Represent

Lobbying
Lobbying by California Medical Association Inc.

Lobbying Relationship

Client

California Medical Association Inc.

More records

Lobbying firm

California Medical Association Inc.

More records

HR 4366 Consolidated Appropriations Act of 2024 (Medicare physician payment, teaching health centers, NHSC) House and Senate Dear Colleague letters urging leadership to stop the Medicare physician payment cuts. HR 6683 Preserving Seniors Access to Physicians Act (Murphy, Davis, Wenstrup, Panetta): Stops the Medicare 3.4% Payment Cut HR 6545 The Physician Fee Schedule Updates and Improvement Act (E&C Committee): Stops the Medicare Payment Cut, ACO bonus, work gpci floor, budget neutrality reform HR 6371 Provider Reimbursement Stability Act of 2023 (Bucshon, Kelly) Medicare budget neutrality reform HR 2474: Strengthening Medicare for Patients and Providers Act (Ruiz, Bera, Bucshon, Miller-Meeks): Medicare Physician Annual Inflation Update - House Dear Colleague letter (Bera-Bucschon) to Leadership Urging Medicare Payment Reform HR 6445 Medicare Audiology Access Improvement Act Proposals to extend the Medicare work Geographic Practice Cost Index (GPCI) floor, alter the Medicare physician work GPCI and the Medicare physician practice expense GPCI Medicare Advance payments to assist physicians impacted by the United/Change Healthcare cyberattack: CMA letters and multiple virtual meetings. CMS 2024-0006. Calendar Year (CY) 2025 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the Advance Notice). CMS-9897-P: Federal Independent Dispute Resolution Operations Proposed Rule (No Surprises Act) 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, Children's Health Insurance Program 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. Prior Authorization, and Congressional Dear Colleague letter to Secretary Becerra urging finalization of these regulations.
HR 5013 The Value in Health Care Act of 2023 (Lahood, Wenstrup) Extends the ACO Bonus + HR 3173/S3108 (117th Congress) Seniors Timely Access to Care Act + Congressional Bipartisan Dear Colleague letter (Bera) to Secretary Becerra regarding the prior authorization regulations HR 4822 The Health Care Transparency Act of 2023 - Includes HR 3173 Prior Authorization Reform S 1302/HR 2389 The Resident Physician Shortage Reduction Act of 2023 (Schatz, Wicker, Cardin, Thune/Sewell, Fitzpatrick) S 704/HR 1202 The Resident Education Deferred Interest (REDI) Act (Rosen, Boozman/Babin, Houlahan) S 2016/HR 4189 CONNECT for Health Act of 2023 (Telehealth) (Menendez, Boozman, Schumer, Collins/Thompson, Matsui) HR 4941 (Schiff) Providing Access to Treatment and Housing Act of 2023 (PATH Act) HR 4974 (Cardens) Local 988 Response Act of 2023 Mental Health Hotline S 1339 (Sanders, Cassidy) PBM Reform Act HR 4882 Health Care Price Transparency Act of 2023 (physician reporting + HR 3173 Prior Authorization Reform) HR 3784 Providers and Payers Compete Act
Reauthorize the Childrens Hospital Graduate Medical Education Program Reauthorize the Teaching Health Center Program 88 Federal Register 61578; Sept 7, 2023: Revised version of the Public Service Loan Forgiveness Program application form. 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; Negotiated Rulemaking for Title IV Regulations: Higher Education Act. (PSLF 87 Fed Reg 65904) Public Service Loan Forgiveness Program Regulations and On-Going Implementation Issues for California and Texas.
Reauthorize the Conrad-30 J-1 VISA Waiver Program

Duration: January 1, 2008 to present

General Issues: Medicare/Medicaid, Health Issues, Education, Immigration, Environmental/Superfund, Labor Issues/Antitrust/Workplace, Trade (Domestic & Foreign), Budget/Appropriations, Government Issues, Media (Information/Publishing), Taxation/Internal Revenue Code, Firearms/Guns/Ammunition, Insurance, Veterans, Pharmacy, Torts, Science/Technology, Medical/Disease Research/Clinical Labs

Spending: about $3,407,000 (But it's complicated. Here's why.)

Agencies lobbied since 2008: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Education - Dept of, Environmental Protection Agency (EPA), Drug Enforcement Administration (DEA), Labor - Dept of (DOL), Federal Trade Commission (FTC), Centers For Disease Control & Prevention (CDC), White House Office, Office of Management & Budget (OMB), Treasury - Dept of, Food & Drug Administration (FDA), Veterans Affairs - Dept of (VA), Substance Abuse & Mental Health Services Administration (SAMHSA), Health & Human Services - Dept of (HHS),, U.S. Senate,, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Justice - Dept of (DOJ), Office of Personnel Management (OPM), Centers For Medicare and Medicaid Services (CMS),

Bills mentioned

H.R.1628: American Health Care Act of 2017

Sponsor: Diane Black (R-Tenn.)

H.R.2779: Assessing Critical Care Efforts to Strengthen Services (ACCESS) Act of 2017

Sponsor: Jeffrey Denham (R-Calif.)

H.R.3921: HEALTHY KIDS Act

Sponsor: Michael C. Burgess (R-Texas)

H.R.3440: Dream Act of 2017

Sponsor: Lucille Roybal-Allard (D-Calif.)

H.R.3394: Teaching Health Centers Graduate Medical Education Extension Act of 2017

Sponsor: Cathy McMorris Rodgers (R-Wash.)

H.R.3451: CARE Act

Sponsor: Jeffrey Denham (R-Calif.)

S.1827: KIDS Act of 2017

Sponsor: Orrin G. Hatch (R-Utah)

S.1615: Dream Act of 2017

Sponsor: Lindsey Graham (R-S.C.)

H.R.6: 21st Century Cures Act

Sponsor: Fred Upton (R-Mich.)

H.R.2520: Distillery Innovation and Excise Tax Reform Act

Sponsor: Todd Young (R-Ind.)

H.R.2300: Empowering Patients First Act of 2015

Sponsor: Tom Price (R-Ga.)

H.R.3081: TELE-MED Act of 2015

Sponsor: Devin Nunes (R-Calif.)

H.R.3716: Ensuring Access to Quality Medicaid Providers Act

Sponsor: Larry Bucshon (R-Ind.)

H.R.2577: Military Construction, Veterans Affairs, and Related Agencies...

Sponsor: Mario Diaz-Balart (R-Fla.)

S.524: Comprehensive Addiction and Recovery Act of 2016

Sponsor: Sheldon Whitehouse (D-R.I.)

H.R.2646: Helping Families in Mental Health Crisis Act of 2016

Sponsor: Tim Murphy (R-Pa.)

H.R.1270: Restoring Access to Medication and Improving Health Savings Act of 2016

Sponsor: Lynn Jenkins (R-Kan.)

S.480: National All Schedules Prescription Electronic Reporting Reauthorization...

Sponsor: Jeanne Shaheen (D-N.H.)

H.R.1725: National All Schedules Prescription Electronic Reporting Reauthorization...

Sponsor: Edward Whitfield (R-Ky.)

S.2680: Mental Health Reform Act of 2016

Sponsor: Lamar Alexander (R-Tenn.)

S.1455: TREAT Act

Sponsor: Edward J. Markey (D-Mass.)

S.2256: Co-Prescribing Saves Lives Act of 2016

Sponsor: Tim Kaine (D-Va.)

S.2687: Plan of Safe Care Improvement Act

Sponsor: Bob Casey (D-Pa.)

H.R.5046: Comprehensive Opioid Abuse Reduction Act of 2016

Sponsor: F. James Sensenbrenner (R-Wis.)

H.R.4641: To provide for the establishment of an inter-agency task force to...

Sponsor: Susan Brooks (R-Ind.)

H.R.4981: Opioid Use Disorder Treatment Expansion and Modernization Act

Sponsor: Larry Bucshon (R-Ind.)

H.R.4063: Jason Simcakoski PROMISE Act

Sponsor: Gus Bilirakis (R-Fla.)

H.R.4058: Obamacare Full Disclosure Act

Sponsor: Bill Shuster (R-Pa.)

H.R.5022: HIRED Act

Sponsor: Brad Ashford (D-Neb.)

H.R.4843: Infant Plan of Safe Care Improvement Act

Sponsor: Lou Barletta (R-Pa.)

H.R.4978: NAS Healthy Babies Act

Sponsor: Evan Jenkins (R-W.Va.)

H.R.3691: Improving Treatment for Pregnant and Postpartum Women Act of 2016

Sponsor: Ben Ray Luján (D-N.M.)

H.R.2: Medicare Access and CHIP Reauthorization Act of 2015

Sponsor: Michael C. Burgess (R-Texas)

H.R.2568: Fair Medical Audits Act of 2015

Sponsor: George Holding (R-N.C.)

H.R.3077: Giveback Deficit Reduction Act

Sponsor: Ron Kind (D-Wis.)

H.R.5380: REVAMP with Community Colleges Act of 2016

Sponsor: Steve Israel (D-N.Y.)

H.R.2725: 21st Century Care for Military and Veterans Act

Sponsor: Scott Peters (D-Calif.)

H.R.3750: First Responders Passport Act of 2015

Sponsor: Darrell Issa (R-Calif.)

H.R.1925: To award a Congressional Gold Medal to Dr. Balazs "Ernie" Bodai in...

Sponsor: Jackie Speier (D-Calif.)

H.R.3309: Flex-IT 2 Act

Sponsor: Renee Ellmers (R-N.C.)

S.2141: TRUST IT Act

Sponsor: Bill Cassidy (R-La.)

S.2425: Patient Access and Medicare Protection Act

Sponsor: Rob Portman (R-Ohio)

H.R.2247: ICD-TEN Act

Sponsor: Diane Black (R-Tenn.)

H.R.2029: Consolidated Appropriations Act, 2016

Sponsor: Charlie Dent (R-Pa.)

H.R.1410: To amend the Small Business Act to require the implementation of a data...

Sponsor: Amata Coleman Radewagen (R-American Samoa)

S.810: SGR Repeal and Medicare Provider Payment Modernization Act of 2015

Sponsor: Orrin G. Hatch (R-Utah)

S.150: Assault Weapons Ban of 2013

Sponsor: Dianne Feinstein (D-Calif.)

H.R.2131: SKILLS Visa Act

Sponsor: Darrell Issa (R-Calif.)

H.R.1473: Standard of Care Protection Act of 2013

Sponsor: Phil Gingrey (R-Ga.)

H.R.3077: TELE-MED Act of 2013

Sponsor: Devin Nunes (R-Calif.)

H.R.3507: 21st Century Care for Military and Veterans Act

Sponsor: Scott Peters (D-Calif.)

H.R.3750: Telehealth Modernization Act of 2013

Sponsor: Doris Matsui (D-Calif.)

H.R.2810: SGR Repeal and Medicare Beneficiary Access Act of 2013

Sponsor: Michael C. Burgess (R-Texas)

H.R.1310: Medicare Patient Empowerment Act of 2013

Sponsor: Tom Price (R-Ga.)

H.R.1201: Training Tomorrow's Doctors Today Act

Sponsor: Aaron Schock (R-Ill.)

S.577: Resident Physician Shortage Reduction Act of 2013

Sponsor: Bill Nelson (D-Fla.)

H.R.1180: Resident Physician Shortage Reduction Act of 2013

Sponsor: Joseph Crowley (D-N.Y.)

H.R.1761: HELLPP Act

Sponsor: Lee Terry (R-Neb.)

H.R.4015: SGR Repeal and Medicare Provider Payment Modernization Act of 2014

Sponsor: Michael C. Burgess (R-Texas)

S.2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014

Sponsor: Max Baucus (D-Mont.)

H.R.4302: Protecting Access to Medicare Act of 2014

Sponsor: Joe Pitts (R-Pa.)

H.R.3402: Fair Debt Collection Improvement Act

Sponsor: Steve Cohen (D-Tenn.)

S.2694: Ensuring Access to Primary Care for Women & Children Act

Sponsor: Sherrod Brown (D-Ohio)

H.R.4810: Veteran Access to Care Act of 2014

Sponsor: Jeff Miller (R-Fla.)

S.2450: Veterans' Access to Care through Choice, Accountability, and...

Sponsor: Bernard Sanders (ID-Vt.)

H.R.3230: Veterans Access, Choice, and Accountability Act of 2014

Sponsor: Harold Rogers (R-Ky.)

H.R.1701: Cutting Costly Codes Act of 2013

Sponsor: Ted Poe (R-Texas)

S.954: Agriculture Reform, Food, and Jobs Act of 2013

Sponsor: Debbie Stabenow (D-Mich.)

S.3245: A bill to extend by 3 years the authorization of the EB-5 Regional...

Sponsor: Patrick J. Leahy (D-Vt.)

H.R.1700: Medicare Patient Empowerment Act

Sponsor: Tom Price (R-Ga.)

H.R.452: Medicare Decisions Accountability Act of 2011

Sponsor: Phil Roe (R-Tenn.)

H.R.3630: Middle Class Tax Relief and Job Creation Act of 2012

Sponsor: Dave Camp (R-Mich.)

H.R.8: American Taxpayer Relief Act of 2012

Sponsor: Dave Camp (R-Mich.)

S.2002: Online Pharmacy Safety Act

Sponsor: Dianne Feinstein (D-Calif.)

H.R.4095: Online Pharmacy Safety Act

Sponsor: Bill Cassidy (R-La.)

H.R.5: Protecting Access to Healthcare Act

Sponsor: Phil Gingrey (R-Ga.)

H.R.3765: Temporary Payroll Tax Cut Continuation Act of 2011

Sponsor: Dave Camp (R-Mich.)

