for accessories used with CRT manual wheelchairs. Supports H.R. 626, the Access to Inpatient Rehabilitation Therapy Act of 2017, which would amend the Social Security Act to include recreational therapy among the therapy methods that can be considered part of an intensive rehabilitation therapy program in an inpatient rehabilitation hospital or unit. Myomos MyoPro support letter to CMS Policy staff, as members of United Spinal Association, wrote the Centers for Medicare and Medicaid Services (CMS) in strong support of an application to CMS for a unique Healthcare Common Procedure Coding System (HCPCS) code for the MyoPro device, created by the medical technology company, Myomo. Support of S. 2227/H.R.5306 Empower Care Act which reinstates the Money Follows the Person program and facilitates smooth transitions out of nursing facilities and into the community. Signed onto letters to Congress in support of including functional quality measures in rehabilitation metrics. United Spinal supports this letter but CCD Task Force co-chairs: The co-chairs of the Consortium for Citizens with Disabilities (CCD) Health, Long-Term Services and Supports, and Rights Task Forces write in opposition to proposals that expand coverage of institutional services in Medicaid without addressing gaps in Medicaid community services. CCD is the largest coalition of national organizations working together to advocate for Federal public policy that ensures the self-determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.

Continued lobby efforts on HR 620 The ADA Education and Reform Act meetings to oppose this legislation. United Spinal continues to advocate for the Disability Integration Act (S. 910, H.R. 2472). The legislation builds on the Americans with Disabilities Act and the Supreme Courts Olmstead decision, and asserts that people with disabilities have a right to live in their own homes and communities and to receive the services and supports they need to do so. United Spinal signed onto a letter of support for the Disability Integration Act (S. 910, H.R. 2472)along with numerous other disability organizations as members of the Consortium for Citizens (CCD), signed onto a letter to congressional leaders, Majority Leader McConnell and Minority Leader Schumer, Speaker Ryan and Leader Pelosi reiterating support of the Disability Integration Act (S. 910, H.R. 2472). This legislation, if passed, would ensure the rights of people with disabilities to live full and independent lives in their communities. Working with the Department of Labor in Twitter chats in promoting accessible transportation for people with disabilities. United Spinal and other stakeholder groups met with Sen. Caseys office to discuss employment challenges and opportunities for people with disabilities.

H.R. 2123/S. 925, The Veterans E-Health & Telemedicine Support (VETS) Act of 2017 United Spinal, along with other disability organizations, signed onto a letter to the bipartisan leadership of Congress which introduced the Veterans E-Health & Telemedicine Support (VETS) Act of 2017 to improve the ability of veterans to access care via telehealth by relieving geographic restrictions on telehealth services and promoting access to high quality, coordinated care for all veterans, particularly those in rural areas. United Spinal is a member of the HealthIT Now Coalition which works on telemedicine initiatives at the national and state levels. Proposed Rule, Prosthetic and Rehabilitative Items and Services: This proposed rule would strike and replace Title 38, CFR 17.150, and update 17.3200-3250, by addressing vague and subjectively interpreted language regarding the feasibility and medical need of certain medical equipment and services for disabled veterans, as well as update the currently limited list of such services and items. Submitted comments regarding our support for efforts to improve current policy and benefit disabled veterans. S. 1318, Air Carrier Access Amendments Act: This bill is to amend Title 49 of U.S.C., Section 41705, by addressing the needs of disabled Americans, including veterans, traveling by air, including needed safety training for TSA staff and flight attendants, reasonable accommodations for Americans with spinal cord injuries and/or disease, and accessibility issues throughout the airline industry for such Americans. United Spinal's VetsFirst program sent a letter to the House Veterans Affairs Subcommittee on Economic Opportunity opposing proposed legislation which is designed to diminish the current approved and valuable training and education track for veterans. It would "liquidate" the GI bill and push veterans to end their benefit in 18 months, thus discouraging selection of aviation education programs at approved public universities. United Spinal's VetsFirst program sent a letter of support to Congresswoman Dina Titus (D-NV) specifically in support of her bill HR 3197, which puts an end to research practices at the Department of Veterans Affairs which do not lead to any positive outcomes for veterans. United Spinal's VetsFirst program signed onto a letter in support of S.1318, the Aircraft Carrier Access Amendments Act, and S.1405, the Federal Aviation Administration Reauthorization Act, which are both designed to expand access measures for disabled aircraft passengers, as well as training requirements for aircraft and TSA personnel in handling disabled passengers and their equipment. United Spinal co-wrote a letter to the Senate stating objections to amendments added to the National Defense Authorization Act bill on the Senate floor that would harm vital defense health research programs specifically initiated to help US soldiers who sustain traumatic brain (TBI) and spinal cord injuries (SCI). The letter was sent to the Senate Armed Services Committee.

