United States-Mexico-Canada Agreement (USMCA) - Supporting passage of updated agreement to reflect current trade investment environment for Medical Devices
Countries specific market access issues - India price controls and China market access issues
Tariffs Limitations on aircraft transportation of lithium batteries
H.R. 4, S. 1405, and Public Law 115-254 - Federal Aviation Administration Re-authorization Act of 2018 - Limitations on aircraft transportation of lithium batteries (House, Senate, Pipeline & Hazardous Materials Safety Admin (PHMSA))
Interim Final Rule (IFR) HM 224I. -Issued by PHMSA to revise Hazardous Materials Regulations for lithium cells & batteries transported by aircraft FDA/CMS Breakthrough Pathway - Legislation to harmonize CMS Reimbursement with FDA Approval to speed products' market introduction
House/Senate
Implementation of Comprehensive Addiction & Recovery Act (CARA) Law to address the National Opioid epidemic. Specifically, Advocacy for FDA approved alternative treatments for Chronic Pain
Public Law 115-271 SUPPORT for Patients and Communities Act - Specifically, advocacy for FDA approved alternative treatments for Chronic Pain, and medical device's role in the opioid epidemic. 
HR 3417 Better Act- Modifications to legislation to streamline access to medical device interventions by employing telehealth
2020 proposed OPPS rule- Telehealth and C-APC changes for Interspinous Decompression
Labor HHS bill HR 1865 - Advocacy for C-APC changes
HR 5833 to Amend Title XVIII of the Social Security Act - Allows psychological evaluation required for preauthorization for certain interventional pain therapies to be conducted via telehealth
Public Law 116-136 Coronavirus Aid Relief & Economic Security (CARES) Act - Legislation to support businesses of all sizes, cash support for citizens, and monetary relief for health care providers & hospitals, telehealth expansion. Specifically, advocacy for funding to help health providers offset expenses and lost revenue related to the pandemic; medical device shortages reporting for public health emergencies, grants for COVID-19 medical countermeasures; and air transport provisions to maintain medical device supply chain. 
Yet-to-be released COVID Stimulus Bill (House & Senate):Emergency waiver to increase the frequency of application review of CMS's New Tech Add-on Payment program during the Public Health Emergency FY 2021 Agriculture Appropriations Bill (House) - FDA Funding
FY 2021 Agriculture Appropriations Bill (Senate) - FDA Funding
FY 2021 Labor HHS Appropriations Bill (House) - Collection of Pain Care Statistics
FY 2021 Labor HHS Appropriations Bill (Senate) - Collection of Pain Care Statistics HR 5 the Equality Act - to prohibit discrimination on the basis of sex, gender identity, and sexual orientation in a wide variety of areas including public accommodations and facilities, education, federal funding, employment, housing, credit, and the jury system. VHA Directive 2009-053 - Pain care directive - working to increase veteran access to pain specialists and FDA approved alternative treatments in the VHA Public Law No. 113-146 - Veterans Access, Choice, and Accountability Act: Implementation of law to allow veterans to seek healthcare from non-VA facilities if unable to receive care from the VA in a timely manner.
National Pain Strategy - Encouraging adaption of the NIH's National Pain Strategy
Medial device supply chain procurement - VHA patient access to Med Technology as VHA migrates to new sourcing methodology
Implementation of Comprehensive Addiction and Recovery Act (CARA) law to improve the quality of Pain Care provided to veterans.
Purchase Order Prompt Pay - Ensures the VA pays bills in accordance with the law.
Implementation of Bergman bill Public Law
Public Law No. 115-407 - Veterans Benefits and Transition Act of 2018 - specifically the inclusion of Rep. Bergman's VA Medsurg Purchasing Stabilization Act - VA device formulary; requires clinical expertise development
TRD - Trade (domestic/foreign) TRA - Transportation HCR - Health Issues BUD - Budget/Appropriations LBR - Labor Issues/Antitrust/Workplace VET - Veterans
136 - Centers For Medicare and Medicaid Services (CMS) 2 - HOUSE OF REPRESENTATIVES 18 - Office of Management & Budget (OMB) 1 - SENATE 136 - Centers For Medicare and Medicaid Services (CMS) 2 - HOUSE OF REPRESENTATIVES 18 - Office of Management & Budget (OMB) 1 - SENATE 136 - Centers For Medicare and Medicaid Services (CMS) 2 - HOUSE OF REPRESENTATIVES 18 - Office of Management & Budget (OMB) 1 - SENATE 136 - Centers For Medicare and Medicaid Services (CMS) 2 - HOUSE OF REPRESENTATIVES 18 - Office of Management & Budget (OMB) 1 - SENATE 136 - Centers For Medicare and Medicaid Services (CMS) 2 - HOUSE OF REPRESENTATIVES 18 - Office of Management & Budget (OMB) 1 - SENATE 136 - Centers For Medicare and Medicaid Services (CMS) 2 - HOUSE OF REPRESENTATIVES 18 - Office of Management & Budget (OMB) 1 - SENATE
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