S.958: Children's Hospital GME Support Reauthorization Act of 2011

Sponsor: Bob Casey (D-Pa.)

H.R.1852: Children's Hospital GME Support Reauthorization Act of 2011

Sponsor: Joe Pitts (R-Pa.)

H.R.4: Comprehensive 1099 Taxpayer Protection and Repayment of Exchange Subsidy...

Sponsor: Dan Lungren (R-Calif.)

H.R.4994: Medicare and Medicaid Extenders Act of 2010

Sponsor: John Lewis (D-Ga.)

H.R.4213: Unemployment Compensation Extension Act of 2010

Sponsor: Charles B. Rangel (D-N.Y.)

H.R.3962: Preservation of Access to Care for Medicare Beneficiaries and Pension...

Sponsor: John D. Dingell (D-Mich.)

H.R.3590: Patient Protection and Affordable Care Act

Sponsor: Charles B. Rangel (D-N.Y.)

H.R.4872: Health Care and Education Reconciliation Act of 2010

Sponsor: John M. Spratt Jr. (D-S.C.)

H.R.4851: Continuing Extension Act of 2010

Sponsor: Sander M. Levin (D-Mich.)

H.R.3200: America's Affordable Health Choices Act of 2009

Sponsor: John D. Dingell (D-Mich.)

H.R.3961: An Act to extend expiring provisions of the USA PATRIOT Improvement and...

Sponsor: John D. Dingell (D-Mich.)

S.1776: Medicare Physician Fairness Act of 2009

Sponsor: Debbie Stabenow (D-Mich.)

H.R.2820: GPCI Justice Act of 2009

Sponsor: Sam Farr (D-Calif.)

S.1236: GPCI Justice Act of 2009

Sponsor: Dianne Feinstein (D-Calif.)

H.R.2: Children's Health Insurance Program Reauthorization Act of 2009

Sponsor: Frank Pallone (D-N.J.)

H.R.1: American Recovery and Reinvestment Act of 2009

Sponsor: David R. Obey (D-Wis.)

S.2303: A bill to amend section 435(o) of the Higher Education Act of 1965...

Sponsor: Richard M. Burr (R-N.C.)

H.R.6983: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction...

Sponsor: Patrick J. Kennedy (D-R.I.)

H.R.5442: TRUST in Health Information Act of 2008

Sponsor: Edward J. Markey (D-Mass.)

H.R.6331: Medicare Improvements for Patients and Providers Act of 2008

Sponsor: Charles B. Rangel (D-N.Y.)

H.R.7110: Job Creation and Unemployment Relief Act of 2008

Sponsor: David R. Obey (D-Wis.)

S.3604: Economic Recovery Act, 2008

Sponsor: Harry Reid (D-Nev.)

H.R.4736: To amend part B of title XVIII of the Social Security Act to repeal...

Sponsor: Tom C. Feeney (R-Fla.)

H.R.4105: Medicare Recovery Audit Contractor Program Moratorium Act of 2007

Sponsor: Lois Capps (D-Calif.)

S.1947: Continuing the Advancement of Quality Improvement Act of 2007

Sponsor: Charles E. Grassley (R-Iowa)

H.R.2462: To amend the Farm Security and Rural Investment Act of 2002 to promote...

Sponsor: Tim Holden (D-Pa.)

H.R.3162: Children's Health and Medicare Protection Act of 2007

Sponsor: John D. Dingell (D-Mich.)

H.R.2484: To amend title XVIII of the Social Security Act to establish new...

Sponsor: Sam Farr (D-Calif.)

S.1964: A bill to amend title XVIII of the Social Security Act to establish new...

Sponsor: Dianne Feinstein (D-Calif.)

H.R.1665: Medicare Hearing Health Care Enhancement Act of 2007

Sponsor: Mike Ross (D-Ark.)

S.2352: Medicare Hearing Health Care Enhancement Act of 2007

Sponsor: Tim Johnson (D-S.D.)

S.2785: Save Medicare Act of 2008

Sponsor: Debbie Stabenow (D-Mich.)

H.R.5613: Protecting the Medicaid Safety Net Act of 2008

Sponsor: John D. Dingell (D-Mich.)

S.3118: Preserving Access to Medicare Act of 2008

Sponsor: Charles E. Grassley (R-Iowa)

S.3101: Medicare Improvements for Patients and Providers Act of 2008

Sponsor: Max Baucus (D-Mont.)

H.R.5: College Student Relief Act of 2007

Sponsor: George Miller (D-Calif.)

H.R.3922: CHAMPIONING HEALTHY KIDS Act

Sponsor: Greg Walden (R-Ore.)

H.R.1892: Bipartisan Budget Act of 2018

Sponsor: John B. Larson (D-Conn.)

H.R.1625: Consolidated Appropriations Act, 2018

Sponsor: Edward Royce (R-Calif.)

H.R.5605: Advancing High Quality Treatment for Opioid Use Disorders in Medicare Act

Sponsor: Raul Ruiz (D-Calif.)

H.R.5776: MOST Act

Sponsor: Richard E. Neal (D-Mass.)

H.R.5799: Medicaid Drug Review, Utilization, Good Governance Improvement Act

Sponsor: Marsha Blackburn (R-Tenn.)

H.R.5801: Medicaid Providers Are Required To Note Experiences in Record Systems to...

Sponsor: Morgan Griffith (R-Va.)

H.R.5808: Medicaid Pharmaceutical Home Act of 2018

Sponsor: Gus Bilirakis (R-Fla.)

H.R.5810: Medicaid Health Homes for Opioid-Use-Disorder Medicaid Enrollees...

Sponsor: Leonard Lance (R-N.J.)

H.R.6: SUPPORT for Patients and Communities Act

Sponsor: Greg Walden (R-Ore.)

H.R.3528: Every Prescription Conveyed Securely Act

Sponsor: Katherine Clark (D-Mass.)

H.R.3692: Addiction Treatment Access Improvement Act of 2017

Sponsor: Paul Tonko (D-N.Y.)

H.R.5603: Access to Telehealth Services for Substance Use Disorders Act

Sponsor: Doris Matsui (D-Calif.)

H.R.5716: COMPASS Act

Sponsor: Peter Roskam (R-Ill.)

H.R.5774: Combating Opioid Abuse for Care in Hospitals Act of 2018

Sponsor: Carlos Curbelo (R-Fla.)

H.R.5773: Preventing Addiction for Susceptible Seniors Act of 2018

Sponsor: Peter Roskam (R-Ill.)

H.R.5775: Providing Reliable Options for Patients and Educational Resources Act of...

Sponsor: Erik Paulsen (R-Minn.)

H.R.6082: Overdose Prevention and Patient Safety Act

Sponsor: Markwayne Mullin (R-Okla.)

S.2680: Opioid Crisis Response Act of 2018

Sponsor: Lamar Alexander (R-Tenn.)

S.128: BRIDGE Act

Sponsor: Lindsey Graham (R-S.C.)

H.R.496: BRIDGE Act

Sponsor: Mike Coffman (R-Colo.)

H.R.4796: USA Act of 2018

Sponsor: Will Hurd (R-Texas)

H.R.184: Protect Medical Innovation Act of 2018

Sponsor: Erik Paulsen (R-Minn.)

H.R.6199: Restoring Access to Medication and Modernizing Health Savings Accounts...

Sponsor: Lynn Jenkins (R-Kan.)

H.R.6311: Increasing Access to Lower Premium Plans and Expanding Health Savings...

Sponsor: Peter Roskam (R-Ill.)

H.R.1839: Medicaid Services Investment and Accountability Act of 2019

Sponsor: Raul Ruiz (D-Calif.)

H.R.938: BLOCKING Act of 2019

Sponsor: Kurt Schrader (D-Ore.)

H.R.1503: Orange Book Transparency Act of 2020

Sponsor: Robin Kelly (D-Ill.)

H.R.1520: Further Extension of Continuing Appropriations Act, 2021

Sponsor: Anna G. Eshoo (D-Calif.)

H.R.1781: Payment Commission Data Act of 2019

Sponsor: Buddy Carter (R-Ga.)

H.R.1499: Protecting Consumer Access to Generic Drugs Act of 2019

Sponsor: Bobby L. Rush (D-Ill.)

H.R.965: CREATES Act of 2019

Sponsor: David Cicilline (D-R.I.)

H.R.8: Bipartisan Background Checks Act of 2019

Sponsor: Mike Thompson (D-Calif.)

H.R.1385: SAVE Act

Sponsor: Andy Kim (D-N.J.)

H.R.1425: Patient Protection and Affordable Care Enhancement Act

Sponsor: Angie Craig (D-Minn.)

H.R.1010: To provide that the rule entitled "Short-Term, Limited Duration...

Sponsor: Kathy Castor (D-Fla.)

H.R.986: Protecting Americans with Preexisting Conditions Act of 2019

Sponsor: Ann McLane Kuster (D-N.H.)

H.R.987: Strengthening Health Care and Lowering Prescription Drug Costs Act

Sponsor: Lisa Blunt Rochester (D-Del.)

H.R.1386: ENROLL Act of 2019

Sponsor: Kathy Castor (D-Fla.)

H.R.3502: Protecting People From Surprise Medical Bills Act

Sponsor: Raul Ruiz (D-Calif.)

H.R.3630: No Surprises Act

Sponsor: Frank Pallone (D-N.J.)

H.R.3107: Improving Seniors' Timely Access to Care Act of 2019

Sponsor: Suzan K. DelBene (D-Wash.)

H.R.2296: More Efficient Tools to Realize Information for Consumers Act

Sponsor: Jan Schakowsky (D-Ill.)

H.R.2781: EMPOWER for Health Act of 2019

Sponsor: Jan Schakowsky (D-Ill.)

S.1531: STOP Surprise Medical Bills Act of 2019

Sponsor: Bill Cassidy (R-La.)

S.1895: Lower Health Care Costs Act

Sponsor: Lamar Alexander (R-Tenn.)

H.R.3: Elijah E. Cummings Lower Drug Costs Now Act

Sponsor: Frank Pallone (D-N.J.)

H.R.4607: To amend the Higher Education Act of 1965 to include certain employment...

Sponsor: Josh Harder (D-Calif.)

H.R.2328: Reauthorizing and Extending America’s Community Health Act

Sponsor: Tom O'Halleran (D-Ariz.)

H.R.1865: Further Consolidated Appropriations Act, 2020

Sponsor: Bill Pascrell Jr. (D-N.J.)

H.R.1158: Consolidated Appropriations Act, 2020

Sponsor: Michael McCaul (R-Texas)

H.R.6074: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.6201: Families First Coronavirus Response Act

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.748: CARES Act

Sponsor: Joe Courtney (D-Conn.)

S.2741: CONNECT for Health Act of 2019

Sponsor: Brian Schatz (D-Hawaii)

H.R.4932: CONNECT for Health Act of 2019

Sponsor: Mike Thompson (D-Calif.)

H.R.6800: The Heroes Act

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.5826: Consumer Protections Against Surprise Medical Bills Act of 2020

Sponsor: Richard E. Neal (D-Mass.)

S.3746: Stopping Doctor Shortages Act

Sponsor: Dianne Feinstein (D-Calif.)

H.R.7010: Paycheck Protection Program Flexibility Act of 2020

Sponsor: Dean Phillips (D-Minn.)

S.4116: A bill to extend the authority for commitments for the paycheck...

Sponsor: Benjamin L. Cardin (D-Md.)

H.R.8337: Continuing Appropriations Act, 2021 and Other Extensions Act

Sponsor: Nita M. Lowey (D-N.Y.)

H.R.133: Consolidated Appropriations Act, 2021

Sponsor: Henry Cuellar (D-Texas)

S.4375: Telehealth Modernization Act

Sponsor: Lamar Alexander (R-Tenn.)

H.R.8727: Telehealth Modernization Act

Sponsor: Buddy Carter (R-Ga.)

S.150: Ensuring Parity in MA for Audio-Only Telehealth Act of 2021

Sponsor: Catherine Cortez Masto (D-Nev.)

H.R.1319: American Rescue Plan Act of 2021

Sponsor: John Yarmuth (D-Ky.)

H.R.1868: To prevent across-the-board direct spending cuts, and for other purposes.

Sponsor: John Yarmuth (D-Ky.)

H.R.1133: To amend the Higher Education Act of 1965 to include certain employment...

Sponsor: Josh Harder (D-Calif.)

S.311: Stopping Doctor Shortages Act

Sponsor: Dianne Feinstein (D-Calif.)

H.R.1332: Telehealth Modernization Act

Sponsor: Buddy Carter (R-Ga.)

H.R.8: Bipartisan Background Checks Act of 2021

Sponsor: Mike Thompson (D-Calif.)

S.411: MOMMA’s Act

Sponsor: Richard J. Durbin (D-Ill.)

S.253: Cannabidiol and Marihuana Research Expansion Act

Sponsor: Dianne Feinstein (D-Calif.)

H.R.6: American Dream and Promise Act of 2021

Sponsor: Lucille Roybal-Allard (D-Calif.)

H.R.3172: HELPER Act of 2021

Sponsor: John Rutherford (R-Fla.)

S.1675: Maternal Health Quality Improvement Act

Sponsor: Raphael Warnock (D-Ga.)

H.R.3755: Women's Health Protection Act of 2021

Sponsor: Judy Chu (D-Calif.)

H.R.5376: Inflation Reduction Act of 2022

Sponsor: John Yarmuth (D-Ky.)

S.610: Protecting Medicare and American Farmers from Sequester Cuts Act

Sponsor: Tim Kaine (D-Va.)

H.R.6020: Supporting Medicare Providers Act of 2021

Sponsor: Ami Bera (D-Calif.)

H.R.3173: Improving Seniors’ Timely Access to Care Act of 2021

Sponsor: Suzan K. DelBene (D-Wash.)