H.R. 2123/S. 925, The Veterans E-Health & Telemedicine Support (VETS) Act of 2017 United Spinal, along with other disability organizations, signed onto a letter to the bipartisan leadership of Congress which introduced the Veterans E-Health & Telemedicine Support (VETS) Act of 2017 to improve the ability of veterans to access care via telehealth by relieving geographic restrictions on telehealth services and promoting access to high quality, coordinated care for all veterans, particularly those in rural areas. United Spinal is a member of the HealthIT Now Coalition which works on telemedicine initiatives at the national and state levels. Proposed Rule, Prosthetic and Rehabilitative Items and Services: This proposed rule would strike and replace Title 38, CFR 17.150, and update 17.3200-3250, by addressing vague and subjectively interpreted language regarding the feasibility and medical need of certain medical equipment and services for disabled veterans, as well as update the currently limited list of such services and items. Submitted comments regarding our support for efforts to improve current policy and benefit disabled veterans. S. 1318, Air Carrier Access Amendments Act: This bill is to amend Title 49 of U.S.C., Section 41705, by addressing the needs of disabled Americans, including veterans, traveling by air, including needed safety training for TSA staff and flight attendants, reasonable accommodations for Americans with spinal cord injuries and/or disease, and accessibility issues throughout the airline industry for such Americans. United Spinal's VetsFirst program sent a letter to the House Veterans Affairs Subcommittee on Economic Opportunity opposing proposed legislation which is designed to diminish the current approved and valuable training and education track for veterans. It would "liquidate" the GI bill and push veterans to end their benefit in 18 months, thus discouraging selection of aviation education programs at approved public universities. United Spinal's VetsFirst program sent a letter of support to Congresswoman Dina Titus (D-NV) specifically in support of her bill HR 3197, which puts an end to research practices at the Department of Veterans Affairs which do not lead to any positive outcomes for veterans. United Spinal's VetsFirst program signed onto a letter in support of S.1318, the Aircraft Carrier Access Amendments Act, and S.1405, the Federal Aviation Administration Reauthorization Act, which are both designed to expand access measures for disabled aircraft passengers, as well as training requirements for aircraft and TSA personnel in handling disabled passengers and their equipment. United Spinal co-wrote a letter to the Senate stating objections to amendments added to the National Defense Authorization Act bill on the Senate floor that would harm vital defense health research programs specifically initiated to help US soldiers who sustain traumatic brain (TBI) and spinal cord injuries (SCI). The letter was sent to the Senate Armed Services Committee.

H.R. 2123/S. 925, The Veterans E-Health & Telemedicine Support (VETS) Act of 2017 United Spinal, along with other disability organizations, signed onto a letter to the bipartisan leadership of Congress which introduced the Veterans E-Health & Telemedicine Support (VETS) Act of 2017 to improve the ability of veterans to access care via telehealth by relieving geographic restrictions on telehealth services and promoting access to high quality, coordinated care for all veterans, particularly those in rural areas. United Spinal is a member of the HealthIT Now Coalition which works on telemedicine initiatives at the national and state levels. Proposed Rule, Prosthetic and Rehabilitative Items and Services: This proposed rule would strike and replace Title 38, CFR 17.150, and update 17.3200-3250, by addressing vague and subjectively interpreted language regarding the feasibility and medical need of certain medical equipment and services for disabled veterans, as well as update the currently limited list of such services and items. Submitted comments regarding our support for efforts to improve current policy and benefit disabled veterans. S. 1318, Air Carrier Access Amendments Act: This bill is to amend Title 49 of U.S.C., Section 41705, by addressing the needs of disabled Americans, including veterans, traveling by air, including needed safety training for TSA staff and flight attendants, reasonable accommodations for Americans with spinal cord injuries and/or disease, and accessibility issues throughout the airline industry for such Americans. United Spinal's VetsFirst program sent a letter to the House Veterans Affairs Subcommittee on Economic Opportunity opposing proposed legislation which is designed to diminish the current approved and valuable training and education track for veterans. It would "liquidate" the GI bill and push veterans to end their benefit in 18 months, thus discouraging selection of aviation education programs at approved public universities. United Spinal's VetsFirst program sent a letter of support to Congresswoman Dina Titus (D-NV) specifically in support of her bill HR 3197, which puts an end to research practices at the Department of Veterans Affairs which do not lead to any positive outcomes for veterans. United Spinal's VetsFirst program signed onto a letter in support of S.1318, the Aircraft Carrier Access Amendments Act, and S.1405, the Federal Aviation Administration Reauthorization Act, which are both designed to expand access measures for disabled aircraft passengers, as well as training requirements for aircraft and TSA personnel in handling disabled passengers and their equipment. United Spinal co-wrote a letter to the Senate stating objections to amendments added to the National Defense Authorization Act bill on the Senate floor that would harm vital defense health research programs specifically initiated to help US soldiers who sustain traumatic brain (TBI) and spinal cord injuries (SCI). The letter was sent to the Senate Armed Services Committee.