H.R.2471: Consolidated Appropriations Act, 2022

Sponsor: Hakeem Jeffries (D-N.Y.)

H.R.1667: Dr. Lorna Breen Health Care Provider Protection Act

Sponsor: Susan Wild (D-Pa.)

S.3018: Improving Seniors’ Timely Access to Care Act of 2021

Sponsor: Roger Marshall (R-Kan.)

H.R.7995: GOLD CARD Act of 2022

Sponsor: Michael C. Burgess (R-Texas)

H.R.4587: Value in Health Care Act of 2021

Sponsor: Peter Welch (D-Vt.)

S.2938: Bipartisan Safer Communities Act

Sponsor: Marco Rubio (R-Fla.)

H.R.6087: Improving Access to Workers’ Compensation for Injured Federal Workers Act

Sponsor: Joe Courtney (D-Conn.)

H.R.8800: Supporting Medicare Providers Act of 2022

Sponsor: Ami Bera (D-Calif.)

H.R.4040: Advancing Telehealth Beyond COVID–19 Act of 2021

Sponsor: Liz Cheney (R-Wyo.)

H.R.2617: Consolidated Appropriations Act, 2023

Sponsor: Gerald E. Connolly (D-Va.)

H.R.2474: Strengthening Medicare for Patients and Providers Act

Sponsor: Raul Ruiz (D-Calif.)

S.2016: CONNECT for Health Act of 2023

Sponsor: Brian Schatz (D-Hawaii)

H.R.2389: Resident Physician Shortage Reduction Act of 2023

Sponsor: Terri Sewell (D-Ala.)

H.R.4189: Creating Opportunities Now for Necessary and Effective Care Technologies...

Sponsor: Mike Thompson (D-Calif.)

H.R.3173: Northern Nevada Economic Development and Conservation Act of 2023

Sponsor: Mark Amodei (R-Nev.)

S.1302: Resident Physician Shortage Reduction Act of 2023

Sponsor: Robert Menendez (D-N.J.)

H.R.4941: Providing Access to Treatment and Housing Act of 2023

Sponsor: Adam B. Schiff (D-Calif.)

H.R.4974: Local 9–8–8 Response Act of 2023

Sponsor: Tony Cárdenas (D-Calif.)

S.1339: Pharmacy Benefit Manager Reform Act

Sponsor: Bernard Sanders (ID-Vt.)

H.R.4882: Clinical Laboratory Price Transparency Act of 2023

Sponsor: Carol Miller (R-W.Va.)

H.R.3784: Improving Social Security’s Service to Victims of Identity Theft Act

Sponsor: A. Drew Ferguson (R-Ga.)

S.704: REDI Act

Sponsor: Jacky Rosen (D-Nev.)

H.R.1202: Resident Education Deferred Interest Act

Sponsor: Brian Babin (R-Texas)

H.R.6683: Preserving Seniors’ Access to Physicians Act of 2023

Sponsor: Greg Murphy (R-N.C.)

H.R.6545: Physician Fee Schedule Update and Improvements Act

Sponsor: Mariannette Miller-Meeks (R-Iowa)

H.R.6371: Provider Reimbursement Stability Act of 2023

Sponsor: Greg Murphy (R-N.C.)

H.R.5013: Value in Health Care Act of 2023

Sponsor: Darin M. LaHood (R-Ill.)

H.R.4822: Health Care Price Transparency Act of 2023

Sponsor: Jason Smith (R-Mo.)

S.3108: PROTECT Act

Sponsor: Richard Blumenthal (D-Conn.)

H.R.4366: Consolidated Appropriations Act, 2024

Sponsor: John Carter (R-Texas)

H.R.6445: Medicare Audiology Access Improvement Act of 2023

Sponsor: Gus Bilirakis (R-Fla.)

Show All Mentioned Bills

Lobbyists

Lobbyists named here were listed on a filing related to this lobbying engagement. They may not be working on it now. Occasionally, a single lobbyist whose name is spelled two different ways on filings may be represented twice here.

Lobbyist	Covered positions?
Elizabeth McNeil	Congressman Wayne Owens (UT) 1987-1989; Congresswoman Jolene Unsoeld (WA) 1989-1991. FTC Matter No. P201200; RIN 3084-AB74; 13 CFR Part 910. Non-Compete Clause Rulemaking
McNeil Elizabeth	n/a

Disclosures Filed

Once a lobbying engagement begins, the lobbyist or firm is required to file updates four times a year. Those updates sometimes change which lobbyists are involved or add new issues being discussed. When lobbyists stop working for a client, the firm is also supposed to file a report disclosing the end of the relationship.

1st Quarter, 2024

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 19. Original Filing: 301566469.xml

Lobbying Issues

HR 4366 Consolidated Appropriations Act of 2024 (Medicare physician payment, teaching health centers, NHSC) House and Senate Dear Colleague letters urging leadership to stop the Medicare physician payment cuts. HR 6683 Preserving Seniors Access to Physicians Act (Murphy, Davis, Wenstrup, Panetta): Stops the Medicare 3.4% Payment Cut HR 6545 The Physician Fee Schedule Updates and Improvement Act (E&C Committee): Stops the Medicare Payment Cut, ACO bonus, work gpci floor, budget neutrality reform HR 6371 Provider Reimbursement Stability Act of 2023 (Bucshon, Kelly) Medicare budget neutrality reform HR 2474: Strengthening Medicare for Patients and Providers Act (Ruiz, Bera, Bucshon, Miller-Meeks): Medicare Physician Annual Inflation Update - House Dear Colleague letter (Bera-Bucschon) to Leadership Urging Medicare Payment Reform HR 6445 Medicare Audiology Access Improvement Act Proposals to extend the Medicare work Geographic Practice Cost Index (GPCI) floor, alter the Medicare physician work GPCI and the Medicare physician practice expense GPCI Medicare Advance payments to assist physicians impacted by the United/Change Healthcare cyberattack: CMA letters and multiple virtual meetings. CMS 2024-0006. Calendar Year (CY) 2025 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies (the Advance Notice). CMS-9897-P: Federal Independent Dispute Resolution Operations Proposed Rule (No Surprises Act) 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, Children's Health Insurance Program 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. Prior Authorization, and Congressional Dear Colleague letter to Secretary Becerra urging finalization of these regulations.

Agencies Lobbied

Type of Issue

Lobbying Issues

HR 5013 The Value in Health Care Act of 2023 (Lahood, Wenstrup) Extends the ACO Bonus + HR 3173/S3108 (117th Congress) Seniors Timely Access to Care Act + Congressional Bipartisan Dear Colleague letter (Bera) to Secretary Becerra regarding the prior authorization regulations HR 4822 The Health Care Transparency Act of 2023 - Includes HR 3173 Prior Authorization Reform S 1302/HR 2389 The Resident Physician Shortage Reduction Act of 2023 (Schatz, Wicker, Cardin, Thune/Sewell, Fitzpatrick) S 704/HR 1202 The Resident Education Deferred Interest (REDI) Act (Rosen, Boozman/Babin, Houlahan) S 2016/HR 4189 CONNECT for Health Act of 2023 (Telehealth) (Menendez, Boozman, Schumer, Collins/Thompson, Matsui) HR 4941 (Schiff) Providing Access to Treatment and Housing Act of 2023 (PATH Act) HR 4974 (Cardens) Local 988 Response Act of 2023 Mental Health Hotline S 1339 (Sanders, Cassidy) PBM Reform Act HR 4882 Health Care Price Transparency Act of 2023 (physician reporting + HR 3173 Prior Authorization Reform) HR 3784 Providers and Payers Compete Act

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2023

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 18. Original Filing: 301529040.xml

Lobbying Issues

HR 6683 Preserving Seniors Access to Physicians Act (Murphy, Davis, Wenstrup, Panetta): Stops the Medicare 3.4% Payment Cut HR 6545 The Physician Fee Schedule Updates and Improvement Act (E&C Committee): Stops the Medicare Payment Cut, ACO bonus, work gpci floor, budget neutrality reform HR 6371 Provider Reimbursement Stability Act of 2023 (Bucshon, Kelly) Medicare budget neutrality reform HR 2474: Strengthening Medicare for Patients and Providers Act (Ruiz, Bera, Bucshon, Miller-Meeks): Medicare Physician Annual Inflation Update - House Dear Colleague letter (Bera-Bucschon) to Leadership Urging Medicare Payment Reform Proposals to extend the Medicare work Geographic Practice Cost Index (GPCI) floor, alter the Medicare physician work GPCI and the Medicare physician practice expense GPCI Preventing Medicare scope of practice expansion by audiologists CMS-9897-P: Federal Independent Dispute Resolution Operations Proposed Rule (No Surprises Act) File Code CMS-1784-P. Medicare and Medicaid Programs; 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 CMS-4201-P: Notice of Proposed Rule Making for Medicare Advantage Part C & Part D programs 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, Children's Health Insurance Program 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. RE: Prior Authorization. Congressional Dear Colleague letter to Secretary regarding regulations 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. RE: the Medicare Economic Index Reweighting Plan for 2024 (2/23) HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. No Surprises Act Final Rule Center for Consumer Information and Insurance Oversight (CCIIO): Contacts related to on-going problems associated with Implementation

Agencies Lobbied

Type of Issue

Lobbying Issues

HR 5013 The Value in Health Care Act of 2023 (Lahood, Wenstrup) Extends the ACO Bonus + HR 4822 The Health Care Transparency Act of 2023 - Includes HR 3173 Prior Authorization Reform S 1302/HR 2389 The Resident Physician Shortage Reduction Act of 2023 (Schatz, Wicker, Cardin, Thune/Sewell, Fitzpatrick) S 704/HR 1202 The Resident Education Deferred Interest (REDI) Act (Rosen, Boozman/Babin, Houlahan) S 2016/HR 4189 CONNECT for Health Act of 2023 (Telehealth) (Menendez, Boozman, Schumer, Collins/Thompson, Matsui) Reauthorize the Teaching Health Center Program Reauthorize the Childrens Hospital Graduate Medical Education Program HR 3173/S3108 (117th Congress) Seniors Timely Access to Care Act + Congressional Bipartisan Dear Colleague letter (Bera) to Secretary Becerra regarding the prior authorization regulations HR 4941 (Schiff) Providing Access to Treatment and Housing Act of 2023 (PATH Act) HR 4974 (Cardens) Local 988 Response Act of 2023 Mental Health Hotline S 1339 (Sanders, Cassidy) PBM Reform Act HR 4882 Health Care Price Transparency Act of 2023 (physician reporting + HR 3173 Prior Authorization Reform) HR 3784 Providers and Payers Compete Act CMA letter urging Surgeon General Murthy to publish a Surgeon Generals Report on the public health epidemic of gun violence

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2023

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 17, 2023. Original Filing: 301503141.xml

Lobbying Issues

HR 2474: Strengthening Medicare for Patients and Providers Act (Ruiz, Bera, Bucshon, Miller-Meeks): Medicare Physician Annual Inflation Update - House Dear Colleague letter (Bera-Bucschon) to Leadership Urging Medicare Payment Reform File Code CMS-1784-P. Medicare and Medicaid Programs; 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 CMS-4201-P: Notice of Proposed Rule Making for Medicare Advantage Part C & Part D programs. RE: Prior Authorization 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, Children's Health Insurance Program 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. 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. HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. No Surprises Act Final Rule. Center for Consumer Information and Insurance Oversight (CCIIO): Contacts related to on-going problems associated with Implementation.

Agencies Lobbied

Type of Issue

Lobbying Issues

S 1302/HR 2389 The Resident Physician Shortage Reduction Act of 2023 (Schatz, Wicker, Cardin, Thune/Sewell, Fitzpatrick) S 2016/HR 4189 CONNECT for Health Act of 2023 (Telehealth) (Menendez, Boozman, Schumer, Collins/Thompson, Matsui) Reauthorize the Teaching Health Center Program HR 3173/S3108 (117th Congress) Seniors Timely Access to Care Act + Congressional Bipartisan Dear Colleague letter (Bera) to Secretary Becerra regarding the prior authorization regulations HR 4941 (Schiff) Providing Access to Treatment and Housing Act of 2023 (PATH Act) HR 4974 (Cardens) Local 988 Response Act of 2023 Mental Health Hotline S 1339 (Sanders, Cassidy) PBM Reform Act HR 4882 Health Care Price Transparency Act of 2023 (physician reporting + HR 3173 Prior Authorization Reform) HR 3784 Providers and Payers Compete Act S 704/HR 1202 (Rosen, Boozman/Babin, Houlahan) Resident Education Deferred Interest (REDI) Act CMA letter urging Surgeon General Murthy to publish a Surgeon Generals Report on the public health epidemic of gun violence.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2023

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2023. Original Filing: 301488008.xml

Lobbying Issues

CMS-4201-P: Notice of Proposed Rule Making for Medicare Advantage Part C & Part D programs. RE: Prior Authorization 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, Children's Health Insurance Program 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. RE: Prior Authorization. CMS File Code 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. CMS-2023-0010: Advance Notice of Methodological Changes for CY 2024 for Medicare Advantage Capitation Rates and Part C and Part D Payment Policies. HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. No Surprises Act Final Rule. Problems associated with Implementation. HR 2474: Strengthening Medicare for Patients and Providers Act (Ruiz, Bera, Bucshon, Miller-Meeks): Medicare Physician Annual Inflation Update.

Agencies Lobbied

Type of Issue

Lobbying Issues

S 2016/HR 2389 The Resident Physician Shortage Reduction Act of 2023 (Schatz, Wicker, Cardin, Thune/Sewell, Fitzpatrick) S 2016/HR 4189 CONNECT for Health Act of 2023 (Telehealth) (Menendez, Boozman, Schumer, Collins/Thompson, Matsui, Schweikert, Johnson) Opioid and Substance Use Disorder Workforce Act (Not introduced yet) HR 3173/S3108 (117th Congress) Seniors Timely Access to Care Act + Congressional Bipartisan Dear Colleague letter (Bera) to Secretary Becerra regarding the prior authorization regulations Providing Access to Treatment and Housing Act of 2023 (PATH Act) (Schiff) No # yet 988 Implementation Act Mental Health Hotline (Cardenas) No # yet Docket No. DEA-948; 88 FR 12890; Expansion of Induction of Buprenorphine via Telemedicine Encounter. Docket No. DEA-407; 88 FR 12875; Telemedicine Prescribing of Controlled Substances When the Practitioner and the Patient Have Not Had a Prior In-Person Medical Evaluation. Medication Access Training Expansion Act (MATE) Training Requirements: Drug Enforcement Administration Letter to DEA-Registered Physicians. Request to publish a Surgeon Generals Report on the public health epidemic of gun violence.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2023

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 18, 2023. Original Filing: 301455465.xml

Lobbying Issues

HR 2474: Strengthening Medicare for Patients and Providers Act (Ruiz, Bera, Bucshon, Miller-Meeks): Medicare Physician Annual Inflation Update. CMS-4201-P: Notice of Proposed Rule Making for Medicare Advantage Part C & Part D programs. RE: Prior Authorization. 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, Children's Health Insurance Program 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. RE: Prior Authorization. CMS File Code 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. In-person meeting regarding the Medicare Economic Index Reweighting Plan for 2024 (2/23). CMS-2023-0010: Advance Notice of Methodological Changes for CY 2024 for Medicare Advantage Capitation Rates and Part C and Part D Payment Policies. HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. No Surprises Act Final Rule. Problems associated with Implementation.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2022

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 19, 2023. Original Filing: 301435306.xml

Lobbying Issues

HR 3173/S 3018: Seniors Timely Access to Care Act : Medicare Advantage Prior Authorization Reform. HR 8800 Supporting Medicare Providers Act of 2022: Stops the 2023 Medicare Fee Schedule Payment cuts of 4.42%. RFI (Bera, Bucshon) on Medicare Payment Reform. HR 7995: The GOLD CARD Act of 2022: Medicare Advantage Prior Authorization Reform. HR 4587 Value in Health Care Act to Improve the Medicare APM Programs and extend the APM/ACO 5% incentive payments. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. CMS-0057-P; RIN 0938-AU87: 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. CMS 9899-P; RIN 0938-AU97: Patient Protection and Affordable Care Act HHS Notice of Benefit and Payment Parameters (NBPP) for 2024. CMS File Code 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. Covid-19 Provider Relief Fund Distribution and Reporting Requirements. No Surprise Act Final Rule: HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. Requirements Related to Surprise Billing.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2022

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 20, 2022. Original Filing: 301416716.xml

Lobbying Issues

HR 5376: Inflation Reduction Act: Authorizes Medicare drug price negotiation; Extends the Affordable Care Act premium tax credits for 3 years and addresses climate change. HR 3173/S 3018: Seniors Timely Access to Care Act : Medicare Advantage Prior Authorization Reform. HR 8800 Supporting Medicare Providers Act of 2022: Stops the 2023 Medicare Fee Schedule Payment cuts of 4.42%. Additional Medicare Payment Reform (Legislation to be introduced): - Provide an automatic annual Medicare inflation update for physicians based on the Medicare Economic Index. - Stop the 4% PAYGO-related Medicare physician payment cut for 2023. - RFI (Bera, Bucshon) on Medicare Payment Reform. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. HR 7995: The GOLD CARD Act of 2022: Medicare Advantage Prior Authorization Reform. HR 4587 Value in Health Care Act to Improve the Medicare APM Programs and extend the APM/ACO 5% incentive payments. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. CMS File Code 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. Covid-19 Provider Relief Fund Distribution and Reporting Requirements. No Surprise Act Final Rule: HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. Requirements Related to Surprise Billing.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2022

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 19, 2022. Original Filing: 301387054.xml

Lobbying Issues

Medicaid RFI: Medicaid Access to Care and Coverage for people Enrolled in Medicaid and SCHIP Medicare Payment Reform: - Extending the Medicare Sequestration Cuts Wavier through the end of the PHE. - Stopping the 3% Medicare physician payment cut projected for 2023. - Urging a Medicare payment update tied to inflation for 2023. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. HR 3173/S 3018: Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform. HR 7995: The GOLD CARD Act of 2022: Medicare Advantage Prior Authorization Reform. HR 5376: Build Back Better Act: Improvements to the Affordable Care Act, Medicare drug price negotiation; Pathways to Practice for Minority Physicians, 4,000 new Graduate Medical Education Residency positions. HR 4587 Value in Health Care Act to Improve the Medicare APM Programs.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2022

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 20, 2022. Original Filing: 301371161.xml

Lobbying Issues

HR 2471 Omnibus Appropriations Act of 2022: Health Care program funding for public health, Medicaid, NIH, CDC and HHS; Medicare Telehealth Flexibility Extension; Maternal Health Quality Improvement programs. HR 5376 Build Back Better Act: Improvements to the Affordable Care Act, Medicare drug price negotiation; Pathways to Practice for Minority Physicians, 4,000 new Graduate Medical Education Residency positions. HR 3173: Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. Medicare Payment Reform: - Extending the Medicare Sequestration Cuts Wavier through the end of the PHE. - Stopping the 3% Medicare physician payment cut projected for 2023. - Urging a Medicare payment update tied to inflation for 2023. Covid-19 Provider Relief Fund Distribution and Reporting Requirements; Extending the Reporting Deadlines. Proposed Collection and Comment Request - Requirements Related to Surprise Billing; Part II, Good Faith Estimate (CMS 10377, CMS 10791). Request for Information: Electronic Prior Authorization Standards, Implementation Specifications, and Certification Criteria (Office of National Coordinator for Health Information Technology).

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2021

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 17, 2022. Original Filing: 301324449.xml

Lobbying Issues

-HR 5376 Build Back Better Act: Improvements to the Affordable Care Act, Medicare drug price negotiation; Pathways to Practice for Minority Physicians, Graduate Medical Education Residency positions. -S 610 Protecting Medicare and American Farmers from Sequestration Cuts Act -HR 6020 The Supporting Medicare Providers Act of 2021 -Dear Colleague Letter from Members of Congress to House Leadership urging Leadership to stop the 2022 Medicare Physician Payment Cuts -COVID-19 pandemic related issues and vaccine distribution. -COVID-19 Provider Relief Fund: Additional Funding and Distributions -HR 3755 The Womens Health Protection Act (Codifying Roe v Wade) -HR 3173: Seniors Timely Access to Care Act: Medicare Advantage Prior Authorization Reform -S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act -Region IX CMS Office: Extension of the COVID-19 Public Health Emergency and the Telehealth waivers.

Agencies Lobbied

Type of Issue

Lobbying Issues

-HR 5376 Build Back Better Act: Improvements to the Affordable Care Act, Medicare drug price negotiation; Pathways to Practice for Minority Physicians, Graduate Medical Education Residency positions. -Dear Colleague Letter to the Department of Health and Human Services, Department of Labor and Treasury Department urging a change in the No Surprises Act Part II regulation related to the independent dispute resolution process. (CMS 9908-IFC) -HR 1332: Telehealth Modernization Act -S 411: MOMMAs Act of 2021: Black Maternal Health and Morbidity -S 1675: Maternal Health Quality Improvement Act -Covid-19 Provider Relief Fund Distribution and Reporting Requirements -No Surprises Act Interim Final Rule: Part II (CMS 9908 IFC Requirements Related to Surprise Billing; IFR with Comment Period.) Federal Register (Vol 86, No 192) October 7, 2021. -Melanie Fontes Rainer, Counselor to the Secretary; Claire Pierce-Wrobel, Senior Policy Advisor to the Secretary; Regarding Health Care Marketplace Competition and Consolidation.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2021

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 20, 2021. Original Filing: 301314446.xml

Lobbying Issues

-Dear Colleague Letter from Members of Congress to House Leadership urging Leadership to stop the 2022 Medicare Physician Payment Cuts -S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act -Covid-19 Provider Relief Fund Distribution and Reporting Requirements -No Surprises Act Interim Final Rule: Part I [RIN 0938-AU63; CMS 9909-IF] -No Surprises Act Implementation Part II (CCIIO) -2022 Proposed Medicare Physician Fee Schedule: 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. (CMS) -Physician-led alternative payment models and Accountable Care Organizations.

Agencies Lobbied

Type of Issue

Lobbying Issues

-COVID-19 pandemic related issues and vaccine distribution. -COVID-19 Provider Relief Fund: Additional Funding and Distributions -HR 3755 The Womens Health Protection Act -HR 1133/S 311: Stopping Doctor Shortages Act -HR 1332: Telehealth Modernization Act -HR 3172: Seniors Timely Access to Care Act -S 411: MOMMAs Act of 2021: Black Maternal Health and Morbidity -S 1675: Maternal Health Quality Improvement Act -Comments to Energy & Commerce Committee on a Public Option -Covid-19 Response: Community Physicians as Vaccinators; Equitable Vaccine Distribution; -Support for Richard Pan, MD for Health Resources Services Administration (HRSA) Administrator -American Rescue Plan Act Physician Wellness Grants -Physician-led alternative payment models and Accountable Care Organizations.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2021

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 16, 2021. Original Filing: 301278249.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2021

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 19, 2021. Original Filing: 301258041.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2020

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 18, 2021. Original Filing: 301233288.xml

Lobbying Issues

-2021 Medicare Physician Payment, Medicare sequestration, Graduate Medical Education expansion. -Medicaid Fiscal Accountability Regulation, CMS 2393-P; RIN 0938-AT50. -Medicare Physician Fee Schedule. -File Code CMS-1734-P. Medicare Program; CY 2021 Revisions to 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. -Updates to the Quality Payment Program. -Medicare Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs: Medicare Enrollment of Opioid Treatment Programs; Requirement for 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; Proposal to Establish New Code Categories. -Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy Proposed Rule. -Radiation Oncology Model. -File Code CMS 5527-F. Medicare Program, Specialty Care Models to Improve Quality of Care and Reduce Expenditures. -Medicare Physician Fee Schedule 2021: Restoring Medicare physician payment cuts.

Agencies Lobbied

Type of Issue

Lobbying Issues

-CARES Act Provider Relief Fund Distributions. -Regulatory Relief to Support Economic Recovery. -Request for Information (RFI) Telehealth Flexibilities. .HR 133 Consolidated Omnibus Appropriations Act or 2021 and COVID-19 Relief. -COVID 19 public health, vaccines, testing, provider relief, paycheck protection program. -Program Extensions for: Community Health Centers, National Health Service Corps and the Teaching Health Center Graduate Medical Education Program, and the No Surprises Act. -S 4375/HR 8727 The Telehealth Modernization Act. -HR 6800 The Heroes Act COVID-19 Response. -HR 2328 No Surprises Act. -HR 3502 Protecting People from Surprise Medical Bills Act. -HR 5826 Consumer Protections from Surprise Medical Bills Act of 2020. -S 1531 Stop Surprise Medical Bills Act. -HR 3107 Seniors Timely Access to Care Act. -HR 4607 Stopping Doctor Shortages Act. -S 3746 Stopping Doctor Shortages Act. -Public Health Issues.

Agencies Lobbied

Type of Issue

3rd Quarter, 2020

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 13, 2020. Original Filing: 301209323.xml

Lobbying Issues

- Medicaid Fiscal Accountability Regulation, CMS 2393-P; RIN 0938-AT50. - Medicare Physician Fee Schedule: File Code CMS-1734-P. Medicare Program; CY 2021 Revisions to 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; Updates to the Quality Payment Program; Medicare Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs: Medicare Enrollment of Opioid Treatment Programs; Requirement for 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; Proposal to Establish New Code Categories; and Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy Proposed Rule. - Radiation Oncology Model: File Code CMS 5527-F. Medicare Program; Specialty Care Models to Improve Quality of Care and Reduce Expenditures. - H.R. 8337 The Continuing Appropriations Act, 2021 : Medicare Advance Payment Program Changes (MMM) - Medicare Physician Fee Schedule 2021: Restoring Medicare physician payment cuts

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2020

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2020. Original Filing: 301197853.xml

Lobbying Issues

Medicaid program; Medicaid Fiscal Accountability Regulation; CMS 2393-P/RIN 0938 AT50; Federal Register Nov 18, 2019, Vol 84 No. 222 COVID-19 Coronavirus Related Waivers: Accelerated and Advanced Medicare Payments Medicare and Medicaid Telehealth and Audio Only Services Medicare Advantage Audio Only Services included in the risk adjustment payments MIPS 2019 Quality Reporting deadline extended until April 30, 2020; Extreme and Uncontrollable Circumstances policy for 2020 participation and reporting. Physician verbal order related requirements. Three-midnight inpatient stay rule for patients being admitted to skilled nursing facilities. Medicaid Section 1135 state flexibility waivers. Stark Self-Referral rules EMTALA requirements for emergency physicians. Deadline extensions for physicians to file appeals with Medicare FFS, Medicare Advantage and Part D drug plans. Medicare Physician Enrollment Relief and temporary billing privileges. Suspended medical necessity documentation and documentation for prior authorization requests. Medicaid Fiscal Accountability Proposed Rule CMS 2393-P Medicare Physician Fee Schedule 2021: Medicare E&M office visit payments Medicare MACRA Quality Payment Program Regulatory Relief

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2020

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 18, 2020. Original Filing: 301171996.xml