H.R. 2123/S. 925, The Veterans E-Health & Telemedicine Support (VETS) Act of 2017 United Spinal, along with other disability organizations, signed onto a letter to the bipartisan leadership of Congress which introduced the Veterans E-Health & Telemedicine Support (VETS) Act of 2017 to improve the ability of veterans to access care via telehealth by relieving geographic restrictions on telehealth services and promoting access to high quality, coordinated care for all veterans, particularly those in rural areas. United Spinal is a member of the HealthIT Now Coalition which works on telemedicine initiatives at the national and state levels. Proposed Rule, Prosthetic and Rehabilitative Items and Services: This proposed rule would strike and replace Title 38, CFR 17.150, and update 17.3200-3250, by addressing vague and subjectively interpreted language regarding the feasibility and medical need of certain medical equipment and services for disabled veterans, as well as update the currently limited list of such services and items. Submitted comments regarding our support for efforts to improve current policy and benefit disabled veterans. S. 1318, Air Carrier Access Amendments Act: This bill is to amend Title 49 of U.S.C., Section 41705, by addressing the needs of disabled Americans, including veterans, traveling by air, including needed safety training for TSA staff and flight attendants, reasonable accommodations for Americans with spinal cord injuries and/or disease, and accessibility issues throughout the airline industry for such Americans. United Spinal's VetsFirst program sent a letter to the House Veterans Affairs Subcommittee on Economic Opportunity opposing proposed legislation which is designed to diminish the current approved and valuable training and education track for veterans. It would "liquidate" the GI bill and push veterans to end their benefit in 18 months, thus discouraging selection of aviation education programs at approved public universities. United Spinal's VetsFirst program sent a letter of support to Congresswoman Dina Titus (D-NV) specifically in support of her bill HR 3197, which puts an end to research practices at the Department of Veterans Affairs which do not lead to any positive outcomes for veterans. United Spinal's VetsFirst program signed onto a letter in support of S.1318, the Aircraft Carrier Access Amendments Act, and S.1405, the Federal Aviation Administration Reauthorization Act, which are both designed to expand access measures for disabled aircraft passengers, as well as training requirements for aircraft and TSA personnel in handling disabled passengers and their equipment. United Spinal co-wrote a letter to the Senate stating objections to amendments added to the National Defense Authorization Act bill on the Senate floor that would harm vital defense health research programs specifically initiated to help US soldiers who sustain traumatic brain (TBI) and spinal cord injuries (SCI). The letter was sent to the Senate Armed Services Committee.

H.R. 2123/S. 925, The Veterans E-Health & Telemedicine Support (VETS) Act of 2017 United Spinal, along with other disability organizations, signed onto a letter to the bipartisan leadership of Congress which introduced the Veterans E-Health & Telemedicine Support (VETS) Act of 2017 to improve the ability of veterans to access care via telehealth by relieving geographic restrictions on telehealth services and promoting access to high quality, coordinated care for all veterans, particularly those in rural areas. United Spinal is a member of the HealthIT Now Coalition which works on telemedicine initiatives at the national and state levels. Proposed Rule, Prosthetic and Rehabilitative Items and Services: This proposed rule would strike and replace Title 38, CFR 17.150, and update 17.3200-3250, by addressing vague and subjectively interpreted language regarding the feasibility and medical need of certain medical equipment and services for disabled veterans, as well as update the currently limited list of such services and items. Submitted comments regarding our support for efforts to improve current policy and benefit disabled veterans. S. 1318, Air Carrier Access Amendments Act: This bill is to amend Title 49 of U.S.C., Section 41705, by addressing the needs of disabled Americans, including veterans, traveling by air, including needed safety training for TSA staff and flight attendants, reasonable accommodations for Americans with spinal cord injuries and/or disease, and accessibility issues throughout the airline industry for such Americans. United Spinal's VetsFirst program sent a letter to the House Veterans Affairs Subcommittee on Economic Opportunity opposing proposed legislation which is designed to diminish the current approved and valuable training and education track for veterans. It would "liquidate" the GI bill and push veterans to end their benefit in 18 months, thus discouraging selection of aviation education programs at approved public universities. United Spinal's VetsFirst program sent a letter of support to Congresswoman Dina Titus (D-NV) specifically in support of her bill HR 3197, which puts an end to research practices at the Department of Veterans Affairs which do not lead to any positive outcomes for veterans. United Spinal's VetsFirst program signed onto a letter in support of S.1318, the Aircraft Carrier Access Amendments Act, and S.1405, the Federal Aviation Administration Reauthorization Act, which are both designed to expand access measures for disabled aircraft passengers, as well as training requirements for aircraft and TSA personnel in handling disabled passengers and their equipment. United Spinal co-wrote a letter to the Senate stating objections to amendments added to the National Defense Authorization Act bill on the Senate floor that would harm vital defense health research programs specifically initiated to help US soldiers who sustain traumatic brain (TBI) and spinal cord injuries (SCI). The letter was sent to the Senate Armed Services Committee.