Lobbying Issues

File Code CMS-1715-P; FINAL RULE: Medicare Program: CY 2020 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies. California Geographic Payment Locality Transition and GPCI payments. Medicaid program; Medicaid Fiscal Accountability Regulation; CMS 2393-P/RIN 0938 AT50; Federal Register Nov 18, 2019, Vol 84 No. 222 Coronavirus Related Waivers: Accelerated and Advanced Medicare Payments Medicare Telehealth MIPS 2019 Quality Reporting deadline extended until April 30, 2020; Extreme and Uncontrollable Circumstances policy for 2020 participation and reporting. Physician verbal order related requirements. Three-midnight inpatient stay rule for patients being admitted to skilled nursing facilities. Medicaid Section 1135 state flexibility waivers. Stark Self-Referral rules EMTALA requirements for emergency physicians. Deadline extensions for physicians to file appeals with Medicare FFS, Medicare Advantage and Part D drug plans. Medicare Physician Enrollment Relief and temporary billing privileges. Suspended medical necessity documentation and documentation for prior authorization requests. Medicaid Fiscal Accountability Proposed Rule CMS 2393-P Medicare MACRA Quality Payment Program Regulatory Relief Medicare Physician Payment Update

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2019

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 20, 2020. Original Filing: 301123135.xml

Lobbying Issues

File Code CMS-1715-P; Medicare Program: CY 2020 Revisions to 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; Establishment of an Ambulance Data Collection System; Updates to the Quality Payment Program; Medicare Enrollment of Opioid Treatment Programs and Enhancements to Provider Enrollment Regulations Concerning Improper Prescribing and Patient Harm; and Amendments to Physician Self-Referral Law Advisory Opinion Regulations. (Federal Register August 14, 2019 (84 Fed. Reg. 40482). RE: File Code CMS-1715-P; FINAL RULE: Medicare Program: CY 2020 Revisions to Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies. California Geographic Payment Locality Transition and GPCI payments. Executive Order October 3, 2019 Protecting and Improving Medicare for our Nations Seniors Scope of Practice issues Medicaid program; Medicaid Fiscal Accountability Regulation; CMS 2393-P/RIN 0938 AT50; Federal Register Nov 18, 2019, Vol 84 No. 222 File Code CMS-1720-P; Medicare Program; Modernizing and Clarifying the Physician Self-Referral Regulations. Request for Information: Patients Over Paperwork: Prior Authorization Medicare and State Healthcare Programs: Fraud and Abuse; Revisions To Safe Harbors Under the Anti-Kickback Statute, and Civil Monetary Penalty (CMP) Rules Regarding Beneficiary Inducements proposed rule (RIN 0936-AA10) HR 3107 Seniors Timely Access to Care Act Medicare Physician Payment Update Medicare MACRA Quality Payment Program Regulatory Relief

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2019

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 21, 2019. Original Filing: 301078668.xml

Lobbying Issues

2020 Medicare Physician Payment Increase; Medicare MACRA Quality Payment Program Regulatory Relief; California Medicaid Demonstration Project; H.R. 3 Lower Cost of Drugs Now Act of 2019; H.R. 3107 Improving Seniors Timely Access to Care Act; File Code CMS-1715-P; Medicare Program: CY 2020 Revisions to 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; Establishment of an Ambulance Data Collection System; Updates to the Quality Payment Program; Medicare Enrollment of Opioid Treatment Programs and Enhancements to Provider Enrollment Regulations Concerning Improper Prescribing and Patient Harm; Amendments to Physician Self-Referral Law Advisory Opinion Regulations. (Federal Register August 14, 2019 (84 Fed. Reg. 40482).

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2019

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 18, 2019. Original Filing: 301049771.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2019

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 19, 2019. Original Filing: 301031584.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

H.R. 8 The Bipartisan Background Checks Act of 2019 (Firearms/Public Health) H.R. 1385 The SAVE Act of 2019 H.R. 1425 State Health Care Premium Reduction Act H.R. 1010 Short-Term Limited Duration Insurance H.R. 986 Protecting Americans with Preexisting Conditions Act H.R. 987 MORE Health Education Act H.R. 1386 ENROLL Act of 2019 -Addressing Unanticipated Medical Bills -Reauthorization of the Conrad Waiver J-1 VISA Program -Banning Assault Weapons as a public health concern. -21st Century Cures Act: Interoperability, Information Blocking; and the Office of National Coordinator Health IT Certification Program; RIN 0955-AA01. -Request for Public Comment: HHS Pain Management Best Practices Inter-Agency Task. -Force Draft Report on Pain Management Best Practices: Updates, Gaps, Inconsistencies, and Recommendations; HHS-OS-2018-0027. -Request for Public Comments: Office of the National Coordinators Draft Strategy on Reducing Regulatory and Administrative Burdens Related to the Use of Health IT and EHRs. As required by PL 114-255, Section 4001. -Patient Protection and Affordable Care Act; Exchange Program Integrity; Abortion Services Under Qualified Health Plans (RIN 0938-AT53).

Agencies Lobbied

Type of Issue

4th Quarter, 2018

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 18, 2019. Original Filing: 301010364.xml

Lobbying Issues

CMA-Stanislaus County Medical Society-Congressman Denham Medicaid Demonstration Project. Comprehensive Primary Care Plus Alternative Payment Model changes. Accountable Care Organizations. Alternative Payment Models. Emergency and Disaster Related Policies and Procedures (Medicare and Medicaid) for the California Wildfires. Medicare, Medicaid and MACRA Quality Payment Program Regulatory Relief. Medicare Program - Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019. Quality Payment Program; Federal Register July 27, 2018 (83 Fed. Reg. 35704); CMS 1693-P. Medicare Program - Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs CMS 1695-P. Medicare Program - Medicare Shared Savings Program. Accountable Care Organizations-Pathways to Success Proposed Rule. CMS 1701-P. Alternative Payment Models. Comprehensive Primary Care Plus Alternative Payment Model.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2018

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 19, 2018. Original Filing: 300991398.xml

Lobbying Issues

CMA-Stanislaus County Medical Society-Congressman Denham Medicaid Demonstration Project. Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019. Quality Payment Program; Federal Register July 27, 2018 (83 Fed. Reg. 35704); CMS 1693-P. Comprehensive Primary Care Plus Alternative Payment Model changes. Accountable Care Organizations. Alternative Payment Models. Medicare, Medicaid and MACRA Quality Payment Program Regulatory Relief. Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019. Quality Payment Program; Federal Register July 27, 2018 (83 Fed. Reg. 35704); CMS 1693-P. Medicare Program: Proposed Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; CMS 1695-P. Medicare Program; Medicare Shared Savings Program; Accountable Care Organizations-Pathways to Success Proposed Rule; CMS 1701-P. Comprehensive Primary Care Plus Alternative Payment Model.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2018

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2018. Original Filing: 300975812.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

American Patients First: The Trump Administrations Blueprint to Lower Drug Prices and Reduce Out-of-Pocket Costs H.R. 6 The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act H.R. 3528 Every Prescription Conveyed Securely Act (Mandate for E-Prescribing) H.R. 3692 Addiction Treatment Access Improvement Act H.R. 5603 Access to Teleheatlh Services for opioid Use Disorder H.R. 5716 Commit to Opioid Medical Prescriber Accountability and Safety for Seniors (COMPASS) Act H.R. 5774 Combatting Opioid Abuse for Care in Hospitals H.R. 5773 Preventing Addiction for Susceptible Seniors (PASS) Act H.R. 5775 Providing Reliable Options for Patients and Educational Resources (PROPER) Act H.R. 6082 Overdose Prevention and Patient Safety Act S. 2680 The Opioid Crisis Response Act of 2018 Affordable Care Act Market Stabilization (Alexander-Murray)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2018

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 20, 2018. Original Filing: 300954882.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2017

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 19, 2018. Original Filing: 300930778.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2017

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 20, 2017. Original Filing: 300916346.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

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 (CMS-5517-FC) MACRA MIPS and APM Quality Payment Program administrative regulatory reductions for 2018. H.R. 1628, The American Health Care Act H.R. 2779: Assessing Critical Care Efforts to Strengthen Services (Access Act of 2017) H.R. 3921 HEALTHY KIDS ACT of 2017 (Childrens Health insurance Program Reauthorization (CHIP)) H.R. 3440 The Dream Act of 2017 H.R. 3394 Teaching Health Center Graduate Medical Education Extension Act of 2017 H.R. 3451 CARE Act: Creating Additional Residency Expansion Act (Teaching Health Centers) H.R. 2779 Access Act Health Care Reform Better Care Reconciliation Act Graham Cassidy Amendment to the American Health Care Act Senate HELP Committee Individual Market Stabilization S 1827 KIDS Act: Keep Kids Insurance Dependable and Secure Act of 2017 (Childrens Health Insurance Program Reauthorization (CHIP)) S 1615 The Dream Act of 2017

Agencies Lobbied

Type of Issue

2nd Quarter, 2017

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2017. Original Filing: 300896815.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2017

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 20, 2017. Original Filing: 300874779.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2016

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 20, 2017. Original Filing: 300853022.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2016

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 20, 2016. Original Filing: 300836368.xml

Lobbying Issues

Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Electronic Health Record (EHR) Incentive Programs; Payment to Certain Off-Campus Outpatient Departments of a Provider; Hospital Value-Based Purchasing (VBP) Program; Proposed Rule for CY 2017 (CMS-1656-P) Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2017 (CMS-1654-P) California Medicare Geographic Payment Locality Update Implementation (CMS-1654-P) Medicare Access and Childrens Health Insurance Reauthorization Act Implementation (MACRA): 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 (CMS-5517-P) Medicare Part B Physician Drug Payment Model Demonstration Project. Medicare Recovery Audit Contractors (H.R. 3081) Ensuring Removal of Terminated Providers from Medicaid & CHIP (H.R. 3716) MACRA Implementation Restoration of the 0.5% Medicare Physician Payment Update pursuant to MACRA California Medicare Geographic Payment Locality Implementation High Cost of Prescription Drugs - Requiring Pharma to Negotiate Drug Prices for Medicare Part D

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2016

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2016. Original Filing: 300821583.xml

Lobbying Issues

Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2017 (CMS-1654-P) California Medicare Geographic Payment Locality Update Implementation (CMS-1654-P) Medicare Access and Childrens Health Insurance Reauthorization Act Implementation (MACRA): 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 (CMS-5517-P) Medicare Part B Physician Drug Payment Model Demonstration Project (March 11, 2016) California Palliative Care Medical Home Medicare Pilot Project Medicaid Managed Care Regulation Medicare Recovery Audit Contractors (H.R. 3081) MACRA Implementation California Medicare Geographic Payment Locality Implementation High Cost of Prescription Drugs - Requiring Pharma to Negotiate Drug Prices for Medicare Part D

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Comprehensive Addiction and Recovery Act (S 524) Conference Report Zika Virus Response Funding (HR 2577) Mental Health Programs and Policies (HR 2646) Health Savings Accounts (HR 1270) National All Schedules Prescription Electronic Reporting Act (S. 480/HR 1725) Mental Health Reform Act of 2016 (S 2680) Recovery Enhancement for Addiction Treatment Act (S. 1455) The Co-Prescribing Saves Lives Act of 2016 (S. 2256) The Plan of Safe Care Improvement Act (S. 2687) The Partial Fill Amendment within the Managers Amendments to S 2680 Comprehensive Addiction and Recovery Act (S. 524) Comprehensive Opioid Abuse Reduction Act (HR 5046) Interagency Opioid Task Force (HR 4641) The Opioid Use Disorder Treatment Expansion and Modernization Act (HR 4981) Promoting Responsible Opioid Management and Incorporating Scientific Expertise Act - Veterans Administration (HR 4063) Good Samaritan Assessment Act (HR 4058) Opioid Program Evaluation (OPEN) Act (HR 5022) Infant Plan of Safe Care Improvement Act (HR 4843) Nurturing and Supporting Healthy Babies Act (HR 4978) Improving Treatment for Pregnant and Postpartum Women Act (HR 3691) Ensuring Removal of Terminated Providers from Medicaid & CHIP (H.R. 3716) Medication Assisted Treatment for Opioid Use Disorders (SAMHSA, RIN 0930-AA22)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2016

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 20, 2016. Original Filing: 300802081.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2015

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 20, 2016. Original Filing: 300779901.xml

Lobbying Issues

H.R. 2, The Medicare Access and Childrens Health Insurance Program Reauthorization Act H.R. 6, The 21st Century CURES Act (Upton/DeGette) H.R. 2568 The Fair Medical Audits Act (Holding) H.R. 3077 Telemedicine Act (Nunes) H.R. 5380 Medicare Telehealth Parity Act (Thompson/Eshoo) H.R. 2725 21st Century Care for Military and Veterans Act (Peters) H.R. 3750 Telehealth Modernization Act (Matsui) H.R. 1925 Congressional Gold Medal to Dr. Ernie Bodai (Speier) H.R. 3309 (Ellmers) The Further Flexibility in HIT Reporting and Advancing Interoperability Act - FLEX IT 2 ACT S. 2141 (Cassidy/Whitehouse) The Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015 S. 2425 Patient Access and Medicare Protection Act H.R. 2568 (Holding) The Fair Medical Audits Act of 2015 H.R. 2247 (Black) The ICD-10 Act H.R. 6 (Upton/DeGette) The 21th Century CURES Act H.R. 3081 (Nunes/Pallone) The Tele-Med Act of 2015 H.R. 2029 The Consolidated Appropriations Act of 2016. FY 2016 Omnibus Appropriations Bill. H.R. 2725 (Peters) 21st Century Care for Military and Veterans Act Medicare Budget Sequestration Cuts Medicare Graduate Medical Education Funding ICD-10 Implementation for Medicare and Medicaid Medicaid Recoupment for Radiological Service Payments The Medicare Access and Childrens Health Insurance Program Reauthorization Act (MACRA-H.R. 2) Implementation Regulation CMS 33311-P: Medicare and Medicaid Programs Electronic Health Record Incentive Program- Modifications to Meaningful Use 2015-2017 Graduate Medical Education Funding CMS-3310-P Medicare & Medicaid Program; Electronic Health Records Incentive Program; Stage 3 CMS 3311-P Medicare & Medicaid Program; Medicare and Medicaid Program; Electronic Health Record Incentive Program-Modifications to Meaningful Use Stage 2 in 2015-2017. CMS Regulations related to EHR Meaningful Use Stage 2 and Stage 3 Meaningful Use Stage 3 correspondence ICD-10 Coding Implementation and Grace Period Medicare and Medicaid Programs; Electronic Health Record Incentive Program Stage 3 and Modifications to Meaningful Use in 2015-2017. CMS 3310 and 3311-FC. ICD-10 Diagnosis Coding Program. CMS 2328-FC: Medicaid Program; Methods for Assuring Access to Covered Medicaid Services. California Medicaid Waive 42 CFR Part 414: Request for Information. Implementation of Merit-Based Incentive Payment System, Promotion of Alternative Payment Models, and Incentive Payments for Participation in Eligible Alternative Payment Models. CMS 3321-NC.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2015

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 29, 2015. Original Filing: 300766812.xml

Lobbying Issues

H.R. 2, The Medicare Access and Childrens Health Insurance Program Reauthorization Act H.R. 6, The 21st Century CURES Act (Upton/DeGette) H.R. 2568 The Fair Medical Audits Act (Holding) H.R. 3077 Telemedicine Act (Nunes) H.R. 5380 Medicare Telehealth Parity Act (Thompson/Eshoo) H.R. 2725 21st Century Care for Military and Veterans Act (Peters) H.R. 3750 Telehealth Modernization Act (Matsui) H.R. 1925 Congressional Gold Medal to Dr. Ernie Bodai (Speier) H.R. 3309 (Ellmers) The Further Flexibility in HIT Reporting and Advancing Interoperability Act - FLEX IT 2 ACT S. 2141 (Cassidy/Whitehouse) The Transparent Ratings on Usability and Security to Transform Information Technology (TRUST IT) Act of 2015 H.R. 2568 (Holding) The Fair Medical Audits Act of 2015 H.R. 2247 (Black) The ICD-10 Act H.R. 6 (Upton/DeGette) The 21th Century CURES Act H.R. 3081 (Nunes/Pallone) The Tele-Med Act of 2015 H.R. 2725 (Peters) 21st Century Care for Military and Veterans Act Medicare Budget Sequestration Cuts Medicare Graduate Medical Education Funding ICD-10 Implementation for Medicare and Medicaid Medicaid Recoupment for Radiological Service Payments The Medicare Access and Childrens Health Insurance Program Reauthorization Act (MACRA-H.R. 2) Implementation Regulation CMS 33311-P: Medicare and Medicaid Programs Electronic Health Record Incentive Program- Modifications to Meaningful Use 2015-2017 Graduate Medical Education Funding CMS-3310-P Medicare & Medicaid Program; Electronic Health Records Incentive Program; Stage 3 CMS 3311-P Medicare & Medicaid Program; Medicare and Medicaid Program; Electronic Health Record Incentive Program-Modifications to Meaningful Use Stage 2 in 2015-2017. CMS Regulations related to EHR Meaningful Use Stage 2 and Stage 3 Meaningful Use Stage 3 correspondence ICD-10 Coding Implementation and Grace Period California Medicaid Waiver

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2015

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2015. Original Filing: 300745475.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2015

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 16, 2015. Original Filing: 300717734.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2014

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 20, 2015. Original Filing: 300707379.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2014

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 20, 2014. Original Filing: 300688564.xml

Lobbying Issues

See next page.Expansion of the J-1 VISA Waiver Program (Senate, House); S 150 (Feinstein) Ban on Assault Weapons (Senate, House); Prescription Drug Abuse, Diversion and Overdose (Senate, House); Animal Drug User Reauthorization (Senate, House); H.R. 2131 Skills VISA Act J-1 Visa Physician Expansion (Senate, House); H.R. 1473 Standards of Care Protection Act (Senate, House); H.R. 2131 The Skills VISA Act (Immigration Reform) (Senate, House); HR # Draft (Thompson) The Telehealth Promotion Act of 2014; HR 3077 (Nunes) The Telemedicine for Medicare Act for 2013; HR 3507 (Peters) 21st Century Care for Military and Veterans Act; HR 3750 (Matsui) The Telehealth Modernization Act of 2013; REGULATORY: Payment Policies Under the Physician Fee Schedule Proposed Rule for CY 2014 (HHS/CMS); The Medicare Physician Payment Rule for 2015 (CMS-1612-P) (HHS/CMS); Medicare and Medicaid programs; Regulatory Provisions to Promote Program Efficiency, Transparency and Burden Reduction; Part II (CMS-3267-F) (HHS/CMS); 78 Fed Reg 43,281 (July 19, 2013); 1600-P; RIN 0938-AR56 (CMS); Reporting of Physician Ownership or Investment Interests: Physician Sunshine Act (HHS/CMS). Vaccine Injury Compensation Program. Opiod Abuse.

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Legislative: -Budget Sequestration Cuts (Senate, House, White House, CMS) -Medicare Physician Geographic Payment Locality Update (Senate, House, White House, CMS) -Medicare SGR and Alternative Physician Payment System (Senate, House) - Palliative Care Medical Home Authorization and Funding (Senate, House) -Graduate Medical Education: Expanding the number of residency positions (Senate, House) -H.R. Medicare Private Contracting -H.R. 2810 (Upton/Waxman) Medicare Patient Access and Quality Improvement Act of 2013 -H.R. 1310 (Price) Patient Empowerment Act -H.R. 1201 (Schock/Schwart) Training Tomorrows Doctors Today Act -S 577 (Nelson/Schumer/Reid) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1180 (Crowley/Grimm) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1761 (Terry/DeGette): Helping Ensure Life-and Limb-Saving Access to Podiatric Physicians Act -H.R. 4015/S. 2000 The SGR Repeal and Medicare Physician Payment Improvement Act -H.R. 4302 Protecting Access to Medicare Act of 2014 -H.R. 3402 The Protecting Access to Medicare Act of 2014 ICD-10 Coding System -S 2000/HR 4015 The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 -S 2694 (Murray & Brown) Ensuring Access to Primary Care for Women and Children Act -H.R. ## DRAFT Telehealth Promotion Act of 2014 (Thompson) -H.R. 3077 The Telemedicine for Medicare Act of 2013 Senate Finance Committee Legislation SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Reauthorization of the SCHIP State Childrens Health Insurance Program (Healthy Families in California). Regulatory: Medicare and Medicaid Part II Regulations-Hospital Conditions of Participation-Provisions to Promote Efficiency, Transparency and Burden Reduction. (Centers for Medicare and Medicaid Services -- CMS) Center for Medicare and Medicaid Services: Proposed 2014 Medicare Physician Payment Rule (CMS-1600-P). Methodological Changes for CY 2014 for Medicare Advantage Capitation Rates Medicare and Medicaid Part II, Provisions to Promote Program Efficiency, Transparency and Burden Reduction Medicaid Primary Care Rate Increase Implementation 2013-2014 Medicaid Payment Reduction - Federal & State Recoupment of the 10% Medicaid Physician Payment Rate Reduction (State Plan Amendment 11-009) Physicians Referrals to Health Care Entities with which they have Financial Relationships: Exception for certain Electronic Health Records Arrangements. (CMS-1454-F) Retroactive Recoupment of the State 10% Medi-Cal Physician Reimbursement Rate Cut. (CMS) 2015 Proposed Medicare Physician Payment Rule (CMS-1612-P) Medicaid, Childrens Health Insurance Programs and Exchanges: Essential Health Benefits in Alternate Benefit Programs, Eligibility Notices, Fair Hearing and Appeals Processes for Medicaid and Exchanges; Eligibility and Appeals and Other Provisions related to Enrollment and Medicaid Prevention and Cost Sharing (CMS). Medicaid Primary Care Rate Increase Implementation (CMS). Medicare-Medicaid Dual Eligibles Coordinated Care Demonstration Program (CMS). Medicare Contractor Transition from Palmetto to Noridian in California (CMS). Value Index Implementation (CMS). Two-Midnight Rule (CMS). Medicaid Primary Care Rate Increase Implementation Clarifications Verbal Orders clarification Medicare, Medicaid and SCHIP: Transparency Reports and Reporting Physician Ownership or Investment Interests -- (HHS). Modifications to the HIPAA Privacy Rules (HHS). -42 CFR Part 1001. Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor Under the Anti-Kickback Statute. (DOJ/OIG).

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2014

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 21, 2014. Original Filing: 300671231.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Legislative: -Budget Sequestration Cuts (Senate, House, White House, CMS) -Medicare Physician Geographic Payment Locality Update (Senate, House, White House, CMS) -Medicare SGR and Alternative Physician Payment System (Senate, House) - Palliative Care Medical Home Authorization and Funding (Senate, House) -Graduate Medical Education: Expanding the number of residency positions (Senate, House) -H.R. Medicare Private Contracting -H.R. 2810 (Upton/Waxman) Medicare Patient Access and Quality Improvement Act of 2013 -H.R. 1310 (Price) Patient Empowerment Act -H.R. 1201 (Schock/Schwart) Training Tomorrows Doctors Today Act -S 577 (Nelson/Schumer/Reid) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1180 (Crowley/Grimm) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1761 (Terry/DeGette): Helping Ensure Life-and Limb-Saving Access to Podiatric Physicians Act -H.R. 4015/S. 2000 The SGR Repeal and Medicare Physician Payment Improvement Act -H.R. 4302 Protecting Access to Medicare Act of 2014 -H.R. 3402 The Protecting Access to Medicare Act of 2014 ICD-10 Coding System Senate Finance Committee Legislation SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Regulatory: Medicare and Medicaid Part II Regulations-Hospital Conditions of Participation-Provisions to Promote Efficiency, Transparency and Burden Reduction. (Centers for Medicare and Medicaid Services -- CMS) Center for Medicare and Medicaid Services: Proposed 2014 Medicare Physician Payment Rule (CMS-1600-P). Methodological Changes for CY 2014 for Medicare Advantage Capitation Rates Medicare and Medicaid Part II, Provisions to Promote Program Efficiency, Transparency and Burden Reduction Medicaid Primary Care Rate Increase Implementation 2013-2014 Medicaid Payment Reduction - Federal & State Recoupment of the 10% Medicaid Physician Payment Rate Reduction (State Plan Amendment 11-009) Physicians Referrals to Health Care Entities with which they have Financial Relationships: Exception for certain Electronic Health Records Arrangements. (CMS-1454-F) Retroactive Recoupment of the State 10% Medi-Cal Physician Reimbursement Rate Cut. (CMS) Medicaid, Childrens Health Insurance Programs and Exchanges: Essential Health Benefits in Alternate Benefit Programs, Eligibility Notices, Fair Hearing and Appeals Processes for Medicaid and Exchanges; Eligibility and Appeals and Other Provisions related to Enrollment and Medicaid Prevention and Cost Sharing (CMS). Medicaid Primary Care Rate Increase Implementation (CMS). Medicare-Medicaid Dual Eligibles Coordinated Care Demonstration Program (CMS). Medicare Contractor Transition from Palmetto to Noridian in California (CMS). Value Index Implementation (CMS). Two-Midnight Rule (CMS). Medicare, Medicaid and SCHIP: Transparency Reports and Reporting Physician Ownership or Investment Interests -- (HHS). Modifications to the HIPAA Privacy Rules (HHS). -42 CFR Part 1001. Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor Under the Anti-Kickback Statute. (DOJ/OIG).

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2014

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 21, 2014. Original Filing: 300645807.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Legislative: -Budget Sequestration Cuts (Senate, House, White House, CMS) -Medicare Physician Geographic Payment Locality Update (Senate, House, White House, CMS) -Medicare SGR and Alternative Physician Payment System (Senate, House) - Palliative Care Medical Home Authorization and Funding (Senate, House) -Graduate Medical Education: Expanding the number of residency positions (Senate, House) -H.R. Medicare Private Contracting -H.R. 2810 (Upton/Waxman) Medicare Patient Access and Quality Improvement Act of 2013 -H.R. 1310 (Price) Patient Empowerment Act -H.R. 1201 (Schock/Schwart) Training Tomorrows Doctors Today Act -S 577 (Nelson/Schumer/Reid) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1180 (Crowley/Grimm) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1761 (Terry/DeGette): Helping Ensure Life-and Limb-Saving Access to Podiatric Physicians Act -H.R. 4015/S. 2000 The SGR Repeal and Medicare Physician Payment Improvement Act -H.R. 4302 Protecting Access to Medicare Act of 2014 ICD-10 Coding System Senate Finance Committee Legislation SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Regulatory: Medicare and Medicaid Part II Regulations-Hospital Conditions of Participation-Provisions to Promote Efficiency, Transparency and Burden Reduction. (Centers for Medicare and Medicaid Services -- CMS) Center for Medicare and Medicaid Services: Proposed 2014 Medicare Physician Payment Rule (CMS-1600-P). Methodological Changes for CY 2014 for Medicare Advantage Capitation Rates Medicare and Medicaid Part II, Provisions to Promote Program Efficiency, Transparency and Burden Reduction Medicaid Primary Care Rate Increase Implementation 2013-2014 Medicaid Payment Reduction - Federal & State Recoupment of the 10% Medicaid Physician Payment Rate Reduction (State Plan Amendment 11-009) Physicians Referrals to Health Care Entities with which they have Financial Relationships: Exception for certain Electronic Health Records Arrangements. (CMS-1454-F) Retroactive Recoupment of the State 10% Medi-Cal Physician Reimbursement Rate Cut. (CMS) Medicaid, Childrens Health Insurance Programs and Exchanges: Essential Health Benefits in Alternate Benefit Programs, Eligibility Notices, Fair Hearing and Appeals Processes for Medicaid and Exchanges; Eligibility and Appeals and Other Provisions related to Enrollment and Medicaid Prevention and Cost Sharing (CMS). Medicaid Primary Care Rate Increase Implementation (CMS). Medicare-Medicaid Dual Eligibles Coordinated Care Demonstration Program (CMS). Medicare Contractor Transition from Palmetto to Noridian in California (CMS). Value Index Implementation (CMS). Two-Midnight Rule (CMS). Medicare, Medicaid and SCHIP: Transparency Reports and Reporting Physician Ownership or Investment Interests -- (HHS). Modifications to the HIPAA Privacy Rules (HHS). -42 CFR Part 1001. Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor Under the Anti-Kickback Statute. (DOJ/OIG).

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2013

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 20, 2014. Original Filing: 300621926.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Legislative: -Budget Sequestration Cuts (Senate, House, White House, CMS) -Medicare Physician Geographic Payment Locality Update (Senate, House, White House, CMS) -Medicare SGR and Alternative Physician Payment System (Senate, House) - Palliative Care Medical Home Authorization and Funding (Senate, House) -Graduate Medical Education: Expanding the number of residency positions (Senate, House) -H.R. Medicare Private Contracting -H.R. 2810 (Upton/Waxman) Medicare Patient Access and Quality Improvement Act of 2013 -H.R. 1310 (Price) Patient Empowerment Act -H.R. 1701 (Roe)/ S 954 (Coburn) ICD-10 Coding System -H.R. 1201 (Schock/Schwart) Training Tomorrows Doctors Today Act -S 577 (Nelson/Schumer/Reid) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1180 (Crowley/Grimm) The Resident Physician Shortage Reduction Act of 2013 -H.R. 1761 (Terry/DeGette): Helping Ensure Life-and Limb-Saving Access to Podiatric Physicians Act Senate Finance Committee Legislation SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013 Regulatory: Medicare and Medicaid Part II Regulations-Hospital Conditions of Participation-Provisions to Promote Efficiency, Transparency and Burden Reduction. (Centers for Medicare and Medicaid Services -- CMS) Center for Medicare and Medicaid Services: Proposed 2014 Medicare Physician Payment Rule (CMS-1600-P). Methodological Changes for CY 2014 for Medicare Advantage Capitation Rates Medicare and Medicaid Part II, Provisions to Promote Program Efficiency, Transparency and Burden Reduction Medicaid Primary Care Rate Increase Implementation 2013-2014 Medicaid Payment Reduction - Federal & State Recoupment of the 10% Medicaid Physician Payment Rate Reduction (State Plan Amendment 11-009) Physicians Referrals to Health Care Entities with which they have Financial Relationships: Exception for certain Electronic Health Records Arrangements. (CMS-1454-F) Retroactive Recoupment of the State 10% Medi-Cal Physician Reimbursement Rate Cut. (CMS) Medicaid, Childrens Health Insurance Programs and Exchanges: Essential Health Benefits in Alternate Benefit Programs, Eligibility Notices, Fair Hearing and Appeals Processes for Medicaid and Exchanges; Eligibility and Appeals and Other Provisions related to Enrollment and Medicaid Prevention and Cost Sharing -- (CMS). Medicaid Primary Care Rate Increase Implementation (CMS). Medicare-Medicaid Dual Eligibles Coordinated Care Demonstration Program (CMS). Medicare Contractor Transition from Palmetto to Noridian in California (CMS). Medicare, Medicaid and SCHIP: Transparency Reports and Reporting Physician Ownership or Investment Interests -- (HHS). Modifications to the HIPAA Privacy Rules (HHS). -42 CFR Part 1001. Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor Under the Anti-Kickback Statute. (DOJ/OIG).

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2013

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 18, 2013. Original Filing: 300600596.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2013

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 19, 2013. Original Filing: 300579836.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2013

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 19, 2013. Original Filing: 300557703.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2012

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 18, 2013. Original Filing: 300535650.xml

Lobbying Issues

See next page.The Affordable Care Act (ACA-Health Care Reform) General Implementation; ACA: Establishment of Health Insurance Exchanges and Qualified Health Plans Final Rule; ACA: Essential Health Benefits Guidance; ACA: Actuarial Value and Cost Sharing Reductions Bulletin; J-1 Visa Physician Program; S 3245 Conrad 30 J-1 VISA waiver program reauthorization; ACA: Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges (OPM); ACA: Standards Related to Essential Health Benefits, Actuarial Value and Accreditation; ACA: Notice of Benefit and Payment Parameters for 2014; Affordable Care Act ACA: Health Insurance Market Rules, Rate Review; Incentives for Nondiscriminatory Wellness Programs in Group Health Plans; National Ambient Air Quality Standards for Particulate Matter; Gun violence and mental health.

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality and Reporting Programs; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update for California; Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare and Medicaid Program: Electronic Health Record Incentive Program, Stage 2; E-prescribing penalty program exemptions; Physician Regulatory Relief (Value-Index, E-Prescribing, EHR penalties); Physician Billing Audits; Medicare, Medicaid, SCHIP: Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS 5060-P). Medicaid medical homes; Medicare value modifier and quality reporting; Medicare SGR Repeal Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; Medi-Cal County Organized Health System Authorization for Alameda County; H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012; Medicaid Primary Care Rate Increase regulations pursuant to the ACA CMS-2370-P; Medicare Physician Payment Rule FY 2013 CMS-1590-P; Medicare-Medicaid Dual Eligibles Demonstration Program Regulations; ACA Certain Preventive Services regulations; Medicare ICD-10 Coding System Regulations; Medicare Conditions of Participation Regulations; H.R. 8 American Taxpayer Relief Act (Medicare and Medicaid payment issues) Medi-Cal Physician 7 Visit Limit; Medicare Palmetto Contractor transition to Noridian.

Agencies Lobbied

Type of Issue

3rd Quarter, 2012

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 19, 2012. Original Filing: 300514963.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2012

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2012. Original Filing: 300497133.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality and Reporting Programs; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update for California; Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare and Medicaid Program: Electronic Health Record Incentive Program, Stage 2; Medicare Program-Emergency Medical Treatment and Labor Act (EMTALA): Applicability to Hospital Inpatients and Hospitals with Specialized Capabilities; E-prescribing penalty program exemptions; Physician Regulatory Relief (Value-Index, E-Prescribing, EHR penalties); Medicare Fourth Participation Option; Physician Billing Audits; Medicare, Medicaid, SCHIP: Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS 5060-P). Medicaid medical homes; Implementation of Health Care Reform-the Affordable Care Act (ACA) Issues (Independent Medicare Advisory Board, Medicaid physician reimbursement rates, value modifier, quality reporting); Medicare SGR Repeal Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; Medi-Cal County Organized Health System Authorization for Alameda County; H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012; Medicaid Primary Care Rate Increase regulations pursuant to the ACA CMS-2370-P; Medicare Physician Payment Rule 2013 CMS-1590-P; Medicare-Medicaid Dual Eligibles Pilot Program Regulations; ACA Certain Preventive Services regulations; Medicare ICD-10 Coding System Regulations; Medicare Conditions of Participation Regulations.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2012

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 20, 2012. Original Filing: 300480951.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality Reporting Programs; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update for California; Medicaid California State Plan Amendment related to Physician Reimbursement Rate Reductions, patient copayments and limits on the number of physician services (SPA 11-009; SPA 10-022); Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare and Medicaid Program: Electronic Health Record Incentive Program, Stage 2; Medicare Program-Emergency Medical Treatment and Labor Act (EMTALA): Applicability to Hospital Inpatients and Hospitals with Specialized Capabilities; Medicaid Program-Covered Outpatient Drugs; ICD-10 coding system delay; E-prescribing penalty program exemptions; Physician Regulatory Relief (Value-Index, E-Prescribing, EHR penalties); Medicare Fourth Participation Option; Physician Billing Audits; Heritage Pioneer ACO problems; Medicare, Medicaid, SCHIP: Transparency Reports and Reporting of Physician Ownership or Investment Interests (CMS 5060-P). 2013 Medicaid physician payment increase-CMS; Medicaid medical homes; Implementation of Health Care Reform-the Affordable Care Act (ACA) Issues (Independent Medicare Advisory Board, Medicaid physician reimbursement rates, value modifier, quality reporting); Medicare SGR Repeal - Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; Medicare Geographic Variation in Spending issues; Medicaid Physician Reimbursement Rates, California State Plan Amendment; Medicaid Block Grants; Deficit Reduction/Debt Ceiling Limits: Medicare payment reductions, Medicare SGR Repeal, Medicaid/SCHIP blended matching rate; Medi-Cal County Organized Health System Authorization for Alameda County; H.R. 5 Protecting Access to Healthcare medical liability reform and Medicare Independent Payment Advisory Board (IPAB) repeal; H.R. 3630 Middle Class Tax Relief and Job Creation Act of 2012; Douglas vs. Independent Living Centers Medi-Cal Lawsuit.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2011

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 20, 2012. Original Filing: 300452294.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Proposed Medicare Physician Payment Rule 2012; Medicaid Program: Methods for Assuring Access to Covered Medicaid Services regulations; Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) (Department of Health and Human Services) two studies 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality Reporting Programs; Medicare Provider Enrollment Problems; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update; Rate Increase Disclosure and Review; Medicaid Recovery Audit Contractors regulations; Medicaid Data Mining regulations; Medicaid California State Plan Amendment related to Physician Reimbursement Rate Reductions, patient copayments and limits on the number of physician services (SPA 11-009; SPA 10-022); Medicaid issues related to implementation of health care reform; Implementation of the ACA-Health Care Reform; Medicare/Medicaid Hospital Conditions of Participation- Medical Staff issues; Medicaid Program-Eligibility Changes under the ACA; Implementation of Health Care Reform-the Affordable Care Act (ACA) Issues (Independent Medicare Advisory Board, Medicaid physician reimbursement rates, value modifier, quality reporting); Medicare SGR Repeal - Physician Payment Issues; HR 3630 Medicare SGR Payment Reform; HR 3765 Medicare SGR Short Term Extension; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; S 958 and HR 1852 The Childrens Hospital GME Support Reauthorization Act of 2011; Medicare Geographic Variation in Spending issues; Medicaid Physician Reimbursement Rates, California State Plan Amendment; Medicaid Block Grants; Deficit Reduction/Debt Ceiling Limits: Medicare payment reductions, Medicare SGR Repeal, Medicaid/SCHIP blended matching rate, Medicaid Provider taxes; Douglas vs. Independent Living Centers Medi-Cal Lawsuit.

Agencies Lobbied

Type of Issue

3rd Quarter, 2011

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 21, 2011. Original Filing: 300430245.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Proposed Medicare Physician Payment Rule 2012; Modifications to the HIPAA Privacy, Security, and Enforcement Rules; Medicaid Program: Methods for Assuring Access to Covered Medicaid Services regulations; Medicare and Medicaid Programs: Opportunities for Alignment Under Medicare and Medicaid Dual Eligibles; Medicare Accountable Care Organization Program Implementation; Medicare Payment and Health Care Delivery Reform CMA-proposed pilot projects; Institute of Medicines (IOM) RE: 1) Geographic Variation in Health Care Spending and the Promotion of High Value Care and 2) Medicare Geographic Adjustment Factors; Physician Quality Reporting Programs; Medicare Provider Enrollment Problems; Medicare Fraud and Abuse Program Integrity Issues; Medicare Geographic Variation in Spending issues; Medicare Geographic Payment Locality Update; Rate Increase Disclosure and Review; Medicaid Recovery Audit Contractors regulations; Medicaid Data Mining regulations; Medicaid California State Plan Amendment related to Physician Reimbursement Rate Reductions, patient copayments and limits on the number of physician services (SPA 11-009; SPA 10-022); Medicaid issues related to implementation of health care reform. Implementation of the ACA-Health Care Reform; Implementation of Health Care Reform-the Affordable Care Act (ACA) Issues (Independent Medicare Advisory Board, Medicaid physician reimbursement rates, value modifier, quality reporting); Medicare SGR Repeal - Physician Payment Issues; Medicare Geographic Payment Locality Update; HR 1700 (Price) Private Contracting; HR 452 (Cornyn and Roe)- Repeal of the Independent Medicare Advisory Board; Medicare/Medicaid Graduate Medical Education Funding; S 958 and HR 1852 The Childrens Hospital GME Support Reauthorization Act of 201; Medicare Geographic Variation in Spending issues; Medicaid Physician Reimbursement Rates, California State Plan Amendment; Medicaid Block Grants; Deficit Reduction/Debt Ceiling Limits: Medicare payment reductions, Medicaid/SCHIP blended matching rate, Medicaid Provider taxes.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2011

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2011. Original Filing: 300402288.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.-The White House- Implementation of the ACA-Health Care Reform. Implementation of Health Care Reform-the Affordable Care Act (ACA) Issues (Independent Medicare Advisory Board). -U.S. Senate and U.S. House of Representatives- Medicaid Physician Reimbursement Rates, Value Modifier, Quality Reporting. Medicare SGR Physician Payment. Medicare Geographic Payment Locality Update. HR 1700 Private Contracting. Medicare/Medicaid Graduate Medical Education Funding. Medicare Geographic Variation in Spending issues. Medicaid Physician Reimbursement Rates, California State Plan Amendment. Medicaid Block Grants. Deficit Reduction/Debt Ceiling Limits: Medicare payment reductions, Medicaid/SCHIP blended matching rate, Medicaid Provider taxes. -U.S. House of Representatives- Scope of Practice for Nurse Anesthetists. -Centers for Medicare and Medicaid Services- Medicare Accountable Care Organization Program Implementation. Medicare Payment and Health Care Delivery Reform pilot projects (CMS Innovation Center). Medicare Provider Enrollment Problems. Medicare Fraud and Abuse Program Integrity Issues. Medicare Geographic Variation in Spending issues. Medicare Geographic Payment Locality Update. Medicaid California State Plan Amendment related to Physician Reimbursement Rate Reductions, patient copayments and limits on the number of physician services. Medicaid issues related to implementation of health care reform. -U.S. Solicitor General- Maxwell-Jolley v Independent Living Centers. -Department of Health and Human Services- Medicaid California State Plan Amendment related to Physician Reimbursement Rate Reductions, patient copayments and limits on the number of physician services. Study Regarding Geographic Variation in Health Care Spending and the Promotion of High Value (Institute of Medicine). Study Regarding Medicare Geographic Adjustment Factors; Physician Quality Reporting Programs (Institute of Medicine).

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2011

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 20, 2011. Original Filing: 300380158.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.The White House. Implementation of the ACA-Health Care Reform -U.S. Senate and U.S. House of Representatives- Medicaid physician reimbursement rates, value modifier, quality reporting); Medicare SGR Physician Paymentl; Medicare Geographic Payment Locality Update; Medicare Private Contracting; Medicare/Medicaid Graduate Medical Education Funding; Medicare Geographic Variation in Spending issues; Medicaid Physician Reimbursement Rates; Medicaid Block Grants. -U.S. House of Representatives- Scope of Practice for Nurse Anesthetists; Burdensome and Duplicative Regulations on Physicians. -Centers for Medicare and Medicaid Services (CMS)- Medicare Accountable Care Organization Program Implementation; Medicaid Recovery Audit Contractors Regulations; Testimony before the Institute of Medicine (IOM) under contract with the Centers for Medicare and Medicaid Services to perform a study on the Physician Quality Reporting Programs; Medicare Provider Enrollment Problems; Medicare Fraud and Abuse Program Integrity Issues-CMS Geographic Variation in Health Care Spending and the Promotion of High Value (January 17, 2011); Medicare Geographic Variation in Spending issues; Medicaid California State Plan Amendment related to Physician Reimbursement Rate Reductions; Medicaid issues related to implementation of health care reform. -U.S. Department of Justice (Solicitor General)- Maxwell-Jolley v Independent Living Centers -Independent Medicare Advisory Board- Implementation of Health Care Reform-the Affordable Care Act (ACA) Issues.

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2010

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 19, 2011. Original Filing: 300346582.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.Centers for Medicare and Medicaid Services: Proposed 2011 Medicare Physician Payment Rule Medicaid Waiver for the State of California Medicaid Rate Lawsuit: Independent Living Centers vs. Maxwell-Jolley General Implementation of the Patient Protection and Affordable Care Act (ACA) Accountable Care Organizations CMS Innovation Center Initiatives Value-Based Physician Payment Modifier HIT Meaningful Use and Certification Standards Regulations Quality Reporting Programs PQRS, ACO, Physician Compare Website Medicare Geographic Variation in Spending and Value Medicare Physician Geographic Payment Localities Congress: H.R. 4994, the "Medicare and Medicaid Extenders Act of 2010." Medicare SGR and GPCI Physician Payment Formulas Medicaid Waiver for the State of California

Agencies Lobbied

Type of Issue

3rd Quarter, 2010

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 19, 2010. Original Filing: 300321840.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

See next page.HR 4213 The American Jobs and Closing Tax Loopholes Act Medicare SGR and GPCI Physician Payment; HR 3962 Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010; Electronic Health Record Incentives, Meaningful Use and Certification Standards Regulation: Centers for Medicare and Medicaid Services; Proposed 2011 Medicare Physician Payment Rule: Centers for Medicare and Medicaid Services; U.S. House of Reps and U.S. Senate. Testimony before the Institute of Medicine under contract with the Centers for Medicare and Medicaid Services to perform a study on the Geographic Differences in Medicare Practice Expenses. Value-Based Physician Payment Modifier Preliminary Comments: Centers for Medicare and Medicaid Services. Standards for Quality Entities - Physician Quality Reporting: Centers for Medicare and Medicaid Services. California Medicaid Waiver Proposal: Centers for Medicare and Medicaid Services. General Implementation of the Affordable Care Act: Centers for Medicare and Medicaid Services. Accountable Care Organizations: Centers for Medicare and Medicaid Services; Federal Trade Commission; Dept of Justice.

Agencies Lobbied

Type of Issue

2nd Quarter, 2010

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 19, 2010. Original Filing: 300294342.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2010

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 20, 2010. Original Filing: 300275510.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2009

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 20, 2010. Original Filing: 300242656.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2009

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 16, 2009. Original Filing: 300208567.xml

Lobbying Issues

See description next page. HR 3200: American's Affordable Health Choices Act of 2009 Senate: Chairman's Mark: America's Healthy Future Act of 2009 Universal Access to Care; Insurance Coverage Expansions; Insurance Market Reforms; Health Care Benefits; Health Care Financing; Health Insurance Exchange; Public Plan Option; Medicare and Medicaid Reform; Medicaid coverage expansion; Limited English Proficiency - access to translator services and reimbursement; Advance Directives and End-of-Life Planning; Prescription Drug Formularies; Presumptive Eligibility for State Family Planning Medicaid program; Vaccines for Children Program; Comparative Effectiveness Research; prevention and wellness; Physician payment sunshine and transparency Act; Monterey Community Health Plan coop; Medical Liablity Reform; Section 1011 Program providing emergency services to undocumented persons. J-1 Visa Waiver Program for Physicians (Filner) CMA-sponsored draft legislation

Agencies Lobbied

Type of Issue

Lobbying Issues

See description next page.*Medicare Physician Payment Reform* Sustainable Growth Rate Primary Care Medical Homes Accountable Care Organizations Bundling Hospital Readmissions Physician-Owned Hospitals; Medicare Physician Geographic Payment Reform (GPCI) Medicare Physician Geographic Practice Expense Wennberg Geographic Variations in Spending Physician Quality Reporting Initiative (PQRI) Medicare Fraud and Abuse Graduate Medical Education Public Health Workforce Health Professions Training Ambulatory Surgery Centers Physician Balance Billing for Medicare (Price) HR 2820 (Farr) and S 1236 (Feinstein) Medicare Geographic Payment Reform CMA-sponsored legislation Value Index/Value Modifier *Medicaid* Medicaid coverage expansions Medicaid physician rates

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2009

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 20, 2009. Original Filing: 300191442.xml

Lobbying Issues

See description next page. Universal Access to Care; Insurance Coverage Expansions; Insurance Market Reforms; Health Care Benefits; Health Care Financing; Health Insurance Exchange; Public Plan Option; Medicare and Medicaid Reform; Medicaid coverage expansion; Limited English Proficiency - access to translator services and reimbursement; Advance Directives and End-of-Life Planning; Prescription Drug Formularies; Presumptive Eligibility for State Family Planning Medicaid program; Vaccines for Children Program; Comparative Effectiveness Research; prevention and wellness; Physician payment sunshine and transparency Act; Monterey Community Health Plan coop; Medical Liablity Reform; Section 1011 Program providing emergency services to undocumented persons. Medical Device Safety Act (Waxman/Kennedy) Strategies to Address AntiMicrobial Resistance (STARR) Act (Matheson) J-1 Visa Waiver Program for Physicians (Filner) CMA-sponsored draft legislation

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2009

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 20, 2009. Original Filing: 300163417.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

4th Quarter, 2008

Q4 Report

In Q4, California Medical Association Inc. had in-house lobbyists. The report was filed on Jan. 20, 2009. Original Filing: 300127849.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

3rd Quarter, 2008

Q3 Report

In Q3, California Medical Association Inc. had in-house lobbyists. The report was filed on Oct. 20, 2008. Original Filing: 300108138.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

HR 6331 Medicare Improvement for Patients and Providers Act of 2008 House and Senate. Medicare Physician Payment Reform Hearing: Subcommittee on Health-Ways and Means Committee US House of Representatives. Extension of the State 1115 Medicaid Waiver for the Family Planning, Access, Care and Treatment Program (FPACT) US House of Representatives, US Senate. HR 7110 and S 3604 Economic Stimulus Package Increase in California Medicaid Matching Funds (FMAP) US House of Representatives, US Senate. NPI-Related Medicare Physician Payment Problems and Stoppages House of Representatives, US Senate. Medicare Physician Payment Problems with the J1 Administrative Contractor Palmetto GBA House of Representatives, US Senate. Medicare Physician Geographic Payment Locality Updates. HR 4736 Medicare Balance Billing House of Representatives. HR 4105 Medicare Recovery Audit Contractor Program Moratorium House of Representatives. S 1947 Medicare Provider Review Organizations US Senate. Physician J-1 Visa Waiver Program House of Representatives. NPI-Related Medicare Physician Payment Problems and Stoppages House of Representatives. Medicare Physician Payment Problems with the J1 Administrative Contractor Palmetto GBA House of Representatives, US Senate. Medicaid Provider Reimbursement. CMS 1403-P: 2009 Medicare Physician Fee Schedule (MPFS). Medicare Physician Geographic Payment Locality Updates and Locality Data. State Childrens Health Insurance Program (SCHIP) - California. Extension of the State 1115 Medicaid Waiver for the Family Planning, Access, Care and Treatment Program (FPACT). Medicare Demonstration Program California Physician Performance Initiative (CPPI). Provider Conscience Regulation (RIN 0991-AB48)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

2nd Quarter, 2008

Q2 Report

In Q2, California Medical Association Inc. had in-house lobbyists. The report was filed on July 7, 2008. Original Filing: 300061436.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

HR 3162 Children's Health and Medicare Protection Act - House of Representatives, Senate HR 2484 and S 1964 Medicare Physician Geographic Fee Schedule Areas- Senate, House of Representatives HR 4736 Medicare Balance Billing - House of Representatives HR 1665 and S 2352 Medicare Hearing Health Care Enhancement Act - Senate; House of RepresentativesHR 4105 Medicare Recovery Audit Contractor Program Moratorium House of Representatives S 2785 Save Medicare Act Senate S 1947 Medicare Provider Review Organizations Senate HR 5613 Medicaid Regulations Moratorium House of Representatives; Senate Physicians Quality Reporting Initiative (PQRI) Senate Medicare Physician Scarcity Areas House of Representatives Health Professional Shortage Areas House of Representatives Physician J-1 Visa Waiver Program House of Representatives S 3118 Preserving Acces to Medicare Act of 2008 House and Senate S 3101 Medicare Improvement for Patients and Providers Act of 2008 House and Senate HR 6331 Medicare Improvement for Patients and Providers Act of 2008 House and Senate NPI-Related Medicare Physician Payment Problems and Stoppages House Department of Health and Human Services/Centers for Medicare and Medicaid Services: Medicare Administrative Contractor Contract Award Jurisdiction 1 Part A/Part B-Palmetto GBA HR 3162 Childrens Health and Medicare Protection Act S 2785 Save Medicare Act HR 4105 Medicare Recovery Audit Contractor Program Moratorium HR 5613 Medicaid Regulations Moratorium Medicaid Provider Reimbursement CMS Medicaid Regulations CMS 2258-FC, 2279-P, 2213-P, 2275-P, 2261-P, 2287-P, 2237-IFC) Medicare Physician Geographic Fee Schedule Areas NPI-Related Medicare Physician Payment Problems CMS 1403-P: 2009 Medicare Physician Fee Schedule (MPFS)

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2008

Q1 Report

In Q1, California Medical Association Inc. had in-house lobbyists. The report was filed on April 18, 2008. Original Filing: 300044186.xml

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

HR 3162 Childrens Health and Medicare Protection Act House of Representatives, Senate HR 2484 and S 1964 Medicare Physician Geographic Fee Schedule Areas- Senate, House of Representatives HR 4736 Medicare Balance Billing - House of Representatives HR 1665 and S 2352 Medicare Hearing Health Care Enhancement Act - Senate; House of RepresentativesHR 4105 Medicare Recovery Audit Contractor Program Moratorium House of Representatives S 2785 Save Medicare Act Senate S 1947 Medicare Provider Review Organizations Senate HR 5613 Medicaid Regulations Moratorium House of Representatives; Senate Physicians Quality Reporting Initiative (PQRI) Senate Medicare Physician Scarcity Areas House of Representatives Health Professional Shortage Areas House of Representatives Physician J-1 Visa Waiver Program House of Representatives Department of Health and Human Services/Centers for Medicare and Medicaid Services: Medicare Administrative Contractor Contract Award Jurisdiction 1 Part A/Part B-Palmetto GBA HR 3162 Childrens Health and Medicare Protection Act S 2785 Save Medicare Act HR 4105 Medicare Recovery Audit Contractor Program Moratorium HR 5613 Medicaid Regulations Moratorium Medicaid Provider Reimbursement CMS Medicaid Regulations CMS 2258-FC, 2279-P, 2213-P, 2275-P, 2261-P, 2287-P, 2237-IFC) Medicare Physician Geographic Fee Schedule Areas

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

Lobbying Issues

Agencies Lobbied

Type of Issue

1st Quarter, 2008

Registration

Source: Clerk of the U.S. House of Representatives and Secretary of the Senate

Legislators

Bills

Statements

Lobbying

Travel

Lobbyists

Disclosures Filed